Telephone Data Collection Research Articles

The case of the third national femicide study:

Collecting South African Police Service’s (SAPS) data is critical for femicide research in South Africa. This paper outlines lessons learnt from interviews with SAPS officials during the COVID-19 pandemic to collect data for the third national femicide study. This paper is based on the shared experiences of the research team, particularly the fieldworkers, and provides insight into undertaking research with the SAPS. It guides researchers, especially those planning to conduct researcher-administered questionnaires with SAPS officials. This paper also provides insight into the complexities and sheds light on the intricacies behind the hierarchical structure of the SAPS. It further suggests ways to improve both face-to-face and telephonic data collection and strategies to reduce missing data. The paper also highlights the need to be flexible and creative in devising strategies to overcome challenges. Finally, the paper addresses the various methods used to resolve challenges and enable the project to collect the best quality data with the least disruption to the services provided by SAPS officials.

Suivi de la prise en charge scolaire et médicosociale des enfants inclus dans le registre des handicaps de l’enfant de Guyane : entre théorie et réalité

IntroductionIn France, to benefit from appropriate medical, social and educational care, children with autism spectrum disorders must obtain a referral from the Maison Départementale des Personnes Handicapées (MDPH), and these notifications must then be implemented. In French Guiana, social and territorial inequalities in health are omnipresent. However, there are no data on the care of adolescents with Autism Spectrum Disorder in French Guiana. Aim and methodologyThe aim of the project was to explore the educational and medico-social pathways of children included in Guiana's autism spectrum disorder register since 2016 (who were living in Guiana in 2016 and whose ASD had been diagnosed before their 8th birthday) by means of a telephone interview and data collection at the MDPH. We included 52 young people aged 11 to 18, including 40 families contacted by telephone. The results obtained through the variables collected show that, despite a diagnosis made before the age of 8, only 29 young people (out of 47 completed) benefit from medical, social and educational care that coincides with the recommendations of the current Commission des droits et de l’autonomie des personnes handicapées (CDAPH). ResultsOf the 52 young people monitored, at least nine – or 17.3% – were not receiving any form of education. Thirty one young people were receiving medical, social, health and/or educational care at the time of the survey, compared with 16 who were not receiving any, mainly because they had been on a waiting list for an average of five years. In addition, 34% said they were not satisfied with the overall care their child received, mainly because of staff shortages. ConclusionIn conclusion, in French Guiana, there is a significant gap between what is recommended to parents for their teenage child's care and what is actually possible.

Loneliness prevalence of community-dwelling older adults and the impact of the mode of measurement, data collection, and country: A systematic review and meta-analysis.

The aim of this systematic review and meta-analysis is to assess the prevalence of loneliness in many countries worldwide which have different ways of assessing it. Systematic review and meta-analysis. We searched seven electronic databases for English peer-reviewed studies published between 1992 and 2021. We selected English-language peer-reviewed articles, with data from non-clinical populations of community-dwelling older adults (>60 years), and with "loneliness" or "lonely" in the title. A multilevel random-effects meta-analysis was used to estimate the prevalence of loneliness across studies and to pool prevalence rates for different measurement instruments, data collection methods, and countries. Our initial search identified 2,021 studies of which 45 (k = 101 prevalence rates) were included in the final meta-analysis. The estimated pooled prevalence rate was 31.6% (n = 168,473). Measurement instrument was a statistically significant moderator of the overall prevalence of loneliness. Loneliness prevalence was lowest for single-item questions and highest for the 20-item University of California-Los Angeles Loneliness Scale. Also, differences between modes of data collection were significant: the loneliness prevalence was significantly the highest for face-to-face data collection and the lowest for telephone and CATI data collection. Our moderator analysis to look at the country effect indicated that four of the six dimensions of Hofstede also caused a significant increase (Power Distance Index, Uncertainty Avoidance Index, Indulgence) or decrease (Individualism) in loneliness prevalence. This study suggests that there is high variability in loneliness prevalence rates among community-dwelling older adults, influenced by measurement instrument used, mode of data collection, and country.

Oportunidades domiciliares para o desenvolvimento motor de lactentes verticalmente expostos ao HIV

Abstract Objective to evaluate the opportunities of the home for the motor development of vertically exposed infants according to the interdependent levels of the environment. Methods This was a cross-sectional study which included family members who were capable of carrying out the daily care of HIV-exposed infants aged between three and 18 months who were being monitored by health services in eight municipalities in southern Brazil. Infants who were institutionalized, had lost their outpatient follow-up or were unable to be contacted by telephone were excluded. A total of 168 family members took part in the study through face-to-face and telephone data collection, characterizing the family member, the infant and the environment. The scales of opportunities in the home environment for motor development, the infant and food insecurity scales were applied. Descriptive analyses and correlations between the independent variables were carried out, followed by Poisson regression with robust variance. Results The total opportunities of the home environment were classified as moderately adequate (37.4%), variety of stimulation as excellent (35.4%), physical space as moderately adequate (44.5%), toys for gross motor skills (38.0%) and fine motor skills (38.7%) as less than adequate. There was an association for schooling (p < 0.005), income (p < 0.013) and food security (p < 0.032) with the outcome less than adequate or moderately adequate for home opportunities. Conclusion Poorer schooling, financial conditions and food security imply fewer opportunities for motor development, which can be exacerbated by the clinical fragility of infants with an as yet undefined serological condition and the demand for regular care to prevent vertical transmission.

Standardised data collection from people with dementia over the telephone: A qualitative study of the experience of DETERMIND programme researchers in a pandemic.

There is a notable lack of evidence on what constitutes good practice in remote quantitative data collection from research participants with dementia. During the COVID-19 pandemic face-to-face research became problematic, especially where participants were older and more at risk of infection. The DETERMIND-C19 study, a large cohort study of people with dementia, switched to telephone data collection over this period. This paper explores the experiences of researchers who collected quantitative data over the telephone from people with dementia during the first COVID-19 lockdowns in England. The aim was to learn from these experiences, share insights and inform future research practice across disciplines. Seven DETERMIND researchers were interviewed about the processes and challenges of collecting quantitative data from people with dementia over the telephone compared to face-to-face. Data were analysed using reflexive thematic analysis. Two themes were developed: first the telephone adds an extra layer of confusion to an already cognitively complex interaction. Second, researchers found it difficult to recognise subtle cues that signalled participants' rising emotion over the telephone in time to prevent distress. The researchers employed strategies to support participants which may not have conformed to the strict conventions of structured interviewing, but which were informed by person-oriented principles. Whilst in practice this may be a common approach to balancing the needs of participants and the requirements of quantitative research, it is rare for studies to openly discuss such trade-offs in the literature. Honest, reflective reporting is required if the practice of remote data collection from people with dementia is to progress ethically and with integrity.

Survival and health of children who are HIV-exposed uninfected: study protocol for the CHERISH (Children HIV-Exposed Uninfected - Research to Inform Survival and Health) dynamic, prospective, maternal-child cohort study

IntroductionCHERISH is designed to establish a long-term sustainable system for measurement of in utero and postnatal exposures and outcomes in children who are HIV-exposed uninfected (HEU) and HIV-unexposed to compare...

COVID-19 and Global Poverty and Food Security

The impacts of coronavirus disease 2019 (COVID-19) on food systems, poverty, and nutrition have been caused by generalized economic recession and disruptions in agrifood supply chains. This article reviews a growing empirical literature assessing those impacts. The review confirms that income shocks and supply disruptions have affected food security and livelihoods more where supply chains were poorly integrated and poverty where market informality had a greater presence before COVID-19. Yet, as the pandemic persists, outcomes remain uncertain and reliable data are still sparsely available. This review also reveals how methodological approaches have evolved during the pandemic, ranging from model-based scenario analyses, telephone survey evidence, case-study analyses, and data collection on policy responses and their effects. This review concludes that while we have good insight into the COVID-19 pandemic's impacts on food security, there is still much that we do not know, requiring much more rigorous hypothesis testing based on reliable and observed data.

Fifty years of survey innovation

While completing my PhD in sociology, I did not anticipate spending most of my academic career researching ways to improve methods for doing sample surveys. At that time, I was dedicated to understanding community organization and how people adopt the use of new technologies. This article describes how becoming a new assistant professor just prior to a university crisis turned my academic interests away from organizational behavior toward more than five decades of research to advance survey methodology in step with technological changes transforming the world. This process also turned upside down my thoughts on how to do research. Increasingly I was inspired by the work of survey designers in government and private sector organizations who needed help with improving their survey designs. These experiences led to the creation of a series of innovations: telephone and mail data collection methods, mixed-mode surveying, tailored design for different survey situations, data collection over the internet, unified construction of questionnaires across survey modes, and understanding the differences between answers given to aurally vs. visually delivered survey questions. This sequence of research efforts led to the development and testing of web-push procedures that are now replacing the use of telephone survey methods throughout the world. Yet frequently and at unexpected times, my education in social organization and technology issues provided much needed guidance for thinking beyond the constraints of current survey methods and the possibilities that new methods could provide.

Phone-based monitoring to evaluate health policy and program implementation in Kenya.

Monitoring and evaluating policies and programs in low- and middle-income countries are often difficult because of the lack of routine data. High mobile phone ownership in these countries presents an opportunity for efficient data collection through telephone interviews. This study examined the feasibility of collecting data on medicines through telephone interviews in Kenya. Data on the availability and prices of medicines at 137 health facilities and 639 patients were collected in September 2016 via in-person interviews. Between December 2016 and December 2017, monthly telephone interviews were conducted with health facilities and patients. An unannounced in-person interview was conducted with respondents to validate the telephone interview within 24 h. A bottom-up itemization costing approach was used to estimate the costs of telephone and in-person data collection. In-depth interviews were conducted with data collectors and respondents to explore their perceptions on both modes of data collection. The level of agreement between data on medicines availability collected through phone and in-person interviews was strong at the health facility level [kappa = 0.90; confidence interval (CI) 0.88–0.92] and moderate at the household level (kappa = 0.50, CI 0.39–0.60). Price data from telephone and in-person interviews showed strong intra-class correlation at health facilities [intra-class correlation coefficient (ICC) = 0.96] and moderate intra-class correlation at households (ICC = 0.47). The cost per phone interview at health facilities and households were $19.73 and $16.86, respectively, compared to $186.20 for a baseline in-person interview. Participants considered telephone interviews to be more convenient. In countries with high cell phone penetration, telephone data collection should be considered in monitoring and evaluating public health programs especially at health facilities. Additional strategies may be needed to optimize this mode of data collection at the household level. Variations in cell phone ownership, telecommunication network and data collection costs across different settings may limit the generalizability of the findings from this study.

Medicaid prescription limits and their implications for naloxone accessibility

BackgroundExpanding access to and utilization of naloxone is a vitally important harm reduction strategy for preventing opioid overdose deaths, particularly in vulnerable populations like Medicaid beneficiaries. The objective of this study was to characterize the landscape of monthly prescription fill limit policies in Medicaid programs and their potential implications for expanding naloxone use for opioid overdose harm reduction. MethodsA cross-sectional, multi-modal online and telephonic data collection strategy was used to identify and describe the presence and characteristics of monthly prescription fill limit policies across state Medicaid programs. Contextual characteristics were described regarding each state’s Medicaid enrollment, opioid prescribing rates, and overdose death rates. Data collection and analysis occurred between February and May 2020. ResultsMedicaid-covered naloxone fills are currently subject to monthly prescription fill limit policies in 10 state Medicaid programs, which cover 20 % of the Medicaid population nationwide. Seven of these programs are located in states ranking in the top 10 highest per-capita opioid prescribing rates in the country. However, 8 of these programs are located in states with opioid overdose death rates below the national average. ConclusionsMedicaid beneficiaries at high risk of opioid overdose living in states with monthly prescription fill limits may experience significant barriers to obtaining naloxone. Exempting naloxone from Medicaid prescription limit restrictions may help spur broader adoption of naloxone for opioid overdose mortality prevention, especially in states with high opioid prescribing rates. Achieving unfettered naloxone coverage in Medicaid is critical as opioid overdoses and Medicaid enrollment increase amid the COVID-19 pandemic.

Evaluation of social inequalites in health of road accident victims in Ouagadougou, Burkina Faso

Each year, more than 1.2 million deaths in the world are due to road accidents. It is the leading cause of mortality in young people between the ages of 15 and 29 years. Road accidents and associated injuries have a major impact on health and development. Many international reports have evaluated the mortality and morbidity related to road accidents, but these studies are based on limited data, often with limited robustness. Based on a study conducted in Ouagadougou, the capital of Burkina Faso, to estimate the mortality and morbidity of road accident victims, the objective of this article was to evaluate social, spatial and health inequalities of populations killed or injured as a result of a road accident. Between February and July 2015, all road accidents were recorded by policemen using a mobile telephone data collection system, including geolocation of accidents. Three quantitative and prospective survey phases were then performed on injured patients admitted to Yalgado Ouedraogo hospital, the reference centre for these patients. A total of 1,867 emergency department admissions were reported. The majority (95%) of road accident victims were vulnerable users. More than 30% of accidents occurred in one central quarter and two peripheral quarters. The mean management time as 1 hour 3 minutes for victims rescued by firemen and 3 hours 10 minutes for those who attended the emergency department on their own. The mean total cost of management was 126,799 CFA francs (€193) [400-2,000,000 CFA francs]. These results identify possible actions designed to reduce road accident injuries and their consequences. They demonstrate that the creation of surveillance systems common to police forces, rescue and health care services are essential to produce convincing data.

Do Web and Telephone Produce the Same Number of Changes and Events in a Panel Survey

Measuring change over time is one of the main purposes of longitudinal surveys. With an increase in the use of web as a mode of data collection it is important to assess whether the web mode differs from other modes with respect to the number of changes and events that are captured. We examine whether telephone and web data collection modes are compara­ble with respect to measuring changes over time or experiencing events. Using experimen­tal data from a two-wave pilot of the Swiss Household Panel, we investigate this question for several variables in the domain of work and family. We find differences for the work-related variables, with web respondents more likely to re­port changes. These differences do not disappear once the socio-demographic composition of the sample is taken into consideration. This suggests that these differences are not driven by observed different characteristics of the respondents who may have self-selected into one or the other mode. Contrary to work-related variables, a termination of a relationship was more common in the telephone group. This shows that one mode does not necessarily measure more change or events than another; it may depend on the variable in question. In addition, the difference in the protocol mattered: a web respondent in a household that participated fully by web sometimes differed from a web respondent in a household that had a household interview by phone. Nonetheless, the telephone group differed more from the various web protocols that the web protocols among themselves. With more household panel surveys introducing web questionnaires in combination with more traditional face-to-face and telephone interviews, this study adds to our understand­ing of the potential consequences of mixing modes with respect to longitudinal data analy­sis.

Computer tablet or telephone? A randomised controlled trial exploring two methods of collecting data from drug and alcohol outpatients

ObjectiveBoth computerised and telephone surveys have potential advantages for research data collection. The current study aimed to determine the: (i) feasibility, (ii) acceptability, and (iii) cost per completed survey of computer tablet versus telephone data collection for clients attending an outpatient drug and alcohol treatment clinic. DesignTwo-arm randomised controlled trial. MethodClients attending a drug and alcohol outpatient clinic in New South Wales, Australia, were randomised to complete a baseline survey via computer tablet in the clinic or via telephone interview within two weeks of their appointment. All participants completed a three-month follow-up survey via telephone. ResultsConsent and completion rates for the baseline survey were significantly higher in the computer tablet condition. The time taken to complete the computer tablet survey was lower (11min) than the telephone condition (17min). There were no differences in the proportion of consenters or completed follow-up surveys between the two conditions at the 3-month follow-up. Acceptability was high across both modes of data collection. The cost of the computer tablet condition was $67.52 greater per completed survey than the telephone condition. ConclusionThere is a trade-off between computer tablet and telephone data collection. While both data collection methods were acceptable to participants, the computer tablet condition resulted in higher consent and completion rates at baseline, therefore yielding greater external validity, and was quicker for participants to complete. Telephone data collection was however, more cost-effective. Researchers should carefully consider the mode of data collection that suits individual study needs.

Nationwide but still inhomogeneous distribution ofcertified chest pain units across Germany : Need to strengthen rural regions.

The purpose of this work was to analyze structure, distribution, and bed capacities of certified German chest pain units (CPUs) to unveil potential gaps despite nationwide certification of 230 units till the end of 2015. Analysis of number and structure of CPUs per state, resident count, and population density by standardized telephone interview, online research, and data collection from the registry of the Federal Statistical Office for all certified German CPUs. Nationwide, German health facilities provided amean of 1CPU bed within acertified unit per 65,000 inhabitants. Bremen, Hamburg, Hesse, and Rhineland-Palatinate provided more than 1bed per 50,000 inhabitants. Most CPUs (49%) were located in the emergency room. All university hospitals in Germany provided acertified CPU. Most units were found in academic teaching hospitals (146 CPUs). Only 42CPUs were found in nonacademic providers of primary health care. The absolute necessary number of CPUs to reach full nationwide coverage is still unknown. The current analysis shows ahigh number of CPUs and bed capacities within the cities and industrial areas without relevant gaps, but also demonstrates acertain undersupply in more rural areas as well as in some of the former eastern federal states of Germany.

Random Digit Dialing versus Address-Based Sampling using Telephone Data Collection

Dual-frame random digit dialing (RDD) and address-based sampling (ABS) are typically considered for household survey frames. Inaccurate geographic assignments using RDD can lead to undercoverage of the target population and challenges in oversampling geographically-clustered subpopulations. Geographic targeting is straightforward with an ABS design, but ABS poses challenges related to contact for telephone data collection. The Aligning Forces for Quality: Assessment of Consumer Engagement (AF4Q) survey was originally based on an RDD design and was migrated to an ABS design due to concerns with coverage, sampling efficiencies, and data collection costs. We discuss the challenges associated with each sampling method and compare key measures between the designs. We find that the ABS design offered higher frame coverage, lower costs, and improved sampling efficiency, while the RDD design had higher response rates. ABS should be considered as a viable option for telephone-only data collection efforts that feature geographic targeting or oversampling of geographically-clustered populations.

EpiAssist: Service-learning in public health education.

Although public health degree programs typically require practica and other field experiences, service-learning courses, with a focus on civic engagement and the application of classroom learning in real world settings, can go beyond these requirements and provide benefits to students and community-based practice partners. The goal of this paper is to assess potential benefits of service-learning programs for both graduate-level public health students and state and local public health agency partners. EpiAssist is a new service-learning program developed at the School of Public Health of the Texas A and M University Health Science Center, USA, in January 2015. EpiAssist was integrated into a new course, Methods in Field Epidemiology. The integration of service-learning was guided by a partnership with the Texas A and M Center for Teaching Excellence. State, regional, and local public health partners requested EpiAssist via email or telephone. A listserv was used to recruit student volunteers to meet requests. 54 of 86 registered EpiAssist students (63%) participated in at least one of ten service-learning and three training activities between January and June, 2015. Service-learning activities included questionnaire development, in-person and telephone data collection, and data analysis. Training topics for students included the Epi Info™ software, community assessment and communicable disease reporting. Students and partner organizations provided generally positive assessments of this service learning program through an online evaluation. Service-learning provides students with enhanced classroom learning through applied public health experience in state, regional and local health departments. These experiences provide both needed surge capacity to public health departments and valuable hands-on field experience to students.

International brands in emerging markets: the myths of segmentation

Purpose – International brands are expanding their business into emerging markets seeking new consumers for their products. Multiple research studies suggest that there are two key differentiators between developed and emerging markets that managers must take into account. These are that consumers differentiate between local and international brands, and that consumer segments differ between emerging and developed markets. This paper refutes these myths. The paper aims to discuss these issues. Design/methodology/approach – The authors examine large-scale data of purchase behaviour across seven countries and six product categories through telephone or online data collection. Surveys conducted in conjunction with research consulting projects form the basis of data collection, with samples skewing towards middle-income population from urban areas within the emerging markets. The different survey methods used support the empirical generalisability of the findings. Findings – The authors find that brand user profiles in emerging markets rarely differ between local and international brands across age, income and gender. Differences in segmentation are related to geography – which is likely a factor of infrastructure differences. When brand users are compared, their attitudes towards the brands are also very similar between local and international brands across several attitudinal measures: “high quality”, “value for money”, “meet/understand my needs”, “affordability” and “trustworthiness”. Originality/value – The research highlights that consumers in emerging markets need not be segmented based on their brand purchasing behaviour when it comes to local and international brands. This is in line with a growing body of literature in consumer segmentation and in contrast to a considerable amount of traditional literature on emerging markets.

Filling out the compulsory notification in health services that care for women who suffer from sexual violence.

To evaluate the proportion of health services that fill out the compulsory notification and what the main difficulties to fill it out are. A study was carried out with two different approaches. For the quantitative approach, a cross sectional study was performed, with telephone data collection. In the state of São Paulo, 291 health services that had reported providing care to women who suffer from sexual violence were identified. The sample was composed of 172 services that reported providing emergency care to women. In the qualitative approach, case studies were conducted. Six cities were chosen by intention and convenience. For each of them, professionals from two health services were invited to participate. Forty-five semi-structured interviews were conducted. For quantitative data, a descriptive analysis was carried out. For qualitative data, a thematic analysis of content was performed. The proportion of health services which reported always filling out the notification in cases of sexual violence was 79.1%. More than half (53.5%) reported difficulties concerning the assisted women, one third reported reasons related to the form, and 29.7%, to the professionals. In the qualitative approach, the main difficulties were the size of the form, the problems to obtain the information about the woman and the difficulty for the professional to obtain this information. Although most health services claimed to fill out the compulsory notification, they also mentioned several difficulties to do so, especially with regard to the workload of professionals and the misunderstanding about the importance of the notification in the context of comprehensive care to women who suffer from sexual violence. To evaluate the proportion of health services that fill out the compulsory notification and what the main difficulties to fill it out are. A study was carried out with two different approaches. For the quantitative approach, a cross sectional study was performed, with telephone data collection. In the state of São Paulo, 291 health services that had reported providing care to women who suffer from sexual violence were identified. The sample was composed of 172 services that reported providing emergency care to women. In the qualitative approach, case studies were conducted. Six cities were chosen by intention and convenience. For each of them, professionals from two health services were invited to participate. Forty-five semi-structured interviews were conducted. For quantitative data, a descriptive analysis was carried out. For qualitative data, a thematic analysis of content was performed. The proportion of health services which reported always filling out the notification in cases of sexual violence was 79.1%. More than half (53.5%) reported difficulties concerning the assisted women, one third reported reasons related to the form, and 29.7%, to the professionals. In the qualitative approach, the main difficulties were the size of the form, the problems to obtain the information about the woman and the difficulty for the professional to obtain this information. Although most health services claimed to fill out the compulsory notification, they also mentioned several difficulties to do so, especially with regard to the workload of professionals and the misunderstanding about the importance of the notification in the context of comprehensive care to women who suffer from sexual violence.

An Innovative Data Collection Method for Investigating Unresolved Pain After ED Discharge: A Pilot Study

Research focused on improving the outcome of patients with pain is an important aspect of emergency care, yet little information has been published to quantify pain severity, patient improvement, and return to independent function after ED discharge. Because of the paucity of available clinical data, this pilot study was designed to determine the acceptability and feasibility of using electronic data collection procedures. Specifically, we examined the willingness of discharged ED patients to use portable touch-screen computers as an alternative to traditional "paper and pencil" or telephone data collection methods to report postdischarge pain. Participants in this prospective pilot study all reported acute pain that was unresolved at the time of ED discharge. Descriptive data were self-entered on touch-screen computers at ED discharge and 7 days later in subjects' homes. Participants completed 4 Patient-Reported Outcomes Measurement Information System (PROMIS Network, Silver Spring, MD), questionnaires and the computer acceptability scale (CAS), using the Assessment Center platform program (National Institute of Health, Bethesda, MD) for instrument administration, data storage, and information retrieval. Determinants of study success were willingness of the participants to use touch-screen computers, questionnaire completion time, and completeness of the data. Participants (N = 25) used touch-screen computers to complete 18 questions at the time of ED discharge. The mean completion time was 3.54 (± 1.13) minutes. Participants averaged 5.83 (± 2.00) minutes to complete the follow-up questionnaires. Ninety-two percent of subjects reported that the touch-screen computer was easy to use. We encountered no issues with data management using the Assessment Center platform. Touch-screen computers are a feasible and acceptable approach to collecting information about how patients self-manage unresolved pain after discharge from an emergency department. This methodology offers an alternative to traditional data collection methods. These data can inform researchers as they design future studies and assist emergency nurses who are responsible for planning quality improvement initiatives.

Comparison of Success Rates between Two Video Laryngoscope Systems Used in a Prehospital Clinical Trial

Objectives. The primary aims of this study were to compare paramedic success rates and complications of two different video laryngoscopes in a prehospital clinical study. Methods. This study was a multi-agency, prospective, non-randomized, cross over clinical trial involving paramedics from four different EMS agencies. Following completion of training sessions, six Storz CMAC™ video laryngoscopes and six King Vision™ (KV) video laryngoscopes were divided between agencies and placed into service for 6 months. Paramedics were instructed to use the video laryngoscope for all patients estimated to be ≥ 18 years old who required advanced airway management per standard operating procedure. After 6 months, the devices were crossed over for the final 6 months of the study period. Data collection was completed using a telephone data collection system with a member of the research team (available 24/7). First attempt success, overall success, and success by attempt, were compared between treatment groups using exact logistic regression adjusted for call type and user experience. Results. Over a 12-month period, 107 patients (66 CMAC, 41 KV) were treated with a study device. The CMAC had a significantly higher likelihood of first attempt success (OR = 1.85; 95% CI 0.74, 4.62; p = 0.188), overall success (OR = 7.37; 95% CI 1.73, 11.1; p = 0.002), and success by attempt (OR = 3.38; 95% CI 1.67, 6.8; p = 0.007) compared to KV. Providers reverted to direct laryngoscopy in 80% (27/34) of the video laryngoscope failure cases, with the remaining patients having their airways successfully managed with a supraglottic airway in 3 cases and bag-valve mask in 4 cases. The provider-reported complications were similar and none were statistically different between treatment groups. Complication rates were not statistically different between devices. Conclusion. The CMAC had a higher likelihood of successful intubation compared to the King Vision. Complication rates were not statistically different between groups. Video laryngoscope placement success rates were not higher than our historical direct laryngoscopy success rates.