Recruitment of Older Adults During the COVID-19 Pandemic: Utilizing Two Recruitment Techniques

Abstract The COVID-19 pandemic has limited in-person interactions and reduced access to research participants. To recruit older adults for a study on the impact of COVID-19 on physical, mental, and social wellbeing we utilized two recruitment techniques: 1) ResearchMatch, a free recruitment database, and 2) a convenience sample of residents in a retirement community. Messages were sent via ResearchMatch to 1,491 adults age 65 and over. In total, 228 individuals responded over 2 weeks; 194 responded in the first 24 hours. Eighty-four completed the online survey. For the retirement community, recruitment information was shared during a Zoom townhall meeting; 44 expressed interest and 30 completed the study (half over the phone with a research assistant). We will discuss differences between the older adults recruited by each strategy (e.g., the ResearchMatch group was highly educated; more staff needed to interview retirement community participants). Overall, these were effective recruitment techniques during challenging times.

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Experiences of the Built Environment, Falls and Fear of Falling Outdoors among Older Adults: An Exploratory Study and Future Directions

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17041224 ◽

2020 ◽

Vol 17 (4) ◽

pp. 1224 ◽

Cited By ~ 3

Author(s):

Angela Curl ◽

Helen Fitt ◽

Melanie Tomintz

Keyword(s):

Older Adults ◽

Built Environment ◽

Urban Environment ◽

Online Survey ◽

Fear Of Falling ◽

Future Research ◽

Convenience Sample ◽

Survey Tool ◽

Physical Injuries ◽

The Impact

Falls can have serious impacts on the health, wellbeing and daily mobilities of older adults. Falls are a leading cause of injury and death amongst older adults and outdoor falls comprise a substantial proportion of pedestrian injuries. As well as physical injuries, the psychological impacts of experiencing a fall can result in older adults getting out of the house less often, resulting in lower levels of physical activity and social connection. Despite the known consequences of falls, relatively little research considers the impact of the urban built environment on falls among older adults. This research aimed to explore the experiences of older adults in the urban environment, falling and the fear of falling outdoors. We conducted an online survey with adults aged 50+ using a participatory mapping survey tool and a convenience sample. The study area was Greater Christchurch, New Zealand. Results suggest that both perceived accessibility and neighbourhood conditions are independently associated with fear of falling, after controlling for frequency of falling, gender and activities of daily living. Our findings demonstrate the need for much better understandings of the relationships between the urban environment, outdoor mobility, fear of falling and falling among older adults and we propose suggestions for future research.

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Older Adults’ Behavior Intentions Once a COVID-19 Vaccine Becomes Available

Journal of Applied Gerontology ◽

10.1177/07334648211019205 ◽

2021 ◽

pp. 073346482110192

Author(s):

Michael A. Callow ◽

Daniel D. Callow

Keyword(s):

Older Adults ◽

Perceived Risk ◽

Online Survey ◽

The United States ◽

Analysis Of Covariance ◽

Hierarchical Regression ◽

Severe Illness ◽

Convenience Sample ◽

Behavior Intention ◽

The Impact

Background: The purpose of this study was to examine the impact of antecedent variables on older adults’ intention to get a CORONAVIRUS DISEASE-2019 vaccine. Older adults are at higher risk of severe illness from the disease and face an increasingly ageist general population who misrepresent the pandemic as an older adult problem. We use the Theory of Planned Behavior framework to examine vaccine behavior intention. Method: A convenience sample ( n = 583) of adults aged 60 and older in the United States participated in an online survey using vignettes. Hierarchical regression and analysis of covariance were used to test our model. Results: Results suggest that perceived risk of the pandemic, general vaccine beliefs, and political affiliation influence respondents’ attitude toward the vaccine. Respondents’ attitudes toward the vaccine and their physician’s recommendation help shape vaccine intention. Conclusion: The results provide partial support to the proposed model in shaping vaccine intention among older adults.

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Exploring the use of cannabis as a substitute for prescription drugs in a convenience sample

Harm Reduction Journal ◽

10.1186/s12954-021-00520-5 ◽

2021 ◽

Vol 18 (1) ◽

Author(s):

Sinikka L. Kvamme ◽

Michael M. Pedersen ◽

Kristine Rømer Thomsen ◽

Birgitte Thylstrup

Keyword(s):

Side Effects ◽

Drug Use ◽

Prescription Drug ◽

Prescription Drugs ◽

Online Survey ◽

Convenience Sample ◽

Patient Organizations ◽

Public Media ◽

Prescription Drug Use ◽

The Impact

Abstract Background The use of cannabis as medicine (CaM) both prescribed and non-prescribed has increased markedly in the last decade, mirrored in a global shift in cannabis policy towards a more permissive stance. There is some evidence that cannabis functions as a substitute for prescription drugs, particularly opioids; however, more knowledge is needed on the motives of substitution users, their patterns of use, and perceived effects of substitution use. Aims To explore who substitutes prescription drugs with cannabis, the type of prescription drugs substituted and the type of cannabis used, and the impact that substitution with cannabis has on prescription drug use as well as the motives for substitution in terms of experienced effects and side effects. Methods A self-selected convenience sample was recruited through social media, public media, and patient organizations to take part in an anonymous online survey. Inclusion criteria were 18 years or older and use of cannabis (prescribed or non-prescribed) with a medical purpose. Results The final sample included 2.841 respondents of which the majority (91%) used non-prescribed cannabis, and more than half (54.6%) had used CaM with the purpose of replacing a prescribed drug. Compared to non-substitution users, substitution users were more likely to be women and to use CaM in the treatment of chronic pain and other somatic conditions. Pain medication (67.2%), antidepressants (24.5%), and arthritis medication (20.7%) were the most common types of drugs replaced with CaM. Among substitution users, 38.1% reported termination of prescription drug use, and 45.9% a substantial decrease in prescription drug use. The most frequent type of cannabis used as a substitute was CBD-oil (65.2%), followed by ‘hash, pot or skunk’ (36.6%). More than half (65.8%) found CaM much more effective compared to prescription drugs, and 85.5% that the side effects associated with prescription drug use were much worse compared to use of CaM. Conclusion CaM is frequently used as a substitute for prescription drugs, particularly opioids. More research is needed on the long-term consequences of use of CaM, including the impact from low and high THC cannabis products on specific somatic and mental health conditions.

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The impact of the COVID-19 pandemic on wellbeing and cognitive functioning of older adults

Scientific Reports ◽

10.1038/s41598-021-84127-7 ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Sarah De Pue ◽

Céline Gillebert ◽

Eva Dierckx ◽

Marie-Anne Vanderhasselt ◽

Rudi De Raedt ◽

...

Keyword(s):

Mental Health ◽

Older Adults ◽

At Risk ◽

Sleep Quality ◽

Cognitive Functioning ◽

Online Survey ◽

Activity Level ◽

The Impact

AbstractCOVID-19 took a heavy toll on older adults. In Belgium, by the end of August, 93% of deaths due to COVID-19 were aged 65 or older. Similar trends were observed in other countries. As a consequence, older adults were identified as a group at risk, and strict governmental restrictions were imposed on them. This has caused concerns about their mental health. Using an online survey, this study established the impact of the COVID-19 pandemic on adults aged 65 years or older, and which factors moderate this impact. Participants reported a significant decrease in activity level, sleep quality and wellbeing during the COVID-19 pandemic. Depression was strongly related to reported declines in activity level, sleep quality, wellbeing and cognitive functioning. Our study shows that the COVID-19 pandemic had a severe impact on the mental health of older adults. This implies that this group at risk requires attention of governments and healthcare.

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Service-user efforts to maintain their wellbeing during and after successful withdrawal from antipsychotic medication

Therapeutic Advances in Psychopharmacology ◽

10.1177/2045125321989133 ◽

2021 ◽

Vol 11 ◽

pp. 204512532198913

Author(s):

Miriam Larsen-Barr ◽

Fred Seymour

Keyword(s):

Antipsychotic Medication ◽

Online Survey ◽

Structured Interviews ◽

Obsessive Compulsive ◽

Convenience Sample ◽

Internal Resources ◽

Compulsive Disorder ◽

What Works ◽

Systemic Factors ◽

The Impact

Background: It is well-known that attempting antipsychotic withdrawal can be a fraught process, with a high risk of relapse that often leads people to resume the medication. Nonetheless, there is a group of people who appear to be able to discontinue successfully. Relatively little is known about how people do this. Methods: A convenience sample of adults who had stopped taking antipsychotic medication for more than a year were recruited to participate in semi-structured interviews through an anonymous online survey that investigated antipsychotic medication experiences in New Zealand. Thematic analysis explored participant descriptions of their efforts to maintain their wellbeing during and after the withdrawal process. Results: Of the seven women who volunteered to participate, six reported bipolar disorder diagnoses and one reported diagnoses of obsessive compulsive disorder and depression. The women reported successfully discontinuing antipsychotics for 1.25–25 years; six followed a gradual withdrawal method and had support to prepare for and manage this. Participants defined wellbeing in terms of their ability to manage the impact of any difficulties faced rather than their ability to prevent them entirely, and saw this as something that evolved over time. They described managing the process and maintaining their wellbeing afterwards by ‘understanding myself and my needs’, ‘finding what works for me’ and ‘connecting with support’. Sub-themes expand on the way in which they did this. For example, ‘finding what works for me’ included using a tool-box of strategies to flexibly meet their needs, practicing acceptance, drawing on persistence and curiosity and creating positive life experiences. Conclusion: This is a small, qualitative study and results should be interpreted with caution. This sample shows it is possible for people who experience mania and psychosis to successfully discontinue antipsychotics and safely manage the impact of any symptoms that emerge as a result of the withdrawal process or other life stressors that arise afterwards. Findings suggest internal resources and systemic factors play a role in the outcomes observed among people who attempt to stop taking antipsychotics and a preoccupation with avoiding relapse may be counterproductive to these efforts. Professionals can play a valuable role in facilitating change.

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The moderating effect of e-bank structure on French consumers’ trust

International Journal of Bank Marketing ◽

10.1108/ijbm-04-2019-0119 ◽

2019 ◽

Vol 38 (2) ◽

pp. 501-528 ◽

Cited By ~ 3

Author(s):

Souheila Kaabachi ◽

Selima Ben Mrad ◽

Anne Fiedler

Keyword(s):

Structural Equation ◽

Online Survey ◽

Group Analysis ◽

Equation Modeling ◽

Convenience Sample ◽

Content Type ◽

Online Trust ◽

Bank Structure ◽

Website Features ◽

The Impact

Purpose The purpose of this paper is to demonstrate how an e-bank’s structure (click-and-mortar bank vs internet-only bank) influences the consumer’s evaluation of website quality, and to identify the most significant website features that influence online trust and lead to consumer loyalty. Design/methodology/approach A non-probability convenience sample of 476 online bank users (248 click-and-mortar and 230 internet-only bank users) was used in this study. An online survey was conducted. Structural equation modeling and multi-group analysis were used to analyze the data. Findings Findings suggest that e-trust and e-loyalty levels depend on the e-banking structure. Click-and-mortar-based online users were found to have more trust and loyalty in their online banks than internet-only bank users. Findings demonstrate that website features are evaluated differently according to the e-bank structure. Information design and interactivity are very important for internet-only banks, and their effect on online trust seems to be higher. On the other hand, website personalization was evaluated as more important for click-and-mortar banks and had a stronger impact on online trust. Practical implications To promote the trustworthiness of their websites and retain customers, internet-only banks should make the experience more tangible for users by developing a pleasant online experience. Personalization is an important variable that can enhance the consumer’s engagement with the brand. Click-and-mortar banks should enhance their interactivity by providing a continuous and consistent experience across different channels of distribution whether online or in-person and provide more interactive tools on their websites. Originality/value This study contributes significantly to the marketing research literature related to consumer trust as well as to the electronic banking literature. It is the first study to compare customers of click-and-mortar banks with customers of internet-only banks when evaluating website features. It also explores the impact of the e-bank model on the relationship between website features and online trust and customer loyalty.

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Older Adults’ Intention to Socially Isolate Once COVID-19 Stay-at-Home Orders Are Replaced With “Safer-at-Home” Public Health Advisories: A Survey of Respondents in Maryland

Journal of Applied Gerontology ◽

10.1177/0733464820944704 ◽

2020 ◽

Vol 39 (11) ◽

pp. 1175-1183 ◽

Cited By ~ 1

Author(s):

Michael A. Callow ◽

Daniel D. Callow ◽

Charles Smith

Keyword(s):

Older Adults ◽

Public Policy ◽

Online Survey ◽

Linear Regression Analysis ◽

Policy Implications ◽

Analysis Of Covariance ◽

Political Affiliation ◽

Convenience Sample ◽

Social Distancing ◽

At Home

Background: The Theory of Planned Behavior (TPB) and the Health Belief Model (HBM) were used to examine the opinion and behaviors of older adults regarding Coronavirus Disease 2019 (COVID-19), social distancing practices, stay-at-home orders, and hypothetical public policy messaging strategies. Method: A convenience sample ( N = 242) of adults 60 and older in the state of Maryland took part in an online survey. Respondents filled out questions regarding demographic information, political affiliation, current social distancing behaviors, and TPB and HBM constructs in our proposed model. Linear regression analysis and analysis of covariance (ANCOVA) were conducted to test the model. Results: Attitude toward social isolation was affected by perceived benefits and barriers to social distancing measures, perceived severity of COVID-19, and political affiliation. Behavior intention was influenced by attitude, subjective norms, political affiliation, and messaging strategies. Conclusion: The study provides support for the conceptual model and has public policy implications as authorities begin to lift stay-at-home orders.

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Attitudes toward food fraud in Israel and Germany

British Food Journal ◽

10.1108/bfj-10-2019-0785 ◽

2020 ◽

Vol 122 (7) ◽

pp. 2219-2232

Author(s):

Inna Levy ◽

Pamela Kerschke-Risch

Keyword(s):

Gender Differences ◽

Online Survey ◽

Public Attitudes ◽

Food Fraud ◽

Negative Attitudes ◽

Convenience Sample ◽

Content Type ◽

Kosher Food ◽

And Gender ◽

The Impact

PurposeThe current research focused on attitudes toward food fraud (AFF) and examined the impact of types of food fraud, gender differences, and country of residence.Design/methodology/approachA convenience sample of German (n = 151) and Israeli (n = 496) participants was recruited through an online survey. They filled out a sociodemographic questionnaire and AFF scale, which includes three subscales: organic fraud, kosher fraud, and spraying fraud.FindingsThe results indicate that there is a significant effect of type of fraud, country of residence, and gender. German participants expressed more negative attitudes toward organic food fraud and less negative attitudes toward kosher fraud than Israeli participants. Women expressed more negative attitudes toward organic and kosher food frauds than men.Originality/valueThis study offers insight into cross-cultural and gender differences in attitudes toward food fraud. The findings suggest that public attitudes toward food fraud represent not just severity of possible consequences, but also environmental and religious aspects of consumption, norms and culture.

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The Impact of Grit on Health Outcomes in College Students

Current Developments in Nutrition ◽

10.1093/cdn/nzab038_067 ◽

2021 ◽

Vol 5 (Supplement_2) ◽

pp. 455-455

Author(s):

Amelia Sullivan ◽

Leigh Neptune ◽

Kayla Parsons ◽

Ashley Reynolds ◽

Carol Byrd-Bredbenner ◽

...

Keyword(s):

Health Outcomes ◽

Food Insecurity ◽

Undergraduate Students ◽

Online Survey ◽

Future Research ◽

Cross Sectional ◽

Convenience Sample ◽

Experiment Station ◽

College Undergraduate ◽

The Impact

Abstract Objectives The objective was to examine the relationship between grit and health outcomes in college undergraduate students. Methods A cross-sectional convenience sample of college undergraduate students completed an online survey assessing Health-Related Quality of Life (HRQOL), the National Cancer Institute Fruit and Vegetable Screener, and the 2-item Hager Food Insecurity Screener. Grit was assessed by generating a mean score using the 8-item short grit scale. Independent t-tests were used to compare health outcomes between students who reported above/below the average grit score of the sample. Chi-square tests were used to examine group differences between grit level and prevalence of food insecurity. Results Participants (N = 655) were 19.8 ± 1.5 years old, mostly female (63%), and white (84%). The average grit score was 3.27 ± 0.54 out of 5. Results indicated that students who were grittier than average (n = 372) reported fewer days/months (d/m) with poor mental health (8.1 ± 8.5 vs. 11.6 ± 9.6, P < 0.001), fewer d/m feeling sad/depressed (6.2 ± 7.7 vs. 9.9 ± 9.3, P < 0.001), more d/m with restful sleep (12.9 ± 9.8 vs. 10.3 ± 8.6, P < 0.001), more d/m feeling very healthy and full of energy (12.6 ± 8.8 vs. 8.4 ± 7.5, P < 0.001), and ate more servings of fruits and vegetables per day (2.4 ± 1.3 vs. 2.1 ± 1.32, P < 0.01). Grittier participants were also less likely to report being food insecure (16.0%) vs. less grittier participants (23.3%), P < 0.05. Conclusions This data indicates that students who were grittier than average reported better HRQOL, consumed a more healthful diet, and were more likely to be food secure. This provides justification for future research to explore grit as a mediating factor that may contribute to better health outcomes, especially in populations particularly susceptible to experiencing poor HRQOL and food insecurity. Funding Sources This project was supported by the USDA National Institute of Food and Agriculture, Hatch project number #ME0022104 through the Maine Agricultural & Forest Experiment Station. NJ Agriculture Experiment Station.

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Investigating the impact of COVID-19 on performance and image enhancing drug use

10.21203/rs.3.rs-753322/v1 ◽

2021 ◽

Author(s):

Matthew Dunn ◽

Timothy Piatkowski

Keyword(s):

Mental Health ◽

Substance Use ◽

Online Survey ◽

High Dose ◽

Convenience Sample ◽

Health Concerns ◽

Exercise Habits ◽

Mental Health Concerns ◽

Image Enhancing ◽

The Impact

Abstract Background Emerging research has suggested that the COVID-19 pandemic has had some impact on substance use patterns. The aim of the study was to conduct a rapid survey to assess the impact of COVID-19 on performance and image enhancing drug (PIED) use and training, and any subsequent negative physical or mental health outcomes. Methods During 2020, a convenience sample of 60 PIED consumers (mean age = 26.69; 68.3% located outside Australia) completed a quantitative anonymous online survey exploring how the coronavirus pandemic impacted patterns of PIED use and associated exercise habits. The survey was administered via the Qualtrics platform and distributed online through PIED forums as well as through the investigator's networks. Participants were asked about their PIED use and exercise habits prior to and during restricted movement ‘lockdowns’. Results Pre-COVID, the majority of the sample opted to ‘blast-cruise’ (an initial high dose, followed by a lower maintenance dose; 71.7%, n = 43). During lockdown, (45%, n = 27) reported a change in PIED use as a result of the restrictions. In light of health concerns during COVID-19, a majority of men (60%, n = 36) did not take any extra precautions relating to their PIED use. A subgroup of men ceased using PIEDs completely (16.7%, n = 10) with the majority (80%, n = 8) of that subgroup following post-cycle therapy (PCT) of some kind. Conclusions This study contributes to the emerging literature of the impact of the COVID-19 pandemic on substance use, specifically PIED use among men. The results suggest that the pandemic did influence the choice of PIEDs that participants consumed, although there was little disruption to patterns of exercise, an important aspect of PIED use. Of the men who did cease use completely, the majority reported little issue with PCT access; those who reported difficulty accessing PCT compounds indicated experience some mental health concerns related to ceasing their PIED use. Clinicians and those who come into contact with this group should be alert for any negative physical or mental health concerns resulting from disrupted or ceased PIED use.

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