Poor Participation Rates Research Articles

Climate risk adaptation through livestock insurance: evidence from a pilot programme in Nigeria

ABSTRACT This study investigates the option of choosing index-based livestock insurance (IBLI) to mitigate the adverse effects associated with climate change in Kwara State, Nigeria. Previous studies indicate that the failure to include farmers during the early stage of pilot programme design is a major factor in Africa’s poor participation rate in index insurance. We conducted a survey with 392 farming households across eight of the state's 16 Local Government Areas (LGAs). This survey employed a contingent valuation method (CVM) to assess the value respondents are willing to pay for such insurance and add to the growing literature on IBLI uptake. We discuss important issues ranging from the cost of the IBLI premium to the impact of social capital and access to alternative sources of income on adoption. Our findings show that farmers are willing to pay a 1.3% premium for IBLI, which is lower than the current premium charged for traditional agricultural insurance in Nigeria which typically ranges from 2% to 5%. The results also highlight the need to consider insurance uptake and access to credit as complementary measures, rather than substitute strategies for managing the risks posed by severe climate shocks and extremes.

An analysis of health inequalities depending on educational level using nationally representative survey data in Japan, 2019

BackgroundIn recent years, socioeconomic differences in health statuses and behaviors have not been investigated from the nationally representative survey data in Japan. In this study, we showed differences in representative health behaviors and statuses depending on educational level using a nationally representative survey data in Japan.MethodsAggregated (not individual level) data from the Comprehensive Survey of Living Conditions in 2019 were used to examine the association between educational level and outcome status of psychological distress (K6 scores > = 5), self-rated health, smoking, alcohol drinking, and cancer screening participation (stomach, lung, colorectal, breast, and uterine cancers). Data of 217,179 households in Japan were aggregated by the Ministry of Health, Labour, and Welfare in the survey, and the data of the estimated number of household members and persons corresponding to each response option for the questions in all of Japan were used. Five-year age groups from 20 to 24 to 80–84 years and over 84 years were analyzed, and the prevalence or participation rate by educational level were calculated. In addition, the age-standardized prevalence or participation rate according to educational level were also calculated by sex. Moreover, a Poisson regression model was applied for evaluating an association of educational level with the outcomes.ResultsAs a result, a clear gradient by educational level was observed in almost all the age groups for the prevalence of psychological distress, poor self-rated health, and smoking and participation rates in cancer screening, and high educational level were associated with better health-related behaviors and statuses. Conversely, drinking prevalence was shown to be higher rather in highly educated people. In addition, a statistically significant association of educational level with all the outcomes was observed.ConclusionIt was shown that disparities in health behaviors and statuses still persisted in recent years, and the findings suggested that further measures should be taken to tackle this disparity.

PARTICIPATION OF COMMUNITY IN PUBLIC SECTOR SCHOOLS OF KHYBER PAKHTUNKHWA AND PUNJAB REGARDING TEACHING-LEARNING PROCESS: A CASE STUDY OF DIKHAN AND BHAKKAR DISTRICTS

Purpose of the study: This study was conducted to find the participation rate of the community in the affairs of public sector schools especially in the process of teaching and learning. Comparison of the views of stakeholders as well as their participation rate in two provinces of Pakistan.
 Methodology: The research was Descriptive and the quantitative method of research was used to find the results. Self-developed questionnaire as a research tool used after validation. Analysis of collected data done through using Statistical Package for Social Sciences (SPSS) version.21.
 Main findings: There is a strong participation rate of community found in the affairs of public sector schools especially in the teaching-learning process. All the groups of stakeholders’ i.e. Members of PTC/SMC (Chairman-Secretaries) and Non-members of PTC/SMC (Teachers-Parents) were in favor. No significant difference was found in the perception of groups of stakeholders. However, this participation rate is higher in Khyber Pakhtunkhwa than in Punjab.
 Application of the study: This study is applicable in the present scenario of Pakistan, which reflects the strength of participation of the community. This study will provide strong evidence of how important the community is and its intervention in children's education. This study will provide a strong basis for policymakers and implementers to design and implement such policies, which help strengthen the community's role in public sector schools.
 Novelty/Originality of this study: The results of the study reflect its novelty of research. This research targeted to find the rate of participation and comparison of this rate between two provinces. It will open various gates of research in this field. This research provides a strong basis for different researchers to make comparisons and discuss the reasons against the poor participation rate of community participation and discuss the benefits of a strong rate of participation.

Teacher education and child protection: Complying with requirements or putting children first?

BackgroundProtecting children from child abuse are key societal and educational priorities internationally; however, teacher training has often been neglected. Recent legislative changes in Ireland place additional responsibilities on teachers including mandated reporting and assisting. ObjectiveThis research aimed to determine the experience of Deputy Liaison Persons (DLPs) as they implement these changes, with a specific focus on their experiences of, and desires for, training. ParticipantsThe research was conducted with 387 DLPs in Ireland—typically primary school principals. MethodThis was a mixed methods study in which an online survey constituting closed and open questions was emailed to all primary schools in Ireland (approximately 3248). 387 DLPs responded to the national survey reflecting a response rate of 12.01%. ResultsThe findings indicate low satisfaction rates amongst DLPs in relation to child protection training, an over-reliance on online child protection training for Irish primary school teachers, poor participation rates of school Boards of Management in child protection training, and calls for expanded child protection training that would include all school staff and be provided on a regular and ongoing basis. Furthermore, the findings suggest a compliance culture in which schools are striving to comply with procedures and requirements. ConclusionsChild protection training and supports provided to teachers need to be redesigned to include avenues for progression, in addition to more face-to-face engagement. An increased emphasis on teacher change is required where less tangible factors such as teacher beliefs and conceptions can be challenged and explored in order to change teacher practice.

Discussion Paper: Improving the participation of students in health professional education research

Health professional education (HPE) has grown as a field of research, with an increasing number of publications since the 1990s. Interprofessional education is a specific area of growth with ongoing debate in the literature, at least in part due to the challenges that exist in implementation, and further research is needed to inform ongoing practice. Participant recruitment is a major challenge, and poor participation rates lead to bias and a failure to demonstrate outcomes. There is a lack of information about why students decline to participate in research to inform and improve education. Motivation for volunteerism in other contexts and recruitment of human participants in other types of research are examined as a way to understand the likely motivations of student participants. Disincentives to participate include time commitment, survey fatigue and a poor understanding of the value of HPE research and the processes involved. The ethical considerations for teacher-researchers add another layer of complexity to recruitment. A multifaceted approach, involving all stakeholders and targeting known influences, is needed to improve recruitment in health professional education research, and clear communication of the research rationale and its potential impact on curriculum design is essential. Explicit communication and adequate information to allow informed student choice are also required, while improved literacy in HPE research may provide students with a better basis for decision making when considering participation. In addition, partnership and student co-design could be a mechanism for more meaningful engagement.

Supporting Our Lifelong Engagement: Mothers and Teens Exercising (SOLE MATES); a feasibility trial

ABSTRACT This study aimed to examine the feasibility of the Supporting Our Lifelong Engagement; Mothers and Teens Exercising (SOLE MATES) program. SOLE MATES, a single-arm six-week feasibility trial, comprised six face-to-face sessions. Participants were mothers (n = 27) with daughters (n = 31) aged 12–16 years. Data were collected in Ireland between January 2018 and March 2018. Feasibility benchmarks examined recruitment, data collection, acceptability, resources and participant responses. The primary outcome was daughters’ step counts, measured via sealed pedometer for seven consecutive days at baseline and six weeks. Secondary outcomes included mothers’ step counts, measures of communication, co-participation in activity, health-related quality of life and parenting practices. Feasibility benchmarks were reached or exceeded, except for retention. Eligibility rates were 93.4%, and baseline activity levels were low. Program content, measures and facilitators were acceptable, demonstrated through a mean score of 4.14 (SD 0.3) on a 5-point Likert Scale. Daily steps increased in mothers (2,875 increase, p = .009) and daughters (1,393 increase, p = .007). Positive feasibility metrics demonstrated the program’s appeal. Participant responses for outcome measures also indicated program success. However, the relatively homogenous sample and relatively poor initial participation rate were study limitations. The intervention should be evaluated in a randomized controlled trial.

Disabling discourses and charitable model of disability: labour market activation for people with disabilities, Ireland – a critical policy analysis

This study is informed by critical disability studies particularly in the area of labour market activation for disabled people, aimed at capturing the complex intersection between welfare, education and employment policy. The Comprehensive Employment Strategy for People with Disabilities 2015–2024 represents a significant policy event in Irish disability policy-making. It was originally committed to some decades previously when the State’s first National Disability Strategy was published. The policy document presents key proposals for addressing the poor participation rates of people with disabilities in employment. Having finally ratified the United Nations Convention on the Rights of People with Disabilities in 2018, the policy represents an important milestone in achieving disability equality and inclusion. Thus, cultural and political understanding of the way in which disability is constituted within the policy-making process is of central importance to this study. On this basis, this article explores the uses of language and the often-paradoxical discourses that saturate this policy, through the lens of critical disability studies, highlighting the tensions and limitations therein.

Completion and adherence rates to exercise interventions in intermittent claudication: Traditional exercise versus alternative exercise - a systematic review.

Intermittent claudication, defined as fatigue or pain in the legs while walking, is a common symptom in peripheral arterial disease. Although exercise effectively improves function and manages symptoms, adherence rates are not ideal. The high levels of pain experienced in traditional exercise programmes may explain the suboptimal adherence. Alternative modalities of exercise can elicit similar benefits to traditional walking exercise. The purpose of this systematic review was to compare completion and adherence rates of exercise programmes in traditional exercise interventions versus alternative exercise interventions among patients with intermittent claudication. Systematic review. The electronic databases of Medline, SPORTDiscus and CINAHL were searched from the earliest records to March 2018. Search terms were based on 'peripheral artery disease' and 'exercise'. Studies were included if they involved structured exercise and explicitly reported the number of participants that commenced and completed the programme. The search identified 6814 records based on inclusion criteria. Eighty-four full-text records were reviewed in further detail. Out of the 84 studies, there was a total of 122 separate exercise groups, with 64 groups of 'traditional walking exercise' and 58 groups of 'alternative exercise'. Completion and adherence rates for traditional exercise were 80.8% and 77.6%, respectively. Completion and adherence rates for alternative exercise were 86.6% and 85.5%, respectively. The use of alternative modalities of exercise, which have been proved to be as effective as traditional exercise, may offer a solution to the poor participation and adherence rates to exercise in this population.

The pharmacist's role in health information, vaccination and health promotion.

On the subject of vaccination, owing to complex issues connected to vaccine refusal and vaccine hesitancy, the pharmacist is seen as a professional figure in the health sector who is qualified to improve social accountability with the aim of increasing the consent. In order to provide accurate information, Law no. 119/2007 has confirmed the central role of the pharmacist in the promotion of prophylactic vaccination, explicitly stating under art. 2 that the Ministry will be able to count on the collaboration of pharmacists as well as general practitioners and paediatricians. Pharmacists are pinpointed as new professional figures who could assist the national health service in its vaccine awareness and administration campaigns. Art. 5 comma 1 of Law no.119/2017 states that to meet vaccine goals, each Region will be able to allow vaccines to be booked through the Italian booking system (CUP) and administered free-of-charge in authorized pharmacies.

The Health-e Babies App for antenatal education: Feasibility for socially disadvantaged women.

BackgroundThe use of mobile technology such as phone applications (apps) has been proposed as an efficient means of providing health and clinical information in a variety of healthcare settings. We developed the Health-e Babies app as an Android smart phone application for pregnant women attending a tertiary hospital in a low socio-economic community, with the objective of providing health information about early pregnancy that would increase maternal confidence and reduce anxiety. Based on our earlier research, this form of health communication was viewed as a preferred source of information for women of reproductive age. However, the pilot study had a poor participation rate with 76% (n = 94) not completing the study requirements. These initial findings raised some very important issues in relation to the difficulties of engaging women with a pregnancy app. This paper analyses the characteristics of the participants who did not complete the study requirements in an attempt to identify potential barriers associated with the implementation of a pregnancy app.MethodsThis retrospective review of quantitative and qualitative data collected at the commencement of the Health-e Babies App trial, related to the participant’s communication technology use, confidence in knowing where to seek help and mental health status, maternal-fetal attachment and parenting confidence. Engagement and use of the Health-e Babies App was measured by the completion of a questionnaire about the app and downloaded data from participant’s phones. Mental health status, confidence and self-efficacy were measured by questionnaires.ResultsAll women were similar in terms of age, race, marital status and level of education. Of the 94 women (76%) who did not complete the trial, they were significantly more anxious as indicated by State Trait Anxiety Inventory (p = 0.001 Student T-test) and more likely to be unemployed (50% vs 31%, p = 0.012 Student T-Test).ConclusionThis study provides important information about the challenges associated with the implementation of a pregnancy app in a socially disadvantaged community. The data suggests that factors including social and mental health issues, financial constraints and technological ability can affect women’s engagement with a mobile phone app.

Family Determinants of Transition from. Primary to Secondary Schools in Mbooni - East District, Makueni County, Kenya.

Makueni County is affected by low transition rates, poor participation and completion rates. Access to secondary education in Mbooni-East district is also poor. The government of Kenya set a target of transition rate of 70% from primary to secondary schools from the current rate of 47%, and this is not achieved yet. The purpose of this study was therefore to investigate the family determinants of transition from primary to secondary schools in Mbooni-East district. Specifically this study sought to attain the following objectives: to establish the relationship between educational level of parents with transitions; determine the influence of parental income and transition; describe how the sibling position influenced transition and establish the measures which could be taken to enhance transition in the district. The results of this research were to generate useful information which would be used by educational planners and educational administrators to maintain efficient transitions in the district. Classical liberalism theory was used for the study. Descriptive survey research design was also used for this research as it was the most used method for collecting information on people’s attitudes, opinions, habits or any of the variety of educational or social issues. The study was conducted in secondary schools, in Kalawa division, Mbooni-East district, Makueni County. The target population was head teachers; Parents Teachers Association’s representatives (PTA’s) and all boys and girls in form one, in Kalawa division in the sampled schools. Probability sampling technique (systematic or interval sampling) was used because it removed the possibility of investigator bias. A sampling interval (k) and a random start were used to choose the sample. Research instruments were questionnaires for the head teachers, PTA’s and form ones and interview schedules for the PTA and the form ones in the division. Validity was done to check the accuracy of various skills and reliability done to determine the degree of coefficient of the theoretical concept. Piloting was done to check the accuracy of the research instruments. The questionnaires were filled and interview conducted in presence of the researcher at various different times. The data collected from the specific schools were analyzed through descriptive statistics. These are measures of central tendency such as the mean and percentages. The dependent variable was transition and the independent variables were parental level of education, parental income and sibling position on transition in Mbooni-East district. The findings showed a 45.6 percent of fathers’ who had reached form four and had a mean transition of 2.8 transition. Mothers’ who earned Kenya shillings 7500 formed 12.8 percent and a mean transition of 3.47. The results showed that transition was high to educated parents and low to illiterate parents, the sibling position favoured by transition were fifth borns who formed 20 percent and a mean transition of 2.8. Therefore, education is very necessary for the parents in order for them to educate their children; too, earning is also important for the parents in order to get money to educate their children. Lastly, every child should have equal opportunities to access secondary education, regardless of sibling position. Some measures which could be used to enhance transition in the district included building new schools and improving the existing ones, reduction of school fees and then government’s effort to sensitize the parents on the need and importance of supporting transition to all secondary schools in order to improve access to education in the district. Article visualizations:

Positioning Australia’s contemporary health and physical education curriculum to address poor physical activity participation rates by adolescent girls

Background: Given the wealth of research identifying how schools are in a strong position to promote physical activity (PA) among children, it would be reasonable to suggest that initial experiences of physical education and school sport are critical factors influencing whether a student will develop a healthy relationship to PA. However, research in Australia equally identifies how secondary school-aged young people are increasingly failing to meet national guidelines concerning PA levels and participation rates, with adolescent girls displaying the most disturbing trends. Purpose: This paper examines how the recent Australian Curriculum Assessment and Reporting Authority (ACARA) Health and Physical Education (HPE) structure aims to address such concerns as poor PA levels and participation rates by adolescent girls. Methods: A theoretical approach, consisting of document and literature analysis, was undertaken to develop insights into the current developments surrounding the ACARA HPE implementation, in an attempt to address identified socio-cultural issues within contemporary HPE practices. Such an approach is aimed at heightening effective pedagogy. Conclusion: This paper provides a vision for supporting future student inclusion in HPE, by acknowledging potential barriers to the adoption of PA by adolescent girls and identifying strategies that will collectively promote curriculum priorities and classroom practices accordingly.

Improving Participation in Colorectal Cancer Screening: a Randomised Controlled Trial of Sequential Offers of Faecal then Blood Based Non-Invasive Tests.

Poor participation rates are often observed in colorectal cancer (CRC) screening programs utilising faecal occult blood tests. This may be from dislike of faecal sampling, or having benign bleeding conditions that can interfere with test results. These barriers may be circumvented by offering a blood-based DNA test for screening. The aim was to determine if program participation could be increased by offering a blood test following faecal immunochemical test (FIT) non-participation. People were invited into a CRC screening study through their General Practice and randomised into control or intervention (n=600/group). Both groups were mailed a FIT (matching conventional screening programs). Participation was defined as FIT completion within 12wk. Intervention group non-participants were offered a screening blood test (methylated BCAT1/IKZF1). Overall participation was compared between the groups. After 12wk, FIT participation was 82% and 81% in the control and intervention groups. In the intervention 96 FIT non- participants were offered the blood test - 22 completed this test and 19 completed the FIT instead. Total screening in the intervention group was greater than the control (88% vs 82%, p<0.01). Of 12 invitees who indicated that FIT was inappropriate for them (mainly due to bleeding conditions), 10 completed the blood test (83%). Offering a blood test to FIT non-participants increased overall screening participation compared to a conventional FIT program. Blood test participation was particularly high in invitees who considered FIT to be inappropriate for them. A blood test may be a useful adjunct test within a FIT program.

Exploring social inclusivity within the University of the Third Age (U3A): a model of collaborative research

ABSTRACTLifelong learning is believed to have physical, social and emotional benefits for older adults. In recognition of this, numerous programmes encouraging learning in later life exist worldwide. One example is the University of the Third Age (U3A) – a lifelong learning co-operative rooted in peer-support and knowledge sharing. This article is based on a collaborative study conducted by university researchers and members of a U3A in North-East England (United Kingdom) investigating the social inclusivity of the group in light of low attendance levels among those from social housing and non-professional backgrounds. A qualitative approach comprising semi-structured interviews and focus groups was adopted to explore knowledge and experience of lifelong learning and the U3A. Sixty individuals aged 50+ were interviewed. The demographic profile of participants largely reflected the socio-economic make-up of the area, with the majority living in areas of high socio-economic deprivation. Several barriers to lifelong learning were revealed, including: poor health, insufficient transport and caring responsibilities. Regarding U3A participation, three exclusionary factors were outlined: lack of knowledge, organisational name and location. Poor comprehension of the purpose and remit of the U3A can result in the development of ‘middle-class' myths regarding membership, perpetuating poor participation rates among lower socio-economic groups. Such perceptions must be dispelled to allow the U3A to fulfil its potential as a highly inclusive organisation.

Using epidemiological survey data to examine factors influencing participation in parent-training programmes

Evidence-based parent-training programmes aim to reduce child behaviour problems; however, the effects of these programmes are often limited by poor participation rates. This study proposes a model of parent, child and family factors related to parental participation in parenting interventions. A computer-assisted telephone interview was used to survey parents of 4- to 7-year-old children ( N = 2999). Logistic regression analyses showed that several parent and child variables were predictive of participation. In contrast, family variables, and other parent and child variables were not. Hierarchical multiple logistic regression showed that parental help-seeking behaviour and parenting style were the only significant predictors of participation. Mediation analyses found that help-seeking behaviour was a mediator between perceived child behaviour problems and participation, help-seeking behaviour was a mediator between parental depression and participation, perceived child behaviour problems was a partial mediator between parenting style and participation and parental depression was a partial mediator between perceived child behaviour problems and participation. Overall, the model was partially supported. The results extend previous research into parental participation in parenting programmes.

A nationwide web-based freight data collection

A limited number of studies have tried to apply behavioral models to freight policy analysis, but due to the lack of data, most have not produced satisfactory results. Many decision-makers are unwilling to participate in surveys that inquire about their shipping decisions, since such information is an important part of their business strategies, and understandably, they fear jeopardizing their competitive edge by participating. This results in generally poor participation rates for freight surveys and makes them very expensive in many cases. However, recent empirical findings suggest that the linkage between non-response rates and non-response biases is often nonexistent. This paper examines a non-response bias analysis in an online establishment survey that was conducted to obtain data for the on-going development of behavioral microsimulation freight model. The survey method, design, and challenges in obtaining the shipping information from the companies are also discussed in this study.

Increasing Referral and Participation Rates to Outpatient Cardiac Rehabilitation: The Valuable Role of Healthcare Professionals in the Inpatient and Home Health Settings

Cardiovascular disease (CVD) continues to be the leading cause of morbidity and mortality in the United States and worldwide.1 In fact, the prevalence of CVD is on the rise as a function of increased longevity and the mounting effects of cardiac risk factors that typically accumulate over a lifetime. Outpatient cardiac rehabilitation (CR) programs offer a cost-effective, multidisciplinary, comprehensive approach to address these risk factors and to restore individuals to their optimal physiological, psychosocial, nutritional, and functional status.2–6 Thus, the benefits of CR extend well beyond the cardiovascular system, positively affecting an individual's overall health status. These benefits may be particularly important to certain CVD cohorts such as elderly patients who are more likely to present with greater functional limitations and frailty. Additionally, outpatient CR has been shown to dramatically reduce morbidity and mortality by nearly 25% compared with usual care.7,8 Despite the clear benefits of formal, supervised outpatient CR and exercise training programs, as well as strides in automatic referrals,9 current statistics continue to demonstrate that referral and participation rates of eligible patients remain alarmingly low,10–13 with participation particularly poor in rural areas and in eligible patients who have lower socioeconomic status, limited education, advanced age, and/or female sex.14,15 In addition, Gurewich et al16 reported several factors that are likely responsible for the poor referral rates to outpatient CR, which included “the degree of automation and assertiveness in securing referrals, the level of integration of CR within the hospital setting and physician community, the relationship to other CR facilities, and capacity constraints.” Given the continually poor referral and participation rate in outpatient CR despite increased efforts to reverse this trend, additional actions are required. This scientific advisory calls on the inpatient and home healthcare …

Breast Cancer Screening Amongst Arabic Women Living in the State of Qatar: Preliminary Results of the Cross-Sectional Community Based Survey

Abstract Background: Breast cancer is the most common cancer among women in Qatar, incidence rate is rising and it is often diagnosed at advanced stages. Early detection of breast cancer through regular screening activities has been found to decrease morbidity and mortality rates. Although research on breast cancer screening in the Middle East is scarce, low levels of knowledge and poor participation rates have been found to act as barriers towards breast cancer screening activities such as breast self-examination, clinical breast examination and mammography. Various other barriers have been described in the literature. Identification of these potential barriers and facilitators is urgently needed in order to develop culturally appropriate interventions aiming to improve awareness and breast cancer screening participation rates. Objectives: A three-phase research program for which the goals are to (1) Understand breast health issues in Qatar; (2) Identify and implement strategies that assist Arabic women's participation in breast cancer screening activities (3) Evaluate, facilitate and sustain these strategies. Methods: In Phase 1 two studies are conducted. Study 1: this quantitative study examines data from a convenience sample of 1063 Arabic women in Qatar on a cross sectional community based survey. Face to face interviews are used to investigate knowledge, attitudes, practices, barriers and facilitators regarding breast cancer screening activities. Study 2: Using an ethnographic qualitative methodology, this study will capture the complexity and diversity of reasons of health behaviour choices on a purposive sample of 50 women, 50 men and 30 health care providers. Results: Preliminary results from study 1 will be presented. These will include: participation rates of breast cancer screening activities of Arabic women in Qatar such as breast self-examination, clinical breast examination and mammography; levels of knowledge of breast cancer and its screening; identified barriers and facilitators to breast cancer screening as experienced by these women. Conclusion: Combined results will enable development of culturally appropriate intervention strategies to raise awareness and participation rate in breast cancer screening among Arabic women living in Qatar and the Gulf region.

Use of Small Incentives for Increasing Participation and Reducing Dropout in a Family Drug-Use Prevention Program in a Spanish Sample

Poor participation rates represent one of the most serious problems facing family-based drug-use prevention programs. Strategies involving incentives have been used to increase recruitment and retention of the target population of such interventions, but in Spain, such strategies for modifying behavior are unusual. The goal of the research was to study the use of small financial incentives (€10 voucher) as a strategy to increase attendance and reduce dropout in a family drug-prevention program applied in the school context. Participants were 211 pupils (aged 12–13) and their parents. The results show that small financial incentives can be useful to increase the attendance of families in prevention programs and to reduce dropout.

Patients' report on how endometriosis affects health, work, and daily life

The objective of this study was to assess the burden of endometriosis by obtaining patient-reported outcome data describing the experience of living with this disease. Survey data from 107 women with self-reported, surgically diagnosed endometriosis showed that living with this disease may be characterized by physical limitations that disrupt health, work, and daily life.