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The AEM provides a comprehensive evaluation framework for clinicians and patients to identify high-quality m Health apps. The framework may work well at a population level with hierarchical layers to explain adoption decisions [16,17].
DCT only functions when all people near each other are using the app. Individuals install DCT apps on their own mobile devices, and these apps must be adopted by a sufficient percentage of a population to be effective [16,17].
JMIR Public Health Surveill 2023;9:e38633
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Specifically, Virginia is a unique state with a more than 8.5 million population across nearly 40,000 square miles. The population covers large urban coastal areas near Washington DC and the Hampton Roads near North Carolina, and a significant rural region along the Appalachian Mountains.
JMIR Form Res 2023;7:e37550
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