JMIR Formative Research最新文献

{"title":"Effect of a Digital Health Exercise Program on the Intention for Spinal Surgery in Adult Spinal Deformity: Exploratory Cross-Sectional Survey.","authors":"Marsalis Christian Brown, Christopher Quincy Lin, Christopher Jin, Matthew Rohde, Brett Rocos, Jonathan Belding, Barrett I Woods, Stacey J Ackerman","doi":"10.2196/66889","DOIUrl":"https://doi.org/10.2196/66889","url":null,"abstract":"<p><strong>Background: </strong>Adult spinal deformity (ASD) is a prevalent condition estimated at 38%. Symptomatic ASD is associated with substantial health care costs. The role of nonoperative interventions in the management of ASD remains elusive. The National Scoliosis Clinic's (NSC) scoliosis realignment therapy (SRT) is a personalized digital health exercise program for the nonoperative management of ASD.</p><p><strong>Objective: </strong>This exploratory study had two objectives: (1) to evaluate the effect of the SRT program on users' intention of having spinal fusion; and (2) from a US payer perspective, to estimate the annual cost savings per 100,000 beneficiaries by averting spinal surgery.</p><p><strong>Methods: </strong>Individuals were enrolled in the SRT study from October 1, 2023 to September 1, 2024. Participants completed a web-based, cross-sectional survey about their history of prior scoliosis surgery and intent of having surgery before and after use of SRT (on a 4-point Likert scale, where 1 = \"No Intent for Surgery\" and 4 = \"High Intent for Surgery\"). Intent for surgery before and after participation in SRT was compared using a nonparametric Wilcoxon signed-rank test for paired data. Annual cost savings per 100,000 beneficiaries by averting spinal fusions were estimated separately for commercial payers and Medicare using published literature and public data sources. Payer expenditures were inflation-adjusted to 2024 US dollars using the Hospital Services component of the Consumer Price Index.</p><p><strong>Results: </strong>A total of 62 NSC members (38.8%) responded to the survey and were enrolled in the SRT program for an average (SD) of 17 (12) weeks. The mean (SD) age was 65.3 (13.5) years, and the majority were female (47/48, 98%) and White (45/46, 98%). Among the SRT users who did not have prior scoliosis surgery (n=56), 14% (8/56) reported a decrease in intent for surgery (that is, a lower Likert score) with the use of SRT. The mean (SD) intent for surgery scores before compared to after SRT were 1.29 (0.53) and 1.14 (0.35), respectively (mean difference 0.15 [P=.006]). Participants with \"No Intent for Surgery\" pre- versus postuse of SRT (42/56 versus 48/56, respectively) corresponded to an absolute risk reduction of 11% and a number needed to treat of 9 to avert one spinal fusion. Among the 6 participants who transitioned to \"No Intent\" for spinal surgery with the use of SRT, 3 were aged <65 years and 3 were ≥65 years of age. The annual cost savings from averted spinal surgeries were estimated at US $415,000 per 100,000 commercially-insured beneficiaries and US $617,000 per 100,000 Medicare beneficiaries.</p><p><strong>Conclusions: </strong>SRT is a personalized, scoliosis-specific digital health exercise program with the potential for averting 1 spinal surgery for every 9 participants, resulting in a substantial reduction in payer expenditures while improving the quality of care for commercial payers and Medicare ben","PeriodicalId":14841,"journal":{"name":"JMIR Formative Research","volume":"9 ","pages":"e66889"},"PeriodicalIF":2.0,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12054968/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144017927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of the Kidney Score Platform on Communication About and Patients' Engagement With Chronic Kidney Disease Health: Pre-Post Intervention Study.","authors":"Delphine Tuot, Susan Crowley, Lois Katz, Joseph Leung, Delly Alcantara-Cadillo, Christopher Ruser, Elizabeth Talbot-Montgomery, Joseph Vassalotti","doi":"10.2196/56855","DOIUrl":"https://doi.org/10.2196/56855","url":null,"abstract":"<p><strong>Background: </strong>Chronic kidney disease (CKD) affects 14% of the US adult population, yet patient knowledge about kidney disease and engagement in their kidney health is low despite many CKD education programs, awareness campaigns, and clinical practice guidelines.</p><p><strong>Objective: </strong>We aimed to examine the impact of the Kidney Score Platform (a patient-facing, risk-based online tool that provides interactive health information tailored to an individual's CKD risk plus an accompanying clinician-facing Clinical Practice Toolkit) on individual engagement with CKD health and CKD communication between clinicians and patients.</p><p><strong>Methods: </strong>We conducted a pre-post intervention study in which English-speaking veterans at risk for CKD in two primary care settings interacted with the Kidney Score platform's educational modules and their primary care clinicians were encouraged to review the Clinical Practice Toolkit. The impact of the Kidney Score on the Patient Activation Measure (the primary outcome), knowledge about CKD, and communication with their clinician about kidney health was determined with paired t tests. Multivariable linear and logistic models were used to determine whether changes in outcomes after versus before intervention were influenced by age, race or ethnicity, sex, and diabetes status, accounting for baseline values.</p><p><strong>Results: </strong>The study population (n=76) had a mean (SD) age of 64.4 (8.2) years, 88% (67/76) was male, and 30.3% (23/76) self-identified as African-American. Approximately 93% (71/76) had hypertension, 36% (27/76) had diabetes, and 9.2% (7/76) had CKD according to the laboratory criteria but without an ICD-10 (International Classification of Diseases, 10th Edition) diagnosis. Patient interaction with the Kidney Score did not change the mean Patient Activation Measure (preintervention: 40.7%, postintervention: 40.2%, P=.23) but increased the mean CKD knowledge score (preintervention: 40.0%, postintervention 51.1%, P<.01), and changed the percentage of veterans who discussed CKD with their clinician (preintervention: 12.3%, postintervention: 31.5%, P<.01). Changes did not differ by age, sex, race, or diabetes status. Results were limited by the small sample size due to low recruitment and minimal clinician engagement with the Clinical Practice Toolkit during the COVID-19 pandemic.</p><p><strong>Conclusions: </strong>One-time web-based tailored education for patients can increase CKD knowledge and encourage conversations about kidney health. Increasing patient activation for CKD management may require multilevel, longitudinal interventions that facilitate ongoing conversations about kidney health between patients and clinician teams.</p>","PeriodicalId":14841,"journal":{"name":"JMIR Formative Research","volume":"9 ","pages":"e56855"},"PeriodicalIF":2.0,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12054969/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144016259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Applications of Self-Driving Vehicles in an Aging Population.","authors":"Sara Shu, Benjamin K P Woo","doi":"10.2196/66180","DOIUrl":"https://doi.org/10.2196/66180","url":null,"abstract":"<p><strong>Unlabelled: </strong>The proportion of older adult drivers is increasing and represents a growing population that must contemplate reducing driving and eventually stopping driving. The advent of self-driving vehicles opens vast possibilities with practical and far-reaching applications for our aging population. Advancing technologies in transportation may help to overcome transportation barriers for less mobile individuals, transcend social and geographical isolation, and improve resource and medical access. Herein, we propose various applications and benefits that self-driving vehicles have in maintaining independence and autonomy specifically for our aging population to preserve aging.</p>","PeriodicalId":14841,"journal":{"name":"JMIR Formative Research","volume":"9 ","pages":"e66180"},"PeriodicalIF":2.0,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12052292/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143990513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adolescent Emoji Use in Text-Based Messaging: Focus Group Study.","authors":"Matt Minich, Bradley Kerr, Megan Moreno","doi":"10.2196/59640","DOIUrl":"https://doi.org/10.2196/59640","url":null,"abstract":"<p><strong>Background: </strong>Adolescents increasingly communicate through text-based messaging platforms such as SMS and social media messaging. These are now the dominant platforms for communication between adolescents, and adolescents use them to obtain emotional support from parents and other adults. The absence of nonverbal cues can make it challenging to communicate emotions on these platforms, however, so users rely on emojis to communicate sentiment or imbue messages with emotional tone. While research has investigated the functions of emojis in adult communication, less is known about adolescent emoji use.</p><p><strong>Objective: </strong>This study sought to understand whether the pragmatic functions of adolescent emoji use resemble those of adults, and to gain insight into the semantic meanings of emojis sent by adolescents.</p><p><strong>Methods: </strong>Web-based focus groups were conducted with a convenience sample of adolescents, in which participants responded to questions about their use and interpretation of emojis and engaged in unstructured interactions with one another. Two trained coders analyzed transcripts using a constant comparative coding procedure to identify themes in the discussion.</p><p><strong>Results: </strong>A total of 6 focus groups were conducted with 31 adolescent participants (mean age 16.2, SD 1.5 years). Discussion in the groups generally fell into 4 themes: emojis as humorous or absurd, emokis as insincere or complex expressions of setiment, emojis as straightforward experssions of sentiment, and emojis as having context-dependent meanings. Across themes, participants often described important differences between their own emoji use and emoji use by adults.</p><p><strong>Conclusions: </strong>Adolescent focus group participants described patterns of emoji use that largely resembled those observed in studies of adults. Like adults, our adolescent participants described emojis' semantic meanings as being highly flexible and context-dependent. They also described both phatic and emotive functions of emoji use but described both functions in ways that differed from the patterns of emoji use described in adult samples. Adolescents described their phatic emoji use as absurd and described their emotive emoji use as most often sarcastic. These findings suggest that emoji use serves similar pragmatic functions for both adolescents and adults, but that adolescents see their emoji use as more complex than adult emoji use. This has important implications for adults who communicate with adolescents through text-based messaging and for researchers interested in adolescents' text-based communication.</p>","PeriodicalId":14841,"journal":{"name":"JMIR Formative Research","volume":"9 ","pages":"e59640"},"PeriodicalIF":2.0,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12052294/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144012540","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Motivations of Citizens to Attend an eHealth Course in the Public Library: Qualitative Interview Study.","authors":"Lucille Standaar, Adriana Margje Israel, Rosalie van der Vaart, Brigitta Keij, Frank J van Lenthe, Roland Friele, Mariëlle A Beenackers, Lilian Huibertina Davida van Tuyl","doi":"10.2196/60612","DOIUrl":"https://doi.org/10.2196/60612","url":null,"abstract":"<p><strong>Background: </strong>There is worldwide recognition of the potential increase of digital health inequity due to the increased digitalization of health care systems. Digital health skill development may prevent disparities in eHealth access and use. In the Dutch context, the public library has started to facilitate support in digital health skill development by offering public eHealth courses. Understanding the motivations of people to seek support may help to further develop this type of public service.</p><p><strong>Objective: </strong>This is a qualitative study on the motivations of citizens participating in an eHealth course offered by public libraries. The study aimed to explore why citizens were motivated to seek nonformal support for eHealth use.</p><p><strong>Methods: </strong>A total of 20 semistructured interviews with participants who participated in an eHealth course were conducted in 7 public libraries across the Netherlands. The interviews were conducted between April and June 2022. Purposive sampling took place in the public library during the eHealth course. The interviews covered participants' motivations, attitudes, and experiences with eHealth use and their motivations to seek help with eHealth use. Interviews were audio-recorded and transcribed. Themes were identified via a comprehensive thematic data analysis.</p><p><strong>Results: </strong>The participants were 51 to 82 years of age (average 73.5, SD 6.6 y) and 14 (70%) participants were female. Three motivational themes were identified: (1) adapting to an increasingly digital society, (2) sense of urgency facilitated by prior experience in health care, and (3) a need for self-reliance and autonomy. Additionally, participants expressed a general desire for social contact and lifelong learning. A lack of adequate informal support by friends and family for digital skills and positive experiences with formal support from public libraries stimulated the participants to seek formal support for eHealth use.</p><p><strong>Conclusions: </strong>We show that the participants had a feeling of urgency that sparked their motivation to seek nonformal support in the public library. Motivations to participate in the eHealth course stemmed from the need to adapt to the digital society, being a patient or a caregiver, or the need or wish to be independent from others. Participants of the study were mainly older female adults who had native language abilities, up-to-date digital devices, and time. It is likely that other populations experience similar feelings of urgency but have other support needs. Future research should explore the needs and attitudes of nonusers and other users of digital health toward seeking support in eHealth access and use.</p>","PeriodicalId":14841,"journal":{"name":"JMIR Formative Research","volume":"9 ","pages":"e60612"},"PeriodicalIF":2.0,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12052220/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144004724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction: Latino Parents' Reactions to and Engagement With a Facebook Group-Based COVID-19 Vaccine Promotion Intervention: Mixed Methods Pilot Study.","authors":"Anna I González-Salinas, Elizabeth L Andrade, Lorien C Abroms, Kaitlyn Gómez, Carla Favetto, Valeria M Gómez, Karen K Collins","doi":"10.2196/76107","DOIUrl":"10.2196/76107","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.2196/51331.].</p>","PeriodicalId":14841,"journal":{"name":"JMIR Formative Research","volume":"9 ","pages":"e76107"},"PeriodicalIF":2.0,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12070002/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143972227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Applying Patient and Health Professional Preferences in Co-Designing a Digital Brief Intervention to Reduce the Risk of Prescription Opioid-Related Harm Among Patients With Chronic Noncancer Pain: Qualitative Analysis.","authors":"Rachel A Elphinston, Sue Pager, Farhad Fatehi, Michele Sterling, Kelly Brown, Paul Gray, Linda Hipper, Lauren Cahill, Maisa Ziadni, Peter Worthy, Jason P Connor","doi":"10.2196/57212","DOIUrl":"https://doi.org/10.2196/57212","url":null,"abstract":"<p><strong>Background: </strong>Few personalized behavioral treatments are available to reduce the risk of prescription opioid-related harm among patients with chronic noncancer pain.</p><p><strong>Objective: </strong>We aimed to report on the second phase of the co-design of a digital brief intervention (BI) based on patient and health professional preferences.</p><p><strong>Methods: </strong>Eligible patients with chronic noncancer pain (n=18; 10 women; mean age 49.5, SD 6.91 y) from public hospital waitlists and health professionals (n=5; 2 women; mean age 40.2, SD 5.97 y) from pain and addiction clinics completed semistructured telephone interviews or participated in focus groups exploring BI preferences, needs, and considerations for implementation. Grounded theory was used to thematically analyze the data.</p><p><strong>Results: </strong>We identified 5 themes related to intervention content from patient reports: relevance of the biopsychosocial model and need for improved awareness and pain psychology education; nonpharmacological strategies and flexibility when applying coping skills training; opioid use reflection and education, with personalized medication and tapering plans; holistic and patient-inclusive assessment measures and feedback; and inclusion of holistic goals targeting comfort and happiness. Five themes related to the process and guiding principles were identified: therapist guided; engaging features; compassionate, responsive, person-centered care; a digital solution is exciting, maximizing reach; and educate and normalize system and policy challenges. Finally, 5 themes were reflected in the health professionals' reports: digital health use is rare but desired; digital health is useful for patient monitoring and accessing support; patient motivation is important; a digital BI app is likely beneficial and at multiple care points; and safe medication use and managing pain goals. The reported barriers from health professionals were intervention intensity, potential costs, and patient responsiveness; factors facilitating the implementation were the alignment of digital BIs with clinical models, a stepped-care approach, and feedback.</p><p><strong>Conclusions: </strong>This co-design study identified key content areas, guiding principles, enabling factors, and barriers from both patients and health professionals to guide the development of digital BIs. The knowledge gathered should inform future iterations of co-designing digital BIs for the population most at risk of the harmful effects of opioid medications.</p>","PeriodicalId":14841,"journal":{"name":"JMIR Formative Research","volume":"9 ","pages":"e57212"},"PeriodicalIF":2.0,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12064972/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143985642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"School-Based Virtual Reality Programming for Obtaining Moderate-Intensity Exercise Among Children With Disabilities: Pre-Post Feasibility Study.","authors":"Byron Lai, Ashley Wright, Bailey Hutchinson, Larsen Bright, Raven Young, Drew Davis, Sultan Ali Malik, James H Rimmer","doi":"10.2196/65801","DOIUrl":"https://doi.org/10.2196/65801","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Children have busy daily schedules, making school an ideal setting for promoting health-enhancing exercise behavior. However, children with mobility disabilities have limited exercise options to improve their cardiorespiratory fitness and cardiometabolic health.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;This study aims to test the feasibility of implementing a virtual reality (VR) exercise program for children with mobility disabilities in a high school setting.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A pre- to posttrial single-group design with a 6-week exercise intervention was conducted at a high school. The study aimed to enroll up to 12 students with a disability. Participants were given the option of exercising at home or school. The exercise prescription was three 25-minute sessions per week at a moderate intensity, using a head-mounted VR display. School exercise sessions were supervised by research staff. Home exercise sessions were performed autonomously. Several implementation metrics of feasibility were recorded, including exercise attendance, volume, adverse events or problems, and benefits related to health-related fitness (walking endurance and hand-grip strength). The study also included a qualitative evaluation of critical implementation factors and potential benefits for participants that were not included in the study measures. Outcomes were descriptively analyzed, and 2-tailed t tests were used as appropriate.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;In total, 10 students enrolled in the program and 9 completed the study (mean age 17, SD 0.6 y). In total, 5 (56%) participants exercised at school, and 4 (44%) exercised at home; 1 participant dropped out prior to exercise. The mean attendance for all 9 completers was 61.1% (11/18 sessions). The mean exercise minutes per week was 35.5 (SD 22) minutes. The mean move minutes per session was 17.7 (SD 11) minutes. The mean minutes per session was 18 (SD 1.4) minutes for school exercisers and 17 (SD 18) minutes for home exercisers, indicating variable responses from home exercisers. The mean rating of perceived exertion per exercise session was 4.3 (SD 2), indicating a moderate intensity that ranged from low to hard intensity. No adverse events or problems were identified. No improvements in walking endurance or hand-grip strength were observed. School exercisers achieved a higher attendance rate (83%) than home exercisers (27%; P&lt;.001) and seemingly had a 2-fold increase in the volume of exercise achieved (school: mean 279, SD 55 min; 95% CI 212-347; home: mean 131, SD 170 min; 95% CI -140 to 401; P=.10). Qualitative themes relating to implementation factors and benefits to participant well-being were identified.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;This study identified factors to inform an optimal protocol for implementing a high school-based VR exercise program for children with disabilities. Study findings demonstrated that moderate exercise at school is feasible in VR, but","PeriodicalId":14841,"journal":{"name":"JMIR Formative Research","volume":"9 ","pages":"e65801"},"PeriodicalIF":2.0,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12047849/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144016263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Discussions of Antibiotic Resistance on Social Media Platforms: Text Mining and Mixed Methods Content Analysis Study.","authors":"Jocelyne Arquembourg, Philippe Glaser, France Roblot, Isabelle Metzler, Mélanie Gallant-Dewavrin, Hugues Feutze Nanguem, Adel Mebarki, Paméla Voillot, Stéphane Schück","doi":"10.2196/37160","DOIUrl":"10.2196/37160","url":null,"abstract":"<p><strong>Background: </strong>With the increasing popularity of web 2.0 apps, social media has made it possible for individuals to post messages on antibiotic ineffectiveness. In such online conversations, patients discuss their quality of life (QoL). Social media have become key tools for finding and disseminating medical information.</p><p><strong>Objective: </strong>To identify the main themes of discussion, the difficulties encountered by patients with respect to antibiotic ineffectiveness and the impact on their QoL (physical, psychological, social, or financial).</p><p><strong>Methods: </strong>A noninterventional retrospective study was carried out by collecting social media posts in French language written by internet users mentioning their experience with antibiotics, and the impact of their ineffectiveness on their QoL. Messages posted between January 2014 and July 2020 were extracted from French-speaking publicly available online forums.</p><p><strong>Results: </strong>A total of 3773 messages were included in the analysis corpus after extraction and filtering. These messages were posted by 2335 individual web users, most of them being women around 35 years of age. Inefficacy of treatment options and the lack of information regarding the use of antibiotics were among the most discussed topics. QoL was discussed in 63% of the 3773 messages posted. The most common is the physical impact (78%). Patients discussed the persistence of symptoms and adverse effects. The second kind of impact is psychological (65%), characterized by feelings of anxiety or despair about the situation.</p><p><strong>Conclusions: </strong>This social media analysis allowed us to identify a strong impact of the perceived ineffectiveness of antibiotic therapy on patients' daily life particularly in terms of physical and psychological consequences. These results provide health care experts information directly generated by patients regarding their own experiences. Social media studies constitute a complementary source of evidence that could be used to optimize messages to the public about appropriate use of antibiotics.</p>","PeriodicalId":14841,"journal":{"name":"JMIR Formative Research","volume":" ","pages":"e37160"},"PeriodicalIF":2.0,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12047853/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44803129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"COVID-19 Perceptions Among Communities Living on Ground Crossings of Somali Region of Ethiopia: Community Cross-Sectional Survey Study.","authors":"Alinoor Mohamed Farah, Abdifatah Abdulahi, Abdulahi Hussein, Ahmed Abdikadir Hussein, Abdi Osman, Mohamed Mohamud, Hasan Mowlid, Girum Hailu, Fathia Alwan, Ermiyas Abebe Bizuneh, Ahmed Mohammed Ibrahim, Elyas Abdulahi","doi":"10.2196/66751","DOIUrl":"https://doi.org/10.2196/66751","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 pandemic has profoundly affected the movement of people across borders in Eastern and Southern Africa. The implementation of border closures and restrictive measures has disrupted the region's economic and social dynamics. In areas where national authorities lack full control over official and unofficial land crossings, enforcing public health protocols to mitigate health risks may prove challenging.</p><p><strong>Objective: </strong>This study aimed to assess perceived factors that influence the spread and control of COVID-19 among Somali communities living on and near ground crossings in Tog Wajaale, Somali region, Ethiopia.</p><p><strong>Methods: </strong>A community-based cross-sectional study was conducted using a multistage sampling technique. Beliefs and perceptions of the virus's spread and control were partially adapted from the World Health Organization (WHO) resources, exploring four main perception themes: (1) perceived facilitators for the spread of the virus, (2) perceived inhibitors, (3) risk labeling, and (4) sociodemographic variables. A sample size of 634 was determined using the single proportion formula. Standardized mean scores (0-100) and SDs categorized perception themes, with mean differences by sociodemographic variables analyzed using ANOVA and t tests. Statistical significance was established with a 95% CI and a P value below .05. The data were analyzed using STATA version 14.1.</p><p><strong>Results: </strong>Factors influencing COVID-19 spread and control include behavioral nonadherence and enabling environments. A total of 81.9% (439/536) did not comply with social distancing, and 92.2% (493/536) faced constraints preventing them from staying home and enabling environments. Misconceptions were prevalent, including beliefs about hot weather (358/536, 66.8%), traditional medicine (36/536, 6.7%), and religiosity (425/536, 79.3%). False assurances also contributed, such as feeling safe due to geographic distance from hot spots (76/536, 14.2%) and perceiving the virus as low-risk or exaggerated (162/536, 30.2%). Only 25.2% (135/536) followed standard precautions and 29.9% (160/536) were vaccinated. Employment, region, income, sex, education, and information sources significantly influenced behavioral nonadherence, myth prevalence, and false assurances.</p><p><strong>Conclusions: </strong>The findings highlight the need for substantial risk communication and community engagement. Only 46.6% (250/536) of individuals adhered to precautionary measures, there was a high perception of nonadherence, and essential COVID-19 resources were lacking. Additionally, numerous misconceptions and false reassurances were noted. Understanding cross-border community behavior is crucial for developing effective, contextually appropriate strategies to mitigate COVID-19 risk in these regions.</p>","PeriodicalId":14841,"journal":{"name":"JMIR Formative Research","volume":"9 ","pages":"e66751"},"PeriodicalIF":2.0,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045067/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143990771","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}