scholarly journals SmartPrompt Reminder Application Improves Everyday Task Completion and Reduces Inefficient Behaviors

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 801-802
Author(s):  
Hackett Katherine ◽  
Sarah Lehman ◽  
Ross Drivers ◽  
Matthew Ambrogi ◽  
Likhon Gomes ◽  
...  
Keyword(s):  
Human Computer Interaction ◽  
Test Data ◽  
Task Completion ◽  
Everyday Functioning ◽  
Home Test ◽  
Home Testing ◽  
Computer Proficiency ◽  
Attitudes Towards Technology ◽  
Everyday Task ◽  
Neuropsychological Theory

Abstract The SmartPrompt phone-based reminder application was designed according to neuropsychological theory and pilot testing to facilitate everyday functioning. A laboratory-based pilot of ten participants with MCI and mild dementia showed significantly greater task completion with significantly fewer checking behaviors when using the SmartPrompt versus a control condition. Younger individuals and those who engaged in more checking behaviors completed more tasks in the control condition, but these relations were not significant when using the SmartPrompt. After 15 minutes of training, caregivers achieved near perfect scores on a SmartPrompt configuration quiz. Participant and caregiver usability ratings were strong, even though participants reported relatively low computer proficiency and neutral/unfavorable attitudes towards technology. Piloting informed modifications of the SmartPrompt to enhance personalization (e.g., customized alarms/rewards) and improved human-computer-interaction for in-home testing. Preliminary in-home test data on individually-owned smartphones and conclusions regarding barriers and facilitators to the effectiveness of the modified SmartPrompt will be discussed.

807 Diagnostic Pathways of Patients Authorized for Obstructive Sleep Apnea Testing and Treatment: A Retrospective Claims Analysis

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A315-A315
Author(s):  
Binh Nguyen ◽  
Aliza Gordon ◽  
Stefanida Blake ◽  
Lakshmi Kalluri ◽  
Winnie Chi ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Laboratory Testing ◽  
Diagnostic Testing ◽  
Prior Authorization ◽  
Home Test ◽  
Home Testing ◽  
Obstructive Sleep ◽  
Osa Treatment ◽  
Diagnostic Pathways ◽  
Lab Test

Abstract Introduction Obstructive Sleep Apnea (OSA) has been shown to reduce health-related quality of life and is associated with cardiovascular disease and other negative health outcomes. However, many patients with suspected OSA are never tested, thereby remaining undiagnosed and untreated. In this study, we explore the diagnostic pathways and eventual treatment of individuals with suspected OSA. Methods We conducted a retrospective, observational study, linking claims and prior authorization data of a large, geographically diverse health insurer’s commercial and Medicare Advantage members. Our sample included adults with suspected OSA and no prior OSA history, whose diagnostic testing had been approved through prior authorization (N=75,011). Using a 3-month time window following authorization, we searched for a claim to match the authorized service (home or laboratory sleep testing). We also looked for subsequent prior authorization for OSA treatment (Positive Airway Pressure (PAP) or oral appliance) and corresponding claims for those treatments within the 3-month authorization window. Results Among the study sample (N=75,011), 40,002 (53.3%) had home testing only, 17,319 (23.1%) had laboratory testing only, and 6,053 (8.1%) had a home test followed by a laboratory test. Only 476 (0.6%) had a home test after the date of a lab test. 11,161 individuals (14.9%) did not complete any sleep test. Of the 63,850 individuals with any sleep testing, 39,062 (61.2%) received prior authorization for initiating OSA treatment, and 36,158 (92.6%) of them had a corresponding claim for treatment. Conclusion One in eight adults with suspected OSA for whom diagnostic testing was authorized did not undergo testing; among those who tested, home testing was most common. While it is clinically appropriate to follow a negative home test with a lab test since a home test cannot rule out OSA (only confirm it), the study notes that a significant number of those with a home test require follow-up laboratory testing. Together, this represents an opportunity for reducing barriers to testing and improvement in home testing technology. Support (if any) This study was funded by Anthem, Inc.

scholarly journals P518 Compliance with Faecal calprotectin home testing as standard during COVID-19 pandemic compared to laboratory based testing pre-COVID

2021 ◽  
Vol 15 (Supplement_1) ◽  
pp. S496-S497
Author(s):  
D Edwards ◽  
M Ibrahim ◽  
R Cooney ◽  
R Boulton
Keyword(s):  
Patient Compliance ◽  
Health Care Professionals ◽  
Compliance Rate ◽  
University Teaching ◽  
Faecal Calprotectin ◽  
Home Test ◽  
Home Based ◽  
Home Testing ◽  
Elisa Testing ◽  
At Home

Abstract Background Faecal calprotectin (FC) testing has become a standard non-invasive tool to monitor disease control in Inflammatory Bowel Disease (IBD)(1). Reported patient compliance with submitting samples for hospital testing has been as low as 35% (2). We aimed to evaluate patient compliance with rapid home faecal calprotectin testing kits compared to hospital based testing in our university teaching hospital. Methods 100 patients with a diagnosis of IBD for at least 1 year and attended IBD clinic between January 2019 and August 2020 were selected. Our laboratory ceased performing FC testing in late March and we introduced home testing (BÜHLMANN IBD doc). 50 patients who were, pre-pandemic, requested to bring a stool sample to the laboratory for hospital-based ELISA testing were randomly selected. We compared these to 50 random patients who had a home-based FC testing. Patients who were supplied with home testing kits received training from IBD nurses as well as on-line training materials. Data was collated retrospectively. Compliance was recorded if result was documented within 6 weeks of request. Results Prior to the introduction of home testing, only 52% of the patients’ sampled complied with hospital-based testing. This compared to a 70% compliance rate, when home testing was requested (Figure 1). Figure 1. Comparison of percentage of compliance between hospital and home faecal calprotectin test request. Conclusion The improvement in FC testing compliance with rapid home testing kit compared to laboratory based testing illustrates the benefit of adapting home testing as the standard in future. The considerable increase in compliance by home testing may be due less disruption to patient’s personal life i.e., ability to undergo testing at home, symptoms such as faecal incontinence preventing patients delivering samples to hospital and COVID pandemic compelling patients to stay at home. Adopting rapid FC home testing as standard provides patients with increased locus of control regarding their care, providing health care professionals with rapid results, thus, will improve management of IBD. The ability for patients to perform home test has obvious advantages during the COVID pandemic. References

scholarly journals Willingness to Take a Free Home HIV Test and Associated Factors among Internet-Using Men Who Have Sex with Men

2011 ◽  
Vol 10 (6) ◽  
pp. 357-364 ◽  
Author(s):  
Akshay Sharma ◽  
Patrick S. Sullivan ◽  
Christine M. Khosropour
Keyword(s):  
Hiv Prevention ◽  
Anal Intercourse ◽  
Unprotected Anal Intercourse ◽  
Hiv Status ◽  
Prevention Study ◽  
Home Test ◽  
Home Testing ◽  
Hiv Test ◽  
Prevention Studies ◽  
Sex With Men

Objectives: Online HIV prevention studies have been limited in their ability to obtain biological specimens to measure study outcomes. We describe factors associated with willingness of men who have sex with men (MSM) to take a free home HIV test as part of an online HIV prevention study. Methods: Between March and April 2009, we interviewed 6163 HIV-negative MSM and assessed the willingness to test for HIV infection using a home collection kit. Results: Men reported being very likely (3833; 62%) or likely (1236; 20%) to accept a home HIV test as part of an online HIV prevention study. The odds of being willing to home test were higher for men who were offered incentives of $10 or $25, were black, had unprotected anal intercourse in the past 12 months, and were unaware of their HIV status. Conclusions: Home testing offered as part of online HIV prevention research is acceptable overall and in important subgroups of high-risk MSM.

scholarly journals Attitudes and Preferences Regarding the Use of Rapid Self-Testing for Sexually Transmitted Infections and HIV in San Diego Area Men Who Have Sex With Men

2019 ◽  
Vol 6 (3) ◽  
Author(s):  
Teresa A Cushman ◽  
Susannah K Graves ◽  
Susan J Little
Keyword(s):  
Sexually Transmitted Infections ◽  
Test Results ◽  
Sexually Transmitted ◽  
Home Test ◽  
Sti Testing ◽  
Test Location ◽  
Home Testing ◽  
Hiv Serostatus ◽  
Sex With Men ◽  
Electronic Delivery

Abstract Background Sexually transmitted infections (STIs) increase the risk of HIV transmission and are present at high rates among men who have sex with men (MSM). Adherence to HIV/STI testing guidelines is low in the United States. Testing programs that utilize rapid self-administered HIV/STI tests improve testing rates, though multiple factors influence their uptake. Methods MSM were recruited at an HIV/STI testing and treatment program in 2014 and provided consent, demographics, risk behaviors, HIV/STI test preferences, and perceived testing barriers via an online questionnaire. Comparisons of testing preferences and barriers were made based on age, risk group, and HIV serostatus using the Fisher exact test. Results HIV testing preferences included rapid oral test (71.1%), home test location (78.5%), electronic delivery of HIV-negative test results (76.4%), and direct provider notification for HIV-positive test results (70%), with respondents age >45 years being significantly more likely to prefer home testing (P = .033). STI testing preferences included self-collection of specimens (73.2%), home test location (61%), electronic delivery of negative STI test results (76.4%), and direct provider notification for positive STI test results (56.6%) with no significant differences between age, HIV serostatus, or risk groups. The most frequently reported HIV and STI testing barrier was lack of known prior HIV/STI exposure (57.3% for HIV, 62.9% for STI) with respondents age <45 years more frequently citing inconvenience as a barrier to testing (HIV: 50.9% vs 17.4%, P = .010; STI: 58.3% vs 31.8%, P = .070). Conclusions Although additional research is needed, increasing resources directed specifically toward home testing has the potential to translate into improved uptake of rapid HIV/STI testing. Efforts to improve convenience in testing programs must be balanced with the need for continued educational outreach.

scholarly journals Test Review: Current options in at-home language proficiency tests for making high-stakes decisions

2020 ◽  
Vol 37 (4) ◽  
pp. 600-619 ◽  
Author(s):  
Daniel R. Isbell ◽  
Benjamin Kremmel
Keyword(s):  
Language Proficiency ◽  
Language Testing ◽  
Proficiency Tests ◽  
High Stakes ◽  
Home Test ◽  
Language Tests ◽  
Home Testing ◽  
Home Tests ◽  
Novel Coronavirus ◽  
At Home

Administration of high-stakes language proficiency tests has been disrupted in many parts of the world as a result of the 2019 novel coronavirus pandemic. Institutions that rely on test scores have been forced to adapt, and in many cases this means using scores from a different test, or a new online version of an existing test, that can be taken at home. The switch to accepting at-home proficiency tests for high-stakes decisions raises many concerns for stakeholders, such as technological demands, exam security, and validity of score use. Along these lines, this thematic review addresses such concerns and features brief reviews of seven options in at-home proficiency testing: ACTFL Assessments, Duolingo English Test, IELTS Indicator, LanguageCert, TEF Express, TOEFL iBT Special Home Edition, and Versant. Considering at-home testing more broadly, we discuss key considerations for selecting an at-home test. We close with speculation on how at-home tests may shape language testing going forward: Beyond adapting to the current pandemic, at-home testing might address longstanding issues in access to language testing services and the representation of real-world communication practices in language tests.

Prospective Memory Development Across the Lifespan

2020 ◽  
Vol 25 (3) ◽  
pp. 162-173 ◽  
Author(s):  
Sascha Zuber ◽  
Matthias Kliegel
Keyword(s):  
Prospective Memory ◽  
Healthy Aging ◽  
Present Model ◽  
Current Knowledge ◽  
Well Being ◽  
The Elderly ◽  
Cognitive Factors ◽  
Everyday Functioning ◽  
Integrative Framework

Abstract. Prospective Memory (PM; i.e., the ability to remember to perform planned tasks) represents a key proxy of healthy aging, as it relates to older adults’ everyday functioning, autonomy, and personal well-being. The current review illustrates how PM performance develops across the lifespan and how multiple cognitive and non-cognitive factors influence this trajectory. Further, a new, integrative framework is presented, detailing how those processes interplay in retrieving and executing delayed intentions. Specifically, while most previous models have focused on memory processes, the present model focuses on the role of executive functioning in PM and its development across the lifespan. Finally, a practical outlook is presented, suggesting how the current knowledge can be applied in geriatrics and geropsychology to promote healthy aging by maintaining prospective abilities in the elderly.

Test Validation Without Measurement

2016 ◽  
Vol 32 (3) ◽  
pp. 204-214 ◽  
Author(s):  
Emilie Lacot ◽  
Mohammad H. Afzali ◽  
Stéphane Vautier
Keyword(s):  
Test Data ◽  
Test Scores ◽  
Scientific Explanation ◽  
Test Validation ◽  
Clinical Tests ◽  
Ethical Perspective ◽  
Power Of Test ◽  
Memory Accuracy ◽  
Social Uses ◽  
Special Case

Abstract. Test validation based on usual statistical analyses is paradoxical, as, from a falsificationist perspective, they do not test that test data are ordinal measurements, and, from the ethical perspective, they do not justify the use of test scores. This paper (i) proposes some basic definitions, where measurement is a special case of scientific explanation; starting from the examples of memory accuracy and suicidality as scored by two widely used clinical tests/questionnaires. Moreover, it shows (ii) how to elicit the logic of the observable test events underlying the test scores, and (iii) how the measurability of the target theoretical quantities – memory accuracy and suicidality – can and should be tested at the respondent scale as opposed to the scale of aggregates of respondents. (iv) Criterion-related validity is revisited to stress that invoking the explanative power of test data should draw attention on counterexamples instead of statistical summarization. (v) Finally, it is argued that the justification of the use of test scores in specific settings should be part of the test validation task, because, as tests specialists, psychologists are responsible for proposing their tests for social uses.

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