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Understanding Safety in Online Mental Health Forums: Realist Evaluation
JMIR Ment Health 2025;12:e75320
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Fourth, while fitbit is a cost-effective way to collect sleep and activity information, it may overestimate sleep time (particularly sleep staging estimates [73,74] and activity levels [75] compared with gold standard methods (eg, polysomnography for sleep). We did not find differences between cases and controls in terms of number of steps taken or in terms of sleep staging; these might be true findings, or the lack of difference might be clouded by the measurement error associated with Fitbit devices.
JMIR Form Res 2025;9:e66187
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By incorporating gold-standard references, such as histopathology results, ascertainment bias can be minimized, thereby enhancing the reliability of AI algorithms in detecting breast cancer [41]. As Thomassin-Naggara et al [33] noted, the integration of such standards strengthens training data and provides a solid foundation for the broader application of AI in clinical practice.
J Med Internet Res 2025;27:e62941
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