Health care practitioners’ confidence assessing lupus-related rashes in patients of color

Lupus ◽  
2021 ◽  
pp. 096120332110452
Author(s):  
Vijay Kannuthurai ◽  
Jacob Murray ◽  
Ling Chen ◽  
Elizabeth A Baker ◽  
Lisa Zickuhr
Keyword(s):  
Personal Characteristics ◽  
Linear Regression Models ◽  
Unconscious Bias ◽  
Educational Materials ◽  
Cutaneous Manifestations ◽  
Linear Mixed Effects ◽  
Confidence Levels ◽  
Disease Outcomes ◽  
Clinical Confidence ◽  
Fair Skin

Background: Patients with skin of color (P-SOC) are disproportionately burdened by lupus and often have worse disease outcomes than white patients. This is partly because educational materials underrepresent P-SOC, thereby promoting unconscious bias and clinical deficiencies among practitioners. Purpose: We sought to measure providers' confidence in diagnosing the cutaneous manifestations of lupus (i.e., lupus-related rashes) in P-SOC and to assess which factors influenced their confidence. Research Design: We created and distributed a survey that gathered information about participants' personal characteristics, clinical specialty, training, and current practice as well as measuring their confidence assessing lupus-related rashes in various skin tones. Study Sample: Practitioners from the fields of rheumatology, dermatology, and internal medicine in the greater St. Louis area (Missouri, USA) participated in the survey. Analysis: We compared practitioners' mean confidence levels assessing lupus-related rashes in patients with fair skin and P-SOC with a linear mixed effects model and used univariate and multivariate linear regression models to determine if the aforementioned factors correlated with confidence. Results: Participants' mean confidence in diagnosing lupus-related rashes in P-SOC was significantly lower than assessing such findings in patients with fair skin ( p = .009). Several factors correlated with confidence level at a univariate level; however, the multivariate model revealed experience as the only factor significantly associated with confidence ( p = .001). Conclusions: Providers report significantly less confidence assessing lupus-related rashes in P-SOC than in patients with fair skin. Our analysis demonstrates that experience positively correlates with confidence and suggests that interventions which enhance practitioners' exposure to and experience with these rashes in P-SOC can improve clinical confidence as well as patient outcomes.

scholarly journals Predicting COVID-19 Vaccination Intention: The Determinants of Vaccine Hesitancy

Vaccines ◽  
2021 ◽  
Vol 9 (10) ◽  
pp. 1161
Author(s):  
Nuno Fernandes ◽  
Daniela Costa ◽  
Diogo Costa ◽  
José Keating ◽  
Joana Arantes
Keyword(s):  
Psychological Factors ◽  
Online Survey ◽  
Herd Immunity ◽  
Personal Characteristics ◽  
Policy Decision ◽  
Vaccine Hesitancy ◽  
Attitudes And Beliefs ◽  
Linear Regression Models ◽  
Domain Specific ◽  
Main Determinants

Do people want to be vaccinated against COVID-19? Herd immunity is dependent on individuals’ willingness to be vaccinated since vaccination is not mandatory. Our main goal was to investigate people’s intention to be vaccinated and their intentions to vaccinate their children. Moreover, we were interested in understanding the role of the personal characteristics, psychological factors, and the lockdown context on that decision. Therefore, we conducted an online survey during the lockdown in Portugal (15 January 2021 until 14 March 2021). Participants completed a socio-demographic questionnaire, questions about their intentions of being vaccinated, concerns about the vaccine, a COVID-19 attitudes and beliefs scale, a COVID-19 vaccine attitudes and beliefs scale, and the Domain-Specific Risk-Taking (DOSPERT) Scale. Our results showed that from the 649 participants, 63% of the participants reported being very likely to have the vaccine, while 60% reported being very likely to vaccinate their children. We conducted two linear regression models, explaining 65% of the variance for personal vaccination and 56% of the variance for children vaccination. We found that the COVID-19 vaccine general beliefs and attitudes were the main determinants of vaccination intention. Additionally, our proposed artificial neural network model was able to predict with 85% accuracy vaccination intention. Thus, our results suggest that psychological factors are an essential determinant of vaccination intention. Thus, public policy decision makers may use these insights for predicting vaccine hesitancy and designing effective vaccination communication strategies.

scholarly journals Deep, Surface, or Both? A Study of Occupational Therapy Students’ Learning Concepts

2018 ◽  
Vol 2018 ◽  
pp. 1-8
Author(s):  
Tore Bonsaksen
Keyword(s):  
Occupational Therapy ◽  
Personal Characteristics ◽  
Independent Study ◽  
Self Report ◽  
Personal Factors ◽  
Linear Regression Models ◽  
Occupational Therapy Students ◽  
Bivariate Correlation ◽  
Deep And Surface Learning ◽  
Learning Concept

Background. Students’ conceptualization of learning has been associated with their approaches to studying. However, whether students’ learning concepts are associated with their personal characteristics is unknown. Aim. To investigate whether sociodemographic, education-related, and personal factors were associated with the learning concepts of Norwegian occupational therapy students. Methods. One hundred and forty-nine students (mean age 23.9 years, 79.2% women) participated in the study. The employed self-report questionnaires included the Approaches and Study Skills Inventory for Students, the Rosenberg Self-Esteem Scale, and the General Self-Efficacy Scale. Differences between student cohorts were analyzed with one-way analyses of variance and χ2 tests, whereas factors associated with the students’ learning concepts were analyzed with bivariate correlation and linear regression models. Results. The students’ mean scores on the deep and surface learning concept scales were similar. Spending more time on the independent study was associated with having higher scores on the unidimensional learning concept measure. Conclusions. The students’ learning concept appears to encompass a surface concept as well as a deep concept of learning, and the two ways of conceptualizing learning were positively related to each other. Over time, a mature deep concept may add to, rather than replace, a basic surface concept of learning.

scholarly journals Predictors of Seniors’ Interest in Assistive Applications on Smartphones: Evidence from a Population-Based Survey in Slovenia

2019 ◽  
Vol 16 (9) ◽  
pp. 1623 ◽  
Author(s):  
Andraž Petrovčič ◽  
Sebastiaan Peek ◽  
Vesna Dolničar
Keyword(s):  
Mobile Phone ◽  
Independent Living ◽  
Personal Characteristics ◽  
Population Based ◽  
Linear Regression Models ◽  
Daily Lives ◽  
Slovenian Population ◽  
Usage Patterns ◽  
Mobile Phone Usage ◽  
Acceptance Factors

Assistive applications (apps) on smartphones could contribute to a better quality of life for seniors living independently at home. At present, there is a lack of empirical evidence of seniors’ acceptance of such apps. The Cycle of Technology Acquirement by Independent-Living Seniors (C-TAILS) model was recently proposed for studying the interplay between acceptance factors by integrating the personal, social and technological domains of seniors’ daily lives. This study aimed to explore how four groups of factors, clustered in accordance with the C-TAILS model, predict seniors’ interest in assistive apps, on a representative sample of the Slovenian population aged 55 years or older. The 617 respondents, who were contacted though a telephone survey, answered a questionnaire about their interest in three groups of assistive apps and four groups of potentially associated acceptance factors. Three linear regression models were used to analyse the association between the factors and the seniors’ interest in the three types of assistive apps. Smartphone-related dispositional traits were the strongest predictors across all three models. Among mobile phone usage patterns, smartphone use and the breadth of mobile phone features used were significant factors, while the significance of seniors’ personal characteristics and socio-economic conditions varied across the models. Hence, awareness that these factors play different roles in the acceptance of different assistive apps is needed in order to design viable interventions for their acceptance among seniors.

Study of Graduates in the Education of the Visually Disabled

1972 ◽  
Vol 38 (8) ◽  
pp. 605-612
Author(s):  
Mel W. Weishahn
Keyword(s):  
Special Education ◽  
Personal Characteristics ◽  
Preparation Program ◽  
Educational Materials ◽  
Vocational Behavior ◽  
The Difference ◽  
Visually Disabled

Graduates with masters degrees in education of the visually disabled (N = 52) were queried by a mailed questionnaire about (a) their specific educational and personal characteristics, (b) their vocational behavior (c) perceptions of their preparation program, and (d) the value of their preparation in relation to their present positions. A 98 percent return showed the difference between the means for preparation and value of preparation not to be significant. However examination of the t ratios by each of seven competency areas indicated the ratings differed significantly in the following three areas: (a) techniques and methods of instruction, (b) acquisition and preparation of educational materials, and (c) general special education competency.

scholarly journals The trade-off behaviours between virtual and physical activities during the first wave of the COVID-19 pandemic period

2021 ◽  
Vol 13 (1) ◽  
Author(s):  
Elisa Bin ◽  
Claudia Andruetto ◽  
Yusak Susilo ◽  
Anna Pernestål
Keyword(s):  
Regression Models ◽  
Multivariate Analyses ◽  
Personal Characteristics ◽  
Lifestyle Changes ◽  
Internet Usage ◽  
Linear Regression Models ◽  
Demographic Groups ◽  
Restriction Policy ◽  
Online Forms

Abstract Introduction The first wave of COVID-19 pandemic period has drastically changed people’s lives all over the world. To cope with the disruption, digital solutions have become more popular. However, the ability to adopt digitalised alternatives is different across socio-economic and socio-demographic groups. Objective This study investigates how individuals have changed their activity-travel patterns and internet usage during the first wave of the COVID-19 pandemicperiod, and which of these changes may be kept. Methods An empirical data collection was deployed through online forms. 781 responses from different countries (Italy, Sweden, India and others) have beencollected, and a series of multivariate analyses was carried out. Two linear regression models are presented, related to the change of travel activities andinternet usage, before and during the pandemic period. Furthermore, a binary regression model is used to examine the likelihood of the respondents to adoptand keep their behaviours beyond the pandemic period. Results The results show that the possibility to change the behaviour matter. External restrictions and personal characteristics are the driving factors of the reductionin ones' daily trips. However, the estimation results do not show a strong correlation between the countries' restriction policy and the respondents' likelihoodto adopt the new and online-based behaviours for any of the activities after the restriction period. Conclusion The acceptance and long-term adoption of the online alternatives for activities are correlated with the respondents' personality and socio-demographicgroup, highlighting the importance of promoting alternatives as a part of longer-term behavioural and lifestyle changes.

scholarly journals Psychological Impact During the First Outbreak of COVID-19 on Frontline Health Care Workers in Shanghai

2021 ◽  
Vol 9 ◽  
Author(s):  
Jingjing Feng ◽  
Jinfu Xu ◽  
Susu Xu ◽  
Huifang Cao ◽  
Cuixia Zheng ◽  
...  
Keyword(s):  
Health Care ◽  
Psychological Distress ◽  
Online Survey ◽  
General Health Questionnaire ◽  
Psychological Impact ◽  
Significant Risk ◽  
Personal Characteristics ◽  
Linear Regression Models ◽  
Logistic Analysis ◽  
Lack Of Knowledge

Background: The COVID-19 pandemic is a significant health threat. Health care worker (HCWs) are at a significant risk of infection which may cause high levels of psychological distress. The aim of this study was to investigate the psychological impact of the COVID-19 on HCWs and factors which were associated with these stresses during the first outbreak in Shanghai.Methods: Between February 9 and 21, 2020, a total of 3,114 frontline HCWs from 26 hospitals in Shanghai completed an online survey. The questionnaire included questions on their sociodemographic characteristics, 15 stress-related questions, and General Health Questionnaire-12 (GHQ-12). Exploratory factor analysis was applied to the 15 stress-related questions which produced four distinct factors for evaluation. Multiple linear regression models were performed to explore the association of personal characteristics with each score of the four factors. Binary logistic analysis was used to explain the association of personal characteristics and these four factors with the GHQ-12.Results: There were 2,691 valid surveys received. The prevalence of emotional distress (defined as GHQ-12 ≥ 12) was noted in 47.7% (95%CI:45.7–49.6%) HCWs. Females (OR = 1.43, 95%CI:1.09–1.86) were more likely to have a psychological distress than males. However, HCWs who work in secondary hospitals (OR = 0.71, 95% CI:0.58–0.87) or had a no contact history (OR = 0.45, 95%CI: 0.35–0.58) were less likely to suffer psychological distress. HCWs who were nurses, married, and had a known contact history were highly likely to have anxiety. HCWs working at tertiary hospitals felt an elevated anxiety regarding the infection, a lack of knowledge, and less protected compared to those who worked at secondary hospitals.Conclusions: Our study shows that the frontline HCWs had a significant psychosocial distress during the COVID-19 outbreak in Shanghai. HCWs felt a lack of knowledge and had feelings of being not protected. It is necessary for hospitals and governments to provide additional trainings and psychological counseling to support the first-line HCWs.

scholarly journals The relation between individual-level factors and the implementation of classroom-based physical activity approaches among elementary school teachers

2021 ◽  
Vol 11 (3) ◽  
pp. 745-753
Author(s):  
Timothy J Walker ◽  
Derek W Craig ◽  
Michael C Robertson ◽  
Jacob Szeszulski ◽  
Maria E Fernandez
Keyword(s):  
Physical Activity ◽  
Active Learning ◽  
Self Efficacy ◽  
Grade Level ◽  
Outcome Expectations ◽  
Personal Characteristics ◽  
Activity Level ◽  
Second Grade ◽  
Linear Regression Models ◽  
Cross Sectional Survey

Abstract Classroom-based physical activity approaches can improve students’ physical activity; however, their implementation remains a challenge. This study examined teacher-level factors associated with implementing two classroom-based physical activity approaches (active learning and physical activity breaks). We collected cross-sectional survey data from classroom teachers (n = 133) from 20 elementary schools in an urban Texas school district. Surveys included questions about theoretical constructs (e.g., knowledge, self-efficacy), personal characteristics (e.g., age, gender), and the implementation of active learning and physical activity breaks. We used linear regression models to assess associations between independent variables and implementation outcomes. We also assessed variable importance by examining the unique variance explained. Knowledge (b = .31, p = .001), outcome expectations (b = .18, p = .015), self-efficacy (b = .40, p ≤ .001), and support (b = .22, p = .028) were directly associated with active learning implementation. Teacher physical activity level (b = .29, p = .004) and grade level (third to fifth had lower levels than kindergarten to second grade, b = –.45, p = .022) were also associated with active learning implementation. In fully adjusted models, self-efficacy explained the most variance (≈5%) in active learning implementation compared to other variables. Knowledge (b = .18, p = 0.026), attitudes (b = .18, p = .019), self-efficacy (b = .15, p = .036), and teacher grade level (third to fifth had lower levels than kindergarten to second grade, b = –.80, p < .001) were associated with activity break implementation. In fully adjusted models, teacher grade level explained the most variance (≈13%) in activity break implementation compared to other variables. Results suggest multiple theoretical constructs and personal characteristics are important to target/consider when developing implementation strategies for classroom-based physical activity approaches. Additionally, self-efficacy and teacher grade level are two factors to prioritize.

Analyzing the Potential Benefit of Microcomputer Use for Teaching Figurative Language

1992 ◽  
Vol 1 (2) ◽  
pp. 36-43 ◽  
Author(s):  
Marilyn A. Nippold ◽  
Ilsa E. Schwarz ◽  
Molly Lewis
Keyword(s):  
Language Learning ◽  
Children And Adolescents ◽  
Standardized Tests ◽  
Figurative Language ◽  
Language Intervention ◽  
School Age Children ◽  
Educational Materials ◽  
Language Learning Disabilities ◽  
Promising Application ◽  
Experience Difficulty

Microcomputers offer the potential for increasing the effectiveness of language intervention for school-age children and adolescents who have language-learning disabilities. One promising application is in the treatment of students who experience difficulty comprehending figurative expressions, an aspect of language that occurs frequently in both spoken and written contexts. Although software is available to teach figurative language to children and adolescents, it is our feeling that improvements are needed in the existing programs. Software should be reviewed carefully before it is used with students, just as standardized tests and other clinical and educational materials are routinely scrutinized before use. In this article, four microcomputer programs are described and evaluated. Suggestions are then offered for the development of new types of software to teach figurative language.

The Link Between Verbal Short-Term Memory and Anomia Treatment Gains

2019 ◽  
Vol 28 (3) ◽  
pp. 1039-1052
Author(s):  
Reva M. Zimmerman ◽  
JoAnn P. Silkes ◽  
Diane L. Kendall ◽  
Irene Minkina
Keyword(s):  
Short Term Memory ◽  
Controlled Trial ◽  
Treatment Success ◽  
Linear Regression Models ◽  
Language Performance ◽  
Short Term ◽  
Term Memory ◽  
Treatment Gains ◽  
Post Hoc

Purpose A significant relationship between verbal short-term memory (STM) and language performance in people with aphasia has been found across studies. However, very few studies have examined the predictive value of verbal STM in treatment outcomes. This study aims to determine if verbal STM can be used as a predictor of treatment success. Method Retrospective data from 25 people with aphasia in a larger randomized controlled trial of phonomotor treatment were analyzed. Digit and word spans from immediately pretreatment were run in multiple linear regression models to determine whether they predict magnitude of change from pre- to posttreatment and follow-up naming accuracy. Pretreatment, immediately posttreatment, and 3 months posttreatment digit and word span scores were compared to determine if they changed following a novel treatment approach. Results Verbal STM, as measured by digit and word spans, did not predict magnitude of change in naming accuracy from pre- to posttreatment nor from pretreatment to 3 months posttreatment. Furthermore, digit and word spans did not change from pre- to posttreatment or from pretreatment to 3 months posttreatment in the overall analysis. A post hoc analysis revealed that only the less impaired group showed significant changes in word span scores from pretreatment to 3 months posttreatment. Discussion The results suggest that digit and word spans do not predict treatment gains. In a less severe subsample of participants, digit and word span scores can change following phonomotor treatment; however, the overall results suggest that span scores may not change significantly. The implications of these findings are discussed within the broader purview of theoretical and empirical associations between aphasic language and verbal STM processing.

Classifying Disfluencies in Preschool- and School-Age Spanish–English Bilinguals Who Do Not Stutter: An Exploratory Study

2020 ◽  
Vol 5 (1) ◽  
pp. 119-130
Author(s):  
Raúl Rojas ◽  
Farzan Irani
Keyword(s):  
Exploratory Study ◽  
Evidence Base ◽  
Medium Effect ◽  
Bilingual Children ◽  
Linear Regression Models ◽  
Cross Sectional ◽  
Total Percentage ◽  
Narrative Production ◽  
Language Measures ◽  
Mean Length Of Utterance

Purpose This exploratory study examined the language skills and the type and frequency of disfluencies in the spoken narrative production of Spanish–English bilingual children who do not stutter. Method A cross-sectional sample of 29 bilingual students (16 boys and 13 girls) enrolled in grades prekindergarten through Grade 4 produced a total of 58 narrative retell language samples in English and Spanish. Key outcome measures in each language included the percentage of normal (%ND) and stuttering-like (%SLD) disfluencies, percentage of words in mazes (%MzWds), number of total words, number of different words, and mean length of utterance in words. Results Cross-linguistic, pairwise comparisons revealed significant differences with medium effect sizes for %ND and %MzWds (both lower for English) as well as for number of different words (lower for Spanish). On average, the total percentage of mazed words was higher than 10% in both languages, a pattern driven primarily by %ND; %SLDs were below 1% in both languages. Multiple linear regression models for %ND and %SLD in each language indicated that %MzWds was the primary predictor across languages beyond other language measures and demographic variables. Conclusions The findings extend the evidence base with regard to the frequency and type of disfluencies that can be expected in bilingual children who do not stutter in grades prekindergarten to Grade 4. The data indicate that %MzWds and %ND can similarly index the normal disfluencies of bilingual children during narrative production. The potential clinical implications of the findings from this study are discussed.

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