Journal of Medical Internet Research

Clinical notes offer rich, longitudinal insights into patient health trajectories. However, existing clinical sentiment analysis primarily evaluates overall note tone rather than the patient’s distinct perspective. This gap is particularly critical in mental health care, where patient-perspective sentiment closely correlates with severe clinical outcomes, including mortality.

Health care service quality is inherently multidimensional; yet, the dominant practice in applied text analysis assigns each patient review to a single topic via Latent Dirichlet Allocation (LDA). This simplification may systematically compress evaluative information when patients discuss multiple service dimensions with varying sentiments within the same review.

Generative AI video models are increasingly capable of producing complex depictions of mental health experiences, yet little is known about how these systems represent conditions such as depression. Because AI-generated content may reach people during vulnerable periods, understanding what visual narratives these models produce for sensitive concepts carries clinical relevance.

Online health forums are used widely, yet evidence of their effectiveness is inconsistent. Evidence-based forum design guidance grounded in theory and lived experience could improve the efficacy and outcomes of these forums for the many people using them worldwide.

The widespread adoption of electronic health records (EHRs) has generated large-scale repositories of highly sensitive clinical information, emphasizing the need for robust anonymization strategies to enable secondary use for research while safeguarding patient privacy. Conventional rule-based and machine learning approaches for deidentifying medical text face limitations with the linguistic complexity, variability, and context dependence inherent to clinical documentation. Recent advances in large language models (LLMs), combined with emerging quantum computing paradigms, present novel opportunities to enhance the accuracy, scalability, and resilience of health care data anonymization.

Digital phenotyping uses passively collected smartphone-sensing data to characterize everyday behavior in naturalistic settings, and has become an important approach for studying mental well-being. Most previous studies have examined associations between individual sensing variables and mental health. However, mental well-being is likely reflected not by isolated behaviors but by combinations of co-occurring daily behaviors that together form lifestyles. Person-centered approaches capable of identifying these behavioral configurations may, therefore, provide more interpretable digital phenotypes; yet, such approaches have rarely been applied to passive smartphone-sensing data.

Accurate measurements of children’s digital technology use are essential for understanding its potential implications on health and well-being. Wearable cameras can provide such measurements, but image coding is a high burden for researchers. Machine learning–based object-recognition models have the potential to reduce this burden by identifying images containing technology.

Chinese men who have sex with men living with HIV (MSMLWH) experience substantial psychological distress driven by minority stress and HIV-related challenges. However, culturally tailored digital mental health interventions that address HIV-specific maladaptive cognitive schemas and culturally specific psychosocial stressors remain scarce in China.

Wearable devices are increasingly used for sleep monitoring and as adjunctive treatment. Existing meta-analyses mostly pool composite digital therapies and rarely isolate stand-alone wearables or distinguish between objective and subjective end points. Whether stand-alone wearable interventions improve sleep outcomes in adults with insomnia, and which factors moderate treatment heterogeneity, remains unclear.

Large language models (LLMs) are increasingly being explored for clinical decision support, but their performance in audiology has not been systematically benchmarked using clinically grounded case materials and rubric-based safety evaluations.

Patients with breast cancer during postoperative chemotherapy intervals commonly experience psychological distress and reduced resilience while recovering at home. Digital mindfulness interventions may provide accessible psychological support during this vulnerable period; however, evidence regarding tailored interventions for postoperative patients with breast cancer during chemotherapy intervals remains limited.

Obstructive sleep apnea (OSA) is highly prevalent but remains substantially underdiagnosed. Polysomnography (PSG) is the reference standard, but its cost and limited availability constrain large-scale case identification. AI-based screening tools may support risk stratification and referral prioritization, but their diagnostic accuracy across apnea-hypopnea index (AHI) thresholds remains uncertain.