A Cross-Sectional Study of Pain Among U.S. College Music Students and Faculty

OBJECTIVES: Studies over recent decades have demonstrated significant performance-related pain among professional musicians. However, there have been no large-scale studies to evaluate pain among college musicians. The aim of this study was to determine the prevalence and anatomical locations of performance-related pain among students and faculty at the college level and learn what musicians do when they have pain. METHODS: Cross-sectional data were collected using an online survey distributed to colleges across the United States. Data were analyzed using REDCap electronic data capture tools and Microsoft Excel. RESULTS: We received 1,007 survey responses and found that 67% of musicians at colleges experienced performance-related pain. The highest prevalence of pain was in woodwind musicians, with 83% reporting performance-related pain. The most common locations of pain were upper back (27%), lower back (26%), and fingers of the right hand (25%). Many student musicians with pain seek help from their teacher, but almost as many do not seek help at all. Less than 25% see a medical professional. CONCLUSIONS: Most musicians at colleges experience performance-related pain in a variety of anatomical locations depending upon instrument/voice. Performing arts health organizations can increase awareness of treatment options for musicians suffering from performance-related pain, which may lead to improved quality of life and increased career longevity for college musicians.

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Demonstration of the relationship between MSD and online learning during the COVID-19 pandemic

Journal of Applied Research in Higher Education ◽

10.1108/jarhe-08-2020-0269 ◽

2021 ◽

Vol ahead-of-print (ahead-of-print) ◽

Author(s):

Kochu Therisa Karingada ◽

Michael Sony

Keyword(s):

Online Learning ◽

Undergraduate Students ◽

Online Survey ◽

Cross Sectional Study ◽

The Body ◽

Body Parts ◽

Cross Sectional ◽

Content Type ◽

The Right ◽

Almost All

PurposeThe COVID-19 pandemic lockdown has caught many educational institutions by surprise and warranted an abrupt migration from offline to online learning. This has resulted in an education change, without any time for due consideration, as regards its impact on musculoskeletal disorders (MSD) on students. The purpose of this study is to investigate MSD related to online learning during the COVID-19 pandemic lockdown.Design/methodology/approachA cross-sectional study was conducted on undergraduate students in India. In total, 261 students participated in this online survey.FindingsThe study finds that around 80% of students have reported some symptom in the head, neck and eyes since they started online learning. In total, 58% have reported MSD symptom in the right shoulder and 56% in the right hand fingers. Besides, more than 40 % of students experienced some MSD symptoms, in almost all the body parts studied, due to online learning. Correlation analysis is conducted between time spent on online learning per day and MSD symptoms.Originality/valueThis is the first study conducted on MSD and online learning during COVID-19 pandemic.

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Identifying the Most Common CrossFit Injuries in a Variety of Athletes

Rehabilitation Process and Outcome ◽

10.1177/1179572719897069 ◽

2020 ◽

Vol 9 ◽

pp. 117957271989706

Author(s):

Kirill Alekseyev ◽

Alex John ◽

Andrew Malek ◽

Malcolm Lakdawala ◽

Nikhil Verma ◽

...

Keyword(s):

Risk Factors ◽

Large Scale ◽

The United States ◽

Cross Sectional Study ◽

Musculoskeletal Injuries ◽

Online Forums ◽

Cross Sectional ◽

Advanced Level ◽

Expertise Level ◽

Associated Risk Factors

Background: CrossFit is an increasingly popular, rapidly growing exercise regimen. Few studies have evaluated CrossFit-associated musculoskeletal injuries on a large scale. This study explores such injuries and associated risk factors in detail. Objective: To identify the most common musculoskeletal injuries endured during CrossFit training among athletes at different levels of expertise. Design: Survey-based retrospective cross-sectional study. Setting: Distribution at CrossFit gyms in the United States and internationally. Also published on active online forums. Participants: A total of 885 former and current CrossFit athletes. Methods: Institutional review board-approved 33-question Web-based survey focused on CrossFit injuries and associated risk factors. Survey submissions were accepted for a period of 6 months. Main outcome measurements: Specific injuries with associated workouts, risk factors that affected injury including (1) basic demographics, (2) regional differences in reported injuries, (3) training intensity, and (4) expertise level at time of injury. Results: Of the 885 respondents, 295 (33.3%) were injured. The most common injuries involved the back (95/295, 32.2%) and shoulder (61/295, 20.7%). The most common exercises that caused injury were squats (65/295, 22.0%) and deadlifts (53/295, 18.0%). Advanced-level (64/295, 21.7%) athletes were more significantly injured than beginner-level (40/295, 13.6%) athletes. International participants were 2.2 times more likely than domestic US participants to suffer injury. Individuals with 3+ years of CrossFit experience were 3.3 times more likely to be injured than those with 2 or less years of experience. Participants who trained for 11+ h/week were significantly more likely to be injured than those who trained less than or equal to 10 h/week. Conclusions: As CrossFit becomes more popular, it is important to monitor the safety of its practitioners. Further studies are needed to explore how to lower this injury prevalence of 33.3%. Areas to focus on include factors that have caused the regional (international vs US states) differences, level of expertise/experience differences (advanced level vs intermediate and beginner levels), and stretching routine modifications.

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African Physician Migration to High-Income Nations: Diverse Motives to Emigrate ("We Are not Florence Nightingale") or Stay in Africa ("There Is No Place Like Home") Comment on "Doctor Retention: A Cross-sectional Study of How Ireland Has Been Losing the Battle"

International Journal of Health Policy and Management ◽

10.34172/ijhpm.2020.219 ◽

2020 ◽

Author(s):

Akhenaten Siankam Tankwanchi ◽

Amy Hagopian ◽

Sten H. Vermund

Keyword(s):

Large Scale ◽

Health Workers ◽

Healthcare Providers ◽

Cross Sectional Study ◽

Right To Health ◽

Sub Saharan Africa ◽

Global Public Health ◽

Cross Sectional ◽

Medical Migration ◽

The Right

Research in assessing the global and asymmetric flows of health workers in general, and international medical graduates in particular, is fraught with controversy. The complex goal of improving health status of the citizens of home nations while ensuring the right of health workers to migrate generates policy discussions and decisions that often are not adequately informed by evidence. In times of global public health crises like the current coronavirus disease 2019 (COVID-19) global pandemic, the need for equitable distribution and adequate training of health workers globally becomes even more pressing. Brugha et al report suboptimal training and working conditions among Irish and foreign medical doctors practicing in Ireland, while predicting large-scale outward migration. We comment on health personnel migration and retention based on our own experience in this area of research. Drawing from our examination of medical migration dynamics from sub-Saharan Africa, we argue for greater consideration of health workforce retention in research and policy related to resource-limited settings. The right to health suggests the need to retain healthcare providers whose education was typically subsidized by the home nation. The right to migrate may conflict with the right to health. Hence, a deeper understanding is needed as to healthcare worker motives based on interactions of psychosocial processes, economic and material determinants, and quality of work environments.

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The Mental Health of Latinx Adults in the United States During the Coronavirus Pandemic: A Snapshot of Anxiety, Depression, and Posttraumatic Stress Symptoms

10.31234/osf.io/uq5y2 ◽

2021 ◽

Author(s):

Bianca T. Villalobos ◽

Juventino Hernandez Rodriguez

Keyword(s):

Mental Health ◽

Educational Attainment ◽

Posttraumatic Stress ◽

Online Survey ◽

The United States ◽

Cross Sectional Study ◽

Cross Sectional ◽

Stress Symptoms ◽

Life Impact ◽

Anxiety Depression

The current study documented levels of anxiety, depression, posttraumatic stress, and COVID-19 fears and impacts among Latinxs in the U.S. during the COVID-19 pandemic. Participants of this cross-sectional study were 388 Latinx adults who completed an online survey between June and November 2020. Almost half of participants showed clinical levels of anxiety and depression and more than a quarter of participants showed clinical levels of posttraumatic stress. Latinxs reported on average 22 types of negative pandemic life impacts. Group differences based on gender, educational attainment, income, vulnerability to COVID-19, and essential worker status were found for mental health symptoms. Severity of COVID-19 fears and negative life impact counts were related to gender, nativity, educational attainment, vulnerability to COVID-19, and insurance status. Specific Latinx groups experienced greater levels of psychological distress during the pandemic. Further examination of risk and protective factors is needed for communities of color.

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An Online Survey: Assessing Anxiety Level among General Population during the Coronavirus Disease-19 Pandemic in Indonesia

Open Access Macedonian Journal of Medical Sciences ◽

10.3889/oamjms.2020.5386 ◽

2020 ◽

Vol 8 (T1) ◽

pp. 451-458

Author(s):

Kholisotul Hikmah ◽

Lucky Prisandy ◽

Gea Melinda ◽

M. Ibraar Ayatullah

Keyword(s):

Physical Activity ◽

General Population ◽

Large Scale ◽

Online Survey ◽

Rating Scale ◽

Media Exposure ◽

Cross Sectional Study ◽

Anxiety Symptoms ◽

Anxiety Level ◽

Cross Sectional

BACKGROUND: Indonesia, the world’s fourth-most populous country, is grappling with coronavirus disease 2019 (COVID-19) catastrophe as cases continue to rise. This situation induces uncertainties and changes in daily life, leading to uneasiness among the population, which may trigger anxiety symptoms. AIM: This study aimed to analyze the factors associated with the anxiety level among the general population during the COVID-19 pandemic in Indonesia. METHODS: A cross-sectional study was carried out among 267 adults from June 10, 2020, to June 15, 2020, the transition phase week after Large-scale Social Restriction of Indonesia. The survey was conducted online using a Google Form distributed through social media (WhatsApp, Instagram, Facebook, and Twitter). Respondents over 18 years old, who agreed to participate in this study, were asked to complete the questionnaire by clicking the link. The anxiety level was measured by the Hamilton Anxiety Rating Scale. RESULTS: The results of this study showed a significant correlation between age (p = 0.010), education (p = 0.039), personal income (p = 0.034), media exposure (p < 0.01), physical activity (p < 0.01), and anxiety diagnosis (p < 0.01) with the anxiety level among general people. However, ordinal logistics regression revealed that only respondents living in the city (odds ratio [OR] = 2.476) and people with clinician-anxiety diagnosis (OR = 5.116) were more likely to experience anxiety symptoms during the COVID-19 pandemic in Indonesia. CONCLUSION: According to the obtained results, age, education level, average income per month, media exposure, physical activity, and anxiety diagnosis correlated with anxiety incidence, whereas risk factors of anxiety included current residence and anxiety diagnosis.

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Hope and Self-Compassion to Alleviate Parenting Stress in the Context of the COVID-19 Pandemic

The Family Journal ◽

10.1177/10664807211040836 ◽

2021 ◽

pp. 106648072110408

Author(s):

Aileen S. Garcia ◽

Staci L. Born ◽

Christin L. Carotta ◽

Erin S. Lavender-Stott ◽

Hung-Ling (Stella) Liu

Keyword(s):

Parenting Stress ◽

Online Survey ◽

The United States ◽

Cross Sectional Study ◽

Psychological Resources ◽

Sectional Study ◽

Cross Sectional ◽

Self Compassion ◽

Serious Disease

As the coronavirus disease of 2019 (COVID-19) pandemic disrupted all aspects of life, parents have been subjected to more household and caregiving responsibilities and stressors. The purpose of this study is to investigate how hope, self-compassion, and perception of COVID-19 health risks influence parenting stress. In this cross-sectional study, a total of 362 parents living in the United States completed an online survey in July 2020. Multiple regression analyses revealed that higher levels of hope are related to lower levels of parenting stress. On the other hand, lower levels of self-compassion as indicated by higher scores on the subscales of isolation, self-judgment, and overidentification are related to higher levels of parenting stress. Further, testing positive for the coronavirus is positively related to parenting stress, whereas the belief that COVID-19 is a serious disease is negatively related to parenting stress. Findings also revealed the significant role of hope in moderating the relation between self-compassion and parenting stress. This study highlights the importance of nurturing and drawing from one’s own psychological resources to mitigate parenting stress, particularly in the context of a chronic source of stress like a pandemic. Implications for the counseling profession are discussed.

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Household chaos, family routines, and young child movement behaviors in the U.S. during the COVID-19 outbreak: a cross-sectional study

BMC Public Health ◽

10.1186/s12889-021-10909-3 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Chelsea L. Kracht ◽

Peter T. Katzmarzyk ◽

Amanda E. Staiano

Keyword(s):

Young Child ◽

Screen Time ◽

Online Survey ◽

The United States ◽

Cross Sectional Study ◽

Family Routines ◽

Cross Sectional ◽

Physically Active ◽

Middle Income ◽

Household Chaos

Abstract Background The home environment is an important facilitator of young child movement behaviors, including physical activity (PA), sleep, and screen-time. Household chaos, characterized by crowding, noise, and disorder in the home, may hinder efforts to obtain adequate amounts of movement behaviors. The COVID-19 outbreak impacted many families, and social distancing during this time may create conditions for more household chaos. Family routines can help establish order in the home and encourage an appropriate balance of movement behaviors, such as less screen-time and more sleep. The purpose of this study was to evaluate the association between household chaos and young child movement behaviors during the COVID-19 outbreak in the United States, and the role of family routines in this relationship. Methods A national online survey including 1836 mothers of preschoolers (3.0–5.9 years) was conducted during May 2020. Mothers reported demographic characteristics, household chaos, family routines, and the preschooler’s movement behaviors during the outbreak. Mothers completed a household chaos questionnaire and were grouped into chaos categories (low, moderate/low, moderate/high, and high) for analysis. Linear regression was used to assess the association between chaos category, family routines, and movement behaviors with adjustment for covariates. Results Mothers were 35.9 ± 4.1 years of age, middle income (47.8%), and preschoolers were 3.8 ± 0.8 years of age. Most mothers reported their preschooler was less physically active (38.9%), slept the same amount of time (52.1%), and increased their screen-time (74.0%) after the COVID-19 outbreak. Preschoolers in the high chaos households performed less total PA (β = − 0.36 days/week, 95% CI:-0.62 to − 0.09, p = 0.008), slept less (β = − 0.42 h, 95% CI:-0.59 to − 0.25, p = 0.001) and had more screen-time (β = 0.69 h, 95% CI:0.45 to 0.92, p = 0.001) compared to those in low chaos households. In most chaos categories, having a bed-time ritual was related to more child sleep, and mothers who viewed routines as “less/not important” reported more preschooler screen-time compared to mothers who viewed routines as “very important”. Conclusion Promoting bed-time rituals and prioritizing routines, even somewhat, may be related to an improved balance of child movement behaviors. Innovative measures are needed to support families during periods of disruption such as that experienced in the COVID-19 pandemic.

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The role of community pharmacists in immunisation: a national cross-sectional study

International Journal of Clinical Pharmacy ◽

10.1007/s11096-021-01357-5 ◽

2021 ◽

Author(s):

Nikolaus Lindner ◽

Martin Riesenhuber ◽

Thomas Müller-Uri ◽

Anita Elaine Weidmann

Keyword(s):

Online Survey ◽

Theoretical Domains Framework ◽

Community Pharmacists ◽

Final Analysis ◽

Cross Sectional Study ◽

Patient Contact ◽

Cross Sectional ◽

Ethical Approval ◽

The Right

AbstractBackground Austrian pharmacists are not authorised to administer immunisations, and evidence about their willingness to immunise is lacking. Aim The aim of this study is to investigate Austrian community pharmacists’ willingness to administer immunisations in the future. Method This study is designed as a cross-sectional online survey based on the theoretical domains framework (TDF). The validated and piloted questionnaire obtained ethical approval by Robert Gordon University. Outcome measures included pharmacists’ willingness to immunise, service requirements, barriers and education needs. Results The questionnaire was sent out to 3086 community pharmacists of which 380 responses were included in the final analysis (12.3%). Willingness to administer immunisations after appropriate training and legislative regulation was stated by 82.6% (n = 314) of participants. It was demonstrated that pharmacists willing to immunise were significantly younger than their counterpart (38 [IQR 31–49] years vs. 45 [IQR 37.5–54] years; OR 1.06; 1.03–1.09, 95% CI; p < 0.001). ‘Legal liability’ was considered the most critical barrier to service implementation, ‘seeing blood’ and ‘close patient contact’ as least critical. Pharmacists not willing to immunise showed a higher probability to evaluate personnel resources (OR 2.98; 1.35–6.58, 95% CI; p = 0.007), close patient contact (OR 2.79; 1.46–5.34, 95% CI; p = 0.002) and management of side effects (OR 2.62; 1.21–5.67, 95% CI; p = 0.015) as (highly) critical. The majority assessed the ‘right timing for training’ to be after the foundation training with a 2-yearly renewal. Conclusion Austrian community pharmacists show a strong willingness to administer immunisations while highlighting important requirements and barriers towards service implementation.

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Alcohol consumption during the COVID-19 pandemic in Europe: a large-scale cross-sectional study in 21 countries (preprint)

10.21203/rs.3.rs-148341/v2 ◽

2021 ◽

Author(s):

Carolin Kilian ◽

Jürgen Rehm ◽

Peter Allebeck ◽

Fleur Braddick ◽

Antoni Gual ◽

...

Keyword(s):

Alcohol Consumption ◽

Large Scale ◽

Online Survey ◽

Change Score ◽

Cross Sectional Study ◽

Heavy Episodic Drinking ◽

Sampling Weights ◽

Cross Sectional ◽

Health Crisis ◽

Consumption Change

Abstract Aims: The aim of this project was to investigate changes in alcohol consumption during the first months of the pandemic in Europe as well as its associations with income and experiences of distress related to the COVID-19 pandemic. Design: Cross-sectional online survey conducted between April 24 and July 22 of 2020. Setting: 21 European countries. Participants: 31,964 adults reporting past-year drinking. Measurements: Changes in alcohol consumption were measured by asking respondents about changes during the previous month in their drinking frequency, the quantity they consumed, and incidence of heavy episodic drinking events. Individual indicators were combined into an aggregated consumption-change score and scaled to a possible range: -1 to +1. Using this score as outcome, multilevel linear regressions tested changes in overall drinking, taking into account sampling weights and baseline alcohol consumption (AUDIT-C) and country of residence serving as random intercept. Similar models were conducted for each single consumption-change indicator. Findings: In almost all countries, the consumption-change score indicated alcohol use to decrease on average; except in Ireland and the UK, where alcohol consumption on average remained unchanged or increased, respectively. Decreases in drinking were mostly driven by a reduced frequency of heavy episodic drinking. Declines in consumption were less marked among those with low- or average incomes, and those experiencing distress. Conclusions: Our research suggests alcohol consumption to decline on average during the first months of the pandemic in Europe. The findings suggest both reduced availability of alcohol and increased distress may have affected alcohol consumption, although the former seemed to have a greater impact, at least in terms of immediate effects. Monitoring of mid- and long-term consequences will be crucial in understanding how this public health crisis impacts alcohol consumption.

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