Participant Satisfaction Research Articles

Equine-Assisted Therapy Pilot Program: A Post-Participation Study of Client Satisfaction

Equine-assisted therapy (EAT) is an emerging practice area that has been shown to decrease negative symptoms in individuals experiencing post-traumatic stress disorder (PTSD). While the research for equine-assisted therapy demonstrates effectiveness in decreasing PTSD symptoms, there is a lack of evidence to verify client satisfaction. The purpose of this mixed-methods study was to evaluate participant satisfaction using the eight-question “Client Satisfaction Survey” and compose recommendations based on participant feedback from a focus group after completing an Equine-Assisted Therapy Post-traumatic stress disorder (EAT-PTSD) program. Two participants attended an EAT-PTSD program that utilized the protocol developed by the Man O’ War project. Both participants attended all sessions and completed pre- and post-measures including the Post-Traumatic Stress Disorder Checklist Criterion Assessment, the 16-item Quick Inventory of Depressive Symptomatology Self-Report, informal numerical anxiety ratings, and a focus group for evaluation of program satisfaction and future recommendations. The results show that completion of an EAT-PTSD program decreases negative PTSD symptoms. Additionally, participants had an overall high satisfaction rate after completion of an EAT-PTSD program. Recommendations from program participants for future program delivery include increasing program length, using additional resources like talk and group therapy, and recruiting more participants to take part in the program.

Enhancing participant satisfaction in educational programs for poverty reduction: Insights from a regional study in Vietnam

Enhancing participant satisfaction in educational programs for poverty reduction: Insights from a regional study in Vietnam

Pelatihan Penyusunan Asesmen Diagnostik dalam Kurikulum Merdeka bagi Guru di MTs dan MA Sekolah Cinta Ilmu

Merdeka curriculum was developed by the Government in order to improve the quality of education in Indonesia. Merdeka Curriculum, introduced by the Ministry of Education, Culture, Research and Technology (Kemendikbud Ristek), is a new curriculum that allows schools to adapt learning to the needs and characteristics of students. However, in its implementation, teachers experience several obstacles in implementing the independent curriculum, one of which is in designing assessments and evaluations. Teachers have difficulty in managing classroom conditions due to the lack of clarity in diagnostic assessments. This research aims to provide training in preparing diagnostic assessments to determine students' initial abilities before learning. The method used in this community service is Participatory Action Research (PAR). The subjects in this study were MTs and MA teachers at Cinta Ilmu School, totaling 18 people. Based on the data obtained during the training, the teachers felt enthusiastic and satisfied with the presentation of material that was in accordance with the needs and professional presenters so that the material provided could be easily understood by the participants. It is indicated by the average score index of overall participant satisfaction reaching 3.54, which is in the very satisfying category. While the satisfaction index in the reliability aspect reached a score of 3.7, the tangible evidence aspect reached 3.5, the responsiveness aspect reached 3.4, the guarantee aspect reached 3.5, and the service aspect reached 3.6.

Pain, disability, and quality of life in participants after concurrent onabotulinumtoxinA treatment of upper and lower limb spasticity: Observational results from the ASPIRE study.

Upper and lower limb spasticity is commonly associated with central nervous system disorders including stroke, traumatic brain injury, multiple sclerosis, cerebral palsy, and spinal cord injury, but little is known about the concurrent treatment of upper and lower limb spasticity with botulinum toxins. To evaluate onabotulinumtoxinA (onabotA) utilization and to determine if concurrent onabotA treatment of the upper and lower limbs has supported improvements in participants with spasticity. Sub-analysis of a 2-year, international, prospective, observational registry (ASPIRE, NCT01930786). International clinic sites (54). Adult spasticity participants across etiologies, who received ≥1 concurrent onabotA treatment of the upper and lower limbs during the study. Participants were treated with onabotA at the clinician's discretion. Baseline characteristics and outcomes of disability (Disability Assessment Scale [DAS]), pain (Numeric Pain Rating Scale [NPRS]), participant satisfaction, physician satisfaction, and quality of life (QoL; Spasticity Impact Assessment [SIA]) were evaluated. Adverse events were monitored throughout the study. Of 744 participants enrolled, 730 received ≥1 dose of onabotA; 275 participants received treatment with onabotA in both upper and lower limbs during ≥1 session; 39.3% of participants were naïve to onabotA for spasticity. The mean (SD) total dose per treatment session ranged from 421.2 (195.3) to 499.6 (188.6) U. The most common baseline upper limb presentation was clenched fist (n = 194, 70.5%); lower limb was equinovarus foot (n = 219, 66.9%). High physician and participant satisfaction and improvements in pain, disability and QoL were reported after most treatments. Nine participants (3.3%) reported nine treatment-related adverse events; two participants (0.7%) reported three serious treatment-related severe adverse events. No new safety signals were identified. More than a third of enrolled participants received at least one concurrent onabotA treatment of the upper and lower limbs, with reduced pain, disability, and improved QoL after treatment, consistent with the established safety profile of onabotA for the treatment of spasticity.

Literasi Memulai Usaha Baru Dan Pengelolaan Keuangan Sederhana Bagi Usaha Kecil Di Kelurahan Jakasampurna Bekasi

Small businesses play an important role in driving the local economy, creating jobs and supporting inclusive economic growth. Many small businesses are run by the community, but most business actors are still confused about starting a new business and do not have adequate knowledge and skills in managing their business finances. This service activity was carried out with the aim of providing literacy in starting a new business and simple financial management for small businesses in Jakasampurna Bekasi Village. This activity was carried out on 11 and 21 August 2023 at Jakasampurna Bekasi Village and was carried out in two stages, namely delivery of material and evaluation. Participants in this activity were 20 mothers who were members of the Family Welfare Empowerment (PKK). The final result of this activity was an increase in participants' understanding of the material presented, this was proven through the results of the pre-test and post-test which before taking part in the literacy activity the level of participants' understanding was 50-80% and after taking part in literacy the level of understanding of the participants increased to 80-100 %, and there was a participant satisfaction level of 91% who said they were very satisfied. The very high level of participant satisfaction, namely 91%, shows that this activity has fulfilled the participants' expectations in starting a new business and simple financial management.

Participants' Experiences and Satisfaction With Sun Protection Factor (SPF) 100 Sunscreen in Actual Use Conditions

Participants' Experiences and Satisfaction With Sun Protection Factor (SPF) 100 Sunscreen in Actual Use Conditions

Enhancing Health and Empowerment: Assessing the Satisfaction of Underprivileged Rural Women Participating in a Functional Literacy Education Program in Kailali District, Nepal.

Women's empowerment and health literacy are essential for fostering community well-being. Empowering women through education and diverse training plays a crucial role in ensuring their prosperity and overall health. This study investigates the satisfaction and experiences of underprivileged rural mothers participating in a functional literacy education program in the Kailali district, Nepal. We assess participants' perceptions of program effectiveness, examining training content, facilities, and trainers while exploring menstrual hygiene practices and maternal health awareness. Through convenience sampling, 141 underprivileged women from five rural villages near Tikapur were selected from literacy centers run by Mahima Group. Utilizing structured questionnaires and statistical analyses, including descriptive analyses, Spearman's rho correlation, and Pearson's chi-square test, we found that 65.2% of participants expressed high satisfaction levels. Moreover, 96.5% found the program highly effective, with 97.9% reporting improved literacy skills and 96.5% demonstrating increased awareness of menstrual hygiene practices. Additionally, 97.2% agreed that the program enhanced maternal and child health knowledge. Significant correlations were observed among the training course, facilities, trainers, and overall training perception. In line with this, significant associations were found between age groups (p = 0.003) and geographical areas (p = 0.023) with satisfaction levels with the literacy program. These results underscore the satisfaction of participants within the literacy program and its impact on their lives, and advocates for its broader implementation to empower marginalized communities for sustainable development.

Evaluating a New Digital App-Based Program for Heart Health: Feasibility and Acceptability Pilot Study.

Cardiovascular disease (CVD) is the leading cause of death in the United States, affecting a significant proportion of adults. Digital health lifestyle change programs have emerged as a promising method of CVD prevention, offering benefits such as on-demand support, lower cost, and increased scalability. Prior research has shown the effectiveness of digital health interventions in reducing negative CVD outcomes. This pilot study focuses on the Lark Heart Health program, a fully digital artificial intelligence (AI)-powered smartphone app, providing synchronous CVD risk counseling, educational content, and personalized coaching. This pilot study evaluated the feasibility and acceptability of a fully digital AI-powered lifestyle change program called Lark Heart Health. Primary analyses assessed (1) participant satisfaction, (2) engagement with the program, and (3) the submission of health screeners. Secondary analyses were conducted to evaluate weight loss outcomes, given that a major focus of the Heart Health program is weight management. This study enrolled 509 participants in the 90-day real-world single-arm pilot study of the Heart Health app. Participants engaged with the app by participating in coaching conversations, logging meals, tracking weight, and completing educational lessons. The study outcomes included participant satisfaction, app engagement, the completion of screeners, and weight loss. On average, Heart Health study participants were aged 60.9 (SD 10.3; range 40-75) years, with average BMI indicating class I obesity. Of the 509 participants, 489 (96.1%) stayed enrolled until the end of the study (dropout rate: 3.9%). Study retention, based on providing a weight measurement during month 3, was 80% (407/509; 95% CI 76.2%-83.4%). Participant satisfaction scores indicated high satisfaction with the overall app experience, with an average score of ≥4 out of 5 for all satisfaction indicators. Participants also showed high engagement with the app, with 83.4% (408/489; 95% CI 80.1%-86.7%) of the sample engaging in ≥5 coaching conversations in month 3. The results indicated that participants were successfully able to submit health screeners within the app, with 90% (440/489; 95% CI 87%-92.5%) submitting all 3 screeners measured in the study. Finally, secondary analyses showed that participants lost weight during the program, with analyses showing an average weight nadir of 3.8% (SD 2.9%; 95% CI 3.5%-4.1%). The study results indicate that participants in this study were satisfied with their experience using the Heart Health app, highly engaged with the app features, and willing and able to complete health screening surveys in the app. These acceptability and feasibility results provide a key first step in the process of evidence generation for a new AI-powered digital program for heart health. Future work can expand these results to test outcomes with a commercial version of the Heart Health app in a diverse real-world sample.

Predictors of Multidimensional Profiles of Participation After Traumatic Brain Injury: A TBI Model Systems Study.

To identify personal, clinical, and environmental factors associated with 4 previously identified distinct multidimensional participation profiles of individuals following traumatic brain injury (TBI). Community. Participants ( n = 408) enrolled in the TBI Model Systems (TBIMS) Participation Module, all 1 year or more postinjury. Secondary data analysis of cross-sectional data from participants in a multicenter TBIMS module study on participation conducted between May 2006 and September 2007. Participants provided responses to questionnaires via a telephone interview at their study follow-up (1, 2, 5, 10, or 15 years postinjury). Participants provided responses to personal (eg, demographic), clinical (eg, function), environmental (eg, neighborhood type), and participation measures to create multidimensional participation profiles. Data from measures collected at the time of injury (preinjury questionnaire, injury characteristics) were also included. The primary outcome was assignment to one of 4 multidimensional participation profile groups based on participation frequency, importance, satisfaction, and enfranchisement. The measures used to develop the profiles were: Participation Assessment with Recombined Tools-Objective, Importance, and Satisfaction scores, each across 3 domains (Productivity, Social Relationships, Out and About in the Community) and the Enfranchisement Scale (contributing to one's community, feeling valued by the community, choice and control). Results of the multinomial regression analysis, with 4 distinct participation profile groups as the outcome, indicated that education, current employment, current illicit drug use, current driving status, community type, and FIM Cognitive at follow-up significantly distinguished participation profile groups. Findings suggest a trend toward differences in participation profile groups by race/Hispanic ethnicity. Understanding personal, clinical, and environmental factors associated with distinct participation outcome profiles following TBI may provide more personalized and nuanced guidance to inform rehabilitation intervention planning and/or ongoing clinical monitoring.

The Adaptation of a Postpartum Depression Prevention Evidence-Based Intervention in Family Homeless Shelters

Evidence-based interventions (EBIs) are considered the gold standard but it is unclear if they are effective across settings. Reach Out and Stay Strong, Essentials for new Mothers (ROSE) has been shown to prevent postpartum depression in clinical settings, but has not been implemented or tested in homeless populations. We used the Exploration, Preparation, Implementation and Sustainment (EPIS) model overlaid with the Dynamic Adaptation Process (DAP) to adapt ROSE for implementation in a homeless shelter system in a large U.S. city, using feedback from both the organization and community. The adapted intervention was called Strong in Shelter (SIS). In this paper, we present 4 DAPS (April, 2018- December, 2020); the EPIS stages within each DAP are described. The Exploration Stage is centered around early and ongoing engagement with shelter providers and residents. The Preparation Stage includes adaptations based on learnings from the Exploration and the Implementation Stages from previous DAPs. The Implementation Stage highlights what we learned from implementation and both quantitative and qualitative feedback from shelter staff and residents. Following the DAP cycles, we created scalable plans in the Sustainment Stage. Thematic analysis was used to identify, analyze and report patterns within qualitative data, and descriptive analyses were conducted with quantitative data. Participant engagement and satisfaction were high and facilitators reported implementing SIS with fidelity to ROSE’s core components. By engaging staff and the participants early and continually, and utilizing an iterative and flexible adaptation process, EBIs such as ROSE can be adapted and implemented with fidelity in new settings.

Single-center pilot study of remote therapeutic monitoring in patients with operative spinal pathologies

ObjectivesSpine pathology affects a significant portion of the population, leading to neck and back pain, impacting quality of life, and potentially requiring surgical intervention. Current pre- and postoperative monitoring methods rely on patient reported outcome (PRO) measures and lack continuous objective data on patients' recoveries. Remote therapeutic monitoring (RTM) using wearable devices offers a promising solution to bridge this gap, providing real-time physical function data. This study aims to assess the feasibility and correlation between changes in physical function and daily activity levels using RTM for individuals with operative spinal pathologies. MethodsA single-center pilot study involving 21 participants with operative spinal pathologies was conducted at an academic hospital. Participants were provided Bluetooth-enabled Fitbit Inspire 2 activity trackers and asked to wear them daily for 100 days. The Healthcare Recovery Solutions (HRS) mobile application facilitated remote administration of the PROMIS - Physical Function Short Form 6b PROs questionnaire at days 1, 30, and 90. Linear regression, Students' paired T tests, and one-way ANOVA were used to analyze collected data. ResultsAverage compliance with RTM was found to be 82.4% compared to only 48% for PROMs. Changes in daily steps were moderately positively correlated with changes in PROs at both 30 and 90 days. Participant satisfaction with RTM was high, and responses indicated greater satisfaction with RTM compared to PROMs. ConclusionsRTM offers continuous and objective data collection, presenting a potential solution to the limitations of intermittent clinical assessments and self-reported outcomes. The study demonstrated a moderate correlation between changes in activity levels and changes in PROs, suggesting that RTM data could serve as a surrogate for PROs. Participants' high compliance and satisfaction with RTM underscore its feasibility and potential clinical utility. This study lays the groundwork for larger future investigations into the clinical benefits and broader application of RTM in spine care.

Prisoners' Perceptions and Satisfaction with Telepsychiatry Services in Greece and the Effects of Its Use on the Coercion of Mental Healthcare.

Prisoners are often associated with mental health and substance use disorders. Coercive measures are widely used in prison settings. The objective of this study was to compare inmates' perceptions and satisfaction with telepsychiatry versus face-to-face consultation and the effects of telepsychiatry on the use of coercive measures. The sample consisted of 100 male inmates from various backgrounds who had experienced both approaches of services (face to face and telepsychiatry). The data were obtained through an interview where the individuals completed a Demographic Data Questionnaire, a Participant Satisfaction Questionnaire to assess satisfaction with face-to-face psychiatric services, and a Participant Satisfaction Questionnaire to assess their satisfaction with services offered via telepsychiatry. Additionally, calculations of time spent waiting for a face-to-face psychiatric evaluation and time spent in handcuffs and in confined spaces were made before and after the introduction of telepsychiatry. Statistically significant improvements (all p-values < 0.001) were noted in waiting times, support for relapse prevention, follow up, quality of mental health care, quality of care in the management of psychiatric problems and related medication, behavior of psychiatrists, duration of the assessment, sense of comfort, and confidentiality. Telepsychiatry led to the elimination of time spent in handcuffs and in confined spaces (transport vehicles). According to the results of this study, telepsychiatry is an acceptable method of service delivery in correctional facilities and was associated with a reduction of coercive practices.

Pelatihan Penanganan Gangguan dan Kerusakan Rem Sepeda Motor di Desa Ketosari Kecamatan Bener Kabupaten Purworejo

Ketosari Bener Purworejo Village is geographically one of the villages with narrow roads, with steep inclines and descents. Under these conditions, of course every vehicle, whether car or motorbike, that passes this road must be in good condition. A good engine condition is not enough if it is not supported by a good braking system. The condition of the engine and the performance of the brake system must be ensured that there is no interference or damage. This service activity aims to provide knowledge and information as well as practical or light skills to overcome problems and damage to motorbike brakes to the community. Service activities begin with preparation, implementation and reflection on activities. The training activities were carried out in the form of workshops, material presentations and questions and answers. The evaluation results obtained were: 1) Implementation of activities at 90%, 2) Mastery of resource material with a score of 95%, 3) Usefulness of the material or program with a score of 92%, and 4) Participant satisfaction with a score of 89%.

Workshop Penyusunan Bahan Ajar Kurikulum Merdeka dalam Meningkatkan Profesionalisme Guru di Sekolah Perbatasan Indonesia-Malaysia

This service activity aims to increase the professionalism of teachers at schools on the Indonesia-Malaysia border in preparing independent curriculum teaching materials. The method of implementing this service uses participatory-based training. The partners involved are teachers at SMAN 1 Jagoi Babang on the Indonesia-Malaysia border. This service evaluation instrument includes participant satisfaction surveys, knowledge tests before and after the workshop, as well as direct observation of participant participation and skills. Data analysis was analyzed using descriptive statistical methods to describe the success rate of the workshop, as well as comparative analysis to see changes before and after the workshop. The results of this service show an increase in teachers' understanding of the preparation of teaching materials in the independent curriculum, as well as an increase in enthusiasm and skills in creating teaching modules. In addition, participants showed high interest in implementing differentiated learning and adapting to curriculum changes. It shows that there is a positive impact of service activities on teacher professionalism and readiness to face the demands of the new curriculum.

Communication Aspect of National Testing Digitalization: Investigating Key Stakeholders’ Satisfaction

Research Question: The paper deals with the analysis of the elements of the communication system in the process of digitalization of the national testing process in the Republic of Serbia. Motivation: National testing represents an important segment of education in most countries. Considering that it involves a large number of stakeholders and activities, innovations based on the implementation of new technologies are complex and require significant efforts and resources for their implementation. The digitalization of national testing in Serbia, in addition to the development of software and organizational solutions, is accompanied by the development and implementation of a communication system aimed at facilitating the acceptance of innovations by all participants. This paper addresses the analysis of the efficiency of the elements of the communication system and satisfaction of stakeholders with them, at the final exam at the end of primary education in the Republic of Serbia. Idea: The paper aims to describe a successful communication system implemented to support the process of national testing digitalization. Effective communication is essential due to the large number of participants involved in the process and should ensure national testing effectiveness and transparency. Data: For the analysis of the satisfaction of two stakeholder groups with the highest interest and influence in the process of conducting the final exam, data obtained from surveys conducted in 2021, 2022, and 2023 were used. Each year, the questionnaire was completed by over 900 primary school principals and over 8,000 parents of final-grade pupils. Tools: In the research, a questionnaire specifically designed for two stakeholder groups - primary school principals and parents of final-grade pupils was used. Statistical analysis was performed using SPSS software. Descriptive statistics and correlation analysis were employed. Findings: The research has found that high satisfaction among key stakeholders (primary school principals and parents) is achieved through a carefully designed and implemented communication system, which includes an internet portal, written and video instructions, as well as direct support from trained and expert individuals. The communication system element that has the greatest impact on principals' satisfaction is the administrative portal, while for parents, it comprises all instructions prepared for carrying out activities. Contribution: This paper expands on existing research related to the digitalization of national testing and highlights the key elements of the communication system to enhance participant satisfaction in the process.

Aplikasi Survei Kepuasan Peserta Diklat Berbasis Mobile Untuk Meningkatkan Pelayanan Diklat

Balai Diklat Keuangan Medan There is an Organizing and Learning sector which is tasked with carrying out learning related to State finances, facilitating the implementation of the Learning system and facilitating technical support for implementing learning needs analysis, learning evaluation, certification and competency tests as well as providing assistance services for implementing knowledge processes and learning organizations in the work area of the Financial Education and Training Center. This research was created to create a mobile-based training participant satisfaction survey system to improve training services. The aim is to improve training services that can be accessed easily by training participants. With the survey application, participant satisfaction data can be accessed and analyzed in real-time and this application makes the work of organizers easier in calculating satisfaction surveys and can provide data to the head of the Financial Training Center quickly. By using the waterfall method with Likert Scale calculations, this research produces an efficient information system through the stages of needs analysis, design, implementation, testing, maintenance and Likert scale calculations. The results obtained from this research are that the participant satisfaction survey application can make it easier for organizers to calculate survey results and make it easier for offices to improve office quality quickly.

How Are Provided and Received Social Support Related to Relationship Satisfaction and Self-Esteem? A Comprehensive Test of Competing Hypotheses

The amount of social support partners provide and receive in romantic relationships is important for psychological well-being. But in what sense exactly? Divergent and highly nuanced hypotheses exist in the literature. We explicitly spelled out these hypotheses, specified a statistical model for each using response surface analyses, and simultaneously tested which model had the most empirical support. We analyzed data from more than 16,000 participants and investigated how the amount of social support relates to relationship satisfaction (of participants themselves and partners) and self-esteem (of participants themselves). For participants’ own relationship satisfaction, models postulating that more provided and received social support is linked to higher satisfaction had the most empirical support. For partners’ relationship satisfaction and participants’ self-esteem, models that also take partners’ (dis)-similarity in supportiveness into account received support. In total, the absolute amount of support seems to generally matter and, in some cases, partners’ (dis)-similarity seems relevant.

PRO-FIT-CARE study: the feasibility assessment of a pilot online exercise intervention for persons living with obesity and female infertility.

Moderate-to-high physical activity participation is associated with a reduced risk of infertility. Yet, exercise interventions that target cardiorespiratory fitness, independent of weight loss, are lacking in obesity and female fertility research. The primary objective of the PRO-FIT-CARE (PROmoting FITness for CArdiometabolic & REproductive Health) study was to assess the feasibility of a moderate-to-high-intensity online exercise program for persons with obesity and female infertility. Feasibility, safety, acceptability, and efficacy were assessed by examining: (1) recruitment and consent rate, (2) study retention, (3) adverse events, (4) participant satisfaction, (5) adherence, and (6) cardiorespiratory fitness. Eleven of thirty-two women contacted agreed to participate in the program (34.4% consent rate). Eight participants (72.7%) completed the study. One musculoskeletal injury was reported. There was a 30% adherence rate based on prescribed exercise intensity (60%-80% of heart rate maximum). One of eleven participants attended 80% of the exercise intervention. Based on a weekly satisfaction survey, the program had an overall high level of satisfaction. Compared to sex and age normative data, post-intervention, two of eight participants improved their cardiorespiratory fitness percentile rank. The study highlights challenges with adherence to an online exercise program. While the program was safe and participants reported high levels of program satisfaction, approaches to improve adherence must be incorporated.

Tackling Comprehensive Asthma Education for Providers One Breath at a Time: Evaluation of an Online Continuing Medical Education Program for Asthma

BackgroundExponential growth of knowledge in asthma has advanced the diagnosis and treatment of personalized, phenotype- endotype-driven care in asthma leading to improved clinical outcomes. However, many knowledge and practice gaps persist among healthcare professionals. Microlearning has demonstrated efficacy in educational outcomes but is often limited by fragmentation and incomplete information. In order to integrate the benefits of microlearning into a comprehensive asthma curriculum that addresses knowledge gaps in this rapidly growing field, we built an extensive curriculum in bite-sized, “one breath at a time” portions for clinicians managing asthma. MethodsThe CHEST® Curriculum Pathway for Asthma was published online on the CHEST® learning management site in September 2022. It was derived from existing asthma education at CHEST® and was vetted by asthma experts. Pre- and post-tests, satisfaction surveys, and user engagement data were collected. ResultsIn the first 6 months, 523 participants engaged with the CHEST® Curriculum Pathway for Asthma. Participant satisfaction was high, and participants answered 68% of the knowledge pre-test correctly and 82% of the post-test correctly.1 Participants completed 82.8% of the individual videos that they opened. Completion rates for each asthma chapter ranged from 22.6% to 57.9%. DiscussionThis educational program is the first comprehensive, microlearning, online curriculum issued by a medical association on asthma. Our results suggest that the CHEST® Curriculum Pathway for Asthma was effective in improving knowledge and had high user satisfaction. Comprehensive online educational programs broken into microlearning components may be useful in other topics in pulmonary medicine.

Development and validation of a stakeholder-driven, self-contained electronic informed consent platform for trio-based genomic research studies.

Increasingly long and complex informed consents have yielded studies demonstrating comparatively low participant comprehension and satisfaction with traditional face-to-face approaches. In parallel, interest in electronic consents for clinical and research genomics has steadily increased, yet limited data are available for trio-based genomic discovery studies. We describe the design, development, implementation, and validation of an electronic iConsent application for trio-based genomic research deployed to support genomic studies of cerebral palsy. iConsent development incorporated stakeholder perspectives including researchers, patient advocates, institutional review board members, and genomic data-sharing considerations. The iConsent platform integrated principles derived from prior electronic consenting research and elements of multimedia learning theory. Participant comprehension was assessed in an interactive teachback format. The iConsent application achieved nine of ten proposed desiderata for effective patient-focused electronic consenting for genomic research. Overall, participants demonstrated high comprehension and retention of key human subjects' considerations. Enrollees reported high levels of satisfaction with the iConsent, and we found that participant comprehension, iConsent clarity, privacy protections, and study goal explanations were associated with overall satisfaction. Although opportunities exist to optimize iConsent, we show that such an approach is feasible, can satisfy multiple stakeholder requirements, and can realize high participant satisfaction and comprehension while increasing study reach.