JMIR Formative Research

Sustainment of evidence-based programs within dynamic health care environments requires ongoing adaptation to internal and external changes. Yet, strategies to support the sustainment of large-scale programs in heterogeneous settings are understudied. We developed and implemented a 3-phase participatory approach to support the sustainment of GRECC Connect, a 19-site Veterans Health Administration program that uses a hub-and-spoke model to expand rural access to geriatric specialty care.

Social media timelines contain rich signals of users’ mental states but are too voluminous for direct clinical review. Although large language models (LLMs) demonstrate robust linguistic and summarization capabilities in general‑purpose tasks, distilling clinically relevant insights demands deeper psychological analysis and sensitivity to each individual’s unique personality and context. Accurately capturing subtle, personalized affective and behavioral patterns remains a significant challenge for current models. A thorough, systematic evaluation of LLM‑generated clinical summaries is therefore essential to understand their readiness for real‑world mental health monitoring.

With the rapid adoption of large language models (LLMs) in clinical documentation, it is unclear whether LLMs can faithfully reproduce specialty-specific writing styles and clinically meaningful documentation patterns observed in expert notes, particularly in psychiatry.

Mobile food apps have the potential to promote healthier eating behaviors and more sustainable food practices. Graduate students often struggle to maintain healthy dietary habits due to lifestyle transitions, academic stress, limited time, and constrained budgets, which can lead to poor meal planning, irregular eating patterns, and increased food waste.

Up to 25% of pregnant couples in the Netherlands do not make an informed decision about prenatal screening: their decisions are value-inconsistent or based on insufficient knowledge and deliberation. More than one-third (36%) of the population in the Netherlands has limited health literacy skills, with the majority being individuals with lower levels of education or a migration background. They experience serious problems in understanding health information and taking an active role in decision-making. Therefore, the Dutch Health Council recommends improving decision support for pregnant couples.

The integration of traditional and complementary medicine (T&CM) into modern medical education remains a global challenge. Kampo medicine, a Japanese traditional pharmacotherapy, is recognized in the , and is widely used; however, no structured methodology exists for efficiently designing curricula within limited time and resources. To address this gap, this study proposes a methodological framework—illustrated through Kampo medicine but generalizable to other forms of T&CM—for organizing and visualizing curricular content to guide educational needs assessment and curriculum design.

The transition from hospital to primary care is a vulnerable period for patients. Telemedicine may enhance continuity of care; however, evidence on its role in supporting hospital-to-primary-care transitions remains limited.

Oxygen saturation is a crucial metric used for monitoring patients with lung disease or respiratory illness who are at risk of hypoxemia (low blood oxygen saturation). Early and accurate identification of abnormal oxygen saturation is important for these patients, who may develop significant desaturation and hypoxemia symptoms during their daily activities.

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Reddit users discussing diabetes report glycemic variability during menstruation and often turn to technology and health care for support; yet persistent gaps in provider guidance and awareness highlight the critical need for integrated care and future research at the intersection of menstrual health and diabetes management.

Internet use is rapidly increasing in Sri Lanka. Excessive use can lead to addiction with significant consequences, particularly among adolescents. While internet addiction has been documented worldwide, data from Sri Lanka remain limited. A validated local tool is required to assess the prevalence and associated factors in this population.

Family caregivers of children and youth with neurodevelopmental disabilities report higher levels of stress, anxiety, and depression than other caregivers, yet few evidence-based mental health services are available to support them. Our previous research demonstrated that caregivers benefitted from our in-person group-based acceptance and commitment training (ACT) workshop, which increased their psychological flexibility and improved their mental well-being. During the COVID-19 pandemic, we adapted this intervention to be delivered virtually.