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Reach-Accept testing in the Chatbot arm was lower than in SMS text messaging (174/1051, 16.6% vs 555/1066, 52.1%; a RR 0.317, 98.33% CI 0.27‐0.38; P
Reach-Accept testing was higher among participants messaged every 10 days vs every 30 days (860/15,717, 5.5% vs 752/15,722, 4.8%; a RR 1.144, 97.5% CI 1.03‐1.28; P=.01; Table 2), and lower if the participants were offered access to PN compared with those in the no PN condition (680/15,718, 4.3% vs 932/15,721, 5.9%; a RR 0.729, 97.5% CI 0.65‐0.81; P
Out of 2117 participants
J Med Internet Res 2025;27:e74145
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The Fisher exact test yielded P=.01, indicating a statistically significant difference.
As shown in Table 2, the average word count of the original notes was 320 words, and the average length reduction of the H-summaries and U-summaries was 22% (SD 15%) and 23% (SD 15%) words, respectively. A negative number for length reduction in Table 2 indicates that the summary generated had more words than the original text.
In our analysis, we identified 3 instances of false information in U-summaries.
JMIR Med Inform 2025;13:e66476
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Mean EMAs completed in the incentivized arm was 13.3 (SD 11.2, range 0‐40, average completion rate of 31.7% out of 42 total EMA prompts) and 4.7 (SD 5.8, range 0‐28, average completion rate of 11.2% out of 42 total EMA prompts) in the nonincentivized arm (P
Smoking cessation outcomes overall and by group.
a EMA: ecological momentary assessment.
J Med Internet Res 2025;27:e67630
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A Bonferroni correction was applied to all P values by multiplying each P value by 4, the number of tests conducted, to correct for multiple comparisons; a P value less than .05 was considered statistically significant after correction.
Timelines of OARS use were also described for MOUD providers and case managers. All analyses were conducted in R (version 4.2.1; R Foundation for Statistical Computing). All qualitative data were analyzed using a coding reliability thematic analysis approach [16].
J Med Internet Res 2025;27:e69953
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All P values for Pearson correlation coefficients
b PSS-4: Perceived Stress Scale-4.
c ACC: adversity coping capability.
d PHQ-4: Patient Health Questionnaire-4.
e Not applicable.
Figure 1 shows the distribution of perceived xingfu and happiness scores. As both perceived xingfu and happiness peaked at scores of 7 (22%) and 8 (23%); therefore, perceived xingfu ≥7 was classified as high perceived xingfu in the logistic regression model.
JMIR Form Res 2025;9:e73350
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