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Vol 12, No 2 (2010) - Apr-Jun


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Original Papers

An International Comparison of Web-based Reporting About Health Care Quality: Content Analysis

Olga C. Damman, Ylva K.A. van den Hengel, A. Jeanne M. van Loon, Jany Rademakers

J Med Internet Res 2010 (Apr 13); 12(2):e8

HTML PDF XML Abstract

Background: On more and more websites, consumers are provided with public reports about health care. This move toward provision of more comparative information has resulted in different information types being published that often contain contradictory information. Objective: The objective was to assess the current state of the art in the presentation of online comparative health care information and to compare how the integration of different information types is dealt with on websites. The...

Clinician Search Behaviors May Be Influenced by Search Engine Design

Annie YS Lau, Enrico Coiera, Tatjana Zrimec, Paul Compton

J Med Internet Res 2010 (Jun 30); 12(2):e25

HTML PDF XML Abstract

Background: Searching the Web for documents using information retrieval systems plays an important part in clinicians’ practice of evidence-based medicine. While much research focuses on the design of methods to retrieve documents, there has been little examination of the way different search engine capabilities influence clinician search behaviors. Objective: Previous studies have shown that use of task-based search engines allows for faster searches with no loss of decision accuracy...

Mobile Therapy: Case Study Evaluations of a Cell Phone Application for Emotional Self-Awareness

Margaret E Morris, Qusai Kathawala, Todd K Leen, Ethan E Gorenstein, Farzin Guilak, William DeLeeuw, Michael Labhard

J Med Internet Res 2010 (Apr 30); 12(2):e10

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Background: Emotional awareness and self-regulation are important skills for improving mental health and reducing the risk of cardiovascular disease. Cognitive behavioral therapy can teach these skills but is not widely available. Objective: This exploratory study examined the potential of mobile phone technologies to broaden access to cognitive behavioral therapy techniques and to provide in-the-moment support. Methods: We developed a mobile phone application with touch screen scales for...

Dirt Cheap and Without Prescription: How Susceptible are Young US Consumers to Purchasing Drugs From Rogue Internet Pharmacies?

Lana Ivanitskaya, Jodi Brookins-Fisher, Irene O’Boyle, Danielle Vibbert, Dmitry Erofeev, Lawrence Fulton

J Med Internet Res 2010 (May 03); 12(2):e11

HTML PDF XML Abstract

Background: Websites of many rogue sellers of medications are accessible through links in email spam messages or via web search engines. This study examined how well students enrolled in a U.S. higher education institution could identify clearly unsafe pharmacies. Objective: The aim is to estimate these health consumers´ vulnerability to fraud by illegitimate Internet pharmacies. Methods: Two Internet pharmacy websites, created specifically for this study, displayed multiple...

Perspectives of Family Physicians on Computer-assisted Health-risk Assessments

Farah Ahmad, Harvey A Skinner, Donna E Stewart, Wendy Levinson

J Med Internet Res 2010 (May 07); 12(2):e12

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Background: The firsthand experience of physicians using computer-assisted health-risk assessment is salient for designing practical eHealth solutions. Objective: The aim of this study was to enhance understanding about computer-assisted health-risk assessments from physicians’ perspectives after completion of a trial at a Canadian, urban, multi-doctor, hospital-affiliated family practice clinic. Methods: A qualitative approach of face-to-face, in-depth, semi-structured interviews was used....

Effects of a Financial Incentive on Health Researchers’ Response to an Online Survey: a Randomized Controlled Trial

Paul M Wilson, Mark Petticrew, Mike Calnan, Irwin Nazareth

J Med Internet Res 2010 (May 10); 12(2):e13

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Background: Nonresponse to questionnaires can affect the validity of surveys and introduce bias. Offering financial incentives can increase response rates to postal questionnaires, but the effect of financial incentives on response rates to online surveys is less clear. Objective: As part of a survey, we aimed to test whether knowledge of a financial incentive would increase the response rate to an online questionnaire. Methods: A randomized controlled trial of 485 UK-based principal...

Sharing Medical Data for Health Research: The Early Personal Health Record Experience

Elissa R Weitzman, Liljana Kaci, Kenneth D Mandl

J Med Internet Res 2010 (May 25); 12(2):e14

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Background: Engaging consumers in sharing information from personally controlled health records (PCHRs) for health research may promote goals of improving care and advancing public health consistent with the federal Health Information Technology for Economic and Clinical Health (HITECH) Act. Understanding consumer willingness to share data is critical to advancing this model. Objective: The objective was to characterize consumer willingness to share PCHR data for health research and the...

Supporting Informed Decision Making Online in 20 Minutes: An Observational Web-log Study of a PSA Test Decision Aid

Natalie Joseph-Williams, Rhodri Evans, Adrian Edwards, Robert G Newcombe, Patricia Wright, Richard Grol, Glyn Elwyn

J Med Internet Res 2010 (May 26); 12(2):e15

HTML PDF XML Abstract

Background: Web-based decision aids are known to have an effect on knowledge, attitude, and behaviour, important components of informed decision making. We know what decision aids achieve in randomized controlled trials (RCTs), but we still know very little about how they are used and how this relates to the informed decision making outcome measures. Objective: To examine men’s use of an online decision aid for prostate cancer screening using website transaction log files (web-logs), and to...

Patient and Parent Views on a Web 2.0 Diabetes Portal—the Management Tool, the Generator, and the Gatekeeper: Qualitative Study

Sam Nordfeldt, Lena Hanberger, Carina Berterö

J Med Internet Res 2010 (May 28); 12(2):e17

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Background: The Internet has undergone rapid development, with significant impact on social life and on modes of communication. Modern management of type 1 diabetes requires that patients have access to continuous support and learning opportunities. Although Web 2.0 resources can provide this support, few pediatric clinics offer it as part of routine diabetes care. Objective: We aimed to explore patients’ and parents’ attitudes toward a local Web 2.0 portal tailored to young patients with...

Sharing Health Data for Better Outcomes on PatientsLikeMe

Paul Wicks, Michael Massagli, Jeana Frost, Catherine Brownstein, Sally Okun, Timothy Vaughan, Richard Bradley, James Heywood

J Med Internet Res 2010 (Jun 14); 12(2):e19

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Background: PatientsLikeMe is an online quantitative personal research platform for patients with life-changing illnesses to share their experience using patient-reported outcomes, find other patients like them matched on demographic and clinical characteristics, and learn from the aggregated data reports of others to improve their outcomes. The goal of the website is to help patients answer the question: “Given my status, what is the best outcome I can hope to achieve, and how do I get...

Online Communication Between Doctors and Patients in Europe: Status and Perspectives

Silvina Santana, Berthold Lausen, Maria Bujnowska-Fedak, Catherine Chronaki, Per Egil Kummervold, Janne Rasmussen, Tove Sorensen

J Med Internet Res 2010 (Jun 15); 12(2):e20

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Background: Use of the Internet for health purposes is steadily increasing in Europe, while the eHealth market is still a niche. Online communication between doctor and patient is one aspect of eHealth with potentially great impact on the use of health systems, patient-doctor roles and relations and individuals’ health. Monitoring and understanding practices, trends, and expectations in this area is important, as it may bring invaluable knowledge to all stakeholders, in the Health 2.0 era....

Review

Definition of Health 2.0 and Medicine 2.0: A Systematic Review

Tom H Van De Belt, Lucien JLPG Engelen, Sivera AA Berben, Lisette Schoonhoven

J Med Internet Res 2010 (Jun 11); 12(2):e18

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Background: During the last decade, the Internet has become increasingly popular and is now an important part of our daily life. When new “Web 2.0” technologies are used in health care, the terms “Health 2.0" or "Medicine 2.0” may be used. Objective: The objective was to identify unique definitions of Health 2.0/Medicine 2.0 and recurrent topics within the definitions. Methods: A systematic literature review of electronic databases (PubMed, Scopus, CINAHL) and gray literature on the...

Health Information Technology to Facilitate Communication Involving Health Care Providers, Caregivers, and Pediatric Patients: A Scoping Review

Stephen James Gentles, Cynthia Lokker, K Ann McKibbon

J Med Internet Res 2010 (Jun 18); 12(2):e22

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Background: Pediatric patients with health conditions requiring follow-up typically depend on a caregiver to mediate at least part of the necessary two-way communication with health care providers on their behalf. Health information technology (HIT) and its subset, information communication technology (ICT), are increasingly being applied to facilitate communication between health care provider and caregiver in these situations. Awareness of the extent and nature of published research...

Effectiveness of Web-based Interventions on Patient Empowerment: A Systematic Review and Meta-analysis

David Samoocha, David J Bruinvels, Nieke A Elbers, Johannes R Anema, Allard J van der Beek

J Med Internet Res 2010 (Jun 24); 12(2):e23

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Background: Patient empowerment is growing in popularity and application. Due to the increasing possibilities of the Internet and eHealth, many initiatives that are aimed at empowering patients are delivered online. Objective: Our objective was to evaluate whether Web-based interventions are effective in increasing patient empowerment compared with usual care or face-to-face interventions. Methods: We performed a systematic review by searching the MEDLINE, EMBASE, and PsycINFO databases from...

Clinical Effects of Home Telemonitoring in the Context of Diabetes, Asthma, Heart Failure and Hypertension: A Systematic Review

Guy Paré, Khalil Moqadem, Gilles Pineau, Carole St-Hilaire

J Med Internet Res 2010 (Jun 16); 12(2):e21

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Background: Home telemonitoring figures among the various solutions that could help attenuate some of the problems associated with aging populations, rates of chronic illness, and shortages of health professionals. Objective: The primary aim of this study was to further our understanding of the clinical effects associated with home telemonitoring programs in the context of chronic diseases. Methods: We conducted a systematic review which covered studies published between January 1966 and...

Preventing the Obesity Epidemic by Second Generation Tailored Health Communication: An Interdisciplinary Review

Heidi Päivyt Karoliina Enwald, Maija-Leena Aulikki Huotari

J Med Internet Res 2010 (Jun 28); 12(2):e24

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Background: The prevention of obesity and health concerns related to obesity are major challenges worldwide. The use of eHealth communication and the tailoring of information delivered via the Internet at the individual level may increase the effectiveness of interventions. Mastering behaviors related to nutrition, physical activity, and weight management are the main issues in preventing obesity, and the need for interdisciplinary knowledge within this area is obvious. Objective: The...

Letters

The Touro 12-Step: A Systematic Guide to Optimizing Survey Research with Online Discussion Boards

Eric J Ip, Mitchell J Barnett, Michael J Tenerowicz, Paul J Perry

J Med Internet Res 2010 (May 27); 12(2):e16

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The Internet, in particular discussion boards, can provide a unique opportunity for recruiting participants in online research surveys. Despite its outreach potential, there are significant barriers which can limit its success. Trust, participation, and visibility issues can all hinder the recruitment process; the Touro 12-Step was developed to address these potential hurdles. By following this step-by-step approach, researchers will be able to minimize these pitfalls and maximize their...