Nonparticipating Group Research Articles

Effectiveness of a brief intervention with and without booster session for adolescents hospitalized due to alcohol intoxication

Background: The Hart-am-LimiT (HaLT) project is a brief intervention program for adolescents hospitalized due to alcohol intoxication in Germany.Objective: To test whether a booster session has an impact on participants’ drinking behavior compared with the standard HaLT program.Methods: On the morning after their admission due to alcohol intoxication, 411 adolescents in the Federal State of Bavaria were interviewed between October 2008 and January 2010 and socio-demographic data and information on previous drinking behavior were recorded (t1). Eleven to 25 months (M = 16.4) after their hospital treatment, 106 adolescents completed an online questionnaire (t2).Results: Subgroup analysis (ANOVA with repeated measurements) indicated that adolescents who took part in the booster session did not increase episodic heavy drinking (EHD; t1: M = 1.68 EHD d; t2: 1.59 EHD d) in contrast to the non-participating group (t1: M = 1.08 d EHD; t2: 2.66 d EHD; F = 4.383, p = 0.039).Conclusion: Considering the study’s limitations (e.g. no randomization, low response rate, etc.), the results indicate a positive effect of a booster session following a brief intervention for adolescents who have been treated in hospital due to alcohol intoxication. Adolescents should therefore be motivated and encouraged to participate in booster sessions.

The Influence of the ‘Patient-to-Patient Model' on Swallowing Problems in Patients with Supraglottic Laryngeal Cancer

Aims: To evaluate the patient-to-patient model and swallowing problems in Chinese patients with supraglottic laryngeal cancer (SLC), and to find a solution to help SLC patients with swallowing problems. Methods: Eighty-nine patients who had undergone operation for horizontal partial laryngectomy were chosen and divided randomly into two groups. The European Organization for Research and Treatment of Cancer (EORTC), Swallow Quality-of-Life (SWAL-QOL) and Visual Analogue Scale (VAS) questionnaires were used to measure the quality of life and swallowing situation of those patients. Results: At 0.5 and 1 months after eating, the scores of the EORTC QLQ-C30 and SWAL-QOL of the participant group were significantly higher than those of the nonparticipant group (p < 0.05). One week after eating, the VAS score for swallowing improved significantly from 4.9 to 7.9 in the participant group. However, in the nonparticipant group, the VAS score showed no obvious change (from 4.5 to 4.1). Conclusions: We concluded that the patient-to-patient model may be utilized in clinical cases to solve swallowing problems of SLC patients, and infered that swallowing problems mainly appeared in 60 to 70-year-olds, and 1 week after eating was a critical time point of communication.

The use of O-trifluoroacetyl protection and profound influence of the nature of glycosyl acceptor in benzyl-free arabinofuranosylation

The influence of O-trifluoroacetyl (TFA) groups at different positions of thioglycoside glycosyl donors on stereoselectivity of α-arabinofuranosylation leading to corresponding disaccharides was studied. It was shown that TFA group in thioglycoside glycosyl donors, when combined with 2-O-(triisopropylsilyl) (TIPS) non-participating group, may be regarded as an electron-withdrawing protecting group that may enhance 1,2-cis-selectivity in arabinofuranosylation, the results strongly depending on the nature of glycosyl acceptor. The reactivities of the glycosyl donors were compared with those of a similar thioglycoside with O-pentafluoropropionyl groups and the known phenyl 3,5-O-(di-tert-butylsilylene)-1-thio-α-d-arabinofuranosides with 2-O-TIPS and 2-O-benzyl groups. The ‘matching’ in the donor–acceptor combination was found to be critical for achieving both high reactivity of glycosyl donor and β-stereoselectivity of arabinofuranosylation. The use of glycosyl donors with TFA and silyl protection may be useful in the realization of the benzyl-free approach to oligoarabinofuranosides with azido group in aglycon—convenient building blocks for the preparation of neoglycoconjugates.

Nanotechnology in Dutch science cafés: Public risk perceptions contextualised.

Understanding public perceptions of and attitudes to nanotechnology is important in order to understand and facilitate processes of dialogue and public participation. This research quantitatively analysed risk perceptions and attitudes of Dutch science café participants (n = 233) and compared these with members of the Dutch public (n = 378) who had not attended a café but were interested in science and technology as well. A qualitative analysis of the meetings contextualised and enriched the quantitative findings. Both groups shared similar key attitudes and were positive about nanotechnology while the Dutch café participants were even more positive about nanotechnology than the group of non-participants. The perception that nanotechnology would lead to risk applications was only predictive of attitudes for the non-participants. The qualitative analysis showed that café participants and speakers considered discussion of the risks, benefits and related issues important. Further research could investigate how science cafés can play a role in the science-society debate.

Reasons for non-participation in population-based abdominal aortic aneurysm screening

A population-based screening programme for abdominal aortic aneurysm (AAA) started in 2010 in Stockholm County, Sweden. This present study used individual data from Sweden's extensive healthcare registries to identify the reasons for non-participation in the AAA screening programme. All 65-year-old men in Stockholm are invited to screening for AAA; this study included all men invited from July 2010 to July 2012. Participants and non-participants were compared for socioeconomic factors, travel distance to the examination centre and healthcare use. The influence of these factors on participation was analysed using univariable and multivariable logistic regression models. The participation rate for AAA screening was 77·6 per cent (18 876 of 24 319 men invited). The prevalence of AAA (aortic diameter more than 2·9 cm) among participants was 1·4 per cent. The most important reasons for non-participation in the multivariable regression analyses were: recent immigration (within 5 years) (odds ratio (OR) 3·25, 95 per cent confidence interval 1·94 to 5·47), low income (OR 2·76, 2·46 to 3·10), marital status single or divorced (OR 2·23, 2·08 to 2·39), low level of education (OR 1·28, 1·16 to 1·40) and long travel distance (OR 1·23, 1·10 to 1·37). Non-participants had a higher incidence of stroke (4·5 versus 2·8 per cent; P < 0·001) and chronic pulmonary disease (2·9 versus 1·3 per cent; P < 0·001). Daily smoking was more common in residential areas where the participation rate for AAA screening was low. Efforts to improve participation in AAA screening should target the groups with low income, a low level of education and immigrants. The higher morbidity in the non-participant group, together with a higher rate of smoking, make it probable that this group also has a high risk of AAA.

Evaluation of increased adherence and cost savings of an employer value-based benefits program targeting generic antihyperlipidemic and antidiabetic medications.

A major employer implemented a change to its employee health benefits program to allow beneficiaries with diabetes or high cholesterol to obtain preselected generic antidiabetic or generic antihyperlipidemic medications with a zero dollar copayment. To receive this benefit, plan beneficiaries were required to participate in a contracted vendor's case management and/or wellness program. To assess changes in medication adherence and the costs for generic antidiabetic and generic antihyperlipidemic medications resulting from participation in a zero copay (ZCP) program. This was a retrospective pre-post comparison group study, evaluating adherence and cost. Participants using an antihyperlipidemic and/or antidiabetic medication during the study identification period and post-implementation period for the program were considered eligible for the study. Eligible beneficiaries who enrolled in the ZCP program during the post-implementation period were considered participants, while those who did not enroll during this period were considered nonparticipants. ZCP program participants and nonparticipants were matched via a 1-to-1 propensity scoring method using age, gender, comorbidity count, medication type (antihyperlipidemic, antidiabetic, or both), and baseline adherence as matching criteria. The proportion of days covered (PDC) metric expressed as a mean percentage was used to assess adherence to medication therapy, while payer cost was examined using prescription drug utilization expressed as per member per year (PMPY) and cost change per 30 days of medication expressed in dollars. Among participants who were users of antidiabetic medications, the mean adherence rate was sustained from pre- to post-implementation (81.8% vs. 81.9%); however, it decreased in the matched nonparticipant group (81.9% vs. 73.1%). This difference in mean adherence over time between the participants and nonparticipants was statistically significant (0.1% vs. -8.8%, P less than 0.001). Similar results were found among users of antihyperlipidemics. The mean adherence rate was sustained over time for participants (77.7% vs. 78.3%) but declined over time for nonparticipants (77.6% vs. 70.8%). The difference in mean change over time was statistically significant between participants and nonparticipants (0.6% vs. -6,8%, P less than 0.001). Average prescription costs PMPY increased for participants of the ZCP program during the post-implementation period; however, the increase was not larger than the cost increase among nonparticipants ($581 vs. $584, P = 0.95). Furthermore, among antihyperlipidemics the cost increase post-implementation was actually significantly less for participants than nonparticipants ($51 vs. $143, P less than 0.001). Plan sponsors are increasingly evaluating the use of value-based benefit design (VBBD) to change member behavior. This ZCP program used a reduction in cost sharing to incentivize members to use more generic drugs and to enroll in a care management coaching program. The study also demonstrated that a VBBD program can have a positive impact on adherence and cost outcomes among those who participate compared with nonparticipants.

Being Old Does Not Necessarily Mean Being Inactive: Health Profile of Elderly Athletes versus Community-Dwelling Older Adults

Introduction: According to the records of the Hong Kong Athletic Gala for the Elderly, some sports events have been won by the same group of elderly participants for several consecutive years. What made these elderly athletes different from others? Method: This was a retrospective quantitative study. The health profile data on a total of 125 elderly participants were collected. 36 and 29 were the winners and losers of the Hong Kong Athletic Gala for the Elderly between 2008 and 2010, respectively. The remaining 60 were non-participants. The non-participants came from six elderly centers in different districts in Hong Kong. Health profile parameters were measured using the Health-Promoting Lifestyle Profile II, which is used to measure healthy behaviors such as physical activity level, nutrition, stress management, health responsibility, interpersonal relations and spiritual growth. Results: About 41.7% (n = 15) and 80.0% (n = 48) of the elderly (mean age = 74 ± 9.0) in the winner and non-participant groups with chronic diseases. There were significant (p

Physical activity in patients with grown-up congenital heart defects after comprehensive cardiac rehabilitation.

IntroductionThe group of grown-up patients with congenital heart defects (grown-up congenital heart – GUCH) complains of a number of specific medical and non-medical problems. The presented program of comprehensive cardiac rehabilitation (CCR-GUCH), dedicated to the above mentioned group, can potentially improve the physical activity of GUCH patients.AimThe aim of the study was to assess the effect of the comprehensive cardiac rehabilitation program on the physical activity of GUCH patients.Material and methodsThe invitation to take part in the CCR-GUCH program was addressed to a group of 57 patients (mean age: 23.7 ± 4.1 years) who had undergone the surgical correction of ventricular septal defects (VSD) or atrial septal defects (ASD) at least 12 months earlier. The patients were divided into two groups: A – patients undergoing rehabilitation, and B – patients who did not participate in the program. The patients were initially examined using functional and stress tests, and the program of comprehensive cardiac rehabilitation was started in group A. After 30 days, the patients from both groups underwent further testing using the same methods as during the initial evaluation.ResultsAfter one month of rehabilitation, the physical activity parameters of patients participating in the CCR-GUCH program (group A) were significantly better than those observed among non-participants (group B).ConclusionsThe introduction of the comprehensive rehabilitation program improves the physical activity and, consequently, the quality of life of GUCH patients. The CCR-GUCH program appears to be a justified supplement to holistic care in the late rehabilitation of patients after the surgical correction of congenital heart defects.

일개 사업장 간장질환 유소견자 보건교육의 효과

Purpose: This study was conducted to compare the changes in the levels of liver enzymes after providing health education to workers. Methods: Among 909 electronics-manufacturing workers, 96 (10.6%) workers had abnormal liver functions. Of these, male workers were randomly assigned into either the health education experimental group (48 [52.2%]) or the control group (44 [47.8%]). Depending on the level of participation in the health education, workers in the experimental group were classified into the participation (32 [34.8%]) and non-participation groups (16 [17.4%]). Changes in the levels of liver enzymes were compared among three groups. Results: The changes in the levels of gamma-glutamyltransferase (r-GTP) in the participation, non-participation, and control groups were <TEX>$-25.3{\pm}54.5$</TEX> IU/L, <TEX>$-4.4{\pm}24.1$</TEX> IU/L, and <TEX>$-5.3{\pm}38.8$</TEX> IU/L, respectively (p=.036). Aspartate transaminase, alanine transaminase, waist circumference, body mass index, daily alcohol consumption, weekly exercise, and changes in smoking habits in the 3 groups did not differ significantly. In the multiple linear regression analysis, the variable of education participation revealed a significant regression coefficient of -25.10 when the change in r-GTP levels was the dependent variable. Conclusion: A brief health education targeted towards the management of liver disease among workers improved r-GTP levels.

Reducing HIV Risk among Transgender Women in Thailand: A Quasi-Experimental Evaluation of the Sisters Program

Transgender women are particularly at risk of HIV infection, but little evidence exists on effective HIV prevention strategies with this population. We evaluated whether Sisters, a peer-led program for transgender women, could reduce HIV risks in Pattaya, Thailand. The study used time-location sampling to recruit 308 transgender women in Pattaya into a behavioral survey in 2011. Coarsened exact matching was used to create statistically equivalent groups of program participants and non-participants, based on factors influencing likelihood of program participation. Using multivariable logistic regression, we estimated effects of any program participation and participation by delivery channel on: condom use at last sex; consistent condom and condom/water-based lubricant use in the past 3 months with commercial, casual, and regular partners; and receipt of HIV testing in the past 6 months. Program coverage reached 75% of the population. In a matched sub-sample (n = 238), participation in outreach was associated with consistent condom/water-based lubricant use with commercial partners (AOR 3.22, 95% CI 1.64–6.31). Attendance at the Sisters drop-in center was associated with receiving an HIV test (AOR 2.58, 95% CI 1.47–4.52). Dedicated transgender-friendly programs are effective at reducing HIV risks and require expansion to better serve this key population and improve HIV prevention strategies.

Developing Norms of Argumentation: Metacognitive, Epistemological, and Social Dimensions of Developing Argumentive Competence

We examine how extended engagement in argumentation with peers leads to enhanced metalevel understanding of argumentive discourse. Following such engagement, young adolescents demonstrated enhanced understanding of counterargument and use of evidence as objectives of skilled argumentation, relative to a nonparticipating comparison group. Among the participating group, analysis of metatalk (talk about the discourse, distinguished from talk about the topic) during electronic peer dialogs proved revealing regarding participants’ evolving awareness of and adherence to discourse norms. Metatalk became more reciprocal and sustained with time and revealed an increasing focus on the argumentation process and engagement in talk that seeks to direct it. Implications are considered for understanding and studying argumentation as a social practice that encompasses not only individual skills but also the less visible norms that govern it and that members of a social group come to share.

Economic Impacts of Professional Training in the Informal Sector: The Case of the Labor Force Training Program in Cote d'Ivoire

The authors address the economic impact of the labor force training program (PAFPA) developed for the informal sector in Cote d'Ivoire. The data contain a subsample of the participants in the agricultural sector, tailoring sector, and the electronics sector, and a comparable control group of nonparticipants. The data have been analyzed using standard program evaluation tools, namely difference-in-difference estimators, in order to detect potential program impacts. The authors find positive economic impacts as a result of training received for some groups, namely women, the agricultural and electronics sectors, firms employing 1-3 individuals, and firms with 10 or more employees.

Occupational risks and health: perceptions of indigenous female agricultural workers in Northwestern Mexico.

The objective of this study was to learn the perceptions of indigenous female day laborers regarding health-related risks in the workplace, based on their own characterization of the requirements of agricultural work. The concept of occupational risk is understood as a flexible construct in which work conditions and the different perceptions and lived experiences of social actors are interrelated. A microstructural model is employed to explain the occupational risks and their relationship to social inequalities and impacts in health. The methodology used was qualitative, employing non-participant observation, participatory workshops and group interviews during 2011-2012. Sixty indigenous women participated in the study. Results reveal that their perception regarding occupational risks is constructed from everyday practices in their place of work and that most of their work activities place them in situations of risk.

Occupational risks and health: perceptions of indigenous female agricultural workers in Northwestern Mexico

The objective of this study was to learn the perceptions of indigenous female day laborers regarding health-related risks in the workplace, based on their own characterization of the requirements of agricultural work. The concept of occupational risk is understood as a flexible construct in which work conditions and the different perceptions and lived experiences of social actors are interrelated. A microstructural model is employed to explain the occupational risks and their relationship to social inequalities and impacts in health. The methodology used was qualitative, employing non-participant observation, participatory workshops and group interviews during 2011-2012. Sixty indigenous women participated in the study. Results reveal that their perception regarding occupational risks is constructed from everyday practices in their place of work and that most of their work activities place them in situations of risk.

Die erste Welle der Studie zur Gesundheit Erwachsener in Deutschland (DEGS1)

The "German Health Interview and Examination Survey for Adults" (DEGS) is part of the health monitoring program of the Robert Koch Institute (RKI) and is designed as a combined cross-sectional and longitudinal survey. The first wave (DEGS1; 2008-2011) comprised interviews and physical examinations. The target population were 18- to 79-year olds living in Germany. The mixed design consisted of a new sample randomly chosen from local population registries which was supplemented by participants from the "German National Health Interview and Examination Survey 1998" (GNHIES98). In total, 8,152 persons took part, among them 4,193 newly invited (response 42%) and 3,959 who had previously taken part in GNHIES98 (response 62%). 7,238 participants visited one of the 180 local study centres, 914 took part in the interview-only programme. The comparison of the net sample with the group of non-participants and with the resident population of Germany suggests a high representativeness regarding various attributes. To account for certain aspects of the population structure cross-sectional, trend and longitudinal analyses are corrected by weighting factors. Furthermore, different participation probabilities of the former participants of GNHIES98 are compensated for. An English full-text version of this article is available at SpringerLink as supplemental.

Differing Perceptions of Public Librarians and Users in Assessing and Developing Korean Consumer Health Information

The purpose of this study is to evaluate and compare perceptions between public librarians and public library users and determine their preferences for quality Korean Consumer Health Information (CHI) websites, providing useful data for future CHI resource development and librarian CHI reference services. In this study, a group of librarians and users assessed health information resource sites that are searched by a relatively high number of users, based on the assessment criteria developed in preceding studies. First, there were significant differences between librarian and user groups in assessing health information resource sites, with the user group assessment being more rigorous. Second, the group that participated in criteria development gave higher points than the nonparticipant group in their site assessment. Third, this study analyzed the influence of librarians’ experience in providing, and users’ experience in searching for, health information. Although the differences were not significant, the more experienced groups gave higher points to both sites and criteria assessment than the ones with no experience. Through this study, a total of fifteen health information websites were assessed, and the results can be referred to by both librarians and users in public libraries and applied to other studies on resource assessment in the future. This study is the first study to deal with the assessment of CHI resources available to public librarians and users, as opposed to past studies, which have focused on general Internet users’ assessment of CHI resources. This study is also the first Korean study that has assessed CHI resources available in public libraries.

Sample Representation in a Psychological Treatment Study after Single Event Pediatric Trauma

Children and their families who attended an emergency department following a single traumatic incident and who agreed to participate in a psychological treatment study (N = 211) were compared with nonparticipants (N = 2333) on several measures of trauma and injury severity: duration of admission and heart rate in the emergency department, emergency transport and admission to hospital, injury severity score, and triage code. Within the nonparticipant population, those who requested further information about the study (N = 573) were exposed to more severe trauma or injury than other nonparticipants (N = 1760). In addition, participants were exposed to more severe trauma or injury than either group of nonparticipants. These observations indicate that those exposed to more severe trauma or injury do not avoid participation in psychological treatment studies. Findings can therefore be generalized to those with more severe exposure, but not to the population as a whole.

ONLINE MENTORING FOR BIOTECHNOLOGY GRADUATE STUDENTS: AN INDUSTRY ACADEMIA PARTNERSHIP

The Professional Science Master’s Biotechnology program at the University of Maryland University College implemented a novel online mentoring program that pairs masters’ students with mentors from the biotechnology industry. The program has grown from 19 mentor-mentee pairs in fall 2009 to 46 pairs in fall 2011. The student retention in the program is currently 80%. Data indicate that the students who continued participating after the first semester had completed more courses before joining the program than the students who dropped. The end-of semester questionnaires show general student satisfaction and provide specific examples of gains in the students’ ability to identify and pursue their career goals. The number of courses completed by the mentees was significantly higher than the number of courses completed by the comparison group, indicating a possible effect of their participation in the mentoring program. So far, more mentees graduated than the comparison group of non-participants, and in less overall time. As the program progresses, possible effects on students’ academic achievement and time-to-graduation will be reevaluated. The effectiveness of the mentoring program on improving the participants’ career prospects after graduation will also be examined.

Identifying specific non-attending groups in breast cancer screening - population-based registry study of participation and socio-demography

BackgroundA population-based breast cancer screening programme was implemented in the Central Denmark Region in 2008–09. The objective of this registry-based study was to examine the association between socio-demographic characteristics and screening participation and to examine whether the group of non-participants can be regarded as a homogeneous group of women.MethodParticipation status was obtained from a regional database for all women invited to the first screening round in the Central Denmark Region in 2008–2009 (n=149,234). Participation data was linked to registries containing socio-demographic information. Distance to screening site was calculated using ArcGIS. Participation was divided into ‘participants’ and ‘non-participants’, and non-participants were further stratified into ‘active non-participants’ and ‘passive non-participants’ based on whether the woman called and cancelled her participation or was a ‘no-show’.ResultsThe screening participation rate was 78.9%. In multivariate analyses, non-participation was associated with older age, immigrant status, low OECD-adjusted household income, high and low level education compared with middle level education, unemployment, being unmarried, distance to screening site >20 km, being a tenant and no access to a vehicle. Active and passive non-participants comprised two distinct groups with different socio-demographic characteristics, with passive non-participants being more socially deprived compared with active non-participants.ConclusionNon-participation was associated with low social status e.g. low income, unemployment, no access to vehicle and status as tenant. Non-participants were also more likely than participants to be older, single, and of non-Danish origin. Compared to active non-participants, passive non-participants were characterized by e.g. lower income and lower educational level. Different interventions might be warranted to increase participation in the two non-participant groups.

A Walking School Bus Program: Impact on Physical Activity in Elementary School Children in Columbia, Missouri

The Robert Wood Johnson Foundation (RWJF) provided Columbia MO with an Active Living by Design (ALbD) grant in 2003 to promote active living in the community. A separate project was funded in 2006 through RWJF's Active Living Research program. To evaluate whether participation in a Walking School Bus (WSB) program increased or decreased active living in elementary school children residing in Columbia, in association with ALbD funding. Objective measures of physical activity obtained using accelerometers were collected over 7 days in children participating in a WSB program and children in a nonparticipating comparison group. Differences in the percentage of time spent in moderate- to vigorous-intensity exercise (%MVPA) were compared between groups. Children in WSB programs showed no differences in %MVPA compared to children not participating in the WSB; however, when comparing the relationship of %MVPA and age, the slope of the regression line was steeper for those children not participating in the WSB. The ALbD intervention in Columbia did not result in measurable changes in physical activity in children participating in the Walking School Bus program, but there was a negative association between age and physical activity, and the slope of that regression line was affected by participation in the program.