Survey participation among general practitioners: comparison between teaching physicians and a random sample

BackgroundTo address unmet needs for family planning and advance women’s rights, US federal foreign aid recipients must ensure compliance with the family planning legislative and policy requirements. Because many health providers work in rural and remote settings, blended learning, which combines in-person and online experiences, is a promising approach for strengthening their compliance knowledge.MethodsThis cross-sectional study examined the effect of blended learning that included three components (online course, in-person training and conference call) on retention of family planning compliance knowledge. A total of 660 learners from 44 countries completed the online survey (8% response rate). Study participants were asked about their knowledge of family planning compliance and suggestions to improve their learning experiences.FindingsKnowledge retention was higher in the group that utilised all three learning approaches compared with the online course plus conference call group (P<0.05). Participants who took the online course multiple times tended to retain knowledge better than respondents who took it only once, although this result was not statistically significant.LimitationsThe study relied on a convenience sample, which may contribute to bias. The response rate, while low at 8%, was representative of the user base, and included 660 respondents.ConclusionParticipation in a blended learning training resulted in the highest gains in knowledge retention compared with online-only learning. These findings suggest that blended learning and repeat online trainings are critical to ensuring health professionals are aware of family planning compliance regulations.

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The Use of a Nonprobability Internet Panel to Monitor Sexual and Reproductive Health in the General Population

Sociological Methods & Research ◽

10.1177/0049124115621333 ◽

2015 ◽

Vol 47 (2) ◽

pp. 314-348 ◽

Cited By ~ 1

Author(s):

Stéphane Legleye ◽

Géraldine Charrance ◽

Nicolas Razafindratsima ◽

Nathalie Bajos ◽

Aline Bohet ◽

...

Keyword(s):

Reproductive Health ◽

Sexual Behaviors ◽

Online Survey ◽

Sexual And Reproductive Health ◽

Response Rate ◽

Telephone Survey ◽

Epidemiological Studies ◽

Increase Response Rate ◽

Sociodemographic Variables ◽

Two Samples

Background: Reliability of nonprobability online volunteer panels for epidemiological purposes has rarely been studied. Objectives: To assess the quality of a questionnaire on sexual and reproductive health (SRH) administered in a nonprobability Web panel and in a random telephone survey ( n = 8,992; n = 8,437, age 16–49 years). Especially, we were interested in the possible difference in the association of sociodemographic variables and some outcome variables in the two surveys that are in the reliability of analytical epidemiological studies conducted in such panels. Methods: Interventions to increase response rate were used in both surveys (four e-mail reminders, high number of call attempts and callbacks to refusals). Both were calibrated on the census population. Sociodemographic composition, effects of reminders, and prevalence were compared to their telephone counterpart. In addition, the associations of sociodemographic and sexual behaviors were compared in the two samples in multivariate logistic regressions. Results: The online survey had a lower response rate (20.0 percent vs. 44.8 percent) and a more distorted sociodemographic structure although the reminders improved the representativeness as did the analogous interventions on the telephone survey. Prevalences of SRH variables were similar for the common behaviors but higher online for the stigmatized behaviors, depending on gender. Overall, 29 percent of the 63 interactions studied were significant for males and 11 percent for women, although opposite effects of sociodemographic variables were rare (5 percent of the 171 tested for each gender). Conclusion: Nonprobability online panels are to be used with caution to monitor SRH and conduct analytical epidemiological studies, especially among men.

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Knowledge, Perceptions and Practices on Modified Release Tablets among Prescribers: A Preliminary Study

Journal of Health Sciences and Innovative Research ◽

10.31357/jhsir.v1i01.4769 ◽

2020 ◽

Vol 01 (01) ◽

pp. 05-14

Author(s):

M.G.K.M. Fernando ◽

K.I.J. Priyadarshi ◽

L.G.T. Shanika ◽

N.R. Samaranayake

Keyword(s):

Online Survey ◽

Product Information ◽

Response Rate ◽

Immediate Release ◽

State Universities ◽

Modified Release ◽

Validated Questionnaire ◽

Therapeutic Outcomes ◽

Medical Faculties ◽

Enteric Coated

Introduction: Modified release tablets (MRTs) are developed to achieve different therapeutic outcomes and are frequently prescribed. This study aims to evaluate the knowledge, perceptions and practices on using MRTs among a selected cohort of prescribers. Methods: A self administered online survey was conducted using a pre-validated questionnaire, prepared in-house to assess knowledge, perceptions and practices on using MRTs, among academics with an MBBS degree in medical faculties of State universities in Sri Lanka. Results: The response rate was 15.5% among 375 prescribers. Most were females (53.4%) and were 46-55 years (29.3%). Over 50% correctly expanded abbreviations related to MRTs. Most defined enteric coated (87.9%) and targeted release (77.6%) forms accurately. However, 87.0% mixed-up definitions of sustained release with controlled release. Most believed that inability to split tablets (70.7%) and high cost (70.7%), as disadvantages of MRTs. Nearly half did not identify the risk of dose dumping (53.5%) and inflexible dosing schedule (44.8%) as disadvantages. For frequency of administering MRTs, 86.2% referred the product information leaflet (PIL) while 29.0% depended on the frequency of the corresponding immediate release tablet. Most (79.3%) prescribed MRTs to increase patient compliance while 12.1% prescribed them to reduce cost. When problems regarding MRTs were encountered, most referred PILs (81.0%) and clarified with experts (75.9%). Conclusions: Although the response rate was low, a clear gap in knowledge, perceptions and practices on using MRTs were identified among prescribers who responded. Interventions are needed to improve the knowledge, perceptions, and practices on using MRTs among prescribers.

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Assessing the utility and attitudes toward molecular testing in neuro-oncology: a survey of the Society for Neuro-Oncology members

Neuro-Oncology Practice ◽

10.1093/nop/npab003 ◽

2021 ◽

Author(s):

Shannon Fortin Ensign ◽

Maya Hrachova ◽

Susan Chang ◽

Maciej M Mrugala

Keyword(s):

Online Survey ◽

Clinical Decision Making ◽

Unmet Needs ◽

Practice Patterns ◽

Response Rate ◽

Clinical Decision ◽

Molecular Testing ◽

Newly Diagnosed ◽

Tumor Boards ◽

Oncology Practice

Abstract Background Molecular testing (MT) is utilized in neuro-oncology with increasing frequency. The aim of this study was to determine clinical practice patterns to acquire this information, interpret and utilize MT for patient care, and identify unmet needs in the practical clinical application of MT. Methods We conducted a voluntary online survey of providers within the Society for Neuro-Oncology (SNO) membership database between March and April 2019. Results We received 152 responses out of 2022 SNO members (7.5% of membership). 88.8% of respondents routinely order MT for newly diagnosed gliomas. Of those who do not, testing is preferentially performed in younger patients or those with midline tumors. 82.8% use MT in recurrent gliomas. Other common indications included: metastatic tumors, meningioma, and medulloblastoma. Many providers utilize more than one resource (36.0%), most frequently using in-house (41.8%) over commercially available panels. 78.1% used the results for clinical decision-making, with BRAF, EGFR, ALK, and H3K27 mutations most commonly directing treatment decisions. Approximately, half (48.5%) of respondents have molecular tumor boards at their institutions. Respondents would like to see SNO-endorsed guidelines on MT, organized lists of targeted agents available for specific mutations, a database of targetable mutations and clinical trials, and more educational programs on MT. Conclusion This survey was marked by several limitations including response rate and interpretation of MT. Among respondents, there is routine use of MT in Neuro-Oncology, however, there remains a need for increased guidance for providers to effectively incorporate the expanding genomic data resulting from MT into daily Neuro-Oncology practice.

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Beyond the high: Mapping patterns of use and motives for use of cannabis as medicine

Nordic Studies on Alcohol and Drugs ◽

10.1177/1455072520985967 ◽

2021 ◽

pp. 145507252098596

Author(s):

Sinikka L. Kvamme ◽

Michael M. Pedersen ◽

Sagi Alagem-Iversen ◽

Birgitte Thylstrup

Keyword(s):

Mental Health ◽

Side Effects ◽

Sleep Disturbances ◽

Online Survey ◽

Cannabis Use ◽

Health Conditions ◽

Convenience Sample ◽

Mental Health Conditions ◽

Patient Organisations ◽

Patterns Of Use

Background: In Denmark the boundaries between cannabis as an illicit drug and licit medicine have shifted rapidly in recent years, affecting also policy. However, the vast majority of Danes, who use cannabis as medicine (CaM) continue to rely on the unregulated market for supply. This study explores patterns of use and motives for use of CaM in Denmark. Methods: An anonymous online survey was made available to a convenience sample of users of CaM from July 14, 2018 to November 1, 2018. Participants were recruited through patient organisations, social and public media, and the illegal open cannabis market. Results: Of the final sample ( n = 3,021), a majority were women (62.6%) and the mean age was 49 years. Most had no prescription for CaM (90.9%), a majority had no or limited previous experience with recreational cannabis use (63.9%), and had used CaM for two years or less (65.0%). The most common form of intake was oil (56.8%) followed by smoke (24.0%). CBD oil (65.0%) was used more than hash, pot or skunk (36.2%). Most frequent conditions treated were chronic pain (32.0%), sleep disturbances (27.5%), stress (23.7%), osteoarthritis (22.7%), anxiety (19.6%), and depression (19.6%). Overall, users experienced CaM to be effective in managing somatic and mental health conditions and reported relatively few side-effects. CBD oil only users were more likely to be women, older, have limited recreational experience and have initiated use recently. Conclusions: A new user group has emerged in Denmark that, for the most part, use illegally sourced CaM to treat a broad range of somatic and mental health conditions, often with experienced effect and relatively low level of side-effects. The prevalent use of low-potency CBD oil indicates an interest in effects beyond the high normally associated with cannabis use. More clinical research into the effects and side-effects of CaM is needed to draw the boundaries of the medical utility of cannabis.

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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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Disrupted prevention: condom and contraception access and use among young adults during the initial months of the COVID-19 pandemic. An online survey

BMJ Sexual & Reproductive Health ◽

10.1136/bmjsrh-2020-200975 ◽

2021 ◽

pp. bmjsrh-2020-200975

Author(s):

Ruth Lewis ◽

Carolyn Blake ◽

Michal Shimonovich ◽

Nicky Coia ◽

Johann Duffy ◽

...

Keyword(s):

Young People ◽

Online Survey ◽

Unmet Need ◽

Initial Response ◽

Mitigation Measures ◽

Routine Practice ◽

Sexual Risk Taking ◽

Transmitted Infection ◽

Convenience Sample ◽

Preventive Practices

BackgroundThe initial response to COVID-19 in the UK involved a rapid contraction of face-to-face sexual and reproductive health (SRH) services and widespread use of remote workarounds. This study sought to illuminate young people’s experiences of accessing and using condoms and contraception in the early months of the pandemic.MethodsWe analysed data, including open-text responses, from an online survey conducted in June–July 2020 with a convenience sample of 2005 16–24-year-olds living in Scotland.ResultsAmong those who used condoms and contraception, one quarter reported that COVID-19 mitigation measures had made a difference to their access or use. Open-text responses revealed a landscape of disrupted prevention, including changes to sexual risk-taking and preventive practices, unwanted contraceptive pathways, unmet need for sexually transmitted infection (STI) testing, and switches from freely provided to commercially sold condoms and contraception. Pandemic-related barriers to accessing free condoms and contraception included: (1) uncertainty about the legitimacy of accessing SRH care and self-censorship of need; (2) confusion about differences between SRH care and advice received from healthcare professionals during the pandemic compared with routine practice; and (3) exacerbation of existing access barriers, alongside reduced social support and resources to navigate SRH care.ConclusionsEmerging barriers to STI and pregnancy prevention within the context of COVID-19 have the potential to undermine positive SRH practices, and widen inequalities, among young people. As SRH services are restored amid evolving pandemic restrictions, messaging to support navigation of condom and contraception services should be co-created with young people.

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Perspectives of physicians on medical acupuncture in Lebanon: a preliminary study

Acupuncture in Medicine ◽

10.1177/0964528420968835 ◽

2020 ◽

pp. 096452842096883

Author(s):

Fadila Bassem Naji ◽

Kamal Wahab ◽

Ghassan Hamadeh ◽

Sani Hlais

Keyword(s):

Integrative Medicine ◽

Online Survey ◽

Response Rate ◽

Mechanisms Of Action ◽

Medical Curricula ◽

Chinese Acupuncture ◽

The Future ◽

Preliminary Study ◽

Medical Acupuncture ◽

The Difference

Objectives: There are no regulations governing the practice of acupuncture in Lebanon as it is not yet registered as a profession. To our knowledge, no studies have ever been conducted in Lebanon regarding the practice of acupuncture. The purpose of this preliminary study was to explore the knowledge of Lebanese physicians about acupuncture, with the intent of conducting larger scale studies and developing strategies aimed at refining this knowledge in the future, and the ultimate goal of setting guidelines for acupuncture practice in Lebanon. Methods: An online survey looking into physicians’ knowledge of acupuncture, its mechanisms of action, effectiveness, indications and safety, and physicians’ understanding of its concepts, was circulated to 4651 physicians registered in the Lebanese orders of physicians. Results: One hundred forty-nine physicians (3.2%) completed the survey. Most study respondents stated that they were unaware of the difference between traditional Chinese acupuncture (TCA) and Western medical acupuncture (WMA). Overall, 30% of respondents had personally used and/or referred patients for acupuncture. Physicians who had personally tried acupuncture were more likely to refer patients for acupuncture (p < 0.001). Those who know the difference between WMA and TCA were more likely to have tried or referred for acupuncture (p = 0.004). 72% believed that acupuncture and other integrative medicine modules should be introduced in medical curricula in Lebanon. Conclusion: Interest in acupuncture among physicians in Lebanon appears to be limited, based on the low response rate. Among respondents, physicians who had tried or referred patients for acupuncture appeared to be more well informed about different acupuncture styles.

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What makes digital health intrusive? Qualitative findings from an international study on diabetes

European Journal of Public Health ◽

10.1093/eurpub/ckaa165.371 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

T Oikonomidi ◽

P Ravaud ◽

A James ◽

E Cosson ◽

V Montori ◽

...

Keyword(s):

Private Sector ◽

Health Care Professionals ◽

Online Survey ◽

Dietary Habits ◽

Digital Health ◽

Treatment Burden ◽

Convenience Sample ◽

Digital Monitoring ◽

Food Monitoring

Abstract Background Remote digital monitoring (RDM, i.e., using digital devices to monitor patients' health and behavior) is a novel care model that can improve health outcomes for people with chronic conditions. However, it could be intrusive to patients' lives. We sought to understand which aspects of RDM make it intrusive to patients and why. Methods We performed content analysis of qualitative data collected by using open-ended questions in an international, online survey with a convenience sample of adults with type 1 or 2 diabetes (February-July 2019). Participants were first shown scenarios describing possible RDM features (i.e. different RDM tools [for glucose or food monitoring], feedback loops [receiving feedback in consultation, or remotely by a physician, or by artificial intelligence], and data handling options [by the public or private sector]). Results We analyzed data from 709 participants from 24 countries (38% men, median age 38, 54% type 1). Participants found RDM burdensome (n = 468). Burden arose from RDM features that caused disruption in daily life (e.g., alerts), features that may invite undesirable attention in public (e.g., visible wearable sensors may invite questions about one's health), or from having to adapt one's life to fit in RDM (e.g., adapt one's mealtime routine around food monitoring). Participants wanted control, particularly over sharing food-monitoring data with health care professionals in real-time to receive feedback (n = 440). They felt RDM could expose a delicate topic to 'surveillance' by authority figures (i.e., their data may 'reveal' poor dietary habits, leading to criticism by physicians). Intrusion could take the form of RDM eroding the patient-physician relationship (n = 34), or fear of data misuse (n = 206), which was associated with private-sector financial interests. Conclusions Our findings offer directions for minimally intrusive RDM design and show that digital health may cause concerns about stigma and treatment burden. Key messages Remote digital monitoring is intrusive when it increases treatment burden and limits patients’ control over their own health. “Minimally intrusive” digital health design could increase patient acceptability and, ultimately, foster scalability.

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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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