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Vol 11, No 4 (2009) - Oct-Dec


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Original Papers

Health e-Cards as a Means of Encouraging Help Seeking for Depression Among Young Adults: Randomized Controlled Trial

Daniel L Costin, Andrew J Mackinnon, Kathleen M Griffiths, Philip J Batterham, Anthony J Bennett, Kylie Bennett, Helen Christensen

J Med Internet Res 2009 (Oct 22); 11(4):e42

HTML PDF XML Abstract

Background: There is a need to identify interventions that increase help seeking for depression among young adults. Objective: The aim was to evaluate a brief depression information intervention employing health e-cards (personalized emails containing links to health information presented on a Web page). Methods: A randomized controlled trial was carried out with 348 19- to 24-year-olds drawn from the community. Participants were randomized to receive one of three conditions, all of which...

Use of Live Interactive Webcasting for an International Postgraduate Module in eHealth: Case Study Evaluation

Ray B Jones, Inocencio Maramba, Maged N Kamel Boulos, Tara Alexander

J Med Internet Res 2009 (Nov 13); 11(4):e46

HTML PDF XML Abstract

Background: Producing “traditional” e-learning can be time consuming, and in a topic such as eHealth, it may have a short shelf-life. Students sometimes report feeling isolated and lacking in motivation. Synchronous methods can play an important part in any blended approach to learning. Objective: The aim was to develop, deliver, and evaluate an international postgraduate module in eHealth using live interactive webcasting. Methods: We developed a hybrid solution for live...

A Web-Based Nutrition Program Reduces Health Care Costs in Employees With Cardiac Risk Factors: Before and After Cost Analysis

Naomi Sacks, Howard Cabral, Lewis Kazis, Kelli Jarrett, Delia Vetter, Russell Richmond, Thomas Moore

J Med Internet Res 2009 (Oct 23); 11(4):e43

HTML PDF XML Abstract

Background: Rising health insurance premiums represent a rapidly increasing burden on employer-sponsors of health insurance and their employees. Some employers have become proactive in managing health care costs by providing tools to encourage employees to directly manage their health and prevent disease. One example of such a tool is DASH for Health, an Internet-based nutrition and exercise behavior modification program. This program was offered as a free, opt-in benefit to US-based...

Challenges to Using an Electronic Personal Health Record by a Low-income Elderly Population

Eung-Hun Kim, Anna Stolyar, William Lober, Anne Herbaugh, Sally Shinstrom, Brenda Zierler, Cheong Soh, Yongmin Kim

J Med Internet Res 2009 (Oct 27); 11(4):e44

HTML PDF XML Abstract

Background: Electronic personal health records (PHRs) are increasingly recognized and used as a tool to address various challenges stemming from scattered and incompatible personal health information (PHI) in the contemporary U.S. healthcare system. Although activities on PHR development and deployment have increased in recent years, little has been reported regarding the use and utility of PHRs among low-income and/or elderly populations. Objective: To assess the use and utility of PHRs in a...

Internet Use and Self-Rated Health Among Older People: A National Survey

Enrique Gracia, Juan Herrero

J Med Internet Res 2009 (Dec 02); 11(4):e49

HTML PDF XML Abstract

Background: Older people are among the segments of the population for which the digital divide is most persistent and are considered to be at risk of losing out on the potential benefits that the information society can provide to their quality of life. Little attention has been paid, however, to relationships between Internet use and actual indicators of health among older people. Objective: The aim of this study was to examine the association between Internet use and self-rated health...

Age-Sensitive Design of Online Health Information: Comparative Usability Study

Richard Pak, Margaux Price, Jason Thatcher

J Med Internet Res 2009 (Nov 16); 11(4):e45

HTML PDF XML Abstract

Background: Older adults’ health maintenance may be enhanced by having access to online health information. However, usability issues may prevent older adults from easily accessing such information. Prior research has shown that aging is associated with a unique pattern of cognitive changes, and knowledge of these changes may be used in the design of health websites for older adults. Objective: The goal of the current study was to examine whether older adults use of a health information...

Disparities by Race and Ethnicity in Cancer Survivor Stories Available on the Web

Katherine S. Eddens, Matthew W. Kreuter, Jennifer C. Morgan, Kate E. Beatty, Sina Jasim, Lori Garibay, Donghua Tao, Trent D. Buskirk, Keri A. Jupka

J Med Internet Res 2009 (Nov 30); 11(4):e50

HTML PDF XML Abstract

Background: The rapid growth of eHealth could have the unintended effect of deepening health disparities between population subgroups. Most concerns to date have focused on population differences in access to technology, but differences may also exist in the appropriateness of online health content for diverse populations. Objective: This paper reports findings from the first descriptive study of online cancer survivor stories by race and ethnicity of the survivor. Methods: Using the five...

An Electronic Clinical Decision Support Tool to Assist Primary Care Providers in Cardiovascular Disease Risk Management: Development and Mixed Methods Evaluation

David Peiris, Rohina Joshi, Ruth Webster, Patrick Groenestein, Tim Usherwood, Emma Heeley, Fiona Turnbull, Alexandra Lipman, Anushka Patel

J Med Internet Res 2009 (Dec 17); 11(4):e51

HTML PDF XML Abstract

Background: Challenges remain in translating the well-established evidence for management of cardiovascular disease (CVD) risk into clinical practice. Although electronic clinical decision support (CDS) systems are known to improve practitioner performance, their development in Australian primary health care settings is limited. Objective: Study aims were to (1) develop a valid CDS tool that assists Australian general practitioners (GPs) in global CVD risk management, and (2) preliminarily...

Social Media Use in the United States: Implications for Health Communication

Wen-Ying Sylvia Chou, Yvonne M. Hunt, Ellen B. Beckjord, Richard P Moser, Bradford W. Hesse

J Med Internet Res 2009 (Nov 27); 11(4):e48

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Background: Given the rapid changes in the communication landscape brought about by participative Internet use and social media, it is important to develop a better understanding of these technologies and their impact on health communication. The first step in this effort is to identify the characteristics of current social media users. Up-to-date reporting of current social media use will help monitor the growth of social media and inform health promotion/communication efforts aiming to...

Web Usage Data as a Means of Evaluating Public Health Messaging and Outreach

Hao Tian, Dana J Brimmer, Jin-Mann S Lin, Abbigail J Tumpey, William C Reeves

J Med Internet Res 2009 (Dec 21); 11(4):e52

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Background: The Internet is increasingly utilized by researchers, health care providers, and the public to seek medical information. The Internet also provides a powerful tool for public health messaging. Understanding the needs of the intended audience and how they use websites is critical for website developers to provide better services to the intended users. Objective: The aim of the study was to examine the utilization of the chronic fatigue syndrome (CFS) website at the Centers for...

Tutorial

Usability of a Patient Education and Motivation Tool Using Heuristic Evaluation

Ashish Joshi, Mohit Arora, Liwe Dai, Kathleen Price, Lisa Vizer, Andrew Sears

J Med Internet Res 2009 (Nov 06); 11(4):e47

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Background: Computer-mediated educational applications can provide a self-paced, interactive environment to deliver educational content to individuals about their health condition. These programs have been used to deliver health-related information about a variety of topics, including breast cancer screening, asthma management, and injury prevention. We have designed the Patient Education and Motivation Tool (PEMT), an interactive computer-based educational program based on behavioral,...