Feasibility of Monitoring Health and Well-being in Emerging Adults: Pilot Longitudinal Cohort Study

Background Emerging adulthood is a distinct segment of an individual’s life course. The defining features of this transitional period include identity exploration, instability, future possibilities, self-focus, and feeling in-between, all of which are thought to affect quality of life, health, and well-being. A longitudinal cohort study with a comprehensive set of measures would be a valuable resource for improving the understanding of the multifaceted elements and unique challenges that contribute to the health and well-being of emerging adults. Objective The main aim of this pilot study was to evaluate the feasibility and acceptability of recruiting university graduates to establish a longitudinal cohort study to inform the understanding of emerging adulthood. Methods This pilot study was conducted among graduates at a large university. It involved collecting web-based survey data at baseline (ie, graduation) and 12 months post baseline, and linking survey responses to health records from administrative data collections. The feasibility outcome measures of interest included the recruitment rate, response rate, retention rate, data linkage opt-out rate, and availability of linked health records. Descriptive statistics were used to evaluate the representativeness of the sample, completeness of the survey responses, and data linkage characteristics. Results Only 2.8% of invited graduates (238/8532) agreed to participate in this pilot cohort study, of whom 59.7% (142/238) responded to the baseline survey. The retention rate between the baseline and follow-up surveys was 69.7% (99/142). The completeness of the surveys was excellent, with the proportion of answered questions in each survey domain ranging from 87.3% to 100% in both the baseline and follow-up surveys. The data linkage opt-out rate was 32.4% (77/238). Conclusions The overall recruitment rate was poor, while the completeness of survey responses among respondents ranged from good to excellent. There was reasonable acceptability for conducting data linkage of health records from administrative data collections and survey responses. This pilot study offers insights and recommendations for future research aiming to establish a longitudinal cohort study to investigate health and well-being in emerging adults. Trial Registration Australian New Zealand Clinical Trials Registry number ACTRN12618001364268; https://tinyurl.com/teec8wh International Registered Report Identifier (IRRID) RR2-10.2196/16108

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Feasibility of Monitoring Health and Well-being in Emerging Adults: Pilot Longitudinal Cohort Study (Preprint)

10.2196/preprints.30027 ◽

2021 ◽

Author(s):

Reidar P Lystad ◽

Diana Fajardo Pulido ◽

Lorna Peters ◽

Melissa Johnstone ◽

Louise A Ellis ◽

...

Keyword(s):

Cohort Study ◽

Pilot Study ◽

Emerging Adults ◽

Data Linkage ◽

Well Being ◽

Longitudinal Cohort Study ◽

Health Records ◽

Longitudinal Cohort ◽

Survey Responses ◽

Health And Well Being

BACKGROUND Emerging adulthood is a distinct segment of an individual’s life course. The defining features of this transitional period include identity exploration, instability, future possibilities, self-focus, and feeling in-between, all of which are thought to affect quality of life, health, and well-being. A longitudinal cohort study with a comprehensive set of measures would be a valuable resource for improving the understanding of the multifaceted elements and unique challenges that contribute to the health and well-being of emerging adults. OBJECTIVE The main aim of this pilot study was to evaluate the feasibility and acceptability of recruiting university graduates to establish a longitudinal cohort study to inform the understanding of emerging adulthood. METHODS This pilot study was conducted among graduates at a large university. It involved collecting web-based survey data at baseline (ie, graduation) and 12 months post baseline, and linking survey responses to health records from administrative data collections. The feasibility outcome measures of interest included the recruitment rate, response rate, retention rate, data linkage opt-out rate, and availability of linked health records. Descriptive statistics were used to evaluate the representativeness of the sample, completeness of the survey responses, and data linkage characteristics. RESULTS Only 2.8% of invited graduates (238/8532) agreed to participate in this pilot cohort study, of whom 59.7% (142/238) responded to the baseline survey. The retention rate between the baseline and follow-up surveys was 69.7% (99/142). The completeness of the surveys was excellent, with the proportion of answered questions in each survey domain ranging from 87.3% to 100% in both the baseline and follow-up surveys. The data linkage opt-out rate was 32.4% (77/238). CONCLUSIONS The overall recruitment rate was poor, while the completeness of survey responses among respondents ranged from good to excellent. There was reasonable acceptability for conducting data linkage of health records from administrative data collections and survey responses. This pilot study offers insights and recommendations for future research aiming to establish a longitudinal cohort study to investigate health and well-being in emerging adults. CLINICALTRIAL Australian New Zealand Clinical Trials Registry number ACTRN12618001364268; https://tinyurl.com/teec8wh INTERNATIONAL REGISTERED REPORT RR2-10.2196/16108

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Monitoring Health and Well-Being in Emerging Adults: Protocol for a Pilot Longitudinal Cohort Study

JMIR Research Protocols ◽

10.2196/16108 ◽

2020 ◽

Vol 9 (4) ◽

pp. e16108

Author(s):

Reidar P Lystad ◽

Diana Fajardo Pulido ◽

Lorna Peters ◽

Melissa Johnstone ◽

Louise A Ellis ◽

...

Keyword(s):

Cohort Study ◽

Pilot Study ◽

Emerging Adults ◽

Well Being ◽

Longitudinal Cohort Study ◽

University Graduates ◽

Health Records ◽

Longitudinal Cohort ◽

Health And Well Being

Background Emerging adulthood is a unique segment of an individual’s life course. The defining features of this transitional period include identity exploration, instability, future possibilities, self-focus, and feeling in-between adolescence and adulthood, all of which are thought to affect quality of life, health, and well-being. A longitudinal cohort study with a comprehensive set of measures would be a unique and valuable resource for improving the understanding of the multi-faceted elements and unique challenges that contribute to the health and well-being of emerging adults. Objective The main aim of this pilot study is to evaluate the feasibility and acceptability of recruiting university graduates to establish a longitudinal cohort study to inform our understanding of emerging adulthood. Methods This is a pilot longitudinal cohort study of Australian university graduates. It will involve collecting information via online surveys (baseline and 12-month follow-up) and data linkage with health records. Recruitment, response, and retention rates will be calculated. Descriptive analysis of the representativeness of recruited participants and completeness of survey responses will be conducted. Results Participant recruitment was completed in October 2018, and data collection for the baseline and follow-up surveys was completed in November 2019. As of April 2020, the process of acquiring health records from administrative data collections has commenced. Conclusions The findings from this pilot study will identify areas for improvement and inform the development of a future longitudinal cohort study of emerging adults. Trial Registration Australian New Zealand Clinical Trials Registry ACTRN12618001364268; https://tinyurl.com/teec8wh International Registered Report Identifier (IRRID) DERR1-10.2196/16108

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The Tokyo Oldest Old Survey on Total Health (TOOTH): A longitudinal cohort study of multidimensional components of health and well-being

BMC Geriatrics ◽

10.1186/1471-2318-10-35 ◽

2010 ◽

Vol 10 (1) ◽

Cited By ~ 27

Author(s):

Yasumichi Arai ◽

Toshimitsu Iinuma ◽

Michiyo Takayama ◽

Midori Takayama ◽

Yukiko Abe ◽

...

Keyword(s):

Cohort Study ◽

Oldest Old ◽

Well Being ◽

Longitudinal Cohort Study ◽

Longitudinal Cohort ◽

Health And Well Being

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ADVANCING RESEARCH ON MECHANISMS OF RESILIENCE (ARMOR) LONGITUDINAL COHORT STUDY OF NEW MILITARY RECRUITS: RESULTS FROM A FEASIBILITY PILOT STUDY

Research in Human Development ◽

10.1080/15427609.2021.1964898 ◽

2021 ◽

Vol 18 (3) ◽

pp. 212-229

Author(s):

Melissa A. Polusny ◽

Craig A. Marquardt ◽

Emily Hagel-Campbell ◽

Clarissa R. Filetti ◽

Valentin V. Noël ◽

...

Keyword(s):

Cohort Study ◽

Pilot Study ◽

Longitudinal Cohort Study ◽

Longitudinal Cohort ◽

Military Recruits

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Mental health trajectories in undergraduate students over the first year of university: a longitudinal cohort study

BMJ Open ◽

10.1136/bmjopen-2020-047393 ◽

2021 ◽

Vol 11 (12) ◽

pp. e047393

Author(s):

Kiera Louise Adams ◽

Kate E Saunders ◽

Charles Donald George Keown-Stoneman ◽

Anne C Duffy

Keyword(s):

Cohort Study ◽

Depressive Symptoms ◽

Drug Use ◽

Undergraduate Students ◽

Well Being ◽

Longitudinal Cohort Study ◽

First Year ◽

Longitudinal Cohort ◽

First Year University ◽

Academic Year

ObjectiveThis study examined the association between candidate psychosocial and lifestyle variables and the trajectories of clinically significant anxiety and depressive symptoms from entry to completion of first-year university.DesignA longitudinal cohort studyParticipantsFirst-year undergraduate studentsMethodsWe analysed the responses of 1686 first-year undergraduate students attending Queen’s University who completed electronic surveys at both the beginning and completion of their academic year. Predictors of change in positive anxiety and depressive symptom screens (based on exceeding validated symptom threshold scores) were identified using logistic regression.ResultsIncreased university connectedness reduced the odds of emergent significant depressive and anxiety symptoms in healthy students and increased the odds of recovery in students who screened positive at the start of university. Students who screened positive for depression or anxiety at university entry were less likely to recover if they had a lifetime history of internalising disorders. Healthy students who increased their drug use over their first year had higher odds of developing significant levels of both anxiety and depressive symptoms by completion of the academic year.ConclusionsModerate to severe levels of anxiety and depressive symptoms are common among students at entry to university and persist over the first year. University connectedness may mitigate the risk of persistent or emergent symptoms, whereas drug use appears to increase these risks. Findings have implications for university well-being initiatives.

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