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The Effectiveness of Digital Cognitive Behavioral Therapy to Treat Insomnia Disorder in US Adults: Nationwide Decentralized Randomized Controlled Trial

The Effectiveness of Digital Cognitive Behavioral Therapy to Treat Insomnia Disorder in US Adults: Nationwide Decentralized Randomized Controlled Trial

Allowing for 30% attrition, a minimum of 332 participants (166 per arm) were required to detect a between-group effect of d=0.3 with 90% power. As recommended, a correction for 5 multiple comparisons (3 coprimary outcomes [ISI, SOL, and WASO] and 2 secondary outcomes [ISI response and ISI remission]) using a conservative Bonferroni approach yielded an α of .01 [63]. Primary analyses followed intention-to-treat (ITT) principles.

Aric A Prather, Andrew D Krystal, Richard Emsley, Jenna Carl, Tali Ball, Kathryn Tarnai, Adrian Aguilera, Colin A Espie, Alasdair L Henry

JMIR Ment Health 2025;12:e84323


The Perceived Roles of AI in Clinical Practice: National Survey of 941 Academic Physicians

The Perceived Roles of AI in Clinical Practice: National Survey of 941 Academic Physicians

(D) Reported reasons for not using AI if it were permitted (n=144). Physicians who were unable to use AI or who were unsure whether it was permitted in their practice and selected that they would not use AI were displayed this question (n=144). (E) Stated incentives that would increase the physicians’ use of AI in clinical practice (n=941). (F) Stated reservations and ethical concerns regarding AI use in clinical practice (n=941). CPT: current procedural terminology.

Anshul Ratnaparkhi, Simon Moore, Abhinav Suri, Bayard Wilson, Jacob Alderete, TJ Florence, David Zarrin, David Berin, Rami Abuqubo, Kirstin Cook, Matiar Jafari, Joseph S Bell, Luke Macyszyn, Andrew C Vivas, Joel Beckett

JMIR AI 2025;4:e72535


Pass/Fail Versus Tiered Grades and Academic Performance in Undergraduate Medical Education: Crossover Study

Pass/Fail Versus Tiered Grades and Academic Performance in Undergraduate Medical Education: Crossover Study

The Danish Tiered Grade scale is numerical, and categories are comparable to the ECTS scale A-F: 12; 10; 7; 4; 02; and 00, −03 are the equivalent of A; B; C; D; E; and F. Changing from Tiered grades to Pass/Fail assessment for exams in undergraduate medical education during the 4th and 5th years increased the number of students failing exams. This difference leveled out when including the near-fail Tiered grade as Fail. The final academic performance did not change.

Boris Modrau, Karina Frahm Kirk, Sinan Mouaayad Abdulaimma Said, Carsten Reidies Bjarkam, Lone Sunde, Jacob Bodilsen, Jakob Dal, Jette Kolding Kristensen, Jeppe Emmersen, Mike Bundgaard Astorp, Stig Andersen

JMIR Med Educ 2025;11:e74975


Evaluating R2Play, A Novel Multidomain Return-to-Play Assessment Tool for Concussion: Mixed Methods Feasibility and Face Validity Study

Evaluating R2Play, A Novel Multidomain Return-to-Play Assessment Tool for Concussion: Mixed Methods Feasibility and Face Validity Study

They noted it became easier with practice, and they felt more comfortable in their second session despite the time between sessions (3‐71 d). Confidence in using R2 Play was primarily limited by a lack of familiarity with the assessment protocol and level instructions. On-screen prompts and automation made it particularly easy for clinicians to navigate the interface: “I think the way it is set up… kind of just the next thing is automatic, I think makes sense from a usability standpoint” (C5).

Josh Shore, Pavreet Gill, Danielle DuPlessis, Emma Kyrinis, Andrew Lovell, Kylie D Mallory, Andrea Hickling, Michael Hutchison, Sarah Munce, Kathryn J Schneider, Elaine Biddiss, Shannon E Scratch

JMIR Rehabil Assist Technol 2025;12:e78486