Self-reported Evaluation Research Articles

Improving the design of an online course with virtual focus group feedback

Virtual focus groups played a significant role in guiding the design and development of an innovative professional development program for postdoctoral scholars, called The Postdoc Academy. The primary goal of obtaining feedback from postdocs was to ensure the program content is relevant, approachable, and inclusive for participants of all backgrounds, career stages, professional aspirations, and disciplines. The data collected in 13 focus groups shaped the final content and structure for the Massive Open Online Course (MOOC), ‘The Postdoc Academy: Succeeding as a Postdoc’. Evaluation of participant experience in a post-focus group survey suggests that engaging a target audience is an effective approach to obtain participant feedback and engage learners in the material. Content and activities modified by this feedback were highly rated by course participants in self-reported post-module evaluations. This article describes a method on how structured virtual focus groups of diverse future course participants can provide valuable feedback on developing the content and structure of professional development programming.

Linguistic Markers of the Emotion Elaboration Surrounding the Confinement Period in the Italian Epicenter of COVID-19 Outbreak.

The expressive writing method has rarely been proposed in contexts of large-scale upheavals that affect large populations. In this study this method was applied as an intervention and tool of investigation during the confinement period in the Lombardy region, the Italian Epicenter of COVID-19 outbreak. Sixty-four participants took part in an online expressive writing project, and a total of 167 writings were collected together with some self-report evaluations on emotions and physical sensations. A linguistic analysis through two different sets of computerized linguistic measures was conducted on the collected writings in order to study the linguistic markers of emotion regulation and elaboration. Results indicated that online expressive writing has helped respondents to get more in touch with the intense emotions that were experienced following the upheavals they witnessed. Writing even only once or twice helped, particularly those respondents who had at least one COVID-19 patient among close friends or relatives. Their writings showed an intense emotional involvement together with the ability to reflect and reorganize the personal meaning of the events and emotions experienced. This study shows that expressive writing can be used in the context of a psychological emergency, both as a powerful instrument to investigate and detect the complex psychodynamic processes underpinning the distress, and as a useful intervention to reduce the negative impact of traumatic events.

Investigation of Relationship Between Auditory-Perceptual Methods and Self-reported Speech Handicap Index in the Assessment of Substitution Voicing

To assess correlations between auditory-perceptual and self-reported speech evaluation methods for substitution voicing (SV) and to investigate the robustness of these methods in a clinical setting. Fifty-nine male patients who underwent laryngeal oncosurgery and 62 healthy male controls were included in this prospective study. Lithuanian versions of the Speech Handicap Index (SHI-LT) and Impression of voice quality (I), Impression of intelligibility (I), Unintended additive Noise (N), Fluency (F), and Quality of Voicing (Vo) scale (IINFVo-LT) were used to assess and compare self-reported and auditory-perceptual evaluations of SV. Speech samples were rated by a panel of experienced raters. The IINFVo-LT revealed good inter-rater reliability (ICC=0.825) and intrarater reliability over time (ICC=0.976) when assessing SV. Statistically significant differences (P < 0.05) of the mean scores of IINFVo-LT among the cordectomy, partial laryngectomy (22.52 [SD 9.98]), tracheoesophageal prosthesis (16.92 [SD 10.71]), and control (48.01 [SD 2.88]) groups confirmed the usefulness of IINFVo-LT for SV rating. A moderate negative correlation (r=-0.61; P < 0.001) demonstrated good concurrent validity between the IINFVo-LT and the SHI-LT total scores. A statistically significant, strong, negative correlation (r=-0.74) was obtained between the IINFVo-LT and SHI-LT speech handicap grade (P < 0.001), demonstrating good concurrent validity. The combination of IINFVo-LT and SHI-LT represents a potentially valuable and robust tool for evaluating SV and is helpful for assessing the degree of speech abnormality after laryngeal oncosurgery and its impact on patients' quality of life.

Dental prosthesis and halitosis: Evaluation of oral malodor in patients with and without a dental prosthesis

Aim The aim of the present study was to evaluate in an adult population the correlation between different methods for the evaluation of halitosis and investigate the influence of prosthetic rehabilitation on halitosis level. Materials and methods A sample of 50 adult patients was selected at the Dentistry Unit of the University of Rome Tor Vergata, Italy, who were divided in Group 1 (absence of prosthesis), Group 2 (fixed prosthesis), and Group 3 (removable prosthesis). The assessment of oral malodor was carried out by organoleptic evaluation, measuring the concentration of H2S, CH3SH, and (CH3)2S with Oral ChromaTM and quantification of salivary β-galactosidases (Sβ-g) activity through the spectrophotometric method. Statistics: Anova, Postdoc LSD test, Pearson’s correlation coefficient (P) and Spearman’s correlation coefficient (Rho) were used; p values less than 0.05 were considered significant. Results A positive and significant correlation between organoleptic evaluation, Sβ-g, levels of volatile sulfur compounds Oral ChromaTM measurements was found (p<0.05). By stratifying patients with and without a dental prosthesis, it was possible to show a significant increase of organoleptic scores (p<0.05), β-galactosidase (p<0.05), food stagnation (p<0.01) and a higher scores of H2S (p<0.05) and CH3SH (p<0.05) in patients wearing a prosthesis. Stratifying results between Groups 1-2-3, it was possible to see that some parameters were higher in Group 3, followed by Group 2. Conclusion The presence of prosthetic rehabilitation negatively affected halitosis in the patients according to both clinical and self-reported evaluations.

Hormonal, Psychological, And Muscle Damaging Effects Of An Acute Bout Of Farmers' Walk Resistance Exercise

The Farmers’ Walk (FW) exercise may help to enhance resistance training programs by incorporating movements which supplement functional tasks such as lifting and carrying weight over various distances. Minimal information exists concerning the intramuscular responses associated with FW performance, which may negatively promote perception and application of this exercise in prescribed protocols. PURPOSE: To investigate the hormonal, psychological, and muscle damaging effects of an acute bout of the Farmers’ Walk Carry (FWC) when compared to an individual’s unloaded walking pattern (NWC). METHODS: Fifteen participants (mean ± SEM; age: 21.6 ± 0.5 yrs; height: 172.5 ± 2.4 cm; weight: 81.8 ± 4.0 kg) completed a series of testing sessions. In the initial session, participant’s demographic information, anthropometrics, body composition, lower body power, and strength were measured. Subsequently, participants completed two counter-balanced conditions during which they performed 10 repetitions of a 20 m walk while either carrying 70% of their 1-repetition maximum deadlift or non-weighted walk. Participants were allowed a 30 s rest period after odd-numbered repetitions, and 2 min of rest after even-numbered repetitions. Participants provided self-reported evaluations of muscle soreness (VPMS), blood sampling for myoglobin (Mb) and creating kinase (CK-MB), and saliva samples for testosterone (T) which were collected prior to the exercise protocol, immediately after the exercise protocol, and 30- and 60-min after completion of the exercise. Post-exercise assessment consisted of blood sampling, saliva, countermovement jump (CMJ) height, and VPMS scores collected at 24 h, 48 h, and 72 h in both conditions. RESULTS: Increases were observed for overall (p<0.001) and upper body VPMS measurements (p<0.01) along with decreases in CK-MB (p=0.04) during the FWC. No significant differences were revealed for Mb, T, or CMJ height. CONCLUSIONS: The discrepancy found between upper- and lower-body muscle soreness (VPMS) during the FWC may be related to differences in primary muscle recruitment and their joint concentric, eccentric, and isometric muscle actions. These variances may have indirectly minimized post-exercise muscle damage, hormonal responses, and neuromuscular inhibitions of lower body performance.

The COVID-19 AAGP Online Trainee Curriculum: Development and Method of Initial Evaluation

One effect of the COVID-19 pandemic is the disruption of in-person clinical experiences within geriatric psychiatry residency education. Online resources for trainees are needed to fill resultant gaps. The American Association of Geriatric Psychiatry (AAGP) Teaching and Training Committee leadership collaborated with geriatric psychiatry experts to develop a web-based geriatric psychiatry curriculum for psychiatry residents and other learners. In addition, we planned to obtain initial self-report outcomes of the curricular modules. The COVID-19 AAGP Online Trainee Curriculum (aagponline.org/covidcurriculum) consists of approximately 30 video-recorded lectures provided by AAGP member experts. A demographic survey and pre-/postsurvey attached to each module allow us to obtain learner characteristics and feedback on each module. The Curriculum has the potential to supplement psychiatry residency education during the pandemic and potentially raise the profile of AAGP, with the goal of inspiring interest within geriatric psychiatry. Results of the initial self-report evaluation should be available in 1 year.

Exploring music performance anxiety, self-efficacy, performance quality, and behavioural anxiety within a self-modelling intervention for young musicians

ABSTRACT The purpose of this study was to investigate the relational changes between music performance anxiety (MPA), self-efficacy, performance quality, and behavioural anxiety in five adolescent piano students over a six-week intervention. Additionally, the study explored the effects of a positive self-review self-modelling intervention on adolescent musicians. Self-report measures, performance evaluations, and behavioural anxiety ratings were used to collect data. Results indicate that the relational changes between MPA, self-efficacy, and performance quality are complex. There were no observed relationships between MPA and self-efficacy or performance, suggesting that MPA can have both debilitative and facilitate effects on these variables. Additionally, there was no relationship between MPA and behavioural anxiety, suggesting that students may appear less anxious than they feel. Finally, the results suggest that self-modelling has individual effects on musicians, meaning that self-modelling can provide teachers with a versatile strategy for reducing MPA, improving performance quality, and/or increasing performance confidence.

An Exploratory Analysis of Dietary Components in Relation to Symptoms of Anxiety

Abstract Objectives Determine reliability of GAD-7 and MASQ in the assessment of symptoms of anxiety and dietary correlates. Methods Cross-sectional, mixed methods design of adult men and women greater than 18 years of age consented; no exclusion criteria (N = 275) entitled, “Food Mood Project (FMP). Data collection occurred December 5, 2015 to August 3, 2016. The project contains two parts: Part 1: electronic demographic assessment (e.g., education, age, gender, marital status, military affiliation, and occupation), completion of five mobile formatted, electronic validated questionnaires (e.g., GAD-7, MASQ, EDE-Q, Zung, and GRIT), and 3-day electronic dietary food and beverage record with self-reported emotional evaluation. Participants who fully completed part 1 [ALL questionnaires and 3-day food record with subjective affect appraisal pre-, during, post- each feeding episode were invited to participate in part 2 (N = 135). Part 2: 90-minunte in-person medical and nutritional interview (N = 106) by author exploring personal and familial medical history, physical activity trends, personal beliefs about food, dieting history, 24-hour dietary recall, sleep hygiene (PSQI), and spiritual health (i.e., SWB), as well as, assessing cognitive set-shifting via trail making test (TMT). Statistical consultation with Deakin University (Australia) and University of California, Berkeley (United States) utilizing SPSS, R, and Stata for linear regression, ANOVA, and PCA, and t-tests for dietary data [manually analyzed using NDSR]; a &amp;gt; 0.05. Results Coefficient of reliability for GAD-7 is 0.869 and Total MASQ is 0.822 as a practical application assessment of symptoms of anxiety. Linear regression examining macronutrient content and MASQ scores for subset of completed Part 1 data (n = 31) reveals mean total carbohydrates by participants was 192.86 gm daily and significantly correlated with total MASQ score (R2 = 0.023; P = 0.027). Conclusions GAD-7 and MASQ have excellent reliability for assessing symptoms of anxiety. Preliminary results notes carbohydrate variability is correlated with reported symptoms of anxiety. Funding Sources Academic funding through University of Illinois at Urbana-Champaign Department of Nutritional Sciences Vision 20/20 Award (2014), Academy of Nutrition and Dietetics (2015), and California Academy of Nutrition and Dietetics (2017).

Satisfaction vs experienced utility: current issues and opportunities

ABSTRACT Satisfaction is one of the most studied constructs in many fields, including tourism. As an important marketing metric, satisfaction is typically measured with self-reported retrospective evaluations of travel experience. However, the memory-based approaches have numerous limitations related to social desirability, availability heuristics, previous knowledge, mood at the time of answering questions and do not reflect the moment-by-moment nature of visitor experience. The shortcomings and limitations of self-reported retrospective evaluations could be eliminated by introducing pre-visit, on-site, and post-visit instant components of experienced utility as measures of visitor experience. The experienced utility allows eliminating the majority of self-report biases, capturing the affective components of visitor experience, analysing relationships between anticipation, experienced, and remembered utilities, and applying emerging moment-based research techniques. Therefore, this manuscript proposes a measurable definition of experienced utility and appropriate measures to assess visitor experience.

Negative bias and reduced visual information processing of socio-emotional context in borderline Personality Disorder: A support for the hypersensitivity hypothesis

Background and objectivesCurrent studies on emotional dysregulation in BPD suggest that it might be manifested by altered appraisal and biased attentional mechanisms, rather than by hyperreactivity. The aim of this study was to acquire more evidence on this topic by testing the hypothesis that BPD patients are characterized by a negative evaluation bias and reduced visual exploration in response to socio-emotional content. Moreover, the association between the previous conceptualizations and typical dysfunctional processes in BPD were evaluated. MethodsFifty-four socio-emotional pictures were administered to 20 female BPD patients and 20 healthy controls (HCs) divided into three blocks characterized by different stimulus durations (500 ms, 3s, 18s). Self-reported and eye-tracking data were collected during the experiment. ResultsBPD patients showed lower valence ratings and reduced visual exploration of socio-emotional pictures compared to HCs. Visual exploration in BPD was affected by exposure time with reduced exploration in response to prolonged stimuli presentation. Dysfunctional features and pre-task negative affectivity level in BPD were correlated with self-reported evaluations and eye-tracking data. LimitationsPossible effects of gender on emotional responsivity could not be addressed given the female composition of our sample. Moreover, the role of psychiatric symptoms and medications should be addressed in future research. ConclusionsThis study presented evidence on dysfunctional mechanisms sustaining emotional dysregulation in BPD. This construct seemed supported by a well-established negative bias towards emotional stimuli together with a reduced processing of social information as manifestations of emotional hypersensitivity.

Emotional and Cognitive Responses to Academic Performance and Grade Anxiety

Background: This observational study of 75 participants presents an examination of the connection between cognitive and mood changes in connection to academic performance, grade anxiety, test anxiety, stress, and communication apprehension.&#x0D; Objectives: This study examines the underlying mechanisms vs. driving forces behind the concept of ‘grade obsession’, as well as the internal and external factors affecting academic grades. Furthermore, the study analyzes the potential detrimental effects of grade obsession in psychological terms, specifically on self-esteem and overall mental health.&#x0D; Method: Monitoring self-reported evaluation of received grades, perceived academic performance, and psycho-social components of academic effort and external vs. internal locus of control.&#x0D; Results: The study indicates that test anxiety increased over the semester, although many students reported lower stress or anxiety in an open-ended survey question. Mathematics Anxiety (MA) and Test anxiety (TA) were positively correlated with the number of voluntary reassessments students attempted, while communication apprehension was negatively correlated.&#x0D; Conclusion: The findings suggest that standards-based grading is an assessment framework that can provide alternate methods for some students to demonstrate content mastery. While this study was conducted in mathematics courses, the findings on test anxiety are likely to extend to other disciplines.

Internet y su repercusión en la autopercepción individual del bienestar

&lt;p&gt;Vivimos en una sociedad conectada, donde el uso de Internet ha crecido considerablemente en los últimos años, y se espera siga creciendo aún más a lo largo y ancho del mundo. Como consecuencia, está cambiando el modo en el que las personas nos relacionamos con los demás, pero también con nosotros mismos, e incluso nuestra propia percepción de nuestra propia identidad y bienestar.&lt;/p&gt;&lt;p&gt;El presente trabajo pretende analizar la influencia de determinados aspectos sociodemográficos en el uso de internet y su impacto en la percepción del bienestar de las personas.&lt;/p&gt;Así, tomando los datos de la European Social Survey se ha analizado la relación entre el uso de internet y la percepción de bienestar- medida a través de autoevaluaciones de nivel de felicidad y satisfacción con la vida de las personas incluidas en la encuesta. Además, factores sociodemográficos tales como edad, género, nivel de ingresos o país también han sido evaluados. Tras aplicar distintos análisis estadísticos los resultados concluyen, entre otros, que las personas que no han utilizado previamente internet incrementan su bienestar al incrementar su frecuencia de uso. . Y también que el uso de internet influye de forma distinta en las personas dependiendo de sus características sociodemográficas. Se presentan los resultados y conclusiones adicionales para su discusión.

Examining sociodemographic factors of life satisfaction and happiness perception based on ESS 2016 data

El presente trabajo pretende analizar aspectos sociodemográficos tales como: género, edad, nivel educativo, recursos económicos, o diferencias entre países, realativos al uso de Internet, así como su impacto en la percepción del Bienestar, tomando los datos de la European Social Survey –anualidad 2016. Se ha analizado la percepción del Bienestar, a través de autoevaluaciones de nivel de felicidad y satisfacción con la vida de las personas incluidas en la encuesta. Se han aplicado distintos análisis estadísticos como el ANOVA test de un factor, (P-value 0.000), test post-hoc de Bonferroni-Tukey, o el test de comparación de proporciones entre columnas cuando ha sido necesario. La originalidad de este estudio recae en el tamaño de la muestra y datos recientes. Existen múltiples estudios que analizan este concepto, aunque generalmente presentan menor tamaño de muestra. Así pues, este estudio pretende contrastar investigaciones previasy ofrecer resultados interesantes en relación con las desigualdades entre países o fuente de ingresos. Se presentan resultados y conclusiones para su discusión.

Assessing the impact of nursing training on patient safety in neonatal intensive care unit at maternity and children's hospital in the K.S.A.

Background and objective: Nursing training programs with thorough planning and implementation, staff knowledge, skills and attitude is enhanced thereby contributing to an improved performance, teamwork and commitment towards achieving organizational goals and objectives. This is a descriptive report of a previously conducted intervention at the hospital. This study seeks to understand the level of staff perception, on the effectiveness of the training/courses implemented or conducted and its impact on staff performance, morale and attitude.Methods: The sample of this study was collected by cluster sampling method which includes 88 NICU staff nurse in Maternity and Children's Hospital of 38 bed capacity. This is a descriptive report of a previously conducted intervention at the hospital. A 5-point likert scale was self-report evaluation tool to assess training effectiveness of the implemented courses and or training and mean score is computed and interpreted. Contents of the questionnaire from the federal authority for government human resources is subjected for content validation.Results: A total of 88 NICU staff nurses, ages ranged between 26-31, majority hold the bachelor degree 77 (87.5%), with an average clinical experience between 1-4 years. According to the 15 enlisted courses/trainings implemented in NICU, the highest rate of attendance is Neonatal Resuscitation Program 60 (68.2%) next is S.T.A.B.L.E. Program 74 (84.1%) and third N.I.D.C.A.P. 48 (54.5%). And base on the self-reported evaluation on the level of agreement of the 6 item question scored by 5-point likert scale the result has a mean score of 4 = agree. Majority of the respondents, 71 (80.9%) had the chance to make use of the skills learnt while 17 (19%) had no chance due to feeling busy most of the time 8 (10%).Conclusions and implication: It is concluded that to ensure patient safety, proper education and correct implementation of training and evaluation results into a positive outcome. A positive outcome on job performance, staff morale and teamwork toward the achievement of organizational goals and objectives.

Determinants of sleep impairment in psoriatic arthritis: An observational study with 396 patients from 14 countries.

Sleep quality is diminished in patients with psoriatic arthritis (PsA) and close to 40% of PsA patients consider sleep difficulties a priority domain. This work analyzes determinants of impaired sleep in patients with PsA. This was a cross-sectional analysis of an observational study (ReFlap, NCT NCT03119805), which included adult patients with definite PsA with≥2 years disease duration from 14 countries. Sleep was assessed using the patient self-reported evaluation of sleep on a 0-10 numerical scale, included in the Psoriatic Arthritis Impact of Disease questionnaire (PSAID-12). A score≥4 was considered as sleep impairment. Demographic and clinical variables associated to sleep impairment were assessed through univariate analysis and Poisson regression modeling leading to prevalence ratio (PR) [95% confidence interval]. A total of 396 patients were analyzed: mean age 51.9±12.6 years, 51% were females, 59.7% were receiving biologic therapy, 53.3% had 1-5% of body surface area affected by psoriasis; 23.7% were in remission and 36.9% in low disease activity according to the Disease Activity in Psoriatic Arthritis (DAPSA) score. Median (25th-75th) patient's self-evaluation of sleep difficulties was 2 (0-6), 157 (39.6%) had sleep impairment. In the Poisson regression model, self-reported levels of anxiety (PR: 1.05 [1.02-1.08], P=0.003) and pain (PR: 1.06 [1.04-1.09], P<0.001) were independently associated to sleep impairment. In this multicentric study, sleep impairment was present in 40% of PsA patients; pain and anxiety were associated to sleep impairment whereas inflammation was not. Impact on sleep appears multifactorial in PsA.

Meaning is about mattering: Evaluating coherence, purpose, and existential mattering as precursors of meaning in life judgments.

When people judge their lives as meaningful, what is this judgment about? Drawing on recent tripartite theoretical accounts of meaning in life (MIL), we tested the separate contributions of coherence (or comprehension), purpose, and existential mattering (or significance) as potential precursors of people's self-reported evaluations of MIL. In Study 1 (N = 314 social media users), we developed brief acquiescence-free measures of these constructs, confirming that sense of coherence, purpose, mattering, and MIL judgments were distinct from each other and from related constructs (sense of control, belonging, self-esteem, self-competence, mood). In Study 2 (N = 168 students) and Study 3 (N = 442 Prolific Academic respondents; preregistered), we collected longitudinal data to test temporal relationships between coherence, purpose, mattering, and MIL judgments over a 1-month time lag. In both studies, sense of mattering consistently emerged as a significant precursor of MIL judgments, whereas sense of purpose and coherence did not. We conclude that researchers and practitioners should pay more attention to the relatively neglected dimension of existential mattering, beyond their more common emphases on coherence or purpose as bases of meaningfulness. (PsycINFO Database Record (c) 2020 APA, all rights reserved).

Development of the Dietitian Integrated Evaluation Tool for Gluten-free Diets (DIET-GFD).

Celiac disease (CD) treatment involves a gluten-free diet (GFD). There is no standardized tool for dietitians to objectively grade GFD adherence. This study aimed to develop a standardized tool for dietitians to evaluate and communicate GFD adherence. Participants were recruited from the Manitoba Celiac Disease Cohort. Using a consensus process, an expert panel of gastroenterologists, dietitians, clinical health psychologists, and persons with CD developed the Dietitian Integrated Evaluation Tool for Gluten-free Diets (DIET-GFD). Two dietitians performed duplicate assessments of 27 newly diagnosed participants who had been advised to follow a GFD. The global adherence scale was further revised after panel discussions of the cases where there was uncertainty or discordance on dietitian ratings. Subsequently, the scoring system was evaluated using duplicate assessments of an additional 37 participants with CD. Interrater agreement was assessed using square-weight Cohen's kappa. The DIET-GFD includes features related to frequency and quantity of gluten ingestion based on self-reporting and food frequency evaluation, shopping and dining habits, how and where food is prepared and consumed, eating behaviors, and label reading skills. The DIET-GFD global assessment is reported using a 10-point ordinal descriptive scale, ranging from 1 (takes few precautions and regularly eats gluten) to 10 (no gluten in kitchen and rarely eats food prepared outside the home). The kappa of DIET-GFD global assessment was 0.845, which indicates excellent agreement. DIET-GFD is a useful tool for dietitians to evaluate GFD adherence. Further studies are needed to confirm that the score from the DIET-GFD is reliable across various settings.

Metacognition of daily self-regulation processes and personality traits in borderline personality disorder

BackgroundPatients with Borderline Personality Disorder (BPD) are characterized by impoverished self-regulatory mechanisms and self-image distortions. An intriguing question is to what extent BPD individuals develop accurate perceptions of their self-regulatory everyday functioning. Here, we tackle this issue evaluating their metacognitive abilities. MethodsOne hundred and forty-four participants were enrolled in the study and divided into a BPD group and a healthy Control group, with each consisting of 36 participants paired with their corresponding close relatives. We compared self-report evaluations of the participants’ self-regulatory processes in daily-life activities and personality traits with external perceptions by close relatives, as a measure of metacognition. The ratings from participants and their informants were compared using an ANCOVA profile analysis. ResultsSelf-report results showed poor self-regulation ability in the daily environment as well as extreme scores in personality-traits in the BPD group in comparison with healthy participants. Further, in the BPD group we found a clear discrepancy between the information provided by patients and their close relatives regarding the processes involved in self-regulation of daily-life activities (but not for personality traits). This discrepancy was related to their clinical status and was not observed in the healthy control group. LimitationsAnalysis was based on self-report data, focusing on the difference with informants reports only. Conclusions about the direction of a possible bias on participants’ self-perception are limited. ConclusionsMetacognitive deficits might play a key mediating role between the altered cognitive processes responsible for self-regulation and cognitive control and the daily-life consequences in BPD.

Harnessing the Electronic Health Record to Distribute Transition Services to Adolescents With Inflammatory Bowel Disease.

The aim of the study was to evaluate feasibility and utility of an electronic health record (EHR) activity to assess transitional readiness, deliver services to meet individual needs, and to track patient progress. We developed a Transition EHR activity (TEA) to track patients through a standardized process where transition readiness is annually assessed and services distributed based on need. The process assesses transition skills starting at age 12 years and sets goals through shared decision-making, delivers resources according to need, reviews patients' personal medical histories, and documents healthcare transfer to adult gastroenterology. We piloted TEA among patients with inflammatory bowel disease (IBD) ages ≥12 years. Distribution to patients was measured and tolerability assessed via patient self-report evaluations. Since launch, TEA has been distributed to all eligible patients (N = 53) with a median age of 16 (14,18) years (median [IQR]), 62% male, 58% white, 26% Hispanic at our weekly dedicated IBD clinic. All have performed the transition skills' self-assessment and practicum, and set transition goals with their healthcare provider. Of these individuals, 41 (77%) participated in survey feedback. On a utility rating scale of 0 (not helpful at all) to 10 (very helpful), patients reported median (IQR) utility scores of 8 (7,10) for the transition readiness assessment, 9 (7,10) for transition resources provided, and 9 (7,10) for the medical history summary. Most (91%) would recommend TEA to other patients. TEA standardized delivery of resources among pediatric IBD patients and was well received and friendly to clinical workflow.

Experimental investigation of the impact of a destination promotional video with physiological and self-reported measures

This experimental study addresses the effect of a destination promotional video on tourists' perceptions, attitudes, and intent to visit that destination depending on the viewing mode of the video: traditional versus semi-immersive. Two approaches were used to examine this effect: self-reported cognitive evaluations obtained via questionnaires and psychophysiological measures such as galvanic skin response (GSR) and heart rate. The context of this study was the country of Bahrain. Fifty-eight people participated in the experiment and were randomly assigned to either traditional or semi-immersive group. The study found that the overall effect of the promotional video was quite large; however, the viewing mode was not a factor in the effect of the video. The study also found that psychophysiological measures and self-reported measures were not in complete agreement with each other. Both affective and cognitive appraisals were responsible for the posttest change in participants' perceptions and overall attitude toward the destination.