DIGITAL HEALTH最新文献

{"title":"Process evaluation of technologically assisted senior care using mixed methods: Results of the virtual assisted living (VAL, German: VBW Virtuell Betreutes Wohnen) project.","authors":"Eva Jansen, Juliana Supplieth, Sonia Lech, Jan Zöllick, Johanna Schuster","doi":"10.1177/20552076241308445","DOIUrl":"10.1177/20552076241308445","url":null,"abstract":"<p><strong>Objective: </strong>Technologically assisted support systems and social support in everyday life can help senior citizens live longer independently in their homes. The purpose of this process evaluation is to investigate an innovative care model integrating monitoring technology with social support services, aimed at enabling senior citizens to live independently and extend their longevity in their homes.</p><p><strong>Methods: </strong>Data collection of this mixed-method study was conducted through three distinct sources: expert interviews with employees of the participating social service, focus groups with seniors participating in the intervention, and involved consortium partners in the project. Following Kuckartz's methodology, we employed a structural qualitative content analysis using MAXQDA software. Additionally, a portion of the standardized survey administered post-intervention to participants was analyzed using descriptive statistics.</p><p><strong>Results: </strong>The focus groups identified key challenges related to technical implementation such as false alarms and the failure of sensors as well as communication between invested parties. However, significant potential was noted in the practical execution of the intervention and social care. Interview participants emphasized the need for improved technical implementation. Results from the questionnaires indicate a generally positive perception of the intervention, particularly regarding its social dimensions.</p><p><strong>Conclusions: </strong>Surveying individuals who implement and utilize assistive technology can yield valuable insights into its effectiveness. Additionally, it is crucial to comprehensively and in detail capture the experiences of those involved in testing new care models. Future research on assistive technologies for older adults should integrate both technical and social support components, while also addressing secure data protection measures and the paradox of reassurance.</p>","PeriodicalId":51333,"journal":{"name":"DIGITAL HEALTH","volume":"11 ","pages":"20552076241308445"},"PeriodicalIF":2.9,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11822844/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143416142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and implementation of a home-based prehabilitation app for older patients undergoing elective colorectal cancer surgery. A Prospective Cohort Study.","authors":"Thomas Gc Timmers, Lennaert Cb Groen, Hermien Schreurs, Emma Rj Bruns","doi":"10.1177/20552076251317760","DOIUrl":"10.1177/20552076251317760","url":null,"abstract":"<p><strong>Background: </strong>Prehabilitation optimizes colorectal cancer patients' health during the preoperative waiting period, by increasing functional capacity, reducing postoperative complications, and speeding recovery. However, challenges in implementation include patients' willingness to attend multiple hospital visits, and hospitals needing trained personnel, facilities, and financial resources. An app-based prehabilitation program could address these issues by allowing patients to participate from home with remote support from healthcare professionals.</p><p><strong>Objective: </strong>To develop and evaluate the feasibility of a digital application to offer multimodal home-based prehabilitation for older patients undergoing surgery for colorectal cancer.</p><p><strong>Materials and methods: </strong>This single-center prospective cohort study at Northwest Clinics (Alkmaar and Den Helder, The Netherlands) included patients scheduled for elective surgery for the curative treatment of colorectal cancer. The Patient Journey App was used to deliver prehabilitation. The primary outcome was the number of patients who downloaded and activated the app. Secondary outcomes included usage information, videos viewed, questionnaires answered, and signals triggered.</p><p><strong>Results: </strong>Ninety-seven patients were included in the study (age 72.1 [SD 0.8], 62.9% male). All patients used the app daily for a median of 29 days (IQR 23-28). Exercise videos were viewed most. Ninety-five patients activated daily exercise and protein shake reminders. Patients provided 1367 answers, triggering 79 signals related to smoking cessation, nutrition, and exercise. Response rates to in-app questionnaires were high, up to 90.5%.</p><p><strong>Conclusions: </strong>Home-based prehabilitation via an app for older colorectal cancer surgery patients is feasible. Given the effectiveness of prehabilitation programs, the scarcity of healthcare professionals, and patients' reluctance for frequent in-person visits, home-based prehabilitation programs via an app could become a valuable added modality for offering these programs.</p><p><strong>Trial registration: </strong>2020.0600 (VU University Medical Center).</p>","PeriodicalId":51333,"journal":{"name":"DIGITAL HEALTH","volume":"11 ","pages":"20552076251317760"},"PeriodicalIF":2.9,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11822823/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143416134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Protocol for a usability and pilot implementation study of a digital medical device to assess pain in non-verbal people with dementia in Portuguese residential care facilities.","authors":"Mara Pereira Guerreiro, Isa Brito Félix, Morgane Tomé, Kreshnik Hoti, Catarina Ramos, Beatriz Dias, Teresa Andrade, José Brito, Jeff Hughes","doi":"10.1177/20552076241311326","DOIUrl":"10.1177/20552076241311326","url":null,"abstract":"<p><strong>Objective: </strong>People living with moderate to severe dementia (PLWD) are often unable to self-report pain. This matter is of particular concern given that up to 80% experience chronic pain. Mistreated or untreated pain in PLWD is associated with symptoms such as agitation and aggression, and unnecessary use of antipsychotic agents. Further, it can also engender mental burden in formal caregivers. The PainChek^® App, a regulatory cleared class I medical device, enables the assessment and monitoring of pain in people who cannot verbalise it, such as those with moderate to severe dementia. To date there are no data on the real-world use of the PainChek^® App in Portugal. To address this gap, we report the protocol of a pilot study, which combines usability evaluation and implementation research.</p><p><strong>Methods: </strong>Usability evaluation of the PainChek^® (Portuguese) App will be guided by the ISO framework, focused on effectiveness, efficiency and user satisfaction. Implementation research will combine qualitative interviews to inform the implementation process, a longitudinal study of formal caregivers' psychological variables, implementation outcomes, plus qualitative interviews to explore the 'hows' and 'whys' of implementation. The NASSS framework will be used as an implementation framework, together with the COM-B model and the Theoretical Domains Framework.</p><p><strong>Results: </strong>The usability and implementation studies have received ethics approval from the Egas Moniz Ethics Committee, under numbers 1367 and 64/24, respectively.</p><p><strong>Conclusion: </strong>This study is expected to inform the scale-up of the PainChek^® (Portuguese) App in real-world settings and establish a foundation for a larger effectiveness and implementation study.</p>","PeriodicalId":51333,"journal":{"name":"DIGITAL HEALTH","volume":"11 ","pages":"20552076241311326"},"PeriodicalIF":2.9,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11822828/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143416144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Test-retest reliability of the computer-based cognitive assessment tool for community-dwelling older adults in Japan: The Otassha study.","authors":"Jou-Yin Chen, Hisashi Kawai, Junta Takahashi, Manami Ejiri, Keigo Imamura, Shuichi P Obuchi","doi":"10.1177/20552076251317627","DOIUrl":"10.1177/20552076251317627","url":null,"abstract":"<p><strong>Aim: </strong>Early detection of dementia is crucial for effective intervention. The computer-based cognitive assessment tool (CompBased-CAT) was designed to assess cognitive function using a tablet computer. While its predictive validity for mild cognitive impairment (MCI) is established, its test-retest reliability remains unclear. This study aimed to evaluate the test-retest reliability of CompBased-CAT among older Japanese adults in a community setting.</p><p><strong>Methods: </strong>This is a methodological study that examined the test-retest reliability of CompBased-CAT. Community-dwelling older adults aged 65 years or older who participated in both the pre-test and post-test were included. Pre-test assessments were conducted during the 2023 Otassha study from 28 September to 8 October 2023, with the post-test administered 62 days (±14 days) later. Subtest scores were normalized to <i>z</i>-scores, and the total CompBased-CAT score was computed by summing these <i>z</i>-scores. Test-retest reliability was assessed using paired <i>t</i>-tests and intraclass correlation coefficient (ICC) two-way random-effects models, with analyses stratified by age, sex, and MCI status.</p><p><strong>Results: </strong>A total of 80 participants (mean age: 76.8 years; 27.5% male) were analyzed. Paired <i>t</i>-tests showed no significant difference in total scores between the pre-test (mean = -0.75; standard deviation [SD] = 3.73) and the post-test (mean = -0.42; SD = 4.45). The total score exhibited an ICC of 0.64 (95% confidence interval [CI] = 0.49-0.75) for all participants, increasing to 0.74 (95% CI = 0.48-0.88) among those with MCI.</p><p><strong>Conclusion: </strong>CompBased-CAT demonstrated good test-retest reliability, with an ICC of 0.64 among all participants, which increased to 0.74 among participants with MCI over a 2-month period, indicating its potential for monitoring cognitive function through repeated assessments.</p>","PeriodicalId":51333,"journal":{"name":"DIGITAL HEALTH","volume":"11 ","pages":"20552076251317627"},"PeriodicalIF":2.9,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11822826/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143416146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A model for predicting factors affecting health information avoidance on WeChat.","authors":"Minghong Chen, Xiumei Huang, Yinger Wu, Shijie Song, Xianjun Qi","doi":"10.1177/20552076251314277","DOIUrl":"10.1177/20552076251314277","url":null,"abstract":"<p><strong>Objective: </strong>WeChat serves as a crucial source of health information, distinguished by its highly personalized nature. Avoidance of such personalized health information has a direct impact on individuals' health decision-making. This study aims to identify the factors influencing personalized health information avoidance on WeChat and to construct a hierarchical framework illustrating the relationships among these factors.</p><p><strong>Methods: </strong>A hybrid method was utilized. Semi-structured interviews and grounded theory were used to identify the influencing factors. The interpretive structural modeling (ISM) method was adopted to develop a hierarchical model of the identified factors, followed by matrice d'impacts croises-multiplication appliqué a un classemen (MICMAC) to analyze the dependence and driving power of each factor.</p><p><strong>Results: </strong>The 20 predictors of personalized health information avoidance were broadly categorized into three groups: personal, informational, and social factors. These factors collectively form a three-tier explanatory framework, consisting of the top, middle and bottom layers. At the root layer, health characteristics and cognition exerted a strong driving force, while negative emotions and affective factors at the top layer showed a high degree of dependence. In contrast, the decision-making cognition, informational factors, and social factors in the middle layer exhibited relatively weaker driving force and dependence power.</p><p><strong>Conclusion: </strong>This study bridged the research gap of information avoidance by providing new insights targeting the factors influencing personalized health information avoidance behavior on WeChat. It also contributed to enhancing personal health information management and the health information services provided on WeChat.</p>","PeriodicalId":51333,"journal":{"name":"DIGITAL HEALTH","volume":"11 ","pages":"20552076251314277"},"PeriodicalIF":2.9,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11826881/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diagnostic accuracy and radiographic interpretation of pre-eruptive intra-coronal resorption among dental practitioners using eye-tracking technology.","authors":"Jamila Almashaikhi, Heba M Elkhodary, Ghalia Y Bhadila, Osama M Felemban, Amani A Al Tuwirqi","doi":"10.1177/20552076251315620","DOIUrl":"10.1177/20552076251315620","url":null,"abstract":"<p><strong>Background: </strong>Pre-eruptive intra-coronal resorption (PEIR) is a condition in which unerupted teeth exhibit coronal radiolucency consistent with resorptive loss of coronal tooth structure. These lesions are discovered incidentally on routine radiographs.</p><p><strong>Aim: </strong>To measure the radiographic interpretation and diagnostic accuracy of PEIR among dental practitioners at King Abdulaziz University Dental Hospital using eye-tracking technology.</p><p><strong>Methods: </strong>In this cross-sectional study, 125 interns, general dentists, and postgraduate residents examined five panoramic radiographs, including a case of impaction, and the rest were radiographs with PEIR of different severities. In this study, PEIR recognition was assessed using a validated questionnaire uploaded to an eye-tracking device (Sensomotoric Instruments SMI).</p><p><strong>Results: </strong>The findings revealed an association between the severity of the PEIR lesion and the detection of the affected teeth. As the severity increased, the participants were more able to identify the affected teeth, and the percentage of overlooking decreased. The dentist's level of education and years of clinical experience influenced the diagnostic accuracy and radiographic interpretation of the PEIR lesions.</p><p><strong>Conclusions: </strong>The diagnostic accuracy and radiographic interpretation of PEIR lesions were affected by participants' level of education and years of clinical experience. Based on this study, PEIR lesions may remain undetected until they reach advanced stages.</p>","PeriodicalId":51333,"journal":{"name":"DIGITAL HEALTH","volume":"11 ","pages":"20552076251315620"},"PeriodicalIF":2.9,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11822827/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143416138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Possible challenges to the widespread use of colposcopic artificial intelligence auxiliary diagnostic system in clinical practice.","authors":"Hongnan Ye","doi":"10.1177/20552076251320312","DOIUrl":"10.1177/20552076251320312","url":null,"abstract":"","PeriodicalId":51333,"journal":{"name":"DIGITAL HEALTH","volume":"11 ","pages":"20552076251320312"},"PeriodicalIF":2.9,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11822807/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143416140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feasibility, acceptability, usability and quality of life levels in post-stroke patients undergoing telerehabilitation: Results from a multicentric pilot study.","authors":"Luisa Cacciante, Sara Federico, Lorenza Maistrello, Pawel Kiper, Roberto De Icco, Tommaso Milanesi, Cristina Tassorelli, Roberto Gatti, Johanna Jonsdottir, Marco Franceschini, Michela Goffredo, Rocco Salvatore Calabrò, Andrea Turolla","doi":"10.1177/20552076241308617","DOIUrl":"10.1177/20552076241308617","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to evaluate the feasibility of an integrated multi-domain telerehabilitation (TR) system in stroke patients and to observe whether there are changes in the quality of life (QoL) levels of patients undergoing TR treatments.</p><p><strong>Methods: </strong>Patients were enrolled for a longitudinal multicentric pilot study conducted in six Italian research hospitals (IRCCS). The primary outcome was the feasibility of an integrated TR system, assessed by calculating treatment adherence and by collecting data from the Technology Acceptance Model and the System Usability Scale (SUS). Information on time and travel distance savings was also collected. As secondary outcomes, we evaluated changes in QoL levels with the EuroQol 5-dimensions (EQ-5D) and the Short Form-36 (SF-36) and in caregiver burden through the Zarit Burden Inventory.</p><p><strong>Results: </strong>We enrolled 84 patients. Our system turned out to be feasible (treatment adherence = 85%), usable (SUS = 73.36/100, classifying it as a 'good' system) and well accepted by patients. Quality of life levels improved significantly from pre- to post-treatment (EQ-5D: <i>p</i> = 0.0014; SF-36 general health: <i>p</i> = 0.047). Caregivers perceived little or no significant care burden.</p><p><strong>Conclusions: </strong>Telerehabilitation has been confirmed to be a feasible, usable and acceptable solution to guarantee continuity of care and improve accessibility to rehabilitation treatments to post-stroke patients. Furthermore, the strength of TR is in the possibility to improve patients' QoL, which in turn could impact on functioning.</p>","PeriodicalId":51333,"journal":{"name":"DIGITAL HEALTH","volume":"11 ","pages":"20552076241308617"},"PeriodicalIF":2.9,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11815802/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143411512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Focus groups on digital cognitive assessment in the context of Alzheimer's disease.","authors":"Sophie M van der Landen, Rosanne L van den Berg, Matthijs J Keijzer, Mariska N van Liere, Casper de Boer, Leonie N C Visser, Wiesje M van der Flier, Hanneke F M Rhodius-Meester, Sietske A M Sikkes","doi":"10.1177/20552076251318903","DOIUrl":"10.1177/20552076251318903","url":null,"abstract":"<p><strong>Introduction: </strong>Digital cognitive assessments (DCAs) may facilitate early recognition of cognitive decline in the context of Alzheimer's disease (AD). While DCAs are increasingly emerging, they are often not used in practice. We assessed facilitators and barriers of using DCAs according to older individuals and patients.</p><p><strong>Methods: </strong>In five focus groups, we presented three different DCAs to older individuals with unimpaired cognition (<i>n</i> = 14), subjective cognitive decline (<i>n</i> = 11) and mild cognitive impairment with biomarker-confirmed AD (<i>n</i> = 4) and their caregivers (<i>n</i> = 2). Participants discussed facilitators and barriers that could influence the use of DCAs. Focus groups were recorded, and transcripts were analysed using thematic analysis.</p><p><strong>Results: </strong>Three main themes were identified: (1) test motivation ('Do I want to know my brain health?'), facilitated by early disease recognition, while impeded by fear of dementia; (2) digital test suitability ('Do I want to use a <i>digital</i> test?'), enabling at-home testing, while lacking personal contact; and (3) digital test characteristics ('What makes a digital test a good test for me?'), where user-friendliness was emphasized as a key facilitator to overcome digital incompetence.</p><p><strong>Discussion: </strong>Participants recognized the added value of DCAs, and multiple factors were identified as facilitators and barriers for their use. Similar factors could be a barrier for one, yet facilitated others, underlining the need for a personalized approach. Strategies to minimize barriers and exploit facilitators would ultimately foster implementation.</p>","PeriodicalId":51333,"journal":{"name":"DIGITAL HEALTH","volume":"11 ","pages":"20552076251318903"},"PeriodicalIF":2.9,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11815793/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143411513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A qualitative analysis of Arabic language websites about extraction of third molars.","authors":"Muath Saad Alassaf, Mohannad Mohammed Abu Aof, Osama Ayidh Alharbi, Abdulrahman Turkustani, Moataz Ibrahim Karbouji, Nebras Althagafi, Ahmed Mohammed Almghamsi, Ghayda Yousof Zolaly, Shadia Elsayed","doi":"10.1177/20552076251321053","DOIUrl":"10.1177/20552076251321053","url":null,"abstract":"<p><strong>Aim: </strong>The study aimed to evaluate the quality and readability of Arabic-language web-based online information regarding surgical third molar extraction.</p><p><strong>Methods: </strong>In this observational web-based analytical study, the top 150 Arabic search results for surgical wisdom tooth extraction were collected from Google, Yahoo, and Bing. The quality of the websites was evaluated using the DISCERN tool and the Journal of American Medical Association (JAMA) guidelines for online content analysis. Readability was measured using the Flesch-Reading Ease (FRE) scale, the Flesch-Kincaid Grade Level (FKGL) scale, and the Simplified- Measure of Gobbledygook (SMOG).</p><p><strong>Results: </strong>A total of 450 websites related to the extraction of wisdom teeth were initially identified. 146 websites were included in the final analysis after exclusion according to specific exclusion criteria. Significant difference was observed in the domain of treatment alternatives and the quality of information provided, according to the DISCERN criteria. The median scores for reliability-related questions ranged from 1.5 to 4.5. The overall quality rating had a median score of 2.5 (IQR = 0.5). There were significant differences in the number of achieved JAMA items per webpage between the groups (P-value = 0.000). However, there was no significant difference in the DISCERN quality evaluations between the affiliations (P-value = 0.450).</p><p><strong>Conclusion: </strong>the study results indicating a broad spectrum in the explicitness and relevance of information with moderate quality across the evaluated websites and the investigation revealed significant variations in the content quality and readability provided by websites belonging to various affiliations, with non-profit websites generally achieving higher scores in JAMA criteria and readability measures.</p>","PeriodicalId":51333,"journal":{"name":"DIGITAL HEALTH","volume":"11 ","pages":"20552076251321053"},"PeriodicalIF":2.9,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11811987/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}