Electronic Journal of Applied Statistical Analysis

Smartphone-based interventions for employees' well-being promotion: a systematic review

Abstract

Acemoglu, D. & Autor, D. (2011). Skills, tasks and technologies: Implications for employment and earnings. In Handbook of labor economics, volume 4, pages 1043{ 1171. Elsevier.

Ahtinen, A., Mattila, E., Vàlkkynen, P., Kaipainen, K., Vanhala, T., Ermes, M., Sairanen, E., Myllymàki, T., & Lappalainen, R. (2013). Mobile mental wellness training for stress management: feasibility and design implications based on a onemonth eld study. JMIR mHealth and uHealth, 1(2):e11.

Armstrong, R., Waters, E., Moore, L., Riggs, E., Cuervo, L. G., Lumbiganon, P., & Hawe, P. (2008). Improving the reporting of public health intervention research: advancing trend and consort. Journal of public health, 30(1):103{109.

Arrogi, A., Boen, F., & Seghers, J. (2019). Validation of a smart chair and corresponding smartphone app as an objective measure of desk-based sitting. Journal of occupational health, 61(1):121{127.

Bakker, D., Kazantzis, N., Rickwood, D., & Rickard, N. (2016). Mental health smartphone apps: review and evidence-based recommendations for future developments. JMIR mental health, 3(1):e7.

Balk-Moller, N. C., Larsen, T. M., & Holm, L. (2017a). Experiences from a web-and app-based workplace health promotion intervention among employees in the social and health care sector based on use-data and qualitative interviews. Journal of medical Internet research, 19(10):e350.

Balk-Moller, N. C., Poulsen, S. K., & Larsen, T. M. (2017b). Effect of a ninemonth web-and app-based workplace intervention to promote healthy lifestyle and weight loss for employees in the social welfare and health care sector: a randomized controlled trial. Journal of medical Internet research, 19(4):e108.

Bardus, M., Hamadeh, G., Hayek, B., & Al Kherfan, R. (2018). A self-directed mobile intervention (waznapp) to promote weight control among employees at a lebanese university: protocol for a feasibility pilot randomized controlled trial. JMIR research protocols, 7(5):e133.

Bhardwaj, A., Srivastava, A., et al. (2008). Occupational health and psychological well-being of industrial employees. Industrial Psychiatry Journal, 17(1):28.

Bidargaddi, N., Almirall, D., Murphy, S., Nahum-Shani, I., Kovalcik, M., Pituch, T., Maaieh, H., & Strecher, V. (2018). To prompt or not to prompt? a microrandomized trial of time-varying push noti

cations to increase proximal engagement with a mobile health app. JMIR mHealth and uHealth, 6(11):e10123.

Blake, H., Suggs, L. S., Coman, E., Aguirre, L., & Batt, M. E. (2017). Active8! technology-based intervention to promote physical activity in hospital employees. American Journal of Health Promotion, 31(2):109{118.

Bonn, S. E., Lʂöf, M., Ostenson, C.-G., & Lagerros, Y. T. (2019). App-technology to improve lifestyle behaviors among working adults-the health integrator study, a randomized controlled trial. BMC public health, 19(1):273.

Bootsman, R., Markopoulos, P., Qi, Q., Wang, Q., & Timmermans, A. A. (2019). Wearable technology for posture monitoring at the workplace. International Journal of Human-Computer Studies, 132:99{111.

Bort-Roig, J., Puig-Ribera, A., Contreras, R. S., Chirveches-Pérez, E., Martori, J. C., Gilson, N. D., & McKenna, J. (2019). Monitoring sedentary patterns in office employees: validity of an m-health tool (walk@ work-app) for occupational health. Gaceta sanitaria, 32:563{566.

Bostock, S., Crosswell, A. D., Prather, A. A., & Steptoe, A. (2019). Mindfulness on-the-go: Effects of a mindfulness meditation app on work stress and well-being. Journal of occupational health psychology, 24(1):127.

Brakenridge, C. L., Healy, G. N., Winkler, E. A., & Fjeldsoe, B. S. (2018). Usage, acceptability, and effectiveness of an activity tracker in a randomized trial of a workplace sitting intervention: mixed-methods evaluation. Interactive journal of medical research, 7(1):e5.

Bregenzer, A.,Wagner-Hartl, V., & Jiméenez, P. (2019). Who uses apps in health promotion? a target group analysis of leaders. Health informatics journal, 25(3):1038{ 1052.

Carissoli, C., Villani, D., & Riva, G. (2015). Does a meditation protocol supported by a mobile application help people reduce stress? suggestions from a controlled pragmatic trial. Cyberpsychology, Behavior, and Social Networking, 18(1):46{53.

Carolan, S. & de Visser, R. O. (2018). Employees' perspectives on the facilitators and barriers to engaging with digital mental health interventions in the workplace: qualitative study. JMIR mental health, 5(1):e8.

Choi, B., Schnall, P. L., Yang, H., Dobson, M., Landsbergis, P., Israel, L., Karasek, R., & Baker, D. (2010). Sedentary work, low physical job demand, and obesity in us workers. American journal of industrial medicine, 53(11):1088{1101.

Christensen, H., Griffths, K. M., & Farrer, L. (2009). Adherence in internet interventions for anxiety and depression: systematic review. Journal of medical Internet research, 11(2):e13.

Chrousos, G. P. (2009). Stress and disorders of the stress system. Nature reviews endocrinology, 5(7):374.

Cocker, F., Martin, A., Scott, J., Venn, A., & Sanderson, K. (2013). Psychological distress, related work attendance, and productivity loss in small-to-medium enterprise owner/managers. International journal of environmental research and public health, 10(10):5062{5082.

Colbert, A., Yee, N., & George, G. (2016). The digital workforce and the workplace of the future.

Cooper, C. & Quick, J. C. (2017). The handbook of stress and health: A guide to research and practice. John Wiley & Sons.

Cooper, C. L. & Cartwright, S. (1997). An intervention strategy for workplace stress. Journal of psychosomatic research, 43(1):7{16.

Cortes, G. M. and Salvatori, A. (2019). Delving into the demand side: Changes in workplace specialization and job polarization. Labour economics, 57:164{176.

Coulon, S. M., Monroe, C. M.,&West, D. S. (2016). A systematic, multi-domain review of mobile smartphone apps for evidence-based stress management. American journal of preventive medicine, 51(1):95{105.

Danaher, B. G., Brendryen, H., Seeley, J. R., Tyler, M. S.,&Woolley, T. (2015). From black box to toolbox: outlining device functionality, engagement activities, and the pervasive information architecture of mhealth interventions. Internet inter- ventions, 2(1):91{101.

Day, A., Paquet, S., Scott, N.,&Hambley, L. (2012). Perceived information and communication technology (ict) demands on employee outcomes: The moderating effect of organizational ict support. Journal of occupational health psychology, 17(4):473.

de Korte, E. M., Wiezer, N., Janssen, J. H., Vink, P.,&Kraaij, W. (2018). Evaluating an mhealth app for health and well-being at work: mixed-method qualitative study. JMIR mHealth and uHealth, 6(3):e72.

de Korte, E., Wiezer, N., Roozeboom, M. B., Vink, P.,&Kraaij, W. (2018). Behavior change techniques in mhealth apps for the mental and physical health of employees: Systematic assessment. JMIR mHealth and uHealth, 6(10):e167.

De Neve, J.-E., Diener, E., Tay, L., & Xuereb, C. (2013). The objective benefits of subjective well-being. World happiness report.

Deady, M., Johnston, D. A., Glozier, N., Milne, D., Choi, I., Mackinnon, A., Mykletun, A., Calvo, R. A., Gayed, A., Bryant, R., et al. (2018). Smartphone application for preventing depression: study protocol for a workplace randomised controlled trial. BMJ open, 8(7):e020510.

Dewe, P. J., O'Driscoll, M. P., & Cooper, C. (2010). Coping with work stress: A review and critique. John Wiley & Sons.

Dunkl, A. and Jim enez, P. (2017). Using smartphone-based applications (apps) in workplace health promotion: the opinion of german and austrian leaders. Health informatics journal, 23(1):44{55.

Ebert, D. D., Heber, E., Berking, M., Riper, H., Cuijpers, P., Funk, B., & Lehr, D. (2016a). Self-guided internet-based and mobile-based stress management for employees: results of a randomised controlled trial. Occupational and environmental medicine, 73(5):315{323.

Ebert, D. D., Kàhlke, F., Buntrock, C., Berking, M., Smit, F., Heber, E., Baumeister, H., Funk, B., Riper, H., & Lehr, D. (2018). A health economic outcome evaluation of an internet-based mobile-supported stress management intervention for employees. Scandinavian journal of work, environment & health, 44(2).

Ebert, D. D., Lehr, D., Heber, E., Riper, H., Cuijpers, P., & Berking, M. (2016b). Internet-and mobile-based stress management for employees with adherence-focused guidance: effcacy and mechanism of change. Scandinavian journal of work, envi- ronment & health, pages 382{394.

Ebert, D. D., Lehr, D., Smit, F., Zarski, A.-C., Riper, H.,

Eng, T. R. (2001). The ehealth landscape: a terrain map of emerging information and communication technologies in health and health care.

Engelen, L., Chau, J. Y., Burks-Young, S., & Bauman, A. (2017). Application of ecological momentary assessment in workplace health evaluation. Health Promotion Journal of Australia, 27(3):259{263.

Engert, V., Kok, B. E., Puhlmann, L. M., Stalder, T., Kirschbaum, C., Apostolakou, F., Papanastasopoulou, C., Papassotiriou, I., Pervanidou, P., Chrousos, G. P., et al. (2018). Exploring the multidimensional complex systems structure of the stress response and its relation to health and sleep outcomes. Brain, behavior, and immunity, 73:390{402.

European Network for Workplace Health Promotion (ENWHP), (2007). Luxembourg declaration on workplace health promotion in the european union 1997. Version of january 2007.

Free, C., Phillips, G., Galli, L., Watson, L., Felix, L., Edwards, P., Patel, V., & Haines, A. (2013). The effectiveness of mobile-health technology-based health behaviour change or disease management interventions for health care consumers: a systematic review. PLoS med, 10(1):e1001362.

Goldenhar, L. M., LaMontagne, A. D., Katz, T., Heaney, C., & Landsbergis, P. (2001). The intervention research process in occupational safety and health: an overview from the national occupational research agenda intervention ectiveness research team. Journal of occupational and environmental medicine, 43(7):616{622.

Gremaud, A. L., Carr, L. J., Simmering, J. E., Evans, N. J., Cremer, J. F., Segre, A. M., Polgreen, L. A., & Polgreen, P. M. (2018). Gamifying accelerometer use increases physical activity levels of sedentary office workers. Journal of the American Heart Association, 7(13):e007735.

Guarnaccia, C., Scrima, F., Civilleri, A., & Salerno, L. (2018). The role of occupational self-efficacy in mediating the effect of job insecurity on work engagement, satisfaction and general health. Current Psychology, 37(3):488{497.

Hassard, J., Teoh, K. R., Visockaite, G., Dewe, P., & Cox, T. (2018). The cost of work-related stress to society: A systematic review. Journal of occupational health psychology, 23(1):1.

Heber, E., Cuijpers, P., & Berking, M. (2014). Effcacy and cost-effectiveness of minimal guided and unguided internet-based mobile supported stress-management in employees with occupational stress: a three-armed randomised controlled trial. BMC Public Health, 14(1):807.

Hedman, E., Andersson, G., Lj otsson, B., Andersson, E., Rùck, C., Mrtberg, E., & Lindefors, N. (2011). Internet-based cognitive behavior therapy vs. cognitive behavioral group therapy for social anxiety disorder: a randomized controlled noninferiority trial. PloS one, 6(3).

Herr, R. M., Barrech, A., Riedel, N., Gundel, H., Angerer, P., & Li, J. (2018). Long-term effectiveness of stress management at work: Effects of the changes in perceived stress reactivity on mental health and sleep problems seven years later. International journal of environmental research and public health, 15(2):255.

Holman, D., Johnson, S., & O'Connor, E. (2018). Stress management interventions: Improving subjective psychological well-being in the workplace. Handbook of well- being. Salt Lake City, UT: DEF Publishers. DOI: nobascholar. com.

Howarth, A., Quesada, J., Silva, J., Judycki, S., & Mills, P. R. (2018). The impact of digital health interventions on health-related outcomes in the workplace: A systematic review. Digital health, 4:2055207618770861. ILO, I. (2016). Workplace stress: A collective challenge.

Imamura, K., Tran, T. T. T., Nguyen, H. T., Kuribayashi, K., Sakuraya, A., Nguyen, A. Q., Bui, T. M., Nguyen, Q. T., Nguyen, K. T., Nguyen, G. T. H., et al. (2019). Effects of two types of smartphone-based stress management programmes on depressive and anxiety symptoms among hospital nurses in Vietnam: a protocol for three-arm randomised controlled trial. BMJ open, 9(4):e025138.

Ingusci, E., Callea, A., Chirumbolo, A., & Urbini, F. (2016). Job crafting and job satisfaction in a sample of Italian teachers: the mediating role of Perceived Organizational Support. Electronic Journal of Applied Statistical Analysis, 9(4), 675-687.

Jimenez, P. and Bregenzer, A. (2018). Integration of ehealth tools in the process of workplace health promotion: proposal for design and implementation. Journal of medical Internet research, 20(2):e65.

Kelders, S. M., Kok, R. N., Ossebaard, H. C., & Van Gemert-Pijnen, J. E. (2012). Persuasive system design does matter: a systematic review of adherence to webbased interventions. Journal of medical Internet research, 14(6):e152.

Khakurel, J., Melkas, H., & Porras, J. (2018). Tapping into the wearable device revolution in the work environment: a systematic review. Information Technology & People.

Kim, J. I., Yun, J.-Y., Park, H., Park, S.-Y., Ahn, Y., Lee, H., Kim, T.-K., Yoon, S., Lee, Y.-J., Oh, S., et al. (2018). A mobile videoconference-based intervention on stress reduction and resilience enhancement in employees: randomized controlled trial. Journal of medical Internet research, 20(10):e10760.

Koldijk, S., Kraaij, W., & Neerincx, M. A. (2016). Deriving requirements for pervasive well-being technology from work stress and intervention theory: framework and case study. JMIR mHealth and uHealth, 4(3):e79.

Kwok, R. (2009). Personal technology: Phoning in data.

LaMontagne, A. D., Keegel, T., Louie, A. M., Ostry, A., & Landsbergis, P. A. (2007). A systematic review of the job-stress intervention evaluation literature, 1990{2005. International journal of occupational and environmental health, 13(3):268{280.

Largo-Wight, E., Chen, W. W., Dodd, V., & Weiler, R. (2011). Healthy workplaces: The effects of nature contact at work on employee stress and health. Public Health Reports, 126(1 suppl):124{130.

Lehr, D., Heber, E., Sieland, B., Hillert, A., Funk, B., & Ebert, D. D. (2016). Occupational emental health and teachers' health. a meta-analytic review on the effcacy of internet-based intervention for promoting mental health in teachers. Pravention und Gesundheitsforderung, 11(3):182{192.

Ly, K. H., Asplund, K., & Andersson, G. (2014). Stress management for middle managers via an acceptance and commitment-based smartphone application: A randomized controlled trial. Internet Interventions, 1(3):95{101.

Martin, P. R. (2016). Stress and primary headache: review of the research and clinical management. Current pain and headache reports, 20(7):45.

Maslach, C. (2003). Job burnout: New directions in research and intervention. Current directions in psychological science, 12(5):189{192.

Maslach, C., Schaufeli, W. B., & Leiter, M. P. (2001). Job burnout. Annual review of psychology, 52(1):397{422.

Meyer, D., Jayawardana, M. W., Muir, S. D., Ho, D. Y.-T., & Sackett, O. (2018). Promoting psychological well-being at work by reducing stress and improving sleep: Mixed-methods analysis. Journal of medical Internet research, 20(10):e267.

Miller, G. (2012). The smartphone psychology manifesto. Perspectives on psychological science, 7(3):221{237.

Milner, A., King, T., Scovelle, A., Batterham, P., Kelly, B., LaMontagne, A., Harvey, S., Gullestrup, J., & Lockwood, C. (2019). A blended face-to-face and smartphone intervention for suicide prevention in the construction industry: protocol for a randomized controlled trial with mates in construction. BMC psychiatry, 19(1):146.

Mistretta, E. G., Davis, M. C., Temkit, M., Lorenz, C., Darby, B., Stonnington, C. M., et al. (2018). Resilience training for work-related stress among health care workers: results of a randomized clinical trial comparing in-person and smartphone-delivered interventions. Journal of occupational and environmental medicine, 60(6):559{568.

Moher, D., Liberati, A., Tetzla, J., Altman, D. G., et al. (2010). Preferred reporting items for systematic reviews and meta-analyses: the prisma statement. Int J Surg, 8(5):336{341.

Motamed-Jahromi, M., Fereidouni, Z., & Dehghan, A. (2017). Effectiveness of positive thinking training program on nurses' quality of work life through smartphone applications. International scholarly research notices, 2017.

Muuraiskangas, S., Harjumaa, M., Kaipainen, K., & Ermes, M. (2016). Process and effects evaluation of a digital mental health intervention targeted at improving occupational well-being: lessons from an intervention study with failed adoption. JMIR mental health, 3(2):e13.

Narvàez, S., Tobar, A. M., Lòpez, D. M., & Blobel, B. (2016). Human-centered design of an mhealth app for the prevention of burnout syndrome. In MIE, pages 215{219.

Nicholson, J., Wright, S. M., & Carlisle, A. M. (2018). Pre-post, mixed-methods feasibility study of the workingwell mobile support tool for individuals with serious mental illness in the usa: a pilot study protocol. BMJ open, 8(2):e019936.

Nielsen, K. and Miraglia, M. (2017). What works for whom in which circumstances? on the need to move beyond the `what works?'question in organizational intervention research. Human relations, 70(1):40{62.

Nielsen, K. and Randall, R. (2013). Opening the black box: Presenting a model for evaluating organizational-level interventions. European Journal of Work and Organizational Psychology, 22(5):601{617.

ning user engagement with technology. Journal of the American society for Information Science and Technology, 59(6):938{955.

O'Brien, H. L. and Toms, E. G. (2008). What is user engagement? A conceptual framework for defining user engagement with technology

Portoghese, I., Galletta, M., Coppola, R. C., Finco, G., & Campagna, M. (2014). Burnout and workload among health care workers: the moderating role of job control. Safety and health at work, 5(3):152{157.

Raento, M., Oulasvirta, A., & Eagle, N. (2009). Smartphones: An emerging tool for social scientists. Sociological methods & research, 37(3):426{454.

Rajgopal, T. (2010). Mental well-being at the workplace. Indian journal of occupational and environmental medicine, 14(3):63.

Reyt, J.-N. and Wiesenfeld, B. M. (2015). Seeing the forest for the trees: Exploratory learning, mobile technology, and knowledge workers' role integration behaviors. Academy of Management Journal, 58(3):739{762.

Riper, H., Blankers, M., Hadiwijaya, H., Cunningham, J., Clarke, S., Wiers, R., Ebert, D., & Cuijpers, P. (2014). Effectiveness of guided and unguided low-intensity internet interventions for adult alcohol misuse: a meta-analysis. PloS one, 9(6).

Ritterband, L. M. and Thorndike, F. (2006). Internet interventions or patient education web sites? Journal of medical Internet research, 8(3):e18.

Sauter, S. L., Brightwell, W. S., Colligan, M. J., Hurrell, J., & Katz, T. M. (2002). Changing organization of work and the safety and health of working people.

Sauter, S., Murphy, L., Colligan, M., Swanson, N., Hurrell Jr, J., Schaf Jr, F., et al. (1999). Stress at work. niosh publication no. 99{101. National Institute for Occu- pational Safety and Health, Cincinatti.

Schaufeli, W. and Enzmann, D. (1998). The burnout companion to study and practice: A critical analysis. CRC press.

Senecal, C., Widmer, R. J., Bailey, K., Lerman, L. O., & Lerman, A. (2018). Usage of a digital health workplace intervention based on socioeconomic environment and race: Retrospective secondary cross-sectional study. Journal of medical Internet research, 20(4):e145.

Signore, F., Catalano, A., De Carlo, E., Madaro, A., & Ingusci, E. (2019). The role of employability in students during academic experience: a preliminary study through PLS-PM technique. Electronic Journal of Applied Statistical Analysis, 12(4), 720-747.

Skoumpopoulou, D., Wong, A., Ng, P., & Lo, M. (2018). Factors that affect the acceptance of new technologies in the workplace: a cross case analysis between two universities. International Journal of Education and Development using ICT, 14(3).

Solovieva, S., Lallukka, T., Virtanen, M., & Viikari-Juntura, E. (2013). Psychosocial factors at work, long work hours, and obesity: a systematic review. Scandinavian journal of work, environment & health, pages 241{258.

Steinmueller, W. (2000). Will new information and communication technologies improve the' codi

Stratton, E., Lampit, A., Choi, I., Calvo, R. A., Harvey, S. B., & Glozier, N. (2017). Effectiveness of ehealth interventions for reducing mental health conditions in employees: A systematic review and meta-analysis. PloS one, 12(12).

Tetrick, L. E. and Winslow, C. J. (2015). Workplace stress management interventions and health promotion. Annu. Rev. Organ. Psychol. Organ. Behav., 2(1):583{603.

van Berkel, J., Boot, C. R., Proper, K. I., Bongers, P. M., & van der Beek, A. J. (2013). Process evaluation of a workplace health promotion intervention aimed at improving work engagement and energy balance. Journal of Occupational and Environmental Medicine, 55(1):19{26.

van den Heuvel, S., Roozeboom, B., Eekhout, I., & Houtman, I. (2018). Management of psychosocial risks in european workplaces; drivers and barriers in a national and cultural context: abstract and presentation. Proceedings of the 13th European Academy of Occupational Health Psychology ((EAOHP), Adapting to rapid changes in today's workplace 5-7 September 2018 in Lisbon, Portugal.

van Drongelen, A., Boot, C. R., Hlobil, H., Twisk, J. W., Smid, T., & van der Beek, A. J. (2014). Evaluation of an mhealth intervention aiming to improve health-related behavior and sleep and reduce fatigue among airline pilots. Scandinavian journal of work, environment & health, pages 557{568.

van Gemert-Pijnen, J. E., Nijland, N., van Limburg, M., Ossebaard, H. C., Kelders, S. M., Eysenbach, G., & Seydel, E. R. (2011). A holistic framework to improve the uptake and impact of ehealth technologies. Journal of medical Internet research, 13(4):e111.

Versluis, A., Verkuil, B., Spinhoven, P., & F Brosschot, J. (2018). Effectiveness of a smartphone-based worry-reduction training for stress reduction: A randomizedcontrolled trial. Psychology & health, 33(9):1079{1099.

Villani, D., Grassi, A., Cognetta, C., Toniolo, D., Cipresso, P., & Riva, G. (2013). Self-help stress management training through mobile phones: An experience with oncology nurses. Psychological Services, 10(3):315.

Wang, C.C., Yang, Y. Y.-H., & Tseng, C.-Y. (2016). Always on duty? the positive and negative effects of using mobile social networking tools for work. In PACIS, page 270.

Weisel, K. K., Lehr, D., Heber, E., Zarski, A.C., Berking, M., Riper, H., & Ebert, D. D. (2018). Severely Burdened Individuals Do Not Need to Be Excluded From Internet-Based and Mobile-Based Stress Management: Effect Modifiers of Treatment Outcomes From Three Randomized Controlled Trials. Journal of medical Internet research, 20(6):e211.

Wilson, M. G., Sweet, C. M. C., Edge, M. D., Madero, E. N., McGuire, M., Pilsmaker, M., Carpenter, D., & Kirschner, S. (2017). Evaluation of a digital behavioral counseling program for reducing risk factors for chronic disease in a workforce. Journal of occupational and environmental medicine, 59(8):e150.

Yardley, L., Spring, B. J., Riper, H., Morrison, L. G., Crane, D. H., Curtis, K., Merchant, G. C., Naughton, F., & Blandford, A. (2016). Understanding and promoting effective engagement with digital behavior change interventions. American journal of preventive medicine, 51(5):833{842.

Yu, J., Abraham, J. M., Dowd, B., Higuera, L. F., & Nyman, J. A. (2017). Impact of a workplace physical activity tracking program on biometric health outcomes. Preventive medicine, 105:135{141.

Zarski, A.C., Lehr, D., Berking, M., Riper, H., Cuijpers, P., & Ebert, D. D. (2016). Adherence to internet-based mobile-supported stress management: a pooled analysis of individual participant data from three randomized controlled trials. Journal of medical Internet research, 18(6):e146.

Zhang, S. and Elhadad, N. (2016). Factors contributing to dropping-out in an online health community: static and longitudinal analyses. In AMIA Annual Symposium Proceedings, volume 2016, page 2090. American Medical Informatics Association.