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Implementation of a Quality Improvement and Clinical Decision Support Tool for Cancer Diagnosis in Primary Care: Process Evaluation

Implementation of a Quality Improvement and Clinical Decision Support Tool for Cancer Diagnosis in Primary Care: Process Evaluation

For example, attendance at training sessions and ECHO sessions (1 h each), during or after work hours, was not feasible for many clinical staff. The final barrier relates to recognized need and usability, with many practices reporting that they could use the CDS tool and the cancer recommendations adequately, without the need for additional education or training. It’s quite straightforward and quite well explained so it didn’t need anything extra particularly.

Sophie Chima, Barbara Hunter, Javiera Martinez-Gutierrez, Natalie Lumsden, Craig Nelson, Dougie Boyle, Kaleswari Somasundaram, Jo-Anne Manski-Nankervis, Jon Emery

JMIR Cancer 2025;11:e65461

Outdoor Exercise Facility–Based Integrative Mobile Health Intervention to Support Physical Activity, Mental Well-Being, and Exercise Self-Efficacy Among Older Adults With Prefrailty and Frailty in Hong Kong: Pilot Feasibility Randomized Controlled Trial Study

Outdoor Exercise Facility–Based Integrative Mobile Health Intervention to Support Physical Activity, Mental Well-Being, and Exercise Self-Efficacy Among Older Adults With Prefrailty and Frailty in Hong Kong: Pilot Feasibility Randomized Controlled Trial Study

Literature indicates that wrist-worn activity monitors outperform hip-worn monitors when participants walk at speeds of 3-6 km/h [34]. Participants received instructions on how to properly wear the monitor on their nondominant wrist before the assessment. Participants were allowed to remove the Acti Graph during specific activities such as bathing, swimming, and sleeping. They also maintained a daily wear-time log to record the monitor’s on and off times throughout the monitoring period.

Janet Lok Chun Lee, Arnold Y L Wong, Peter H F Ng, S N Fu, Kenneth N K Fong, Andy S K Cheng, Karen Nga Kwan Lee, Rui Sun, Hao Yi Zhang, Rong Xiao

JMIR Mhealth Uhealth 2025;13:e69259