Participant Engagement Research Articles

Exploration of student characteristics, engagement, and enhanced learning with virtual simulation among graduate nursing students.

Exploration of student characteristics, engagement, and enhanced learning with virtual simulation among graduate nursing students.

Retention and characteristics associated with remote questionnaire completion in a general population cohort study: the project baseline health study

ObjectiveTo evaluate remote participant engagement in a clinical study over time, based on data from the Project Baseline Health Study (PBHS), a hybrid in-person and virtual study.MethodsThe PBHS enrolled 2,502 adult US residents from March 3, 2017 to April 26, 2019, with a ≤5-year follow-up. We summarized 4-year retention and rates of longitudinal patient-reported outcome survey completion. We investigated participant characteristics for their associations with quarterly remote survey completion using regression models.ResultsOf the total participants (N = 2,502), 94% remained enrolled after 4 years and 60% completed all annual visits; 2,490 participants stayed enrolled for at least one quarter. The median (IQR) number of remote electronic survey sets completed was 8 (3–12), of a possible 16. Age [odds ratio (OR), >70 vs. ≤30 years: 2.56; 95% CI: 2.24–2.94] and education (OR, advanced degree vs. ≤high school: 1.36; 95% CI: 1.22–1.52) were positively associated with remote survey completion. Participants with lower odds of completion were Black (OR vs. White: 0.73; 95% CI: 0.67–0.80), Hispanic (OR vs. non-Hispanic: 0.84; 95% CI: 0.77–0.93), or had at least mild symptoms of depression (OR vs. without: 0.90; 95% CI: 0.84–0.96) or anxiety (OR vs. without: 0.84; 95% CI: 0.78–0.90).ConclusionsOverall, 94% of PBHS participants remained enrolled after four years. Age, race, ethnicity, income, education, and symptomatic depression/anxiety were significantly associated with longitudinal remote questionnaire completion. These findings on engagement over time may inform future longitudinal study design.Clinical Trial RegistrationClinicaltrials.gov, identifier (NCT03154346).

Cohort profile: The Belgian I AM frontier prospective cohort study for comprehensive health outcome exploration

ObjectivesThe I AM Frontier cohort was set up to support proof-of-concepts aimed at personalized prevention and health promotion. The study was designed to identify patterns, markers and processes involved in the spectrum between health and early disease onset, with the aim of generating actionable insights in a clinical setting.Study designA prospective cohort study. The study was approved by the ethics committee of the Antwerp University Hospital (RegN°: B300201938600).MethodsData collection in the I AM Frontier study spanned 12 months as a longitudinal small-scale cohort study (n = 30) conducted in the Antwerp region of Flanders, Belgium. Participants were employees of the company hosting the study, who did not have a clinical diagnosis and were between 45–60 years old.ResultsEven though no severe health problems were recorded at baseline, participants reported several physical complaints. There was a clear difference in longitudinal variation between clinical and research grade omics types, which might have affected their respective ability to detect intermediate molecular changes that were be linked to phenotype changes.ConclusionBy integrating findings from the IAF cohort into a large-scale cohort on personalized prevention, and incorporating new technologies for microsample data collection and participant engagement, we can develop more precise and individualized health recommendations.

Exploring engagement patterns within a mobile health intervention for women at risk of gestational diabetes

Background:Gestational diabetes mellitus poses a significant global health concern during pregnancy, with behaviour change interventions offering effective risk reduction.Objectives:Understanding diverse engagement patterns of pregnant women within mobile health (mHealth) interventions is vital for personalised healthcare. Tailoring interventions based on participant engagement types can enhance program effectiveness. This study aimed to explore engagement patterns among pregnant women at risk of gestational diabetes using the Liva app.Design:This retrospective study serves as a secondary analysis of a randomised controlled trial, focusing on engagement patterns among participants in the intervention arm who received digital health coaching. The intervention group comprised participants enrolled in the Liva app, receiving mHealth lifestyle coaching. Our analysis concentrated on app usage data from 328 participants within the intervention group during the first phase of the study.Methods:Principal component analysis reduced data to two dimensions, revealing principal components (PCs). A Gaussian mixture model clustered participants into distinct engagement patterns.Results:Analysis of data from 328 pregnant women using the Liva app identified 3 distinct engagement clusters: Cluster 1, “Averagers”; Cluster 2, “Goalers”; and Cluster 3, “Immersers.” These clusters correlated with two PCs. “Averagers” engaged moderately with both “Coach Features” and “Goal Features.” “Goalers” predominantly used “Goal Features,” while “Immersers” engaged with both “Coach Features” and “Goal Features.” Notably, 82% of participants fell into the “Averagers” category.Conclusion:This study reveals that individuals, despite similar program participation under uniform conditions, engage with the program differently. Understanding these differences is essential to provide personalised support during pregnancy and has implications for tailored medicine, digital health, and intervention development. Further research is needed to validate these findings across diverse healthcare settings, exploring engagement patterns throughout different pregnancy phases and their impact on health outcomes.

Protocol for a wait list randomised controlled trial: Using social media for health promotion, communication and advocacy - A massive open online course.

Protocol for a wait list randomised controlled trial: Using social media for health promotion, communication and advocacy - A massive open online course.

Optimizing participant and community engagement in cancer genomic sequencing research.

Optimizing participant and community engagement in cancer genomic sequencing research.

The Impact of the Nightingale Nursing Leadership Institute's Training Program on Core Competencies in Program Participants: A Convergent Parallel Mixed-Methods Study

The Taiwan Nurses Association has organized the Nightingale Nursing Leadership Institute (NNLI) training program since 2009 to further cultivate leadership and strategic thinking capabilities in nursing professionals. Over the past decade, NNLI has become a key platform for nursing leadership development in Taiwan. This study was designed to evaluate impact of the NNLI training program on participants' core competencies in communication, leadership, policy and political participation, macro-level perspectives, social impact, and personal growth. A convergent parallel mixed-methods design was adopted. From October 2022 to April 2023, an online survey and focus group interviews were conducted NNLI graduates from 2011 to 2020. Qualitative and quantitative data were analyzed based on the NNLI core competency framework. The average post-training scores for core competencies were 4.33 for communication skills (with average scores of >4 for all items in this category), 4.23 for leadership skills, 3.67 for political skills, 3.83 for policy implementation, and 3.91 for external awareness. Moreover, the average score of 5.94 for external engagement in policy and political participation was lower than that of 7.15 for internal engagement. Also, the average scores for personal growth, social impact, and macro-level perspectives were 8.58, 7.50, and 8.79, respectively. The focus group interviews revealed the NNLI program broadened the participants' perspectives, strengthened their connections with nursing organizations, and enhanced their communication and leadership skills. However, most participants had no prior experience in policy and political engagement, their related practical experience in this arena was limited. The results of the generalized linear model analysis revealed age, educational level, and managerial position to significantly influence communication, leadership, and personal growth. The NNLI training program significantly enhances the core competencies of its participants in the realms communication, leadership, personal growth, social impact, and macro-level perspectives. Thus, this program may be treated as a benchmark for nursing leadership training nationwide. Future programs should incorporate mentorship mechanisms to help participants integrate theoretical knowledge with practical policy and political engagement, thereby enhancing participants' confidence and practical skills in these areas.

Enhancing diversity in oncology trials: Key strategies from the ACORI community oncology inclusive clinical trial design summit.

e23027 Background: Oncology clinical trials often lack ethnic and regional diversity , limiting the generalizability of findings across real-world patient populations. The Association of Cancer Care Centers (ACCC) Community Oncology Research Institute (ACORI) hosted the ACORI Community Oncology Inclusive Clinical Trial Design Summit on October 29–30, 2024 to convene multidisciplinary stakeholders to identify and address barriers to participation among underrepresented groups in clinical trials in the community settings. Methods: The summit featured didactic sessions, case-based presentations, and moderated interactive discussions with 76 participants, including 24 cancer center practitioners and researchers, 17 professional and patient advocacy organizations, industry representatives, and leaders from the FDA, NCORP, and the National Cancer Institute. The summit focused on identifying actionable solutions to expand access to clinical trials by enhancing clinical trial design, employing innovative operational delivery of trial opportunities, and building consensus on effective strategies around engagement, recruitment, and retention of participants and communities. Results: Discussions yielded the following recommendations to increase trial diversity: Strengthening the clinical trial workforce: Expand APP and clinical pharmacist roles as principal investigators through education and advocacy and strengthen training pathways for trial navigators/coordinators. Optimizing trial design and infrastructure for diverse populations: Broaden eligibility criteria, simplify protocols, and incorporate patient-friendly tools like e-consent and multilingual resources. Fostering community engagement: Build trust through local partnerships, establish patient education programs, and address systemic biases in trial recruitment. Advancing Decentralized Clinical Trials (DCTs): Advocate for flexible regulatory frameworks, educate practitioners through a DCT implementation playbook, and utilize community-based healthcare infrastructure. Leveraging AI and digital tools for trial efficiency: Apply AI for patient matching, protocol simplification, and remote monitoring, while improving transparency and interoperability with EHRs. Conclusions: Inclusive trial design and delivery of trial opportunities are essential to achieving equitable cancer care. Addressing systemic barriers and adopting innovative approaches can enhance diversity and improve the generalizability of clinical research. Through ACORI, ACCC will continue to foster collaboration among stakeholders. This remains critical to ensuring sustainable progress in community oncology research.

Public Health Research on Severe Mental Conditions Among Immigrant Communities in the United States: Strategies From a Qualitative Study with South Asian Immigrants in New York City.

Public Health Research on Severe Mental Conditions Among Immigrant Communities in the United States: Strategies From a Qualitative Study with South Asian Immigrants in New York City.

Inter-institutional cooperation and migrants' financial education: An Italian case study.

Inter-institutional cooperation and migrants' financial education: An Italian case study.

Implementing the PEIR Framework and PEIRS-22 to facilitate improved and sustainable patient engagement in OMERACT.

OMERACT (Outcome Measures in Rheumatology) is an international initiative focused on improving outcome measurement in rheumatology research, fostering collaboration among PRPs, clinicians, and researchers to develop Core Outcome Sets. The 22-item Patient Engagement In Research Scale (PEIRS-22) is a tool designed to measure the level of meaningful patient engagement and guide efforts towards improvement. 1) To describe the current profile of patient engagement at OMERACT using the scores generated by the PEIRS-22 and 2) to assess the validity of the PEIRS-22 within the OMERACT group of PRPs. We administered the PEIRS-22 to assess the level of meaningful engagement of PRPs with OMERACT. We compared the scores with self-rated participant engagement, and asked open ended questions to investigate the validity of the tool in the OMERACT PRP population. Overall engagement was meaningful and correlated to self-reported level of engagement. However, there were components and items that were flagged as priorities for improvement (Convenience, Benefits and Team Environment, and specifically items PR11: I participated in making decisions about the project, T2: I was an equal partner in the research project team, and SU1: I received sufficient support to contribute to the project. This study highlights the validity of the PEIRS-22 within OMERACT and reveals satisfactory levels of meaningful PRP engagement. As OMERACT continues to learn and evolve, the PEIRS-22 will be integral in developing a structured and consistent approach to patient engagement.

Reinventing the evaluation wheel: COGwheel's co-designed digital innovation using the Qualtrics heat map.

The involvement of service-users, clinicians, and other health service end-users is recognised as an essential part of health and medical research. This collaborative approach can significantly contribute to methodological advancements including the development of research instruments and measures that ensure their suitability for research participants. The current paper details the co-design, development and implementation of the novel, digitised COGwheel (Co-designed Outcomes for Guests Evaluation Wheel). COGwheel is a brief, user-friendly digital instrument based on the Evaluation Wheel. It uses Qualtrics' heatmap function to maximise ease of use for participants, alongside secure data collection, ease of analysis and simple interpretation. COGwheel was developed to evaluate peer-led, non-clinical 'safe spaces' for people experiencing emotional distress and/or suicidal crisis. However, the model has broader potential to be applied to other types of measures where it is essential to prioritise participant accessibility, comprehension, and ease of use. •COGwheel is a brief, user-friendly digital instrument based on the Evaluation Wheel (Evaluation Support Scotland), that was co-designed by people with lived experience of suicidal crisis or distress.•COGwheel addresses a significant gap in current evaluation methods, providing a novel digital instrument that also enhances accessibility and relevance for both participants and researchers.•Utilising Qualtrics' heatmap function, COGwheel enhances meaningful participant engagement and streamlines data collection, ensuring data security, interpretability, and efficient analysis.

Exploring the causes of failures in oral leukoplakia clinical trials.

e18087 Background: A proportion of oral cancers arise from oral leukoplakia (OL), a disorder characterized by white plaques with variable malignant transformation rates. Despite advances in medical research, effective, evidence-based interventions remain limited, with high recurrence rates and no standardized first-line treatment. This study investigates the underlying causes of failed clinical trials (CTs) targeting OL interventions, aiming to provide insight for future successful trials. Methods: We identified intervention-type CTs for OL using the term "leukoplakia," between 1998 and 2023 using ClinicalTrials.gov. CTs were categorized into “cases” (withdrawn/terminated, failed, or of unknown status) and “controls" (completed trials with published results). CTs addressing conditions such as erythroplakia, lichen planus, and oral hairy leukoplakia were excluded. Data collected included trial phase, intervention type, subject accrual rates, reasons for trial failure, and sponsorship characteristics. Results: A total of 38 CTs were identified; 16 cases and 5 controls met inclusion criteria. Among the cases, 56.3% were randomized controlled trials (RCTs), while in the controls 60% RCTs. Recruitment and enrollment challenges were the leading cause of failure (31.3%), followed by efficacy and safety concerns (25%). Failed OL CTs (cases) were more likely to have government sponsorship (50% vs. 20%) and lower average accrual rates (67% vs. 97.5%) compared to completed trials (controls). Phase 1 failed CTs achieved 26% of projected accrual, whereas Phase 2 trials reached 79%. Control CTs in both Phase 1 and Phase 2 achieved 86% and 98% accrual, respectively. Intervention types among failed trials were varied, including pioglitazone (19%), celecoxib (13%), and photodynamic therapy (13%). Control trial interventions were predominantly investigating photodynamic therapy (40%). Conclusions: We found that completed and successful OL trials were more likely to have higher accrual rates and were predominantly sponsored by government (50%), whereas academic-sponsored trials constituted the next largest proportion of failed trials (31.3%). Recruitment and enrollment challenges emerged as the leading cause of failure, highlighting the need for improved participant engagement strategies and realistic recruitment targets in future studies. Moreover, the diversity of interventions tested underscores the demand for standardized treatment. Failure reasons and sponsorship. Reason for Failure Phase I Phase II Phase III N/A Total Recruitment/Enrollment 2 2 0 0 4/16 (25%) Efficacy/Safety 1 3 0 1 5/16 (31.3%) Investigator/Site Issues 2 1 0 0 3/16 (18.8%) No Published Results 0 2 1 1 4/16 (25%) Sponsorship Type Academic 1 1 1 2 5/16 (31.3%) Governmental 2 6 0 0 8/16 (50%) Private 0 1 0 0 1/16 (6.3%) Industry 2 0 0 0 2/16 (12.5%)

Enhancing Consumer Social Media Brand Engagement: An Examination of the Interactive Influence of Perceived Utilitarian and Hedonic Benefit

While prior studies have extensively examined drivers and antecedents of social media brand engagement, they have largely overlooked the role of moderating factors that could strengthen the relationship. The study examined the interactive effect of utilitarian and hedonic perceived usefulness on the relationship between the antecedents of consumer brand engagement (CBE) (consumer involvement, participation, and brand interactivity) and consumer social media brand engagement (CSMBE). Online data from 535 respondents (mean age = 39, STD = 12.079) were analyzed using Statistical Package for the Social Sciences (SPSS) 29. The result shows that utilitarian benefits have insignificant interactive effects on the relationships between consumer involvement, participation, brand interactivity, and social media brand engagement. Hedonic benefits significantly moderate the relationships between consumer involvement, participation, brand interactivity, and consumer social media engagement. The study differs significantly from past research by shifting the focus from merely identifying the antecedents of CSMBE to investigating how utilitarian and hedonic perceived usefulness moderate the relationship between these antecedents and CBE.

Organ Donation for Research Biobanking Among Historically Marginalized Racial and Ethnic Groups: A Systematic Review.

Research biobanks of human cells and tissues, particularly tissues accessible only after death, are crucial for advancing the understanding of human pathophysiological function. Research biobanks are bereft of tissues from individuals of diverse races and ethnicities, thus limiting the generalizability of biobank findings. To evaluate the barriers and facilitators to participation in postmortem brain donation for research among individuals from historically marginalized races and ethnicities. The published literature in PubMed, Embase, Web of Science, and PsycINFO databases was searched from 1973 to January 1, 2024. Studies that were written in English that involved adult participants (aged ≥18 years) and explored attitudes, perceptions, and beliefs on solid organ donation were included. Studies in which organ donation was for transplant and not for research, studies examining pediatric organ donation, narratives or perspectives, and studies that did not examine attitudes or beliefs toward organ donation were excluded. Two authors independently coded and performed a thematic analysis of eligible studies. Eighteen studies met the inclusion criteria, which involved 12 124 participants across multiple self-reported races and ethnicities (eg, Black or African American, Chinese, Hispanic or Latiné, and White). Most studies (16 [89%]) evaluated perceptions, attitudes, and beliefs among Black or African American and Hispanic or Latiné individuals toward postmortem brain donation. Five themes that informed the decision to donate were identified: information and misconceptions about the organ donation process (16 studies [89%]), mistrust of the research and medical communities (9 studies [50%]), family involvement (9 studies [50%]), religious and cultural beliefs (9 studies [50%]), and altruism (7 studies [39%]). Mistrust and religious and cultural beliefs were largely barriers to considering postmortem organ donation for research. Misconceptions were common, particularly regarding the donation process and purpose of biospecimens for research. Family involvement was both a barrier and a facilitator. Altruism, particularly understanding that organ donation would benefit the participants' family, future generations, and community, was a facilitator. This systematic review suggests that sharing culturally sensitive information about the organ donation process, engagement of participants and family members in shared decision-making, and addressing barriers and facilitators to donor recruitment practices may increase participation in research biobanks of individuals from underrepresented racial and ethnic groups.

Interprofessional training in medical education: competency, collaboration, and multi-level analysis across seven governorates, Egypt

BackgroundInterprofessional Education (IPE) is essential in improving patient outcomes by promoting teamwork and collaboration among healthcare professionals. This study aimed to assess the impact of IPE on developing clinical competencies and collaborative practices in Egyptian intensive care units (ICUs). The core modules focused on managing antibiotic resistance, venous thromboembolism (VTE), and mechanical ventilation (MV), chosen for their high prevalence in Egyptian ICUs and significant impact on patient outcomes.MethodsThe IPE program was implemented across seven governorates, involving 16 hospitals and multidisciplinary ICU teams. It was conducted in two consecutive four-month waves, each covering the three core modules. Participants included physicians, clinical pharmacists, and ICU nurses. To enhance efficacy, a blended learning approach combined virtual webinars, case-based discussions, and in-person workshops. Data collection included pre- and post-tests, a post-training satisfaction survey, and the Interdisciplinary Education Perception Scale (IEPS) to assess competency improvements.ResultsThe IPE program included 157 participants, with 79 in wave 1 and 78 in wave 2. Physicians were mostly male (47.2%) and older (> 40 years), while clinical pharmacists and ICU nurses were younger and predominantly female (89.6% and 75.7%, respectively). For exam performance, clinical pharmacists had the highest excellence rate (22.4%), while ICU nurses had the highest failure rate (40.5%). Post-training, interprofessional competence improved significantly, with physicians showing the greatest competency gains (p < 0.05) and clinical pharmacists playing a key role in antibiotic resistance management (p = 0.029). Overall satisfaction was high across modules, increasing from 79.8% in Module 1 to 90.5% in Module 3. Higher satisfaction was observed among females (up to 89.5%), participants aged 30–40 (92.6% in Module 2), and those who received sufficient program information (p = 0.011), with lecturers median score rated consistently 5.0, while material satisfaction median score varied (4.0–4.8).ConclusionsThe IPE program improved interprofessional collaboration and clinical competency, despite challenges such as participant dropout, scheduling conflicts, and engagement in virtual sessions. By addressing issues like antimicrobial resistance and critical care management, it provides a practical model for improving healthcare outcomes, particularly in resource-limited settings. This program is a preliminary step, with plans to expand to more hospitals in Egypt and conduct further research on its long-term impact on patient outcomes and potential for replication in healthcare systems worldwide.Clinical trial numberNot applicable.

Co-Creation as a Success Factor: Enhancing Customer Loyalty trough Social Network Engagement

In the digital transformation era, businesses face mounting challenges in formulating innovative strategies to enhance customer engagement and cultivate long-term brand loyalty (Prahalad &amp; Ramaswamy, 2004; Jaakkola &amp; Alexander, 2014). Traditional marketing approaches are diminishing in effectiveness, necessitating alternative means of fostering meaningful interactions with consumers. Co-creation has emerged as a pivotal strategy in this regard, actively integrating customers into the innovation and product development process (Mahr et al, 2013; Sarasvuo et al, 2022). This participatory engagement fosters an emotional connection between consumers and brands, consequently reinforcing brand affinity and customer retention (Breidbach &amp; Maglio, 2016; Oklevik et al, 2024). Social networks serve as instrumental platforms in facilitating co-creation, enabling real-time interaction between customers and brands. These digital environments empower consumers to contribute ideas, articulate preferences, and engage in collaborative development efforts (Sarkar &amp; Banerjee, 2021). This dynamic fosters enhanced customer satisfaction and provides valuable insights for businesses, which can be leveraged to refine their offerings. Furthermore, participatory experiences engender a sense of community, reinforcing brand loyalty by fostering a perception of shared ownership in the brand’s trajectory (Cossío-Silva et al, 2016). This paper examines the multifaceted impact of co-creation within social networks and identifies key success factors necessary for its effective implementation (Bogers et al, 2015; Gemser &amp; Perks, 2015). By categorising distinct types of co-creators and analysing their motivational drivers, this study provides strategic insights for optimising customer engagement. The research delineates different co-creator personas, such as recognition-seekers, knowledge-driven contributors, and pragmatic participants, and evaluates their influence on the co-creation process. Employing a mixed-methods approach, this study integrates qualitative interviews and quantitative surveys to classify and analyse co-creator typologies. This methodological framework allows for a comprehensive exploration of behavioural drivers and the efficacy of co-creation initiatives. Findings indicate that successful co-creation initiatives must be designed to accommodate the heterogeneity of co-creator motivations. Companies should integrate both intrinsic and extrinsic incentives to ensure participants perceive their contributions as valuable. Moreover, transparency in the innovation process, explicit communication of expectations, and the cultivation of an inclusive and rewarding engagement environment are essential in sustaining long-term customer participation (Oklevik et al, 2024). Ultimately, co-creation within social networks emerges as a potent mechanism for strengthening customer relationships, driving brand advocacy, and fostering a sustainable competitive advantage (Füller, 2006). Businesses that strategically implement co-creation practices can cultivate a loyal customer base while enhancing their capacity for innovation and responsiveness in an evolving market landscape (Ramaswamy, 2009).

Transforming healthcare by prioritizing qualitative and quantitative clinical trial evidence: evaluating the Aging, Community and Health Research Unit’s Community Partnership Program for Older Adults (ACHRU-CPP)

BackgroundThis study aimed to test the effectiveness and implementation of a complex integrated care intervention for older adults. We collected both quantitative and qualitative data, which is recommended in evaluating complex interventions to gain a comprehensive understanding of key success factors. Often, congruence is sought and considered desirable when integrating the findings from both data types. However, data are not always congruent, nor is it suboptimal when incongruence occurs, as we illustrate in this case study. We present the divergent findings from a large community-based implementation-effectiveness hybrid type II trial, and how the struggle to reconcile incongruent results yielded rich insights informing the next steps for translational research on the intervention being tested.MethodsPrevious foundational research, including a pilot study and randomized controlled trial (RCT), showed promising results and supported proceeding with a multi-site pragmatic hybrid type II effectiveness-implementation RCT. This recent RCT was undertaken and quantitative and qualitative data were collected to inform the effectiveness and implementation evaluation. To synthesize the findings and guide integration of this large body of evidence, we developed a conceptual model which combined two existing frameworks: the Consolidated Framework for Implementation Research and Quintuple Aim. We used this model to identify the evidence and relate it to relevant implementation and intervention determinants/outcomes. We then synthesized the evidence to distall the main messages regarding the future of the intervention, which involved reconciling apparently discrepant findings from the quantitative and qualitative approaches.ResultsThe current RCT showed no statistically significant effect for participants for the primary (or secondary) outcomes yet the implementation evaluation consistently found perceived benefits of the intervention for patients, providers, and the healthcare system. Qualitative evidence was critical in understanding contextual factors potentially responsible for the absence of a treatment effect (e.g., COVID-19), strategies to overcome challenges experienced in participant engagement and intervention delivery, and recent policy/practice setting changes which showed strong alignment with the intervention and supported its future implementation.ConclusionsWith the goal of the hybrid type II effectiveness and implementation study in mind, stakeholders encouraged proceeding with a scalability assessment to consider the evidence from the current trial within the context of our prior research, the broader literature for similar interventions, and the ever-changing policy context.Trial registrationclinicaltrials.gov NCT03664583. Registration date: September 10, 2018.

AI telepresence robots: redefining accessibility in cultural heritage

Cultural heritage institutions are increasingly adopting advanced technologies to enhance accessibility for a diverse range of visitors, including those with disabilities. This paper aims to investigate the deployment of AI-powered telepresence robots within cultural institutions, focusing on their potential to expand access and enrich the museum experience. Through the adoption of the research framework for Managing an Accessible Approach to Cultural Participation in a multiple case study, this research underscores the role of telepresence robots in surmounting both physical and geographical barriers. The findings illustrate that these telepresence robots facilitate remote users in curating personalized experiences in real-time, while simultaneously promoting inclusivity and enabling cultural heritage institutions to engage a broader audience. Furthermore, the study delves into the challenges and opportunities associated with integrating such technologies from a management perspective. It emphasizes the necessity for participatory stakeholder engagement and articulates the advantages of offering diverse cultural experiences. These insights contribute meaningfully to the expanding discourse surrounding the role of artificial intelligence in fostering more accessible and engaging artistic experiences, ultimately highlighting the transformative potential of technology in cultural heritage.

Online gambling forums as a potential target for harm reduction: an exploratory natural language processing analysis of a reddit.com forum

ObjectivesGlobally, there has been a rapid increase in the availability of online gambling. As online gambling has increased in popularity, there has been a corresponding increase in online communities that discuss gambling. The movement of gambling and communities interested in gambling to online spaces presents new challenges to harm reduction. The current study analyses a forum from a popular online forum hosting website (reddit.com) to determine its suitability as a source for data to inform gambling harm reduction in online spaces.MethodsThe current study provides an exploratory analysis of 1,141 unique posts and 11,668 comments collected from the online forum r/onlinegambling. The dataset covers posts and comments from August 5, 2015, to October 30, 2023. Natural language processing (NLP) techniques were used to identify common terms and phrases, identify topics with high rates of participant engagement and perform a sentiment analysis of posts and comments.ResultsSentiment analysis results showed that the majority of posts and comments were positive, but there were substantial numbers of negative and neutral content. Positive content was often congratulatory and focused on winning, neutral posts more commonly focused on practical advice, and negative posts were more commonly concerned with avoiding operators perceived as illegitimate by forum participants.ConclusionsResults from this study show that there is a varied and robust discussion of different aspects of gambling on r/onlinegambling. Our exploratory analyses suggest that this reddit forum provides important information on how users communicate motivations to gamble, interpretations of gambling experiences, and define potential harms related to gambling online as well as how to avoid or remedy those harms. Reddit forums discussing gambling have great potential for future research interested in more specific aspects of harm reduction and prevention related to online gambling, particularly when using NLP techniques.