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An Explainable Artificial Intelligence Text Classifier for Suicidality Prediction in Youth Crisis Text Line Users: Development and Validation Study

An Explainable Artificial Intelligence Text Classifier for Suicidality Prediction in Youth Crisis Text Line Users: Development and Validation Study

Suicide, the third leading cause of premature mortality among German adolescents [1], encompasses a spectrum from suicidal ideation (SI) to preparatory actions [2-5]. Adolescents’ vulnerability to suicidal phenomena stems from a complex interplay of biological, genetic, psychological, and social factors [6-9]. Alarmingly, less than 50% of adolescents who attempt suicide receive appropriate psychiatric intervention [10].

Julia Thomas, Antonia Lucht, Jacob Segler, Richard Wundrack, Marcel Miché, Roselind Lieb, Lars Kuchinke, Gunther Meinlschmidt

JMIR Public Health Surveill 2025;11:e63809

Evaluating Bard Gemini Pro and GPT-4 Vision Against Student Performance in Medical Visual Question Answering: Comparative Case Study

Evaluating Bard Gemini Pro and GPT-4 Vision Against Student Performance in Medical Visual Question Answering: Comparative Case Study

In total, we included 1070 questions using a standardized prompt for both models (Table 1) in the analysis, of which 605 were in English and 465 questions were in German. Standardized prompts used for medical visual question-answering tasks in English and German. This table presents the system prompts provided to GPT-4 1106 Vision Preview and Bard Gemini Pro for answering 1070 image-based multiple-choice questions (605 English and 465 German) from the AMBOSS learning platform.

Jonas Roos, Ron Martin, Robert Kaczmarczyk

JMIR Form Res 2024;8:e57592

German Version of the Telehealth Usability Questionnaire and Derived Short Questionnaires for Usability and Perceived Usefulness in Health Care Assessment in Telehealth and Digital Therapeutics: Instrument Validation Study

German Version of the Telehealth Usability Questionnaire and Derived Short Questionnaires for Usability and Perceived Usefulness in Health Care Assessment in Telehealth and Digital Therapeutics: Instrument Validation Study

Accordingly, there are hardly any validated and appropriate questionnaires for usability studies in the German language [21]. As far as we know, only the German translation of the System Usability Scale—the origin of all usability questionnaires—seems to be available for wider use so far [22]. However, none of the 4 existing German versions is convincing [23]. The first 3 points also become clear when you look at the small number of questionnaires available in German.

Jannik Zimmermann, Harriet Morf, Florian Scharf, Johannes Knitza, Heidi Moeller, Felix Muehlensiepen, Michaela Nathrath, Till Orlemann, Thomas Voelker, Merlin Deckers

JMIR Hum Factors 2024;11:e57771

Use of Multiple-Choice Items in Summative Examinations: Questionnaire Survey Among German Undergraduate Dental Training Programs

Use of Multiple-Choice Items in Summative Examinations: Questionnaire Survey Among German Undergraduate Dental Training Programs

However, such examinations are not standardized among German dental schools. While general recommendations exist for their design and evaluation [12,13], details such as suitable item types and applied scoring methods are often defined in local examination guidelines at the level of individual dental schools. However, these details might impact examinees’ scoring results [5].

Lena Rössler, Manfred Herrmann, Annette Wiegand, Philipp Kanzow

JMIR Med Educ 2024;10:e58126

Triage Performance Across Large Language Models, ChatGPT, and Untrained Doctors in Emergency Medicine: Comparative Study

Triage Performance Across Large Language Models, ChatGPT, and Untrained Doctors in Emergency Medicine: Comparative Study

Triage decisions were made using the fifth version of the MTS (German version) [25], which consists of the following categories: MTS Level 1 (“Red”) for immediate assessment, MTS Level 2 (“Orange”) for very urgent assessment within 10 minutes, MTS Level 3 (“Yellow”) for urgent assessment within 30 minutes, MTS Level 4 (“Green”) for standard assessment within 90 minutes, and MTS Level 5 (“Blue”) for nonurgent assessment within 120 minutes.

Lars Masanneck, Linea Schmidt, Antonia Seifert, Tristan Kölsche, Niklas Huntemann, Robin Jansen, Mohammed Mehsin, Michael Bernhard, Sven G Meuth, Lennert Böhm, Marc Pawlitzki

J Med Internet Res 2024;26:e53297

Use of the FallAkte Plus System as an IT Infrastructure for the North Rhine-Westphalian General Practice Research Network: Mixed Methods Usability Study

Use of the FallAkte Plus System as an IT Infrastructure for the North Rhine-Westphalian General Practice Research Network: Mixed Methods Usability Study

FA+ is available on the market for service providers in the German health care system, including hospitals, practices, and physician networks [28,29]. Data protection in the FA+ system is ensured through various measures, including the use of a virtual private network, an association of statutory health insurance physicians (KV-Connect), and the telematics infrastructure.

Arezoo Bozorgmehr, Simon-Konstantin Thiem, Dorothea Wild, Melanie Reinsdorff, Horst Christian Vollmar, Annika Kappernagel, Kathrin Schloessler, Sabine Weissbach, Michael Pentzek, Dorothea Dehnen, Julia Drexler, Beate Sigrid Mueller, Larisa Pilic, Lion Lehmann, Susanne Loescher, Elena Darinka Hohmann, Friederike Frank, Gülay Ates, Susanne Kersten, Achim Mortsiefer, Benjamin Aretz, Birgitta Weltermann

JMIR Form Res 2024;8:e53206

Fostering Digital Life Skills Through Social Media With Adolescents in 6 German States: Protocol for an Accessibility Study According to the RE-AIM Framework

Fostering Digital Life Skills Through Social Media With Adolescents in 6 German States: Protocol for an Accessibility Study According to the RE-AIM Framework

To join the study, participants need an Instagram account, must be proficient in German, and must be aged 14-17 years. The recruitment goal includes 2 classes from grammar schools, 3 classes from secondary schools, and 1 class from an independent school per state, plus 20 adolescents from youth centers and therapeutic institutions in each state, accommodating additional participants if interested. As we are taking an innovative approach, it is not clear how complete the recruitment will be.

Elizabeth Zimmermann, Samuel Tomczyk

JMIR Res Protoc 2024;13:e51085

Convenient Access to Expert-Reviewed Health Information via an Alexa Voice Assistant Skill for Patients With Multiple Myeloma: Development Study

Convenient Access to Expert-Reviewed Health Information via an Alexa Voice Assistant Skill for Patients With Multiple Myeloma: Development Study

In alignment with German laws on advertising health-related products and services (Heilmittelwerbegesetz) [17], no information on specific medications was added, and patient-friendly language was used. Changes in information on MM disease, diagnostics, and therapy, as well as new information (eg, MM-related information on COVID-19 pandemic), could be rapidly programmed into the skill as new intents at any time.

Marc-Andrea Baertsch, Sarah Decker, Leona Probst, Stefan Joneleit, Hans Salwender, Franziska Frommann, Hartwig Buettner

JMIR Cancer 2022;8(2):e35500

Effective German and English Language mHealth Apps for Self-management of Bronchial Asthma in Children and Adolescents: Comparison Study

Effective German and English Language mHealth Apps for Self-management of Bronchial Asthma in Children and Adolescents: Comparison Study

Statistical calculations on the same number of highest-ranking German and English language apps compared the quality of the apps. As only 4 of all eligible apps were in German, these were compared with the 4 highest ranked English language apps. The quantitative comparison between German and English language apps considered the corresponding offers on the Google Play Store and Apple App Store. The analysis was performed using Microsoft Excel and IBM SPSS Statistics 25.0.

Julian Franzmair, Susanne C Diesner-Treiber, Julian J M Voitl, Peter Voitl

JMIR Mhealth Uhealth 2021;9(5):e24907