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Toward Personalized Care and Patient Empowerment and Perspectives on a Personal Health Record in Hemophilia Care: Qualitative Interview Study

Toward Personalized Care and Patient Empowerment and Perspectives on a Personal Health Record in Hemophilia Care: Qualitative Interview Study

Persons with a chronic health condition, such as the bleeding disorder hemophilia, are encouraged to use e Health tools to enable personalized treatment and shared decision-making. Hemophilia is an X-linked inherited coagulation factor deficiency of factor VIII (in hemophilia A) or factor IX (in hemophilia B), resulting in an increased bleeding tendency.

Martijn R Brands, Lotte Haverman, Jelmer J Muis, Mariëtte H E Driessens, Stephan Meijer, Felix J M van der Meer, Marianne de Jong, Johanna G van der Bom, Marjon H Cnossen, Karin Fijnvandraat, Samantha C Gouw

JMIR Hum Factors 2024;11:e48359

Evaluation of an e-Learning Program for Community Pharmacists for Dispensing Emicizumab (Hemlibra) in France: Nationwide Cross-Sectional Study

Evaluation of an e-Learning Program for Community Pharmacists for Dispensing Emicizumab (Hemlibra) in France: Nationwide Cross-Sectional Study

The transition of care has typically been implemented in France for patients with hemophilia A with or without inhibitors. This disease is a rare bleeding disorder whose treatment relies on factor VIII injections or bypass agents. Chronic treatment for hemophilia A has been available only in French hospital pharmacies, and monthly dispensing was conditional on reimbursement of these drugs [10].

Valérie Chamouard, Julie Freyssenge, Béatrice Clairaz-Mahiou, Felicia Ferrera Bibas, Laurie Fraticelli

JMIR Form Res 2024;8:e54656

Evaluation of the Care Pathway in the Context of the Dispensing of Emicizumab (Hemlibra) in Community Pharmacies in France: Protocol for a Cross-sectional Study Based on the Kirkpatrick Model

Evaluation of the Care Pathway in the Context of the Dispensing of Emicizumab (Hemlibra) in Community Pharmacies in France: Protocol for a Cross-sectional Study Based on the Kirkpatrick Model

Severe hemophilia A is an inherited bleeding disorder due to the deficiency of clotting factor VIII (FVIII), which causes bleeds occurring internally into joints and muscles, or external bleeding from minor cuts, surgical procedures, or injuries. The frequency and intensity of bleeding depends on the level of FVIII deficiency.

Laurie Fraticelli, Julie Freyssenge, Emilie Promé-Combel, Eléonore Agnellet, Yesim Dargaud, Valérie Chamouard

JMIR Res Protoc 2023;12:e43091

User-Centered Development and Testing of the Online Patient-Reported Outcomes, Burdens, and Experiences (PROBE) Survey and the myPROBE App and Integration With the Canadian Bleeding Disorder Registry: Mixed Methods Study

User-Centered Development and Testing of the Online Patient-Reported Outcomes, Burdens, and Experiences (PROBE) Survey and the myPROBE App and Integration With the Canadian Bleeding Disorder Registry: Mixed Methods Study

Hemophilia is an inherited X-linked bleeding disorder. Hemophilia A is characterized by a deficiency in the clotting factor VIII, while Hemophilia B is a deficiency in factor IX. Given the reduced ability to form clots, people living with hemophilia experience an increased frequency and duration of bleeding events, which tend to occur mostly within the joints or muscles [1]. The standard of care for hemophilia treatment involves infusing factor replacement to increase factor concentrations in blood [1].

Federico Germini, Victoria Borg Debono, David Page, Victoria Zuk, Alexandra Kucher, Chris Cotoi, Nicholas Hobson, Michael Sevestre, Mark W Skinner, Alfonso Iorio, PROBE Investigators

JMIR Hum Factors 2022;9(1):e30797

Technology Acceptance Among Patients With Hemophilia in Hong Kong and Their Expectations of a Mobile Health App to Promote Self-management: Survey Study

Technology Acceptance Among Patients With Hemophilia in Hong Kong and Their Expectations of a Mobile Health App to Promote Self-management: Survey Study

Hemophilia is a rare X-linked recessive hemorrhagic disorder that affects mostly men. Hemophilia A and B are caused by deficiencies of coagulation factors VIII and IX, respectively [1]. One common severe complication of this congenital disorder is spontaneous and repetitive bleeding, particularly in the synovial joints [1]. Poor management can eventually lead to permanent joint deformity and chronic hemarthropathy, a severe type of arthritis caused by bleeding into the joints.

Yin Ting Cheung, Pok Hong Lam, Teddy Tai-Ning Lam, Henry Hon Wai Lam, Chi Kong Li

JMIR Form Res 2021;5(9):e27985

A Blended Physiotherapy Intervention for Persons With Hemophilic Arthropathy: Development Study

A Blended Physiotherapy Intervention for Persons With Hemophilic Arthropathy: Development Study

Hemophilia is an X-linked congenital disorder that impairs the body’s ability to make blood clots [1]. It is a rare disease, with a prevalence of 1 in 10,000 persons. Hemophilia is characterized by prolonged bleeding after injuries, easy bruising, and an increased risk of bleeding in the joints and muscles. When untreated, persons with severe hemophilia (5% blood clotting factors) experience bleeding only after a trauma [1].

Merel A Timmer, Corelien J J Kloek, Piet de Kleijn, Isolde A R Kuijlaars, Roger E G Schutgens, Cindy Veenhof, Martijn F Pisters

J Med Internet Res 2020;22(6):e16631

Telehealth Interventions for Improving Self-Management in Patients With Hemophilia: Scoping Review of Clinical Studies

Telehealth Interventions for Improving Self-Management in Patients With Hemophilia: Scoping Review of Clinical Studies

Fortunately, the introduction of home therapy for hemophilia has empowered patients and their families to manage the disease more independently. However, the self-management of hemophilia is demanding, including the recognition of bleeding, adherence to self-administration of prophylactic infusions, recording of bleeding events, and management of a home inventory of medications. Strategies are needed to improve the health outcomes and self-efficacy of patients with hemophilia.

Wenji Qian, Teddy Tai-Ning Lam, Henry Hon Wai Lam, Chi-Kong Li, Yin Ting Cheung

J Med Internet Res 2019;21(7):e12340

A Novel Clinician-Orchestrated Virtual Reality Platform for Distraction During Pediatric Intravenous Procedures in Children With Hemophilia: Randomized Controlled Trial

A Novel Clinician-Orchestrated Virtual Reality Platform for Distraction During Pediatric Intravenous Procedures in Children With Hemophilia: Randomized Controlled Trial

One of the conditions that requires the most needle-intensive care is hemophilia. Both hemophilia A (HA) and B (HB) are severe congenital bleeding disorders. Without intravenous (IV) infusions of clotting factor concentrates, children with hemophilia experience life- and limb-threatening bleeding. Most children with hemophilia begin routine IV infusions of factor concentrate between the age of 1 and 3 years and continue infusions 2-3 times per week for life.

Amy L Dunn, Jeremy Patterson, Charmaine F Biega, Alice Grishchenko, John Luna, Joseph R Stanek, Robert Strouse

JMIR Serious Games 2019;7(1):e10902

Online Peer-to-Peer Mentoring Support for Youth with Hemophilia: Qualitative Needs Assessment

Online Peer-to-Peer Mentoring Support for Youth with Hemophilia: Qualitative Needs Assessment

The challenges of transition of care for young people with hemophilia have been documented and well reviewed [1-3]. As the responsibilities of disease management shift from caregivers to patients themselves, adolescents are expected to gain knowledge and self-management skills to become independent. Despite well-developed resources for North American hemophilia care providers [4-6], adolescents and young adults report gaps in the understanding and skills [7-9].

Vicky R R. Breakey, Vanessa Bouskill, Cynthia Nguyen, Stephanie Luca, Jennifer N Stinson, Sara Ahola Kohut

JMIR Pediatr Parent 2018;1(2):e10958

Development of a Web-Accessible Population Pharmacokinetic Service—Hemophilia (WAPPS-Hemo): Study Protocol

Development of a Web-Accessible Population Pharmacokinetic Service—Hemophilia (WAPPS-Hemo): Study Protocol

Both hemophilia A and B are rare diseases; the prevalence of hemophilia A is 1 in 5000 male live births and that of hemophilia B is 1 in 30,000 [1,2]. Factor replacement therapy with plasma-derived or recombinant concentrates at regular intervals to prevent both bleeding and the resultant joint damage (ie, primary prophylaxis) is the mainstay of treatment of hemophilia [2,3].

Alfonso Iorio, Arun Keepanasseril, Gary Foster, Tamara Navarro-Ruan, Alanna McEneny-King, Andrea N Edginton, Lehana Thabane

JMIR Res Protoc 2016;5(4):e239