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  <front>
    <journal-meta>
      <journal-id journal-id-type="publisher-id">JMIR</journal-id>
      <journal-id journal-id-type="nlm-ta">J Med Internet Res</journal-id>
      <journal-title>Journal of Medical Internet Research</journal-title>
      <issn pub-type="epub">1438-8871</issn>
      <publisher>
        <publisher-name>JMIR Publications</publisher-name>
        <publisher-loc>Toronto, Canada</publisher-loc>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="publisher-id">v27i1e70316</article-id>
      <article-id pub-id-type="pmid">40053796</article-id>
      <article-id pub-id-type="doi">10.2196/70316</article-id>
      <article-categories>
        <subj-group subj-group-type="heading">
          <subject>Letter to the Editor</subject>
        </subj-group>
        <subj-group subj-group-type="article-type">
          <subject>Letter to the Editor</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>Advancing Digital Health Integration in Oncology</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="editor">
          <name>
            <surname>Leung</surname>
            <given-names>Tiffany</given-names>
          </name>
        </contrib>
      </contrib-group>
      <contrib-group>
        <contrib id="contrib1" contrib-type="author" corresp="yes" equal-contrib="yes">
          <name name-style="western">
            <surname>Khan</surname>
            <given-names>Rai Muhammad Umar</given-names>
          </name>
          <degrees>MBBS</degrees>
          <xref rid="aff1" ref-type="aff">1</xref>
          <address>
            <institution>Punjab Medical College</institution>
            <institution>Faisalabad Medical University</institution>
            <addr-line>Sargodha Road</addr-line>
            <addr-line>Faisalabad, 38800</addr-line>
            <country>Pakistan</country>
            <phone>92 41 9210080</phone>
            <email>raimumerkhan@gmail.com</email>
          </address>
          <ext-link ext-link-type="orcid">https://orcid.org/0009-0004-5034-460X</ext-link>
        </contrib>
        <contrib id="contrib2" contrib-type="author" equal-contrib="yes">
          <name name-style="western">
            <surname>Tariq</surname>
            <given-names>Hassan</given-names>
          </name>
          <degrees>MBBS</degrees>
          <xref rid="aff1" ref-type="aff">1</xref>
          <ext-link ext-link-type="orcid">https://orcid.org/0009-0007-5441-1306</ext-link>
        </contrib>
      </contrib-group>
      <aff id="aff1">
        <label>1</label>
        <institution>Punjab Medical College</institution>
        <institution>Faisalabad Medical University</institution>
        <addr-line>Faisalabad</addr-line>
        <country>Pakistan</country>
      </aff>
      <author-notes>
        <corresp>Corresponding Author: Rai Muhammad Umar Khan <email>raimumerkhan@gmail.com</email></corresp>
      </author-notes>
      <pub-date pub-type="collection">
        <year>2025</year>
      </pub-date>
      <pub-date pub-type="epub">
        <day>7</day>
        <month>3</month>
        <year>2025</year>
      </pub-date>
      <volume>27</volume>
      <elocation-id>e70316</elocation-id>
      <history>
        <date date-type="received">
          <day>21</day>
          <month>12</month>
          <year>2024</year>
        </date>
        <date date-type="rev-request">
          <day>28</day>
          <month>12</month>
          <year>2024</year>
        </date>
        <date date-type="rev-recd">
          <day>1</day>
          <month>1</month>
          <year>2025</year>
        </date>
        <date date-type="accepted">
          <day>25</day>
          <month>2</month>
          <year>2025</year>
        </date>
      </history>
      <copyright-statement>©Rai Muhammad Umar Khan, Hassan Tariq. Originally published in the Journal of Medical Internet Research (https://www.jmir.org), 07.03.2025.</copyright-statement>
      <copyright-year>2025</copyright-year>
      <license license-type="open-access" xlink:href="https://creativecommons.org/licenses/by/4.0/">
        <p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in the Journal of Medical Internet Research (ISSN 1438-8871), is properly cited. The complete bibliographic information, a link to the original publication on https://www.jmir.org/, as well as this copyright and license information must be included.</p>
      </license>
      <self-uri xlink:href="https://www.jmir.org/2025/1/e70316" xlink:type="simple"/>
      <related-article related-article-type="commentary-article" id="v26i1e55176" ext-link-type="doi" xlink:href="10.2196/55176" vol="26" page="e55176" xlink:type="simple">http://www.jmir.org/2024/1/e55176/</related-article>
      <related-article related-article-type="commentary" id="v27i1e72477" ext-link-type="doi" xlink:href="10.2196/72477" vol="27" page="e72477" xlink:type="simple">http://www.jmir.org/2025/27/e72477/</related-article>
      <kwd-group>
        <kwd>mHealth</kwd>
        <kwd>user experience</kwd>
        <kwd>cancer</kwd>
        <kwd>technology acceptance model</kwd>
        <kwd>structural equation modeling</kwd>
        <kwd>health care app</kwd>
        <kwd>mixed-method study</kwd>
        <kwd>medical care</kwd>
        <kwd>digital health care</kwd>
        <kwd>cancer survivors</kwd>
        <kwd>disparities</kwd>
        <kwd>health status</kwd>
        <kwd>behavioral intervention</kwd>
        <kwd>clinician</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <body>
    <p>The study titled “User Experience and Extended Technology Acceptance Model in Commercial Health Care App Usage Among Patients With Cancer: Mixed Methods Study” by Park et al [<xref ref-type="bibr" rid="ref1">1</xref>] provides valuable insights into how user experience, interface satisfaction, and external motivation affect the adoption of health care apps among patients with cancer. This work aligns with long-standing theories, such as those detailed by Davis [<xref ref-type="bibr" rid="ref2">2</xref>], emphasizing that perceived usefulness and ease of use are crucial determinants of technology acceptance. By incorporating an expanded Technology Acceptance Model, Park et al [<xref ref-type="bibr" rid="ref1">1</xref>] shed light on several key areas where digital health solutions can be optimized for oncological care.</p>
    <p>The importance of user-oriented design is unmistakable. Satisfaction with an interface has been repeatedly linked to greater app engagement [<xref ref-type="bibr" rid="ref2">2</xref>], and Park et al [<xref ref-type="bibr" rid="ref1">1</xref>] confirm that clinicians’ endorsements bolster consistent usage patterns. Gaps in digital literacy, particularly among older populations, remain a pressing concern and necessitate further policy-level interventions to promote equitable access. Yet several emerging trends suggest that further innovation and collaboration could amplify the benefits of digital health apps in oncology.</p>
    <p>Keesara et al [<xref ref-type="bibr" rid="ref3">3</xref>] argue that the COVID-19 crisis catalyzed a “digital revolution” in health care, unveiling the potential for remote, app-based oncology services. Harnessing these developments may require additional training and infrastructure, especially in resource-limited settings where telehealth adoption remains uneven.</p>
    <p>In a systematic review, Kruse et al [<xref ref-type="bibr" rid="ref4">4</xref>] highlight that both patient and provider acceptance are crucial to sustaining digital solutions. While Park et al [<xref ref-type="bibr" rid="ref1">1</xref>] primarily focus on patient factors, encouraging provider buy-in through institutional policies and workflow integration could markedly enhance long-term adherence and improve clinical outcomes.</p>
    <p>Ammenwerth et al [<xref ref-type="bibr" rid="ref5">5</xref>] show that electronic patient portals can encourage patient autonomy, enabling individuals to track health metrics, communicate with clinicians, and gain personalized insights. Expanding the features of health care apps beyond simple monitoring to include robust patient portals might address the digital divide, provided adequate educational support is offered.</p>
    <p>To conclude, Park et al [<xref ref-type="bibr" rid="ref1">1</xref>] have laid a solid foundation for understanding how patients with cancer adopt health care apps, emphasizing the centrality of user experience and clinician endorsement. However, broader integration of telemedicine advances, joint patient-provider acceptance, and interactive patient portal functionalities could drive higher engagement rates and better patient outcomes across diverse populations. Although the work provides a basis for assessing app use among Korean cancer survivors, its generalization to other populations needs to be further investigated. Moving forward, policy makers and health care organizations should focus on closing digital literacy gaps, incorporating patient portals, and reinforcing telehealth infrastructure, thus ensuring that digital oncology solutions effectively serve patients’ needs worldwide.</p>
  </body>
  <back>
    <app-group/>
    <ack>
      <p>Jasper [<xref ref-type="bibr" rid="ref6">6</xref>], an artificial intelligence–powered language model, has been used to paraphrase selected portions of the manuscript to enhance readability and clarity. The model version integrated into Jasper during the paraphrasing process was GPT-4. Essentially, the use of Jasper was limited to paraphrasing, with no generation of new content, and all scientific claims, data, and interpretations remain entirely our own, derived from rigorous research and analysis.</p>
    </ack>
    <fn-group>
      <fn fn-type="conflict">
        <p>None declared.</p>
      </fn>
    </fn-group>
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