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To Implement or Not to Implement? A Commentary on the Pitfalls of Judging the Value and Risks of Personalized Prognostic Statistical Models

To Implement or Not to Implement? A Commentary on the Pitfalls of Judging the Value and Risks of Personalized Prognostic Statistical Models

The initial treatment recommendation for all these patients is education and exercise therapy; unfortunately, this treatment is not always implemented [5-7]. Our study aims to inform clinicians and patients on the personalized expected outcomes following the initial treatments, motivating them to follow evidence-based treatment recommendations and to identify patients who can only expect minor pain relief—for whom, therefore, skipping the recommended first-line treatment could be considered.

Linda Baumbach, Walter Hötzendorfer, Jan Baumbach

J Med Internet Res 2025;27:e69341

Trends and Shifts in Swedish Telemedicine Consultations During the Pre–COVID-19, COVID-19, and Post–COVID-19 Periods: Retrospective Observational Study

Trends and Shifts in Swedish Telemedicine Consultations During the Pre–COVID-19, COVID-19, and Post–COVID-19 Periods: Retrospective Observational Study

As suggested by the findings of Hylock and Zeng [26] and Woodward et al [27], text consultation is effective and convenient for follow-up therapy and nonemergency medical matters; patients can consult with their health care provider asynchronously without an in-person meeting and can reschedule conveniently.

Adaora Uloma Asomugha, Annamaria Pakai

JMIR Form Res 2025;9:e60294

Use of Virtual Reality in the Pediatric Perioperative Setting and for Induction of Anesthesia: Mixed Methods Pilot Feasibility Study

Use of Virtual Reality in the Pediatric Perioperative Setting and for Induction of Anesthesia: Mixed Methods Pilot Feasibility Study

Patients were excluded if they (1) had a cognitive, auditory, or visual impairment preventing VR use or (2) had a history of seizures or epilepsy. Parents or legal guardians were eligible if they were present with the child and were willing to share their perspectives. A sample size of approximately 40 patients was based on a prior feasibility study including at the study site [23] and a similar setting [24]. The sample size aligned with the VR-CORE recommendations [22].

Yu Tong Huang, Sofia Addab, Gianluca Bertolizio, Reggie Hamdy, Kelly Thorstad, Argerie Tsimicalis

JMIR Perioper Med 2025;8:e58905

Stakeholders and Contextual Factors in the Implementation of Assistive Robotic Arms for Persons With Tetraplegia: Deductive Content Analysis of Focus Group Interviews

Stakeholders and Contextual Factors in the Implementation of Assistive Robotic Arms for Persons With Tetraplegia: Deductive Content Analysis of Focus Group Interviews

Representatives from 8 stakeholder groups (affected persons, as well as those who could provide perspectives on engineering or technology, legal matters, nursing or care, therapy, social counseling, social insurance, and political considerations) participated in the focus group interviews.

Vera Fosbrooke, Marco Riguzzi, Anja M Raab

JMIR Rehabil Assist Technol 2025;12:e65759

Experience of Using Electronic Inhaler Monitoring Devices for Patients With Chronic Obstructive Pulmonary Disease or Asthma: Systematic Review of Qualitative Studies

Experience of Using Electronic Inhaler Monitoring Devices for Patients With Chronic Obstructive Pulmonary Disease or Asthma: Systematic Review of Qualitative Studies

Inhalation therapy, acting directly on the lungs, offers advantages such as rapid onset, low dosage requirements, and minimal side effects [5], making it the primary treatment approach for respiratory conditions like COPD and asthma [6,7]. The efficacy of inhalation therapy relies on the correct use of inhalers [8,9], yet many patients with COPD and asthma struggle with proper technique.

Jilong Duan, Xia Chen, Di Fan, Haikun Jiang, Xue Zhang, Wenyue Zhang, Zhiping Liu, Hongyan Lu

JMIR Mhealth Uhealth 2025;13:e57645

Evaluation of the Digital Support Tool Gro Health W8Buddy as Part of Tier 3 Weight Management Service: Observational Study

Evaluation of the Digital Support Tool Gro Health W8Buddy as Part of Tier 3 Weight Management Service: Observational Study

Importantly, no information regarding glycemic therapy was collected as part of this study, and hence it is not possible to discern the extent to which the W8 Buddy intervention contributed toward Hb A1c improvement, as compared to other antiglycemic therapies. The psychological measures collected through the tool further substantiate its potential benefits. Users reported a significant improvement in life satisfaction, as evidenced by the increase in scores on the SWLS.

Petra Hanson, Farah Abdelhameed, Mohammed Sahir, Nick Parsons, Arjun Panesar, Michaela de la Fosse, Charlotte Summers, Amit Kaura, Harpal Randeva, Vinod Menon, Thomas M Barber

J Med Internet Res 2025;27:e62661

Power-Assist Add-Ons for Older Adult Manual Wheelchair Users: Protocol for a Scoping Review

Power-Assist Add-Ons for Older Adult Manual Wheelchair Users: Protocol for a Scoping Review

However, cognitive, physical, and environmental deficiencies may hinder the independence of wheelchair users, jeopardizing their ability to retain their choices to continue to live in their preferred residence and communities [2-4]. Topographic barriers may impede the free movement of wheelchair users [5]; for instance, it can be difficult to self-propel a manual wheelchair uphill or on uneven terrain [6].

Oladele Atoyebi, Andrew Wister, Johanne Mattie, Gloria Gutman, Habib Chaudhury, Carolyn Sparrey, O Yvette Jones, W Ben Mortenson, Eireann O’Dea, Sogol Haji Hosseini, Jaimie Borisoff

JMIR Res Protoc 2025;14:e56375

Virtual Reality for the Prevention and Cessation of Nicotine Vaping in Youths: Protocol for a Randomized Controlled Trial

Virtual Reality for the Prevention and Cessation of Nicotine Vaping in Youths: Protocol for a Randomized Controlled Trial

Though many teens believe e-cigarettes are a safer alternative to combustible cigarettes [2], studies suggest e-cigarette use has negative physiological, cognitive, and behavioral effects for teenagers [3]. E-cigarette use is associated with a variety of mental health issues, including depression, internalizing problems, perceived stress, and suicidality [4-6].

Belinda Borrelli, Daniel Weinstein, Romano Endrighi, Nikki Ling, Kathleen Koval, Lisa M Quintiliani, Kaitlyn Konieczny

JMIR Res Protoc 2025;14:e71961

Patients’ Perceptions of Artificial Intelligence Acceptance, Challenges, and Use in Medical Care: Qualitative Study

Patients’ Perceptions of Artificial Intelligence Acceptance, Challenges, and Use in Medical Care: Qualitative Study

According to participants, AI could be used in therapy to help ensure that side effects, drug interactions, and current knowledge are taken into account. AI could be useful in providing rehabilitation and physiotherapy support by creating appropriate exercise plans with motivational elements, individual adaptation, and monitoring of exercises. Another possible area was operations, where a personal or verbal component seemed less important.

Jana Gundlack, Carolin Thiel, Sarah Negash, Charlotte Buch, Timo Apfelbacher, Kathleen Denny, Jan Christoph, Rafael Mikolajczyk, Susanne Unverzagt, Thomas Frese

J Med Internet Res 2025;27:e70487

Recognition of Basic Activities of Daily Living Using Wearable Devices for Older Adults: Scoping Review

Recognition of Basic Activities of Daily Living Using Wearable Devices for Older Adults: Scoping Review

Their evaluation included 8 older adults with cognitive impairment as tested by the Montreal Cognitive Assessment (Mo CA) [98]. Cook et al [57] leverages an ADL recognition system to label the participants’ behaviors in free-living conditions. The goal of this work was to distinguish between brain health intervention and nonintervention participants. The behavior predictions were used as input to the brain health intervention versus nonintervention classifier.

Samantha J Ray, Josh Cherian, Amanda Mae Liberty, Tracy Anne Hammond, Paula K Shireman

J Med Internet Res 2025;27:e67373