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Authors’ Reply: Is the Pinball Machine a Blind Spot in Serious Games Research?

Authors’ Reply: Is the Pinball Machine a Blind Spot in Serious Games Research?

The suggestion to consider pinball machines as a tool within the serious games paradigm presents an interesting avenue for further exploration. At the time of our study, our focus was primarily on conventional and emerging digital technologies, such as virtual reality, mobile devices, and sensor-based interactions.

Luis Carlos Rodríguez Timaná, Javier Ferney Castillo García, Teodiano Bastos Filho, Alvaro Alexander Ocampo González, Nazly Rocio Hincapié Monsalve, Nicolas Jacobo Valencia Jimenez

JMIR Serious Games 2025;13:e73034

Identifying Patient-Reported Outcome Measure Documentation in Veterans Health Administration Chiropractic Clinic Notes: Natural Language Processing Analysis

Identifying Patient-Reported Outcome Measure Documentation in Veterans Health Administration Chiropractic Clinic Notes: Natural Language Processing Analysis

Multiple notes can be written to describe the same identified chiropractic visit; for example, a resident chiropractor note and an attending chiropractor note may each contain data relevant to a single visit. We concatenated all notes linked to the same unique visit identifier on the same date of service (regardless of note author) to create a 1-to-1 relationship between visits and clinic notes. A unique character set was used as a delimiter to separate individual notes.

Brian C Coleman, Kelsey L Corcoran, Cynthia A Brandt, Joseph L Goulet, Stephen L Luther, Anthony J Lisi

JMIR Med Inform 2025;13:e66466

Digital Ergonomics of NavegApp, a Novel Serious Game for Spatial Cognition Assessment: Content Validity and Usability Study

Digital Ergonomics of NavegApp, a Novel Serious Game for Spatial Cognition Assessment: Content Validity and Usability Study

SC involves a range of cognitive functions, including the perception, organization, and use of location and object–based information to understand and navigate through physical or mental spaces [12-14]. When integrated, these processes facilitate complex spatial behaviors, such as solving mazes or tracing routes from point A to point B using landmarks or self-positioning as a reference [13].

Juan Pablo Sanchez-Escudero, David Aguillon, Stella Valencia, Mauricio A Garcia-Barrera, Daniel Camilo Aguirre-Acevedo, Natalia Trujillo

JMIR Serious Games 2025;13:e66167

Digital Health Resilience and Well-Being Interventions for Military Members, Veterans, and Public Safety Personnel: Environmental Scan and Quality Review

Digital Health Resilience and Well-Being Interventions for Military Members, Veterans, and Public Safety Personnel: Environmental Scan and Quality Review

Each DMHI was evaluated based on 2 quality rating scales: the A-MARS and the ARIA. A description of each is provided in the subsequent sections. The A-MARS [33] is a rating scale adapted from the MARS [34] and was used to review RBs and WBPs. The A-MARS was developed to evaluate health-related e-tools, with a specific expansion of the engagement subscale.

Rashell R Allen, Myrah A Malik, Carley Aquin, Lucijana Herceg, Suzette Brémault-Phillips, Phillip R Sevigny

JMIR Mhealth Uhealth 2025;13:e64098

Accelerometry-Assessed Physical Activity and Circadian Rhythm to Detect Clinical Disability Status in Multiple Sclerosis: Cross-Sectional Study

Accelerometry-Assessed Physical Activity and Circadian Rhythm to Detect Clinical Disability Status in Multiple Sclerosis: Cross-Sectional Study

The EDSS, however, is semiquantitative, has limited reliability, and only captures a person’s state at one short point in time during a clinical visit [1]. People with MS may have different disability states at different times throughout the day, as symptoms can fluctuate with temperature, fatigue, stress, and other factors [2,3].

Nicole Bou Rjeily, Muraleetharan Sanjayan, Pratim Guha Niyogi, Blake E Dewey, Alexandra Zambriczki Lee, Christy Hulett, Gabriella Dagher, Chen Hu, Rafal D Mazur, Elena M Kenney, Erin Brennan, Anna DuVal, Peter A Calabresi, Vadim Zipunnikov, Kathryn C Fitzgerald, Ellen M Mowry

JMIR Mhealth Uhealth 2025;13:e57599

Effectiveness of the Safe Step Digital Exercise Program to Prevent Falls in Older Community-Dwelling Adults: Randomized Controlled Trial

Effectiveness of the Safe Step Digital Exercise Program to Prevent Falls in Older Community-Dwelling Adults: Randomized Controlled Trial

Inclusion criteria were (1) participants aged 70 years or older, (2) having fallen or experienced a decline in perceived postural balance during the past year, (3) having access to a smartphone or tablet and using it regularly, (4) having own email address and using it, (5) being able to understand verbal and written instructions in Swedish, (6) being able to rise from a standard height chair without a person helping, and (7) being able to walk independently without a walking aid indoors.

Beatrice Pettersson, Lillemor Lundin-Olsson, Dawn A Skelton, Per Liv, Magnus Zingmark, Erik Rosendahl, Marlene Sandlund

J Med Internet Res 2025;27:e67539

Examining Quality of Work Life in Atlantic Canadian Long-Term Care Homes: Protocol for a Cross-Sectional Survey Study

Examining Quality of Work Life in Atlantic Canadian Long-Term Care Homes: Protocol for a Cross-Sectional Survey Study

Additionally, according to the 2021 census, between 96% to 99% of the population in Nova Scotia, Prince Edward Island, Newfoundland and Labrador spoke English as a first language, and as a bilingual province, nearly 70% of the New Brunswick population spoke English as a first language while the remaining 30% spoke French [9].

Janice M Keefe, Rose McCloskey, Marilyn J Hodgins, Caitlin McArthur, Adrian MacKenzie, Lori E Weeks, Carole A Estabrooks

JMIR Res Protoc 2025;14:e66338

Breast Cancer Vlogs on YouTube: Descriptive and Content Analyses

Breast Cancer Vlogs on YouTube: Descriptive and Content Analyses

A popular subset of vlogs are created by women with breast cancer, in which they document their breast cancer experiences in a publicly accessible digital format. As videos that tend to invite viewers into the lives of their creators, vlogs typically receive high levels of engagement and draw audiences who will continue watching in order to keep up with what creators are doing next.

Nina Morena, Elly Dimya Htite, Yitzchok Ahisar, Victoria Hayman, Carrie A Rentschler, Ari N Meguerditchian

JMIR Infodemiology 2025;5:e66812

Evaluation of the Clinical Nursing Effects of a Traditional Chinese Medicine Nursing Program Based on Care Pathways for Patients With Type 2 Diabetes: Protocol for a Randomized Controlled Clinical Trial

Evaluation of the Clinical Nursing Effects of a Traditional Chinese Medicine Nursing Program Based on Care Pathways for Patients With Type 2 Diabetes: Protocol for a Randomized Controlled Clinical Trial

For instance, a study by Li [6] analyzed the effectiveness of clinical nursing pathways in type 2 diabetes mellitus (T2 DM) care, demonstrating that a research group using clinical nursing pathways achieved better control of fasting blood glucose and postprandial 2-hour glucose levels compared to a control group (P Similarly, a study by Ren et al [7] showed that implementing traditional Chinese medicine (TCM) nursing programs in general hospitals resulted in higher quality-of-life scores for patients in an observation

Yanchun Zhao, Ting Huang, Yanli Chen, Songmei Li, Juan Zhao, Xu Han, Qing Ni, Ning Su

JMIR Res Protoc 2025;14:e58951

Automatic Human Embryo Volume Measurement in First Trimester Ultrasound From the Rotterdam Periconception Cohort: Quantitative and Qualitative Evaluation of Artificial Intelligence

Automatic Human Embryo Volume Measurement in First Trimester Ultrasound From the Rotterdam Periconception Cohort: Quantitative and Qualitative Evaluation of Artificial Intelligence

To perform VR measurements, either a fully immersive VR-room or desktop VR system is needed. The interactive VR visualization of the ultrasound image can be manipulated using a virtual pointer controlled by a wireless joystick. The joystick enables voxel inclusion or exclusion to perform segmentation (Figure 1 A).

Wietske A P Bastiaansen, Stefan Klein, Batoul Hojeij, Eleonora Rubini, Anton H J Koning, Wiro Niessen, Régine P M Steegers-Theunissen, Melek Rousian

J Med Internet Res 2025;27:e60887