Preliminary Feedback Research Articles

Smoke on the horizon: leveling up citizen and social science to motivate health protective responses during wildfires

Climate change factors and expanded population growth in the Wildland Urban Interface (transition zone between human structures and undeveloped wildland) contribute to a projected increase in wildfire frequency and smoke exposure. As an unregulated source of air pollution, reducing smoke exposure represents a difficult challenge for health risk communicators. The target audience is broad with unpredictable health impacts due to spatial and temporal variability in exposure. Beyond providing information, agencies face challenges reaching affected populations, motivating behavior change, and overcoming barriers between intentions and actions (recommended health protection). The Smoke Sense citizen science project developed a smartphone app to provide an engagement, learning, and information-sharing platform. Here we draw upon previous trends in behavioral patterns and propose a synergistic approach of citizen and behavioral science that can be applied to increase understanding of health risk and motivate new habits to reduce exposure among impacted individuals. Presentation of the approach proceeds as follows: (1) we identify several core factors that contribute to an intention-action gap, (2) identify applicable social and behavioral science principles that can bridge the gap, (3) propose explicit examples focused on theoretical principles, (4) describe small-scale user preliminary feedback and examples for monitoring and evaluating impact, and (5) provide a look to the future for collaborative citizen engagement. Current health risk communication strategies often lack consideration of behavioral factors that may enhance motivation and encourage behavior change. The proposed approach aims to leverage the strengths of citizen and social science and seeks to encourage a focused ‘digital community’ to implement new habits in the face of unpredictable and dynamic environmental threats.

Caring for caregivers and persons living with dementia under home-based primary care: protocol for an interventional clinical trial

BackgroundApproximately 7.5 million older adults are homebound, who have difficulty and/or need assistance to leave their homes. In this growing population, the prevalence of people living with dementia (PLWD) is approximately 50%. Current dementia care models in the USA were developed for traditional office-based primary care and have not been tailored to home-based primary care (HBPC) delivery models. Literature has shown that office-based collaborative interventions can improve caregiver outcomes including caregiver stress, well-being, and morbidity and patient outcomes including improved quality of life and reduced emergency department visits (Possin KL, Merrilees JJ, Dulaney S, Bonasera SJ, Chiong W, Lee K, JAMA Int Med 179:1658, 2019). To date, the evidence for HBPC dementia interventions is lacking. Though HBPC has demonstrated benefit in homebound older adults, there is limited literature on the effects of HBPC on persons living with dementia (Nguyen HQ, Vallejo JD, Macias M, Shiffman MG, Rosen R, Mowry V, J Am Geriatr Soc 70:1136–46, 2021). Our goal is to develop a HBPC-focused dementia care intervention that integrates the components of two previously developed dementia care models and test the feasibility of implementing it in HBPC practices to improve the quality of life and wellbeing of homebound PLWD and their caregivers.MethodsWe will first conduct qualitative focus groups at two HBPC practice sites, one in the Southeast and one in Hawaii in order to obtain preliminary feedback on the proposed intervention. At each site, there will be one focus group with caregivers of PLWD and another with HBPC clinicians and staff to help develop and refine our intervention. We will then conduct an open-pilot trial of the refined intervention at the two HBPC practices. A total of up to 25 patient/caregiver dyads will be recruited at each site (N = 50 total). Outcomes measured through pre-and-post assessments and exit interviews will include (a) feasibility for the caregiver to engage with and complete baseline assessments and access educational materials and community resources and (b) feasibility for the practice to identify potential caregivers/patients, assess eligible patient/caregiver dyads, use patient and caregiver assessments, recruit patient/caregiver dyads, recruit racial and ethnic minorities, use care modules, and engage with the tele-video case conference, (c) net promoter score, (d) acceptability of the intervention to caregivers and patients to participate in the intervention, (e) caregivers feeling heard and understood, and (f) caregiver well-being.DiscussionTesting the feasibility and acceptability of the adapted intervention in these two HBPC practices will provide the basis for future testing and evaluation of a fully powered intervention for PLWD and their caregivers cared for in HBPC with the goal of disseminating high-quality and comprehensive dementia-care focused interventions into HBPC practices.Trial registrationThis trial was registered with ClinicalTrials.gov NCT05849259 in May 2023.

Empowering Smart Aging: Insights into the Technical Architecture of the e-VITA Virtual Coaching System for Older Adults.

With a substantial rise in life expectancy throughout the last century, society faces the imperative of seeking inventive approaches to foster active aging and provide adequate aging care. The e-VITA initiative, jointly funded by the European Union and Japan, centers on an advanced virtual coaching methodology designed to target essential aspects of promoting active and healthy aging. This paper describes the technical framework underlying the e-VITA virtual coaching system platform and presents preliminary feedback on its use. At its core is the e-VITA Manager, a pivotal component responsible for harmonizing the seamless integration of various specialized devices and modules. These modules include the Dialogue Manager, Data Fusion, and Emotional Detection, each making distinct contributions to enhance the platform's functionalities. The platform's design incorporates a multitude of devices and software components from Europe and Japan, each built upon diverse technologies and standards. This versatile platform facilitates communication and seamless integration among smart devices such as sensors and robots while efficiently managing data to provide comprehensive coaching functionalities.

The Longitudinal Implementation Strategy Tracking System (LISTS): feasibility, usability, and pilot testing of a novel method

BackgroundSystematic approaches are needed to accurately characterize the dynamic use of implementation strategies and how they change over time. We describe the development and preliminary evaluation of the Longitudinal Implementation Strategy Tracking System (LISTS), a novel methodology to document and characterize implementation strategies use over time.MethodsThe development and initial evaluation of the LISTS method was conducted within the Improving the Management of SymPtoms during And following Cancer Treatment (IMPACT) Research Consortium (supported by funding provided through the NCI Cancer MoonshotSM). The IMPACT Consortium includes a coordinating center and three hybrid effectiveness-implementation studies testing routine symptom surveillance and integration of symptom management interventions in ambulatory oncology care settings. LISTS was created to increase the precision and reliability of dynamic changes in implementation strategy use over time. It includes three components: (1) a strategy assessment, (2) a data capture platform, and (3) a User’s Guide. An iterative process between implementation researchers and practitioners was used to develop, pilot test, and refine the LISTS method prior to evaluating its use in three stepped-wedge trials within the IMPACT Consortium. The LISTS method was used with research and practice teams for approximately 12 months and subsequently we evaluated its feasibility, acceptability, and usability using established instruments and novel questions developed specifically for this study.ResultsInitial evaluation of LISTS indicates that it is a feasible and acceptable method, with content validity, for characterizing and tracking the use of implementation strategies over time. Users of LISTS highlighted several opportunities for improving the method for use in future and more diverse implementation studies.ConclusionsThe LISTS method was developed collaboratively between researchers and practitioners to fill a research gap in systematically tracking implementation strategy use and modifications in research studies and other implementation efforts. Preliminary feedback from LISTS users indicate it is feasible and usable. Potential future developments include additional features, fewer data elements, and interoperability with alternative data entry platforms. LISTS offers a systematic method that encourages the use of common data elements to support data analysis across sites and synthesis across studies. Future research is needed to further adapt, refine, and evaluate the LISTS method in studies with employ diverse study designs and address varying delivery settings, health conditions, and intervention types.

STEAM Experimental Facility: A Step Forward for the Development of the EU DEMO BoP Water Coolant Technology

Within the EUROfusion roadmap for the technological development of the European-DEMOnstration (EU-DEMO) reactor, a key point has been identified in the discontinuous operation (pulse-dwell-pulse) of the machine. Water Cooled Lithium Lead (WCLL) Breeding Blanket (BB) Primary Heat Transfer Systems (PHTSs) adopt technology and components commonly used in nuclear fission power plants, whose performances could be negatively affected by the above mentioned pulsation, as well as by low-load operation in the dwell phase. This makes mandatory a full assessment of the functional feasibility of such components through accurate design and validation. For this purpose, ENEA Experimental Engineering Division at Brasimone R.C. aims at realizing STEAM, a water operated facility forming part of the multipurpose experimental infrastructure Water cooled lithium lead -thermal-HYDRAulic (W-HYDRA), conceived to investigate the water technologies applied to the DEMO BB and Balance of Plant systems and components. The experimental validation has the two main objectives of reproducing the DEMO operational phases by means of steady-state and transient tests, as well as performing dedicated tests on the steam generator aiming at demonstrating its ability to perform as intended during the power phases of the machine. STEAM is mainly composed of primary and secondary water systems reproducing the thermodynamic conditions of the DEMO WCLL BB PHTS and power conversion system, respectively. The significance of the STEAM facility resides in its capacity to amass experimental data relevant for the advancement of fusion-related technologies. This capability is attributable to the comprehensive array of instruments with which the facility will be equipped and whose strategic location is described in this work. The operational phases of the STEAM facility at different power levels are presented, according to the requirements of the experiments. Furthermore, a preliminary analysis for the definition of the control strategy for the OTSG mock-up was performed. In particular, two different control strategies were identified and tested, both keeping the primary mass flow constant and regulating the feedwater mass flow to follow a temperature set-point in the primary loop. The obtained numerical results yielded preliminary feedback on the regulation capability of the DEMO steam generator mock-up during pulsed operation, showing that no relevant overtemperature jeopardized the facility integrity, thanks to the high system responsivity to rapid load variations.

Eye Motion Tracking for Medical Image Interpretation Training.

The significance of Eye Motion Tracking in aiding learners in training search patterns, pattern recognition, and efficiently using their gaze in terms of time and scanning distribution has been highlighted in the USAF Pilot Training Next initiative. The innovation described further builds on this concept in the realm of medical imaging and the provision of real-time feedback of eye direction and gaze duration. This real-time indicator enables the trainer to adapt verbal queueing of the trainee in a personalized manner to improve knowledge transfer, and to increase the confidence of the trainer and trainee in the competency of the trainee. The initial experiment data set included bone radiographs, digital subtraction angiograms, and computed tomography images. Preliminary results and formative feedback from participants was encouraging with expert viewers able to use Eye Motion Tracking to successfully guide novice readers through search and gaze protocol patterns of the medical images.

Preliminary feasibility of a wrist-worn receiver to measure medication adherence via an ingestible radiofrequency sensor.

Adherence to medications is a complex task that requires complex biobehavioral support. To better provide tools to assist with medication adherence, digital pills provide an option to directly measure medication taking behaviors. These systems comprise a gelatin capsule with radiofrequency emitter, a wearable Reader that collects the radio signal and a smartphone app that collects ingestion data displays it for patients and clinicians. These systems are feasible in measuring adherence in the real-world, even in stigmatized diseases like HIV treatment adherence. While the current iteration of the digital pill system utilizes a wearable Reader worn like a necklace, preliminary feedback demonstrated that a miniaturized system that was worn on the wrist could be more functional in the real-world. This paper therefore describes the development and preliminary field testing of a wrist-borne wearable Reader to facilitate acquisition of oral HIV pre-exposure prophylaxis (PrEP) adherence data among individual prescribed PrEP.

A Pilot Study of an Interactive Virtual Tour Tool for Patient Education Prior to Undergoing High-Dose Rate Brachytherapy for Prostate Cancer.

High-dose rate (HDR) brachytherapy for treatment of prostate cancer is an invasive procedure that can be associated with patient anxiety. Patient education regarding the procedure can allow for better informed decision-making while also decreasing anxiety. We sought to develop and assess the utility of an interactive virtual tour tool that portrays a 360-degree view of the HDR brachytherapy patient experience, with the goals of providing patient education, decreasing patient anxiety, and assisting in wayfinding on the procedure day. Using a 360-degree camera, we captured multiple photographs that depicted the various hospital locations that a patient would navigate through on the day of their HDR brachytherapy procedure, including the medical center lobby, pre-operative/post-operative units, and the brachytherapy suite. We then compiled these 360-degree photographs using virtual tour software, to allow users to navigate throughout the locations. We added informational text, spoken audio, and videos associated with key staff, objects, and the brachytherapy procedure that allow the users to interact with and learn about these various components within the virtual tour. This tool was accessible via a website link on a computer, tablet, or smartphone and was provided at the time of consult to patients who were planning to undergo HDR brachytherapy for prostate cancer. A questionnaire assessing the tool's ease of use, educational value, wayfinding utility, and ability to improve anxiety and treatment decision-making was conducted prior to and after their procedure. Preliminary feedback from healthy volunteers is highly positive, with users finding that the tool is easily accessible, user-friendly, improves understanding of HDR brachytherapy, simulates the treatment experience accurately, helps with wayfinding, and has the potential to decrease patient anxiety and increase comfort with the treatment decision. Data from the patient questionnaires are being collected and will be analyzed. A 360-degree virtual tour tool allows for an easily accessible, immersive, and interactive method of patient education on an invasive, anxiety-associated procedure. This has the potential to decrease patient anxiety and improve comfort regarding treatment decision-making. This tool may be applied toward other relatively involved radiotherapy modalities, including gynecologic HDR brachytherapy, respiratory-gated treatments, and CyberKnife stereotactic radiosurgery.

How Should We Prepare Our Pharmacist Preceptors? Design, Development and Implementation of a Training Program in a Regional Australian University.

Increased experiential learning within pharmacy education has highlighted the need for quality preceptors, leading to a recent focus on their development and training. This study describes the design, development and implementation of a pharmacist preceptor training program in a regional Australian University. The design of this program utilized the results of a previously conducted scoping review of preceptor training programs and a comprehensive preceptor training needs analysis. In addition, participation was sought from an expert advisory group, comprising preceptors and pharmacy professional organizations. Program materials were developed and transferred onto a suitable online learning platform for implementation. Post-training program evaluation will follow Kirkpatrick's model of training evaluation criteria, gaining feedback from both preceptors and students. The four flexible online modules that were designed are aligned with the main preceptor roles: role model, educator, mentor and assessor. The program also included a small-group online interactive networking session and an online discussion forum. Following implementation, 28 pharmacist preceptors completed the training. Preliminary feedback on the training program was extremely positive, particularly to the interactive networking activity. Future programs will continue to be adapted to reflect stakeholder feedback and optimize student placement experiences.

Facilitating the building commissioning process using building information modeling: an action-research project

PurposeThe building commissioning (BCx) phase is a critical stage in a building's lifecycle. It is also a complex process that involves a large number of actors and activities. While the use of building information modeling (BIM) in the commissioning phase of building equipment and systems could be beneficial, few studies have investigated the processes behind its implementation. The research presented in this paper aims to investigate the implementation of BIM for the commissioning phase within a general contracting company through action-research.Design/methodology/approachThrough direct involvement with the research partner, a large general contractor, a diagnosis on the current limitations of the commissioning process was conducted. An action plan to implement BIM for commissioning was developed and implemented in two pilot projects. Evaluation was performed through on-site observations and informal discussions with field staff. Learning was specified through the development of a formal protocol for BIM-enabled BCx.FindingsThis action-research project helped the partner organization identify the challenges and a way forward to formalize its BIM-enabled BCx process. The action plan aimed at countering the lack of knowledge about the status of equipment and system commissioning as well as the lack of standardization. The research team co-developed and tested a formal protocol, including BIM-enabled processes and technologies to address these observed problems. A complete implementation ecosystem was structured and deployed. Preliminary feedback indicated that improvements were obtained using a BIM-enabled approach over a traditional approach.Originality/valueWhile past studies have investigated the BCx process, this study identified current challenges considering recent advances in BIM and focused on a large general contractor. This work provides an in-depth account of a large general contractor attempting to streamline its BCx process. The results of the study could help guide practitioners in implementing more streamlined BIM-enabled BCx processes.

Can we improve the experience for the novice trainee entering the new curriculum? novice discussion topics

Background: After a change in the curriculum from the 20101 RCOA edition to the 20212 edition, there is greater flexibility for the experienced trainee but potentially increased challenges for the ‘new’ novice. The first few months of novice training are challenging, navigating a new hospital, getting familiar with the theatre environment without adding educational challenges. The flexibility of the new curriculum can allow you to experience and create supervised learning events (SLEs) from your experiences rather than creating experiences to fit assessments. However, this requires familiarisation and organisation with regards to creating bespoke assessments; initially this can be burdensome and add significant stress to the trainees’ mental load. Based on experience and informal feedback, we thought that the new novice may benefit from some suggestions of how to create assessments from everyday experiences through optimising otherwise wasted time. What do we mean by wasted time? The down time in theatre where informal conversation takes place, the theatre time with a supervisor who is less confident in teaching ‘off the cuff’, the lack of continuity with the same supervisor making daily learning objectives difficult to achieve. Turning every theatre encounter into potential SLEs. Methods: A handbook was designed based on the novice curriculum requirements; this was as a physical paper booklet and pdf document. The document contained ideas and suggestions under three broad categories: equipment, clinical topics, and drugs. The booklet deliberately lacks detail, as it should spark discussion and conversation, and the detail should be added during the face-to-face discussion—this is the learning event. Results: Initial numbers are small, with only three novice trainees rotating, but preliminary qualitative feedback is positive. The project is to be continued over the next few rotations to increase the numbers for qualitative evidence and to be rolled out across the health board. Conclusion: Preliminary feedback is positive supporting the benefit of the handbook. 1.RCOA 2010 Core Training Curriculum – Annex B. Available from https://www.rcoa.ac.uk/sites/default/files/documents/2019-08/TRG-CCT-ANNEXB.pdf (accessed 20/03/23)2.RCOA 2021 Stage 1 Curriculum. Available from https://rcoa.ac.uk/documents/2021-curriculum-learning-syllabus-stage-1/introduction (accessed 20/03/23)

Maintaining High Quality Dosimetry Education in Radiation Oncology Medical Residency Amid and Post-COVID-19 Pandemic: A Reimagined Training Rotation

Maintaining High Quality Dosimetry Education in Radiation Oncology Medical Residency Amid and Post-COVID-19 Pandemic: A Reimagined Training Rotation

Brain Science Learning Guides: An Innovative Strategy for Cultivating Effective Study Skills.

Students often struggle with how to synthesize course content during independent learning outside of class. Study strategies may be entrenched in ineffective methods that reinforce misperceptions of learning and undermine the development of metacognitive thinking. To promote the development of effective study skills, a scaffolded approach was developed to facilitate students actively engaging with course content outside of class time, based on best practices of brain science-based learning. Using evidence in the brain science of teaching and learning, Learning Guides were developed to shift the focus of study outside of class time from the "what" to the "how." Preliminary feedback from students in multiple core nursing courses suggests that these guides are an effective tool for student learning. This brain science-based approach to learning can provide a road map for students to build the essential skills for effective study habits that can lead to durable learning.

Genetic Behavioral Trait Assessment Paired With Personalized Recommendations and Coaching to Support Mental Health and Wellness

AbstractBackgroundGenetics, environment, and lifestyle each contribute to human behaviors. We have developed a direct-to-consumer genetic assay (Mental Health Map) that allows users to explore their genetic behavioral predispositions and potential interventions that may positively influence mental health and wellness. Based on preliminary consumer feedback suggesting increased desire to take action on their mental health and wellness, we initiated a pilot study to assess several measures of mental health and self-care in individuals both before and after reviewing their Mental Health Map.MethodsThis was a virtual case series in adults who purchased a Mental Health Map. Subjects served as their own control based on survey responses leading up to genetic testing and up to 7 weeks after an introductory coaching session. Coaching included a demonstration of how to navigate the interactive online report, discussion of key results, and provision of additional external resources as appropriate. The co-primary measures were changes in quality of life as measured by WHO-5, report of initiating a discussion or seeking mental health care with a health care provider, report of initiating and sustaining positive lifestyle changes, and subjective improvements in stress management, sleep quality, mood, focus, and social interactions. Secondary measures were changes in GAD-7 and PHQ-9.ResultsTwenty-seven individuals completed the study. Average WHO-5 at baseline was 41.2 which numerically increased to 48.3 at week 7, suggesting improved quality of life, but this effect was not statistically significant. 42.3% of individuals were in treatment with a mental health provider at the time of survey. Of those not in treatment, 33.3% were actively seeking professional mental healthcare prompted by the coaching session. At week 6, 87% of survey respondents (n=15) asserted that they continued to make lifestyle changes that improved stress; 74% made changes to improve mood and 80% made changes that improved their habits. Percentage of respondents who reported lifestyle changes to improve sleep, focus, and social interactions were all less than 70%. In secondary outcomes, average GAD-7 at baseline was 8.9 and decreased to 6.7 at week 7, while PHQ-9 averaged 10.3 at baseline and decreased to 7.5 at week 7. Neither of the secondary outcome measures achieved a statistically significant difference.ConclusionDespite the small patient population, this pilot study provides proof-of-concept that Mental Health Map and the accompanying coaching session encourages participants to make positive lifestyle changes and prompts pursuit of a healthcare professional. We also saw numerical trends toward modest improvements in quality of life, anxiety, and depression symptoms, although these differences were not statistically significant, and may require larger sample sizes.FundingGenomind

GLAMS: Graduate Learning Assistants in Mathematical Sciences

In the fall of 2020, our department at George Mason University integrated graduate learning assistants (GLAs) into our graduate core courses. GLAs are funded graduate students who assist instructors during class, facilitate active learning preliminary exam problem-solving sessions, hold extra office hours, and serve as peer mentors for beginning graduate students. The GLAMS program was designed to support beginning graduate students as they prepared for their preliminary exams. We describe the program and provide details about how it was implemented. We include preliminary student feedback as well as faculty and GLA reflections. To conclude, we outline our plans for programmatic changes moving forward.

Bringing Mental Health Services to Community Settings

Senior centers and aging service providers provide national infrastructure for delivering mental health services to older adults in need. Given that older adults involved in senior centers, dining sites, and other aging services exhibit high mental health needs, this infrastructure shows great promise for preventing and ameliorating depression, anxiety, loneliness, and other mental health issues. This session describes three programs and evaluation results of behavioral health screening and interventions integrated into senior centers and aging service organizations, delivered by embedded mental health clinicians and older adult volunteers. The first presentation describes an ongoing three-site RCT of behavioral activation delivered by master's level clinicians or a streamlined behavioral activation intervention delivered by older adult volunteers for depressed senior center clients, describing the methods, interim training results, and preliminary feedback from clients and volunteers. The second presentation describes a large-scale dissemination initiative of mental health screening and services across 30 senior centers in New York City, involving 894 older adults screened and 4,749 intervention sessions delivered in one year by embedded mental health clinicians, with reductions in depressive and anxiety symptoms for many. The third presentation describes a pilot RCT with 40 depressed senior center clients, comparing a Stay Connected virtual intervention delivered during the COVID-19 pandemic to usual care, observing improvements in depressive symptoms for the Stay Connected intervention. The three programs illustrate the value of screening and evidence-based interventions delivered by embedded mental health clinicians, aging service personnel, and older adult volunteers. The discussant will review key findings and themes and facilitate discussion among the speakers and audience.

Constructing meaningful code changes via graph transformer

AbstractThe rapid development of Open‐Source Software (OSS) has resulted in a significant demand for code changes to maintain OSS. Symptoms of poor design and implementation choices in code changes often occur, thus heavily hindering code reviewers to verify correctness and soundness of code changes. Researchers have investigated how to learn meaningful code changes to assist developers in anticipating changes that code reviewers may suggest for the submitted code. However, there are two main limitations to be addressed, including the limitation of long‐range dependencies of the source code and the missing syntactic structural information of the source code. To solve these limitations, a novel method is proposed, named Graph Transformer for learning meaningful Code Transformations (GTCT), to provide developers with preliminary and quick feedback when developers submit code changes, which can improve the quality of code changes and improve the efficiency of code review. GTCT comprises two components: code graph embedding and code transformation learning. To address the missing syntactic structural information of the source code limitation, the code graph embedding component captures the types and patterns of code changes by encoding the source code into a code graph structure from the lexical and syntactic representations of the source code. Subsequently, the code transformation learning component uses the multi‐head attention mechanism and positional encoding mechanism to address the long‐range dependencies limitation. Extensive experiments are conducted to evaluate the performance of GTCT by both quantitative and qualitative analyses. For the quantitative analysis, GTCT relatively outperforms the baseline on six datasets by 210%, 342.86%, 135%, 29.41%, 109.09%, and 91.67% in terms of perfect prediction. Meanwhile, the qualitative analysis shows that each type of code change by GTCT outperforms that of the baseline method in terms of bug fixed, refactoring code and others' taxonomy of code changes.

First decade anniversary of the United Kingdom National Alkaptonuria Centre.

First decade anniversary of the United Kingdom National Alkaptonuria Centre.

Development of an evidence-based educational resource in oncology: 'Living safely with bone metastases'.

To create an evidence-based patient education resource to better support cancer patients with bone metastases in carrying out safe movements during activities of daily living, to maintain their bone health and reduce the risk of fractures. A quality improvement project was conducted in three phases: Development of the Resource, Preliminary Feedback and Revision, and French Canadian Translation. The educational resource Living Safely with Bone Metastases focuses on safe movement, activities of daily living, and exercise, organized within the sections Move with care, Stay safe in different environments and Follow an exercise program prescribed by a physiotherapist. Translation yielded a Canadian French version Vivre en toute sécurité avec des métastases osseuses. Living Safely with Bone Metastases is an accessible online and paper resource for patients and healthcare professionals, in order to promote ongoing disease management of individuals with bone metastases. Cancer patients with bone metastases are at high risk of pathological fractures however resources on fracture prevention are lacking. Living Safely with Bone Metastases is an innovative health education resource that fills an important gap in oncology practice and has the potential to reduce the occurrence of fractures.

Investigating the Use of AR Glasses for Content Annotation on Mobile Devices

Mobile devices such as smartphones and tablets have limited display size and input capabilities that make a variety of tasks challenging. Coupling the mobile device with Augmented Reality eyewear such as smartglasses can help address some of these challenges. In the specific context of digital content annotation tasks, this combination has the potential to enhance the user experience on two fronts. First, annotations can be offloaded into the air around the mobile device, freeing precious screen real-estate. Second, as smartglasses often come equipped with a variety of sensors including a camera, users can annotate documents with pictures or videos of their environment, captured on the spot, hands-free, and from the wearer's perspective. We present AnnotAR, a prototype that we use as a research probe to assess the viability of this approach to digital content annotation. We use AnnotAR to gather users' preliminary feedback in a laboratory setting, and to showcase how it could support real-world use cases.