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Longitudinal Digital Phenotyping of Multiple Sclerosis Severity Using Passively Sensed Behaviors and Ecological Momentary Assessments: Real-World Evaluation

Longitudinal Digital Phenotyping of Multiple Sclerosis Severity Using Passively Sensed Behaviors and Ecological Momentary Assessments: Real-World Evaluation

To measure the severity of fatigue, participants completed the Modified Fatigue Impact Scale-5 (MFIS-5) once every 4 weeks [30]. MFIS-5 assessed the impact of fatigue on cognitive, physical, and psychosocial function. Each item in MFIS-5 could score from 0 (never) to 4 (almost always) on a 5-point Likert scale, with higher scores indicating more severe fatigue. To measure the severity of sleep disturbances, participants completed the Pittsburgh Sleep Quality Index (PSQI) once every 4 weeks [31].

Zongqi Xia, Prerna Chikersal, Shruthi Venkatesh, Elizabeth Walker, Anind K Dey, Mayank Goel

J Med Internet Res 2025;27:e70871

Nursing and Continuing Care Management Work Plan for People Living With COVID-19: Case Study of the Nakhon Pathom Province

Nursing and Continuing Care Management Work Plan for People Living With COVID-19: Case Study of the Nakhon Pathom Province

It is crucial to advise individuals to maintain their health and provide education on self-care, particularly regarding monitoring symptoms such as fatigue and shortness of breath post-COVID. Vaccination guidance: Guidance should be provided regarding vaccination. It’s important to emphasize that vaccination against COVID-19 and influenza can strengthen immunity and prevent re-infection with COVID-19. This also reduces the risk of transmitting the virus again in the community.

Hathaichanok Buajaroen, Darin Photangtham, Wariya Chankham, Paisan Simalaotao, Ubonrat Sirisukpoca, Monchai Kongkamsook, Pantip Timtab, Tapanee Suasangei

JMIR Nursing 2025;8:e65310

Characterizing Patient-Reported Fatigue Using Electronic Diaries in Neurodegenerative and Immune-Mediated Inflammatory Diseases: Observational Study

Characterizing Patient-Reported Fatigue Using Electronic Diaries in Neurodegenerative and Immune-Mediated Inflammatory Diseases: Observational Study

These digital measures hold the potential to provide objective assessments of fatigue that may complement self-reported fatigue to provide a more holistic view of fatigue. However, the identification and evaluation of objective digital measures of fatigue necessitates comparisons with perceived fatigue at relatively frequent intervals, preferably multiple times a day [10,11]. As such, this study focuses on evaluating the properties of a 4-times-a-day digital questionnaire.

Adrien Bennetot, Rana Zia Ur Rehman, Robbin Romijnders, Zhi Li, Victoria Macrae, Kristen Davies, Wan-Fai Ng, Walter Maetzler, Jennifer Kudelka, Hanna Hildesheim, Kirsten Emmert, Emma Paulides, C Janneke van der Woude, Ralf Reilmann, Svenja Aufenberg, Meenakshi Chatterjee, Nikolay V Manyakov, Clémence Pinaud, Stefan Avey

JMIR Form Res 2025;9:e65879

Impact of Tai Chi Therapy on Fatigue and Cognitive Function in Individuals With Chronic Fatigue Syndrome: Protocol for a Pilot Randomized Controlled Trial

Impact of Tai Chi Therapy on Fatigue and Cognitive Function in Individuals With Chronic Fatigue Syndrome: Protocol for a Pilot Randomized Controlled Trial

Chronic fatigue syndrome (CFS), also known as myalgic encephalomyelitis, is a complex chronic disease characterized by pathological fatigue, generalized weakness, immune dysfunction, poor sleep, pain, and cognitive impairments [1]. Its defining feature is persistent or recurrent debilitating fatigue that is not alleviated by rest and occurs despite the absence of significant abnormalities on physical examination or laboratory tests.

Bin Wang, Xiaodong Zhang, Ping Lu, Pingping Sun, Tianxiang He

JMIR Res Protoc 2025;14:e65958

Association of Virtual Nurses’ Workflow and Cognitive Fatigue During Inpatient Encounters: Cross-Sectional Study

Association of Virtual Nurses’ Workflow and Cognitive Fatigue During Inpatient Encounters: Cross-Sectional Study

Extended screen time and the use of electronic health records (EHRs) were associated with an increase in burnout and fatigue in bedside nurses [16]; however, the association between continuous screen time and virtual nurses’ fatigue levels, a key factor to the sustainability of this model, is unknown. Pupillometry data, which measures the change in pupil size, measures cognitive fatigue [17].

Saif Khairat, Jennifer Morelli, Wan-Ting Liao, Julia Aucoin, Barbara S Edson, Cheryl B Jones

JMIR Hum Factors 2025;12:e67111

The Lived Experience of Participating in Online Peer-To-Peer Groups After Acquired Brain Injury: Phenomenological Study

The Lived Experience of Participating in Online Peer-To-Peer Groups After Acquired Brain Injury: Phenomenological Study

ABI can impact body functions and lead to impairments that are either visible (eg, reduced motor control) or invisible (eg, impaired memory, fatigue [1], ie, a profound sense of tiredness and a lack of mental and physical energy). Fatigue has been reported as one of the most common and challenging invisible consequences to manage [2].

Malin Tistad, Lill Hultman, Annica Wohlin Wottrich, Lena von Koch

J Med Internet Res 2025;27:e67658

Efficacy of a Supervised Exercise Program on Pain, Physical Function, and Quality of Life in Patients With Breast Cancer: Protocol for a Randomized Clinical Trial

Efficacy of a Supervised Exercise Program on Pain, Physical Function, and Quality of Life in Patients With Breast Cancer: Protocol for a Randomized Clinical Trial

Anthracyclines, substances that play a leading role in chemotherapy against breast cancer, have an affinity for the inner membrane of the mitochondria, the place where the body’s energy is produced; therefore, this mechanism explains fatigue, atrophy, and muscle pain [21,22]. Various treatments are currently being studied to alleviate these side effects, including therapeutic exercise. Exercise provides short- and long-term benefits to reduce the symptoms that may appear during treatment in each patient.

Jennifer García-Molina, Olalla Saiz-Vázquez, Montserrat Santamaría-Vázquez, Juan Hilario Ortiz-Huerta

JMIR Res Protoc 2025;14:e63891

Exploring the Impact of the Multimodal CAPABLE eHealth Intervention on Health-Related Quality of Life in Patients With Melanoma Undergoing Immune-Checkpoint Inhibition: Prospective Pilot Study

Exploring the Impact of the Multimodal CAPABLE eHealth Intervention on Health-Related Quality of Life in Patients With Melanoma Undergoing Immune-Checkpoint Inhibition: Prospective Pilot Study

Most prevalent in patients with melanoma undergoing immunotherapy with ICIs are cancer-related fatigue (CRF) and emotional distress, affecting both health-related quality of life (HRQo L) and clinical outcome to immunotherapy [8,14-16]. Efforts to address CRF include exercise recommendation, psychosocial support, mindfulness-based interventions, and yoga, showing positive effects on fatigue, emotional distress, and HRQo L [14,15,17-23].

Itske Fraterman, Lucia Sacchi, Henk Mallo, Valentina Tibollo, Savannah Lucia Catherina Glaser, Stephanie Medlock, Ronald Cornet, Matteo Gabetta, Vitali Hisko, Vadzim Khadakou, Ella Barkan, Laura Del Campo, David Glasspool, Alexandra Kogan, Giordano Lanzola, Roy Leizer, Manuel Ottaviano, Mor Peleg, Konrad Śniatała, Aneta Lisowska, Szymon Wilk, Enea Parimbelli, Silvana Quaglini, Mimma Rizzo, Laura Deborah Locati, Annelies Boekhout, Lonneke V van de Poll-Franse, Sofie Wilgenhof

JMIR Cancer 2025;11:e58938

Automated Speech Analysis for Risk Detection of Depression, Anxiety, Insomnia, and Fatigue: Algorithm Development and Validation Study

Automated Speech Analysis for Risk Detection of Depression, Anxiety, Insomnia, and Fatigue: Algorithm Development and Validation Study

We used the Multidimensional Fatigue Inventory (MFI) to assess the different dimensions of fatigue [41-43]. It is a short self-report questionnaire (5-10 minutes) based on 20 questions to determine 5 dimensions of fatigue: general fatigue, physical fatigue, reduced motivation, reduced activity, and mental fatigue. We also reported the total fatigue score as the sum of all subcomponents. We used the normative data from Schwarz et al [42] and Hinz et al [44] to choose thresholds for each subcomponent.

Rachid Riad, Martin Denais, Marc de Gennes, Adrien Lesage, Vincent Oustric, Xuan Nga Cao, Stéphane Mouchabac, Alexis Bourla

J Med Internet Res 2024;26:e58572