Recent Articles
![The Effect of an mHealth Self-Monitoring Intervention (MI-BP) on Blood Pressure Among Black Individuals With Uncontrolled Hypertension: Randomized Controlled Trial Article Thumbnail](https://asset.jmir.pub/assets/d1fe56d58c502047f92fa419290fd92c.png 480w,https://asset.jmir.pub/assets/d1fe56d58c502047f92fa419290fd92c.png 960w,https://asset.jmir.pub/assets/d1fe56d58c502047f92fa419290fd92c.png 1920w,https://asset.jmir.pub/assets/d1fe56d58c502047f92fa419290fd92c.png 2500w)
Hypertension is one of the most important cardiovascular disease risk factors and affects >100 million American adults. Hypertension-related health inequities are abundant in Black communities as Black individuals are more likely to use the emergency department (ED) for chronic disease–related ambulatory care, which is strongly linked to lower blood pressure (BP) control, diminished awareness of hypertension, and adverse cardiovascular events. To reduce hypertension-related health disparities, we developed MI-BP, a culturally tailored multibehavior mobile health intervention that targeted behaviors of BP self-monitoring, physical activity, sodium intake, and medication adherence in Black individuals with uncontrolled hypertension recruited from ED and community-based settings.
![Implementing Systematic Patient-Reported Measures for Chronic Conditions Through the Naveta Value-Based Telemedicine Initiative: Observational Retrospective Multicenter Study Article Thumbnail](https://asset.jmir.pub/assets/4528423d8a47622f8322bb4de9f49f05.png 480w,https://asset.jmir.pub/assets/4528423d8a47622f8322bb4de9f49f05.png 960w,https://asset.jmir.pub/assets/4528423d8a47622f8322bb4de9f49f05.png 1920w,https://asset.jmir.pub/assets/4528423d8a47622f8322bb4de9f49f05.png 2500w)
Patient-reported outcome and experience measures can play a critical role in providing patient-centered and value-based health care to a growing population of patients who are chronically ill. Value-based telemedicine platforms such as the Naveta initiative may facilitate the effective integration of these tools into health care systems.
![Long-Term Efficacy of a Mobile Mental Wellness Program: Prospective Single-Arm Study Article Thumbnail](https://asset.jmir.pub/assets/2a04a1040e60a1e12d97cce465af6fe1.png 480w,https://asset.jmir.pub/assets/2a04a1040e60a1e12d97cce465af6fe1.png 960w,https://asset.jmir.pub/assets/2a04a1040e60a1e12d97cce465af6fe1.png 1920w,https://asset.jmir.pub/assets/2a04a1040e60a1e12d97cce465af6fe1.png 2500w)
Rising rates of psychological distress (symptoms of depression, anxiety, and stress) among adults in the United States necessitate effective mental wellness interventions. Despite the prevalence of smartphone app–based programs, research on their efficacy is limited, with only 14% showing clinically validated evidence. Our study evaluates Noom Mood, a commercially available smartphone-based app that uses cognitive behavioral therapy and mindfulness-based programming. In this study, we address gaps in the existing literature by examining postintervention outcomes and the broader impact on mental wellness.
![Detection of Mild Cognitive Impairment Through Hand Motor Function Under Digital Cognitive Test: Mixed Methods Study Article Thumbnail](https://asset.jmir.pub/assets/8be6a70512ae75f2e5b6ea7dd87ec2a2.png 480w,https://asset.jmir.pub/assets/8be6a70512ae75f2e5b6ea7dd87ec2a2.png 960w,https://asset.jmir.pub/assets/8be6a70512ae75f2e5b6ea7dd87ec2a2.png 1920w,https://asset.jmir.pub/assets/8be6a70512ae75f2e5b6ea7dd87ec2a2.png 2500w)
Early detection of cognitive impairment or dementia is essential to reduce the incidence of severe neurodegenerative diseases. However, currently available diagnostic tools for detecting mild cognitive impairment (MCI) or dementia are time-consuming, expensive, or not widely accessible. Hence, exploring more effective methods to assist clinicians in detecting MCI is necessary.
![A Chatbot-Delivered Stress Management Coaching for Students (MISHA App): Pilot Randomized Controlled Trial Article Thumbnail](https://asset.jmir.pub/assets/11a99fa0f33e2ef30e177e9aeace8fcd.png 480w,https://asset.jmir.pub/assets/11a99fa0f33e2ef30e177e9aeace8fcd.png 960w,https://asset.jmir.pub/assets/11a99fa0f33e2ef30e177e9aeace8fcd.png 1920w,https://asset.jmir.pub/assets/11a99fa0f33e2ef30e177e9aeace8fcd.png 2500w)
Globally, students face increasing mental health challenges, including elevated stress levels and declining well-being, leading to academic performance issues and mental health disorders. However, due to stigma and symptom underestimation, students rarely seek effective stress management solutions. Conversational agents in the health sector have shown promise in reducing stress, depression, and anxiety. Nevertheless, research on their effectiveness for students with stress remains limited.
![Improvement and Maintenance of Clinical Outcomes in a Digital Mental Health Platform: Findings From a Longitudinal Observational Real-World Study Article Thumbnail](https://asset.jmir.pub/assets/49a864b79f22798d0ebe8b1d503eb001.png 480w,https://asset.jmir.pub/assets/49a864b79f22798d0ebe8b1d503eb001.png 960w,https://asset.jmir.pub/assets/49a864b79f22798d0ebe8b1d503eb001.png 1920w,https://asset.jmir.pub/assets/49a864b79f22798d0ebe8b1d503eb001.png 2500w)
Digital mental health services are increasingly being provided by employers as health benefit programs that can improve access to and remove barriers to mental health care. Stratified care models, in particular, offer personalized care recommendations that can offer clinically effective interventions while conserving resources. Nonetheless, clinical evaluation is needed to understand their benefits for mental health and their use in a real-world setting.
![Medical Information Protection in Internet Hospital Apps in China: Scale Development and Content Analysis Article Thumbnail](https://asset.jmir.pub/assets/3e694deb91422b66ec249a5860844a9e.png 480w,https://asset.jmir.pub/assets/3e694deb91422b66ec249a5860844a9e.png 960w,https://asset.jmir.pub/assets/3e694deb91422b66ec249a5860844a9e.png 1920w,https://asset.jmir.pub/assets/3e694deb91422b66ec249a5860844a9e.png 2500w)
Hospital apps are increasingly being adopted in many countries, especially since the start of the COVID-19 pandemic. Web-based hospitals can provide valuable medical services and enhanced accessibility. However, increasing concerns about personal information (PI) and strict legal compliance requirements necessitate privacy assessments for these platforms. Guided by the theory of contextual integrity, this study investigates the regulatory compliance of privacy policies for internet hospital apps in the mainland of China.
![Effectiveness of a Multifaceted Mobile Health Intervention (Multi-Aid-Package) in Medication Adherence and Treatment Outcomes Among Patients With Hypertension in a Low- to Middle-Income Country: Randomized Controlled Trial Article Thumbnail](https://asset.jmir.pub/assets/6dca7297bf072bfe182337753222f87f.png 480w,https://asset.jmir.pub/assets/6dca7297bf072bfe182337753222f87f.png 960w,https://asset.jmir.pub/assets/6dca7297bf072bfe182337753222f87f.png 1920w,https://asset.jmir.pub/assets/6dca7297bf072bfe182337753222f87f.png 2500w)
![Digital Phenotyping of Geriatric Depression Using a Community-Based Digital Mental Health Monitoring Platform for Socially Vulnerable Older Adults and Their Community Caregivers: 6-Week Living Lab Single-Arm Pilot Study Article Thumbnail](https://asset.jmir.pub/assets/c67b90bef9b4bf9bba872b665a28bc0d.png 480w,https://asset.jmir.pub/assets/c67b90bef9b4bf9bba872b665a28bc0d.png 960w,https://asset.jmir.pub/assets/c67b90bef9b4bf9bba872b665a28bc0d.png 1920w,https://asset.jmir.pub/assets/c67b90bef9b4bf9bba872b665a28bc0d.png 2500w)
Despite the increasing need for digital services to support geriatric mental health, the development and implementation of digital mental health care systems for older adults have been hindered by a lack of studies involving socially vulnerable older adult users and their caregivers in natural living environments.
![Remote Inclusion of Vulnerable Users in mHealth Intervention Design: Retrospective Case Analysis Article Thumbnail](https://asset.jmir.pub/assets/dce3b803ae1ff4afdfbb0d0d248bde60.png 480w,https://asset.jmir.pub/assets/dce3b803ae1ff4afdfbb0d0d248bde60.png 960w,https://asset.jmir.pub/assets/dce3b803ae1ff4afdfbb0d0d248bde60.png 1920w,https://asset.jmir.pub/assets/dce3b803ae1ff4afdfbb0d0d248bde60.png 2500w)
Mobile health (mHealth) interventions that promote healthy behaviors or mindsets are a promising avenue to reach vulnerable or at-risk groups. In designing such mHealth interventions, authentic representation of intended participants is essential. The COVID-19 pandemic served as a catalyst for innovation in remote user-centered research methods. The capability of such research methods to effectively engage with vulnerable participants requires inquiry into practice to determine the suitability and appropriateness of these methods.
![Engagement in mHealth-Prompted Self-Measured Blood Pressure Monitoring Among Participants Recruited From a Safety-Net Emergency Department: Secondary Analysis of the Reach Out Trial Article Thumbnail](https://asset.jmir.pub/assets/8d599ca6c1387d1b23e9633b71ba8532.png 480w,https://asset.jmir.pub/assets/8d599ca6c1387d1b23e9633b71ba8532.png 960w,https://asset.jmir.pub/assets/8d599ca6c1387d1b23e9633b71ba8532.png 1920w,https://asset.jmir.pub/assets/8d599ca6c1387d1b23e9633b71ba8532.png 2500w)
Hypertension, a key modifiable risk factor for cardiovascular disease, is more prevalent among Black and low-income individuals. To address this health disparity, leveraging safety-net Emergency Departments for scalable mobile health (mHealth) interventions, specifically utilizing text messaging for self-measured blood pressure (SMBP) monitoring, presents a promising strategy. This study investigates patterns of engagement, associated factors, and the impact of engagement on lowering blood pressure in an underserved population.
![Effectiveness of Mobile-Based Progressive and Fixed Physical Activity on Depression, Stress, Anxiety, and Quality of Life Outcomes Among Adults in South Korea: Randomized Controlled Trial Article Thumbnail](https://asset.jmir.pub/assets/f9fd0b83c1560026234b82e98a88966a.png 480w,https://asset.jmir.pub/assets/f9fd0b83c1560026234b82e98a88966a.png 960w,https://asset.jmir.pub/assets/f9fd0b83c1560026234b82e98a88966a.png 1920w,https://asset.jmir.pub/assets/f9fd0b83c1560026234b82e98a88966a.png 2500w)
Depression acts as a significant obstacle to the overall well-being of individuals. Given the significant consequences, timely recognition and proactive steps to manage symptoms of depression become essential. Such actions not only reduce personal distress but also play a crucial role in reducing its far-reaching impact on society as a whole.
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