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203 Changing Sleep During the COVID Pandemic Associated with Daytime Cognitive Function

IntroductionThe novel Coronavirus has caused major disruptions to sleep and cognitive function of many individuals. The present study evaluated the degree to which daytime cognitive dysfunction may be related to worsening sleep.MethodsData from adults aged 18 and older in the 2020 Coronavirus and Impact on Dreams (CovID) study were used. Individuals were asked “how would you rate your sleep quality overall” and answered with “very good, fairly good, fairly bad, or very bad.” Subjects were asked if it takes “30 minutes or more to fall asleep” and answered with how frequently that happened. In addition, participants were asked how often they wake up during the night. Participants were then asked how much they think their sleep problems have contributed to daytime functioning and answered on a scale of 0 to 5, from “not at all” to “very much,” respectively.Results46% of the sample did not report problems with daytime cognitive function, while 33%, 12%, and 9% reported mild, moderate, and severe problems, respectively. Those who reported that they have kept a regular schedule during the pandemic were 83% less likely to report greater daytime cognitive dysfunction (95%CI:0.08,0.37, p<0.0005). Those who indicated that overall their sleep worsened or improved did not demonstrate a difference in likelihood of daytime cognitive problems. Regarding specific sleep experiences, those who reported more problems falling asleep due to the pandemic were 8.2 times more likely to report daytime cognitive dysfunction (95%CI:3.53,19.07, p<0.0005) and those who reported more problems with morning awakenings were 5.7 times more likely (95%CI:2.10,15.56, p<0.001). Those who reported that they were sleepier as a result of the pandemic were 9.3 times as likely to report daytime cognitive dysfunction (95%CI:3.53,24.46, p<0.0005) and those who reported taking more naps were 4.4 times more likely (95%CI:1.90,10.40, p<0.001).ConclusionIn general, people who reported increased sleepiness, a less regular schedule, more insomnia, and more napping were more likely to experience daytime cognitive dysfunction during the COVID-19 pandemic.Support (if any)R01MD011600, R01DA051321

The association between sleep duration and risk of mortality in Chinese older adults: a national cohort study.

Cohort studies about the sleep duration on the risk of death among Chinese older adults are still lacking. The aim of this study was to examine whether extremely long or short sleep duration was associated with mortality in Chinese adults aged 65 years or older. We included participants aged 65 years or older in 2011 at baseline in 23 provinces from the Chinese Longitudinal Healthy Longevity Survey who were followed up in 2014/2018 in China. Sleep duration was categorized as short sleep duration (< 7 hours) and long sleep duration (> 8 hours). We used the Cox proportional hazards model and restricted cubic spline analysis to explore the association between sleep duration and mortality. Among 9578 participants, short sleep duration was associated with an 11% higher risk of death (adjusted hazard ratio [aHR]: 1.11; 95% confidence interval [CI]: 1.02-1.20) and long sleep duration was associated with a 24% higher risk of death (aHR: 1.24; 95% CI: 1.15-1.34), after adjustment for all covariates. There was a U-shaped association between sleep duration and all-cause mortality (nonlinear, P < .0001). Stratified analyses showed that the risk was higher among older people who smoked and with a higher level of education both for short and long sleepers than for those who never smoked and were illiterate (P value for interaction < .05). There was a U-shaped association between sleep duration and all-cause mortality in Chinese older adults, especially in more educated individuals and smokers. Du M, Liu M, Liu J. The association between sleep duration and the risk of mortality in the Chinese older adults: a national cohort study. J Clin Sleep Med. 2021;17(9):1821-1829.

Association between self-rated health and the risk of hip fracture and mortality in a cohort of older women during a 10-year follow-up.

Fragility fracture of the hip is associated with reduced functional status and mortality. Poor self-rated health (SRH) might be such an indicator. Our aim was to study if SRH was associated with hip fractures and all-cause mortality within the next 10 years in community-dwelling older women. A population-based sample of 350 women aged between 69 and 79 years (median 72.4) assessed their SRH by answering the question “How would you rate your health right now” by putting a mark on a visual-analogue scale (0–100 mm). Information on hip fracture and mortality over the next 10 years was retrieved from health care registers. The association between SRH and hip fracture and all-cause mortality was tested with a Cox proportional hazards regression model. SRH was divided into low, intermediate, and high (reference) assessed SRH. During the study, 40 hip fractures and 72 deaths occurred. The median value of SRH was 62 mm (IQR 50–81 mm). The age-adjusted hazard ratio (HR) for hip fracture was significantly higher in the group with low and intermediate SRH; HR: 3.17 (95% CI 1.25–8.01), and HR: 2.75 (95% CI 1.08–7.04), compared with high SRH. Adding bone mineral density (at the femoral neck) gave even greater risk. We did not find the hypothesized association between SRH and mortality. In our study, SRH indicated a higher risk of future hip fracture in older women. SRH might be a marker that could add information about the risk of hip fracture independently of bone mineral density.

Home-Based Cardiac Rehabilitation: EXPERIENCE FROM THE VETERANS AFFAIRS.

The conceptual utility of home-based cardiac rehabilitation (HBCR) is widely acknowledged. However, data substantiating its effectiveness and safety are limited. This study evaluated effectiveness and safety of the Veterans Affairs (VA) national HBCR program. Veterans completed a 12-wk HBCR program over 18 mo at 25 geographically dispersed VA hospitals. Pre- to post-changes were compared using paired t tests. Patient satisfaction and adverse events were also summarized descriptively. Of the 923 Veterans with a mean age of 67.3 ± 10.6 yr enrolled in the HBCR program, 572 (62%) completed it. Findings included significant improvements in exercise capacity (6-min walk test distance: 355 vs 398 m; P < .05; Duke Activity Status Index: 27.1 vs 33.5; P < .05; self-reported steps/d: 3150 vs 4166; P < .05); depression measured by Patient Health Questionnaire (6.4 vs 4.9; P < .0001); cardiac self-efficacy (33.1 vs 39.2; P < .0001); body mass index (31.5 vs 31.1 kg/m2; P = .0001); and eating habits measured by Rate Your Plate, Heart (47.2 vs 51.1; P < .05). No safety issues were related to HBCR participation. Participants were highly satisfied. The VA HBCR program demonstrates strong evidence of effectiveness and safety to a wide range of patients, including those with high clinical complexity and risk. HBCR provides an adjunct to site-based programs and access to cardiac rehabilitation. Additional research is needed to assess long-term effects, cost-effectiveness, and sustainability of the model.

Pediatric Simple Knee Value: A simple patient-reported outcome measure for the knee

PurposeThe pediatric Simple Knee Value (pedi-SKV) is an outcome score in which paediatric patients are asked ‘How would you rate your knee today as a percentage of normal (0% to 100% scale with 100% being normal)?’. The primary aim of this study was to validate the pedi-SKV by measuring its correlation with validated knee function scores used most often in paediatric orthopaedics.MethodsThis prospective study was conducted at a teaching hospital to evaluate the pedi-SKV’s validity. A total of 44 paediatric patients (ten to 15 years old), were enrolled prior to anterior cruciate ligament reconstruction as well as 17 healthy controls. A survey form consisting of the Lysholm, International Knee Documentation Committee Pediatric Form (Pedi-IKDC) and pedi-SKV was given to subjects twice (enrolment and six months postoperatively). The criterion validity of the pedi-SKV was determined by correlating it to existing knee functional scores. Responsiveness to change was evaluated by comparing the pedi-SKV scores before and after surgery (enrolment visit and six-month postoperative visit). Discriminative ability was evaluated by comparing the pedi-SKV distribution in patients versus controls.ResultsThere was a strong and significant correlation between the pedi-SKV and the Lysholm and Pedi-IKDC (p < 0.0001). The pedi-SKV had a good responsiveness to change (p < 0.0001 for the pedi-SKV before versus six months postoperatively). Like the other knee-specific functional sores (p < 0.0001), the pedi-SKV was able to distinguish between patients and controls (p < 0.0001).ConclusionThe pedi-SKV is a valid outcome measure that is strongly correlated with the Lysholm and Pedi-IKDC. This is a novel simple score that can be used by physicians in their daily practice.Level of evidenceII

Self-rated health among people living with HIV in Spain in 2019: a cross-sectional study

BackgroundHIV infection has become a chronic disease and well-being of people living with HIV (PLHIV) is now of particular concern. The objectives of this paper were to describe self-rated health among PLHIV, on ART and on ART virally suppressed and to analyse its determinants.MethodsData were obtained from a second-generation surveillance system based on a cross-sectional one-day survey in public hospitals. Epidemiological and clinical data were collected among HIV-infected inpatients and outpatients receiving HIV-related care the day of the survey in 86 hospitals in 2019. Self-rated health was measured using a question included in the National Health Survey: “In the last 12 months, how would you rate your health status?” an ordinal variable with five categories (very good, good, moderate, bad and very bad). For the analysis, these responses were dichotomized into two categories: 1 = very good/good and 0 = moderate, bad or very bad health status. Factors associated with very good/good self-rated health were estimated using logistic regression.ResultsOf 800 PLHIV, 67.5% perceived their health as very good/good, 68.4% among PLHIV on ART and 71.7% of those virally suppressed. Having university education (adjusted odds ratio (aOR):2.1), being unemployed (aOR:0.3) or retired (aOR:0.2), ever being diagnosed of AIDS (aOR:0.6), comorbidities (aOR:0.3), less than 2 year since HIV diagnosis (aOR:0.3) and not receiving ART (aOR:0.3) were associated with good self-rated health. Moreover, among PLHIV on ART, viral load less than 200 copies (aOR:3.2) were related to better perceived health. Bad adherence was inversely associated with good self-rated health among PLHIV on ART (aOR:0.5) and of those virally suppressed (aOR:0.4).ConclusionsNearly seven in 10 PLHIV in Spain considered their health status as very good/good, being higher among virally suppressed PLHIV. Both demographic and clinical determinants affect quality of life.

Please Rate Your Patient Experience! Critical Thoughts on Emerging Online Hospital Ratings in Swiss Healthcare

Please Rate Your Patient Experience! Critical Thoughts on Emerging Online Hospital Ratings in Swiss Healthcare

Quality of Diet Among Community-Dwelling Elders Participating in the Mobility and Vitality Lifestyle Program

Dietary choices play an important role in disease prevention both through its effect on weight and independent of it. Improving diet can be an effective means of disease prevention among older adults. Participants (n=303) were recruited from the Allegheny County, PA area and received nutritional education in group sessions led by trained community health workers over one year. Diet quality was captured at baseline and final endpoint (either 9 or 13 months) using the Rate Your Plate (RYP) instrument for assessing healthfulness of diet and includes 24 items that can be summed to generate a total quality score. The mean RYP diet quality score improved from baseline (RYP=50.87) to endpoint (RYP=54.85) (p<.001). Over the course of the intervention, 30.9% of participants made enough improvement in diet to move to a better RYP category. A community-based group intervention for older adults was effective in inducing improvements in diet quality.

Abstract 14892: Mobile Technology Improves Adherence to Cardiac Rehabilitation: A Propensity Score-matched Study

Objective: To examine whether mobile technology improves adherence to cardiac rehabilitation and other outcomes. Methods: We identified enrollees of the cardiac rehabilitation program at Boston Medical Center from 2016-2020 (n=830). Some enrollees used a mobile technology application (Wellframe.com) that provided a customized interactive list of educational content in a progressive manner, used the patient’s smart phone accelerometer to provide daily step counts, and served as a two-way messaging system between the patient and the program staff. Adherence to cardiac rehabilitation was defined as the number of attended prescribed sessions and completion of the program. To evaluate change in the following: exercise capacity, Beck Depression Index (BDI) scores, weight, quality of life scores and Rate Your Plate nutrition scores, we used the generalized estimating equation method. Results: After 2:1 propensity score matching for age, sex, race, education, smoking status, transportation time to cardiac rehabilitation center, qualifying diagnosis, and baseline BDI score, there were 121 enrollees in the group using the Wellframe application as a supplement to the rehabilitation program and 280 enrollees in the Standard rehabilitation group. Enrollees had a mean age of 59 years; 32% were women, and 42% were black. Those in the mobile technology group attended a higher number of prescribed sessions (mean 28 vs. 22), RR: 1.17 (95% CI: 1.04-1.32, p=0.009), were 1.8 times more likely to complete the cardiac rehabilitation program (p=0.01), and had a slightly greater weight loss (lbs) post rehabilitation: -1.71 (95% CI: -0.30, -3.11, p=0.02) as compared to those in the Standard group; other outcomes were similar between the groups (Table 1). Conclusion: In a propensity-matched, racially diverse population, we found that adjunctive use of mobile technology significantly improved adherence to cardiac rehabilitation and number of attended sessions.

Factors Associated with Burnout Among Hematology & Oncology Physicians

Background The American Society of Hematology and researchers at the Fitzhugh Mullan Institute for Health Workforce Equity at the George Washington University are conducting a 3-year study of the hematology workforce to understand factors that influence the supply of hematology services in the U.S. The Survey of Practicing Hematologists and Oncologists focuses on practicing hematology/oncology physicians' practice activities and experiences, compensation, job satisfaction and burnout. While the prevalence and predictors of burnout in the oncology workforce have been studied in detail previously, less is known about factors associated with burnout in the hematology or combined hematology/oncology workforce--or whether these differ across academic and community practice settings. This study seeks to examine factors associated with severe burnout for hematology/oncology physicians in academic and community practice settings using data from a large-scale, comprehensive survey of hematology/oncology physicians. Methods We collected survey data via mail and online survey (using Qualtrics, an online survey tool) in April through June 2019. The survey included questions about hematology/oncology physicians' work hours, practice activities, compensation, job satisfaction and burnout. This analysis uses data from a single validated question examining respondents' level of burnout: "Overall, based on your definition of burnout, how would you rate your level of burnout?" The question asks respondents to rank their burnout on a 5-point Likert scale. We collapsed responses into a dichotomous variable indicating severe burnout (=4 or 5 on the Likert scale). We used two weighted multiple logistic regression models to examine associations between severe burnout and work hours, practice characteristics and activities, and type of compensation for respondents in academic and community practice in Stata 15, controlling for demographics and type of practice (p&amp;lt;0.05=statistically significant). Results A total of 675 hematologists/oncologists completed the survey (27% response rate). Of these, 427 respondents reported working in academic or community practice and had complete data to be included in the analysis: 162 (38%) in academic practice settings and 265 (62%) in community practice settings. Respondents in academic practice settings were slightly less likely to report experiencing severe burnout than those in community practice settings (9% [15/162] vs. 12% [34/265], p=0.26). In the logistic regression models, we found statistically significant and positive association between severe burnout and Relative Value Unit or RVU-based compensation (vs. salaried or other compensation models) for both academic (OR=18.42, p&amp;lt;0.01) and community practice respondents (OR=3.05, p&amp;lt;0.01). We also found a significant and positive association between severe burnout and being female for respondents in academic practice only (OR=6.07, p&amp;lt;0.01). We found a significant and negative association between severe burnout and often working with advanced practice providers (nurse practitioners and/or physician assistants) for respondents in community practice only (OR=0.32, p&amp;lt;0.01). Conclusions Study findings suggest that severe burnout rates are similar for hematology/oncology physicians in academic and community practice settings. Severe burnout appears to be related to use of RVU-based compensation systems in both academic and community practices, suggesting that these models may require major revision to reduce burnout and support the health and longevity in practice of hematology/oncology physicians. Improving access to advanced practice providers may mitigate severe burnout, especially in community practice settings. Higher levels of burnout among women in academic hematology/oncology practices suggest an area for further research into possible explanations and solutions. These findings merit further exploration, particularly given the increased pressures on physicians in the era of COVID-19. Disclosures No relevant conflicts of interest to declare.

Nudging innovation across the firm – aligning culture with strategy

PurposeThe purpose of this paper is to determine how and to what extent firms are using “environmental choice architecture” to “nudge” innovation across the organization. The Cultural Alignment Model was designed based on the concept that individual and collective workforce behaviors are formed by an organization’s environment. Although existing since the 1950s, behavioral theory has seen a recent resurgence of popularity in shaping culture. Described in the book Nudge, compelling research demonstrates that individual and collective behavior can be influenced through what is termed “environmental choice architecture.” The Oxford Innovation Insights Project was established to test the Cultural Alignment Model, by answering the question – How and to what extent are firms using “environmental choice architecture” to “nudge” innovation across the organization?Design/methodology/approachSemi-structured interviews were conducted with 60 “C-Suite” executives, representing 15 different industries. Each executive was asked to respond to the same four items: to what extent do you agree or disagree with the statement – innovation is a strategic priority for our firm; on a scale of 1 (low innovation) to 10 (high innovation) please rate your firm’s organization-wide level of innovation; Which of the following processes does your firm use to encourage innovation across the organization? And for the processes that your firm uses, please provide examples of how each is designed to encourage innovation behaviors across your workforce.FindingsEighty-six percent of respondents identified innovation is a strategic priority for their firm, while just 8% of respondents rated their companies as having a “high” level of firm-wide innovation. The environmental choice architecture components most frequently used by firms to encourage innovation behaviors across the workforce are identified. A strong positive relationship was found between “high innovation” firms and the number of environmental choice architecture components they use to encourage innovation. Firms having a low level of innovation underperformed market peers, while firms rated as having a high level of firm-wide innovation outperformed the market benchmark.Research limitations/implicationsRepeat the current study to include more respondents and industries; rather than relying on self-ratings, determine a firm’s innovation rating through an external assessment, such as industry expert ratings of firms’ innovativeness; beyond frequency of utilization, assess the strength of innovation “nudge” each cultural lever provides; determine if a relationship exists between the market and financial performance of firms and the number of “cultural levers” they use to nudge innovation across the workforce; and compare the level of innovation between each industry by expanding the respondent pool to include more representatives from each industry.Practical implicationsCompany culture is identified as one of the top obstacles for a firm’s innovation performance in a global survey of 1,500 executives. Moreover, the authors of the McKinsey Global Innovation Survey state, “The best companies [in the study] find ways to embed innovation into the fibers of their culture, from the core to the periphery”, but tellingly the authors do not identify how to go about creating that embeddedness. The Cultural Alignment Model presented provides management a pragmatic approach to embed innovation across their firm’s culture using elements of the organization’s choice architecture.Originality/valueBehavioral theory has seen a recent resurgence of popularity in shaping culture. The Oxford Innovation Insights Project tests the Cultural Alignment Model, by answering the question – How and to what extent are firms using “environmental choice architecture” to “nudge” innovation across the organization?

Effect of rowing on mobility, functionality, and quality of life in women with and without breast cancer: a 4-month intervention.

Of the different modalities of rowing, dragon boat training is the most analyzed in breast cancer (BC). However, other types of boats, such as the felucca, use different biomechanical techniques, which have not been studied in the scientific literature. Consequently, in this study, we sought to determine the benefits of felucca rowing on the physical, psychological, and emotional well-being of patients with BC and healthy persons. A pre- and post-intervention, single-arm study without a control group with a 4-month intervention was carried out in Spain in 2019. The study sample included six women with BC and 15 healthy women. The following questionnaires were administered before and after the intervention: Disabilities of the Arm, Shoulder, and Hand (DASH), Constant-Murley score (CMS), and the European Quality of Life 5 Dimensions (EQ-5D, rate your health today). Differences were determined before and after the intervention using the paired t test. Significant differences (p < 0.05) were found in the results of all the questionnaires for the women with BC and for the healthy women: DASH (- 13.8 BC and - 6.7 healthy), CMS (+ 12.0 BC and 9.2 healthy), and EQ-5D (+ 8.5 BC and 10.5 healthy). Felucca rowing showed benefits in health and quality of life in both women with BC and healthy women. In future studies with controlled design, values regarding clinical relevance, such as effect sizes/confidence intervals, are needed to corroborate our results.

Work overloading, rate of health and sick leave in connection with quality of management

Abstract Description of the Problem In some companies, production increases and workers are feeling overloaded. Managers have role in an organisation of work and in a handling various situations. The aim of study was to analyse if a quality of management of working situations is in connection with overloading, health rate and sick leave. Methods 575 workers filled out a questionnaires in the period May to September 2017. We used Karasek-Theorell questionnaire, work ability index and seven questions about work organisation. We chose a three questions from all and asked workers: Are you generally overloaded with work in past year? Answers were: yes, frequently; yes, seldom; no, rarely and no. Does your superior organize, plans work and solves disputes well? Four possible answers were: no, no fully; yes, fully and yes, very good. How would you rate your health in the last year 1-5? Have you been absent from work in the last year more than 9 days? In statistics we used the h-square and the t- test. Results 156 workers or 27.1% declared overloading, 111 or 19.3% rarely or not at all feld overloaded. The overloaded workers reported statistically poorer management (answers no and no fully), hi-square = 7.84, p = 0.01 and had lower health rating t-test = 7.22, p = 0.01 in comparison with non overloaded workers (2, 7 points vs. 3.4). The overloaded were not more absent from work than non overloaded workers (t-test=0,005). Lessons Work planning and a solving dispute impact on health status and work overloading in workers in glass factory. Overloaded workers did not have higher sick leave and that indicates a presentism in this group. Key messages The study showed that a managers could be have important role on the health of workers. Overloaded workers did not have higher sick leave than non overloaded which indicates a presentism in this group.

25 More than meets the eye: Parental perspectives on the health of their extremely preterm children when they reach 18 months, 5 and 7 years

Abstract Background Extremely preterm birth is associated with death and a higher risk of adverse long-term outcomes. Neurodevelopmental impairment (NDI) has become the focus of neonatal follow-up and outcome research, with classifications chosen by clinicians and researchers. However, parents were never consulted about this classification. Objectives To examine parental perspectives about the health of their ex-preterm infants. Design/Methods Over a one-year period, at Sainte-Justine University Hospital’s Neonatal Follow-Up Clinic, all parents of children born &amp;lt;29 weeks’ gestational age, aged between 18 months corrected age and 7 years were approached. They were asked two questions: “Please rate your child’s health from your point of view on a scale from 0 (very poor) to 10 (excellent)” and “If you could improve up to two things about your child’s health and/or development, what would they be?” Responses were analyzed using mixed methods. Results 249 parental responses were obtained (98% participation rate). On average, parents rated their child’s health to be 8/10 (range 3-10/10, median 8/10). Main themes invoked about areas for improvement were developmental outcomes (65%):“if he could talk and hold his head up himself”; respiratory heath and overall medical fragility (35%): “improve the health of her lungs”; and behavior/emotional issues (21%): “his anxiety”. Twenty-three percent did not wish to improve anything: “I am very happy with his health and development. I hope he continues on the same path.” When examining developmental outcomes more closely, the recurrent sub-themes for improvement were: language/communication (22%), motor/movement (17%) and cognitive/learning (16%): “improving her attention in school”. Conclusion When they come to neonatal follow-up, parents generally perceive the health of their extremely preterm children in a positive way. While some parents have no wishes for improvement in their children, many are concerned by their children’s NDI. On the other hand, several parent-important outcomes, such as lung health and overall medical fragility, are insufficiently investigated during follow-up at the present time.

The Impact of COVID-19 on Gastrointestinal Endoscopy Training in the United Kingdom

The Impact of COVID-19 on Gastrointestinal Endoscopy Training in the United Kingdom

Determinants of self-perceived oral health in adolescents: A cross-sectional study.

Self-perceived oral health (SPOH) is a summary of multiple determinants related to oral health and has been suggested for use in clinical practice as a health assessment tool. To analyse determinants of SPOH among adolescents. In 2018, we selected 1742 participants from eight high schools in Olinda/PE, Brazil, using a multistage stratified cluster sample. The main survey item of SPOH was 'How would you rate your oral health'. Determinants of were queried with a questionnaire and a clinical examination: socio-demographic variables, exposure to family violence, somatic symptoms, and orofacial and general health factors. Pearson's chi-square test and logistic regressions evaluated associations between determinants and SPOH. Very poor SPOH had a prevalence of 8.7%. Nearly half (43.5%) rated their oral health as 'fair'. Very poor SPOH was associated with poor self-perceived general health (OR=2.60), anterior open bite (OR=2.24), not cohabiting with one or both parents (OR=2.40), caries experience (OR=1.93), dental pain (OR=1.91), and temporomandibular disorders (OR=1.77). Very poor self-perceived oral health indicates life stress and associates with poor oral conditions. Assessments should be used to explore individual treatment needs and abilities to comply with recommendations.

Abstract A077: Examining the relationship between various informal sources of social support and the physical well-being among cancer survivors

Abstract Cancer survivors have previously reported lower quality of life scores compared to non-cancer survivors. More specifically, the quality of life domain of physical well-being has previously been shown to be significantly worse among cancer survivors compared to non-cancer survivors. Previous studies have observed that specific sources of informal social support (i.e., support from family and friends) can improve a cancer survivor's physical well-being. However, no studies to date have assessed if support from fictive kin (or individuals who are not related by marriage or blood but are considered to be an extension of the family) and church members may also play a role on the physical well-being of cancer survivors. The purpose of this study was to examine the association between four informal sources of social support (i.e., family, friends, fictive kin, and church members) and the physical well-being among cancer survivors. Findings were based on data collected from the National Survey of American Life (NSAL) dataset. Physical well-being was measured using the following item from the NSAL dataset: “How would you rate your overall physical health at the present time?” A total of 238 cancer survivors (n=70 non-Hispanic whites, n=36 Caribbean Blacks, n=132 African Americans) comprised the study sample. Multiple imputation analyses were conducted within SAS to assess the associations between the informal sources of social support and the physical well-being among cancer survivors. All multiple imputation analyses were controlled for gender, age, race, household income, years of education, marital status, employment status, length of time residing in the U.S, and insurance coverage. Neither friends (β= -0.07, SE=0.09, p=0.42) nor fictive kin (β=0.06, SE=0.13, p=0.66) were significantly associated with the physical well-being of cancer survivors. Support from family was marginally associated with physical well-being (β=0.16, SE=0.08, p=0.05). A positive association was observed between support from church members and physical well-being (β=0.22, SE=0.09, p=0.01). Findings from this study suggest that support from church members can play an important role on the physical well-being of cancer survivors. Researchers of future health promotion interventions should consider collaborating with churches as a means of improving the physical well-being among cancer survivors. Citation Format: Shaila M. Strayhorn. Examining the relationship between various informal sources of social support and the physical well-being among cancer survivors [abstract]. In: Proceedings of the Eleventh AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2018 Nov 2-5; New Orleans, LA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2020;29(6 Suppl):Abstract nr A077.

Investigating Effectiveness of a Pritikin-Based Cardiac Rehabilitation Program on Patients with Heart Disease

Abstract Objectives The primary objectives of this study were to: assess change in dietary habits and health outcomes [body mass index (BMI), weight loss, waist circumference (WC), blood pressure, low-density lipoprotein (LDL), high-density lipoprotein (HDL), total cholesterol (TC), and Hemoglobin A1c (A1C)] among patients following completion of an intensive cardiac rehabilitation (CR) program. Methods This retrospective cohort study involved de-identified data obtained from an electronic medical record (EMR) program and from an excel spreadsheet maintained at a hospital in Arkansas. Data were available from 138 adults, age 29 to 89 years, with a pre-existing heart condition or event, and who completed a 12-week CR program at the hospital's Clinic. Dietary habits were evaluated using the 24-question Rate Your Plate (RYP) survey at initial visit, and discharge. RYP and weight data were also available for a group of patients (n = 18) completing a 3-month follow-up visit. Results There was a statistically significant (P &amp;lt; .0001) mean increase (8.24; 95% CI, 7.03 to 9.45) from the pre-RYP score (51.05 ± 7.43) to the post-RYP score (59.29 ± 6.58). There was a statistically significant (P &amp;lt; .0005) median decrease in weight (−2.00 lbs.) after post-intervention (193.50 lbs.) compared to pre-intervention (195.50 lbs.). There were also significant (P &amp;lt; .05) differences between pre- and post-measurements of BMI, WC, LDL, total cholesterol, and triglycerides. Follow-up data indicated significant changes in the RYP score (P &amp;lt; .0001) and weight (P = .020) were maintained at 3-months follow-up. Conclusions A 12-week CR program including nutrition education and counseling is effective to help patients with CVD or previous heart events improve their dietary habits. There were noticeable changes in diet scores, WC, BMI, and weight loss, with patients being able to sustain weight loss at their three-month follow-up visit (a 5% weight loss). Funding Sources N/A.

Endoscopy Staff Are Concerned About Acquiring Coronavirus Disease 2019 Infection When Resuming Elective Endoscopy

Endoscopy Staff Are Concerned About Acquiring Coronavirus Disease 2019 Infection When Resuming Elective Endoscopy

Most Patients Are Willing to Undergo Elective Endoscopic Procedures During the Reopening Period of the Coronavirus 2019 Pandemic

Most Patients Are Willing to Undergo Elective Endoscopic Procedures During the Reopening Period of the Coronavirus 2019 Pandemic