Approach to good customers based on questionnaire response trends

The aim of this study was to explore the experience of rare cancer patients with the healthcare system and examine differences between age groups (adolescents and young adults (AYA, 18–39 years), older adults (OA, 40–69 years) and elderly (≥70 years)). Dutch sarcoma patients, 2–10 years after diagnosis, completed a questionnaire on their experience with the healthcare system, satisfaction with care, information needs, patient and diagnostic intervals (first symptom to first doctor’s visit and first doctor’s visit to diagnosis, respectively) and received supportive care. In total, 1099 patients completed the questionnaire (response rate 58%): 186 AYAs, 748 OAs and 165 elderly. Many survivors experienced insufficient medical and non-medical guidance (32% and 38%), although satisfaction with care was rated good to excellent by 94%. Both patient and diagnostic intervals were >1 month for over half of the participants and information needs were largely met (97%). AYAs had the longest patient and diagnostic intervals, experienced the greatest lack of (non-)medical guidance, had more desire for patient support groups and used supportive care most often. This nationwide study among sarcoma survivors showed that healthcare experiences differ per age group and identified needs related to the rarity of these tumors, such as improvements concerning (non-)medical guidance and diagnostic intervals.

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Digital Education on Prudent Antibiotic Use—Evaluation of a Massive Open Online Course for General Practitioners in Germany

Infection Control and Hospital Epidemiology ◽

10.1017/ice.2020.732 ◽

2020 ◽

Vol 41 (S1) ◽

pp. s192-s193

Author(s):

Florian Salm ◽

Tobias Kramer ◽

Cornelius Remschmidt ◽

Petra Gastmeier ◽

Sandra Schneider

Keyword(s):

Antibiotic Therapy ◽

General Practitioners ◽

Antibiotic Use ◽

Background Information ◽

Online Course ◽

Massive Open Online ◽

Questionnaire Response ◽

Face To Face ◽

Massive Open Online Course ◽

Assessment Questionnaire

Background: Antimicrobial resistance is a growing global health problem predominantly driven by overuse of antibiotics. In humans, most antibiotics are used outside the hospital. Overprescribing for acute respiratory infections (ARIs) is common despite clear guidelines. The need for further training of general practitioners is well known. Objective: To develop and evaluate a massive open online course (MOOC) on antibiotic therapy of common infectious diseases in general practice. Methods: A 4-week MOOC was developed on the basis of previous face-to-face trainings (platform, Hasso Plattner Institute for Digital Engineering) and was conducted 3 times between July 10, 2017, and May 31, 2019. The course was promoted through various general practitioner (GP) networks, local multipliers, and conferences and in the local trade press. In addition to epidemiological background information, the focus was on guideline-based diagnostics and treatment of ARI, side effects of antibiotics, correct drug selection, dosage and duration of indicated antibiotic therapy, as well as aspects of doctor–patient communication. Content included videos, self-tests, additional written material, and an optional exam. At the end of the course, participants were asked to complete a voluntary, anonymous online assessment questionnaire (LimeSurveyPro software). Usage data from the MOOC platform and data from the questionnaire were analyzed using IBM SPSS statistical software. Results: In total, 2,177 registered persons retrieved content (= learners). The proportion of learners dropped from 99.6% in week 1 to 40.7% in week 4. However, among those attending week 4, the average proportion of content used was still high (74.5%). Furthermore, 27.5% of learners completed the course, 23.8% took the exam, and 19.7% passed the exam. Moreover, 284 learners answered the assessment questionnaire (response rate, 13.0%); 62.3% were women, and the mean age was 45.9 years. Also, 225 participants (79.2%) stated that they were physicians; 122 of these worked as general practitioners (54.2% of physicians). Among the other physicians, 23% stated were in specialist training and 15.6% had a different specialist designation. The average overall rating of the course was 1.31 (1 = very good to 6 = not sufficient). General practitioners rated it slightly better than other physicians (1.23 vs 1.41). The clinical relevance was rated at 1.27 (GPs vs other physicians, 1.18 vs 1.35). For all scores, see Table 1. Conclusions: A massive open online course appears to be an appropriate format in which to deliver clinical relevant content concerning prudent antibiotic use in the outpatient setting. It is a good complement to existing face-to-face formats and helps to cover needs related to antibiotic training.Funding: NoneDisclosures: None

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Prevalence of Wheat/Gluten-Related Disorders and Gluten-Free Diet in Paraguay: An Online Survey-Based Study

Nutrients ◽

10.3390/nu13020396 ◽

2021 ◽

Vol 13 (2) ◽

pp. 396

Author(s):

Noé Ontiveros ◽

Raúl Emilio Real-Delor ◽

José Antonio Mora-Melgem ◽

Carlos Eduardo Beltrán-Cárdenas ◽

Oscar Gerardo Figueroa-Salcido ◽

...

Keyword(s):

Latin American ◽

Weight Control ◽

Online Survey ◽

Adult Population ◽

Wheat Gluten ◽

Gluten Free Diet ◽

Gluten Free ◽

Questionnaire Response ◽

Face To Face ◽

Validated Questionnaire

Gluten-related disorders (GRDs) are increasing around the world, but their magnitude and relevance remain unknown in most Latin American countries. Thus, an online survey was conducted to estimate the prevalence of GRDs as well as adherence to a gluten-free diet (GFD) in Paraguayan adult population. There were 1058 individuals surveyed using a validated questionnaire (response rate of 93.9%). The self-reported prevalence rates were as follows (95% CI): gluten sensitivity (GS), 10.30% (8.53–12.29); non-celiac GS (NCGS), 5.19% (3.94–6.71); physician-diagnosed celiac disease (PD-CD), 3.11% (2.15–4.35); wheat allergy (WA), 2.07% (1.30–3.13); and adherence to GFD, 15.69% (13.55–18.02). Excluding CD, more women than men met the criteria for GRDs, adverse food reactions, and GFD (p < 0.05). Eight respondents reported the coexistence of NCGS with PD-CD and/or WA. Most cases on a GFD indicated medical/dietitian advice for following the diet (68.07%). Non-self-reported GS individuals indicated weight control (46.4%) and the notion that the GFD is healthier (20.2%) as the main motivations for following the diet. GRDs are not uncommon in Paraguayan adult population. It seems that there is awareness about GRDs and the GFD, but training about the diagnosis of GRDs is desirable because of the informed overlapping diagnoses of CD or WA with NCGS. Future studies involving face-to-face interviews are necessary.

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Modul Persamaan Lingkaran Berbasis Search, Solve, Create and Share (SSCS)

Jurnal Pendidikan Matematika Universitas Lampung ◽

10.23960/mtk/v8i2.pp261-272 ◽

2020 ◽

Vol 8 (4) ◽

pp. 261-272

Author(s):

Evi Candra Monica ◽

Nurain Suryadinata ◽

Nurul Farida

Keyword(s):

Development Research ◽

Questionnaire Response ◽

Design Expert ◽

Is Research ◽

Total Percentage ◽

Learning Mathematics ◽

Stage 1 ◽

D Model ◽

Group Trial ◽

Expert Validation

The purpose of the development of this mathematics module is to produce products in the form of mathematical modules based on Search, Solve, Create, and Share (SSCS) material that is valid and practical. The type of research that is used is research and development (R&D). The model that is used is the R&D model developed by Sugiyono who has been modified. The stages which are used in this development research only stage 1 through 7. The instruments which are used were expert validation questionnaire and questionnaire response of students. Based on the results of expert validation obtained the results of the validation of material expert 78,84% (decent categories), linguists expert 85% (category of very feasible) and design expert 83,6% (a very feasible category), so that the overall percentage of the validator obtained a total percentage of 82,48% (very feasible category). The results of the small group trial were obtained from the response of students of the mathematics module was 84% (a very practical category). Based on the results, it can be concluded that the SSCS-based mathematics module material for students’ questions in SMA Negeri 1 Metro is very feasible and very practical to be used as a source of learning mathematics, especially circle material.

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Prevalence and Workplace Drivers of Burnout in Cancer Care Physicians in Ontario, Canada

JCO Oncology Practice ◽

10.1200/op.21.00170 ◽

2021 ◽

pp. OP.21.00170

Author(s):

Simron Singh ◽

Ashley Farrelly ◽

Catherine Chan ◽

Brett Nicholls ◽

Narges Nazeri-Rad ◽

...

Keyword(s):

Health Care ◽

Cancer Care ◽

Gynecologic Oncology ◽

Maslach Burnout Inventory ◽

Well Being ◽

System Level ◽

Survey Study ◽

Cross Sectional Survey ◽

Questionnaire Response ◽

Mental Health Patient

PURPOSE: Provider well-being has become the fourth pillar of the quadruple aim for providing quality care. Exacerbated by the global COVID-19 pandemic, provider well-being has become a critical issue for health care systems worldwide. We describe the prevalence and key system-level drivers of burnout in oncologists in Ontario, Canada. METHODS: This is a cross-sectional survey study conducted in November-December 2019 of practicing cancer care physicians (surgical, medical, radiation, gynecologic oncology, and hematology) in Ontario, Canada. Ontario is Canada's largest province (with a population of 14.5 million), and has a single-payer publicly funded cancer system. The primary outcome was burnout experience assessed through the Maslach Burnout Inventory. RESULTS: A total of 418 physicians completed the questionnaire (response rate was 44% among confirmed oncologists). Seventy-three percent (n = 264 of 362) of oncologists had symptoms of burnout (high emotional exhaustion and/or depersonalization scores). Significant drivers of burnout identified in multivariable regression modeling included working in a hectic or chaotic atmosphere (odds ratio [OR] = 15.5; 95% CI, 3.4 to 71.5; P < .001), feeling unappreciated on the job (OR = 7.9; 95% CI, 2.9 to 21.3; P < .001), reporting poor or marginal control over workload (OR = 7.9; 95% CI, 2.9 to 21.3; P < .001), and not being comfortable talking to peers about workplace stress (OR = 3.0; 95% CI, 1.1 to 7.9; P < .001). Older age (≥ 56 years) was associated with lower odds of burnout (OR = 0.16; 95% CI, 0.1 to 0.4; P < .001). CONCLUSION: Nearly three quarters of participants met predefined standardized criteria for burnout. This number is striking, given the known impact of burnout on provider mental health, patient safety, and quality of care, and suggests Oncologists in Ontario may be a vulnerable group that warrants attention. Health care changes being driven by the COVID-19 pandemic provide an opportunity to rebuild new systems that address drivers of burnout. Creating richer peer-to-peer and leadership engagement opportunities among early- to mid-career individuals may be a worthwhile organizational strategy.

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Headache in Patients With Pituitary Lesions: A Longitudinal Cohort Study

Neurosurgery ◽

10.1227/neu.0000000000001067 ◽

2015 ◽

Vol 78 (3) ◽

pp. 316-323 ◽

Cited By ~ 12

Author(s):

Paul Rizzoli ◽

Sherry Iuliano ◽

Emma Weizenbaum ◽

Edward Laws

Keyword(s):

Primary Headache ◽

Headache Disorder ◽

Pituitary Surgery ◽

Secondary Headache ◽

Exact Nature ◽

Questionnaire Response ◽

Headache Diagnosis ◽

Transsphenoidal Pituitary Surgery ◽

The Relationship

Abstract BACKGROUND: Headache is a presenting feature in 37% to 70% of patients with pituitary tumor. Other pituitary lesions may also present with headache, and together these lesions account for about 20% of all primary brain lesions. Although pituitary lesions have been associated with headache, the exact nature of the relationship remains undefined. It is not always clear whether the presenting headache is an unrelated primary headache, a lesion-induced aggravation of a preexisting primary headache, or a separate secondary headache related to the lesion. OBJECTIVE: To characterize headache in patients referred to a multidisciplinary neuroendocrine clinic with suspected pituitary lesions and to assess changes in headache in those who underwent surgery. METHODS: We used a self-administered survey of headache characteristics completed by patients upon presentation and after any pituitary surgical procedure. RESULTS: One hundred thirty-three participants completed the preoperative questionnaire (response rate of 99%). The overall prevalence of headache was 63%. Compared to patients without headache, the group with headache was more likely to be female (P = .001), younger (P = .001), and to have had a prior headache diagnosis (P < .001). Seventy-two percent of patients reported headache localized to the anterior region of the head. Fifty-one patients with headache underwent transsphenoidal pituitary surgery. Headache was not associated with increased odds of having surgery (odds ratio, 0.90). At 3 months, 81% of surgically treated patients with headache who completed the postoperative questionnaire (21/26) reported improvement or resolution of headaches. No patient who completed the postoperative questionnaire (44/84) reported new or worsened headache. CONCLUSION: Frequent, disabling headaches are common in patients with pituitary lesions referred for neuroendocrine consultation, especially in younger females with a preexisting headache disorder. Surgery in this group was associated with headache improvement or resolution in the majority and was not found to cause or worsen headaches. Suggestions for revision of the International Classification of Headache Disorders diagnostic criteria pertaining to pituitary disorders are supported by these findings.

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FC08-05 - Work-related threats and violence and incident use of psychotropics

European Psychiatry ◽

10.1016/s0924-9338(11)73560-x ◽

2011 ◽

Vol 26 (S2) ◽

pp. 1856-1856

Author(s):

I.E.H. Madsen ◽

H. Burr ◽

R. Rugulies

Keyword(s):

Statistical Power ◽

Mental Health Problems ◽

List Type ◽

Questionnaire Response ◽

Large Sample ◽

Adjusted Risk ◽

Work Related ◽

Increased Risk ◽

Violence In The Workplace ◽

Reported Data

IntroductionThe consequences of work-related violence and threats for clinically significant mental health problems are unclear: One study showed associations with hospitalisation for depressive and stress-related disorders, but a different study found no association with use of antidepressants. This null-finding, however, could be due to lack of statistical power.ObjectivesRe-examining the relation between exposure to work-related threats and violence in a large sample of Danish employees (n = 15527).AimsAssessing whether employees reporting exposure to work-related threats or violence are more likely to start treatment with psychotropics.MethodsWe synthesized three Danish studies with self-reported data on exposure to work-related threats or violence within the past 12 months and linked it with purchases of psychotropic medications through registry-data. After excluding 1750 respondents who had used psychotropic medication previous to 12 months before questionnaire-response, the final study population was 15527 employees. We examined four mutually exclusive outcomes:1)antidepressants (N06a),2)anxiolytics (N05b),3)antidepressants and anxiolytics,4)hypnotics only (N05c).Using four separate logistic regressions we adjusted risk estimates for confounding by gender, age, cohabitation, education, and income.ResultsPreliminary analyses show increased risk for treatment with antidepressants (OR = 1.46; 95%CI: 1.15–1.86) and antidepressants combined with anxiolytics (OR = 1.79; 95%CI:1.16–2.76), but not anxiolytics (OR = 1.04; 95%CI: 0.74-1.45) or hypnotics only (OR = 1.08; 95%CI: 0.77–1.50). Final results will be available for the conference.ConclusionsIn this large sample of Danish employees, exposure to threats or violence in the workplace is associated with treatment with antidepressants, and antidepressants combined with anxiolytics, but not anxiolytics or hypnotics only.

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Program ODOPOS ( One Day One Problem One Solution) In Realistic Mathematics-Based Online

INNOVATION RESEARCH JOURNAL ◽

10.30587/innovation.v1i2.1916 ◽

2020 ◽

Vol 1 (2) ◽

pp. 75

Author(s):

Diah Sulistiyowati ◽

Nur Fauziyah ◽

Fatimatul Khikmiyah

Keyword(s):

Real Life ◽

Development Stage ◽

Student Response ◽

Design Stage ◽

Response Sheet ◽

Use Case ◽

Questionnaire Response ◽

Realistic Mathematics ◽

Realistic Mathematic ◽

Use Case Diagram

ABSTRAK The purpose of this research is to develop ODOPOS (one day one problem one solution) program in realistic mathematic that is based online. By application of realistic mathematics is expected to have students the ability to understand mathematics in real life. The sample of this study is 33 students at V grade of Elementary School of Muhammadiyah Manyar at 2019-2020 academic years. The research instrument is a pretest-posttest test and student response questionnaire sheet. Result of the study: (1) Development of ODOPOS (one day one problem one solution) program in realistic mathematic based online is: (a) Analyze stage, includes analysis of student characteristics and material analysis (b) Design stage, there is a use case diagram that is: home, profile, log in, summary and examples of problems, exercises, scores and class progress (c) Development stage is developing the ODOPOS program design based on the use case diagram. (d) Implementation stage, is the result of the development ODOPOS program being applied in learning for one week (e) evaluation stage, is giving a pretest-posttest test and student questionnaire response sheet (2) there is an increase in student achievement 84 , 84%. The students get an n-gain score of 0.7 for the high category from the use of the ODOPOS (one day one problem one solution) program. (3) Students responses to the ODOPOS program, based on the content criteria, the result is 93.49% or very feasible

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Does pre-notification increase questionnaire response rates: a nested randomised control trial

10.1101/2021.02.19.21252107 ◽

2021 ◽

Author(s):

Benjamin Woolf ◽

Phil Edwards

Keyword(s):

Systematic Review ◽

Response Rates ◽

Risk Of Bias ◽

Randomised Control Trial ◽

Questionnaire Response ◽

Potential Study ◽

Study Results ◽

Study Participants ◽

Unclear Risk

AbstractBackgroundStudy results can be badly affected by non-response. One way to potentially reduce non-response is by sending potential study participants advance communication. During the update of a systematic review examining the effect of pre-notification on response rates, a number of study authors needed to be contacted for further information.ObjectivesTo conduct an RCT to investigate the effect of pre-notification, nested within the request for further information for a systematic review.MethodsStudy authors included in the systematic review, whose studies were at unclear risk of bias, and who were contactable, were randomly sent or not set a pre-notification email prior to being sent the request for further information email.ResultsAt the end of follow up, 14/33 (42.4%) authors in the pre-notification condition had returned responses to the questionnaire, and 18/42 (42.9%). There was not evidence of a difference between these groups.ConclusionsThis study’s results do not support the hypothesis that pre-notification does increase response from participants.

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