scholarly journals Acceptability of Intervention Design Factors in mHealth Intervention Research: Experimental Factorial Study (Preprint)

2020 ◽  
Author(s):  
Frank T Materia ◽  
Joshua M Smyth
Keyword(s):  
Behavior Change ◽  
Intervention Research ◽  
Intervention Design ◽  
Convenience Sample ◽  
Research Participants ◽  
Mhealth Intervention ◽  
Perceived Utility ◽  
Multiple Devices ◽  
The Impact ◽  
Design Factors

BACKGROUND With the growing interest in mobile health (mHealth), behavioral medicine researchers are increasingly conducting intervention studies that use mobile technology (eg, to support healthy behavior change). Such studies’ scientific premises are often sound, yet there is a dearth of implementational data on which to base mHealth research methodologies. Notably, mHealth approaches must be designed to be acceptable to research participants to support meaningful engagement, but little empirical data about design factors influencing acceptability in such studies exist. OBJECTIVE This study aims to evaluate the impact of two common design factors in mHealth intervention research—requiring multiple devices (eg, a study smartphone and wrist sensor) relative to requiring a single device and providing individually tailored feedback as opposed to generic content—on reported participant acceptability. METHODS A diverse US adult convenience sample (female: 104/255, 40.8%; White: 208/255, 81.6%; aged 18-74 years) was recruited to complete a web-based experiment. A 2×2 factorial design (number of devices×nature of feedback) was used. A learning module explaining the necessary concepts (eg, behavior change interventions, acceptability, and tailored content) was presented, followed by four vignettes (representing each factorial cell) that were presented to participants in a random order. The vignettes each described a hypothetical mHealth intervention study featuring different combinations of the two design factors (requiring a single device vs multiple devices and providing tailored vs generic content). Participants rated acceptability dimensions (interest, benefit, enjoyment, utility, confidence, difficulty, and overall likelihood of participating) for each study presented. RESULTS Reported interest, benefit, enjoyment, confidence in completing study requirements, and perceived utility were each significantly higher for studies featuring tailored (vs generic) content, and the overall estimate of the likelihood of participation was significantly higher. Ratings of interest, benefit, and perceived utility were significantly higher for studies requiring multiple devices (vs a single device); however, multiple device studies also had significantly lower ratings of confidence in completing study requirements, and participation was seen as more difficult and was associated with a lower estimated likelihood of participation. The two factors did not exhibit any evidence of statistical interactions in any of the outcomes tested. CONCLUSIONS The results suggest that potential research participants are sensitive to mHealth design factors. These mHealth intervention design factors may be important for initial perceptions of acceptability (in research or clinical settings). This, in turn, may be associated with participant (eg, self) selection processes, differential compliance with study or treatment processes, or retention over time. CLINICALTRIAL

scholarly journals Recruitment of Older Adults During the COVID-19 Pandemic: Utilizing Two Recruitment Techniques

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 211-211
Author(s):  
Justine Sefcik ◽  
Zachary Hathaway ◽  
Rose Ann DiMaria-Ghalili ◽  
Martha Coates
Keyword(s):  
Older Adults ◽  
Online Survey ◽  
Retirement Community ◽  
Research Assistant ◽  
Convenience Sample ◽  
Research Participants ◽  
Highly Educated ◽  
Social Wellbeing ◽  
The Impact

Abstract The COVID-19 pandemic has limited in-person interactions and reduced access to research participants. To recruit older adults for a study on the impact of COVID-19 on physical, mental, and social wellbeing we utilized two recruitment techniques: 1) ResearchMatch, a free recruitment database, and 2) a convenience sample of residents in a retirement community. Messages were sent via ResearchMatch to 1,491 adults age 65 and over. In total, 228 individuals responded over 2 weeks; 194 responded in the first 24 hours. Eighty-four completed the online survey. For the retirement community, recruitment information was shared during a Zoom townhall meeting; 44 expressed interest and 30 completed the study (half over the phone with a research assistant). We will discuss differences between the older adults recruited by each strategy (e.g., the ResearchMatch group was highly educated; more staff needed to interview retirement community participants). Overall, these were effective recruitment techniques during challenging times.

Exploring sandbagging behaviors, effort, and perceived utility of the ImPACT Baseline Assessment in college athletes.

2017 ◽  
Vol 6 (3) ◽  
pp. 243-251 ◽  
Author(s):  
Philip Schatz ◽  
R. J. Elbin ◽  
Melissa N. Anderson ◽  
Jennifer Savage ◽  
Tracey Covassin
Keyword(s):  
College Athletes ◽  
Baseline Assessment ◽  
Perceived Utility ◽  
The Impact

scholarly journals Exploring the use of cannabis as a substitute for prescription drugs in a convenience sample

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.

10-Year Study of Christian Church Support for Domestic Violence Victims: 2005-2015

2021 ◽  
Vol 36 (7-8) ◽  
pp. 2959-2985
Author(s):  
Barbara L. Zust ◽  
Breanna Flicek Opdahl ◽  
Katie Siebert Moses ◽  
Courtney Noecker Schubert ◽  
Jessica Timmerman
Keyword(s):  
Domestic Violence ◽  
Religious Beliefs ◽  
Community Resources ◽  
Upper Midwest ◽  
Professional Counseling ◽  
Convenience Sample ◽  
Supportive Environment ◽  
Domestic Violence Victims ◽  
Church Support ◽  
The Impact

Religious beliefs play a significant role in the lives of victims of domestic violence. Victims find strength in their faith and would rather endure the violence at all costs to keep a family or a marriage together, than to compromise their faith by leaving. This 10 –year study explored the climate of support for victims of domestic violence among Christian clergy and church members between 2005 and 2015. Using a convenience sample, surveys were sent out to congregations in the Upper Midwest in 2005 and 2015. The survey included demographics; two items measuring perception of domestic violence in the congregation and community; six Likert Scale items regarding agreement with statements concerning leaving an abusive marriage; four “Yes–No” items regarding the impact of faith in leaving, support of the congregation, community resources, and clergy as counselors. The clergy’s survey had the same questions plus open-ended questions about their skills in counseling victims, their congregation’s support for victims, community resources, and beliefs that could impact a victim’s choice in leaving. Data were analyzed using descriptive statistics, simple frequencies, and bivariate correlations. Narrative data were analyzed using content analysis. The results of this study indicated that change is slow. Members want their clergy to become more educated in counseling and in speaking about domestic violence from the pulpit. Clergy felt comfortable in making referrals for professional counseling, while the majority of members would prefer counseling with their pastor if they were in a violent relationship. Both clergy and members want to create a safe and supportive environment for victims/survivors of violent relationships. Findings from this study exemplify the need for pastors to remove the silence about domestic violence in their congregations and address the misunderstood social religious beliefs that may bind a victim to the violence.

scholarly journals Relationship between dental and periodontal health status and the salivary microbiome: bacterial diversity, co-occurrence networks and predictive models

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
M. Relvas ◽  
A. Regueira-Iglesias ◽  
C. Balsa-Castro ◽  
F. Salazar ◽  
J. J. Pacheco ◽  
...  
Keyword(s):  
Oral Health ◽  
Periodontal Disease ◽  
Bacterial Diversity ◽  
Predictive Models ◽  
Oral Disease ◽  
Rrna Gene ◽  
Convenience Sample ◽  
Core Microbiome ◽  
Rdna Sequencing ◽  
The Impact

AbstractThe present study used 16S rRNA gene amplicon sequencing to assess the impact on salivary microbiome of different grades of dental and periodontal disease and the combination of both (hereinafter referred to as oral disease), in terms of bacterial diversity, co-occurrence network patterns and predictive models. Our scale of overall oral health was used to produce a convenience sample of 81 patients from 270 who were initially recruited. Saliva samples were collected from each participant. Sequencing was performed in Illumina MiSeq with 2 × 300 bp reads, while the raw reads were processed according to the Mothur pipeline. The statistical analysis of the 16S rDNA sequencing data at the species level was conducted using the phyloseq, DESeq2, Microbiome, SpiecEasi, igraph, MixOmics packages. The simultaneous presence of dental and periodontal pathology has a potentiating effect on the richness and diversity of the salivary microbiota. The structure of the bacterial community in oral health differs from that present in dental, periodontal or oral disease, especially in high grades. Supragingival dental parameters influence the microbiota’s abundance more than subgingival periodontal parameters, with the former making a greater contribution to the impact that oral health has on the salivary microbiome. The possible keystone OTUs are different in the oral health and disease, and even these vary between dental and periodontal disease: half of them belongs to the core microbiome and are independent of the abundance parameters. The salivary microbiome, involving a considerable number of OTUs, shows an excellent discriminatory potential for distinguishing different grades of dental, periodontal or oral disease; considering the number of predictive OTUs, the best model is that which predicts the combined dental and periodontal status.

scholarly journals Pre-Existing Inequality: The Impact of COVID-19 on Medicare Home Health Beneficiaries

2021 ◽  
Vol 33 (2) ◽  
pp. 130-136
Author(s):  
William Cabin
Keyword(s):  
Mental Health ◽  
New York ◽  
Home Care ◽  
Population Based ◽  
Home Health ◽  
Physical And Mental Health ◽  
Convenience Sample ◽  
Medicare Population ◽  
Home Health Agencies ◽  
The Impact

There is significant data on the adverse impact of COVID-19 on persons who were poor, minorities, had compromised physical or mental health, or other vulnerabilities prior to the COVID-19 pandemic. A significant portion of the overall Medicare population has such vulnerabilities. The Medicare home health beneficiary population is even more vulnerable than the overall Medicare population based on gender, race, income level, living alone status, and number of chronic conditions. A literature review indicates there is only 1 study on the impact of COVID-19 in Medicare home health on home care workers and none on the impact on home health beneficiaries. The current study is a qualitative study based on interviews of a convenience sample of 48 home care nurses from 9 different home health agencies in New York City between April 1 and August 31, 2020. Six major themes emerged: need for social service supports increased; loneliness and depression increased among patients; physical and mental health conditions became exacerbated; substance use and abuse increased; evidence of domestic violence against patients increased; and there was a limited amount of staff and equipment to care for patients.

scholarly journals COVID-19 As an Opportunity for a Healthy-Sustainable Food Transition. An Analysis of Dietary Transformations during the First Italian Lockdown

2021 ◽  
Vol 13 (10) ◽  
pp. 5661
Author(s):  
Raffaele Matacena ◽  
Mariangela Zenga ◽  
Marco D’Addario ◽  
Silvia Mari ◽  
Massimo Labra
Keyword(s):  
Environmental Sustainability ◽  
Economic Status ◽  
Generational Cohort ◽  
Current Crisis ◽  
Convenience Sample ◽  
Sustainable Food ◽  
Household Level ◽  
Daily Food ◽  
Production And Consumption ◽  
The Impact

The COVID-19 emergency and the consequent social distancing requirements have caused major disruptions in daily food-related practices at the household level. In this paper, we evaluate the transformations that occurred in the daily nutritional choices and behaviors of a convenience sample (n = 2288) of Italian residents during the first nation-wide lockdown (March–May 2020) to assess the impact on the health and socio-environmental sustainability of their diets. Results portray a scenario of wide-spread change, especially in relation to the quantity of daily food consumed, the composition of diets and the time and commitment devoted to home-cooking, with young individuals emerging as the most impacted generational cohort. Through the construction of an indicator for healthy–sustainable transition (HST index), we demonstrate that such changes unfold on a gradient, revealing that while for many respondents lockdown nutrition implied overeating and weight gain, a substantial segment of the population conversely improved the healthiness and sustainability of their daily nutritional patterns. In this sense, improvements are associated with young age, socio-economic status, frequency and enjoyment of cooking-from-scratch and, more generally, an attentive attitude towards the quality, provenance and materiality of food that, in turn, the COVID-19 crisis appears to have re-kindled. We conclude by highlighting five areas of institutional intervention (i.e., young people, time, tools, food supply at work, and local food chains) on which to focus in order to ensure the current crisis does not represent a missed opportunity for creating the necessary conditions for sustainable food production and consumption to take hold as the ‘new’ normal in the post-pandemic era.

scholarly journals The Importance of Studying Health Behavior in Older Adults

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 827-827
Author(s):  
Jaime Hughes ◽  
Susan Hughes ◽  
Mina Raj ◽  
Janet Bettger
Keyword(s):  
Social Support ◽  
Older Adults ◽  
Behavior Change ◽  
Chronic Conditions ◽  
Population Level ◽  
Multiple Chronic Conditions ◽  
Prior Work ◽  
Time Changes ◽  
The Impact ◽  
Over Time

Abstract Behavior change is an inherent aspect of routine geriatric care. However, most research and clinical programs emphasis how to initiate behavior change with less emphasis placed on skills and strategies to maintain behaviors over time, including after an intervention has concluded. This presentation will provide an introduction to the symposium, including a review of prior work and our rationale for studying the critical yet overlooked construct of maintenance in older adults. Several key considerations in our work include the impact of multiple chronic conditions, declines in cognitive and functional capacity over time, changes in environmental context and/or social support, and sustainability of community and population-level programs and services.

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