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Effects of Digital Sleep Interventions on Sleep Among College Students and Young Adults: Systematic Review and Meta-Analysis

Effects of Digital Sleep Interventions on Sleep Among College Students and Young Adults: Systematic Review and Meta-Analysis

Digital sleep interventions demonstrated a significant medium effect on sleep efficiency (Hedges g=0.62, 95% CI 0.18-1.05; P=.005; I2=60%), with substantial heterogeneity among studies. However, nonsignificant effects were observed for NWAK (P=.27), TST (P=.07), and WASO (P=.18). The detailed results are provided in Figure 4 [42,45,49,50]. Although sleep parameters are crucial outcomes, the certainty of the evidence ranged from “very low” to “low” (Table S1 in Multimedia Appendix 4).

Yi-An Lu, Hui-Chen Lin, Pei-Shan Tsai

J Med Internet Res 2025;27:e69657

Large Language Models and Artificial Neural Networks for Assessing 1-Year Mortality in Patients With Myocardial Infarction: Analysis From the Medical Information Mart for Intensive Care IV (MIMIC-IV) Database

Large Language Models and Artificial Neural Networks for Assessing 1-Year Mortality in Patients With Myocardial Infarction: Analysis From the Medical Information Mart for Intensive Care IV (MIMIC-IV) Database

The discriminative ability was assessed using the Harrell C-statistic (C-index) and the time-dependent receiver operating characteristic (ROC) curve. The agreement between observed and predicted event rates was evaluated using calibration plots in deciles of predicted risk. Calibration was considered optimal when the calibration curve was close to the diagonal line, reflected by an observed-to-expected ratio near 1 [14], and the Hosmer-Lemeshow test showed a P value greater than .05.

Boqun Shi, Liangguo Chen, Shuo Pang, Yue Wang, Shen Wang, Fadong Li, Wenxin Zhao, Pengrong Guo, Leli Zhang, Chu Fan, Yi Zou, Xiaofan Wu

J Med Internet Res 2025;27:e67253

Population-Wide Depression Incidence Forecasting Comparing Autoregressive Integrated Moving Average and Vector Autoregressive Integrated Moving Average to Temporal Fusion Transformers: Longitudinal Observational Study

Population-Wide Depression Incidence Forecasting Comparing Autoregressive Integrated Moving Average and Vector Autoregressive Integrated Moving Average to Temporal Fusion Transformers: Longitudinal Observational Study

(C) Ten-year sub-timeseries sample set construction: segmenting the 10-year sub-timeseries (one window) according to year-by-year sliding. In the example shown for 2002-2022, there are 12 sliding windows in total. The first 7 years in each sub-timeseries is the training set, the eighth year is the validation set, and the ninth and tenth year are the testing set. In the database used in this study, we analyzed 72 sub-timeseries datasets (12 samples×6 groups) from the overall population and age subgroups.

Deliang Yang, Yiyi Tang, Vivien Kin Yi Chan, Qiwen Fang, Sandra Sau Man Chan, Hao Luo, Ian Chi Kei Wong, Huang-Tz Ou, Esther Wai Yin Chan, David Makram Bishai, Yingyao Chen, Martin Knapp, Mark Jit, Dawn Craig, Xue Li

J Med Internet Res 2025;27:e67156

Types of HPV Vaccine Misinformation Circulating on Twitter (X) That Parents Find Most Concerning: Insights From a Cross-Sectional Survey and Content Analysis

Types of HPV Vaccine Misinformation Circulating on Twitter (X) That Parents Find Most Concerning: Insights From a Cross-Sectional Survey and Content Analysis

In simple beta regression models with a single strategy or concern as the predictor variable, the use of negative emotional appeals (β=.94, P In a multiple beta regression model including all the persuasive strategies and health concerns as predictor variables, the overall regression was statistically significant (likelihood ratio χ224=75.8, P Simple and multiple beta regression of persuasive strategies and health concerns on the selection of a tweet as most concerning.

Jennifer C Morgan, Sarah Badlis, Katharine J Head, Gregory Zimet, Joseph N Cappella, Melanie L Kornides

J Med Internet Res 2025;27:e54657

Decoding Digital Discourse Through Multimodal Text and Image Machine Learning Models to Classify Sentiment and Detect Hate Speech in Race- and Lesbian, Gay, Bisexual, Transgender, Queer, Intersex, and Asexual Community–Related Posts on Social Media: Quantitative Study

Decoding Digital Discourse Through Multimodal Text and Image Machine Learning Models to Classify Sentiment and Detect Hate Speech in Race- and Lesbian, Gay, Bisexual, Transgender, Queer, Intersex, and Asexual Community–Related Posts on Social Media: Quantitative Study

Building on the work of Chen and Pan [73], which highlighted the challenges of detecting nuanced and imbalanced data, we applied advanced data augmentation techniques (eg, SMOTE and LDA) to effectively address class imbalances. These methods significantly enhanced model performance for minority classes, such as antihate content.

Thu T Nguyen, Xiaohe Yue, Heran Mane, Kyle Seelman, Penchala Sai Priya Mullaputi, Elizabeth Dennard, Amrutha S Alibilli, Junaid S Merchant, Shaniece Criss, Yulin Hswen, Quynh C Nguyen

J Med Internet Res 2025;27:e72822

Mono-Professional Simulation-Based Obstetric Training in a Low-Resource Setting: Stepped-Wedge Cluster Randomized Trial

Mono-Professional Simulation-Based Obstetric Training in a Low-Resource Setting: Stepped-Wedge Cluster Randomized Trial

Statistical significance was defined as a 2-sided P value of Patient baseline characteristics were summarized with medians and IQRs for continuous variables and with counts (percentages) for categorical variables. A generalized linear mixed-effects model was used for the estimation of an intervention effect.

Anne A C van Tetering, Ella L de Vries, Peter Ntuyo, E R van den Heuvel, Annemarie F Fransen, M Beatrijs van der Hout-van der Jagt, Imelda Namagembe, Josaphat Byamugisha, S Guid Oei

JMIR Med Educ 2025;11:e54911

Distance Learning During the COVID-19 Lockdown and Self-Assessed Competency Development Among Radiology Residents in China: Cross-Sectional Survey

Distance Learning During the COVID-19 Lockdown and Self-Assessed Competency Development Among Radiology Residents in China: Cross-Sectional Survey

The average score of participants who received distance learning was 3.46 (SD 1.49), higher than those who did not (mean 3.13, SD 1.39; P Self-evaluation milestone scores for radiology residents between distance learning and nondistance learning. a PC: patient care. b MK: medical knowledge. c SBP: system-based practice. d PBLI: practice-based learning and improvement. e PROF: professionalism. f ICS: interpersonal communication skill.

Peicheng Wang, Ziye Wu, Jingfeng Zhang, Yanrong He, Maoqing Jiang, Jianjun Zheng, Zhenchang Wang, Zhenghan Yang, Yanhua Chen, Jiming Zhu

JMIR Med Educ 2025;11:e54228

Effectiveness of Mobile Health Interventions for Reducing Sitting Time in Older Adults: Systematic Review and Meta-Analysis

Effectiveness of Mobile Health Interventions for Reducing Sitting Time in Older Adults: Systematic Review and Meta-Analysis

A fixed-effects meta-analysis revealed a statistically significant decrease in sitting time among older adults receiving m Health interventions compared with those receiving conventional health interventions or no intervention (WMD=59.1, 95% CI 99.1 to 20.2; Z=3.0; P=.003; Figure 3). Forest plot of the effect of m Health interventions on sitting time (min/day) [37,41,44]. The study “Lyons et al” [37] was a pilot study.

Siqing Chen, Chenchen Wang, Albert Ko, Carol Ewing Garber, Edward Giovannucci, Yuting Yang, Matthew Stults-Kolehmainen, Lili Yang

J Med Internet Res 2025;27:e60889