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Identifying Unmet Needs of Informal Dementia Caregivers in Clinical Practice: User-Centered Development of a Digital Assessment Tool

Identifying Unmet Needs of Informal Dementia Caregivers in Clinical Practice: User-Centered Development of a Digital Assessment Tool

In phase 2, the chosen assessment version covering most unmet needs was tested in a memory clinic. A tablet computer was deemed most appropriate to serve as digital device due to its size, weight, flexibility, and ease of handling. Based on a previous study on the use of a tablet-based digital expert system [26,28,30], we had taken several decisions on the hardware basis of our system before the participatory part of our study started.

Olga A Biernetzky, Jochen René Thyrian, Melanie Boekholt, Matthias Berndt, Wolfgang Hoffmann, Stefan J Teipel, Ingo Kilimann

JMIR Aging 2025;8:e59942

Anticipated Acceptability of Blended Learning Among Lay Health Care Workers in Malawi: Qualitative Analysis Guided by the Technology Acceptance Model

Anticipated Acceptability of Blended Learning Among Lay Health Care Workers in Malawi: Qualitative Analysis Guided by the Technology Acceptance Model

Perceived usefulness refers to the belief that a certain technology would increase an individual’s job performance. Perceived ease of use is a belief that the use of the new technology would be effortless [27]. TAM proposes that a populations’ perceptions of usefulness and ease of use of a technology impact the population’s intention to use the technology, which in turn influences the population’s actual usage of the technology.

Tiwonge E Mbeya-Munkhondya, Caroline J Meek, Mtisunge Mphande, Tapiwa A Tembo, Mike J Chitani, Milenka Jean-Baptiste, Caroline Kumbuyo, Dhrutika Vansia, Katherine R Simon, Sarah E Rutstein, Victor Mwapasa, Vivian Go, Maria H Kim, Nora E Rosenberg

JMIR Form Res 2025;9:e62741

A Culturally Tailored Artificial Intelligence Chatbot (K-Bot) to Promote Human Papillomavirus Vaccination Among Korean Americans: Development and Usability Study

A Culturally Tailored Artificial Intelligence Chatbot (K-Bot) to Promote Human Papillomavirus Vaccination Among Korean Americans: Development and Usability Study

Korean Americans are at a relatively high risk for HPV-related cancers, yet they exhibit significant disparities in HPV vaccination rates [6,7]. Notably, Korean American women demonstrate a particularly low intention to receive the HPV vaccine, with only 34.6% expressing a willingness to get the vaccine in prior studies [8].

Minjin Kim, Ellie Kim, Hyeongsuk Lee, Meihua Piao, Brittany Rosen, Jeroan J Allison, Adrian H Zai, Hoa L Nguyen, Dong-Soo Shin, Jessica A Kahn

Asian Pac Isl Nurs J 2025;9:e71865

Evaluation of Large Language Models in Tailoring Educational Content for Cancer Survivors and Their Caregivers: Quality Analysis

Evaluation of Large Language Models in Tailoring Educational Content for Cancer Survivors and Their Caregivers: Quality Analysis

The FKG level is a readability test designed to indicate how difficult a text is to understand. It calculates the grade level required for someone to comprehend the text. The FKG is based on word length and sentence length, providing a numerical score that corresponds to US grade levels [42]. The National Institutes of Health (NIH) and the American Medical Association (AMA) suggest that patient education materials should be written at a reading level no higher than the sixth grade [43].

Darren Liu, Xiao Hu, Canhua Xiao, Jinbing Bai, Zahra A Barandouzi, Stephanie Lee, Caitlin Webster, La-Urshalar Brock, Lindsay Lee, Delgersuren Bold, Yufen Lin

JMIR Cancer 2025;11:e67914

Racial Disparities in Parkinson Disease Clinical Phenotype, Management, and Genetics: Protocol for a Prospective Observational Study

Racial Disparities in Parkinson Disease Clinical Phenotype, Management, and Genetics: Protocol for a Prospective Observational Study

Study participants will have a single visit with the site investigator and coordinator after obtaining consent or a hybrid combination of in-person and virtual visits. Recommendations of the NINDS PD CDE Working Group informed the choice of measures, scales, and questionnaires. Data will be collected and entered into a REDCap (Research Electronic Data Capture) system that uses electronic data entry forms.

Deborah A Hall, Josh M Shulman, Andrew Singleton, Sara Bandres Ciga, Michelle Hyczy S Tosin, Bichun Ouyang, Lisa Shulman

JMIR Res Protoc 2025;14:e60587

Health Care Professionals' Engagement With Digital Mental Health Interventions in the United Kingdom and China: Mixed Methods Study on Engagement Factors and Design Implications

Health Care Professionals' Engagement With Digital Mental Health Interventions in the United Kingdom and China: Mixed Methods Study on Engagement Factors and Design Implications

Many recent reviews have shown that low engagement is a ubiquitous problem among DMHIs [17-19]. Plus, user engagement is considerably lower in naturalistic settings than in empirical studies [19-21]. To illustrate this, a review of 59 off-the-shelf mental health apps reported a median uptake rate of 4.0% and a 15-day retention rate of only 3.9% [22].

Zheyuan Zhang, Sijin Sun, Laura Moradbakhti, Andrew Hall, Celine Mougenot, Juan Chen, Rafael A Calvo

JMIR Ment Health 2025;12:e67190

Patient and Clinician Perspectives on Alert-Based Remote Monitoring–First Care for Cardiovascular Implantable Electronic Devices: Semistructured Interview Study Within the Veterans Health Administration

Patient and Clinician Perspectives on Alert-Based Remote Monitoring–First Care for Cardiovascular Implantable Electronic Devices: Semistructured Interview Study Within the Veterans Health Administration

RM involves sending CIED data from a patient’s residence via a transmitter or smartphone app. Routine transmissions are usually sent every 90 days and can also be patient- or alert-initiated. RM is a Class 1, Level of Evidence A, professional society recommendation because of its many clinical outcome benefits [1,2]. These include reduced mortality [3-5], fewer hospitalizations [3,6], fewer inappropriate ICD shocks [7], as well as high patient satisfaction [8].

Allison Kratka, Thomas L Rotering, Scott Munson, Merritt H Raitt, Mary A Whooley, Sanket S Dhruva

JMIR Cardio 2025;9:e66215

Using a Hybrid of AI and Template-Based Method in Automatic Item Generation to Create Multiple-Choice Questions in Medical Education: Hybrid AIG

Using a Hybrid of AI and Template-Based Method in Automatic Item Generation to Create Multiple-Choice Questions in Medical Education: Hybrid AIG

This laborious process, which demands expertise and resources, faces a bottleneck in scaling up to meet the demand for a vast quantity of quality items. The challenge is particularly pronounced in medical education, where only a progress test administration in a year requires having 2400 multiple-choice items [2], showing the inefficiency of traditional methods in satisfying the needs of question banks in medical schools.

Yavuz Selim Kıyak, Andrzej A Kononowicz

JMIR Form Res 2025;9:e65726

Virtual Patients Using Large Language Models: Scalable, Contextualized Simulation of Clinician-Patient Dialogue With Feedback

Virtual Patients Using Large Language Models: Scalable, Contextualized Simulation of Clinician-Patient Dialogue With Feedback

We iteratively and rigorously engineered detailed “prompts” guiding GPT to emulate a diagnosis-focused or management-focused VP and provide feedback. To instantiate a specific VP, the interface accesses a 1-page case description. Narrative S1 in Multimedia Appendix 1 reports the full prompt and 1 case description. We selected as topics 2 common problems in ambulatory medicine: chronic cough (a diagnostic task) and diabetes (a management task).

David A Cook, Joshua Overgaard, V Shane Pankratz, Guilherme Del Fiol, Chris A Aakre

J Med Internet Res 2025;27:e68486

Environmental Impact of Physical Visits and Telemedicine in Nursing Care at Home: Comparative Life Cycle Assessment

Environmental Impact of Physical Visits and Telemedicine in Nursing Care at Home: Comparative Life Cycle Assessment

Telemedicine is often considered to be a promising solution for sustainable health care delivery as multiple reviews reported a reduction in travel-related emissions [9,10]. Savings were typically setting dependent and ranged anywhere between 0.7 and 372 kg of carbon dioxide equivalents (kg CO2eq) per consultation [10].

Egid M van Bree, Lynn E Snijder, Hans C Ossebaard, Evelyn A Brakema

J Med Internet Res 2025;27:e67538