Total Visit Duration Research Articles

Evaluation of eye movements and visual performance in patients with cataract

Eye movement is an essential component of visual perception. Eye movement disorders have been observed in many eye disease, and are thought to affect various visual performance in daily life. However, eye movement behaviors of the elderly with cataract are poorly understood, and the impact of cataract surgery on eye movements has not been investigated. In this study, we observed the eye movement behaviors in thirty patients with bilateral age-related cataract while performing three performance-based tasks (visual search, face recognition and reading). Eye movements were automatically recorded by an eye tracker during task performance. We found an overall improved visual performance postoperatively, presented as elevated percentage of correctly identified objects and faces, reduced search time and increased reading speed. Eye movement parameters were found significantly altered after cataract surgery. Fixation count, total fixation duration and total visit duration were markedly increased in the visual search task and face recognition task. The proportion of regressive saccades was obviously decreased in the reading task. These eye movement parameters were found to be correlated with the measures of visual performance. Our findings suggested a potential association between the eye movement disturbance and impaired visual performance, and provided a new insight on the potential usefulness of eye movement as an objective and valid tool to understand visual impairments caused by cataract, as well as evaluate practical outcomes of cataract surgery.

Resource utilization associated with hospital and office-based insertion of a miniaturized insertable cardiac monitor: results from the RIO 2 randomized US study

Background: Previous studies support operational benefits when moving insertable cardiac monitor (ICM) insertions outside the cardiac catheterization/electrophysiology laboratories, but this has not been directly assessed in a randomized trial or when the procedure is specifically moved to the office setting. To gain insight, the RIO 2 US study collected resource utilization and procedure time intervals for ICM insertion in-office and in-hospital and these data were used to calculate costs associated with staff time and supply use in each setting.Methods and results: The Reveal LINQ In-Office 2 US study (randomized [1:1], multicenter, unblinded) included 482 patients to undergo insertion of the ICM in-hospital (in an operating room or CATH/EP laboratory) (n = 231) or in-office (n = 251). Detailed information on resource utilization was collected prospectively by the study and used to compare resource utilization and procedure time intervals during ICM insertion procedures performed in-office vs. in-hospital. In addition, costs associated with staff time and supply use in each setting were calculated retrospectively. Total visit duration (check-in to discharge) was 107 min shorter in-office vs. in-hospital (95% CI = 97−116 min; p < 0.001). Patient preparation and education in-office were more likely to occur in the same room as the procedure, compared with in-hospital (91.6% vs. 34.2%, p < 0.001 and 87.3% vs. 22.1%, p < 0.001, respectively). There was a reduction in registered nurse and cardiovascular/operating room technologist involvement in-office, accompanied by higher physician and medical assistant participation. Overall staff time spent per case was 75% higher in-hospital, leading to 50% higher staffing costs compared to in-office.Conclusions: ICM insertion in a physician’s office vs. a hospital setting resulted in reduced patient visit time and reduced overall staff time, with a consequent reduction in staffing costs. Clinical trial registration: ClinicalTrials.gov NCT02395536

TÜRK ÇOCUKLARININ TÜMCE İŞLEMLEME SÜREÇLERİ: GÖZ İZLEME ÇALIŞMASI

Sentence comprehension depends on the understanding of both the individual words and their hierarcical relations with other words. So far, researchers have studied sentence processing by using different methods. In this study, sentence comprehension of school-aged children without developmental language disorder were investigated by using eye tracking measure. The data collection tool consists of ten sets of sentences in four different meaning conditions such as literal sense, figurative sense, polysemous sense and technical sense. In each condition the same target word, area of interest, were identified, which make a total of 40 target sentences. In this study, ‘the first fixation duration’, ‘total fixation duration’ and ‘total visit duration’ are used as the metrics of eye tracking data to analyze the processing of different types of Turkish sentences. The results revealed that in TVD and TFD parameters there was significant difference among all 4 categories of meanings. Furthermore, there was significant difference in TVD and TFD parameter among literal and polysemous meaning categories and figurative and polysemous meaning categories. On the contrary there was no significant difference among literal and figurative, literal and technical and figurative and technical meaning categories. The results of this study indicate that different meanings of the same word can cause different processing difficulties. The processing of polysemous meaning takes longer time than processing of literal, figurative and technical meaning. The children have difficulty in making connection between the literal meaning and polysemous meaning. Educators should improve children’s cognitive abilities and help them to create the connection between the literal and polysemous sense. The results suggest that salient meaning is more activated than the less frequent meaning. The results of the study are in consistence with Giora’s Graded Salience Hypothesis revealing that salient meaning is activated faster than the nonsalient meaning.

Safety of in-hospital insertable cardiac monitor procedures performed outside the traditional settings: results from the Reveal LINQ in-office 2 international study

BackgroundHistorically, the majority of insertable cardiac monitor (ICM) procedures were performed in the cardiac catheterization (cath) lab, electrophysiology (EP) lab, or operating room (OR). The miniaturization of ICMs allows the procedure to be relocated within the hospital without compromising patient safety. We sought to estimate the rate of untoward events associated with procedures performed within the hospital but outside the traditional settings and to characterize resource utilization, procedure time intervals, and physician experience.MethodsThe Reveal LINQ in-Office 2 (RIO 2) International study was a single arm, multicenter, prospective study. Patients indicated for an ICM and willing to undergo device insertion outside the cath/EP lab or OR were eligible and followed for 90 days after insertion.ResultsA total of 191 patients (45.5% female aged 63.8 ± 26.9 years) underwent successful Reveal LINQ ICM insertion at 17 centers in Europe, Canada and Australia. The median total visit duration was 106 min (interquartile range [IQR]: 55–61). Patient preparation and patient education accounted for 10 min (IQR: 5–20) and 10 min (IQR: 8–15) of total visit duration, respectively. Preparation and education occurred in the procedure room for 90.6 and 60.2% of patients, respectively. There were no untoward events (0.0, 95% CI: 0.0–2.1%) though four patients presented with procedure-related adverse events that did not require invasive intervention. Physicians rated procedure location as convenient or very convenient.ConclusionsThe Reveal LINQ™ ICM insertion can be safely and efficiently performed in the hospital outside the cath/EP lab or OR.Trial registrationClinicalTrials.gov identifier NCT02412488; registered on April 9, 2015.

Immediate effects of coloured overlays on the reading performance of preschool children with an autism spectrum disorder using eye tracking

BackgroundColoured overlays have often been used to improve reading performance in preschool children with an autism spectrum disorder (ASD), however, previous evidence shows conflicts in its application. AimsTo investigate the immediate effects of coloured overlays on reading performance using eye tracking in preschool children with ASD and their typical development (TD) counterparts closely matched by chronological age. MethodsForty participants with ASD (n = 20) or TD (n = 20) were recruited by convenience sampling and asked to read aloud numbers randomly arranged on paper. Participants’ ocular performance (fixation duration, fixation count, total visit duration), reading speed and number of errors were recorded by eye tracker and digital stopwatch respectively throughout testing with and without coloured overlays. ResultsThe findings show that coloured overlays had no significant immediate effect in improving ocular performance and reading speed of children with ASD or TD, although individual improvements were identified in some children with ASD. ConclusionsUse of coloured overlays may not be useful to improve reading and ocular performance in children with ASD in one single occasion. The potential effect on reading ability of using coloured overlays repetitively for a longer period needs further investigation.

Short communication: Tick-borne disease is associated with changes in feeding behavior in automatically fed weaned dairy calves

Tick-borne disease is a hemolytic disease complex that causes extensive losses to the dairy industry in tropical regions. Its timely diagnosis is challenging and labor intensive. Our objective was to investigate whether tick-borne disease was associated with changes in ingestive behavior of weaned dairy calves. Weaned calves (n = 35) enrolled at 108 ± 8 d of age were group housed (n = 12, 12, and 11/group) for 4 wk in the experimental pen, which had 12 electronic feed bins and 2 electronic water bins. Data were automatically collected at each feed or water bin visit via radio frequency identification ear tags. Water and total mixed ration were provided ad libitum. Calves were examined weekly for tick-borne disease detection. A disease bout was confirmed if packed cell volume was ≤25% at any exam. Diseased calves received antimicrobial and antipyretic treatment. Data were summarized by day within bin type (feed or water) as intake (kg/d; as-fed basis), frequency of visits (visits/d), and total duration of visits (min/d). Day of detection was set as d 0; a 9-d behavioral screening period for evaluation of behavioral changes was set according to d 0 (d -4 to +4). A within-calf mean was calculated for the healthy period (HP; mean of all days between 2 consecutive negative exams) for each response variable. Data were analyzed as within-calf differences between HP and each day of the behavioral screening period. Tick-borne disease was detected in 12 calves; thus, only data referent to these animals were included in the analyses. Compared with HP, daily feed intake was reduced on d -1, 0, and +1, and daily frequency and total duration of feed bin visits were reduced from d -3 to d +4. Daily feed intake was reduced by 35% on d -1 (3.5 ± 0.4 vs. 5.4 ± 0.5 kg/d for HP), and daily frequency and duration of visits were reduced by 27% (56.3 ± 7.8 vs. 76.7 ± 8.1 visits/d for HP) and 24% (27.0 ± 3.8 vs. 35.4 ± 3.9 min/d for HP) on d -3, respectively. Daily water intake on d 0 (9.1 ± 1.4 kg/d) was lower than at HP (12.9 ± 1.6 kg/d), but other drinking behaviors were not different from healthy means during the screening period. Feeding behavior, but not drinking behavior, was different from HP means before detection at weekly exams. Therefore, feeding behavior could be further explored for the development of algorithms for tick-borne disease detection.

Comparison of patient flow and provider efficiency of two delivery strategies for HPV-based cervical cancer screening in Western Kenya: a time and motion study

ABSTRACTBackground: Improving patient flow and reducing over-crowding can improve quality, promptness of care, and patient satisfaction. Given low utilization of preventive care in low-resource countries, improved patient flows are especially important in these settings.Objective: Compare patient flow and provider efficiency between two cervical cancer screening strategies via self-collected human papillomavirus (HPV).Methods: We collected time and motion data for patients screened for cervical cancer in 12 communities in rural Migori County, Kenya as part of a larger cluster randomized trial. Six communities were randomized to screening in community health campaigns (CHCs) and six to screening at government clinics. We quantified patient flow: duration spent on each active stage of screening and wait times, and the number of patients arriving at CHCs and clinics each hour of the day. In addition, for four CHCs, we collected time and motion data for providers, and measured provider efficiency as a ratio of active (service delivery) time to total time spent at the clinic.Results: Total duration of screening visits, at CHCs and clinics was 42 and 87 minutes, respectively (p < 0.001 for difference). Total active time lasted longer at CHCs, with a mean of 28 minutes per patient versus 15 minutes at clinics, largely due to differences in duration for group education (p < 0.001). Wait time for registration at clinics was 36 minutes, explaining most of the difference between settings, but sometimes incorporated other health services.Conclusions: There is a substantial difference in patient flow at clinics compared to CHCs. Shorter duration at CHCs suggests that the model is favorable for patients in limiting time spent on screening. Future cervical cancer screening programs designed for scale-up should consider how this advantage may enhance satisfaction and uptake. For clinic-based screening programs, efforts could be made towards reducing registration wait times.

Monitoring trough visits of growing-finishing pigs with UHF-RFID

Automatic monitoring of animal feeding behaviour in commercial farms is desirable as it is an important indicator for the well-being and health of animals. Low-frequency and high-frequency radio frequency identification (RFID) systems have been tested for the detection of feeding visits of growing-finishing pigs, but the suitability of ultra-high frequency (UHF) RFID for this application has not yet been shown. Therefore, the objective of this study was the validation of a UHF-RFID system, consisting of a reader, antennas and passive transponder ear tags, for the monitoring of visits of growing-finishing pigs at a short trough for liquid feeding. Consequently, (1) two antenna variants (free-form and patch antennas) were tested at different levels of antenna output power, (2) two methods to determine a bout criterion for the creation of trough visits from the RFID registrations were compared, and (3) a comparison of the RFID data with reference data from video observation was carried out. The analysis showed that the reading area exceeded the trough especially in the variants with high output power. Thus, the evaluation of the first and second rate of change of the total daily number and total daily duration of visits led to higher values for the bout criterion (50 s for both antenna variants) than the evaluation of the mean absolute deviation between video and RFID data (20 s for the free-form antenna and 30 s for the patch antennas). The trough visits observed were detected best with the patch antennas at 25 dBm output power and a bout criterion of 30 s with regard to average precision (61.1%), and correlation between the video data and RFID visits (R2 = 0.87 for total number and 0.80 for total duration of visits). The average sensitivity of this variant was 49.7%, specificity 99.0% and accuracy 97.9%. The highest average sensitivity (79.7%) and a good correlation between video data and RFID visits (R2 = 0.78 for total number, 0.56 for total duration of visits with a bout criterion of 50 s) were measured with the free-form antenna at 26 dBm. In conclusion, UHF-RFID can be suitable for the monitoring of trough visits of growing-finishing pigs, but the effect of ear tissue on the performance of the UHF-RFID ear tags should be reduced by further development. In addition, further research should be carried out to evaluate the potential of this technology completely for animal behaviour monitoring.

Fully digital data processing during cardiovascular implantable electronic device follow-up in a high-volume tertiary center

BackgroundIncreasing numbers of patients with cardiovascular implantable electronic devices (CIEDs) and limited follow-up capacities highlight unmet challenges in clinical electrophysiology. Integrated software (MediConnect®) enabling fully digital processing of device interrogation data has been commercially developed to facilitate follow-up visits. We sought to assess feasibility of fully digital data processing (FDDP) during ambulatory device follow-up in a high-volume tertiary hospital to provide guidance for future users of FDDP software.MethodsA total of 391 patients (mean age, 70 years) presenting to the outpatient department for routine device follow-up were analyzed (pacemaker, 44%; implantable cardioverter defibrillator, 39%; cardiac resynchronization therapy device, 16%).ResultsQuality of data transfer and follow-up duration were compared between digital (n = 265) and manual processing of device data (n = 126). Digital data import was successful, complete and correct in 82% of cases when early software versions were used. When using the most recent software version the rate of successful digital data import increased to 100%. Software-based import of interrogation data was complete and without failure in 97% of cases. The mean duration of a follow-up visit did not differ between the two groups (digital 18.7 min vs. manual data transfer 18.2 min).ConclusionsFDDP software was successfully implemented into the ambulatory follow-up of patients with implanted pacemakers and defibrillators. Digital data import into electronic patient management software was feasible and supported the physician’s workflow. The total duration of follow-up visits comprising technical device interrogation and clinical actions was not affected in the present tertiary center outpatient cohort.

Comparison of midwife-led care and obstetrician-led care on maternal and neonatal outcomes in Singapore: A retrospective cohort study

Objectivesto examine the maternal and neonatal outcomes of low-risk women receiving midwife-led care and obstetrician-led care. Design, setting,&participantsa retrospective cohort study design was used. Data were collected from a large tertiary maternity hospital in Singapore. This involved a medical record review of 368 women who had singleton, normal to low-risk, term pregnancy, and received midwife-led care and obstetrician-led care between 2013 to 2014. Measurementsa data extraction tool was used to solicit information on the outcome measures, including duration of labour, mode of delivery, episiotomy, and 5-minutes Apgar score (<7). Descriptive statistics were used to summarise the women's ‘characteristics. χ2 and independent sample t-test were used to assess the differences in demographics and birth outcomes. Multiple linear and logistic regressions were used to examine the difference between the two comparison groups after adjusted for potential confounders. Findingsstatistically significant differences (p<0.05) between the midwife-led care group and the obstetrician-led care group in terms of the total duration of labour and total antenatal visits were found. No statistically significant differences were observed for mode of delivery, episiotomy, intrapartum pain management, labour augmentation, labour induction, postpartum haemorrhage, perineal trauma, birth status, 5-minutes Apgar score (<7), low birth weight (<2500g), and neonatal admission to intensive care units between the midwife-led care group and the obstetrician-led care group. Key conclusionswhile interventions such as episiotomies and labour augmentation were more common in the midwife-led care group, no significant differences were found for most of the outcome measures between the two maternity groups except for total antenatal visits and duration of labour. Findings suggest that midwife-led care is as safe and effective as obstetrician-led care in achieving optimal birth outcomes, with no higher risk of adversities for low-risk women. Additional studies are necessary to continuously evaluate midwife-led care and to promote normal birth and reduce excessive use of obstetric procedures. Implications for practicethe provision of midwife-led care should continue to be extended as an additional choice in maternity care for women with low-risk pregnancies. Professional staff development with continuous education is needed to clear misconceptions about midwife-led care and to promote awareness in current practice guidelines. Prospective evaluation of midwife-led care will be beneficial in informing policies and practise guidelines.

Under High Perceptual Load, Observers Look but Do Not See

SummaryHigh perceptual load reduces distractor processing and increases inattentional blindness for unexpected stimuli. We reported previously that high perceptual load reduces memory accuracy and impairs eyewitness identification. Here, we used eye tracking to investigate whether memory impairments under load are due to inattentional blindness or a failure to visually inspect stimuli. Seventy‐two participants viewed high or low load versions of a video depicting a theft and identified characters in the video from photographic line‐ups. High perceptual load impaired participants' ability to identify the peripheral character (witness) but not the central character (thief). There was no effect of perceptual load on number of ocular fixations on the witness, time to first fixation or total visit duration. We conclude that memory impairments under load are due to attentional failures rather than differences in visual search behaviour. These findings suggest that high perceptual load scenes may hamper eyewitnesses' ability to encode easily visible stimuli. Copyright © 2017 John Wiley &amp; Sons, Ltd.

바지 맞음새 평가 시 전문가와 초보자의 시선추적 및 맞음새 평가 항목의 중요도 비교분석- Eye Tracking 기법을 이용하여 -

In the clothes industry, there are lack of experts including technical designers who can analyze the fit of clothes. This study is to provide practical data available for fit analysis education by distinguishing the differences in standards and aspects of garment fit between experts and novices, through the eye-tracking technology to quantify the sense of fit. For this study, two groups were organized; one composed of 7 experts with over 15 year-experience including technical designers and patternmakers, and the other composed of 7 novices who are students majoring in clothing. Wearing the goggle type eye-tracker Tobii Pro Glasses 2, the participants in the experiments were required to conduct fit analyses for a pair of pants on a live model. After those experiments, they were required to check the items for fit analysis and assess the importance level of them on a questionnaire. The differences between the two groups in the ratios of total visit count and total visit duration by each AIO(Area of Interest) of clothes were analyzed through non-parametric statistical test. The results of eye tracking experiments showed that experts focused on center front and back line, crotch area, and side seam, while novice's fixation points were dispersed around the pants. The survey results showed that the experts put importance on the center line position and its verticality, front-back proportion of side seam line, and front-back proportion of waist line, 71.4~100% of whom checked them, while 14.3% of the novices checked them.

Patients Willing to Wait: Arrival Time, Wait Time and Patient Satisfaction in an Ambulatory Urology Clinic

IntroductionWe evaluated the relationship of patient satisfaction to arrival and wait times. We also sought to determine factors that patients considered important to the visit experience. MethodsA total of 361 participants completed a survey in clinic to record wait times in various areas of the clinic and then rate satisfaction levels with these times and with the care received. A total of 211 participants ranked 6 factors related to the patient experience in the order considered important. ResultsEarly, on time and late arriving patients spent 26.0, 15.5 and 17.1 minutes in the waiting room and had a total visit duration of 82.5, 67.9 and 72.0 minutes, respectively. Significant differences existed between these times when the early group was compared with the on time and late groups. Early patients were significantly more satisfied with wait time in the waiting room and total clinic visit time compared to late patients. Receiving treatment or relief from a medical problem was the most important factor valued by this population. ConclusionsSurprisingly, patients with longer waits were more satisfied with the time in the waiting room and overall visit duration, indicating that other variables influence patient satisfaction with perceived wait times. This study provides evidence that wait time might not be as important to patients or impact patient satisfaction as previously thought. On average wait time was ranked fifth in regard to what was important. Longer wait times did not seem to impact patient satisfaction when asked about overall satisfaction with the care received.

The Problems of Assessing Transnational Mobility: Identifying Latent Groups of Immigrants in Germany Using Factor Mixture Analysis

This paper explores immigrants’ transnational mobility in Germany. It uses data of the Socio-Economic Panel Study and four indicators regarding frequency, length, and total duration of visits to the country of origin. The study applies factor mixture analyses in order to investigate whether (a) the observed indicators refer to a uniform underlying construct of transnational mobility and (b) the relationship between the latent construct and the observed indicators establishes in a uniform manner for all respondents. The most reliable model distinguishes three latent classes of immigrants, thus indicating no uniform underlying construct of transnational mobility. Theoretically consistent findings could be derived for about 58 % of the 4019 respondents. However, the relation between the observed indicators and the latent variable diverges substantially for the remaining 42 %. Thus, the findings indicate that the commonly applied indicator of return visits largely fails to assess transnational mobility. Rather, different groups of immigrants engage very diversely in visits to the country of origin. The findings stimulate a variety of conceptual problems future theoretical and empirical research needs to tackle.

Eye Tracking Research on Cinemagraph e-Magazine

K. S. Cho e-mail: kwangsu.cho@yonsei.ac.kr ( ) Abstract This study has performed a comparative analysis between groups based on Time To First Fixation, Fixation Duration, Fixation Count and Total Visit Duration, which are eye-tracking analysis indicators on what visual attention is shown compared to the e-magazine produced as regular images related to e-magazines in which experiment subjects have applied cinemagraph images as eye tracking research on the e-magazine produced with cinemagraph images and e-magazines produced with regular images. The experiment sample used e-magazines composed of nine pages while AOI (area of interest) has been set up on each page by classifying image and text regions. A combined 30 people took part in the experiment, which was performed by randomly assigning 15 to the experiment group and 15 to the control group. According to the results of the analysis, the experiment group recorded a shorter time than the control group on the e-magazine produced with cinemagraph images through Time To First Fixation. Though no significant difference was found between the experiment and control groups in Fixation Duration, a substantial difference did appear between Fixation Duration and Total Visit Duration.

A 'snapshot' of the visual search behaviours of medical sonographers.

Introduction: Visual search is a task that humans perform in everyday life. Whether it involves looking for a pen on a desk or a mass in a mammogram, the cognitive and perceptual processes that underpin these tasks are identical. Radiologists are experts in visual search of medical images and studies on their visual search behaviours have revealed some interesting findings with regard to diagnostic errors. In Australia, within the modality of ultrasound, sonographers perform the diagnostic scan, select images and present to the radiologist for reporting. Therefore the visual task and potential for errors is similar to a radiologist. Our aim was to explore and understand the detection, localisation and eye‐gaze behaviours of a group of qualified sonographers. Method: We measured clinical performance and analysed diagnostic errors by presenting fifty sonographic breast images that varied on cancer present and degree of difficulty to a group of sonographers in their clinical workplace. For a sub‐set of sonographers we obtained eye‐tracking metrics such as time‐to‐first fixation, total visit duration and cumulative dwell time heat maps. Results: The results indicate that the sonographers' clinical performance was high and the eye‐tracking metrics showed diagnostic error types similar to those found in studies on radiologist visual search. Conclusion: This study informs us about sonographer visual search patterns and highlights possible ways to improve diagnostic performance via targeted education.

The effect of involvement on visual attention and product choice

Our study examined the effect of consumers' level of involvement on visual attention to product, information sign and price sign guided by the Elaboration Likelihood Model (ELM). We also investigated the relationship between visual attention captured by eye fixation on information and price sign and product choice for garden plants. Using a Tobii X1 light eye tracking device, we obtained data from 101 respondents in Texas and Michigan. We found that participants who had high (vs. low) product involvement paid more attention to the product and its information as demonstrated through higher fixation count (FC), longer total fixation duration (TFD), and total visit duration (TVD). We also found highly involved participants processed price information as a central rather than a peripheral cue. In addition, total visit duration (TVD) on an information sign was found as the strongest predictor of product choice.

Using Eye Tracking to Assess the Impact of Advertising Appeals on Donor Behavior

This research examines print advertisements of nonprofit organizations (NPOs) using eye-tracking technology and a nonverbal, emotional scale to assess donor behavior. Attention to three areas of interest, including the text, face, and brand/logo, was visually tracked. Next, three eye-tracking metrics (Time to First Fixation, Fixation Count, and Total Visit Duration) and corresponding donor behavior were measured. The eye-tracking metrics were effective indicators of an advertisement’s propensity to stimulate donor behavior. The findings in this research show that NPO advertisements should encourage viewers to look at the face in the advertisement layout. The more times the subject went back and looked at the face, and the more total time spent looking at the face, the greater the likelihood they would recommend to others to donate. These characteristics are shown in this research to be those of negative emotional appeals.

Display signs and involvement: the visual path to purchase intention

Retailers, merchandisers and suppliers go to great lengths to display merchandise so that it captures the eye of the customer. Attention requires eye movement. Our eyes move (saccade) and pause (fixate) to direct attention. Cognitive processing of visual items requires the eyes to attend to an object. Eye movement can measure attention, and attention increases mental processing of an object (e.g. word, image, object, and product). Both the characteristics of the person (top-down factors) and the stimulus (bottom-up factors) contribute to attention and influence the meaning derived from the stimulus. For the current study, we integrated involvement theory and the elaboration likelihood model with eye-tracking technology to evaluate customer attention to merchandise displays and their likelihood to buy (purchase intention). We recruited 344 subjects in six North American locations to view images of 32 live plant displays. Visual data were collected using a Tobii X1 Light eye-tracking device. To date, few investigations using eye tracking have been conducted on merchandised displays. Our hypothesis was that the more highly involved customers would view the merchandise (live plants) longer than required for identification, information or price signs. Results show differential 3-D patterns of involvement, likelihood to buy, and total visit duration. Involvement moderated the relationship between the time spent looking at the merchandise and their likelihood to buy.

MomMoodBooster Web-Based Intervention for Postpartum Depression: Feasibility Trial Results

BackgroundPostpartum depression (PPD)—the most common complication of childbirth—is a significant and prevalent public health problem that severely disrupts family interactions and can result in serious lasting consequences to the health of women and the healthy development of infants. These consequences increase in severity when left untreated; most women with PPD do not obtain help due to a range of logistical and attitudinal barriers.ObjectiveThis pilot study was designed to test the feasibility, acceptability, and potential efficacy of an innovative and interactive guided Web-based intervention for postpartum depression, MomMoodBooster (MMB).MethodsA sample of 53 women who satisfied eligibility criteria (<9 months postpartum, ≥18 years of age, home Internet access and use of personal email, Edinburgh Postnatal Depression Survey score of 12-20 or Patient Health Questionnaire score from 10-19) were invited to use the MMB program. Assessments occurred at screening/pretest, posttest (3 months following enrollment), and at 6 months follow-up.ResultsAll six sessions of the program were completed by 87% (46/53) of participants. Participants were engaged with the program: visit days (mean 15.2, SD 8.7), number of visits (mean 20.1, SD 12.2), total duration of visits in hours (mean 5.1, SD 1.3), and number of sessions viewed out of six (mean 5.6, SD 1.3) all support high usage. Posttest data were collected from 89% of participants (47/53) and 6-month follow-up data were collected from 87% of participants (46/53). At pretest, 55% (29/53) of participants met PHQ-9 criteria for minor or major depression. At posttest, 90% (26/29) no longer met criteria.ConclusionsThese findings support the expanded use and additional testing of the MMB program, including its implementation in a range of clinical and public health settings.Trial RegistrationClinicaltrials.gov NCT00942721; http://clinicaltrials.gov/ct2/show/NCT00942721 (Archived by WebCite at http://www.webcitation.org/6KjYDvYkQ).