{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T19:01:44Z","timestamp":1782846104440,"version":"3.54.5"},"reference-count":61,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMIR Form Res"],"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n Although rates of tobacco use in California have declined overall, adults in the San Joaquin Valley (SJV), particularly Hispanic or Latinos (\u201cLatinos\u201d), have disproportionately high rates of tobacco use, tobacco-related illness, and mortality. Residents of the SJV also have limited access to cessation support services and need accessible, nonclinical alternatives. Given high smartphone use rates among Latinos and residents of rural communities, digital health tools may present an accessible approach to expand cessation support.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n This study explored tobacco use behaviors, cessation experiences, and views about digital cessation tools for tobacco cessation among SJV residents. The secondary objective was to assess the appeal, usability, and necessary adaptations of 2 existing digital smoking cessation tools\u2014a smoking cessation app and a social media\u2013based cessation intervention.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Through an SJV-based academic-community partnership, we recruited 29 predominantly Latino adults who reported current smoking. We conducted 4 focus group discussions to explore tobacco use and cessation experiences and preferences for smoking cessation tools: 1 in-person in English, 1 online in English, and 2 online in Spanish. Subsequently, 9 participants from the focus group discussions completed individual, in-depth interviews where they viewed videos describing 2 digital smoking cessation tools\u2014a cessation app and a social media cessation intervention\u2014to assess their appeal and usability. Focus groups and interviews were recorded, transcribed, and analyzed to identify themes.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Overall, 82.1% (23\/28) had made a quit attempt in the past year, and most intended to quit smoking in the next 6 months, with 11.1% (3\/27) never expecting to quit. Most participants were motivated to quit despite experiencing barriers, and they emphasized the need for culturally tailored digital cessation tools to help overcome the barriers to quitting smoking. They preferred interventions that integrated culturally relevant content reflecting lived experiences, featured language-concordant communications, and provided social supports, such as chat rooms for peer connection. Participants reported polyuse of tobacco with other substances, including cannabis, which may need to be addressed when delivering smoking cessation interventions. While participants appreciated the app\u2019s private interface and comprehensive curriculum, they preferred the social media\u2013based program for its engaging design, despite privacy concerns. Preferences for specific interventions varied by age and digital literacy. Participants also expressed preference for material rewards to incentivize the use of digital health tools to quit smoking.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n This sample of predominantly Latino adults from the SJV expressed favorable interest in digital cessation support, yet existing tools require adaptation to improve cultural relevance, accessibility, usability, and privacy concerns. Participants emphasized language-concordant services, representation from people with lived experience, and community-building features. While digital interventions were well received, privacy concerns and digital literacy barriers must be addressed to enhance engagement.<\/jats:p>\n <\/jats:sec>","DOI":"10.2196\/74105","type":"journal-article","created":{"date-parts":[[2025,9,26]],"date-time":"2025-09-26T08:55:07Z","timestamp":1758876907000},"page":"e74105-e74105","source":"Crossref","is-referenced-by-count":1,"title":["Digital Smoking Cessation Preferences of Predominately Low-Income and Latino Residents of the San Joaquin Valley in California: Qualitative Study"],"prefix":"10.2196","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0005-7299","authenticated-orcid":false,"given":"Karla D","family":"Llanes","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3747-984X","authenticated-orcid":false,"given":"Maya","family":"Vijayaraghavan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7168-8349","authenticated-orcid":false,"given":"Sara","family":"Schneider","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6166-9347","authenticated-orcid":false,"given":"Pamela M","family":"Ling","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-8139-7258","authenticated-orcid":false,"given":"Evi","family":"Hernandez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-8785-7343","authenticated-orcid":false,"given":"Paul","family":"Brunetta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1874-3326","authenticated-orcid":false,"given":"Anna V","family":"Song","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1373-1446","authenticated-orcid":false,"given":"Arturo","family":"Durazo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2025,11,10]]},"reference":[{"key":"R1","unstructured":"Eliminating tobacco-related disease and death: addressing disparities: a report of the surgeon general. Atlanta, GA: US Department of Health and Human Services; 2024. URL: https:\/\/www.hhs.gov\/sites\/default\/files\/2024-sgr-tobacco-related-health-disparities-consumer-guide.pdf [Accessed 11-10-2025]"},{"key":"R2","unstructured":"Current cigarette smoking among adults in the United States. Centers for Disease Control and Prevention; 2023. URL: https:\/\/www.cdc.gov\/tobacco\/media\/pdfs\/2024\/09\/cdc-osh-ncis-data-report-508.pdf [Accessed 11-10-2025]"},{"issue":"5","key":"R3","doi-asserted-by":"publisher","first-page":"496","DOI":"10.1016\/j.amepre.2014.01.014","article-title":"Smoking among U.S. Hispanic\/Latino adults: the Hispanic community health study\/study of Latinos","volume":"46","author":"Kaplan","journal-title":"Am J Prev Med"},{"issue":"1","key":"R4","doi-asserted-by":"publisher","first-page":"S55","DOI":"10.1080\/14622200310001649478","article-title":"The African Americanization of menthol cigarette use in the United States","volume":"6 Suppl 1","author":"Gardiner","journal-title":"Nicotine Tob Res"},{"issue":"3","key":"R5","doi-asserted-by":"publisher","first-page":"350","DOI":"10.1136\/tc-2024-058718","article-title":"Neighbourhood inequities in the availability of retailers selling tobacco products: a systematic review","volume":"34","author":"Kong","journal-title":"Tob Control"},{"key":"R6","doi-asserted-by":"publisher","DOI":"10.1016\/j.healthplace.2018.06.011","article-title":"Disparities in retail marketing for menthol cigarettes in the United States, 2015","volume":"53","author":"Mills","journal-title":"Health Place"},{"issue":"11","key":"R7","doi-asserted-by":"publisher","first-page":"1519","DOI":"10.1007\/s10964-011-9633-y","article-title":"Acculturation, gender, depression, and cigarette smoking among U.S. Hispanic youth: the mediating role of perceived discrimination","volume":"40","author":"Lorenzo-Blanco","journal-title":"J Youth Adolesc"},{"issue":"4","key":"R8","doi-asserted-by":"publisher","first-page":"1047","DOI":"10.1007\/s40615-020-00861-0","article-title":"The influence of racial\/ethnic discrimination experiences on cigarette craving for African American and Hispanic smokers","volume":"8","author":"Dawson","journal-title":"J Racial Ethn Health Disparities"},{"issue":"10","key":"R9","doi-asserted-by":"publisher","first-page":"1984","DOI":"10.1007\/s10964-015-0339-4","article-title":"Ethnic discrimination, acculturative stress, and family conflict as predictors of depressive symptoms and cigarette smoking among Latina\/o Youth: the mediating role of perceived stress","volume":"44","author":"Lorenzo-Blanco","journal-title":"J Youth Adolesc"},{"key":"R10","unstructured":"California Tobacco facts and figures 2024. California Department of Public Health; 2024. URL: https:\/\/www.cdph.ca.gov\/Programs\/CCDPHP\/DCDIC\/CTCB\/CDPH%20Document%20Library\/ResearchandEvaluation\/FactsandFigures\/CaliforniaTobaccoFactsAndFigures2024.pdf [Accessed 11-10-2025]"},{"key":"R11","unstructured":"California Tobacco facts and figures 2021. California Department of Public Health; 2022. URL: https:\/\/www.cdph.ca.gov\/Programs\/CCDPHP\/DCDIC\/CTCB\/CDPH%20Document%20Library\/ResearchandEvaluation\/FactsandFigures\/CaliforniaTobaccoFactsAndFigures2021-V3A.pdf [Accessed 11-10-2025]"},{"key":"R12","unstructured":"QuickFacts san joaquin county. United States Census Bureau. 2021. URL: https:\/\/data.census.gov\/all?q=San+Joaquin+County,+California+Income+and+Poverty [Accessed 17-10-2023]"},{"key":"R13","unstructured":"Kissam E Mines R Quezada C Intili JA Wadsworth G . San Joaquin Valley Latino immigrants: implications of survey findings for Census 2020. San Joaquin Valley Health Fund; 2019. URL: https:\/\/cviic.org\/san-joaquin-valley-latino-immigrants-and-the-2020-census\/ [Accessed 14-10-2025]"},{"issue":"52","key":"R14","doi-asserted-by":"publisher","first-page":"1457","DOI":"10.15585\/mmwr.mm6552a1","article-title":"Quitting smoking among adults - United States, 2000-2015","volume":"65","author":"Babb","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"R15","doi-asserted-by":"publisher","DOI":"10.2196\/69311","article-title":"Evaluating the impact of pharmacotherapy in augmenting quit rates among Hispanic adults in an app-delivered smoking cessation intervention: secondary analysis of a randomized controlled trial","volume":"9","author":"Santiago-Torres","journal-title":"JMIR Form Res"},{"issue":"9-10","key":"R16","doi-asserted-by":"publisher","first-page":"885","DOI":"10.1016\/s0027-9684(15)30444-2","article-title":"Misperceptions of nicotine replacement therapy within racially and ethnically diverse smokers","volume":"103","author":"Carpenter","journal-title":"J Natl Med Assoc"},{"issue":"10","key":"R17","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2020.20694","article-title":"Demographic characteristics, cigarette smoking, and e-cigarette use among US adults","volume":"3","author":"Mayer","journal-title":"JAMA Netw Open"},{"issue":"April","key":"R18","doi-asserted-by":"publisher","first-page":"1","DOI":"10.18332\/tpc\/132964","article-title":"Risk of smoking relapse with the use of electronic cigarettes: a systematic review with meta-analysis of longitudinal studies","volume":"7","author":"Barufaldi","journal-title":"Tob Prev Cessation"},{"issue":"23","key":"R19","doi-asserted-by":"publisher","first-page":"1","DOI":"10.15585\/mmwr.ss6623a1","article-title":"Racial\/ethnic health disparities among rural adults \u2014 United States, 2012\u20132015","volume":"66","author":"James","journal-title":"MMWR Surveill Summ"},{"key":"R20","unstructured":"Mobile fact sheet. Pew Research Center. 2024. URL: https:\/\/www.pewresearch.org\/internet\/fact-sheet\/mobile [Accessed 11-10-2025]"},{"key":"R21","unstructured":"Americans\u2019 use of mobile technology and home broadband. Pew Research Center. 2024. URL: https:\/\/www.pewresearch.org\/internet\/2024\/01\/31\/americans-use-of-mobile-technology-and-home-broadband [Accessed 11-10-2025]"},{"key":"R22","unstructured":"Social media use in 2021: a majority of Americans say they use Youtube and Facebook, while use of Instagram, Snapchat and TikTok is especially common among adults under 30. Pew Research Center. 2021. URL: https:\/\/www.pewresearch.org\/internet\/2021\/04\/07\/social-media-use-in-2021 [Accessed 11-10-2025]"},{"key":"R23","doi-asserted-by":"publisher","DOI":"10.2196\/59085","article-title":"Impact of computer-mediated versus face-to-face motivational-type interviews on participants\u2019 language and subsequent cannabis use: randomized controlled trial","volume":"27","author":"Llanes","journal-title":"J Med Internet Res"},{"key":"R24","doi-asserted-by":"crossref","unstructured":"Zhou S Brunetta P Silvasstar J Feldman G Oromi N Bull S . A smartphone app (MO) to provide tailored and comprehensive support for smoking cessation: a pilot multi-cohort study to evaluate acceptability, usability, and effectiveness. J Med Internet Res. Preprint posted online on Aug 26, 2024. [doi: 10.2196\/55239] [Medline: 39471372]","DOI":"10.2196\/55239"},{"issue":"1","key":"R25","doi-asserted-by":"publisher","first-page":"2311","DOI":"10.1186\/s12889-022-14606-7","article-title":"Delivering vaping cessation interventions to adolescents and young adults on Instagram: protocol for a randomized controlled trial","volume":"22","author":"Lyu","journal-title":"BMC Public Health"},{"issue":"38","key":"R26","doi-asserted-by":"publisher","first-page":"1","DOI":"10.3310\/hta16380","article-title":"Effectiveness and cost-effectiveness of computer and other electronic aids for smoking cessation: a systematic review and network meta-analysis","volume":"16","author":"Chen","journal-title":"Health Technol Assess"},{"issue":"12","key":"R27","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.5209","article-title":"Feasibility and quit rates of the tobacco status project: a Facebook smoking cessation intervention for young adults","volume":"17","author":"Ramo","journal-title":"J Med Internet Res"},{"issue":"2","key":"R28","doi-asserted-by":"crossref","first-page":"126","DOI":"10.1007\/s40429-019-00246-2","volume":"6","author":"Thrul","journal-title":"Curr Addict Rep"},{"issue":"9","key":"R29","doi-asserted-by":"publisher","first-page":"1683","DOI":"10.1111\/add.14245","article-title":"A randomized controlled evaluation of the tobacco status project, a Facebook intervention for young adults","volume":"113","author":"Ramo","journal-title":"Addiction"},{"key":"R30","doi-asserted-by":"publisher","DOI":"10.2196\/46153","article-title":"Young adults\u2019 perceptions of and intentions to use nicotine and cannabis vaporizers in response to e-cigarette or vaping-associated lung injury Instagram posts: experimental study","volume":"25","author":"Llanes","journal-title":"J Med Internet Res"},{"issue":"1","key":"R31","doi-asserted-by":"publisher","first-page":"50","DOI":"10.1177\/1757913920906845","article-title":"Using social media for smoking cessation interventions: a systematic review","volume":"141","author":"Luo","journal-title":"Perspect Public Health"},{"key":"R32","doi-asserted-by":"publisher","DOI":"10.2196\/43242","article-title":"The effectiveness of smartphone app-based interventions for assisting smoking cessation: systematic review and meta-analysis","volume":"25","author":"Guo","journal-title":"J Med Internet Res"},{"issue":"1","key":"R33","doi-asserted-by":"publisher","DOI":"10.2196\/48253","article-title":"Mobile phone-based interventions for smoking cessation among young people: systematic review and meta-analysis","volume":"11","author":"Zhou","journal-title":"JMIR Mhealth Uhealth"},{"key":"R34","doi-asserted-by":"publisher","DOI":"10.2196\/45183","article-title":"Smartphone apps for smoking cessation: systematic framework for app review and analysis","volume":"25","author":"Bold","journal-title":"J Med Internet Res"},{"issue":"4","key":"R35","doi-asserted-by":"publisher","first-page":"649","DOI":"10.1007\/s40429-023-00524-0","article-title":"Smartphone apps targeting youth tobacco use prevention and cessation: an assessment of credibility and quality","volume":"10","author":"Micalizzi","journal-title":"Curr Addict Rep"},{"key":"R36","unstructured":"Hispanic and Latino people experience a health burden from commercial tobacco. Centers for Disease Control and Prevention. 2024. URL: https:\/\/www.cdc.gov\/tobacco-health-equity\/collection\/hispanic-latino-health-burden.html [Accessed 11-10-2024]"},{"issue":"1","key":"R37","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-021-11019-w","article-title":"Capability, opportunity, and motivation: an across contexts empirical examination of the COM-B model","volume":"21","author":"Willmott","journal-title":"BMC Public Health"},{"issue":"3","key":"R38","doi-asserted-by":"publisher","DOI":"10.5210\/ojphi.v4i3.4321","article-title":"Towards an effective health interventions design: an extension of the health belief model","volume":"4","author":"Orji","journal-title":"Online J Public Health Inform"},{"key":"R39","doi-asserted-by":"publisher","DOI":"10.1016\/j.cedpsych.2019.101832","article-title":"Motivation and social cognitive theory","volume":"60","author":"Schunk","journal-title":"Contemp Educ Psychol"},{"issue":"1","key":"R40","first-page":"91","volume":"59","author":"Fagerstr\u00f6m","journal-title":"Monaldi Arch Chest Dis"},{"key":"R41","doi-asserted-by":"publisher","DOI":"10.2196\/55239","article-title":"Initial evaluation of acceptability, engagement, and effectiveness of the MO app to provide tailored and comprehensive support for smoking cessation: development and usability study","volume":"12","author":"Zhou","journal-title":"JMIR Mhealth Uhealth"},{"issue":"Supplement_1","key":"R42","doi-asserted-by":"publisher","first-page":"S27","DOI":"10.1093\/ntr\/ntad170","article-title":"Factors associated with abstinence among young adult smokers enrolled in a real-world social media smoking cessation program","volume":"26","author":"Lyu","journal-title":"Nicotine Tob Res"},{"issue":"2","key":"R43","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1191\/1478088706qp063oa","article-title":"Using thematic analysis in psychology","volume":"3","author":"Braun","journal-title":"Qual Res Psychol"},{"issue":"4","key":"R44","doi-asserted-by":"publisher","first-page":"589","DOI":"10.1080\/2159676X.2019.1628806","article-title":"Reflecting on reflexive thematic analysis","volume":"11","author":"Braun","journal-title":"Qualitative Research in Sport, Exercise and Health"},{"issue":"2","key":"R45","doi-asserted-by":"publisher","first-page":"105","DOI":"10.1016\/j.amepre.2003.10.012","article-title":"Latinos report less use of pharmaceutical aids when trying to quit smoking","volume":"26","author":"Levinson","journal-title":"Am J Prev Med"},{"key":"R46","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2024.107971","article-title":"Classification of patterns of tobacco and cannabis co-use based on temporal proximity: a qualitative study among young adults","volume":"152","author":"Nguyen","journal-title":"Addict Behav"},{"issue":"3","key":"R47","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD008286.pub3","article-title":"Combined pharmacotherapy and behavioural interventions for smoking cessation","volume":"3","author":"Stead","journal-title":"Cochrane Database Syst Rev"},{"issue":"1","key":"R48","doi-asserted-by":"publisher","DOI":"10.1136\/bmjph-2023-000222","article-title":"Intervention targeting and retention, engagement and abstinence outcomes among Latino and White users of Smokefree.gov text messaging programmes: a cross-sectional study","volume":"1","author":"El-Toukhy","journal-title":"BMJ Public Health"},{"issue":"2","key":"R49","doi-asserted-by":"publisher","first-page":"124","DOI":"10.1007\/s10900-009-9207-z","article-title":"Recruitment, training outcomes, retention, and performance of community health advisors in two tobacco control interventions for Latinos","volume":"35","author":"Woodruff","journal-title":"J Community Health"},{"issue":"4","key":"R50","doi-asserted-by":"publisher","first-page":"361","DOI":"10.1136\/tc.11.4.361","article-title":"Evaluation of a culturally appropriate smoking cessation intervention for Latinos","volume":"11","author":"Woodruff","journal-title":"Tob Control"},{"issue":"5","key":"R51","doi-asserted-by":"publisher","first-page":"984","DOI":"10.1002\/cncr.33986","article-title":"Self-help smoking cessation intervention for Spanish-speaking Hispanics\/Latinxs in the United States: a randomized controlled trial","volume":"128","author":"Simmons","journal-title":"Cancer"},{"key":"R52","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2020.00269","article-title":"Feasibility and acceptability of a culturally- and linguistically-adapted smoking cessation text messaging intervention for Latino smokers","volume":"8","author":"Cartujano-Barrera","journal-title":"Front Public Health"},{"issue":"9","key":"R53","doi-asserted-by":"publisher","first-page":"1515","DOI":"10.1093\/ntr\/ntad059","article-title":"Effectiveness of peer-support interventions for smoking cessation: a systematic review and meta-analysis","volume":"25","author":"Yuan","journal-title":"Nicotine Tob Res"},{"key":"R54","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2017.00039","article-title":"Factors influencing usability of a smartphone app to reduce excessive alcohol consumption: think aloud and interview studies","volume":"5","author":"Crane","journal-title":"Front Public Health"},{"issue":"5","key":"R55","doi-asserted-by":"publisher","first-page":"588","DOI":"10.1080\/10510974.2016.1239645","article-title":"Influence of social identity on self-efficacy beliefs through perceived social support: a social identity theory perspective","volume":"67","author":"Guan","journal-title":"Commun Stud"},{"issue":"11","key":"R56","doi-asserted-by":"publisher","first-page":"1915","DOI":"10.1111\/add.14725","article-title":"Mobile telephone-delivered contingency management interventions promoting behaviour change in individuals with substance use disorders: a meta-analysis","volume":"114","author":"Getty","journal-title":"Addiction"},{"key":"R57","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcbs.2022.11.001","article-title":"Can a smartphone application help Hispanic\/Latinx adults quit smoking? A randomized trial secondary analysis","volume":"26","author":"Santiago-Torres","journal-title":"J Contextual Behav Sci"},{"key":"R58","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2017.05.002","article-title":"Systematic review of social media interventions for smoking cessation","volume":"73","author":"Naslund","journal-title":"Addict Behav"},{"key":"R59","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2016.10.012","article-title":"Impact of quitting smoking and smoking cessation treatment on substance use outcomes: an updated and narrative review","volume":"65","author":"McKelvey","journal-title":"Addict Behav"},{"issue":"6","key":"R60","doi-asserted-by":"publisher","first-page":"1144","DOI":"10.1037\/0022-006X.72.6.1144","article-title":"A meta-analysis of smoking cessation interventions with individuals in substance abuse treatment or recovery","volume":"72","author":"Prochaska","journal-title":"J Consult Clin Psychol"},{"key":"R61","unstructured":"HDPulse: an ecosystem of minority health and health disparities resources: california poverty. National Institute on Minority Health and Health Disparities. URL: https:\/\/hdpulse.nimhd.nih.gov\/data-portal\/social\/table?age=001&age_options=ageall_1&demo=00007&demo_options=poverty_3&race=00&race_options=race_7&sex=0&sex_options=sexboth_1&socialtopic=080&socialtopic_options=social_6&statefips=06&statefips_options=area_states [Accessed 11-10-2025]"}],"container-title":["JMIR Formative Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/formative.jmir.org\/2025\/1\/e74105","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T18:05:06Z","timestamp":1782842706000},"score":1,"resource":{"primary":{"URL":"https:\/\/formative.jmir.org\/2025\/1\/e74105"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,10]]},"references-count":61,"URL":"https:\/\/doi.org\/10.2196\/74105","relation":{},"ISSN":["2561-326X"],"issn-type":[{"value":"2561-326X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,10]]},"article-number":"v9i5e74105"}}