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Chatbot for the Return of Positive Genetic Screening Results for Hereditary Cancer Syndromes: Prompt Engineering Project

Chatbot for the Return of Positive Genetic Screening Results for Hereditary Cancer Syndromes: Prompt Engineering Project

GPT4 was trained to respond about a variety of topics including providing examples of the impact of positive results, screening recommendations, and family history and cascade testing resources, and providing details regarding genetic counseling and specific PGS programs. Boundaries were also provided to ensure GPT4 responses remained within the intended scope of the chatbot. We used the RAG technique for prompt development.

Emma Coen, Guilherme Del Fiol, Kimberly A Kaphingst, Emerson Borsato, Jackilen Shannon, Hadley Smith, Aaron Masino, Caitlin G Allen

JMIR Cancer 2025;11:e65848

Proximal Effects of a Just-in-Time Adaptive Intervention for Smoking Cessation With Wearable Sensors: Microrandomized Trial

Proximal Effects of a Just-in-Time Adaptive Intervention for Smoking Cessation With Wearable Sensors: Microrandomized Trial

Individuals who smoked and were treatment-seeking received the JITAI and brief counseling, which were implemented in the first 2 weeks, along with 6 weeks of nicotine replacement therapy (NRT). Mindfulness-based content delivered via the JITAI was the primary treatment element. Data for the proximal effects of the MRT was acquired via ecological momentary assessment (EMA).

Christine Vinci, Steve K Sutton, Min-Jeong Yang, Sarah R Jones, Santosh Kumar, David W Wetter

JMIR Mhealth Uhealth 2025;13:e55379

Web-Based Parent Training With Telephone Coaching Aimed at Treating Child Disruptive Behaviors in a Clinical Setting During the COVID-19 Pandemic: Single-Group Study With 2-Year Follow-Up

Web-Based Parent Training With Telephone Coaching Aimed at Treating Child Disruptive Behaviors in a Clinical Setting During the COVID-19 Pandemic: Single-Group Study With 2-Year Follow-Up

The study included families with children between the ages of 3 and 8 years who exhibited elevated levels of disruptive behavior when screened by professionals from 8 different family counseling centers in Helsinki. Family counseling centers operate under social services and provide low-threshold services. The centers contribute to child development by reinforcing parenting skills and family relationships.

Saana Sourander, Minja Westerlund, Amit Baumel, Susanna Hinkka-Yli-Salomäki, Terja Ristkari, Marjo Kurki, Andre Sourander

JMIR Pediatr Parent 2024;7:e63416

Adapting and Evaluating a Brief Advice Tobacco Cessation Intervention in High-reach, Low-resource Settings in India: Protocol for a Cluster Randomized Controlled Trial

Adapting and Evaluating a Brief Advice Tobacco Cessation Intervention in High-reach, Low-resource Settings in India: Protocol for a Cluster Randomized Controlled Trial

Before this, most participants had not received training to screen clients for tobacco use (83% or 1660/2000) or to provide cessation counseling (86% or 1720/2000). After receiving the training, participants reported increased knowledge to support patients and improved self-efficacy for counseling. Additionally, the team recently delivered the Level 2 training to 600 diverse health care providers from private and public hospitals, private practices, public health departments, and NGOs in Mumbai.

Sitara L Mahtani, Kasisomayajula Viswanath, Himanshu A Gupte, Gauri Mandal, Dinesh Jagiasi, Ratandeep Chawla, Marina D'Costa, Ziming Xuan, Sara Minsky, Shoba Ramanadhan

JMIR Res Protoc 2024;13:e57236

Effectiveness and User Experience of a Smoking Cessation Chatbot: Mixed Methods Study Comparing Motivational Interviewing and Confrontational Counseling

Effectiveness and User Experience of a Smoking Cessation Chatbot: Mixed Methods Study Comparing Motivational Interviewing and Confrontational Counseling

As long-term support is essential for smoking cessation, which usually requires sustained effort, and in view of the one-to-one nature of chatbots that allows for individualized conversation, it is important to find the optimal counseling style to overcome potential resistance to effectively motivate smoking cessation. Within the field of individualized smoking cessation counseling, a chatbot can use various counseling styles, such as confrontational counseling (CC) and motivational interviewing (MI).

Linwei He, Erkan Basar, Emiel Krahmer, Reinout Wiers, Marjolijn Antheunis

J Med Internet Res 2024;26:e53134

Automated Behavioral Coding to Enhance the Effectiveness of Motivational Interviewing in a Chat-Based Suicide Prevention Helpline: Secondary Analysis of a Clinical Trial

Automated Behavioral Coding to Enhance the Effectiveness of Motivational Interviewing in a Chat-Based Suicide Prevention Helpline: Secondary Analysis of a Clinical Trial

Since behavioral coding is often time-consuming, several studies have explored the automated annotation of MI transcripts in counseling sessions using ML techniques. Hasan et al [12] conducted experiments on automating the annotation of weight loss counseling sessions using the MI Sequential Code for Observing Process Exchanges (MI-SCOPE) codebook.

Mathijs Pellemans, Salim Salmi, Saskia Mérelle, Wilco Janssen, Rob van der Mei

J Med Internet Res 2024;26:e53562

Clinicians’ Decision-Making Regarding Telehealth Services: Focus Group Study in Pediatric Allied Health

Clinicians’ Decision-Making Regarding Telehealth Services: Focus Group Study in Pediatric Allied Health

The CFAHS department of the local health district provides government-funded, community-based health care to children and their families across 3 disciplines: speech-language pathology (0-8 years), occupational therapy (0-8 years), and counseling services (0-18 years).

Donna Claire Thomas, Eva Frances Litherland, Sarah Masso, Gianina Raymundo, Melanie Keep

JMIR Form Res 2024;8:e46300

Rapport Building in Written Crisis Services: Qualitative Content Analysis

Rapport Building in Written Crisis Services: Qualitative Content Analysis

Much of the literature on telehealth counseling focuses on verbal communication via videoconferencing or phone [20]. Few studies examine written mental health counseling services, and there is reason to believe that spoken and written communication are substantially different.

Laura Schwab-Reese, Caitlyn Short, Larel Jacobs, Michelle Fingerman

J Med Internet Res 2024;26:e42049

The Urgent Need for an Evidence-Based Digital Mental Health Practice Model of Care for Youth

The Urgent Need for an Evidence-Based Digital Mental Health Practice Model of Care for Youth

“eheadspace,” the digital provision of mental health support, was established to provide online resources for young people to connect with mental health information and support through forums, digital tools, and one-to-one counseling via web chat and telephone.

Brad Ridout, Rowena Forsyth, Krestina L Amon, Pablo Navarro, Andrew J Campbell

JMIR Ment Health 2024;11:e48441