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Low Earth Orbit Communication Satellites: A Positively Disruptive Technology That Could Change the Delivery of Health Care in Rural and Northern Canada

Low Earth Orbit Communication Satellites: A Positively Disruptive Technology That Could Change the Delivery of Health Care in Rural and Northern Canada

Even with the allocation of large per capita expenditures, Canadian health care providers face the almost insuperable task of providing universal and comprehensive remote care. In many cases, the health care providers in remote communities are medical technicians or nurses treating various chronic diseases and acute injuries with little real-time support.

Douglas Hamilton, Sandeep (Sonny) S Kohli, Paul McBeth, Randy Moore, Keltie Hamilton, Andrew W Kirkpatrick

J Med Internet Res 2025;27:e46113

Digital, Personalized Clinical Trials Among Older Adults, Lessons Learned From the COVID-19 Pandemic, and Directions for the Future: Aggregated Feasibility Data From Three Trials Among Older Adults

Digital, Personalized Clinical Trials Among Older Adults, Lessons Learned From the COVID-19 Pandemic, and Directions for the Future: Aggregated Feasibility Data From Three Trials Among Older Adults

Fortunately, researchers have recently begun to explore the feasibility of personalized trials as a method for conducting remote research. During the pandemic, researchers at the Feinstein Institutes for Medical Research at Northwell Health conducted 3 remote, personalized trials with all processes from recruitment through outcome assessment occurring remotely, including intervention delivery (either via smartphone app or in the participant’s home without in-person contact with research study personnel).

Lindsay Arader, Danielle Miller, Alexandra Perrin, Frank Vicari, Ciaran P Friel, Elizabeth A Vrany, Ashley M Goodwin, Mark Butler

J Med Internet Res 2025;27:e54629

Effect of a Telemedicine Model on Patients With Heart Failure With Reduced Ejection Fraction in a Resource-Limited Setting in Vietnam: Cohort Study

Effect of a Telemedicine Model on Patients With Heart Failure With Reduced Ejection Fraction in a Resource-Limited Setting in Vietnam: Cohort Study

Over the past decade, remote monitoring and telemedicine solutions have emerged as promising strategies to enhance HF care and management by enabling closer patient monitoring and facilitating timely, personalized clinical decision-making by health care providers [7,9,10]. Numerous clinical trials have demonstrated the benefits of telemedicine for patients with HF, particularly for reducing the risk of HF-related hospitalizations [9-12].

Hoai Thi Thu Nguyen, Hieu Ba Tran, Phuong Minh Tran, Hung Manh Pham, Co Xuan Dao, Thanh Ngoc Le, Loi Doan Do, Ha Quoc Nguyen, Thom Thi Vu, James Kirkpatrick, Christopher Reid, Dung Viet Nguyen

J Med Internet Res 2025;27:e67228

Association of Subjective Cognitive Concerns With Performance on Mobile App–Based Cognitive Assessment in Cognitively Normal Older Adults: Observational Study

Association of Subjective Cognitive Concerns With Performance on Mobile App–Based Cognitive Assessment in Cognitively Normal Older Adults: Observational Study

These are especially important relationships to disentangle, given the ubiquity of SCC in aging populations [2], high rates of smartphone usage [29], and growing interest in remote assessment to enhance accessibility to cognitive screening.

Caroline O Nester, Alyssa N De Vito, Sarah Prieto, Zachary J Kunicki, Jennifer Strenger, Karra D Harrington, Nelson Roque, Martin J Sliwinski, Laura A Rabin, Louisa I Thompson

JMIR Aging 2025;8:e64033

Exploring the General Acceptability and User Experience of a Digital Therapeutic for Cognitive Training in a Singaporean Older Adult Population: Qualitative Study

Exploring the General Acceptability and User Experience of a Digital Therapeutic for Cognitive Training in a Singaporean Older Adult Population: Qualitative Study

Given that the effective deployment of a tablet-based DTx in a remote setting use case requires addressing additional factors such as ensuring household internet access, it is important to note that in Singapore, where 99% of resident households, including 93% of senior-only households, have internet access [49], this is less of a concern compared with the digital divide at the global level [50], with disparities in internet access often linked poverty and unemployment [51].

Siong Peng Kwek, Qiao Ying Leong, V Vien Lee, Ni Yin Lau, Smrithi Vijayakumar, Wei Ying Ng, Bina Rai, Marlena Natalia Raczkowska, Christopher L Asplund, Alexandria Remus, Dean Ho

JMIR Form Res 2025;9:e63568

Investigation of Study Procedures to Estimate Sensitivity and Reliability of a Virtual Physical Assessment Developed for Workplace Concussions: Method-Comparison Feasibility Study

Investigation of Study Procedures to Estimate Sensitivity and Reliability of a Virtual Physical Assessment Developed for Workplace Concussions: Method-Comparison Feasibility Study

The lack of documented reliability and sensitivity properties associated with measures administered in remote assessments of people with concussions poses a barrier to the ongoing use and availability of these remote assessments in practice. Further barriers to completing remote assessments include concerns regarding safety, environmental setup, and the need for support at home [14-17].

Keely Barnes, Heidi Sveistrup, Mark Bayley, Mary Egan, Martin Bilodeau, Michel Rathbone, Monica Taljaard, Motahareh Karimijashni, Shawn Marshall

JMIR Neurotech 2024;3:e57661

Human Factors, Human-Centered Design, and Usability of Sensor-Based Digital Health Technologies: Scoping Review

Human Factors, Human-Centered Design, and Usability of Sensor-Based Digital Health Technologies: Scoping Review

We completed our literature search in Pub Med using search terms designed in 6 layers as follows (terms within each layer were separated by the Boolean operator “OR”, while the layers themselves were separated using “AND” or “NOT”): (1) Medical Subject Heading (Me SH; [26]) term for human participants; (2) Me SH terms related to s DHTs, such as wearable electronic devices and digital technology; (3) keywords related to s DHTs such as wear* (asterisk indicates truncation), remote, and connected; (4) keywords related

Animesh Tandon, Bryan Cobb, Jacob Centra, Elena Izmailova, Nikolay V Manyakov, Samantha McClenahan, Smit Patel, Emre Sezgin, Srinivasan Vairavan, Bernard Vrijens, Jessie P Bakker, Digital Health Measurement Collaborative Community (DATAcc) hosted by DiMe

J Med Internet Res 2024;26:e57628

Exploring the Qualitative Experiences of Administering and Participating in Remote Research via Telephone Using the Montreal Cognitive Assessment-Blind: Cross-Sectional Study of Older Adults

Exploring the Qualitative Experiences of Administering and Participating in Remote Research via Telephone Using the Montreal Cognitive Assessment-Blind: Cross-Sectional Study of Older Adults

Research into remote cognitive assessment research has roots in the 1990s [1,7], and studies continue to examine the utility of this model [8-10]. Benefits of remote methods have been noted to include increased convenience and access [11], improved safety (eg, limited COVID-19 exposure), and management of costs [12]. Remote methods have been deemed feasible and acceptable by both providers and patients [12-14]. However, concerns about remote methods have been described.

Shirley Dumassais, Karl Singh Grewal, Gabrielle Aubin, Megan O'Connell, Natalie A Phillips, Walter Wittich

JMIR Form Res 2024;8:e58537