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Improving Large Language Models’ Summarization Accuracy by Adding Highlights to Discharge Notes: Comparative Evaluation

Improving Large Language Models’ Summarization Accuracy by Adding Highlights to Discharge Notes: Comparative Evaluation

The Fisher exact test yielded P=.01, indicating a statistically significant difference. As shown in Table 2, the average word count of the original notes was 320 words, and the average length reduction of the H-summaries and U-summaries was 22% (SD 15%) and 23% (SD 15%) words, respectively. A negative number for length reduction in Table 2 indicates that the summary generated had more words than the original text. In our analysis, we identified 3 instances of false information in U-summaries.

Mahshad Koohi Habibi Dehkordi, Yehoshua Perl, Fadi P Deek, Zhe He, Vipina K Keloth, Hao Liu, Gai Elhanan, Andrew J Einstein

JMIR Med Inform 2025;13:e66476

Associations Between Daily Symptoms and Pain Flares in Rheumatoid Arthritis: Case-Crossover mHealth Study

Associations Between Daily Symptoms and Pain Flares in Rheumatoid Arthritis: Case-Crossover mHealth Study

A 95% CI that does not include the value of 1 indicates a statistically significant association, equivalent to achieving significance as determined by a P value. Sensitivity analysis was performed to assess the time overlap among control periods. In the primary analysis, control periods were selected as any 3-day interval not preceding a pain flare, during which time overlap was inherently allowed (Figure 2) and could lead to compounding effects of exposures [40,42].

Ting-Chen Chloe Hsu, Belay B Yimer, Pauline Whelan, Christopher J Armitage, Katie Druce, John McBeth

JMIR Mhealth Uhealth 2025;13:e64889

Impact of Ecological Momentary Assessment Participation on Short-Term Smoking Cessation: quitSTART Ecological Momentary Assessment Incentivization Randomized Trial

Impact of Ecological Momentary Assessment Participation on Short-Term Smoking Cessation: quitSTART Ecological Momentary Assessment Incentivization Randomized Trial

Mean EMAs completed in the incentivized arm was 13.3 (SD 11.2, range 0‐40, average completion rate of 31.7% out of 42 total EMA prompts) and 4.7 (SD 5.8, range 0‐28, average completion rate of 11.2% out of 42 total EMA prompts) in the nonincentivized arm (P Smoking cessation outcomes overall and by group. a EMA: ecological momentary assessment.

Kara P Wiseman, Alex Budenz, Leeann Siegel, Yvonne M Prutzman

J Med Internet Res 2025;27:e67630

Facilitators and Challenges to Adoption of a Digital Health Tool for Opioid Use Disorder Treatment in Primary Care: Mixed Methods Study

Facilitators and Challenges to Adoption of a Digital Health Tool for Opioid Use Disorder Treatment in Primary Care: Mixed Methods Study

A Bonferroni correction was applied to all P values by multiplying each P value by 4, the number of tests conducted, to correct for multiple comparisons; a P value less than .05 was considered statistically significant after correction. Timelines of OARS use were also described for MOUD providers and case managers. All analyses were conducted in R (version 4.2.1; R Foundation for Statistical Computing). All qualitative data were analyzed using a coding reliability thematic analysis approach [16].

Omar Nieto, Allison D Rosen, Mariah M Kalmin, Li Li, Steven J Shoptaw, Steven P Jenkins, Zahra Zarei Ardestani, Bengisu Tulu

J Med Internet Res 2025;27:e69953

A Resource-Efficient, High-Dose, Gamified Neurorehabilitation Program for Chronic Stroke at Home: Retrospective Real-World Analysis

A Resource-Efficient, High-Dose, Gamified Neurorehabilitation Program for Chronic Stroke at Home: Retrospective Real-World Analysis

We set the significance level to P=.05 for these statistical tests. For the analysis of clinical improvements, changes from baseline to program end were tested using paired 2-sided t tests. As these tests involved multiple comparisons without any specified a priori hypotheses, we adjusted the significance level by dividing by the number of clinical outcomes examined, which was 12 (ie, Bonferroni correction). For clarity, we report uncorrected P values in the text.

Spencer A Arbuckle, Anna Sophie Knill, Michelle H Chan-Cortés, Gabriela Rozanski, Anastasia Elena Ford, Louis T Derungs, John W Krakauer, Naveed Ejaz, David Putrino, Jenna Tosto-Mancuso, Meret Branscheidt

JMIR Serious Games 2025;13:e69335

Investigating Challenges in Implementing a Digital Play Intervention in a Complex Organization Across Pediatric Departments: Non-Randomized Controlled Feasibility Trial

Investigating Challenges in Implementing a Digital Play Intervention in a Complex Organization Across Pediatric Departments: Non-Randomized Controlled Feasibility Trial

This study conforms to the Declaration of Helsinki, was approved by the Danish Data Protection Agency (P-2020‐121), and did not require ethical approval from the National Committee on Health Ethics Research (FSP 21054778). Participants’ parents received an introductory letter accompanied by an information sheet and a consent form. The children provided verbal assent prior to inclusion in the study, and parents provided written informed consent [29].

Laerke Winther, Michelle Stahlhut, Derek John Curtis, Christian Have Dall, Thomas Leth Frandsen, Jette Led Sorensen

JMIR Rehabil Assist Technol 2025;12:e58019

Association of Perceived Xingfu With Health-Related and Socioeconomic Factors Among Hong Kong Chinese Adults: Cross-Sectional Study Using a Novel Single-Item Tool

Association of Perceived Xingfu With Health-Related and Socioeconomic Factors Among Hong Kong Chinese Adults: Cross-Sectional Study Using a Novel Single-Item Tool

All P values for Pearson correlation coefficients b PSS-4: Perceived Stress Scale-4. c ACC: adversity coping capability. d PHQ-4: Patient Health Questionnaire-4. e Not applicable. Figure 1 shows the distribution of perceived xingfu and happiness scores. As both perceived xingfu and happiness peaked at scores of 7 (22%) and 8 (23%); therefore, perceived xingfu ≥7 was classified as high perceived xingfu in the logistic regression model.

Katherine Y P Sze, Sai Yin Ho, Agnes Yuen Kwan Lai, Jing Jia, Heng Xu, Shirley Man Man Sit, Tai Hing Lam, Man Ping Wang

JMIR Form Res 2025;9:e73350