scholarly journals Data Equivalency of an Interactive Voice Response System for Home Assessment of Back Pain and Function

2007 ◽  
Vol 12 (1) ◽  
pp. 23-30 ◽  
Author(s):  
William S Shaw ◽  
Santosh K Verma
Keyword(s):  
Back Pain ◽  
Data Collection ◽  
Interactive Voice Response ◽  
Push Button ◽  
Working Adults ◽  
Acute Back Pain ◽  
And Function ◽  
Lost To Follow Up ◽  
Voice Response

BACKGROUND: Interactive voice response (IVR) systems that collect survey data using automated, push-button telephone responses may be useful to monitor patients’ pain and function at home; however, its equivalency to other data collection methods has not been studied.OBJECTIVES: To study the data equivalency of IVR measurement of pain and function to live telephone interviewing.METHODS: In a prospective cohort study, 547 working adults (66% male) with acute back pain were recruited at an initial outpatient visit and completed telephone assessments one month later to track outcomes of pain, function, treatment helpfulness and return to work. An IVR system was introduced partway through the study (after the first 227 participants) to reduce the staff time necessary to contact participants by telephone during nonworking hours.RESULTS: Of 368 participants who were subsequently recruited and offered the IVR option, 131 (36%) used IVR, 189 (51%) were contacted by a telephone interviewer after no IVR attempt was made within five days, and 48 (13%) were lost to follow-up. Those with lower income were more likely to use IVR. Analysis of outcome measures showed that IVR respondents reported comparatively lower levels of function and less effective treatment, but not after controlling for differences due to the delay in reaching non-IVR users by telephone (mean: 35.4 versus 29.2 days).CONCLUSIONS: The results provided no evidence of information or selection bias associated with IVR use; however, IVR must be supplemented with other data collection options to maintain high response rates.

Redirected Inbound Call Sampling (RICS)

2019 ◽  
Vol 83 (2) ◽  
pp. 386-411
Author(s):  
Burton Levine ◽  
Karol Krotki ◽  
Paul J Lavrakas
Keyword(s):  
Data Collection ◽  
Telephone Survey ◽  
Interactive Voice Response ◽  
Reliability And Validity ◽  
Cost Savings ◽  
The United States ◽  
Dual Frame ◽  
Telephone Surveys ◽  
Fit For Purpose ◽  
Voice Response

Abstract Redirected Inbound Call Sampling (RICS) is an emerging, nonprobability sampling methodology in which calls to nonworking numbers from callers throughout the United States are redirected to a telephone survey recruitment protocol and data collection system. The use of automated, interactive voice response technologies to recruit, screen, and collect data achieves significant cost savings and greatly reduces the time of fielding a survey compared with traditional dual-frame random-digit dialing (DFRDD) surveys that use interviewers for recruitment and data collection. The implementation of RICS that we fielded resulted in respondents who match some demographics of the population about as well as DFRDD telephone surveys. However, we demonstrate some non-ignorable challenges with measurement error in certain types of questions that arise from primacy effects associated with using an interactive voice response system for data collection. We present the results of a RICS study that was designed to better understand the reliability and validity of the data these surveys generate. The investigation presented in this manuscript is a first step to evaluating if RICS can be a fit-for-purpose solution for some survey needs. Our data suggest there is sufficient promise in the RICS methodology to warrant continued development and refinement.

scholarly journals Automated and Interviewer-Administered Mobile Phone Surveys in Burkina Faso: Sociodemographic Differences Among Female Mobile Phone Survey Respondents and Nonrespondents (Preprint)

2020 ◽  
Author(s):  
Abigail R Greenleaf ◽  
Aliou Gadiaga ◽  
Yoonjoung Choi ◽  
Georges Guiella ◽  
Shani Turke ◽  
...  
Keyword(s):  
Burkina Faso ◽  
Cell Phone ◽  
Telephone Interview ◽  
Interactive Voice Response ◽  
Computer Assisted ◽  
Computer Assisted Telephone Interview ◽  
Telephone Interviews ◽  
Phone Survey ◽  
Voice Response

BACKGROUND The remarkable growth of cell phone ownership in low- and middle-income countries has generated significant interest in using cell phones for conducting surveys through computer-assisted telephone interviews, live interviewer-administered surveys, or automated surveys (ie, interactive voice response). OBJECTIVE This study aimed to compare, by mode, the sociodemographic characteristics of cell phone owners who completed a follow-up phone survey with those who did not complete the survey. METHODS The study was based on a nationally representative sample of women aged 15 to 49 years who reported cell phone ownership during a household survey in Burkina Faso in 2016. Female cell phone owners were randomized to participate in a computer-assisted telephone interview or hybrid interactive voice response follow-up phone survey 11 months after baseline interviews. Completion of the phone survey was defined as participants responding to more than 50% of questions in the phone survey. We investigated sociodemographic characteristics associated with cell phone survey completion using multivariable logistic regression models, stratifying the analysis by survey mode and by directly comparing computer-assisted telephone interview and hybrid interactive voice response respondents. RESULTS A total of 1766 women were called for the phone survey between November 5 and 17, 2017. In both the computer-assisted telephone interview and hybrid interactive voice response samples, women in urban communities and women with secondary education or higher were more likely to complete the survey than their rural and less-educated counterparts. Compared directly, women who completed the hybrid interactive voice response survey had higher odds of having a secondary education than those who completed computer-assisted telephone interviews (odds ratio 1.7, 95% CI 1.1-2.6). CONCLUSIONS In Burkina Faso, computer-assisted telephone interviews are the preferred method of conducting cell phone surveys owing to less sample distortion and a higher response rate compared with a hybrid interactive voice response survey.

Primary reverse shoulder arthroplasty in patients older than 80 years of age

2019 ◽  
Vol 101-B (12) ◽  
pp. 1520-1525 ◽  
Author(s):  
Nicholas J. Clark ◽  
Brian T. Samuelsen ◽  
Eduard Alentorn-Geli ◽  
Andrew T. Assenmacher ◽  
Robert H. Cofield ◽  
...  
Keyword(s):  
Revision Surgery ◽  
Shoulder Arthroplasty ◽  
Surgical Complications ◽  
Reverse Shoulder Arthroplasty ◽  
Medical Complications ◽  
Time To Death ◽  
One Year ◽  
And Function ◽  
Lost To Follow Up

Aims Reverse shoulder arthroplasty (RSA) reliably improves shoulder pain and function for a variety of indications. However, the safety and efficacy of RSA in elderly patients is largely unknown. The purpose of this study was to report the mortality, morbidity, complications, reoperations, and outcomes of primary RSA in patients aged > 80 years. Patients and Methods Between 2004 and 2013, 242 consecutive primary RSAs were performed in patients aged > 80 years (mean 83.3 years (sd 3.1)). Of these, 53 were lost to follow-up before two years and ten had died within two years of surgery, leaving 179 for analysis of survivorship, pain, motion, and strength at a minimum of two years or until revision surgery. All 242 patients were considered for the analysis of 90-day, one-year, and overall mortality, medical complications (90-day and overall), surgical complications, and reoperations. The indications for surgery included rotator cuff arthropathy, osteoarthritis, fracture, the sequela of trauma, avascular necrosis, and rheumatoid arthritis. A retrospective review of the medical records was performed to collect all variables. Survivorship free of revision surgery was calculated at two and five years. Results One patient (0.4%) died within the first 90 days. A total of 45 patients (19%) were known to have died at the time of the final follow-up, with a median time to death of 67.7 months (interquartile range 40.4 to 94.7) postoperatively. Medical complications occurred in six patients (3%) and surgical complications occurred in 21/179 patients (12%). Survivorship free from revision was 98.9% at two years and 98.3% at five years; survivorship free from loosening was 99.5% at final follow-up. The presence of peripheral vascular disease correlated with a higher complication rate. Conclusion Primary RSA was safe and effective in patients aged > 80 years, with a relatively low rate of medical and surgical complications. Thus, age alone should not be a contraindication to primary RSA in patients aged > 80 years. However, a careful evaluation of comorbidities is required in this age group when considering primary RSA. Cite this article: Bone Joint J 2019;101-B:1520–1525

scholarly journals Back to living well: community-based management of low back pain: a feasibility study

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Luciana G. Macedo ◽  
Julie Richardson ◽  
Michele C. Battie ◽  
Mark Hancock ◽  
Matthew Kwan ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Data Collection ◽  
Health Care Providers ◽  
Education Program ◽  
Action Plan ◽  
Low Back ◽  
Care Providers ◽  
Living Well

Abstract Background Low back pain (LBP) is a long-term health condition with an unpredictable pattern of symptomatic episodes, remission, and recurrence. Recently published systematic reviews suggest that exercise is the most effective intervention for preventing recurrences of LBP in persons that have recovered. Similar programs may also be effective in preventing flare-ups in persistent LBP. The aim of this study was to test the feasibility of the Back to Living Well program (Physical activity + Education + Self-management) developed to prevent recurrence or flare-ups of LBP. The study evaluated feasibility in terms of recruitment rate, adherence, satisfaction with the exercise and education sessions, and the data collection procedures. We also aimed to evaluate barriers and facilitators to the engagement in the program. Methods Seventeen participants with non-specific LBP recently discharged from care from physiotherapy, chiropractors or physician care (< 3 months) were referred to the study by health care providers or community advertisements between December 2018 and February 2019. Participants underwent a 12-week (1 session/week) individualized, group-based exercise in the community and 4 sessions (30 min each) of education. All participants completed an action plan weekly for 12 weeks and wore an activity monitor for 6 months. All participants responded to weekly pain measures and completed study questionnaires at baseline, 3- and 6-months. Feasibility outcomes included recruitment, attrition rates and satisfaction. At the end of the intervention, participants completed an end-of-program survey. Results Twenty-nine participants were screened for eligibility; 20 were deemed eligible, while 17 were included over a 2-month period meeting our feasibility targets. In total, 16 completed follow-up study questionnaires at 3 months, and 15 completed the 6-month follow-up. Fourteen participants responded to weekly messages, while 3 participants reported not having a mobile device or Internet access. In total, 15 participants responded to our end-of-program survey. Average age was 54.9 (11.7); 9 were female (53%), and the mean duration of LBP was 62.9 (69.7) months. All satisfaction responses in relation to the exercise program, education program and data collection procedures reached our threshold of 70% out of 100%. Reported barriers to engagement in the program included fear of injury, lack of motivation and travel. Facilitators included proximity to home, low cost, flexible schedule and friendly location. Conclusion The results show the program is feasible in terms of recruitment, low attrition, and patient satisfaction. Participants highlighted the excellent, relevant education program and the positive, personalized exercise. Future studies should evaluate the effectiveness of this intervention within a fully powered randomized controlled trial. Trial registration NCT03328689

scholarly journals An Interactive Voice Response and Text Message Intervention to Improve Blood Pressure Control Among Individuals With Hypertension Receiving Care at an Urban Indian Health Organization: Protocol and Baseline Characteristics of a Pragmatic Randomized Controlled Trial (Preprint)

2018 ◽  
Author(s):  
Emily B Schroeder ◽  
Kelly Moore ◽  
Spero M Manson ◽  
Megan A Baldwin ◽  
Glenn K Goodrich ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Interactive Voice Response ◽  
Text Message ◽  
Basic Material ◽  
Missed Appointments ◽  
Indian Health ◽  
Urban Indian ◽  
Baseline Characteristics ◽  
Voice Response

BACKGROUND Efficient and effective strategies for treating chronic health conditions such as hypertension are particularly needed for under-resourced clinics such as Urban Indian Health Organizations (UIHOs). OBJECTIVE The objective of the Controlling Blood Pressure Trial is to assess the impact of an interactive voice response and text message (IVR-T) intervention compared with usual care among individuals with hypertension receiving care at a UIHO in Albuquerque, New Mexico. This manuscript presents the baseline characteristics of individuals enrolled in the trial and compares their characteristics with those in the hypertension registry who did not enroll in the trial. METHODS A hypertension registry developed from the clinic’s electronic health record was used for recruitment. Potentially eligible participants were contacted by letter and then by phone. Those who expressed interest completed an in-person baseline visit that included a baseline survey and blood pressure measurement using standardized procedures. Individuals randomized to the intervention group could opt to receive either automated text messages or automated phone calls in either English or Spanish. The messages include reminders of upcoming appointments at First Nations Community HealthSource, requests to reschedule recently missed appointments, monthly reminders to refill medications, and weekly motivational messages to encourage self-care, appointment keeping, and medication taking for hypertension. Individuals in the IVR-T arm could opt to nominate a care partner to also receive notices of upcoming and missed appointments. Individuals in the IVR-T arm were also offered a home blood pressure monitor. Follow-up visits will be conducted at 6 months and 12 months. RESULTS Over a 9.5-month period from April 2017 to January 2018, 295 participants were enrolled from a recruitment list of 1497 individuals. The enrolled cohort had a mean age of 53 years, was 25.1% (74/295) American Indian or Alaska Native and 51.9% (153/295) Hispanic, and 39.0% (115/295) had a baseline blood pressure greater than or equal to 140/90 mmHg. Overall, the differences between those enrolled in the trial and patients with hypertension who were ineligible, those who could not be reached, or those who chose not to enroll were minimal. Enrolled individuals had a slightly lower blood pressure (129/77 mmHg vs 132/79 mmHg; P=.04 for systolic blood pressure and P=.01 for diastolic blood pressure), were more likely to self-pay for their care (26% vs 10%; P<.001), and had a more recent primary care visit (164 days vs 231 days; P<.001). The enrolled cohort reported a high prevalence of poor health, low socioeconomic status, and high levels of basic material needs. CONCLUSIONS The Controlling Blood Pressure Trial has successfully enrolled a representative sample of individuals receiving health care at a UIHO. Trial follow-up will conclude in February 2019. CLINICALTRIAL ClinicalTrials.gov NCT03135405; http://clinicaltrials.gov/ct2/show/NCT03135405 (Archived by WebCite http://www.webcitation.org/76H2B4SO6) INTERNATIONAL REGISTERED REPOR DERR1-10.2196/11794

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