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Effectiveness of Smart Continence Care for People With Profound Intellectual and Multiple Disabilities: Cluster Randomized Trial

Effectiveness of Smart Continence Care for People With Profound Intellectual and Multiple Disabilities: Cluster Randomized Trial

A cluster design was chosen so that either implementation of the intervention or provision of regular care was similar throughout the teams, as the intervention impacted the caregivers’ work routines. Alternative designs using individual randomization can result in strong contamination effects or hamper proper implementation.

Vivette JC van Cooten, Marieke FM Gielissen, Wouter den Hollander, Ghislaine APG van Mastrigt, Odile Smeets, Inge MB Bongers, Brigitte Boon

J Med Internet Res 2025;27:e66389

Factors Influencing the Implementation and Adoption of Digital Nursing Technologies: Systematic Umbrella Review

Factors Influencing the Implementation and Adoption of Digital Nursing Technologies: Systematic Umbrella Review

In recent years, there has been an increasing number of research and innovation initiatives at national and international levels, driven by high expectations of improving care through the implementation of DNTs [8-10]. However, the rate of successful implementation and sustainable uptake remains rather low, regardless of these efforts [7,11].

Stefan Walzer, Christoph Armbruster, Sonja Mahler, Erik Farin-Glattacker, Christophe Kunze

J Med Internet Res 2025;27:e64616

Treatment Without Cost? Effects and Side Effects of an Internet-Based Intervention for Depression: Randomized Controlled Trial

Treatment Without Cost? Effects and Side Effects of an Internet-Based Intervention for Depression: Randomized Controlled Trial

The most frequently reported negative effect was related to fear of incorrect implementation or understanding of the content and subsequent (subjective) deterioration (14/93, 15.1%). Regarding malpractice, 48.9% (46/94) said the program put too much time or performance pressure on the user and 41.7% (35/84) felt the program did not address personal problems sufficiently. An unethical procedure was reported by 24.7% (22/89) who felt pressured to do things they did not want to do.

Anna Baumeister, Lea Schuurmans, Alina Bruhns, Steffen Moritz

JMIR Ment Health 2025;12:e71274

Feasibility of a Randomized Controlled Trial of Large AI-Based Linguistic Models for Clinical Reasoning Training of Physical Therapy Students: Pilot Randomized Parallel-Group Study

Feasibility of a Randomized Controlled Trial of Large AI-Based Linguistic Models for Clinical Reasoning Training of Physical Therapy Students: Pilot Randomized Parallel-Group Study

While these strategies have shown positive results in improving students’ decision-making skills, their implementation often requires significant resources, such as trained facilitators or access to standardized patients, making them challenging to scale [7]. This highlights the need for alternative approaches that can provide physical therapy students with diverse clinical scenarios to enhance their clinical reasoning in a more accessible and structured manner.

Raúl Ferrer-Peña, Silvia Di-Bonaventura, Alberto Pérez-González, Alfredo Lerín-Calvo

JMIR Form Res 2025;9:e66126

Implementation Outcomes of Reusable Learning Objects in Health Care Education Across Three Malaysian Universities: Evaluation Using the RE-AIM Framework

Implementation Outcomes of Reusable Learning Objects in Health Care Education Across Three Malaysian Universities: Evaluation Using the RE-AIM Framework

The Analysis, Design, Development, Implementation, and Evaluation model [12], an instructional design model, offers a structured approach to guide the development and implementation of educational programs but falls short of providing metrics for measuring implementation. Therefore, there is a need for an e-learning implementation outcome framework that provides a comprehensive and objective evaluation of the implementation of e-learning resources.

Hooi Min Lim, Chin Hai Teo, Yew Kong Lee, Ping Yein Lee, Kuhan Krishnan, Zahiruddin Fitri Abu Hassan, Phelim Voon Chen Yong, Wei Hsum Yap, Renukha Sellappans, Enna Ayub, Nurhanim Hassan, Sazlina Shariff Ghazali, Nurul Amelina Nasharuddin, Puteri Shanaz Jahn Kassim, Faridah Idris, Klas Karlgren, Natalia Stathakarou, Petter Mordt, Stathis Konstantinidis, Michael Taylor, Cherry Poussa, Heather Wharrad, Chirk Jenn Ng

JMIR Med Educ 2025;11:e63882

Remote Monitoring by ViQtor Upon Implementation on a Surgical Department (REQUEST-Trial): Protocol for a Prospective Implementation Study

Remote Monitoring by ViQtor Upon Implementation on a Surgical Department (REQUEST-Trial): Protocol for a Prospective Implementation Study

This prospective implementation study with retrospective data analysis (the REQUEST [Remote Monitoring by vi Qtor Upon Implementation on a Surgical Department] trial) will be conducted at a large teaching hospital. All adult patients (aged 18 years and older) admitted to the surgical department for elective procedures will be eligible for inclusion, provided they meet our inclusion criteria and provide informed consent. Patients unable to wear the device or unwilling to participate will be excluded.

Ephrahim E Jerry, Arthur R Bouwman, Simon W Nienhuijs

JMIR Res Protoc 2025;14:e70707

Key Factors Shaping Successful Implementation of the Internet of Things (IoT) in Health Care: Qualitative Study

Key Factors Shaping Successful Implementation of the Internet of Things (IoT) in Health Care: Qualitative Study

The review found no studies on the actual implementation of Io T in health care and only a few focusing on Io T adoption. Kronlid et al call for more rigorous empirical research on Io T adoption and implementation, grounded in frameworks that reflect sociotechnical realities. Other previous research has shown that successful implementation requires consideration of factors beyond technology [21].

Klas Palm, Carl Kronlid, Marie Elf, Anders Brantnell

JMIR Hum Factors 2025;12:e71546

Patient and Health Care Provider Experiences With Suicide-Related Tele–Mental Health Evaluations in the Emergency Department: Multiphase Qualitative Study

Patient and Health Care Provider Experiences With Suicide-Related Tele–Mental Health Evaluations in the Emergency Department: Multiphase Qualitative Study

Health care provider interviews were completed before TIPS implementation and after the implementation of TIPS. This was done to understand evolving facilitators of and barriers to implementation and understand perceptions around the TIPS program. Preimplementation interviews were also used to inform implementation strategies. All patient interviews were completed after implementation to understand patient experiences with TIPS and perceptions around tele–mental health emergency evaluations.

Aishwarya Khanna, Celine Larkin, Rachel Davis-Martin, Ivy Khevali Micklus, Ana Vallejo Sefair, Ancella Roy, Christian Guy Klaucke, Martin A Reznek, Edwin D Boudreaux

JMIR Ment Health 2025;12:e72541

Integrating Mobile Health App Data Into Electronic Medical or Health Record Systems and Its Impact on Health Care Delivery and Patient Health Outcomes: Scoping Review

Integrating Mobile Health App Data Into Electronic Medical or Health Record Systems and Its Impact on Health Care Delivery and Patient Health Outcomes: Scoping Review

The inconsistent findings across studies underscore the need for a review of existing evidence on the integration of m Health and EMR/EHR and health outcomes, in order to obtain insights and develop practical recommendations for health care policy makers, administrators, and providers, guiding the effective implementation of m Health app data integration with EMR/EHR systems.

Jialing Lin, Shona Marie Bates, Luke N Allen, Michael Wright, Limin Mao, Michael Kidd

JMIR Mhealth Uhealth 2025;13:e66650