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Vol 12, No 1 (2010) - Jan-Mar


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Original Papers

Learning in a Virtual World: Experience With Using Second Life for Medical Education

John Wiecha, Robin Heyden, Elliot Sternthal, Mario Merialdi

J Med Internet Res 2010 (Jan 23); 12(1):e1

HTML PDF XML Abstract

Background: Virtual worlds are rapidly becoming part of the educational technology landscape. Second Life (SL) is one of the best known of these environments. Although the potential of SL has been noted for health professions education, a search of the world’s literature and of the World Wide Web revealed a limited number of formal applications of SL for this purpose and minimal evaluation of educational outcomes. Similarly, the use of virtual worlds for continuing health professional...

Measures of Physical Activity Using Cell Phones: Validation Using Criterion Methods

Christin Bexelius, Marie Löf, Sven Sandin, Ylva Trolle Lagerros, Elisabet Forsum, Jan-Eric Litton

J Med Internet Res 2010 (Jan 29); 12(1):e2

HTML PDF XML Abstract

Background: Physical activity is associated with reduced risks of many chronic diseases. Data collected on physical activity in large epidemiological studies is often based on paper questionnaires. The validity of these questionnaires is debated, and more effective methods are needed. Objective: This study evaluates repeated measures of physical activity level (PAL) and the feasibility of using a Java-based questionnaire downloaded onto cell phones for collection of such data. The data...

Comparison of Trial Participants and Open Access Users of a Web-Based Physical Activity Intervention Regarding Adherence, Attrition, and Repeated Participation

Miriam Wanner, Eva Martin-Diener, Georg Bauer, Charlotte Braun-Fahrländer, Brian W Martin

J Med Internet Res 2010 (Feb 10); 12(1):e3

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Background: Web-based interventions are popular for promoting healthy lifestyles such as physical activity. However, little is known about user characteristics, adherence, attrition, and predictors of repeated participation on open access physical activity websites. Objective: The focus of this study was Active-online, a Web-based individually tailored physical activity intervention. The aims were (1) to assess and compare user characteristics and adherence to the website (a) in the open...

Physician Order Entry Or Nurse Order Entry? Comparison of Two Implementation Strategies for a Computerized Order Entry System Aimed at Reducing Dosing Medication Errors

Alireza Kazemi, Uno GH Fors, Shahram Tofighi, Mesfin K Tessma, Johan Ellenius

J Med Internet Res 2010 (Feb 26); 12(1):e5

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Background: Despite the significant effect of computerized physician order entry (CPOE) in reducing nonintercepted medication errors among neonatal inpatients, only a minority of hospitals have successfully implemented such systems. Physicians' resistance and users' frustration seem to be two of the most important barriers. One solution might be to involve nurses in the order entry process to reduce physicians’ data entry workload and resistance. However, the effect of this...

How Breast Cancer Patients Want to Search for and Retrieve Information From Stories of Other Patients on the Internet: an Online Randomized Controlled Experiment

Regina Overberg, Wilma Otten, Andries de Man, Pieter Toussaint, Judith Westenbrink, Bertie Zwetsloot-Schonk

J Med Internet Res 2010 (Mar 09); 12(1):e7

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Background: Other patients’ stories on the Internet can give patients information, support, reassurance, and practical advice. Objective: We examined which search facility for online stories resulted in patients’ satisfaction and search success. Methods: This study was a randomized controlled experiment with a 2x2 factorial design conducted online. We facilitated access to 170 stories of breast cancer patients in four ways based on two factors: (1) no versus yes search by story topic, and...

Effects of Internet Use on Health and Depression: A Longitudinal Study

Katie Bessière, Sarah Pressman, Sara Kiesler, Robert Kraut

J Med Internet Res 2010 (Mar 12); 12(1):e6

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Background: The rapid expansion of the Internet has increased the ease with which the public can obtain medical information. Most research on the utility of the Internet for health purposes has evaluated the quality of the information itself or examined its impact on clinical populations. Little is known about the consequences of its use by the general population. Objective: Is use of the Internet by the general population for health purposes associated with a subsequent change in...

Short Paper

Utilization Patterns and User Characteristics of an Ad Libitum Internet Weight Loss Program

Martin Binks, Trevor van Mierlo

J Med Internet Res 2010 (Mar 29); 12(1):e9

HTML PDF XML Abstract

Background: The Internet holds promise for the delivery of evidence-based weight loss treatment to underserved populations. However, most studies do not reflect the more naturalistic and common ad libitum, or freely at will, use of the Internet. Randomized clinical trials, for example, typically include at least some direct contact with participants and often have restrictive selection criteria. There is a paucity of research examining utilization patterns of online weight loss programs,...

Review

Using the Internet to Promote Health Behavior Change: A Systematic Review and Meta-analysis of the Impact of Theoretical Basis, Use of Behavior Change Techniques, and Mode of Delivery on Efficacy

Thomas Webb, Judith Joseph, Lucy Yardley, Susan Michie

J Med Internet Res 2010 (Feb 17); 12(1):e4

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Background: The Internet is increasingly used as a medium for the delivery of interventions designed to promote health behavior change. However, reviews of these interventions to date have not systematically identified intervention characteristics and linked these to effectiveness. Objectives: The present review sought to capitalize on recently published coding frames for assessing use of theory and behavior change techniques to investigate which characteristics of Internet-based...