{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T12:56:51Z","timestamp":1773320211200,"version":"3.50.1"},"reference-count":30,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Minist\u00e8re de l\u2019\u00c9conomie et de l\u2019Innovation du Qu\u00e9bec"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Health Informatics J"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Influenza is often self-limiting but leads to avoidable emergency department visits. This study describes the development of inFLUence, an online self-administered tool for stratifying influenza-like illness risk.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The tool was developed using a user-centered design approach, informed by a systematic review of existing risk stratification tools. A prototype was iteratively refined across three rapid prototyping cycles with 18 participants and evaluated by seven clinical experts through an online survey.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Across three testing cycles, nearly all participants (5\u20136 out of 6 per round) found the tool easy to use, understandable, useful, and effective. Feedback informed consensus-based adjustments at each iteration. Clinical experts rated the relevance of the proposed questions on a 9-point scale, with median scores ranging from 5 to 9, where 9 indicated extreme relevance. The final product is a bilingual, self-administered web application for individuals aged \u22655 months, providing personalized recommendations for users presenting with influenza-like illness, regardless of the underlying viral pathogen.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>inFLUence is a promising digital tool that could enhance patient autonomy and support more efficient use of healthcare services.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/14604582261427240","type":"journal-article","created":{"date-parts":[[2026,3,2]],"date-time":"2026-03-02T03:57:58Z","timestamp":1772423878000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["inFLUence: Development of a self-administered risk stratification tool for patients with influenza-like illness using a user-centered approach"],"prefix":"10.1177","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-0852-2187","authenticated-orcid":false,"given":"Judicael","family":"Adadja","sequence":"first","affiliation":[{"name":"Centre de Recherche du CHU de Qu\u00e9bec-Universit\u00e9 Laval"},{"name":"Universit\u00e9 Laval"}]},{"given":"Myriam","family":"Mallet","sequence":"additional","affiliation":[{"name":"Centre de Valorisation et d\u2019Exploitation de la Donn\u00e9e du CHU de Qu\u00e9bec-Universit\u00e9 Laval"}]},{"given":"Sean","family":"Johnston","sequence":"additional","affiliation":[{"name":"\u00c9cole de Design \u2013 Universit\u00e9 Laval"}]},{"given":"Maude","family":"Ballou","sequence":"additional","affiliation":[{"name":"Centre de Recherche du CHU de Qu\u00e9bec-Universit\u00e9 Laval"}]},{"given":"\u00c9ric","family":"Kavanagh","sequence":"additional","affiliation":[{"name":"\u00c9cole de Design \u2013 Universit\u00e9 Laval"}]},{"given":"Maurice","family":"Boissinot","sequence":"additional","affiliation":[{"name":"Centre de Recherche du CHU de Qu\u00e9bec-Universit\u00e9 Laval"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0372-0586","authenticated-orcid":false,"given":"Simon","family":"Berthelot","sequence":"additional","affiliation":[{"name":"Centre de Recherche du CHU de Qu\u00e9bec-Universit\u00e9 Laval"},{"name":"Universit\u00e9 Laval"}]}],"member":"179","published-online":{"date-parts":[[2026,3,1]]},"reference":[{"key":"e_1_3_7_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40011-011-0009-6"},{"key":"e_1_3_7_3_2","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciy866"},{"key":"e_1_3_7_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijid.2012.05.1025"},{"key":"e_1_3_7_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.emc.2011.10.011"},{"key":"e_1_3_7_6_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.f5061"},{"key":"e_1_3_7_7_2","volume-title":"Influenza - \u201cThe Flu\u201d: Prevention and Treatment of Influenza Infection (2019\u20132020 Season Update)","author":"Sockrider M","year":"2019","unstructured":"Sockrider M, Reinke L, Lareau S. 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M\u00e9tadonn\u00e9es du Syst\u00e8me national d\u2019information sur les soins ambulatoires (SNISA). https:\/\/www.cihi.ca\/en\/national-ambulatory-care-reporting-system-nacrs-metadata (accessed 12 March 2025)."},{"key":"e_1_3_7_12_2","volume-title":"Influenza (Seasonal and Pandemic)","unstructured":"Influenza (Seasonal and Pandemic). IPAC-Canada. https:\/\/ipac-canada.org\/resource-centre\/infectious-disease-resources\/influenza-seasonal-and-pandemic\/ (accessed 20 September 2025)."},{"key":"e_1_3_7_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000002872"},{"key":"e_1_3_7_14_2","unstructured":"Government of Canada. 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