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Impact of a 6-Week Postpartum Text Messaging Program (Essential Coaching for Every Mother) at 6 Months: Follow-Up Study to a Randomized Controlled Trial

Impact of a 6-Week Postpartum Text Messaging Program (Essential Coaching for Every Mother) at 6 Months: Follow-Up Study to a Randomized Controlled Trial

Despite this growth, the extent to which preventative digital health interventions improve or maintain outcomes after the intervention has concluded is unclear. This is known as the maintenance effect, which is essential to behavior change interventions and measures the impact of the intervention on outcomes after the treatment has taken place [3].

Justine Dol, Marsha Campbell-Yeo, Megan Aston, Douglas McMillan, Amy K Grant

JMIR Pediatr Parent 2025;8:e62841

Cooperative Virtual Reality Gaming for Anxiety and Pain Reduction in Pediatric Patients and Their Caregivers During Painful Medical Procedures: Protocol for a Randomized Controlled Trial

Cooperative Virtual Reality Gaming for Anxiety and Pain Reduction in Pediatric Patients and Their Caregivers During Painful Medical Procedures: Protocol for a Randomized Controlled Trial

Our intervention addresses a range of medical procedures that have shown to be highly anxiety- and stress-inducing in pediatric patients but can generally be performed without anesthesia. It is possible that patient anxiety and pain ratings differ for different procedures and that these perceptions influence the effect of our intervention. Fundamental anxiety as a patient characteristic (ie, trait anxiety) is also a likely influencing factor for anxiety and pain ratings [19].

Stefan Liszio, Franziska Bäuerlein, Jens Hildebrand, Carolin van Nahl, Maic Masuch, Oliver Basu

JMIR Res Protoc 2025;14:e63098

Acceptability and Effectiveness of a Fully Web-Based Nutrition and Exercise Program for Individuals With Chronic Disease During COVID-19: Randomized Controlled Trial

Acceptability and Effectiveness of a Fully Web-Based Nutrition and Exercise Program for Individuals With Chronic Disease During COVID-19: Randomized Controlled Trial

With the availability of Heal-Me, this randomized controlled trial (RCT) was designed in response to COVID-19 to answer questions about the acceptability and effectiveness of a personnel-supported, web-based nutrition and exercise intervention for individuals with chronic disease. To understand the extent of support needed by patient users, there were 2 intervention arms (digital group classes only vs digital group classes with additional one-to-one support).

Puneeta Tandon, Kathleen P Ismond, Graeme Purdy, Christofer Cruz, Evelyn Etruw, Kirsten Suderman, Ashley Hyde, Michael Stickland, John C Spence, Dale C Lien, Rahima Bhanji, Carla M Prado, Antonio Miguel-Cruz, Anil A Joy, Maryna Yaskina, Margaret L McNeely

J Med Internet Res 2025;27:e57537

Optimizing Testimonials for Behavior Change in a Digital Intervention for Binge Eating: Human-Centered Design Study

Optimizing Testimonials for Behavior Change in a Digital Intervention for Binge Eating: Human-Centered Design Study

The purpose of this paper is to inform the design of testimonials for a digital binge eating intervention. This study was conducted as part of our ongoing efforts applying human-centered design methods to create a 16-week digital health intervention (Food Steps) that targets binge eating and weight-related behaviors.

Isabel R Rooper, Adrian Ortega, Thomas A Massion, Tanvi Lakhtakia, Macarena Kruger, Leah M Parsons, Lindsay D Lipman, Chidiebere Azubuike, Emily Tack, Katrina T Obleada, Andrea K Graham

JMIR Form Res 2025;9:e59691

Targeted Behavior Change Communication Using a Mobile Health Platform to Increase Uptake of Long-Lasting Insecticidal Nets Among Pregnant Women in Tanzania: Hati Salama “Secure Voucher” Study Cluster Randomized Controlled Trial

Targeted Behavior Change Communication Using a Mobile Health Platform to Increase Uptake of Long-Lasting Insecticidal Nets Among Pregnant Women in Tanzania: Hati Salama “Secure Voucher” Study Cluster Randomized Controlled Trial

Intervention group nurses and control group nurses were trained separately, and the control and intervention clinics were located large distances from each other to minimize contamination. Participants in both the intervention and control groups were issued LLIN e-vouchers on their mobile phones by nurses upon enrollment into the study.

Trinity Vey, Eleonora Kinnicutt, Andrew G Day, Nicola West, Jessica Sleeth, Kenneth Bernard Nchimbi, Karen Yeates

J Med Internet Res 2025;27:e51524

Association of Digital Health Interventions With Maternal and Neonatal Outcomes: Systematic Review and Meta-Analysis

Association of Digital Health Interventions With Maternal and Neonatal Outcomes: Systematic Review and Meta-Analysis

In addition, participants in the intervention group gained 1.12 kg less than those in the routine care group [16]. However, some studies have contradicted these findings, reporting no significant impact of telemedicine on maternal or neonatal outcomes [17-19].

Jianing Wang, Nu Tang, Congcong Jin, Jianxue Yang, Xiangpeng Zheng, Qiujing Jiang, Shengping Li, Nian Xiao, Xiaojun Zhou

J Med Internet Res 2025;27:e66580

Examining Challenges to Co-Design Digital Health Interventions With End Users: Systematic Review

Examining Challenges to Co-Design Digital Health Interventions With End Users: Systematic Review

Considering the complexity of DHIs, we used the Per SPEc Ti F [20] guidelines for intervention (Table 1). We selected it due to its suitability for qualitative synthesis in the health care domain.

Anthony Duffy, Nazanin Boroumandzad, Alfredo Lopez Sherman, Gregory Christie, Indira Riadi, Sylvain Moreno

J Med Internet Res 2025;27:e50178

Healthy Mom Zone Adaptive Intervention With a Novel Control System and Digital Platform to Manage Gestational Weight Gain in Pregnant Women With Overweight or Obesity: Study Design and Protocol for a Randomized Controlled Trial

Healthy Mom Zone Adaptive Intervention With a Novel Control System and Digital Platform to Manage Gestational Weight Gain in Pregnant Women With Overweight or Obesity: Study Design and Protocol for a Randomized Controlled Trial

Aim 3 is to examine the impact of implementation markers on intervention efficacy in terms of GWG and secondary outcomes. It is hypothesized that subject engagement, acceptability, dosage exposure, and staff burden or acceptability will moderate the effect of the intervention on study outcomes. This information will inform how to scale-up the HMZ 2.0 intervention for future use by prenatal clinicians.

Danielle Symons Downs, Abigail M Pauley, Daniel E Rivera, Jennifer S Savage, Amy M Moore, Danying Shao, Sy-Miin Chow, Constantino Lagoa, Jaimey M Pauli, Owais Khan, Allen Kunselman

JMIR Res Protoc 2025;14:e66637

The Role of Environmental Factors in Technology-Assisted Physical Activity Intervention Studies Among Older Adults: Scoping Review

The Role of Environmental Factors in Technology-Assisted Physical Activity Intervention Studies Among Older Adults: Scoping Review

Of the 25 included studies, 18 (72%) reported supervised PA interventions [34-45,47-49,51,53,54], 4 (16%) included a nonsupervised PA intervention [31,48,52,54], and 3 (12%) did not provide information regarding the supervision of the technology-assisted PA intervention [30,32,33]. The duration of these PA interventions, the frequency and duration of individual intervention sessions, and the technology device used varied across the studies (Table 1).

Carl-Philipp Jansen, Désirée Nijland, Jean-Michel Oppert, Veysel Alcan, Kirsi E Keskinen, Emmi Matikainen-Tervola, Zada Pajalic, Merja Rantakokko, Signe Tomsone, Essi-Mari Tuomola, Erja Portegijs, Erik J Timmermans

JMIR Mhealth Uhealth 2025;13:e59570

Coach-Assisted eHealth With Group or Individual Support for Employees With Obesity: Randomized Controlled Trial on Weight, Body Composition, and Health Metrics

Coach-Assisted eHealth With Group or Individual Support for Employees With Obesity: Randomized Controlled Trial on Weight, Body Composition, and Health Metrics

The retention rate was 95% at the 6-month mark, 86% at the 12-month mark, and 61% at the 24-month mark of the intervention (Figure 1). The participants completed, on average, 58.6% (SD 32.7%) of the e Health program. There were no differences in retention or progression between the treatment arms.

Siniriikka A Männistö, Kirsi H Pietiläinen, Joona Muotka, Laura-Unnukka Suojanen, Raimo Lappalainen, Riitta Korpela

J Med Internet Res 2025;27:e60436