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Home-Based Connected Devices Combined With Statistical Process Control for the Early Detection of Respiratory Exacerbations by Patients With Cystic Fibrosis: Pilot Interventional Study With a Pre-Post Design

Home-Based Connected Devices Combined With Statistical Process Control for the Early Detection of Respiratory Exacerbations by Patients With Cystic Fibrosis: Pilot Interventional Study With a Pre-Post Design

An educational program entitled “React to the warning signs of an exacerbation” was delivered to all patients before alerts were sent [16]. It taught them how to understand and react to the measures and alerts according to the personalized action plan set up with their clinician during the education and according to their own resources.

Enora Le Roux, Moreno Ursino, Ivana Milovanovic, Paul Picq, Jeremie Haignere, Gilles Rault, Dominique Pougheon Bertrand, Corinne Alberti

JMIR Form Res 2024;8:e51753

Alerts and Collections for Automating Patients’ Sensemaking and Organizing of Their Electronic Health Record Data for Reflection, Planning, and Clinical Visits: Qualitative Research-Through-Design Study

Alerts and Collections for Automating Patients’ Sensemaking and Organizing of Their Electronic Health Record Data for Reflection, Planning, and Clinical Visits: Qualitative Research-Through-Design Study

The participants mostly agreed that the alerts could offer a comprehensive landscape of the ongoing or upcoming issues, thus increasing their awareness of their current health status or the potential directions in which it may move. Furthermore, participants welcomed the Alerts feature as a device to stimulate their proactivity, and the alerts were perceived as a powerful nudge to prevent potential exacerbated inconveniences or significant deteriorations.

Drashko Nakikj, David Kreda, Nils Gehlenborg

JMIR Hum Factors 2023;10:e41552

Provider Interaction With an Electronic Health Record Notification to Identify Eligible Patients for a Cluster Randomized Trial of Advance Care Planning in Primary Care: Secondary Analysis

Provider Interaction With an Electronic Health Record Notification to Identify Eligible Patients for a Cluster Randomized Trial of Advance Care Planning in Primary Care: Secondary Analysis

Reference 27: Evaluating alert fatigue over time to EHR-based clinical trial alerts: findings from a Reference 30: Effects of workload, work complexity, and repeated alerts on alert fatigue in a clinical Reference 31: Appropriateness of overridden alerts in computerized physician order entry: systematicalerts

Jessica E Ma, Jared Lowe, Callie Berkowitz, Azalea Kim, Ira Togo, R Clayton Musser, Jonathan Fischer, Kevin Shah, Salam Ibrahim, Hayden B Bosworth, Annette M Totten, Rowena Dolor

J Med Internet Res 2023;25:e41884

Remote Monitoring of Physiology in People Living With Dementia: An Observational Cohort Study

Remote Monitoring of Physiology in People Living With Dementia: An Observational Cohort Study

For each participant, we calculated the number of individual measurements that triggered Minder alerts and NEWS thresholds of 1+ (less abnormal) and 2+ (more abnormal). We then summarized the overall “burden” of alerts per day per participant. We used the Spearman rank to test for correlations between physiological summary measures and baseline SMMSE scores and 1-way ANOVA to test for differences between the dementia subtypes (AD, VD, ASyn), with post hoc Tukey tests.

Michael C B David, Magdalena Kolanko, Martina Del Giovane, Helen Lai, Jessica True, Emily Beal, Lucia M Li, Ramin Nilforooshan, Payam Barnaghi, Paresh A Malhotra, Helen Rostill, David Wingfield, Danielle Wilson, Sarah Daniels, David J Sharp, Gregory Scott

JMIR Aging 2023;6:e43777

Monitoring the Implementation of Tobacco Cessation Support Tools: Using Novel Electronic Health Record Activity Metrics

Monitoring the Implementation of Tobacco Cessation Support Tools: Using Novel Electronic Health Record Activity Metrics

Electronic alerts (e-alerts) are common CDS tools in EHRs, promoting adherence to practice guidelines [2-5,21,22], including tobacco screening and treatment at the point of care [23-25]. This strategy has been adopted by some C3 I-funded cancer centers [26,27]. However, effective implementation of alerts into the clinical workflow is nontrivial [28-32]. Monitoring of provider responses to newly implemented alerts can identify barriers to adoption and the burden imposed by the alerts.

Jinying Chen, Sarah L Cutrona, Ajay Dharod, Stephanie C Bunch, Kristie L Foley, Brian Ostasiewski, Erica R Hale, Aaron Bridges, Adam Moses, Eric C Donny, Erin L Sutfin, Thomas K Houston, iDAPT Implementation Science Center for Cancer Control

JMIR Med Inform 2023;11:e43097

More Than a Text Message: Dismantling Digital Triggers to Curate Behavior Change in Patient-Centered Health Interventions

More Than a Text Message: Dismantling Digital Triggers to Curate Behavior Change in Patient-Centered Health Interventions

Despite the promising outcomes of alert-based interventions and the prevalence of these alerts and triggers in daily life, little attention has been paid to dismantling triggers into their component parts to deepen the understanding of how they function to improve physical and mental health outcomes.

Frederick J Muench, Amit Baumel

J Med Internet Res 2017;19(5):e147