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Vol 10, No 4 (2008) - Oct-Dec


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Original Papers

Development of Alive! (A Lifestyle Intervention Via Email), and Its Effect on Health-related Quality of Life, Presenteeism, and Other Behavioral Outcomes: Randomized Controlled Trial

Gladys Block, Barbara Sternfeld, Clifford Block, Torin Block, Jean Norris, Donald Hopkins, Charles Quesenberry, Jr., Gail Husson, Heather Clancy

J Med Internet Res 2008 (Nov 19); 10(4):e43

HTML PDF XML Abstract

Background: Cost-effective interventions to improve diet and physical activity are a public health priority. Alive! is an email-based intervention to increase physical activity, reduce saturated and trans fats and added sugars, and increase fruit and vegetable consumption. It was shown to improve these behaviors in a large randomized controlled trial. Objective: (1) To describe the components and behavioral principles underlying Alive!, and (2) to report effects of the intervention on the...

Predicting Successful Treatment Outcome of Web-Based Self-help for Problem Drinkers: Secondary Analysis From a Randomized Controlled Trial

Heleen Riper, Jeannet Kramer, Max Keuken, Filip Smit, Gerard Schippers, Pim Cuijpers

J Med Internet Res 2008 (Nov 22); 10(4):e46

HTML PDF XML Abstract

Background: Web-based self-help interventions for problem drinking are coming of age. They have shown promising results in terms of cost-effectiveness, and they offer opportunities to reach out on a broad scale to problem drinkers. The question now is whether certain groups of problem drinkers benefit more from such Web-based interventions than others. Objective: We sought to identify baseline, client-related predictors of the effectiveness of Drinking Less, a 24/7, free-access,...

Internet-Based Treatment for Adults with Depressive Symptoms: Randomized Controlled Trial

Lisanne Warmerdam, Annemieke van Straten, Jos Twisk, Heleen Riper, Pim Cuijpers

J Med Internet Res 2008 (Nov 20); 10(4):e44

HTML PDF XML Abstract

Background: Many depressed people don’t receive help for their symptoms, and there are various barriers that impede help-seeking. The Internet may offer interesting alternatives for reaching and helping people with depression. Depression can be treated effectively with Internet-based cognitive behavioral therapy (CBT), but a short intervention based on problem solving therapy (PST) could constitute a worthwhile alternative to CBT. Objective: In this study we evaluated the effectiveness of...

eHealth Trends in Europe 2005-2007: A Population-Based Survey

Per Kummervold, Catherina Chronaki, Berthold Lausen, Hans-Ulrich Prokosch, Janne Rasmussen, Silvina Santana, Andrzej Staniszewski, Silje Wangberg

J Med Internet Res 2008 (Nov 17); 10(4):e42

HTML PDF XML Abstract

Background: In the last decade, the number of Internet users worldwide has dramatically increased. People are using the Internet for various health-related purposes. It is important to monitor such use as it may have an impact on the individual’s health and behavior, patient-practitioner roles, and on general health care provision. Objectives: This study investigates trends and patterns of European health-related Internet use over a period of 18 months. The main study objective was to...

Evaluation of an Internet-Based Hearing Test—Comparison with Established Methods for Detection of Hearing Loss

Christin Bexelius, Louise Honeth, Alexandra Ekman, Mikael Eriksson, Sven Sandin, Dan Bagger-Sjöbäck, Jan-Eric Litton

J Med Internet Res 2008 (Oct 21); 10(4):e32

HTML PDF XML Abstract

Background: Hearing impairment is most accurately measured by a clinical pure-tone audiogram. This method is not suitable for large-scale, population-based epidemiological studies as it requires that study participants visit a clinic with trained personnel. An alternative approach to measuring hearing ability is self-estimation through questionnaires, but the correlation to clinical audiometric tests varies. Objective: To evaluate an Internet-based hearing test pilot compared to a question...

Patient Accessible Electronic Health Records: Exploring Recommendations for Successful Implementation Strategies

David Wiljer, Sara Urowitz, Emma Apatu, Claudette DeLenardo, Gunther Eysenbach, Tamara Harth, Howard Pai, Kevin Leonard, CCPAEHR Canadian Committee for Patient Accessible Health Records

J Med Internet Res 2008 (Oct 31); 10(4):e34

HTML PDF XML Abstract

Background: Providing patients with access to their electronic health records offers great promise to improve patient health and satisfaction with their care, as well to improve professional and organizational approaches to health care. Although many benefits have been identified, there are many questions about best practices for the implementation of patient accessible Electronic Health Records (EHRs). Objectives: To develop recommendations to assist health care organizations in providing...

Individuals Appreciate Having Their Medication Record on the Web: A Survey of Attitudes to a National Pharmacy Register

Emelie Montelius, Bengt Åstrand, Bo Hovstadius, Göran Petersson

J Med Internet Res 2008 (Nov 11); 10(4):e35

HTML PDF XML Abstract

Background: Many patients receive health care in different settings. Thus, a limitation of clinical care may be inaccurate medication lists, since data exchange between settings is often lacking and patients do not regularly self-report on changes in their medication. Health care professionals and patients are both interested in utilizing electronic health information. However, opinion is divided as to who should take responsibility for maintaining personal health records. In Sweden, the...

Answers to Questions Posed During Daily Patient Care Are More Likely to Be Answered by UpToDate Than PubMed

Arjen Hoogendam, Anton Stalenhoef, Pieter de Vries Robbé, A John Overbeke

J Med Internet Res 2008 (Oct 03); 10(4):e29

HTML PDF XML Abstract

Background: UpToDate and PubMed are popular sources for medical information. Data regarding the efficiency of PubMed and UpToDate in daily medical care are lacking. Objective: The purpose of this observational study was to describe the percentage of answers retrieved by these information sources, comparing search results with regard to different medical topics and the time spent searching for an answer. Methods: A total of 40 residents and 30 internists in internal medicine working in an...

Response Audit of an Internet Survey of Health Care Providers and Administrators: Implications for Determination of Response Rates

Mark Dobrow, Margo Orchard, Brian Golden, Eric Holowaty, Lawrence Paszat, Adalsteinn Brown, Terrence Sullivan

J Med Internet Res 2008 (Oct 16); 10(4):e30

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Background: Internet survey modalities often compare unfavorably with traditional survey modalities, particularly with respect to response rates. Response to Internet surveys can be affected by the distribution options and response/collection features employed as well as the existence of automated (out-of-office) replies, automated forwarding, server rejection, and organizational or personal spam filters. However, Internet surveys also provide unparalleled opportunities to track study...

The ALFA (Activity Log Files Aggregation) Toolkit: A Method for Precise Observation of the Consultation

Simon de Lusignan, Pushpa Kumarapeli, Tom Chan, Bernhard Pflug, Jeremy van Vlymen, Beryl Jones, George Freeman

J Med Internet Res 2008 (Sep 08); 10(4):e27

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Background: There is a lack of tools to evaluate and compare Electronic patient record (EPR) systems to inform a rational choice or development agenda. Objective: To develop a tool kit to measure the impact of different EPR system features on the consultation. Methods: We first developed a specification to overcome the limitations of existing methods. We divided this into work packages: (1) developing a method to display multichannel video of the consultation; (2) code and measure...

Use of an Internet “Viral” Marketing Software Platform in Health Promotion

Pierre Gosselin, Philippe Poitras

J Med Internet Res 2008 (Nov 26); 10(4):e47

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Background: Health-related websites have become a common tool for public health authorities to inform the general public of their health promotion information and programs. However, building traffic in the cluttered health Internet universe is becoming increasingly complex, costly, and challenging for governmental health promotion websites. In 2006, the Canadian Health Network (CHN), a cooperative program made up of the Public Health Agency of Canada (PHAC) and some 20 health...

Weight, Blood Pressure, and Dietary Benefits After 12 Months of a Web-based Nutrition Education Program (DASH for Health): Longitudinal Observational Study

Thomas Moore, Nour Alsabeeh, Caroline Apovian, Megan Murphy, Gerald Coffman, Howard Cabral

J Med Internet Res 2008 (Dec 12); 10(4):e52

HTML PDF XML Abstract

Background: The dietary habits of Americans are creating serious health concerns, including obesity, hypertension, diabetes, cardiovascular disease, and even some types of cancer. While considerable attention has been focused on calorie reduction and weight loss, approaches are needed that will not only help the population reduce calorie intake but also consume the type of healthy, well-balanced diet that would prevent this array of medical complications. Objective: To design an...

Rates and Determinants of Uptake and Use of an Internet Physical Activity and Weight Management Program in Office and Manufacturing Work Sites in England: Cohort Study

Lisa Ware, Robert Hurling, Ogi Bataveljic, Bruce Fairley, Lisa Hurst, Peter Murray, Kirsten Rennie, Chris Tomkins, Anne Finn, Mark Cobain, Dympna Pearson, John Foreyt

J Med Internet Res 2008 (Dec 31); 10(4):e56

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Background: Internet-based physical activity (PA) and weight management programs have the potential to improve employees' health in large occupational health settings. To be successful, the program must engage a wide range of employees, especially those at risk of weight gain or ill health. Objective: The aim of the study was to assess the use and nonuse (user attrition) of a Web-based and monitoring device-based PA and weight management program in a range of employees and to determine...

Review

The Use of the Personal Digital Assistant (PDA) Among Personnel and Students in Health Care: A Review

Anna Lindquist, Pauline Johansson, Göran Petersson, Britt-Inger Saveman, Gunilla Nilsson

J Med Internet Res 2008 (Oct 28); 10(4):e31

HTML PDF XML Abstract

Background: Health care personnel need access to updated information anywhere and at any time, and a Personal Digital Assistant (PDA) has the potential to meet these requirements. A PDA is a mobile tool which has been employed widely for various purposes in health care practice, and the level of its use is expected to increase. Loaded with suitable functions and software applications, a PDA might qualify as the tool that personnel and students in health care need. In Sweden today, despite its...