scholarly journals Multimodal Recruitment for an Internet-Based Pilot Study of Ovulation and Menstruation (OM) Health (Preprint)

2020 ◽  
Author(s):  
Shruthi Mahalingaiah ◽  
J. Jojo Cheng ◽  
Michael Winter ◽  
Erika Rodriguez ◽  
Victoria Fruh ◽  
...  

BACKGROUND Multimodal recruitment strategies are a novel way to increase diversity of research populations. However, these methods have not been previously applied to understanding the prevalence of menstrual disorders such as polycystic ovary syndrome (PCOS). OBJECTIVE To test feasibility of using an online survey platform to recruit a diverse cohort to study ovulation and menstruation health. METHODS We conducted the Ovulation and Menstruation Health (OM) Pilot Study using an online survey platform to recruit 200 women from a clinical population, a community fair, and the internet. RESULTS We recruited 438 women over 29 weeks between September 2017 and March 2018. After consent and eligibility determination, 345 enrolled, 278 started, and 247 completed the survey. Survey initiation and (completion) by recruitment location were 43 (28) from the clinic, 61(60) from a community fair, and 174 (159) from the internet. Among all participants, the mean (SD) age was 27 (6) years, body mass index was 26 kg/m2 (7), 79.7% had a college degree or higher, and 14.6% reported a physician diagnosis of PCOS. Race/ethnic distribution was 64.7% White, 11.8% Black, 7.7% Hispanic; and 5.9% Asian; 9.9% reported more than one race/ethnicity. The highest enrollment of Black race/ethnicity was in clinic (40.5%) compared to 1.6% in the community fair, and 8.3% using the internet. Survey completion rates were highest among those recruited from the internet (91.4%) and community fairs (98.4%), compared to in-clinic (65.1%). CONCLUSIONS Multimodal recruitment achieved target recruitment in a short time period, and established a racially diverse cohort to study ovulation and menstruation health. There was greater enrollment and completion rates among those recruited via the internet and community-fair.

2020 ◽  
Author(s):  
Shruthi Mahalingaiah ◽  
J. Jojo Cheng ◽  
Michael Winter ◽  
Erika Rodriguez ◽  
Victoria Fruh ◽  
...  

AbstractBackgroundMultimodal recruitment strategies are a novel way to increase diversity of research populations. However, these methods have not been previously applied to understanding the prevalence of menstrual disorders such as polycystic ovary syndrome (PCOS).MethodsWe conducted the Ovulation and Menstruation Health (OM) Pilot Study using an online survey platform to recruit 200 women from a clinical population, a community fair, and the Internet.ResultsWe recruited 438 women over 29 weeks between September 2017 and March 2018. After consent and eligibility determination, 345 enrolled, 278 started, and 247 completed the survey. Survey initiation and (completion) by recruitment location were 43 (28) from the clinic, 61(60) from a community fair, and 174 (159) from the internet. Among all participants, the mean (SD) age was 27 (6) years, body mass index was 26 kg/m2 (7), 79.7% had a college degree or higher, and 14.6% reported a physician diagnosis of PCOS. Race/ethnic distribution was 64.7% White, 11.8% Black, 7.7% Hispanic; and 5.9% Asian; 9.9% reported more than one race/ethnicity. The highest enrollment of Black race/ethnicity was in clinic (40.5%) compared to 1.6% in the community fair, and 8.3% using the internet. Survey completion rates were highest among those recruited from the internet (91.4%) and community fairs (98.4%), compared to in-clinic (65.1%).ConclusionMultimodal recruitment achieved target recruitment in a short time period, and established a racially diverse cohort to study ovulation and menstruation health. There was greater enrollment and completion rates among those recruited via the internet and community-fair.Key MessageThe Ovulation and Menstruation Health Pilot Study: Designed to determine the population prevalence of PCOS using a survey instrument and pictorial tool to ascertain menstrual cycle characteristics and androgen excess, and serve as a platform for a future longitudinal cohort study.Enrolled participants from diverse backgrounds using an online adaptable platform for multimodal recruitment.Mode of recruitment was associated with race/ethnic diversity and completion of survey.


10.2196/24716 ◽  
2021 ◽  
Vol 23 (4) ◽  
pp. e24716
Author(s):  
Shruthi Mahalingaiah ◽  
J Jojo Cheng ◽  
Michael R Winter ◽  
Erika Rodriguez ◽  
Victoria Fruh ◽  
...  

Background Multimodal recruitment strategies are a novel way to increase diversity in research populations. However, these methods have not been previously applied to understanding the prevalence of menstrual disorders such as polycystic ovary syndrome. Objective The purpose of this study was to test the feasibility of recruiting a diverse cohort to complete a web-based survey on ovulation and menstruation health. Methods We conducted the Ovulation and Menstruation Health Pilot Study using a REDCap web-based survey platform. We recruited 200 women from a clinical population, a community fair, and the internet. Results We recruited 438 women over 29 weeks between September 2017 and March 2018. After consent and eligibility determination, 345 enrolled, 278 started (clinic: n=43; community fair: n=61; internet: n=174), and 247 completed (clinic: n=28; community fair: n=60; internet: n=159) the survey. Among all participants, the median age was 25.0 (SD 6.0) years, mean BMI was 26.1 kg/m2 (SD 6.6), 79.7% (216/271) had a college degree or higher, and 14.6% (37/254) reported a physician diagnosis of polycystic ovary syndrome. Race and ethnicity distributions were 64.7% (176/272) White, 11.8% (32/272) Black/African American, 7.7% (21/272) Latina/Hispanic, and 5.9% (16/272) Asian individuals; 9.9% (27/272) reported more than one race or ethnicity. The highest enrollment of Black/African American individuals was in clinic (17/42, 40.5%) compared to 1.6% (1/61) in the community fair and 8.3% (14/169) using the internet. Survey completion rates were highest among those who were recruited from the internet (159/174, 91.4%) and community fairs (60/61, 98.4%) compared to those recruited in clinic (28/43, 65.1%). Conclusions Multimodal recruitment achieved target recruitment in a short time period and established a racially diverse cohort to study ovulation and menstruation health. There were greater enrollment and completion rates among those recruited via the internet and community fair.


2020 ◽  
Author(s):  
Josephine Mhende ◽  
Sharrill A Bell ◽  
Cherell Cottrell-Daniels ◽  
Jackie Luong ◽  
Micah Streiff ◽  
...  

BACKGROUND Smoking is the leading cause of premature death, and low-income adults experience disproportionate burden from tobacco. Mindfulness interventions show promise for improving smoking cessation. A text messaging program “iQuit Mindfully” was developed to deliver just-in-time support for quitting smoking among low-income adults. A pilot study of iQuit Mindfully was conducted in spring 2020, during the COVID-19 pandemic, among low-income and predominantly African American smokers. OBJECTIVE This pilot study examined the acceptability and feasibility of delivering Mindfulness-Based Addiction Treatment via mHealth during the COVID-19 pandemic. METHODS Participants were adult cigarette smokers (n=23), of whom 8 (34.8%) were female, 19 (82.6%) were African American, and 18 (78.3%) had an annual income of <US $24,000. They were randomly assigned to either 8 weeks of iQuit Mindfully as a fully automated standalone intervention or iQuit Mindfully in combination with therapist-led in-person group treatment. For participant safety, in-person mindfulness groups were transitioned to the internet and assessments also took place over the internet. Survey questions asked participants about changes in their stress, smoking habits and quit attempts, and their perceptions of the mindfulness and text messaging intervention in the context of the pandemic. RESULTS Most participants (n=15 of 21, 71.4%) indicated a change in stress due to the pandemic, of whom 14 (93.3%) indicated higher stress. Participants shared concerns about finances, homelessness, health, and social isolation. Most (n=17 of 21, 80.9%) believed that smoking increases the risk of contracting COVID-19, and although that was motivating for some, others expressed lower motivation to quit smoking because of higher stress. Most (n=18 of 21, 85.7%) stated that practicing mindfulness was helpful during the pandemic. Mean ratings of the helpfulness of text messages and the extent to which they would recommend the program to others were 7.1 (median 8 on a 10-point scale, SD 2.9) and 8.2 (median 9, SD 2.5), respectively. Through open-ended program evaluations, participants shared details about how mindfulness practices and the text messages helped them manage stress and feel a sense of social support during the pandemic. Moreover, 10 of 19 (52.6%) of participants achieved 7-day abstinence from smoking, with no differences between conditions. CONCLUSIONS This study supports the promise of text messaging and the use of teleconferencing to provide mindfulness and smoking cessation services to underserved populations during a pandemic.


2019 ◽  
Author(s):  
Seigo Mitsutake ◽  
Ai Shibata ◽  
Kaori Ishii ◽  
Rina Miyawaki ◽  
Koichiro Oka

BACKGROUND To develop websites that enhance Internet users’ health knowledge, it is important to identify relevant factors associated with obtaining health knowledge via the Internet. Although an association between eHealth literacy (eHL) and knowledge of colorectal cancer (CRC) has been reported, little is known whether eHL is associated with obtaining knowledge of CRC via the Internet. OBJECTIVE This study aimed to compare the results obtained from Internet users with high or low eHL in searching and using a reputable cancer website to gain CRC knowledge. METHODS This study used respondents to Internet based pre-and post-surveys conducted in 2012. Potential respondents (n = 3,307) were identified from registered individuals aged 40–59 years (n = 461,160) in a Japanese Internet survey company. A total of 1,069 participants responded (response rate: 32.3%), and these pre-survey responders were then divided into high or low eHL groups using the Japanese eHealth Literacy Scale median score (23.5 points). From each group, 130 randomly selected individuals were invited to review the contents of a reputable CRC website, the Cancer Information Service managed by the National Cancer Center, and to respond to a post-survey via e-mail; responses were obtained from 107 individuals from each group. Twenty responses to knowledge statements regarding the definition, risk factors, screening prevention and symptoms of CRC were obtained at pre- and post-surveys, and differences in the correct responses between high and low eHL groups compared using the McNemar test. RESULTS The mean age of the participants was 49.1 (5.5) years. Four statements showed a significant increase in correct responses in both eHL groups pre- and post-survey: “S4. The risk of CRC is greater as a person gets older” (high eHL: P = 0.039, low eHL: P = 0.012), “S8. Cigarette smoking is a risk factor for CRC” (high eHL: P < 0.001, low eHL: P = 0.020), “S11. Obesity is a risk factor for CRC” (high eHL: P = 0.030, low eHL: P = 0.047), and “S12. Excess alcohol consumption is a risk factor for CRC” (high eHL: P = 0.002, low eHL: P = 0.003). Three statements showed a statistically significant increase in correct responses in the high eHL group only: “S1. CRC is cancer of the colon or rectum” (P = 0.003), “S5. The risk of CRC is the same between men and women” (P = 0.041), and “S9. Red meat intake is a risk factor for CRC” (P = 0.002), whereas only one response did in the low eHL group: “S17. Bloody stools are a symptom of CRC” (P = 0.004). CONCLUSIONS Low eHL Internet users appeared less capable of obtaining knowledge of CRC through searching and understanding information from a reputable cancer website than high eHL Internet users.


2019 ◽  
Author(s):  
Kejimu Sunzi ◽  
Cheng Lei ◽  
Zhuoyuanyuan Chen ◽  
Baolu Zhang

BACKGROUND The rapid development of health information technology has an increasingly significant impact on nursing work. The development of informatization also puts forward higher requirements for nurses under standardized training (NUST). Informatics knowledge and skills are essential if clinicians are to master the large volume of information generated in healthcare today. Nurses with competent nursing informatics competencies (NIC) will be able to better adapt to the needs of work and the development of the times. OBJECTIVE This study aimed to explore, analyze, and discuss the current situation of NIC of NUST in China, and analyze the influencing factors, to provide references for improving the NIC of NUST. METHODS We conducted a cross-sectional survey of standard training nurses' NIC in a tertiary hospital in Sichuan Province, China, with convenience sampling. The study consists of two parts included socio-demographic characteristics and NIC, a self-designed general information questionnaire, and a Self-Assessment Nursing Informatics Competency Scale-SF28 were used as survey tools. An online survey collected the data, and the scores of nurses' NIC were analyzed, and the factors were determined by linear regression statistical analysis. RESULTS Overall 191 target population responded to the questionnaire, including 22 males (11.52%) and 169 females (88.48%), the age range was 21 to 28 years, the average age was 24.64 (SD 1.43). 53 persons without computer level certificate (27.75%), 138 persons with computer level certificate (72.25%), the total score of Self-Assessment Nursing Informatics Competency Scale was 68.65 (SD 10.47), the scores of each dimension were role of clinical information 10.12 (SD 2.17), basic computer knowledge and skills 26.64 (SD 4.96), application ability of computer skills 7.16 (SD 1.82), wireless equipment skills 8.02 (SD 2.04), nursing information attitude 16.73 (SD 3.25). In the analysis of influencing factors of NIC, “whether learned professional knowledge through the internet” is the influencing factor of NIC (P< .05). CONCLUSIONS The clinical nursing informatics (NC) of nurses was at a medium level, mainly influenced by “whether learned professional knowledge through the internet.” In the future regulation process, it is necessary to strengthen further the capacity training of information to improve their clinical information decision-making ability and better serve patients.


2019 ◽  
Vol 7 (1) ◽  
pp. 83-94
Author(s):  
Kristina Črnjar ◽  
Vedrana Čikeš ◽  
Kristina Ferenčak

Time management is the ability of consciously deciding and controlling the amount of time spent on different activities in order to be more productive and effective. In order to achieve academic success, students should be able to manage a large number of activities, from going to lectures, studying, participating in extra-curricular activities, to making sure they are getting enough rest to stay healthy. The purpose of this research was to determine if there are any significant differences in the effective time management between Chinese and Croatian students. Even though the cultural differences between these two groups are substantial, both groups are becoming a part of the same education and business market. The research was conducted on the sample of 340 Chinese and Croatian students using an online survey. The results have shown that in several time management activities there are statistically significant differences between Chinese and Croatian students. The results also indicate that the Croatian respondents are better at setting goals, determining priorities and performing tasks by priority, while Chinese students delegate tasks and determine and eliminate time wasting activities more often than their Croatian counterparts do. On the other hand, Croatian students waste more time on activities such as conducting tasks of small importance and fun activities of no relevance (e.g. “surfing” the Internet, private telephone conversations, chatting, etc.), while Chinese students are in the forefront with regard to ineffective and supernumerary meetings and overly long and supernumerary phone conversations.


2021 ◽  
pp. 193229682110111
Author(s):  
Sarah Nadeem ◽  
Uswah Siddiqi ◽  
Russell Seth Martins ◽  
Kaleemullah Badini

Introduction: Diabetes mellitus technology (DMT) is increasingly used for routine management in developed countries, yet its uptake in developing countries is not as consistent. Multiple factors may influence this, including country specific patient perception regarding DMT. We conducted a pilot study in Pakistan to understand this important question which has not been studied yet. Methods: A cross-sectional pilot study was conducted in Pakistan. An anonymous survey exploring perceptions of diabetes technology was circulated on social media platforms, collecting responses over 2 weeks. Target population included adults (≥18 years) living in Pakistan, with DM1 or 2. Results: A total of 40 responses were received. The majority (36/40) reported using conventional glucometers. Nine used continuous glucose monitoring (CGM). Thirty-two of 40 patients believed DMT improved diabetes care, 22 felt it helped decreased risk of Diabetes-related complications. 15/40 stated that DMT results in increased cost of care. Sixteen reported their diabetes care teams had never discussed wearable DMT options whereas 11 disliked them because they did not want a device on their self. Conclusion: In our pilot study we have identified broad themes of opportunity and challenges to DMT use in Pakistan. Patients’ perceptions regarding DMT were generally positive but significant barriers to its acceptance included high cost, lack of discussion between doctor and patient about available technology and personal hesitation. Limitations of our study include sampling bias (online survey) and small sample size, but this data can help inform larger studies, to look at this important topic in greater detail.


2021 ◽  
Vol 10 (8) ◽  
pp. 1577
Author(s):  
Alona Emodi-Perlman ◽  
Ilana Eli ◽  
Nir Uziel ◽  
Joanna Smardz ◽  
Anahat Khehra ◽  
...  

(1) Background: this study aimed to evaluate the worries, anxiety, and depression in the public during the initial coronavirus disease 2019 (COVID-19) pandemic lockdown in three culturally different groups of internet survey respondents: Middle Eastern (Israel), European (Poland), and North American (Canada). (2) Methods: a cross-sectional online survey was conducted in the mentioned countries during the lockdown periods. The survey included a demographic questionnaire, a questionnaire on personal concerns, and the Patient Health Questionnaire-4 (PHQ-4). A total of 2207 people successfully completed the survey. (3) Results: Polish respondents were the most concerned about being infected. Canadian respondents worried the most about their finances, relations with relatives and friends, and both physical and mental health. Polish respondents worried the least about their physical health, and Israeli respondents worried the least about their mental health and relations with relatives and friends. Canadian respondents obtained the highest score in the PHQ-4, while the scores of Israeli respondents were the lowest. (4) Conclusions: various factors should be considered while formulating appropriate solutions in emergency circumstances such as a pandemic. Understanding these factors will aid in the development of strategies to mitigate the adverse effects of stress, social isolation, and uncertainty on the well-being and mental health of culturally different societies.


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