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Image-Based Dietary Assessment Using the Swedish Plate Model: Evaluation of Deep Learning–Based You Only Look Once (YOLO) Models

Image-Based Dietary Assessment Using the Swedish Plate Model: Evaluation of Deep Learning–Based You Only Look Once (YOLO) Models

This downsampling process enables the model to capture more spatial information at multiple scales, which enhances its ability to detect objects of varying sizes and aspect ratios. Additionally, down-sampling facilitates the integration of contextual information from surrounding regions, enabling more robust and accurate object localization. Finally, the detection layers are responsible for generating the bounding box coordinates and class probabilities for detected objects.

Gustav Chrintz-Gath, Meena Daivadanam, Laran Matta, Steve McKeever

JMIR Form Res 2025;9:e70124

Factors Affecting the Receptiveness of Chinese Internists and Surgeons Toward Artificial Intelligence–Driven Drug Prescription: Protocol for a Systematic Survey Study

Factors Affecting the Receptiveness of Chinese Internists and Surgeons Toward Artificial Intelligence–Driven Drug Prescription: Protocol for a Systematic Survey Study

Here, we report a survey protocol that we have designed to systematically interrogate physicians’ receptiveness to AI prescription in China. The proposed survey study has been approved by the ethics committee (QTJC2025047-EC-1) at the Institute of Hematology, Chinese Academy of Medical Sciences (IHCAMS) on May 15, 2025. Only respondents who provide informed consent with e-signatures will be granted access to the survey website. All entered data will be stored in password-protected secure servers.

Qiujin Shen, Xiaowen Gong, Wei Zhang, Yu Hu, Yueshen Ma, Ziyi Ren, Sichang Liu, Zhen Song, Robert Peter Gale, Jinyu Wang, Junren Chen

JMIR Res Protoc 2025;14:e76009

Pulmonary Function and Sleep-Related Disorders During Cervical Administration of Intrathecal Baclofen in Adults With Spinal Cord Injury (Cervit-B): Protocol for a Multiphase Single-Arm Intervention Trial

Pulmonary Function and Sleep-Related Disorders During Cervical Administration of Intrathecal Baclofen in Adults With Spinal Cord Injury (Cervit-B): Protocol for a Multiphase Single-Arm Intervention Trial

The study will be conducted according to the principles of the Declaration of Helsinki, (October 2013 version), and in accordance with the Medical Research Involving Human Subjects Act (WMO). Approval of the study has been obtained from the Medical Ethics Committee Oost Nederland (2021-7364) and the Central Committee on Research Involving Human Subjects. The trial is registered in the Eudra CT database (2021-004994-30) and is transitioned to the Clinical Trials Information System (2023-508143-51-01).

Ellen M Maas, Kuan H Kho, Johan S Rietman, Marjolein G J Brusse-Keizer

JMIR Res Protoc 2025;14:e70362

Post–Critical Illness Dysphagia in the Intensive Care Unit (the Dysphagia-ICU Study): Protocol for a Prospective Cohort Study

Post–Critical Illness Dysphagia in the Intensive Care Unit (the Dysphagia-ICU Study): Protocol for a Prospective Cohort Study

Dysphagia refers to an impairment of the process of deglutition affecting the oral, pharyngeal, and/or esophageal phases of swallowing; it has been reported to occur in 10% to 62% of patients who undergo invasive mechanical ventilation in the ICU [2,4]. Dysphagia can persist for more than 6 months after critical illness [5].

Waleed Alhazzani, Kimberley Lewis, Jamala Selan, Haifa F Alotaibi, Sara Alnasser, Afaf Alrwais, Atheer Alhomoud, Rawabi M Alsayer, Hani Tamim

JMIR Res Protoc 2025;14:e68053

Efficacy of Tuina Versus the Proprioceptive Neuromuscular Facilitation (PNF) Technique in Patients With Nonspecific Chronic Neck Pain: Protocol for a Randomized Controlled Trial

Efficacy of Tuina Versus the Proprioceptive Neuromuscular Facilitation (PNF) Technique in Patients With Nonspecific Chronic Neck Pain: Protocol for a Randomized Controlled Trial

Participant identities will be anonymized using unique study identifiers, and all data (including clinical records, assessment forms, and biological samples) will be stored on encrypted servers accessible only to authorized research personnel, while publication of results will avoid disclosing identifiable information and comply with the SPIRIT (Standard Protocol Items: Recommendations for Interventional Trials) 2025 guidelines (Multimedia Appendix 1) on data sharing (item 6).

Kaiqi Fan, Aicheng Wang, Hainan Gao, Ting Yu, Xiangyu Zhu

JMIR Res Protoc 2025;14:e63528

Generative Artificial Intelligence Tools in Medical Research (GAMER): Protocol for a Scoping Review and Development of Reporting Guidelines

Generative Artificial Intelligence Tools in Medical Research (GAMER): Protocol for a Scoping Review and Development of Reporting Guidelines

By providing recommendations for what information should be reported for each section, GAMER seeks to create reporting guidelines that streamline the reporting process, allowing researchers, practitioners, and policymakers to critically assess the quality and validity of studies involving Gen AI tools in medical research [3].

Xufei Luo, Yih Chung Tham, Mohammad Daher, Zhaoxiang Bian, Yaolong Chen, Janne Estill, GAMER Working Group

JMIR Res Protoc 2025;14:e64640

Exploring Desired Features of Mobile Health Apps for Patients With Diabetes to Enhance Engagement and Self-Management: Qualitative Study

Exploring Desired Features of Mobile Health Apps for Patients With Diabetes to Enhance Engagement and Self-Management: Qualitative Study

Some participants expressed a desire for m Health apps to provide clinically validated and comprehensive information covering key areas such as disease knowledge, prevention of comorbidities, dietary information, guidelines for safe and effective exercise, and guidance on medication usage and side effects. I’m trying to cope with my DM and accept it, but I absolutely want to prevent any complications, particularly with my feet and vision.

Arkers Kwan Ching Wong, Ying Nan, Bing Xiang Yang, Yanqun Liu

JMIR Diabetes 2025;10:e69176

Toward a Sociotechnical Ecosystem for Ethical Screening and Promotion of Mental Health and Well-Being

Toward a Sociotechnical Ecosystem for Ethical Screening and Promotion of Mental Health and Well-Being

The ecosystem, to be designed, implemented, and evaluated in coordination with all stakeholders, will streamline information exchange via a digital platform envisaged for collection, integrity assessment, integration, storage, and analysis of health and well-being data. It is expected that the ecosystem will contribute to more efficient and equitable access of individuals to mental health support and care services by further increasing the efficiency of existing triaging processes, among others.

Federico Colecchia, Gabriella Spinelli, Dominik Havsteen-Franklin, Monomita Nandy

J Med Internet Res 2025;27:e64790

Guideline-Based Clinical Decision Support Framework for Multimorbidity: Protocol for a Formulation and Testing Study

Guideline-Based Clinical Decision Support Framework for Multimorbidity: Protocol for a Formulation and Testing Study

The user will first answer questions related to the setting, patient, target condition or problems, and possibly other details depending on the final framework, which will lead to various steps to detailed instructions on how to select the recommendations from different guidelines considering also the potential interactions. We will conduct the project using methods similar to the development of reporting checklists.

Zijun Wang, Ling Wang, Bingyi Wang, Hongfeng He, Zhewei Li, Di Zhu, Jie Zhang, Huayu Zhang, Yaolong Chen, Janne Estill

JMIR Res Protoc 2025;14:e63339