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Study designs ranged from retrospective (eg, Shen et al [34]: n=1468; Zhang et al [32]: n=260) to prospective (eg, Chang et al [35]: n=211; Kar et al [29-31]: n=32‐42), impacting sample size and follow-up duration (eg, 3 years in Chang et al [35] vs 10 years in Zhang et al [32]).
JMIR Cancer 2025;11:e63964
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The deductive coding included 3 themes based on the framework by Ospina-Pinillos et al [15,23]: functionality (actions that can be performed within the platform; annotations: n=504, 38.5%, including all subcategories), user interface (annotations: n=420, 32.09%), and privacy and data management (annotations: n=86, 6.57%). In total, 2 themes emerged, namely technology use for health (annotations: n=111, 8.48%) and youth MH problems (annotations: n=188, 14.36%).
JMIR Hum Factors 2025;12:e66558
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Similar to Hetrick et al [38], clinicians in our study expressed that although the tool could be useful in monitoring patients’ moods, monitoring patient data multiple times between sessions or in real time is not feasible. However, to be clear, this is not an expectation of typical use of the Vira Platform. Ensuring the tool is designed to fit within clinician workflows and managing patients’ expectations for how their clinician will use it increases the likelihood of clinician adoption [39].
JMIR Form Res 2025;9:e65418
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Worthington et al [33] demonstrated construct validity, and Dillon et al [37] found that the exploration and commitment subscales were valid. Rosenberg [38] demonstrated criterion validity for H-MSM and others. Furthermore, both Dillon et al [37] and Worthington et al [33] demonstrated high internal consistency of subscales, with the latter also finding good test-retest reliability across 2-week intervals.
JMIR Res Protoc 2025;14:e66897
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Aim 6 is to assess the implementation outcomes outlined by Proctor et al [34] using the Quality Implementation Framework [35].
Aim 7 is to explore counselor experiences working with university students presenting with SI.
Aim 8 is to determine whether CAMS is associated with greater reductions in STB than E-TAU within stage 1 and whether CC-DBT is associated with greater reductions in STB than continued CAMS within stage 2.
JMIR Res Protoc 2025;14:e68441
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