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Vol 11, No 2 (2009) - Apr-Jun


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Original Papers

Health Professionals' Attitudes Towards Using a Web 2.0 Portal for Child and Adolescent Diabetes Care: Qualitative Study

Cecilia Nordqvist, Lena Hanberger, Toomas Timpka, Sam Nordfeldt

J Med Internet Res 2009 (Apr 06); 11(2):e12

HTML PDF XML Abstract

Background: The Internet, created and maintained in part by third-party apomediation, has become a dynamic resource for living with a chronic disease. Modern management of type 1 diabetes requires continuous support and problem-based learning, but few pediatric clinics offer Web 2.0 resources to patients as part of routine diabetes care. Objectives: To explore pediatric practitioners’ attitudes towards the introduction of a local Web portal for providing young type 1 diabetes patients...

Acceptability of a Personally Controlled Health Record in a Community-Based Setting: Implications for Policy and Design

Elissa R. Weitzman, Liljana Kaci, Kenneth D. Mandl

J Med Internet Res 2009 (Apr 29); 11(2):e14

HTML PDF XML Abstract

Background: Consumer-centered health information systems that address problems related to fragmented health records and disengaged and disempowered patients are needed, as are information systems that support public health monitoring and research. Personally controlled health records (PCHRs) represent one response to these needs. PCHRs are a special class of personal health records (PHRs) distinguished by the extent to which users control record access and contents. Recently launched PCHR...

Effectiveness of a Novel Integrative Online Treatment for Depression (Deprexis): Randomized Controlled Trial

Björn Meyer, Thomas Berger, Franz Caspar, Christopher Beevers, Gerhard Andersson, Mario Weiss

J Med Internet Res 2009 (May 11); 11(2):e15

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Background: Depression is associated with immense suffering and costs, and many patients receive inadequate care, often because of the limited availability of treatment. Web-based treatments may play an increasingly important role in closing this gap between demand and supply. We developed the integrative, Web-based program Deprexis, which covers therapeutic approaches such as behavioral activation, cognitive restructuring, mindfulness/acceptance exercises, and social skills training....

Older Patients’ Enthusiasm to Use Electronic Mail to Communicate With Their Physicians: Cross-Sectional Survey

Hardeep Singh, Sarah Fox, Nancy Petersen, Anila Shethia, Richard Street

J Med Internet Res 2009 (Jun 16); 11(2):e18

HTML PDF XML Abstract

Background: Recent evidence indicates increased access to and use of Internet and non-healthcare-related email by older patients. Because email adoption could potentially reduce some of the disparities faced by this age group, there is a need to understand factors determining older patients’ enthusiasm to use email to communicate with their physicians. Electronic mail (email) represents a means of communication that, coupled with face-to-face communication, could enhance quality of...

Rural eHealth Nutrition Education for Limited-Income Families: An Iterative and User-Centered Design Approach

Nancy L Atkinson, Sandra L Saperstein, Sharon M Desmond, Robert S Gold, Amy S Billing, Jing Tian

J Med Internet Res 2009 (Jun 23); 11(2):e21

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Background: Adult women living in rural areas have high rates of obesity. Although rural populations have been deemed hard to reach, Internet-based programming is becoming a viable strategy as rural Internet access increases. However, when people are able to get online, they may not find information designed for them and their needs, especially harder to reach populations. This results in a “content gap” for many users. Objective: User-centered design is a methodology that can...

Content and Frequency of Writing on Diabetes Bulletin Boards: Does Race Make a Difference?

Siobhan Case, Valarie Blue Bird Jernigan, Audra Gardner, Philip Ritter, Catherine Heaney, Kate Lorig

J Med Internet Res 2009 (Jun 24); 11(2):e22

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Background: Diabetes-related disparities are well documented among racial minority groups in the United States. Online programs hold great potential for reducing these disparities. However, little is known about how people of different races utilize and communicate in such groups. This type of research is necessary to ensure that online programs respond to the needs of diverse populations. Objective: This exploratory study investigated message frequency and content on bulletin boards by...

Use of Non-Assigned Smoking Cessation Programs Among Participants of a Web-Based Randomized Controlled Trial

Brian G Danaher, Edward Lichtenstein, H Garth McKay, John R. Seeley

J Med Internet Res 2009 (Jun 26); 11(2):e26

HTML PDF XML Abstract

Background: Concurrent with their enrollment in Web-based Randomized Controlled Trials (RCTs), participants can easily choose to use treatment programs that are not assigned in the study. The prevalence of using non-assigned treatments is largely unknown although it is likely to be related to the extent to which non-assigned treatments are: (a) easy to find and use, (b) low in cost, (c) well publicized, and (d) available from trusted sources. The impact of using other programs—both...

Review

Adherence in Internet Interventions for Anxiety and Depression: Systematic Review

Helen Christensen, Kathleen M Griffiths, Louise Farrer

J Med Internet Res 2009 (Apr 24); 11(2):e13

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Background: Open access websites which deliver cognitive and behavioral interventions for anxiety and depression are characterised by poor adherence. We need to understand more about adherence in order to maximize the impact of Internet-based interventions on the disease burden associated with common mental disorders. Objective: The aims of this paper are to review briefly the adherence literature with respect to Internet interventions and to investigate the rates of dropout and compliance...

A Survey of Health-Related Activities on Second Life

Leslie Beard, Kumanan Wilson, Dante Morra, Jennifer Keelan

J Med Internet Res 2009 (May 22); 11(2):e17

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Background: Increasingly, governments, health care agencies, companies, and private groups have chosen Second Life as part of their Web 2.0 communication strategies. Second Life offers unique design features for disseminating health information, training health professionals, and enabling patient education for both academic and commercial health behavior research. Objectives: This study aimed to survey and categorize the range of health-related activities on Second Life; to examine the...

Measuring the Impact of a Moving Target: Towards a Dynamic Framework for Evaluating Collaborative Adaptive Interactive Technologies

Laura O'Grady, Holly Witteman, Jacqueline Bender, Sara Urowitz, David Wiljer, Alejandro Jadad

J Med Internet Res 2009 (Jun 18); 11(2):e20

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Background: Website evaluation is a key issue for researchers, organizations, and others responsible for designing, maintaining, endorsing, approving, and/or assessing the use and impact of interventions designed to influence health and health services. Traditionally, these evaluations have included elements such as content credibility, interface usability, and overall design aesthetics. With the emergence of collaborative, adaptive, and interactive ("Web 2.0") technologies such as...

Periodic Prompts and Reminders in Health Promotion and Health Behavior Interventions: Systematic Review

Roni Neff, Jillian Fry

J Med Internet Res 2009 (May 14); 11(2):e16

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Background: Health behavior interventions using periodic prompts have utilized technology, such as the Internet, that allows messages to be sent to participants in cost-effective ways. To our knowledge, no comprehensive evidence review has been performed specifically to evaluate the effectiveness of communicating regular messages and to examine how characteristics of the prompts change the effectiveness of programs aimed at reminding people to adopt healthy behaviors, maintain those they...

Tutorial

Methodological Challenges in Online Trials

Elizabeth Murray, Zarnie Khadjesari, Ian White, Eleftheria Kalaitzaki, Christine Godfrey, Jim McCambridge, Simon Thompson, Paul Wallace

J Med Internet Res 2009 (Apr 03); 11(2):e9

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: Health care and health care services are increasingly being delivered over the Internet. There is a strong argument that interventions delivered online should also be evaluated online to maximize the trial’s external validity. Conducting a trial online can help reduce research costs and improve some aspects of internal validity. To date, there are relatively few trials of health interventions that have been conducted entirely online. In this paper we describe the major methodological...