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<article article-type="expression-of-concern" dtd-version="2.0" xmlns:xlink="http://www.w3.org/1999/xlink">
  <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">v27i1e75355</article-id>
      <article-id pub-id-type="pmid"/>
      <article-id pub-id-type="doi">10.2196/75355</article-id>
      <article-categories>
        <subj-group subj-group-type="heading">
          <subject>Expression of Concern</subject>
        </subj-group>
        <subj-group subj-group-type="article-type">
          <subject>Expression of Concern</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>Expression of Concern: Evaluating the Clinical Efficacy of an Exergame-Based Training Program for Enhancing Physical and Cognitive Functions in Older Adults With Mild Cognitive Impairment and Dementia Residing in Rural Long-Term Care Facilities: Randomized Controlled Trial</article-title>
      </title-group>
      <pub-date pub-type="collection">
        <year>2025</year>
      </pub-date>
      <pub-date pub-type="epub">
        <day>4</day>
        <month>4</month>
        <year>2025</year>
      </pub-date>
      <volume>27</volume>
      <elocation-id>e75355</elocation-id>
      <history>
        <date date-type="received">
          <day>1</day>
          <month>4</month>
          <year>2025</year>
        </date>
        <date date-type="accepted">
          <day>1</day>
          <month>4</month>
          <year>2025</year>
        </date>
      </history>
      <copyright-statement>©JMIR Editorial Office. Originally published in the Journal of Medical Internet Research (https://www.jmir.org), 04.04.2025.</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/e75355" xlink:type="simple"/>
      <related-article related-article-type="companion" id="v27i1e69109" ext-link-type="doi" xlink:href="10.2196/69109" vol="27" page="e69109" xlink:type="simple">https://www.jmir.org/2025/1/e69109/</related-article>
    </article-meta>
  </front>
  <body>
    <p>The publisher expresses concern regarding the following article:</p>
    <disp-quote>
      <p>Evaluating the Clinical Efficacy of an Exergame-Based Training Program for Enhancing Physical and Cognitive Functions in Older Adults With Mild Cognitive Impairment and Dementia Residing in Rural Long-Term Care Facilities: Randomized Controlled Trial [<xref ref-type="bibr" rid="ref1">1</xref>].</p>
    </disp-quote>
    <p>This article is under investigation for potential peer review irregularities. Readers are advised to interpret the findings with caution pending the outcome of this inquiry.</p>
  </body>
  <back>
    <app-group/>
    <ref-list>
      <ref id="ref1">
        <label>1</label>
        <nlm-citation citation-type="journal">
          <person-group person-group-type="author">
            <name name-style="western">
              <surname>Li</surname>
              <given-names>A</given-names>
            </name>
            <name name-style="western">
              <surname>Qiang</surname>
              <given-names>W</given-names>
            </name>
            <name name-style="western">
              <surname>Li</surname>
              <given-names>J</given-names>
            </name>
            <name name-style="western">
              <surname>Geng</surname>
              <given-names>Y</given-names>
            </name>
            <name name-style="western">
              <surname>Qiang</surname>
              <given-names>Y</given-names>
            </name>
            <name name-style="western">
              <surname>Zhao</surname>
              <given-names>J</given-names>
            </name>
          </person-group>
          <article-title>Evaluating the Clinical Efficacy of an Exergame-Based Training Program for Enhancing Physical and Cognitive Functions in Older Adults With Mild Cognitive Impairment and Dementia Residing in Rural Long-Term Care Facilities: Randomized Controlled Trial</article-title>
          <source>J Med Internet Res</source>
          <year>2025</year>
          <month>02</month>
          <day>19</day>
          <volume>27</volume>
          <fpage>e69109</fpage>
          <comment>
            <ext-link ext-link-type="uri" xlink:type="simple" xlink:href="https://www.jmir.org/2025//e69109/"/>
          </comment>
          <pub-id pub-id-type="doi">10.2196/69109</pub-id>
          <pub-id pub-id-type="medline">39969990</pub-id>
          <pub-id pub-id-type="pii">v27i1e69109</pub-id>
          <pub-id pub-id-type="pmcid">PMC11888014</pub-id>
        </nlm-citation>
      </ref>
    </ref-list>
  </back>
</article>
