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Innovating Care for Postmenopausal Women Using a Digital Approach for Pelvic Floor Dysfunctions: Prospective Longitudinal Cohort Study

Innovating Care for Postmenopausal Women Using a Digital Approach for Pelvic Floor Dysfunctions: Prospective Longitudinal Cohort Study

As an example, in a randomized controlled trial, postmenopausal women (n=48) who did not receive PFMT experienced a 50% increase in urinary leakage after one year, while those who performed PFMT showed significant improvement in their condition [27], underscoring the need for appropriate care for this population. Digital pelvic rehabilitation solutions have arisen as a potential alternative to improve both access and adherence to treatment.

Ana P Pereira, Dora Janela, Anabela C Areias, Maria Molinos, Xin Tong, Virgílio Bento, Vijay Yanamadala, Jennesa Atherton, Fernando Dias Correia, Fabíola Costa

JMIR Mhealth Uhealth 2025;13:e68242

Identifying Patient-Reported Outcome Measure Documentation in Veterans Health Administration Chiropractic Clinic Notes: Natural Language Processing Analysis

Identifying Patient-Reported Outcome Measure Documentation in Veterans Health Administration Chiropractic Clinic Notes: Natural Language Processing Analysis

Multiple notes can be written to describe the same identified chiropractic visit; for example, a resident chiropractor note and an attending chiropractor note may each contain data relevant to a single visit. We concatenated all notes linked to the same unique visit identifier on the same date of service (regardless of note author) to create a 1-to-1 relationship between visits and clinic notes. A unique character set was used as a delimiter to separate individual notes.

Brian C Coleman, Kelsey L Corcoran, Cynthia A Brandt, Joseph L Goulet, Stephen L Luther, Anthony J Lisi

JMIR Med Inform 2025;13:e66466

Digital Ergonomics of NavegApp, a Novel Serious Game for Spatial Cognition Assessment: Content Validity and Usability Study

Digital Ergonomics of NavegApp, a Novel Serious Game for Spatial Cognition Assessment: Content Validity and Usability Study

SC involves a range of cognitive functions, including the perception, organization, and use of location and object–based information to understand and navigate through physical or mental spaces [12-14]. When integrated, these processes facilitate complex spatial behaviors, such as solving mazes or tracing routes from point A to point B using landmarks or self-positioning as a reference [13].

Juan Pablo Sanchez-Escudero, David Aguillon, Stella Valencia, Mauricio A Garcia-Barrera, Daniel Camilo Aguirre-Acevedo, Natalia Trujillo

JMIR Serious Games 2025;13:e66167

Impact of a Symptom Checker App on Patient-Physician Interaction Among Self-Referred Walk-In Patients in the Emergency Department: Multicenter, Parallel-Group, Randomized, Controlled Trial

Impact of a Symptom Checker App on Patient-Physician Interaction Among Self-Referred Walk-In Patients in the Emergency Department: Multicenter, Parallel-Group, Randomized, Controlled Trial

In a German panel study, a fifth of respondents identified the internet as their primary source of health information [3]. In particular, seeking health-related information online is common before consulting medical services among low-urgency acute care patients [4,5].

Malte L Schmieding, Marvin Kopka, Myrto Bolanaki, Hendrik Napierala, Maria B Altendorf, Doreen Kuschick, Sophie K Piper, Lennart Scatturin, Konrad Schmidt, Claudia Schorr, Alica Thissen, Cornelia Wäscher, Christoph Heintze, Martin Möckel, Felix Balzer, Anna Slagman

J Med Internet Res 2025;27:e64028

Balancing Human Mobility and Health Care Coverage in Sentinel Surveillance of Brazilian Indigenous Areas: Mathematical Optimization Approach

Balancing Human Mobility and Health Care Coverage in Sentinel Surveillance of Brazilian Indigenous Areas: Mathematical Optimization Approach

Sentinel surveillance, which involves systematic and regular clinical sample collection for monitoring the emergence of infectious diseases across a network of sites, is a key component of public health strategies [1]. Ideally, a sentinel surveillance network should be representative of the general population while also prioritizing high-risk subpopulations, such as Indigenous groups [2-5].

Juliane Fonseca Oliveira, Adriano O Vasconcelos, Andrêza L Alencar, Maria Célia S L Cunha, Izabel Marcilio, Manoel Barral-Netto, Pablo Ivan P Ramos

JMIR Public Health Surveill 2025;11:e69048

Digital Health Resilience and Well-Being Interventions for Military Members, Veterans, and Public Safety Personnel: Environmental Scan and Quality Review

Digital Health Resilience and Well-Being Interventions for Military Members, Veterans, and Public Safety Personnel: Environmental Scan and Quality Review

Each DMHI was evaluated based on 2 quality rating scales: the A-MARS and the ARIA. A description of each is provided in the subsequent sections. The A-MARS [33] is a rating scale adapted from the MARS [34] and was used to review RBs and WBPs. The A-MARS was developed to evaluate health-related e-tools, with a specific expansion of the engagement subscale.

Rashell R Allen, Myrah A Malik, Carley Aquin, Lucijana Herceg, Suzette Brémault-Phillips, Phillip R Sevigny

JMIR Mhealth Uhealth 2025;13:e64098

Effects of a Monophasic Hormonal Contraceptive With Norgestimate+Ethinyl Estradiol on Menstrual Bleeding: Protocol and Design of a Multicenter, Prospective, Open-Label, Noncomparative Study in Italy

Effects of a Monophasic Hormonal Contraceptive With Norgestimate+Ethinyl Estradiol on Menstrual Bleeding: Protocol and Design of a Multicenter, Prospective, Open-Label, Noncomparative Study in Italy

Unscheduled bleeding has a number of negative impacts on a woman’s life, in addition to the inconvenience, including the potential for a negative effect on their sexual life and confusion about the status of their cycle [14]. Some women may interpret unscheduled bleeding as an indication that the COC is not working or interrupt use because of it [14].

Angelo Cagnacci, Giovanni Grandi, Giampiero Capobianco, Anna Maria Fulghesu, Giuseppe Morgante, Vincenzo Biondelli, Elena Piccolo, Elena Casolati, Mario Mangrella

JMIR Res Protoc 2025;14:e63683

Accelerometry-Assessed Physical Activity and Circadian Rhythm to Detect Clinical Disability Status in Multiple Sclerosis: Cross-Sectional Study

Accelerometry-Assessed Physical Activity and Circadian Rhythm to Detect Clinical Disability Status in Multiple Sclerosis: Cross-Sectional Study

The EDSS, however, is semiquantitative, has limited reliability, and only captures a person’s state at one short point in time during a clinical visit [1]. People with MS may have different disability states at different times throughout the day, as symptoms can fluctuate with temperature, fatigue, stress, and other factors [2,3].

Nicole Bou Rjeily, Muraleetharan Sanjayan, Pratim Guha Niyogi, Blake E Dewey, Alexandra Zambriczki Lee, Christy Hulett, Gabriella Dagher, Chen Hu, Rafal D Mazur, Elena M Kenney, Erin Brennan, Anna DuVal, Peter A Calabresi, Vadim Zipunnikov, Kathryn C Fitzgerald, Ellen M Mowry

JMIR Mhealth Uhealth 2025;13:e57599

Effectiveness of the Safe Step Digital Exercise Program to Prevent Falls in Older Community-Dwelling Adults: Randomized Controlled Trial

Effectiveness of the Safe Step Digital Exercise Program to Prevent Falls in Older Community-Dwelling Adults: Randomized Controlled Trial

Inclusion criteria were (1) participants aged 70 years or older, (2) having fallen or experienced a decline in perceived postural balance during the past year, (3) having access to a smartphone or tablet and using it regularly, (4) having own email address and using it, (5) being able to understand verbal and written instructions in Swedish, (6) being able to rise from a standard height chair without a person helping, and (7) being able to walk independently without a walking aid indoors.

Beatrice Pettersson, Lillemor Lundin-Olsson, Dawn A Skelton, Per Liv, Magnus Zingmark, Erik Rosendahl, Marlene Sandlund

J Med Internet Res 2025;27:e67539

Examining Quality of Work Life in Atlantic Canadian Long-Term Care Homes: Protocol for a Cross-Sectional Survey Study

Examining Quality of Work Life in Atlantic Canadian Long-Term Care Homes: Protocol for a Cross-Sectional Survey Study

Additionally, according to the 2021 census, between 96% to 99% of the population in Nova Scotia, Prince Edward Island, Newfoundland and Labrador spoke English as a first language, and as a bilingual province, nearly 70% of the New Brunswick population spoke English as a first language while the remaining 30% spoke French [9].

Janice M Keefe, Rose McCloskey, Marilyn J Hodgins, Caitlin McArthur, Adrian MacKenzie, Lori E Weeks, Carole A Estabrooks

JMIR Res Protoc 2025;14:e66338