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Health care providers were also compensated with a CAD $25 (US $17.91) e-gift card for their participation.
We hosted a half-day online community engagement event via Zoom in October 2022. The event was cofacilitated by 2 academic researchers (FSMS and SHJH) and 2 patient partners (RD and IR). A collaborator from a digital technology company, Cambian, attended the event to provide input from a feasibility and usability standpoint.
JMIR Cancer 2025;11:e57834
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Patient characteristics (n=18; 55% women; mean age 49.5, SD 6.91 y) are presented in a previous study [8]. We provide an overview in Table 1; for a detailed summary of each individual, please refer to a previous report [8]. In the sample of patients interviewed, half (9/18, 50%) met the threshold for current unsafe opioid misuse on a validated psychometric scale (COMM [35]).
JMIR Form Res 2025;9:e57212
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“Sustain talk” is also categorized into six types of statements reflecting a client’s desire, ability, reasons, need, readiness, and commitment to maintaining the target behavior.
Each distinct statement within a motivational interview (also referred to as a “language unit”) is also coded for its “strength” (valence) using scale values ranging from +5 to –5. Positive values reflect the degree to which a statement supports reducing or abstaining from a target behavior (eg, drug use).
J Med Internet Res 2025;27:e59085
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The use of a single analyst was implemented to support the efficiency of a provisional coding process as part of a broader research program with the aim of developing an initial coding scheme for use in the training of algorithmic models that could then be tuned through reinforcement learning by additional subsequent reviewers [42]. A summary of the data-gathering process described above is presented in Figure 1.
Data gathering results.
J Med Internet Res 2025;27:e71245
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As maintaining a healthy lifestyle is difficult for many adults [5], 1 method of CVD prevention and management is participation in behavioral interventions focused on healthy lifestyle modifications [4]. Position statements from the US Preventive Services Task Force state that lifestyle modification programs that emphasize a healthy diet and physical activity have a wide variety of cardiovascular health benefits and CVD risk reduction among individuals with and without a diagnosis of CVD [6-8].
JMIR Form Res 2025;9:e60676
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In fact, poor medication adherence in this population is considered a substantial public health concern, impacting both morbidity and financial strain [4].
JMIR Form Res 2025;9:e71676
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Every ECHO session comprised a presession knowledge quiz, introduction, didactic presentation by domain experts, a case presentation by health care workers at an HTN Program site, a postsession knowledge quiz, and a reaction survey. The m Doc Healthcare team worked with a selected HTN Program Site before each session to select and present a case for each ECHO session. Prospective participants registered in advance for each session using an web-based form that included demographic characteristics.
J Med Internet Res 2025;27:e66351
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A cosmetic issue refers to a superficial concern that does not affect users’ ability to complete a task, such as formatting inconsistencies or color preferences; these issues are typically of lower priority for resolution. A minor issue represents a problem with an available workaround, such as restricting numerical input to whole numbers rather than allowing decimals. Major issues, however, can significantly impact data quality, user satisfaction, or system functionality.
JMIR Form Res 2025;9:e64212
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PA measurement reactivity has been observed in a subset of studies to date [25,29-31], and some PA researchers consider reactivity a critical source of bias that warrants increased attention and mitigating actions, such as requiring extra days of observation to get used to the PA monitor or removing the first 1-2 days of PA observation from analyses [30].
JMIR Res Protoc 2025;14:e67438
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The enrollment visit consisted of an informed consent process, a computer-assisted self-interview behavioral survey, HIV and STI testing, training on using the study app, and a counseling session to include pre- and posttest HIV prevention information and a discussion about Pr EP and STI PEP options. Participants who completed an enrollment visit were compensated US $125 regardless of whether they subsequently participated in the study.
JMIR Res Protoc 2025;14:e56096
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