bluuebunny/crossref_metadata_2025_split huggingface dataset:
Tailoring Persuasive Electronic Health Strategies for Older Adults on the Basis of Personal Motivation: Web-Based Survey Study
Authors: van Velsen Lex , Broekhuis Marijke , Jansen-Kosterink Stephanie , op den Akker Harm 
Published: May 2019

Background
Persuasive design, in which the aim is to change attitudes and behaviors by means of technology, is an important aspect of electronic health (eHealth) design. However, selecting the right persuasive feature for an individual is a delicate task and is likely to depend on individual characteristics. Personalization of the persuasive strategy in an eHealth intervention therefore seems to be a promising approach.

Objective
This study aimed to develop a method that allows us to model motivation in older adults with respect to leading a healthy life and a strategy for personalizing the persuasive strategy of an eHealth intervention, based on this user model.

Methods
We deployed a Web-based survey among older adults (aged >60 years) in the Netherlands. In the first part, we administered an adapted version of the revised Sports Motivation Scale (SMS-II) as input for the user models. Then, we provided each participant with a selection of 5 randomly chosen mock-ups (out of a total of 11), each depicting a different persuasive strategy. After showing each strategy, we asked participants how much they appreciated it. The survey was concluded by addressing demographics.

Results
A total of 212 older adults completed the Web-based survey, with a mean age of 68.35 years (SD 5.27 years). Of 212 adults, 45.3% were males (96/212) and 54.7% were female (116/212). Factor analysis did not allow us to replicate the 5-factor structure for motivation, as targeted by the SMS-II. Instead, a 3-factor structure emerged with a total explained variance of 62.79%. These 3 factors are intrinsic motivation, acting to derive satisfaction from the behavior itself (5 items; Cronbach alpha=.90); external regulation, acting because of externally controlled rewards or punishments (4 items; Cronbach alpha=.83); and a-motivation, a situation where there is a lack of intention to act (2 items; r=0.50; P<.001). Persuasive strategies were appreciated differently, depending on the type of personal motivation. In some cases, demographics played a role.

Conclusions
The personal type of motivation of older adults (intrinsic, externally regulated, and/or a-motivation), combined with their educational level or living situation, affects an individual’s like or dislike for a persuasive eHealth feature. We provide a practical approach for profiling older adults as well as an overview of which persuasive features should or should not be provided to each profile. Future research should take into account the coexistence of multiple types of motivation within an individual and the presence of a-motivation.
Factors Affecting Patients’ Use of Electronic Personal Health Records in England: Cross-Sectional Study
Authors: Abd-Alrazaq Alaa , Bewick Bridgette M , Farragher Tracey , Gardner Peter 
Published: May 2019

BackgroundElectronic personal health records (ePHRs) are secure Web-based tools that enable individuals to access, manage, and share their medical records. England recently introduced a nationwide ePHR called Patient Online. As with ePHRs in other countries, adoption rates of Patient Online remain low. Understanding factors affecting patients’ ePHR use is important to increase adoption rates and improve the implementation success of ePHRs.ObjectiveThis study aimed to examine factors associated with patients’ use of ePHRs in England.MethodsThe unified theory of acceptance and use of technology was adapted to the use of ePHRs. To empirically examine the adapted model, a cross-sectional survey of a convenience sample was carried out in 4 general practices in West Yorkshire, England. Factors associated with the use of ePHRs were explored using structural equation modeling.ResultsOf 800 eligible patients invited to take part in the survey, 624 (78.0%) returned a valid questionnaire. Behavioral intention (BI) was significantly influenced by performance expectancy (PE; beta=.57, P<.001), effort expectancy (EE; beta=.16, P<.001), and perceived privacy and security (PPS; beta=.24, P<.001). The path from social influence to BI was not significant (beta=.03, P=.18). Facilitating conditions (FC) and BI significantly influenced use behavior (UB; beta=.25, P<.001 and beta=.53, P<.001, respectively). PE significantly mediated the effect of EE and PPS on BI (beta=.19, P<.001 and beta=.28, P=.001, respectively). Age significantly moderated 3 paths: PE→BI, EE→BI, and FC→UB. Sex significantly moderated only the relationship between PE and BI. A total of 2 paths were significantly moderated by education and internet access: EE→BI and FC→UB. Income moderated the relationship between FC and UB. The adapted model accounted for 51% of the variance in PE, 76% of the variance in BI, and 48% of the variance in UB.ConclusionsThis study identified the main factors that affect patients’ use of ePHRs in England, which should be taken into account for the successful implementation of these systems. For example, developers of ePHRs should involve patients in the process of designing the system to consider functions and features that fit patients’ preferences and skills to ensure systems are useful and easy to use. The proposed model accounted for 48% of the variance in UB, indicating the existence of other, as yet unidentified, factors that influence the adoption of ePHRs. Future studies should confirm the effect of the factors included in this model and identify additional factors.
Effectiveness of Social Media Approaches to Recruiting Young Adult Cigarillo Smokers: Cross-Sectional Study
Authors: Cavallo David , Lim Rock , Ishler Karen , Pagano Maria , Perovsek Rachel , Albert Elizabeth , Koopman Gonzalez Sarah , Trapl Erika , Flocke Susan 
Published: May 2019

Background
The prevalence of social media use among youth and young adults suggests it is an appropriate platform for study recruitment from this population. Previous studies have examined the use of social media for recruitment, but few have compared platforms, and none, to our knowledge, have attempted to recruit cigarillo users.

Objective
The purpose of this study was to examine the effectiveness of different social media platforms and advertisement images for recruiting cigarillo users aged 14-28 years to complete a cigarillo use survey.

Methods
We obtained objective data for advertisement impressions for a 39-week social media recruitment campaign. Advertisements were targeted to users based on their age, geography, and interests. Effectiveness was defined as the percentage of approved surveys per advertising impression. Chi-square tests were performed to compare the effectiveness of different advertisement images and platforms.

Results
Valid survey completers (n=1089) were predominately older (25-28 years old, n=839, 77%). Of the 1089 survey completers, 568 (52%) identified as male, 335 (31%) as African American, and 196 (18%) as Hispanic. Advertisements delivered via Facebook/Instagram were more effective than Twitter; 311/1,027,738 (0.03%) vs 661/2,998,715 (0.02%); χ21=21.45, N=4,026,453); P<.001. Across platforms, ads featuring exclusively an image of cigarillos were more effective (397/682,994, 0.06%) than ads with images of individuals smoking (254/1,308,675, 0.02%), individuals not smoking (239/1,393,134, .02%), and groups not smoking (82/641,650, 0.01%); χ23133.73, N=4,026,453; P<.001.

Conclusions
The campaign was effective in recruiting a diverse sample representative of relevant racial/ethnic categories. Advertisements on Facebook were more effective than Twitter. Advertisements that featured an image of a cigarillo were consistently the most effective and should be considered by others recruiting cigarillo users via social media.
Examining the Impact of a Personalized Self-Management Lifestyle Program Using Mobile Technology on the Health and Well-Being of Cancer Survivors: Protocol and Rationale for a Randomized Controlled Trial (The Moving On Study)
Authors: Groarke Jenny M , Richmond Janice , Kelly Mary Grace , McSharry Jenny , Groarke AnnMarie , Kerr Tommy , Singaroyan Nina , Harney Owen , Haughey Charlene , Glynn Liam , Masterson Eimear , O Donnell Aoife , Duffy Karen , Walsh Jane 
Published: May 2019

Background
Cancer survivorship in Ireland is increasing in both frequency and longevity. However, a significant proportion of cancer survivors are overweight. This has negative implications for long-term health outcomes, including increased risk of subsequent and secondary cancers. There is a need to identify interventions, which can improve physical and psychological outcomes that are practical in modern oncology care. Mobile health (mHealth) interventions demonstrate potential for positive health behavior change, but there is little evidence for the efficacy of mobile technology to improve health outcomes in cancer survivors.

Objective
This study aims to investigate whether a personalized mHealth self-management lifestyle program is acceptable to participants and can improve physical and psychological outcomes of a subgroup of cancer survivors with increased health risks related to lifestyle behaviors.

Methods
A sample of 123 cancer survivors (body mass index >25 kg/m2) was randomly assigned to the control (n=61) or intervention (n=62) group. The intervention group attended a 4-hour tailored lifestyle information session with a physiotherapist, dietician, and clinical psychologist to support self-management of health behavior. Over the following 12 weeks, participants engaged in personalized goal setting to incrementally increase physical activity (with feedback and review of goals through short message service text messaging contact). Objective measures of health behavior (ie, physical activity) were collected using Fitbit (Fitbit, Inc). Data on anthropometric, physiological, dietary behavior, and psychological measures were collected at baseline (T0), 12 weeks (T1; intervention end), and 24 weeks (T2; follow-up). Semistructured interviews were conducted to explore the retrospective acceptability of the Moving On program from the perspective of the recipients.

Results
This paper details the protocol for the Moving On study. The project was funded in August 2017. Enrolment started in December 2017. Data collection completed in September 2018. Data analysis is underway, and results are expected in winter 2019.

Conclusions
The results of this study will determine the efficacy and acceptability of an mHealth intervention using behavior change techniques to promote health behaviors that support physical health and well-being in cancer survivors and will therefore have implications for health care providers, patients, health psychologists, and technologists.

International Registered Report Identifier (IRRID)
DERR1-10.2196/13214
Noncontact Heart and Respiratory Rate Monitoring of Preterm Infants Based on a Computer Vision System: Protocol for a Method Comparison Study
Authors: Gibson Kim , Al-Naji Ali , Fleet Julie-Anne , Steen Mary , Chahl Javaan , Huynh Jasmine , Morris Scott 
Published: May 2019

Background
Biomedical research in the application of noncontact methods to measure heart rate (HR) and respiratory rate (RR) in the neonatal population has produced mixed results. This paper describes and discusses a protocol for conducting a method comparison study, which aims to determine the accuracy of a proposed noncontact computer vision system to detect HR and RR relative to the HR and RR obtained by 3-lead electrocardiogram (ECG) in preterm infants in the neonatal unit.

Objective
The aim of this preliminary study is to determine the accuracy of a proposed noncontact computer vision system to detect HR and RR relative to the HR and RR obtained by 3-lead ECG in preterm infants in the neonatal unit.

Methods
A single-center cross-sectional study was planned to be conducted in the neonatal unit at Flinders Medical Centre, South Australia, in May 2018. A total of 10 neonates and their ECG monitors will be filmed concurrently for 10 min using digital cameras. Advanced image processing techniques are to be applied later to determine their physiological data at 3 intervals. These data will then be compared with the ECG readings at the same points in time.

Results
Study enrolment began in May 2018. Results of this study were published in July 2019.

Conclusions
The study will analyze the data obtained by the noncontact system in comparison to data obtained by ECG, identify factors that may influence data extraction and accuracy when filming infants, and provide recommendations for how this noncontact system may be implemented into clinical applications.

International Registered Report Identifier (IRRID)
RR1-10.2196/13400
Impacto de las importaciones de leche en polvo y derivados lácteos en el precio al productor de leche de bovino en México.
Authors: Espinoza Arellano José de J. , Fabela Hernández Adriana M. , López Chavarría Sandra , Martínez Gómez Francisco 
Published: May 2019

En México la actividad lechera representa la segunda en importanciaÂ dentro del subsector ganadero, con 22.8 % del valorÂ de la producción. En los últimos años se ha recurrido a laÂ importación creciente de leche en polvo y derivados lácteosÂ lo cual, según los ganaderos lecheros, ha ocasionado una disminuciónÂ del precio nacional de la leche fluida producida enÂ México provocando la quiebra y cierre de gran cantidad deÂ unidades de producción. El objetivo de este trabajo fue analizarÂ el impacto de las importaciones de leche en polvo y derivadosÂ lácteos en el precio real al productor de leche fluida deÂ bovino en México. La metodología utilizada fue la RegresiónÂ Lineal Múltiple. Los resultados confirman las afirmacionesÂ de los ganaderos lecheros e indican que las importaciones deÂ leche en polvo, yogur, leche condensada y quesos â€œlos otrosâ€Â impactaron significativamente y de manera inversa al precioÂ real de la leche fluida en México. Con base en lo anterior serecomienda implementar medidas para reducir las importacionesÂ de leche en polvo y derivados lácteos o, en su caso,Â implementar medidas de política pública de apoyo a los productoresÂ nacionales.
Can reading too much make me run mad? Exploring students’ assumptions and academic performance
Authors: Kanmodi Kehinde Kazeem , Owoeye Olanrewaju Isaac , Bello Almu , Iyadi Linda Ekele 
Published: May 2019

Abstract

Objectives
To determine the prevalence of the assumption that ‘reading too much’ could cause madness (i.e., severe mental illness) among medical, nursing, and community health students, and also explore the relationship between these students’ status on this assumption and their academic performance.

Methods
This study was a cross-sectional study conducted among a convenient sample of medical, nursing, and community health students (n = 122) studying within the Usmanu Danfodiyo University Teaching Hospital campus, Sokoto, Nigeria. Study tool was a paper questionnaire, which obtained information on the demographic profile, awareness of ‘madness’, assumption that ‘reading too much’ is a cause of madness, and self-rating of the participants’ academic performance in their current course of study. Data collected was analysed using the SPSS version 20 software. Test of associations between variables were done using Chi square test.

Results
The mean age of the 122 respondents was 27.3 years, majority (61.5%) of them were males, and 53.3% were medical students. More than half of the surveyed nursing students (54.2%) and community health students (55.6%), unlike the surveyed medical students (24.6%), had the assumption that reading too much could make them run mad. There was no statistically significant relationship between the assumption that ‘reading too much’ is a cause of mental illness and academic performance of the respondents.

Conclusion
Assumption that reading too much could cause madness is a fairly common phenomenon among the surveyed tertiary school students, irrespective of their level of academic performance. There exists the need to disabuse the minds of tertiary school students from the assumption that reading too much could make one run mad.
Assessing Readiness of Community Pharmacists to Perform and Document Medically Billed Clinical Services
Authors: Akers Julie Marie , Elamparo Matthew , Jay Amy , Pfund Tara 
Published: May 2019

Objectives: To assess the readiness of community pharmacists in documenting and performing medically billed clinical services. Additionally, the preferred training method of community pharmacists was evaluated.
Methods: This study surveyed practicing pharmacists in a chain community pharmacy in Washington State via a voluntary, anonymous online survey through Qualtrics. Data collected in the survey measured each pharmacist’s self-perceived ability to perform examinations and to gather and document patient subjective and objective information compliant with medical billing requirements. In addition, questions evaluated the training methods pharmacists preferred in the community setting. The data was aggregated and analyzed utilizing descriptive statistics to assess pharmacists’ self-perceived baseline understanding regarding documenting and performing medically billed clinical services as well training preferences of the pharmacists surveyed.
Results: Pharmacists in the study had a generally higher perceived ability in performing past medical history, medical decision-making and clinical documentation of a medical visit. In contrast, pharmacists in the community setting had a lower perceived ability performing physical assessment criteria in a medically billed clinical visit. This study indicated that pharmacists in the community setting preferred live small-group training on future medical billing.
Conclusion: Pharmacists have some of the skills necessary to perform and bill clinical visits; however, there is room for improvement in particular areas where pharmacists have a lack of training and experience.

Article Type: Original Research
Pharmacists’ Role in Chronic Disease Management from Physicians’ Perspective
Authors: Akers Julie Marie , Shah Arsalan , Jay Amy , Pfund Tara 
Published: May 2019

Objective: The objective of this research was to gather physicians’ perception of pharmacists providing chronic disease management and identify trends in physicians’ characteristics that could potentially impact their comfort level collaborating with pharmacists.
Method: Physicians practicing in the outpatient setting in the state of Washington were invited to participate in a voluntary, anonymous survey. Physicians practicing in a large multidisciplinary outpatient clinic in the Southwest Washington and Seattle areas were included. For Likert scale questions, median values were reported. Physicians’ characteristics were also correlated with their willingness to collaborate with pharmacists in the provision of clinical services.
Results: Results were analyzed using descriptive statistics to summarize the data collected to determine which pharmacist provided clinical services physicians would like to collaborate on. Physicians were most comfortable with pharmacists reviewing patients’ medications followed by pharmacist provision of disease state education and least comfortable with pharmacists initiating therapy. Physicians that have worked with pharmacists in the past were more likely to collaborate with pharmacists compared to physicians that have never worked with a pharmacist. Furthermore, pharmacists’ ability to bill patients’ medical insurance did not influence physicians’ likelihood to collaborate with pharmacists.
Conclusion: This information will be used to aid in the determination of future directions for the implementation of additional clinical services within the community pharmacy setting. Additionally, it is anticipated that pharmacists will be able to utilize this information to initiate conversations with physicians in an effort to collaborate on new pharmacist provided clinical services as well as improve patient outcomes by increasing access to healthcare providers, including pharmacists.

Article Type: Original Research
Program Kemitraan Dan Bina Lingkungan Sebagai Bentuk Pemberdayaan Masyarakat Di Belawan Kota Medan
Authors: Ginting Simson 
Published: May 2019

The purpose of this research is to find out whether PT. (Persero) Indonesia's Port of Belawan Main Branch I have been doing local community empowerment activities (its environment) and what are the factors that hampered and supporters in the activities of the community empowerment. This research was qualitative research with a descriptive method, i.e. the research procedure that generates descriptive data in the form of the written word or spoken and the behavior of people who observed, i.e. the existing community around the the environment of PT Persero Indonesia's Port I main branch of Belawan, through interviews, observation and documentation. Community empowerment in the environs of PT. (Persero) Indonesia's Port I main branch of Belawan in partnerships program with small businesses and Community Development Program is still limited to venture capital lending, assistance towards victims of natural disasters, aid (contribution) of education, and public development assistance. This is more emphasize the economic and development dimensions rather than the social and science and technology dimensions. Obstacles faced was the lack of funds for the implementation of the community development program and partnership as well as a lack of field employee that is in charge of providing training and education for the built community. The surrounding community is not directly involved in policy making to support community empowerment activities. Likewise in solving problems by allowing problems to occur, without providing assistance for their resolution. Like when partner experience obstacles in repaying loan capital, they just bill to the place of the business partners. If it doesn't already exist, it will be billed the following month, without any assistance how to solve the problem.
Partisipasi Perantau; Basamo Mambangun Nagari Di Nagari Sungai Pua Kabupaten Agam
Authors: Putri Annisa Aulia 
Published: May 2019

Nagari Sungai Pua is one of the nagari located in Sungai Pua District, Agam Regency. Since the Dutch colonial era, the people of Nagari Sungai Pua generally have preferred entrepreneurship in the overseas or outside of the nagari area. Therefore, the emigrants of Nagari Sungai Pua have spread everywhere and have a structured organization called the Family Association of Emigrants of Sungai Pua or Ikatan Keluarga Perantau Sungai Pua (IKPS). Although migrating, the emigrants remain residents of Nagari Sungai Pua who also have an obligation to build Nagari. Development in Nagari Sungai Pua is already quite high. In general, every development activity involves emigrants, especially in terms of funding. One example is the construction of the Wali Nagari Sungai Pua office, where 1.3 billion (65%) of the budget came from non-governmental organizations, while another 700 billion (35%) came from the Nagari Funds Allocation. In addition, the construction of religious facilities in each jorong is also built using emigrants. This study aims to describe the participation of emigrants in development in Nagari Sungai Pua. The research method used was qualitative with the technique of collecting data on interviews with Secretary of Nagari Sungai Pua and documentation. Type of research is descriptive analysis. The conclusion of this study is the participation of emigrants in development in Nagari Sungai Pua high. Based on the development data from 2008 to 2016, the highest percentage of sources of development funding is through community self-help, which is funds collected from emigrants.