Tessy Boedt, Sharon Lie Fong, Eline Dancet, Merijn Mestdagh, Joke Verbeke, David Geerts, Carl Spiessens, Christophe Matthys
{"title":"Use and User Experience of a Preconception Lifestyle App for Couples Undergoing in Vitro Fertilization: Mixed Methods Study.","authors":"Tessy Boedt, Sharon Lie Fong, Eline Dancet, Merijn Mestdagh, Joke Verbeke, David Geerts, Carl Spiessens, Christophe Matthys","doi":"10.2196/65815","DOIUrl":"10.2196/65815","url":null,"abstract":"<p><strong>Background: </strong>Mobile apps are a promising way to improve healthy lifestyle behavior among people with infertility. However, sufficient engagement with mobile health apps is crucial to influence health outcomes, and identifying features to create more effective interventions is urgently needed.</p><p><strong>Objective: </strong>This study conducted a process evaluation focusing on the use and user experience of the PreLiFe app, a mobile lifestyle app for couples undergoing in vitro fertilization (IVF).</p><p><strong>Methods: </strong>A mixed methods approach was used among heterosexual couples with infertility undergoing IVF. An objective quantitative study using a tracking-based system assessed the actual use of the PreLiFe app over time in relation to partner use and in relation to the specific fertility treatment. A subjective quantitative study using online questionnaires assessed the acceptability (using the Mobile App Rating Scale) and partner support (based on the Social Support for Diet and Exercise Scale) experienced while using the PreLiFe app. A subjective qualitative study using semistructured interviews evaluated in-depth user experiences with the PreLiFe app.</p><p><strong>Results: </strong>A total of 106 couples used the PreLiFe app for 2 to 365 days. Overall use was low; 18.9% (20/106) of the men and 49.1% (52/106) of the women used all the modules of the PreLiFe app. Mixed-model analyses revealed that higher app use was observed when a partner used the app as well and during fertility treatment. The average acceptability score was 6 (SD 1) of 10, and patients felt supported by their partners while using the app. Semistructured interviews with 10 patients indicated that the PreLiFe app was easy to use.</p><p><strong>Conclusions: </strong>Our findings showed good acceptability and user experiences but low actual objective use of a preconception lifestyle app for couples undergoing IVF. To increase use of and engagement with such apps, future studies should further focus on personalization and interaction with partners, health care providers, and other patient data systems.</p>","PeriodicalId":36351,"journal":{"name":"JMIR Human Factors","volume":"12 ","pages":"e65815"},"PeriodicalIF":3.0,"publicationDate":"2025-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145287418","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Endometriosis Support and Development of Digital Technology-Based Interventions: Systematic Review.","authors":"Tivizio Pavic, Kévin Nadarajah, Alain Somat, Geneviève Cabagno, Florence Terrade","doi":"10.2196/71859","DOIUrl":"https://doi.org/10.2196/71859","url":null,"abstract":"<p><strong>Background: </strong>Endometriosis is a chronic disease that affects 1 in 10 women worldwide. The disease affects patients' daily life at physical, psychological, and social levels. In recent years, the management of this disease has evolved, thanks in particular to the emergence of digital technologies and associated interventions. However, despite their growing use, there seems to be no systematic review of their development, design, and efficacy.</p><p><strong>Objective: </strong>A systematic review was conducted with the aim of characterizing the development process, design, and effectiveness of interventions using a digital tool for endometriosis.</p><p><strong>Methods: </strong>A total of 7 databases (MEDLINE, APA PsycArticles, Academic Search Premier, Psychology and Behavioral Sciences Collection, APA PsycInfo, SocINDEX, and SPORTDiscus) were searched to identify relevant articles published between 2010 and 2024. The articles selected were analyzed using a methodological framework specific to the development of digital health interventions (Design and Evaluation of Digital Health Interventions [DEDHI]), consisting of 4 phases: preparation (phase 1, specific to application development), optimization (phase 2, dedicated to identifying the best intervention configurations), evaluation (phase 3, aiming to confirm the effectiveness of the intervention), and implementation (phase 4, implementing and updating the intervention on a large scale).</p><p><strong>Results: </strong>A selection of 10 articles was made from the 381 studies retrieved from the databases. Among these 10 studies, 6 distinct digital health interventions were identified. The interventions based on digital devices produced physical and psychological benefits. Analysis using the DEDHI framework showed (1) a disparity in the responses to the different phases (ie, 9/10, 90% of studies responding to phase 1; 3/10, 30% to phase 2; 4/10, 40% to phase 3; and 2/10, 20% to phase 4) and (2) a variability in the completion of the evaluation criteria ranging from 10% (1/10) to 80% (8/10) in phase 1, 0% (0/13) to 77% (10/13) in phase 2, 0% (0/10) to 80% (8/10) in phase 3, and finally 0% (0/13) to 77% (10/13) in phase 4. The objectives of these digital interventions were to support pain management (5/6, 83%), to provide information about the disease and strategies for managing it (4/6, 67%), and to provide psychosocial support (2/6, 33%).</p><p><strong>Conclusions: </strong>This systematic review highlights an emerging literature, limited regarding the use of digital technology in the management of endometriosis, and heterogeneous concerning the methodologies used. This variability limits the generalizability of the results and requires a nuanced interpretation of the available data. However, the results of this review have demonstrated the value of digital technology-based interventions to support endometriosis, while highlighting the importance of a methodological framework to s","PeriodicalId":36351,"journal":{"name":"JMIR Human Factors","volume":"12 ","pages":"e71859"},"PeriodicalIF":3.0,"publicationDate":"2025-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145293961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Public Attitudes and Predictors of Public Awareness of Personal Digital Health Data Sharing for Research: Cross-Sectional Study in Japan.","authors":"Yasue Fukuda, Koji Fukuda","doi":"10.2196/64192","DOIUrl":"10.2196/64192","url":null,"abstract":"<p><strong>Background: </strong>As digital technology advances, health-related data can be scientifically analyzed to predict illnesses. The analysis of international data collected during health examinations and health status monitoring, along with data collected during medical care delivery, can contribute to precision medicine and the public good. Understanding citizens' attitudes and predictors of digital health data sharing is critical in promoting data-driven research.</p><p><strong>Objective: </strong>This study aims to determine the public acceptability of data sharing and the attitudes and influencing factors toward data sharing.</p><p><strong>Methods: </strong>A cross-sectional web-based survey was conducted in Japan from November 11-18, 2023. We analyzed 1000 valid responses. Five factors were investigated as predictors of participants' attitudes toward sharing digital health data for social benefit: (1) individual sociodemographic characteristics, (2) types of health data shared, (3) motivation for sharing data, (4) data sharing concerns, and (5) reasonable access and control over the data. The association of these factors with the respondents' willingness to share was analyzed. We summarized demographic characteristics based on gender, age group, affiliated educational institution, and education history and degree. Continuous variables are expressed as mean (SE). Logistic regression was used to analyze the association between attitudes and acceptability of sharing digital health data and the predicting factors, such as participants' preferences regarding data access and control, underlying concerns, motivations for data sharing, demographic characteristics, and eHealth literacy.</p><p><strong>Results: </strong>The mean age of the participants and the SD was 52.8 (19.8) years. We identified the factors influencing respondents' willingness to share a wide range of personal digital health data in Japan, including data in medical records, biobank samples, and digitized social communication. Approximately 70% of the participants were willing to share their digital health data. The motives associated with positive willingness to share digital health data were helping future patients (odds ratio [OR] 2.5860, 95% CI 1.8849-3.5481; P<.001), receiving their own results (OR 2.2261, 95% CI 1.6243-3.0509; P<.001), and receiving financial benefits (OR 1.8059, 95% CI 1.2630-2.5822; P=.001). Concerns associated with negative willingness to share data were data being used for unethical projects (OR 0.5104, 95% CI 0.5104-0.722; P<.001) and agreeing to contract terms that they did not fully understand (OR 0.7114, 95% CI 0.5228-0.9681; P=.04). Compared with men, women were less willing to share data (OR 0.722, 95% CI 0.539-0.967; P=.03). Furthermore, the higher one's eHealth literacy, the more positive their willingness to share digital health data (OR 1.0680, 95% CI 1.0450-1.0920; P<.001).</p><p><strong>Conclusions: </strong>This study found difference","PeriodicalId":36351,"journal":{"name":"JMIR Human Factors","volume":"12 ","pages":"e64192"},"PeriodicalIF":3.0,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12510434/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145259291","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}
Liam Pearce Allan, Jane Li, Tara Purvis, David Silvera-Tawil, Jan Cameron, Marlien Varnfield, Vanessa Smallbon, Julia Bomke, Natasha A Lannin, Dominique A Cadilhac
{"title":"Clinician Perceptions of a Novel Multicomponent Digital Care Assistant and Support Program for People After Stroke or Transient Ischemic Attack (CAPS) for the Secondary Prevention of Stroke: Qualitative Study.","authors":"Liam Pearce Allan, Jane Li, Tara Purvis, David Silvera-Tawil, Jan Cameron, Marlien Varnfield, Vanessa Smallbon, Julia Bomke, Natasha A Lannin, Dominique A Cadilhac","doi":"10.2196/72873","DOIUrl":"10.2196/72873","url":null,"abstract":"<p><strong>Background: </strong>We co-designed the novel multicomponent CAPS (Care Assistant and support Program for people after Stroke or transient ischemic attack) to augment the secondary prevention of stroke.</p><p><strong>Objective: </strong>Following completion of a feasibility study, we sought feedback from Australian clinicians and service provider representatives (the potential deliverers of CAPS) regarding their perceptions of CAPS for secondary prevention and the pathways to real-world adoption.</p><p><strong>Methods: </strong>This was a qualitative descriptive study of clinicians and service provider representatives involved in the delivery of stroke care around Australia. A pragmatic convenience sample was obtained by contacting previous CAPS co-design study participants; leveraging professional networks (eg, LinkedIn); and distributing study flyers and newsletters via primary health care networks, general practitioner (GP) networks, and social media posts (Commonwealth Scientific and Industrial Research Organization's LinkedIn pages). Semistructured interviews and focus groups were conducted virtually with clinicians and representatives of the Stroke Foundation (Australia). Qualitative content analysis was undertaken.</p><p><strong>Results: </strong>Overall, 18 clinicians and 3 Stroke Foundation representatives participated from 5 Australian states, including medical specialists, GPs, nurses, and allied health professionals. We collected their perceptions of CAPS, categorized as potential benefits of the program for secondary prevention, and the considerations for facilitators and challenges to real-world program implementation. The perceived benefits of supporting self-management for patients and facilitating informed decision-making for clinicians were identified. Discussions regarding program implementation included program initiation and duration, patient support considerations, and workflow alignment, which involved consideration of the barriers and enablers to uptake within primary care practice and Stroke Foundation outreach support programs.</p><p><strong>Conclusions: </strong>There was support from participants for the potential of CAPS to improve the secondary prevention of stroke. However, approaches for addressing the challenges raised by participants, including further implementation and integration considerations, such as sustainability of the model of care, are likely required for CAPS to be successfully embedded within clinical settings.</p>","PeriodicalId":36351,"journal":{"name":"JMIR Human Factors","volume":"12 ","pages":"e72873"},"PeriodicalIF":3.0,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12510440/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145259330","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}
Sarah Annalise Sanders, Serwaa Omowale, Andrea Casas, Alexis Kiyanda, Abigail Smith Kosbie, Yu-Hsuan Lai, Meredith Wallace, Stephen Rathbun, Tiffany Gary-Webb, Esa Davis, Lora Burke, Dara Méndez
{"title":"Completion Rates for Ecological Momentary Assessments of Food Intake During Pregnancy and Post Partum: Descriptive Study.","authors":"Sarah Annalise Sanders, Serwaa Omowale, Andrea Casas, Alexis Kiyanda, Abigail Smith Kosbie, Yu-Hsuan Lai, Meredith Wallace, Stephen Rathbun, Tiffany Gary-Webb, Esa Davis, Lora Burke, Dara Méndez","doi":"10.2196/67081","DOIUrl":"10.2196/67081","url":null,"abstract":"<p><strong>Background: </strong>The collection of dietary behavior data is crucial in childbearing populations. In addition to observed inequities in perinatal dietary intake and quality, burdensome assessment methods (eg, 24-h dietary recall) may limit research participation for some groups. Ecological momentary assessment (EMA) is associated with reduced recall bias and participant convenience, but there is a dearth of studies with diverse cohorts.</p><p><strong>Objective: </strong>Our aim is to describe participant completion of food intake items in EMA surveys, overall and across individual characteristics (eg, prepregnancy BMI).</p><p><strong>Methods: </strong>Using secondary EMA data from participants in a longitudinal study, we report average completion rates of survey items regarding dietary behavior (eg, number of meals eaten in a day) across individual demographic variables (eg, age) and combined strata (eg, race+age) during late pregnancy and throughout 12 months post partum.</p><p><strong>Results: </strong>In our analytic sample (N=310), the average completion rate was 52.4% (SD 27.8%) during pregnancy, rising to 59.1% (SD 22.0%) after giving birth. Participants who were older (>30 y), overweight before pregnancy, self-identified as White, working, or earning higher annual income (>US $50,000) had higher average completion rates than their counterparts. Examining combined strata, we found some variation in survey completion within racial groups. Black participants using a study phone had higher average completion rates during pregnancy and post partum, but this relationship was reversed for White participants.</p><p><strong>Conclusions: </strong>Our secondary analysis showed relatively stable engagement with EMA surveys in a childbearing cohort across 15 months. Increased completion rates among privileged groups (eg, White, higher income) may demonstrate the impact of socioeconomic advantages on individual health behaviors. Investigators should consider how intersections between race and other factors (eg, employment) may impact participation and data collection.</p>","PeriodicalId":36351,"journal":{"name":"JMIR Human Factors","volume":"12 ","pages":"e67081"},"PeriodicalIF":3.0,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12507379/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253072","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}
Lex L Haegens, Charlotte L Bekker, Marcel Flendrie, Bart J F van den Bemt, Victor J B Huiskes
{"title":"Text Messaging Between Patients With Inflammatory Rheumatic Diseases and Pharmacists to Solve Drug-Related Problems: Prospective Feasibility Study.","authors":"Lex L Haegens, Charlotte L Bekker, Marcel Flendrie, Bart J F van den Bemt, Victor J B Huiskes","doi":"10.2196/66514","DOIUrl":"10.2196/66514","url":null,"abstract":"<p><strong>Background: </strong>Patients with inflammatory rheumatic diseases often experience drug-related problems (DRPs). As these can result in negative health consequences, DRPs should be identified and addressed in a timely manner. Text messaging between patients and pharmacists at the initiative of the patient has the potential to deliver support with DRPs more continuously, increase accessibility and efficiency, and enhance patient involvement in the process of identifying and solving DRPs.</p><p><strong>Objective: </strong>This study aimed to assess the feasibility of text messaging from both the patients' and health care practitioners' perspectives before a large-scale implementation.</p><p><strong>Methods: </strong>Adult patients using a disease-modifying antirheumatic drug were given access to text messaging with pharmacists to discuss DRPs for a period of 8 weeks. Patients received a response from a pharmacist within 4 working hours. Feasibility was evaluated based on five domains of Bowen's framework for designing feasibility studies: (1) demand: actual use, expressed interest (user version of the Mobile Application Rating Scale - section E), and factors impacting future use; (2) limited efficacy: number of DRPs solved, DRPs resulting in follow-up, and DRPs warranting involvement of health care provider; (3) implementation: degree of execution (number of conversations answered within service level) and resources needed (pharmacists' time investment per conversation); (4) acceptability: satisfaction and appropriateness (theoretical framework of acceptability); and (5) practicality: ability to carry out intervention activities (System Usability Scale). Data were collected by means of usage data and a questionnaire.</p><p><strong>Results: </strong>In total, 45 patients (median age 57, IQR 52-65 y; n=31, 69% female) and 5 pharmacists (median age 41, IQR 26-47 y; n=1, 20% female) actively participated in this study. In the demand domain, 158 unique DRPs were raised in 133 conversations, with a median of 3 (IQR 2-4) unique DRPs per patient. Expressed interest was rated high by patients (median 4, IQR 4-5), and 90% (37/41) of patients would recommend text messaging to others. In the limited-efficacy domain, all DRPs were solved, and 77% (122/158) of DRPs warranted involvement of a health care provider. In the implementation domain, 87% (116/133) of conversations were answered within the promised timeframe with a median time investment of 4:15 (IQR 2:21-7:27) minutes per conversation. Acceptability was rated high by patients (median 4, IQR 4-5) and pharmacists (median 5, IQR 4-5). Finally, in the practicality domain, System Usability Scale was scored above average for patients (mean 72, SD 18) and pharmacists (mean 81, SD 16).</p><p><strong>Conclusions: </strong>Text messaging with pharmacists at the initiative of patients with rheumatic diseases seems feasible for discussing DRPs in terms of limited efficacy, implementation, acceptability,","PeriodicalId":36351,"journal":{"name":"JMIR Human Factors","volume":"12 ","pages":"e66514"},"PeriodicalIF":3.0,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12507129/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253010","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: Identifying Contextual Factors and Strategies for Practice Facilitation in Primary Care Quality Improvement Using an Informatics-Driven Model: Framework Development and Mixed Methods Case Study.","authors":"","doi":"10.2196/84390","DOIUrl":"https://doi.org/10.2196/84390","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.2196/32174.].</p>","PeriodicalId":36351,"journal":{"name":"JMIR Human Factors","volume":"12 ","pages":"e84390"},"PeriodicalIF":3.0,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Minseo Cho, Doeun Park, Myounglee Choo, Doug Hyun Han, Jinwoo Kim
{"title":"Impact of Digital Phenotypes and Question-Asking on Emotional Disorders in Adolescents: 4-Week Field Study.","authors":"Minseo Cho, Doeun Park, Myounglee Choo, Doug Hyun Han, Jinwoo Kim","doi":"10.2196/66536","DOIUrl":"10.2196/66536","url":null,"abstract":"<p><strong>Background: </strong>Adolescence is the period with the highest incidence of mental disorders, with approximately one-third, half, and two-thirds of cases emerging by ages 14, 18, and 25 years, respectively. Proactive interventions are essential, and digital phenotyping has emerged as a promising approach for timely detection and management. However, passive digital phenotyping is limited to sensor-detectable behaviors, while active phenotyping is often confined to clinical scales, missing the opportunity to capture users' subjective perspectives and emotional nuances. Furthermore, the potential therapeutic effect of the data collection process itself on emotional disorder management remains underexplored.</p><p><strong>Objective: </strong>This study developed and tested a mobile app that collects passive and active digital phenotypes related to adolescents' emotions and daily behaviors. The study aimed to assess the app's impact on managing emotional disorders through self-monitoring and to identify daily lifestyle indicators that can predict and track the development of such disorders.</p><p><strong>Methods: </strong>A 4-week parallel, nonequivalent control group design was employed. The intervention group installed a digital phenotype collection tool on their mobile devices for 28 days. Passive data (location, sleep, and screen time) were continuously recorded. Active data were collected through ecological momentary assessments delivered randomly up to 8 times daily, prompting participants to report their current mood and levels of depression, anxiety, and stress. The control group received no intervention. Both groups were assessed at time points on emotional disorders, self-efficacy, and time management. Postintervention interviews were conducted with the intervention group.</p><p><strong>Results: </strong>Thirty-six Korean adolescents participated (19 control, 17 intervention). The intervention group showed significant reductions in depression (P=.04, d=0.42) and stress (P=.03, d=0.46) and improvements in self-efficacy (P=.002, d=0.50) and time management abilities (P<.001, d=0.39), with small to large effect sizes. No significant change was observed in anxiety levels (P=.11). Correlational analysis revealed weak but significant links between passive digital phenotypes and daily emotional states.</p><p><strong>Conclusions: </strong>Integrating active and passive digital phenotypes through a mobile collection tool can help manage emotional disorders in adolescents. Use of the tool was associated with moderate reductions in depression and stress, as well as improvements in self-efficacy and time management, while anxiety levels remained unchanged, possibly due to adolescents' differing perceptions of anxiety. Passive digital phenotypes such as location variability and phone usage showed modest correlations with daily emotional states, supporting their potential as ecological markers. These findings suggest that digital phenotype co","PeriodicalId":36351,"journal":{"name":"JMIR Human Factors","volume":"12 ","pages":"e66536"},"PeriodicalIF":3.0,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12505407/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253014","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":"Patients' Perceptions of Using a Digital Previsit Tool in Outpatient Settings (Part 2): Qualitative Study.","authors":"Petra Pohl, Emma K Kjörk","doi":"10.2196/73477","DOIUrl":"https://doi.org/10.2196/73477","url":null,"abstract":"<p><strong>Background: </strong>Patients with long-term conditions, such as stroke, require regular follow-up visits to health care professionals to identify changes in symptoms. The digital previsit tool Strokehälsa (Strokehealth) has been designed to encourage individuals with stroke to reflect on stroke-related health concerns before a follow-up visit, thereby potentially enhancing their engagement during the visit. Strokehealth has previously been evaluated using a patient satisfaction survey (part 1), but there remains a need to further explore patients' perceptions and needs to optimize its functionality before broader implementation.</p><p><strong>Objective: </strong>The overall aim was to attain deeper insights into patients' views and experiences of using the digital previsit tool Strokehealth before a follow-up visit. A secondary aim was to identify potential improvements to the tool based on these insights.</p><p><strong>Methods: </strong>For this qualitative study, patients who had used Strokehealth version 1.0 before a follow-up visit were recruited through the previous survey between November 2020 and June 2021. Individual semistructured interviews were conducted, and data were analyzed using reflexive thematic analysis. Subsequent workshops were held with people with firsthand experiences of stroke, other stakeholders (including health professionals and researchers), and a web consultant to finalize decisions regarding adjustments to be implemented in Strokehealth version 2.0.</p><p><strong>Results: </strong>Interviews were conducted with 33 participants (23 men and 10 women), with a median age of 67 (IQR 55-76) years. Analysis of the data regarding participants' experiences of using Strokehealth revealed three overarching themes: (1) a supporting tool for preparing dialogue and identifying needs, (2) how Strokehealth is introduced and communicated affects perceived usability, and (3) the wording and structure of Strokehealth influences the response process. The findings captured various aspects of receiving and using the digital previsit tool, highlighting its simplicity and purpose. Overall, Strokehealth was well received and contributed to a sense of being well cared for. Participants generally not only found Strokehealth easy to use but also shared suggestions on how to better address stroke-related issues, such as mental fatigue or pain. Examples of changes that have been implemented in Strokehealth version 2.0, based on participant feedback, include improved explanatory texts and expanded opportunities for free text.</p><p><strong>Conclusions: </strong>The findings indicate that the freely available digital previsit tool Strokehealth was generally well received by patients with stroke who were scheduled for follow-up visits in outpatient settings.</p><p><strong>Trial registration: </strong>Researchweb 275135; https://www.researchweb.org/is/vgr/project/275135.</p>","PeriodicalId":36351,"journal":{"name":"JMIR Human Factors","volume":"12 ","pages":"e73477"},"PeriodicalIF":3.0,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145239889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Expanding the Design Space for Fall Prevention in Acute Orthopedic Hospital Care: Human-Centered Design Study.","authors":"Maria Ehn, Åsa Revenäs, Helena Tobiasson","doi":"10.2196/73110","DOIUrl":"https://doi.org/10.2196/73110","url":null,"abstract":"<p><strong>Background: </strong>In-hospital fall prevention is a complex phenomenon most efficiently addressed via a wide range of multifactorial interventions. Technology may contribute, but research in this field has so far mainly focused on detecting falls. As a result, new knowledge from a system perspective is needed regarding when and how new technologies may support fall prevention among patients who have been hospitalized.</p><p><strong>Objective: </strong>This study aimed to explore and describe clinical practices in an acute orthopedic hospital ward for fall prevention from a system perspective; determine the needs and possibilities related to support for clinical practices for fall prevention; and test whether a framework for studying interactions between people, activities, contexts, and technologies can be used to support observations of complex phenomena such as clinical fall prevention.</p><p><strong>Methods: </strong>This qualitative study followed the principles of human-centered design while combining focused ethnography with a workshop. Eight health care professionals representing different staff categories in an acute hospital ward of an orthopedic clinic participated in on-site interviews or were observed in their clinical practice. Data from these events were subjected to qualitative content analysis to describe the clinical practices for fall prevention observed in terms of people, activities, context, and tools. In a workshop, a larger group of clinic personnel provided their views on fall prevention, described the activities and tools they observed to prevent falls, and discussed needs for further support.</p><p><strong>Results: </strong>This study determined that health personnel considered fall prevention in all their interactions with patients, which included a wide range of activities for fall prevention wherein staff categories played complementary roles. These staff-patient meetings were goal oriented, responsive, and patient centered. The staff often served as key \"tools\" in assessment, communication, and coaching, while digital tools (mainly computer-based software programs) were used for information retrieval, documentation, and communication. The personnel worked to prevent patient falls both during hospitalization and after discharge. They believed that the long-term perspective was much more difficult to address in their clinical practice, and they expressed a need for more homelike environments in the hospital.</p><p><strong>Conclusions: </strong>The view on technology-based in-hospital fall prevention can be broadened not only to mainly include monitoring and alarm systems, information systems in general, or computer-based information in particular systems but also to support activities performed by health personnel that engage patients in fall prevention. For example, tools such as these can be implemented in training involving daily activities and mobility within safe yet more homelike clinical contexts.</","PeriodicalId":36351,"journal":{"name":"JMIR Human Factors","volume":"12 ","pages":"e73110"},"PeriodicalIF":3.0,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}