{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T15:26:44Z","timestamp":1780414004556,"version":"3.54.1"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"8-9","license":[{"start":{"date-parts":[[2019,6,7]],"date-time":"2019-06-07T00:00:00Z","timestamp":1559865600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"name":"National Coordinator for Health Information Technology","award":["EP-HIT-10-002"],"award-info":[{"award-number":["EP-HIT-10-002"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,8,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>Researchers conduct studies with selection biases, which may limit generalizability and outcomes of intervention research. In this methodological reflection, we examined demographic and health characteristics of implantable cardioverter defibrillator patients who were excluded from an informatics intervention due to lack of access to a computer and\/or the internet.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Materials and Methods<\/jats:title>\n                  <jats:p>Using information gathered from surveys and electronic health records, we compared the intervention group to excluded patients on demographic factors, computer skills, patient activation, and medical history.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Excluded patients were older, less educated, less engaged and activated in their health, and had worse health (ie, more medical comorbidities) than nonexcluded patients.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>Although excluded from the intervention based solely on lack of access to a computer and\/or internet, excluded patients may have needed the intervention more because they were sicker with more comorbidities.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Researchers must be mindful of enrollment biases and demographic and health-related inequities that may exist during recruitment for technology-based interventions.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jamia\/ocz058","type":"journal-article","created":{"date-parts":[[2019,4,11]],"date-time":"2019-04-11T06:10:36Z","timestamp":1554963036000},"page":"835-839","source":"Crossref","is-referenced-by-count":29,"title":["Selection biases in technology-based intervention research: patients\u2019 technology use relates to both demographic and health-related inequities"],"prefix":"10.1093","volume":"26","author":[{"given":"Tammy","family":"Toscos","sequence":"first","affiliation":[{"name":"Parkview Mirro Center for Research and Innovation, Fort Wayne, Indiana, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0010-9260","authenticated-orcid":false,"given":"Michelle","family":"Drouin","sequence":"additional","affiliation":[{"name":"Purdue University Fort Wayne, Fort Wayne, Indiana, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"Pater","sequence":"additional","affiliation":[{"name":"Parkview Mirro Center for Research and Innovation, Fort Wayne, Indiana, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mindy","family":"Flanagan","sequence":"additional","affiliation":[{"name":"Parkview Mirro Center for Research and Innovation, Fort Wayne, Indiana, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel","family":"Pfafman","sequence":"additional","affiliation":[{"name":"Parkview Mirro Center for Research and Innovation, Fort Wayne, Indiana, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael J","family":"Mirro","sequence":"additional","affiliation":[{"name":"Parkview Mirro Center for Research and Innovation, Fort Wayne, Indiana, USA"},{"name":"Indiana University, Indianapolis, Indiana, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2019,6,7]]},"reference":[{"key":"2020110613085311700_ocz058-B1","author":"Banova","year":"2018"},{"key":"2020110613085311700_ocz058-B2","volume-title":"Digital Divide Persists Even as Lower-Income Americans Make Gains in Tech 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Work","author":"Jacobs","year":"2016"},{"key":"2020110613085311700_ocz058-B6","doi-asserted-by":"crossref","first-page":"5921","DOI":"10.1145\/2858036.2858051","volume-title":"Proceedings of the 2016 CHI Conference on Human Factors in Computing Systems","author":"Matthews","year":"2016"},{"issue":"1","key":"2020110613085311700_ocz058-B7","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1037\/pro0000176","article-title":"Technology as a means to address disparities in mental health research: a guide to \u201ctele-tailoring\u201d your research methods","volume":"49","author":"L\u00f3pez","year":"2018","journal-title":"Prof Psychol Res Pract"},{"issue":"11","key":"2020110613085311700_ocz058-B8","doi-asserted-by":"crossref","first-page":"1526","DOI":"10.1111\/pace.13505","article-title":"Delivering remote monitoring data to patients with implantable cardioverter-defibrillators: does medium matter?","volume":"41","author":"Mirro","year":"2018","journal-title":"Pacing Clin 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