Self-reported Performance Research Articles

Environmental sustainability and the happy-productive worker: examining the impact on employee well-being and work performance in educational institutions

PurposeThe happy-productive worker hypothesis posits that employee well-being is an important factor in work performance. Educational institutions around the world are facing both internal and external pressures to integrate sustainability into their practices, with the goal of protecting the planet and ultimately boosting profits. This paper explores the potential wider benefits of sustainability, including its relationship with employee well-being and performance, by investigating the influence of organisational sustainability on the happy-productive worker hypothesis.Design/methodology/approachEducational institution employees from the UAE and USA (n = 199; 66.3% teachers) completed an online questionnaire measuring their well-being, perceptions of their organisations’ environmental sustainability and three self-reported job performance measures (task performance, contextual performance and counter-productive workplace behaviours). Regression and mediation analyses were conducted to test hypothesised relationships.FindingsBoth well-being and sustainability were positively associated with work performance. Furthermore, sustainability accounted for additional variance in performance beyond that accounted for by well-being. Sustainability partially mediated the relationship between well-being and performance, providing evidence of the importance of sustainability in the workplace.Originality/valueThis study contributes to an emerging field by investigating the relationship between an organisation’s sustainability and benefits of this for employees in terms of well-being as well as work performance. The findings provide further support for the happy-productive worker hypothesis and also the first evidence that educational institutions’ sustainability can mediate this relationship.

Muscle power is associated with higher levels of walking capacity and self-reported gait performance and physical activity in individuals with cerebral palsy.

The purpose of this study was to investigate the relationships between a Power Leg Press test (PLP) with walking capacity and self-reported performance and participation in individuals with Cerebral Palsy (CP), and to compare the strength of the associations between two power tests (PLP and isokinetic (IsoK)) with walking capacity. Ambulatory individuals with CP (n = 33; age 17.89 ± 7.52 years) performed five inclined power leg presses at 40%-50% of their 1-repetition maximum "as fast as possible". A linear position transducer was attached to the weight bar, and the displacement, total load, and angle of the sled were used to calculate peak power for each trial. Isokinetic knee extensor power was measured at 60 deg/sec. Walking capacity was measured using the 10-m walk test fast (FS) and self-selected (SS) speeds and the 1-min walk test (1MWT). Self-reported performance and participation measures were the Activities Scale for Kids-performance (ASKp), Patient-Reported Outcomes Measurement Information System (PROMIS®), and the Gait Outcomes Assessment List (GOAL). Pearson's correlation coefficients determined relationships between power measures with walking capacity and self-report measures (α < 0.05). PLP and IsoK power were significantly correlated to SS (r = 0.361, r = 0.376), FS (r = 0.511, r = 0.485), and 1MWT (r = 0.583. r = 0.443), respectively (p < 0.05). There was no significant difference between the strength of the associations between walking capacity and each test of power (PLP and Isok) (p > 0.05). PLP power was significantly correlated to composite scores on the ASKp (r = 0.690) and GOAL (r = 0.577) and to four components of the PROMIS, including physical function (r = 0.588) (p < 0.01). The Gait and Mobility subscale of the GOAL (r = 0.705) and the Locomotion (r = 0.636), Transfers (r = 0.547), and Standing (r = 0.521) subscales of the ASKp had strong relationships to peak power produced during the PLP test (p < 0.01). PLP power was significantly correlated with walking capacity and self-reported walking performance and mobility-based participation in ambulatory individuals with CP. Higher movement velocities associated with the PLP test may explain the significant associations of power with faster gait speeds. Self-reported mobility performance and physical activity also showed moderate to strong relationships with lower extremity power. Overall, these results suggest a strong link between decreased muscle power generation and walking limitations in individuals with CP.

Needs Assessment for Public Health Competency in Infection Prevention and Control: Importance and Performance Analysis (IPA) of Infectious Disease Response Practitioners.

The Field Epidemiology Training Program Frontline, initiated by the Korea Disease Control and Prevention Agency in 2019, aims to enhance the competencies of infectious disease practitioners across 17 regions in South Korea. With the September 2024 amendment to the Infectious Disease Prevention Act mandating infectious disease prevention and crisis response training for government employees who are associated with infectious diseases responses, there is an urgent need to assess and optimize the effectiveness and cost-efficiency of such competency-based education programs amidst constraints of budget and manpower. This study examined the educational needs and priorities of public health competencies among infectious disease practitioners. The competency framework for Infectious Disease Response Practitioners (IDRP) in South Korea was used to evaluate the validity, importance, and performance level of competencies for infectious disease response personnel. For the training needs analysis, differences in performance by group were analyzed, and an importance performance analysis (IPA) was conducted using the Borich Needs Assessment based on the IPA matrix to derive training priorities. The analysis revealed a significant gap between perceived importance and self-reported performance levels in most competencies, especially epidemiologic methods. Competencies related to safety and ethics, fieldwork, and crisis management have high importance and performance ratings, indicating a need for ongoing training. Of the 27 competencies, the IPA identified specific training needs and priorities, suggesting eight competencies for focused intervention to strengthen the capacity of IDRPs. The IDRP competency framework in South Korea plays a pivotal role in establishing a standardized, competency-based approach to training IDRP. The identified gaps and training priorities highlight the need for continued curriculum development and the integration of real-world, field-based scenarios into training programs.

Self-Reported Oral Hygiene Performance of Patients in Albania: A Questionnaire-Based Survey.

Background/Objectives: Oral hygiene is a key factor for dental and periodontal diseases and the prognosis of any treatment to restore their consequences. The present survey aimed to evaluate how well informed patients in Albania are on oral hygiene, given the scarce evidence on this topic. Methods: This survey was performed using a Google Forms questionnaire on oral hygiene habits, type and technique of instruments used, and frequency of dental recall visits. Results: A total of 1006 questionnaires were filled in a one-month time period (January 2020) from a population of 75.2% females and 24.8% males, 32.7 ± 11.3 years of age, from whom 94.6% reported a lack of systemic diseases and 80% were non-smokers. All of the population brushed their teeth at least once daily. The most used type of toothbrush was a manual one (91.1%) with medium-bristle hardness in 71% of cases. The most prevalent way of using the toothbrush was through circular movements (36.7%) with a duration of 2-3 min in 72% of the population. Only 77.1% of the population used interdental instruments, mainly interdental floss. Conclusions: Within the limits of this study, it could be concluded that the present population seemed to be mostly appropriately informed, but the information needs further revision and promotion by dentists.

Incorporating Augmented Reality Patients Into Online Trauma Training to Support Mental Model Development: An Experimental Study.

Medical students find translating lessons from traditional lectures to caring for trauma patients challenging. We assess whether adding video-based virtual flashcards and videos of augmented reality-based trauma patients in an online learning environment improves performance. We performed a between-subject experimental study. Thirty-five medical students were randomly assigned to the control and experimental groups. The control group viewed a traditional online lecture. The experimental group viewed the same online lecture and received virtual flashcard training. Each virtual flashcard consisted of a video of a virtual patient, and examination questions about diagnoses, treatment, and disposition. The experimental group also viewed a video of a physician coach providing an expert assessment of the virtual patient. Simulation-based assessment was used to measure performance and knowledge. The evaluation consisted of the following 3 scenarios: a video of a simulated patient followed by multiple-choice questions, a free-text examination, and the writing of a Subjective, Objective, Assessment and Plan note. Differences in performance for 3 measures (diagnoses, therapeutic interventions, and disposition) were assessed for pre-post change in accuracy. For these 3 measures, we used a binary logistic regression model. We assessed perceptions of performance and the training experience with a survey. The training intervention statistically significantly improved accuracy for diagnosis (P = 0.01) and self-reported performance (P < 0.01) compared with the control group. The themes for the experience were engaging, innovative, and valuing the expert's assessment, with 17 of 19 positive statements. Adding virtual flashcards to traditional training significantly improved diagnostic accuracy while being engaging and innovative.

Association between oral health and physical performance in Brazilian older adults: SABE cohort study

BackgroundOral health is recognized as integral to general health and impaired dentition status may affect physical performance among older adults. This study evaluated the longitudinal association between clinical and self-reported oral health measures and physical performance (outcome) in Brazilian older adults.MethodsThis was a longitudinal study that used data from the second (year 2006), third (year 2010) and fourth (year 2015) waves of the Health Well-being and Aging Study conducted in Brazil. Physical performance, evaluated using the Short Physical Performance Battery (SPPB), was the dependent variable. Independent variables of interest were the number of teeth, presence of periodontal pocket, use of dental prostheses, and poor perceived oral health. The association between oral health measures and physical function was analyzed using generalized estimating equations with an ordinal regression model.ResultsIn the total sample, every additional tooth was associated with a greater chance of achieving a higher score on the SPPB test. Individuals wearing dental prostheses had higher chances of having higher scores than those not wearing them. In the analyses for the dentate sample, the presence of a periodontal pocket was not associated with SPPB and the increase in the number of teeth increased the chance of achieving a higher score.ConclusionA greater number of teeth, and using dentures, were associated with higher physical performance. Periodontal disease was not associated with the outcome.

Sexual harassment and employee performance in the construction industry: the mediating role of psychological distress and employee engagement

PurposeThe construction industry presents a particularly notable and demanding setting where sexual harassment demands special consideration. With its largely male-dominated workforce, intense work settings and entrenched workplace norms, the construction sector provides a unique backdrop in which the complexities of sexual harassment manifest. The purpose of this study is to investigate the relationship between sexual harassment and employee performance in the construction industry, with a particular focus on examining the mediating roles of psychological distress and employee engagement.Design/methodology/approachA cross-sectional survey design was utilized to collect data from 188 construction industry professionals. Participants completed validated questionnaires assessing their experiences with sexual harassment, levels of psychological distress, employee engagement and self-reported performance indicators. Partial least square-structural equation modeling (PLS-SEM) was conducted to examine the direct and mediated effects of sexual harassment on employee performance through psychological distress and employee engagement.FindingsThe findings reveal a lack of statistical significance in the negative relationship between sexual harassment and employee performance within the construction sector. Furthermore, there was a significant negative relationship between sexual harassment and employee engagement. Employee engagement emerged as a full mediator, buffering the negative effects of harassment on performance and suggesting that engaged employees may be better equipped to cope with and mitigate the impact of harassment.Research limitations/implicationsThe study’s findings contribute to understanding workplace dynamics amidst sexual harassment in construction. Work engagement fully mediates the relationship, highlighting the need to prioritize initiatives aimed at enhancing employee engagement, such as promoting a supportive and fostering open communication channels between management and employees, can mitigate the occurrence and negative impacts of sexual harassment on employee performance. Continuous monitoring of engagement levels is crucial for sustaining positive work environments.Originality/valueThis study contributes to the existing literature by providing quantitative evidence of the relationship between sexual harassment and employee performance in the construction industry. By examining the mediating roles of psychological distress and employee engagement, the research offers a deeper understanding of the mechanisms underlying this relationship. The findings underscore the importance of addressing sexual harassment and promoting employee well-being to foster a safe and productive work environment in the construction industry.

The performance of physical activity and health-related quality of life in patients with heart failure: a cross-sectional study

Introduction: This study aimed to describe self-reported PA performance and determine predictors regarding health-related quality of life (HRQOL) among heart failure (HF) patients. Methods: A cross-sectional design was adopted, and data were collected using a questionnaire comprising demographic characteristics, illness-related factors, self-report health status (SRHS) questionnaire, international PA questionnaire, and Minnesota Living with Heart Failure questionnaire. Subsequently, data were analyzed using Pearson correlation coefficient, t-test, one-way ANOVA, and hierarchical multiple regression. Results: The mean age for the total participants of 180 HF patients was 59.92 ± 11.90 years, with 60% being male, and the mean HRQOL score was 42.96 ± 20.47. HRQOL had significant correlations with HF medication (r= 0.20, p&lt; 0.01), health status (HS) (r= 0.35, p&lt; 0.01), PA (r= -0.52, p&lt; 0.01), and HRQOL was associated with the New York Heart Association (NYHA) classification (F= 94.57, p&lt; 0.001). Meanwhile, age, gender, job, marital status, religion, level of education, hemoglobin, body mass index, length of diagnostic HF, and comorbidities did not have a significant relationship with HRQOL. Three variables were significant predictors of HRQOL, namely HS (β= 0.21, p&lt; 0.01), NYHA Class III (β= 0.15, p&lt; 0.05), and PA (β= -0.31, p&lt; 0.001). Conclusions: Regular PA is crucial in improving HRQOL of HF patients. In addition, HS, HF medication, and NYHA Class should be considered in providing care for HF patients aimed at improving HRQOL.

O007 Menstrual cycle phase classification methods and the relationship with sleep, mood, and performance in elite female athletes

Abstract Introduction Female athletes are often excluded from sports-science research due to hormonal variations across the menstrual cycle. Effects of menstrual cycle phase on outcomes are inconclusive likely due to between-study variation in phase classification. We aimed to test if the relationship between menstrual cycle phase and sleep, mood, and performance differed depending on whether a continuous, 2-phase, 3-phase, or 4-phase approach was used to classify cycle phase. Methods Elite Australian Rules footballers reporting a regular menstrual cycle and not on contraception (N=18, M-age=24.9±5.1) were recruited. Over two weeks, they completed continuous sleep/wake monitoring via actigraphy and sleep diaries, daily self-reported sleep quality, mood, and performance ratings, and five sessions of cognitive (vigilant attention) and physical (ecological kicking task) performance testing. Using baseline self-report data, menstrual cycle phase for each day of the study was inferred using a continuous (percentage through the cycle), 2-phase (follicular, luteal), 3-phase (menses, mid-late follicular, luteal), and 4-phase (menses, mid-late follicular, early-mid luteal, pre-menses) model. Results No outcome was consistently predicted by all phase-models. Objective sleep efficiency was lower in menses according to the 3- and 4-phase models. Subjective mood and performance were higher in the mid-late follicular according to the 3-phase model. Discussion The relationships between menstrual cycle phase and sleep, mood, and performance depend on how menstrual cycle phases are classified. Discordant findings highlight the importance of methodological differences in athlete menstrual cycle research. The effects of the menstrual cycle phase need to be further studied using consistent and standardised classifications across studies.

Impact of biophilic design on college student perception of mental health and environmental benefits: A dose-response study

We examined a dose-response relationship of plants placed in a university classroom with college students’ self-reported cognitive performance, mental and psychosomatic health, environmental quality perceptions, and objectively measured indoor air quality (IAQ) parameters. This quasi-experimental design study involved two university classrooms, a Comparison Classroom (CC) and a Biophilic Classroom (BC). In the BC, but not in the CC, 50 plants were placed in Week 4 (W4), an additional 51 in W10, and all plants removed in W14. Surveys were administered at 4 time points (T1: W3 [baseline]; T2: W7; T3: W13, and T4: W16) to assess students’ perceptions and health outcomes, including perceived stress, cognitive performance, nature connectedness, indoor environmental quality, air freshness, odor intensity, productivity, and sleepiness, with scores ranging from 0–40 (stress), 1–7 (sleepiness), or 1–5 (other variables). IAQ was monitored continuously using TSI AirAssure™ Monitors. At Baseline, 257 students completed the survey in the CC and 80 in the BC. Plants in the BC significantly improved students' perceived indoor environmental quality (T2: 4.04 vs. 3.51, p<.001; T3: 4.00 vs. 3.52, p<.001), air freshness (T2: 4.07 vs. 3.41, p<.001; T3: 3.91 vs. 3.48, p<.01), and productivity (T2: 3.33 vs. 2.91, p<.01; T3: 3.33 vs. 2.90, p<.01). However, adding more plants did not further improve these perceptions. No significant differences were found in students’ cognitive performance, perceived stress, sleepiness, nature connectedness, or IAQ parameters between CC and BC. Plants in the classroom improved students’ perceived classroom environment and productivity but did not affect the objectively measured IAQ parameters.

Performance of the Healthy Aging Brain Care Monitor Self Report in Monitoring Post-Intensive Care Syndrome Among Acute Respiratory Failure Survivors.

To describe the performance of the Healthy Aging Brain Care Monitor Self Report (HABC-M SR) in assessment of post-intensive care syndrome (PICS) among Acute Respiratory Failure ICU survivors. Secondary data analysis of a randomized controlled trial. Patients evaluated by a nurse care coordinator in an out-of-hospital setting. English-speaking adults 18 years old or older who were admitted to the ICU with acute respiratory failure requiring invasive or noninvasive mechanical ventilation for greater than or equal to 24 hours. Patients randomized to the intervention arm of the mobile critical care recovery program, a negative trial testing multidisciplinary care to improve quality of life. HABC-M SR scale was used to assess PICS in the intervention group at ICU discharge, 3, and 6 months post-discharge. Hospital Anxiety and Depression Scale; Pain, Enjoyment of Life, and General Activity Scale; Timed Up and Go; and Patient-Reported Outcomes Measurement Information System sleep scores were obtained at the same time. Mini-Mental State Examination (MMSE) was administered at baseline and 6 months. ICU survivors reported mild PICS symptoms, which improved over 6 months (mean HABC-M SR scores: baseline [8.5, sd 7.6], 3 mo [5.3 mo, sd 6.6 mo], and 6 mo [5.2 mo, sd 6.9 mo; p < 0.001]). HABC-M SR total score had moderate internal consistency that improved over time (Cronbach's alpha = 0.78 at baseline and 0.84 at 6 mo). The psychological subscale of HABC-M SR was moderately correlated with standardized scales for mood, pain, and sleep. The cognitive subscale was not significantly correlated with MMSE. While HABC-M SR correlated with mood, physical, and sleep symptoms, the cognitive subscale was less sensitive compared with standardized scales.

Boston Marathon athlete performance outcomes and intra-event medical encounter risk associated with low energy availability indicators

ObjectiveTo determine the association between survey-based self-reported problematic low energy availability indicators (LEA-I) and race performance and intra-event medical encounters during the Boston Marathon.Methods1030 runners who were registered for the...

Mind wandering about the beloved: self-reported distraction, task performance, and enjoyment.

Romantic love is associated with mind wandering about the beloved. We tested associations between mind wandering about the beloved and infatuation, attachment, self-reported distraction, task performance, and enjoyment. Participants who were in love completed self-report measures and a sustained attention response task with thought probes. Participants reported thinking about their beloved for 67% of the time in general and up to 42% of the time during task performance. Thinking about the beloved in general was positively associated with infatuation (passionate love) but not with attachment (companionate love). The more time participants reported thinking about their beloved in general, the more distracting they found it and the less they could withhold a response to no go stimuli. The more participants thought about their beloved during the task, the slower their responses to go stimuli were. In contrast to the negative terminology typically used to describe frequent thoughts about the beloved, such as intrusive or obsessive thinking, participants overwhelmingly enjoyed thinking about their beloved. The findings suggest that romantic love impairs cognitive task performance because people are thinking about their beloved instead, which may negatively impact performance at school and work. Nevertheless, people seem to greatly enjoy thinking about their beloved.

Does a closer coach-athlete bond buffer or exacerbate the detrimental effects of controlling coaching on athletes’ coping and outcomes?

Some coaches are convinced that controlling practices will not harm their athletes if they simultaneously are warm and caring. This study, grounded in Self-Determination Theory and Skinner's coping framework, explored these convictions among 179 volleyball players (67.6% female; age = 21.12 ± 4.66 years). Participants assessed perceived controlling and relatedness-supportive coaching styles, their coping strategies, self-reported performance, engagement, competitive anxiety, and burnout. Results showed that controlling coaching related to reduced performance, and more competitive anxiety and burnout. Controlling coaching associated indirectly with these athletes’ outcomes through compulsive compliance. Finally, when coaches were perceived to display moderate or high levels of relatedness-support, controlling coaching related to worse performance, and more competitive anxiety. These results suggest that a closer coach-athlete bond may exacerbate the detrimental impact of controlling coaching, as athletes feel internally pressured to obey the coach's demands without internally accepting these commands.

Imaging the translocator protein 18 kDa within cognitive control and declarative memory circuits in virally suppressed people with HIV.

Virally suppressed people with HIV (VS-PWH) show heterogeneity in patterns of cognitive dysfunction. To better understand the relationship between the neuroimmune response and cognition, we used PET to image the translocator protein 18 kDa (TSPO). The study examined HIV-serostatus differences in TSPO as well as associations between regional TSPO and select cognitive processes defined using the Research Domain Criteria (RDoC) framework. Cross-sectional investigation in VS-PWH ( n = 25) versus HIV-uninfected individuals ( n = 18) of cognitive control and declarative memory, as well as [ 11 C]DPA-713 PET measures of TSPO within cognitive control and declarative memory regions of interest (ROI). Group differences in [ 11 C]DPA-713 binding ( VT ) in cognitive control or declarative memory regions were examined using linear mixed models. Tests of associations between factor-derived cognitive system measures and PET measures were performed, controlling for TSPO genotype. There were no group differences in any of the four factor-derived cognitive system measures. VS-PWH had higher log [ 11 C]DPA-713 VT across cognitive control regions [unstandardized beta coefficient reflecting mean difference [ B ] = 0.23, SE = 0.11, 95% confidence interval (CI) 0.01-0.45, P = 0.04] and declarative memory regions ( B = 0.24, SE = 0.11, 95% CI 0.02-0.45, P = 0.03). Higher log [ 11 C]DPA-713 VT in cognitive control regions related to poorer cognitive control in each group, and to worse self-reported cognitive performance in VS-PWH. Log [ 11 C]DPA-713 VT in each declarative memory region did not associate with measured declarative memory. A localized neuroimmune response marked by high TSPO in brain regions that subserve cognitive control may contribute to poorer cognitive control in VS-PWH.

Unleashing potential: The impact of supervisor trust on organizational citizenship and job performance

This study investigates the complex interplay among trust in supervisors (TIS), organizational citizenship behaviours (OCB), and work performance (WP) in the workplace, aiming to determine whether trust in supervisors directly influences job performance or if this relationship is mediated by organizational citizenship behaviours. Using Structural Equation Modelling (SEM) via Smart PLS, data were collected from 215 officials through a structured questionnaire, capturing perspectives on trust in supervisors, engagement in OCB, and self-reported job performance. The results reveal that while trust in supervisors significantly fosters OCB, its direct impact on job performance is not statistically significant; however, OCB significantly enhances job performance, emphasizing its crucial mediating role. These findings highlight the importance of trust in supervisors in cultivating organizational citizenship behaviours that indirectly elevate job performance. Organizations should focus on trust-building initiatives to promote a supportive environment that encourages proactive engagement and performance excellence among employees, while future research should explore longitudinal data and diverse samples to further validate these findings.

Relating self-reported auditory difficulties, suprathreshold auditory processing, and cognition after brain injury

The Portable Automated Rapid Testing (PART) app increases access to psychophysical tasks that are not typically available outside of specialized laboratory settings. PART contains a wide array of suprathreshold auditory and cognitive processing measures that can be completed in a short amount of time, making it attractive to audiologists who are interested in clinically assessing different aspects of auditory function. This may be particularly useful for testing normal-hearing patients with auditory complaints that are not well predicted by standard audiometric tests, such as those with a history of mild traumatic brain injury (mTBI). To begin exploring this possibility, this study aimed to identify whether performance on a battery of PART tests is predictive of auditory complaints in participants with (n = 27) and without (n = 28) a history of mTBI. Regression modeling was used to determine relationships between self-reported auditory difficulties and performance on measures of spectrotemporal modulation detection, frequency modulation detection, spatial release from masking, as well as memory and attention. Findings contribute to our understanding of the effects of mTBI on auditory processing. The importance of integrating remote testing platforms into research on understudied patient populations and of interdisciplinary collaboration with clinicians will also be discussed.

Associations between wearable device metrics and performance status in adult patients with cancer.

427 Background: Wearable devices present a promising method for monitoring physical performance in cancer patients, potentially bridging the gap between patient experiences at home and clinical evaluations. This study assesses associations between performance status, home-based wearable device metrics, and patient-reported outcomes (PROs) among adults with cancer. (NCT03952767). Methods: This prospective cohort study enrolled 62 adults undergoing treatment for cancer, irrespective of primary site. Participants wore GENEActiv wrist accelerometer sensors (Activinsights Ltd., Kimbolton, UK) on the lumbar region and non-dominant wrist for 2 weeks, tracking gait speed and activity levels. Patients concurrently completed PRO questionnaires on physical function (PF) and fatigue (PROMIS Fatigue 7a &amp; PROMIS Physical Function 10a). Study participants were stratified by baseline self-reported Karnofsky performance status (KPS; 100, 80-90, &amp; ≤70). Linear regression models were used to assess associations between (1) KPS and device metrics and (2) device metrics and PROs. Covariates included age and a binary indicator for COVID period (pre/post 3/1/2020). Results: Average device wear time across the cohort was 22.2 hours/day. Significant differences in gait speed and moderate activity time were observed between the KPS≤70 group and the higher KPS groups ( Table ). Significant associations were also observed between device metrics and PROs. Each 1-hour increment moderate activity was associated with 5.5 point greater PROMIS PF score (95% CI: 3.3, 7.7; p&lt;0.0001) and 4.6 point lower PROMIS Fatigue score (-6.7, -2.5; p&lt;0.0001). Each 0.1 meter/sec increment in gait speed was associated with 4.6 point greater PF score (95% CI: 2.2, 7.1; p=0.0004) and 4.8 point lower Fatigue score (-6.9, -2.7; p&lt;0.0001). Similar associations were observed between in-clinic assessments of gait speed and physical function scores. Conclusions: The associations between wearable device metrics and KPS indicate that wearable technology is both feasible and reliable for remote health monitoring in cancer patients. The associations between device metrics and PROs demonstrate that these metrics reflect patient experiences and outcomes relevant to both patients and regulatory authorities. The associations with physical function, a key PRO in the FDA’s Patient-Focused Drug Development guidance, are particularly noteworthy. Clinical trial information: NCT03952767 . Group 1(KPS 100) Group 2(KPS 80-90) Group 3(KPS ≤70) p (Group 1 vs 3) p (2 vs 3) Gait Speed (m/s) - adjusted mean, 95% CI 0.74 (0.70, 0.78) 0.72 (0.69, 0.74) 0.65 (0.60, 0.70) 0.0058 0.0210 Sedentary time (hours) 11.2 (9.8, 12.6) 10.2 (9.3, 11.0) 10.7 (9.1, 12.2) 0.5912 0.5647 Light activity (hours) 1.4 (1.0, 1.7) 1.3 (1.1, 1.5) 0.9 (0.5, 1.3) 0.0570 0.0474 Moderate activity (hours) 1.4 (1.0, 1.8) 1.2 (0.9, 1.5) 0.5 (0.0, 1.0) 0.0068 0.0159 Vigorous activity (hours) 0.1 (0.0, 0.2) 0.0 (0.0, 0.1) 0.0 (0.0, 0.1) 0.1201 0.2835

Using patient-reported performance status to guide management of advanced cancer: A quality improvement initiative.

379 Background: Performance status is a key prognostic factor among patients with advanced cancer and can inform the need for supportive care services. However, assessment and documentation of performance status is inconsistently integrated into standard oncology care. Patient-reported performance status (PRPS) is a surrogate for clinician-assessed performance status and has the potential to address this challenge. We piloted a decision support tool in our electronic health record (EHR) that uses PRPS to prompt clinician assessment of performance status and suggest referrals to supportive care services. Methods: We identified patients with advanced cancer using a pre-built and validated registry driven by ICD codes in our EHR (EPIC). For patients with advanced cancer seen at one of our clinics, a multiple-choice question with options derived from the Eastern Cooperative Oncology Group (ECOG) scale in patient-friendly language was added to the pre-visit questionnaire sent electronically prior to oncology visits. For patients with a poor PRPS (2 or greater), a clinical decision support tool alerted providers of the patient’s self-reported performance status, encouraged input of the clinician’s ECOG assessment, and suggested referral orders to supportive care services such as palliative care, nutrition, and social work. We are currently evaluating how our PRPS-driven decision support tool impacts the rate of clinician-assessed ECOG documentation, referral rates, and clinical outcomes. Results: Between 3/13/24 and 5/13/24, of 336 patients identified by the advanced cancer registry, 70% (235) of patients completed the PRPS questionnaire. Among patients with an available PRPS score, 18% (42) of patients reported a poor performance status (2 or greater) at least once, triggering the decision support tool. Providers entered ECOG assessments for 93% (39) of patients and sent referrals to supportive care services for 10% (4) of the patients. Three patients died during this time period, and all three of them reported a poor performance status of 3 or 4. Oncologists at the clinic reported no significant disruption to routine workflow. Conclusions: Preliminary results suggest feasibility of a PRPS-driven decision support tool to flag patients with advanced cancer and declining function and improve discrete documentation of clinician-assessed performance status. Notably, the rate of referrals to supportive care services remains low. Next steps include obtaining longitudinal data from this pilot, assessing the impact of the pilot on goals of care documentation, and validating the concordance of PRPS and ECOG and their effect on clinical outcomes. Ultimately, we aim to use the resulting data and harness our dashboard of patients with advanced cancer and poor performance status to develop innovative, automated, and targeted quality improvement interventions.

Relationship between Pharmacists' Emotional Intelligence and Job Performance: A Cross-Sectional Study in Saudi Arabia.

Pharmacists' job performance is crucial for improving pharmacy services. The purpose of this study was to evaluate the association of emotional intelligence with the job performance of pharmacists in Saudi Arabia. Using social media platforms, we disseminated an online questionnaire to pharmacists licensed to practice in Saudi Arabia between June and July 2022. The questionnaire was filled out by 352 pharmacists. The majority of the participants were women (60.5%) and working as community pharmacists (55.7%). On self-reported emotional intelligence and job performance scales, the respondents scored an average of 5.5 ± 0.9 (out of 7) and 4.0 ± 0.6 (out of 5), respectively. Multiple linear regression analyses revealed that emotional intelligence had a significant relationship with job performance (β = 0.43, p < 0.001). In conclusion, the findings indicated that emotional intelligence may influence the job performance of pharmacists in Saudi Arabia. As the primary objective of every organization is to accomplish the best possible performance, prioritizing emotional intelligence is important. Further research is needed to identify the impact of emotional intelligence on work performance, which could potentially enhance clinical outcomes for patients.