Survey Nonrespondents Research Articles

The Interplay Between Health Disparities and Acceptability of Virtual Reality: A Survey Study.

Virtual reality (VR) has emerged as a nonpharmacological adjuvant to manage acute and chronic pain symptoms. The goal of this survey study was to determine the acceptability of VR among chronic pain participants hailing from distressed and prosperous neighborhoods in the state of Maryland. We hypothesized that pain severity and interference vary in groups experiencing health disparities, potentially influencing VR's acceptability. From March 11 to March 15, 2020, we surveyed a cohort of clinically phenotyped participants suffering from chronic orofacial pain. Participants were asked to express their willingness to participate in a longitudinal VR study and their expectation of pain relief from using VR. Seventy out of 350 participants with chronic pain completed the survey (response rate: 20%). There was no difference in the likelihood of responding to the survey based on their neighborhood distress. Among survey respondents and nonrespondents, similar proportions of participants were from distressed neighborhoods. Among the respondents, 63 (90%) and 59 (84.3%) were willing to participate and expected to experience pain relief from the VR intervention, respectively. Age, sex, race, neighborhood distress, severity of pain, and prior VR experience did not influence willingness to participate in the VR trial or the expectations of VR-induced improvement. These findings suggest that VR as an adjuvant intervention is potentially accepted by chronic pain participants, irrespective of neighborhood-level social determinants of health.

Reach, Acceptability, and Patient Preferences of a Mobile Health-Based Survey to Assess COVID-19 Vaccine Hesitancy Among Patients Receiving Dialysis

Rationale & ObjectiveThe majority of patients with kidney failure receiving dialysis own mobile devices, but the use of mobile health (mHealth) technologies to conduct surveys in this population is limited. We assessed the reach and acceptability of a short message service (SMS) text message-based survey that assessed COVID-19 vaccine hesitancy among patients receiving dialysis. Study DesignCross-sectional SMS-based survey in January 2021. Setting& Participants: Patients receiving in-center hemodialysis, peritoneal dialysis, or home hemodialysis in a non-profit dialysis organization in New York City. Outcomes1) Reach of the SMS survey, 2) Acceptability using the 4-item Acceptability of Intervention Measure (AIM), and 3) Patient preferences for modes of survey administration. Analytical ApproachWe used Fisher’s exact tests and multivariable logistic regression to assess sociodemographic and clinical predictors of SMS survey response. Qualitative methods were used to analyze open-ended responses capturing patient preferences. ResultsAmong 1008 patients, 310 responded to the SMS survey (response rate 31%). In multivariable adjusted analyses, participants who were age 80 and above (aOR 0.49, 95% CI 0.25 – 0.96) were less likely to respond to the SMS survey compared with those aged 18 to 44. Non-Hispanic Black (aOR 0.58, 95% CI 0.39 – 0.86), Hispanic (aOR 0.31, 95% CI 0.19 – 0.51), and Asian or Pacific Islander (aOR 0.46, 95% CI 0.28 – 0.74) individuals were less likely to respond compared with non-Hispanic White participants. Participants residing in census tracts with higher Social Vulnerability Index (SVI), indicating greater neighborhood-level social vulnerability, were less likely to respond to the SMS survey (5th vs. 1st quintile aOR 0.61, 95% CI 0.37 – 0.99). Over 80% of a sample of survey respondents and non-respondents completely agreed or agreed with the Acceptability of Intervention Measure. Qualitative analysis revealed 4 drivers of patient preferences for survey administration: 1) convenience (subtopics: efficiency, multi-tasking, comfort, synchronicity); 2) privacy; 3) interpersonal interaction; and 4) accessibility (subtopics: vision, language, fatigue). LimitationsGeneralizability, length of survey. ConclusionsAn SMS text message-based survey had moderate reach among patients on dialysis and was highly acceptable, but response rates were lower in older (age ≥ 80), non-White individuals, and those with greater neighborhood-level social vulnerability. Future research should examine barriers and facilitators to mHealth among patients on dialysis to ensure equitable implementation of mHealth-based technologies.

A large, multi-center survey assessing health, social support, literacy, and self-management resources in patients with heart failure

BackgroundMost patients with heart failure (HF) have multimorbidity which may cause difficulties with self-management. Understanding the resources patients draw upon to effectively manage their health is fundamental to designing new practice models to improve outcomes in HF. We describe the rationale, conceptual framework, and implementation of a multi-center survey of HF patients, characterize differences between responders and non-responders, and summarize patient characteristics and responses to the survey constructs among responders.MethodsThis was a multi-center cross-sectional survey study with linked electronic health record (EHR) data. Our survey was guided by the Chronic Care Model to understand the distribution of patient-centric factors, including health literacy, social support, self-management, and functional and mental status in patients with HF. Most questions were from existing validated questionnaires. The survey was administered to HF patients aged ≥ 30 years from 4 health systems in PCORnet® (the National Patient-Centered Clinical Research Network): Essentia Health, Intermountain Health, Mayo Clinic, and The Ohio State University. Each health system mapped their EHR data to a standardized PCORnet Common Data Model, which was used to extract demographic and clinical data on survey responders and non-responders.ResultsAcross the 4 sites, 10,662 patients with HF were invited to participate, and 3330 completed the survey (response rate: 31%). Responders were older (74 vs. 71 years; standardized difference (95% CI): 0.18 (0.13, 0.22)), less racially diverse (3% vs. 12% non-White; standardized difference (95% CI): -0.32 (-0.36, -0.28)), and had higher prevalence of many chronic conditions than non-responders, and thus may not be representative of all HF patients. The internal reliability of the validated questionnaires in our survey was good (range of Cronbach’s alpha: 0.50–0.96). Responders reported their health was generally good or fair, they frequently had cardiovascular comorbidities, > 50% had difficulty climbing stairs, and > 10% reported difficulties with bathing, preparing meals, and using transportation. Nearly 80% of patients had family or friends sit with them during a doctor visit, and 54% managed their health by themselves. Patients reported generally low perceived support for self-management related to exercise and diet.ConclusionsMore than half of patients with HF managed their health by themselves. Increased understanding of self-management resources may guide the development of interventions to improve HF outcomes.

Testing a Brief Quitline Intervention for Tobacco Cannabis Co-Users: A Randomized Controlled Pilot Study.

Background: Tobacco cannabis co-use is common and becoming more prevalent. Frequent and heavy users of cannabis may struggle to quit smoking. Quitlines offer free cessation treatment in the United States and 25% of quitline callers may also be cannabis users. The present paper describes a randomized pilot study of a tailored intervention for cannabis and cigarette co-users. The intervention combines the quitline smoking cessation treatment with a motivational enhancement therapy-based cannabis intervention. Methods: The randomized pilot study was conducted within four state-funded quitlines with quitline coaches as interventionists. 102 quitline callers who were cannabis and cigarette co-users were randomized to receive treatment as usual (TAU) or the new Quitline Check-Up (QLCU) intervention. Outcomes were collected 90 days post-randomization. Primary outcomes included feasibility and acceptability of delivering the QLCU in the quitline setting. Secondary outcomes included 7-day point prevalence tobacco abstinence, past 30-day cannabis use, and Cannabis Use Disorder Identification Test scores. Results: Study participants were heavy cannabis users, averaging 25 days of use in the past 30; nearly 70% used at a level considered hazardous. Fidelity ratings indicated coaches were successful at delivering the intervention. Treatment engagement was high for both groups (TAU m = 3.4 calls; QLCU m = 3.6 calls) as was treatment satisfaction. Intent-to-treat quit rates (with survey non-responders classified as smokers) were 28.6% for the TAU control group and 24.5% for the QLCU group (P = .45). Discussion: Hazardous cannabis use rates were high in this sample of tobacco cannabis co-users calling quitlines to quit smoking. The intervention for co-users was acceptable and feasible to deliver. No improvements in tobacco cessation outcomes were observed. Pragmatic intervention development within a real-world clinical setting can streamline the intervention development process. More research is needed on tobacco cannabis co-users and who can benefit from a tailored intervention. Registered: ClinicalTrials.gov NCT04737772, February 4, 2021.

Implementation of a standardised accept note to improve communication during inter-hospital transfer: a prospective cohort study

ImportanceThe transfer of patients between hospitals (interhospital transfer, IHT), exposes patients to communication errors and gaps in information exchange.ObjectiveTo design and implement a standardised accept note to improve communication during...

Evaluating a health system-wide opioid disposal intervention distributing home-disposal bags.

To evaluate a health system-wide intervention distributing free home-disposal bags to surgery patients prescribed opioids. We collected patient surveys and electronic medical record data at an academic health system. We conducted a prospective observational study. The bags were primarily distributed at pharmacies, though pharmacists delivered bags to some patients. The primary outcome was disposal of leftover opioids (effectiveness). Secondary outcomes were patient willingness to dispose and factors associated with disposal (effectiveness), recalling receipt of the bag (reach), and recalling receipt of bags and disposal over time (maintenance). We used a modified Poisson regression to evaluate the relative risk of disposal. Inverse probability of treatment weighting, based on propensity scores, was used to account for differences between survey responders and non-responders and reduce nonresponse bias. From August 2020 to May 2021, we surveyed patients 2 weeks after discharge (allowing for home opioid use). Eligibility criteria were age ≥18, English being primary language, valid email address, hospitalization ≤30 days, discharge home, and an opioid prescription sent to a system pharmacy. We identified 5134 patients with 2174 completing the survey (response rate 42.3%). Among respondents, 1375 (63.8%) recalled receiving the disposal bag. Among 1075 respondents with leftover opioids, 284 (26.4%) disposed, 552 (51.3%) planned to dispose, 79 (7.4%) did not plan to dispose, 69 (6.4%) had undecided, and 91 (8.5%) had not considered disposal. Recalling receipt of the bag (incidence rate ratio [IRR] 1.25, 95% confidence interval [CI] 1.13-1.37) was positively associated with disposal. Patients who used opioids in the last year were less likely to dispose (IRR 0.82, 95% CI 0.73-0.93). Disposal rates remained stable over the study period while recalling receipt of bags trended up. A pragmatic implementation of a disposal intervention resulted in lower disposal rates than prior trials.

A Note on the Optimum Allocation of Resources to Follow up Unit Nonrespondents in Probability Surveys

Abstract Common practice to address nonresponse in probability surveys in National Statistical Offices is to follow up every non respondent with a view to lifting response rates. As response rate is an insufficient indicator of data quality, it is argued that one should follow up non respondents with a view to reducing the mean squared error (MSE) of the estimator of the variable of interest. In this article, we propose a method to allocate the nonresponse follow-up resources in such a way as to minimise the MSE under a quasi-randomisation framework. An example to illustrate the method using the 2018/19 Rural Environment and Agricultural Commodities Survey from the Australian Bureau of Statistics is provided.

Gynecologic oncology fellowship leadership trends by gender

Our objective was to examine the educational, research, and leadership trends among gynecologic oncology (GYO) fellowship program directors (PD) and how these vary by gender.PDs were identified using the Society of Gynecologic Oncology Fellowship Directory. Surveys were sent to PDs’ emails to obtain information about demographics, education, and research background. Publicly available data and institutional biographies were used to supplement primary survey data for incomplete responses or survey non-responders. Scopus was used to determine the h-index and number of publications and citations for each PD. Parametric data were compared using unpaired two-tailed t-tests. Chi-square and Fisher’s exact tests were performed for categorical data. The significance level was p < 0.05.Approximately one-half of PDs were female (50.8%). Female PDs had a younger mean age than male PDs (46.4 years vs 51.9 years, p = 0.0014). The average overall h-index was 22 (SD = 14.5) and the average number of publications was 71.2 (SD = 63.3). The average h-index was higher in male PDs than females (27.8 vs 16.3, p = 0.0012), as were the number of publications (97.3 vs 45.8, p = 0.0008).Differences exist among GYO PDs by gender. While research productivity may be reflective of age, gender-based equity in research time should be further explored.

Patient's Perception of Access to Reproductive Health and Family Planning During the COVID-19 Pandemic Quarantine Period [ID: 1372575

INTRODUCTION: The objective of this study was to assess patient perception of access to reproductive health and family planning care during the COVID-19 pandemic quarantine period, at which time routine annual visits were deferred. METHODS: Patients aged 18–44 seen at Temple University Hospital for an annual gynecology visit from March 2018 to December 2020 were identified. Pregnant patients, those with a history of permanent sterilization (bilateral tubal ligation, hysterectomy), women who were not heterosexually active, prisoners, non-English or non-Spanish speakers, and those with intellectual disability were excluded. Using a random number generator, 99 eligible patients were randomly selected from this population. Eligible patients were contacted via telephone and verbally consented. If agreeable, these patients were administered a 20-question survey. RESULTS: Of 99 patients selected, 27 (27.3%) responded to the telephone survey. 0% of responders felt that they faced barriers to contraceptive care during the quarantine period. Survey responders and nonresponders had no significant differences in age (P=.26), race (P=.50), insurance type (P=.15), gravida (P=.78), parity (P=.10), and number of induced abortions (P=.51). However, nonresponders were significantly more likely to have no-showed a gynecology appointment in 2020 (P&lt;.05). CONCLUSION: This study found that patients at Temple University Hospital did not perceive barriers to accessing contraceptive care during the COVID-19 quarantine period. Additionally, the majority of patients felt that contraceptive care was an important reason to have an in-person visit.

Comparing Nonresponders and Responders of Online Intercept Surveys: A Large-Scale Experimental ICT Security-Related Study

Online surveys have become a popular way to collect data. However, response rates are low, specifically for online intercept-based surveys, which can be as low as 1%. This raises questions about the accuracy of the inferences based on these results. Furthermore, it is difficult to compare the characteristics and behavior of the responders and nonresponders as there is very limited information on nonresponders. The objective of this article is to present a unique comparison of online intercept survey responders, nonresponders, and partial responders. The sample includes 192,566 U.S.-based users who went through a research experiment during the installation process of ESET online security software. During the process, users were asked to enable or disable the detection of potentially unwanted applications. At the end, they could also opt to answer questions on a short security-related survey. The users were split into three groups: (a) nonresponders ( n = 184,010 ), (b) complete responders ( n = 6,750 ), and (c) partial responders ( n = 1,806 ). There were only slight differences between the responder and nonresponder groups in their hardware (i.e., computer CPU quality and RAM size). Responders and nonresponders differed in their behavior. Complete responders enabled the detection of potentially unwanted applications significantly more often than nonresponders (on average by 4.5%) and spent more time on the screen that provided details about this feature. Additional comparisons showed that complete responders were slightly younger and more educated than partial responders. We conclude that there are only slight differences between online intercept survey responders and nonresponders and that these differences manifest in computer usage-related decisions. Despite the low overall response rates, online product-related surveys can provide useful insights about the user base. Nevertheless, the companies that use online surveys should be careful because behavior might differ for users in specific situations.

Trends in Earnings Volatility Using Linked Administrative and Survey Data

We document trends in earnings volatility separately by gender using unique linked survey data from the CPS ASEC and Social Security earnings records for the tax years spanning 1995–2015. The exact data link permits us to focus on differences in measured volatility from earnings nonresponse, survey attrition, and measurement between survey and administrative earnings data reports, while holding constant the sampling frame. Our results for both men and women suggest that the level and trend in volatility is similar in the survey and administrative data, showing substantial business-cycle sensitivity among men but no overall trend among continuous workers, while women demonstrate no change in earnings volatility over the business cycle but a declining trend. A substantive difference emerges with the inclusion of imputed earnings among survey nonrespondents, suggesting that users of the ASEC drop earnings nonrespondents.

Influenza Vaccination Among Pregnant Women: Self-report Compared With Vaccination Data From Electronic Health Records, 2018-2020 Influenza Seasons.

Having accurate influenza vaccination coverage estimates can guide public health activities. The objectives of this study were to (1) validate the accuracy of electronic health record (EHR)-based influenza vaccination data among pregnant women compared with survey self-report and (2) assess whether survey respondents differed from survey nonrespondents by demographic characteristics and EHR-based vaccination status. This study was conducted in the Vaccine Safety Datalink, a network of 8 large medical care organizations in the United States. Using EHR data, we identified all women pregnant during the 2018-2019 or 2019-2020 influenza seasons. Surveys were conducted among samples of women who did and did not appear vaccinated for influenza according to EHR data. Separate surveys were conducted after each influenza season, and respondents reported their influenza vaccination status. Analyses accounted for the stratified design, sampling probability, and response probability. The survey response rate was 50.5% (630 of 1247) for 2018-2019 and 41.2% (721 of 1748) for 2019-2020. In multivariable analyses combining both survey years, non-Hispanic Black pregnant women had 3.80 (95% CI, 2.13-6.74) times the adjusted odds of survey nonresponse; odds of nonresponse were also higher for Hispanic pregnant women and women who had not received (per EHR data) influenza vaccine during current or prior influenza seasons. The sensitivity, specificity, and positive predictive value of EHR documentation of influenza vaccination compared with self-report were ≥92% for both survey years combined. The negative predictive value of EHR-based influenza vaccine status was 80.5% (95% CI, 76.7%-84.0%). EHR-based influenza vaccination data among pregnant women were generally concordant with self-report. New data sources and novel approaches to mitigating nonresponse bias may be needed to enhance influenza vaccination surveillance efforts.

Patient Perspectives of Disease Activity, Medications and Substance Use in People with Fibromyalgia.

ObjectiveTo explore patient perspectives on disease activity and experiences, as well as medication use of a group of fibromyalgia patients attending a single-centre rheumatology public hospital outpatient setting.MethodsPatients seen in fibromyalgia clinic within a rheumatology unit from July 2016 to December 2019 were posted a voluntary survey with questionnaires pertaining to patient-reported measures of disease impact (FIQR), fatigue (MFI-20) and psychological distress (K10). A free-text section allowed description of disease impact. Patients were also asked to record medication use and comorbidities, which were then compared to the electronic medical records (EMR) of the overall clinic cohort.ResultsForty-five patients responded to the survey (43/45, 95.6% female; mean age 56.5 years). Respondents had generally severe fibromyalgia (mean FIQR 67.1/100, range 23.7–92.8), moderate psychological distress (mean K10 27.5/50, range 14–45) and high fatigue (mean MFI 74.9/100, range 40–96). Free-text responses generated themes of pervasive disease impact and the necessity of adjusting life around unpredictable symptoms. Almost half reported opioid (21/45, 46.7%) and gabapentinoid (19/45, 42.2%) use. 16/41 (39%) use cannabinoids for their fibromyalgia symptoms. Comparing medication use with survey non-respondents (n=85), there was generally similar representation except for significantly greater NSAID use among survey respondents (33/45, 73.3% vs 22/85, 25.9%, p<0.001).ConclusionFor patients living with fibromyalgia in this study, there were high levels of disease activity, psychological distress and fatigue. Patients described the need to accept disease-imposed limitations and life adjustments. Almost half reported opioid use, despite evidence suggesting poor efficacy and possible harm.

COVID-19 infection in hypereosinophilic syndrome: A survey-based analysis

COVID-19 infection in hypereosinophilic syndrome: A survey-based analysis

Adding Centralized Electronic Patient-Reported Outcome Data Collection to an Established International Clinical Outcomes Registry

The importance of patient-reported outcomes (PROs) in cellular therapies, including hematopoietic cell transplantation (HCT) is highlighted in this study. Longitudinal collection of PROs in a registry is recommended for several reasons, yet to date, PROs are not routinely collected from HCT patients to augment clinical registry data. The aim of this study was to determine the feasibility of electronic PRO data collection by a national clinical outcomes registry, by assessing differences between who does and does not report PROs. We conducted a cross-sectional pilot collection of PROs from HCT recipients after treatment using computer-adapted tests from the Patient-Reported Outcome Measurement Information System (PROMIS). We implemented centralized data collection through the Center for International Blood and Marrow Transplant Research (CIBMTR) among patients who underwent HCT for myelodysplastic syndromes (MDS), were at least 6 months post-HCT, and spoke English or Spanish. The main objective was identifying patient, disease, and transplant-related differences associated with completion of electronic PROs. Patients were excluded from analysis if they were determined to be ineligible (deceased, did not speak English or Spanish, refused to be contacted by the CIBMTR). A total of 163 patients were contacted and potentially eligible to participate; of these, 92 (56%) enrolled and 89 (55%) completed the PRO assessment. The most frequent reason for incomplete surveys was inability to contact patients (n=88), followed by declining to participate in the study (n=37). There were no sociodemographic or age differences between those who completed the PRO survey (n=89) and eligible nonresponders (n=155). Patient scores were within 3 points of the US average of 50 for all symptoms and functioning except physical functioning. Responders and nonresponders did not exhibit meaningfully different sociodemographic characteristics. Difficulty contacting patients posed the greatest barrier and also provided the greatest opportunity for improvement. Once enrolled, survey completion was high. These results support standardizing centralized PRO data collection through the CIBMTR registry.

Risk of Physical Injury for Dispatched Citizen Responders to Out-of-Hospital Cardiac Arrest.

BackgroundCitizen responder programs are implemented worldwide to dispatch volunteer citizens to participate in out‐of‐hospital cardiac arrest resuscitation. However, the risk of injuries in relation to activation is largely unknown. We aimed to assess the risk of physical injury for dispatched citizen responders.Methods and ResultsSince September 2017, citizen responders have been activated through a smartphone application when located close to a suspected cardiac arrest in the Capital Region of Denmark. A survey was sent to all activated citizen responders, including a specific question about risk of acquiring an injury during activation. We included all surveys from September 1, 2017, to May 15, 2020. From May 15, 2019, to May 15, 2020, we followed up on all survey nonresponders by phone call, e‐mail, or text messages to examine if nonresponders were at higher risk of severe or fatal injuries. In 1665 suspected out‐of‐hospital cardiac arrests, 9574 citizen responders were dispatched and 76.6% (7334) answered the question regarding physical injury. No injury was reported by 99.3% (7281) of the responders. Being at risk of physical injury was reported by 0.3% (24), whereas 0.4% (26) reported an injury (25 minor injuries and 1 severe injury [ankle fracture]). When following up on nonresponders (2472), we reached 99.1% (2449). No one reported acquired injuries, and only 1 reported being at risk of injury.ConclusionsWe found low risk of physical injury reported by volunteer citizen responders dispatched to out‐of‐hospital cardiac arrest. Risk of injury should be considered and monitored as a safety measure in citizen responder programs.

Long-Term Patterns of Depressive Symptomload and their Predictors in Hospitalised Patients Undergoing Psychodynamic Psychotherapy: Findings of the STOP-D Study

Depression is one of the most common mental disorders. While the general effectiveness of in- and outpatient psychotherapy is proven, different long-term patterns in treatment of symptoms of depression have been described. The aim of the present study was to show different patterns of benefit in the context of inpatient psychodynamic psychotherapy of depressive disorders and to detect predictors of different types of response that help to identify possible non-responders and adjust treatments accordingly. Data of the naturalistic multicentre intervention study were collected in 15 German psychosomatic hospital units employing a predominantly psychodynamic approach to treatment. The sample includes n=432 patients (women: age 25-45 years) with typical symptoms of depression. The patterns of outcome were identified using a latent state model with a method factor and a latent class analysis; potential course predictors were analysed using regression analysis. Three long-term patterns of outcome were identified: patients with significant treatment benefit, whose symptom decline was stable even in a 6-month catamnesis (Responders: 76.9%), patients without a significant symptom decrease during treatment and in the follow-up survey (Non-responders: 18.8%), as well as patients with a significant symptom decrease but showing an increase of symptoms in the catamnesis (Backsliders: 4.4%). The severity of baseline depressive symptom load was determined as a predictor for the pattern of Backsliders. Non-responders differed from responders in having had psychosomatic pre-treatments more frequently. In the case of backsliders, further studies should, for instance, verify whether relapses can be explained by the patient's symptoms, treatment, or social environment. In the case of non-response due to numerous unsuccessful pre-treatments, the question arises whether psychosomatic treatment offers the right setting for these patients or how therapy settings should be modified. Long-term patterns reported in the literature were partially confirmed. There are indications of an influence of the initial symptom-load severity on the outcome of treatment. It is important to consider how treatment settings can be modified accordingly.

Patient-Reported Social and Behavioral Determinants of Health and Estimated Risk of Hospitalization in High-Risk Veterans Affairs Patients

Despite recognition of the association between individual social and behavioral determinants of health (SDH) and patient outcomes, little is known regarding the value of SDH in explaining variation in outcomes for high-risk patients. To describe SDH factors among veterans who are at high risk for hospitalization, and to determine whether adding patient-reported SDH measures to electronic health record (EHR) measures improves estimation of 90-day and 180-day all-cause hospital admission. A survey was mailed between April 16 and June 29, 2018, to a nationally representative sample of 10 000 Veterans Affairs (VA) patients whose 1-year risk of hospitalization or death was in the 75th percentile or higher based on a VA EHR-derived risk score. The survey included multiple SDH measures, such as resilience, social support, health literacy, smoking status, transportation barriers, and recent life stressors. The EHR-based characteristics of survey respondents and nonrespondents were compared using standardized differences. Estimation of 90-day and 180-day hospital admission risk was assessed for 3 logistic regression models: (1) a base model of all prespecified EHR-based covariates, (2) a restricted model of EHR-based covariates chosen via forward selection based on minimizing Akaike information criterion (AIC), and (3) a model of EHR- and survey-based covariates chosen via forward selection based on AIC minimization. In total, 4685 individuals (response rate 46.9%) responded to the survey. Respondents were comparable to nonrespondents in most characteristics, but survey respondents were older (eg, >80 years old, 881 [18.8%] vs 800 [15.1%]), comprised a higher percentage of men (4391 [93.7%] vs 4794 [90.2%]), and were composed of more White non-Hispanic individuals (3366 [71.8%] vs 3259 [61.3%]). Based on AIC, the regression model with survey-based covariates and EHR-based covariates better estimated hospital admission at 90 days (AIC, 1947.7) and 180 days (AIC, 2951.9) than restricted models with only EHR-based covariates (AIC, 1980.2 at 90 days; AIC, 2981.9 at 180 days). This result was due to inclusion of self-reported measures such as marital or partner status, health-related locus of control, resilience, smoking status, health literacy, and medication insecurity. Augmenting EHR data with patient-reported social information improved estimation of 90-day and 180-day hospitalization risk, highlighting specific SDH factors that might identify individuals who are at high risk for hospitalization.

Automated and Interviewer-Administered Mobile Phone Surveys in Burkina Faso: Sociodemographic Differences Among Female Mobile Phone Survey Respondents and Nonrespondents.

BackgroundThe remarkable growth of cell phone ownership in low- and middle-income countries has generated significant interest in using cell phones for conducting surveys through computer-assisted telephone interviews, live interviewer-administered surveys, or automated surveys (ie, interactive voice response).ObjectiveThis study aimed to compare, by mode, the sociodemographic characteristics of cell phone owners who completed a follow-up phone survey with those who did not complete the survey.MethodsThe study was based on a nationally representative sample of women aged 15 to 49 years who reported cell phone ownership during a household survey in Burkina Faso in 2016. Female cell phone owners were randomized to participate in a computer-assisted telephone interview or hybrid interactive voice response follow-up phone survey 11 months after baseline interviews. Completion of the phone survey was defined as participants responding to more than 50% of questions in the phone survey. We investigated sociodemographic characteristics associated with cell phone survey completion using multivariable logistic regression models, stratifying the analysis by survey mode and by directly comparing computer-assisted telephone interview and hybrid interactive voice response respondents.ResultsA total of 1766 women were called for the phone survey between November 5 and 17, 2017. In both the computer-assisted telephone interview and hybrid interactive voice response samples, women in urban communities and women with secondary education or higher were more likely to complete the survey than their rural and less-educated counterparts. Compared directly, women who completed the hybrid interactive voice response survey had higher odds of having a secondary education than those who completed computer-assisted telephone interviews (odds ratio 1.7, 95% CI 1.1-2.6).ConclusionsIn Burkina Faso, computer-assisted telephone interviews are the preferred method of conducting cell phone surveys owing to less sample distortion and a higher response rate compared with a hybrid interactive voice response survey.

P103 A survey of exercise preferences amongst a cohort of patients with spondyloarthritis

Abstract Background Dry exercise and hydrotherapy are well-recognised components of axial spondyloarthritis management. The National Ankylosing Spondylitis Society (NASS) provides advice on appropriate exercise and available venues. This study aimed to determine the most popular type of exercise among spondyloarthritis patients under the care of the Luton &amp; Dunstable University Hospital, which serves an ethnically diverse population. Methods A survey was sent to 124 patients with axial and/or peripheral spondyloarthritis, asking preferences regarding dry and wet exercise (hydrotherapy), and whether they were aware of NASS. Answers were aggregated and analysed using Microsoft Excel. Results 56/124 patients responded to the survey, corresponding to a response rate of 45%. 30 (54%) were male and 26 (46%) were female. The mean age of respondents was 50 years, with 31/56 patients (55%) aged under 50. Represented ethnic groups included White British (36 patients), White Other (4), White Irish (3), Pakistani (4), Bangladeshi (3), Black Caribbean (3), Indian (2) and Asian (1). 43 (77%) patients were Caucasian (White British, Other and Irish), and 13 (23%) were non-Caucasian. Regarding survey non-respondents, 45/68 (66%) were Caucasian and 23/68 (34%) were non-Caucasian. A larger proportion of non-Caucasians did not respond to the survey. 23/36 (64%) non-Caucasians did not respond compared to 45/88 (51%) Caucasians. 42 patients (75%) preferred both dry exercise and hydrotherapy; 11 (20%) preferred dry exercise only and 3 (5%) preferred hydrotherapy only. 26 patients (46%) were aware of NASS. 30 (54%) were not aware of NASS. More females than males preferred both types of exercise or hydrotherapy only (25 females vs. 17 males: 3 females vs. no males respectively). More males preferred dry exercise only (9 males vs. 2 females). 14 females were aware of NASS compared to 12 males. Analysis of ethnic groups showed that similar proportions of Caucasians and non-Caucasians were aware of NASS (20/43 (47%) Caucasians vs. 6/13 (46%) non-Caucasians). A larger proportion of Caucasians preferred both types of exercise (33/43 (77%) Caucasians vs. 9/13 (69%) non-Caucasians). A larger proportion of non-Caucasians preferred dry exercise only (8/13 (62%) non-Caucasians vs. 3/43 (7%) Caucasians. Conclusion Most patients in Luton prefer both dry exercise and hydrotherapy, of which a larger proportion are Caucasian. A larger number of females prefer both types of exercise or hydrotherapy alone compared to males. Non-Caucasian patients prefer dry exercise. Most patients are not aware of NASS. In response to this survey and the service development needs of this group of patients, dedicated Tai Chi exercise classes, with integrated education on NASS, were implemented. Given the overall preference for both dry exercise and hydrotherapy, information gleaned from this survey will prove helpful to commissioners, for consideration of funding for hydrotherapy which is not currently available in Luton. Disclosures A. Owusu-Agyei None. A. Verdiyeva None. S. Norris None. E. Morris None. K. Hennessy None. M. Chan None.