Browsing by Subject "retention"
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Item Challenges in Patient Enrollment and Retention in Clinical Studies for Alcoholic Hepatitis: Experience of the TREAT Consortium(Wiley, 2017) Comerford, Megan; Lourens, Spencer; Liangpunsakul, Suthat; Chalasani, Naga P.; Sanyal, Arun J.; Shah, Vijay H.; Kamath, Patrick S.; Puri, Puneet; Katz, Barry P.; Radaeva, Svetlana; Crabb, David W.; Medicine, School of MedicineThe TREAT Consortium has carried out clinical studies on alcoholic hepatitis (AH) for over 4 years. We encountered problems with participant recruitment, retention, and eligibility for specific protocols. To improve our ability to carry out such trials, we reviewed recruitment screening logs, end of study logs, and surveyed study coordinators to learn the reasons for missing patients, why patients declined enrollment, and the number of patients eligible for treatment trials. Associations of the recruited subjects’ demographics with their adherence to follow-up appointments were examined. Three hundred eight-seven patients (AH and heavy drinking controls) were enrolled in the observational study, and 55 AH patients were recruited into treatment trials. About half of patients identified with AH could not be recruited; no specific reason could be determined for about two-thirds of these. Among the patients who gave a reason for not participating, the most common reasons were feeling too sick to participate, desire to concentrate on abstinence, and lack of interest in research. Approximately a quarter of the AH patients met eligibility criteria for treatment trials for moderate or severe AH and we were able to recruit half to two-thirds of those eligible. Approximately 35% of participants in the observational study returned for both 6- and 12-month follow-up visits. We did not identify biopsychosocial or demographic correlates of retention in the study. This analysis revealed that attempts at recruitment into trials for AH miss some subjects because of structural issues surrounding their hospital admission, and encounter a high rate of patient refusal to participate. Nonetheless, more than half of the patients who met the eligibility criteria for moderate or severe AH were entered into clinical trials. Retention rates for the observational study are relatively low. These findings need to be accounted for in clinical trial design and power analysis.Item Engineering Curriculum Readiness: Implementing an Analytical and Communication Skills Building Course for the Technical Disciplines(IEEE, 2015-10) Christie, Barbara; Stevenson, Alison; Department of Engineering Technology, School of Engineering and TechnologyMany domestic and international students arrive at college lacking the skills needed for academic careers in engineering or engineering technology. To support academic progress and develop essential skills, TECH 101, Engineering Technology Fundamentals, was proposed, approved, and funded by the School of Engineering and Technology at a large urban public university. The course offered students the preparatory skill development needed to begin an engineering or engineering technology major. TECH 101 facilitated a completely different approach, utilizing a very rare collaboration. Course design and implementation were championed by an experienced engineering technology instructor and a uniquely qualified faculty member whose background includes both transition to college expertise as well as second language acquisition. Drawing the two diverse skill-sets together resulted in context-based activities closely integrated with hands-on technical work, as well as development of a technical vocabulary and English language skills. A small group of learners participated in the initial course offering in the fall of 2014. This Work In Progress paper will explore the unique technical and preparatory course components that promote the support of underprepared domestic and international students.Item Feasibility and Acceptability of Qigong Exercise in Community-Dwelling Older Adults in the United States(Liebert, 2018-01) Chang, Pei-Shiun; Knobf, M. Tish; Funk, Marjorie; Oh, Byeongsang; School of NursingObjectives:Qigong exercise has been shown to improve physical and psychological well-being in adults with chronic conditions, but little is known about the feasibility and acceptability of engaging in a qigong exercise program in community-dwelling older adults in the United States. The purpose of this study was to explore the feasibility, acceptance, and adherence to an 8-week qigong exercise intervention in community-dwelling American older adults. Design: An exploratory study design. Setting: Two senior centers in southern Connecticut. Subjects: Forty-five community-dwelling older adults aged 65 to 85 years enrolled. Intervention: A supervised 1-h health qigong exercise session twice weekly for 8 weeks. Outcome measures: An investigator-designed questionnaire with seven items that were rated on a 1 to 6 scale, with higher scores indicating better results, and nine open-ended questions were used to obtain data on feasibility and acceptability. Adherence was calculated as the proportion of the 16 planned sessions attended. Results: Of the 45 older adults enrolled, 6 never started and 6 withdrew, with 33 evaluable at the end of the intervention. The mean age of the sample was 74.8 years; the majority were female (84.4%) and white (91.1%). Mean scores on aspects of difficulty, acceptability, suitability, or effectiveness of qigong exercise were all ≥5. Participants identified benefits of qigong exercise, such as calming and relaxing feelings, inner peace, better balance, and flexibility. Attendance rate was 78.8%, with 94% performing qigong exercise at least once weekly outside the class. All participants indicated that they would recommend qigong exercise to others. No adverse events occurred. Conclusion: An 8-week qigong exercise program was feasible, acceptable, and safe for American older adults. Future robust randomized controlled trials are needed to confirm these findings.Item High Rates of Viral Suppression and Care Retention among Youth Born Outside of the United States with Perinatally Acquired HIV(Wolters Kluwer, 2022-12) Desai, Neerav; Jenkins, Cathy A.; Zanoni, Brian; Nmoh, Ashley; Patel, Nehali; Shepherd, Bryan E.; Hussen, Sophia; Doraivelu, Kamini; Pierce, Leslie; Carlucci, James G.; Ahonkhai, Aima A.; Pediatrics, School of MedicineBackground: Youth born outside of the US with perinatally acquired HIV infection (YBoUS-PHIV) account for most children living with HIV in the US, but there are few data characterizing their care outcomes. Methods: We conducted a retrospective study of YBoUS-PHIV receiving care across 3 HIV clinics in the Southeastern US between October 2018 and 2019. Primary outcomes were retention in care and viral suppression defined as (1) proportion of suppressed viral loads (VLs) and (2) having all VLs suppressed (definition 1 presented in the abstract). Primary predictors were age, adoption and disclosure status (full, partial and none/unknown). Multivariable logistic regression and χ 2 tests were used to test for associations with care outcomes. Analysis of disclosure status was restricted to youth greater than or equal to 12 years. Results: The cohort included 111 YBoUS-PHIV. Median age was 14 years (interquartile range, 12-18), 59% were female, and 79% were international adoptees. Overall, 84% of patients were retained in care, and 88% were virally suppressed at each VL measurement. Adopted youth were more likely to be virally suppressed than nonadopted youth [odds ratio (OR), 7.08; P < 0.01] although the association was not statistically significant in adjusted analysis (adjusted OR, 4.26; P = 0.07). Neither age nor adoption status was significantly associated with retention. Among 89 patients greater than or equal to 12 years, 74% were fully disclosed of their HIV status, 12% were partially disclosed, and 13% had not started the disclosure process. There was no significant difference in retention or viral suppression by disclosure status. Conclusions: YBoUS-PHIV achieved high rates of retention and viral suppression. Adopted youth may be more likely to achieve viral suppression which may reflect the need for tailored interventions for nonadopted youth.Item IEL Student Demographics and Retention Report AY 2020-2021 and Summer 2021(2021-10-29) Hahn, ThomasThe Institute for Engaged Learning (IEL) is home to multiple engaged learning opportunities in undergraduate research and civic engagement (see Appendix for descriptions of the programs). This report details demographics, school of enrollment, GPA, retention figures, and Record designation for students who participated in IEL programs in AY 2020- 2021 and Summer 2021. Below are key highlights followed by detailed tables broken out by program.Item IEL Student Demographics and Retention Report AY 2021-2022(2022) Hahn, Thomas W.The Institute for Engaged Learning (IEL) is home to multiple engaged learning opportunities in undergraduate research and civic engagement (see Appendix for descriptions of the programs). This report details demographics, school of enrollment, GPA, retention figures, and Record designation for students who participated in IEL programs in AY 2021-2022.Below are key highlights followed by detailed tables broken out by program.Item Investigating Outcomes of Adolescents and Young Adults (10–24 Years of Age) Lost to Follow-up from Tuberculosis Treatment in Gaborone, Botswana(Wolters Kluwer, 2019-10-01) Enane, Leslie A.; Lowenthal, Elizabeth D.; Arscott-Mills, Tonya; Eby, Jessica; Caiphus, Cynthia; Kgwaadira, Botshelo; Coffin, Susan E.; Steenhoff, Andrew P.; Pediatrics, School of MedicineThis retrospective study investigated outcomes among lost to follow-up (LTFU) adolescents and young adults (AYA, ages 10–24) with tuberculosis (TB) registered from 2008–2014 in Gaborone, using surveillance data. Of 68 LTFU AYA, 16 repeated treatment; 8 completed and 6 were again LTFU. Of 4 confirmed deaths, 3 had TB/HIV co-infection. Approaches to improve AYA retention in TB care are needed.Item A mixed methods study examining the factors associated with retention in Direct Support Professionals(2017) Krakovich, Teri; McGrew, John H.; Salyers, Michelle P.; Ruble, Lisa A.; Cyders, Melissa A.; Sliter, Michael T.The current study investigated the organizational and individual factors that promote retention for Direct Support Professionals (DSPs) who work with individuals with Intellectual and Developmental Disabilities (ID/DD) in residential or community-based settings across a Midwestern state. Twenty-seven DSPs completed qualitative and quantitative measures by responding to open-ended interview questions and supplying background information and ratings indicating their desires to stay or leave their current organizations and reasons for doing so. Content analysis was used to interpret the qualitative data and descriptive statistics, t-tests and Chi-square analyses were used to examine the quantitative data. Factors were conceptualized under three categories: (1) Intrinsic Factors, (2) Extrinsic Factors, and 3) Individual Factors. This organizational framework for DSPs is similar to retention models for other direct care workers (e.g., Ellenbecker, 2004; Li, 2007; Warburton et al., 2014). Some factors DSPs endorsed were similar to direct care workers generally, e.g., personality traits such as being loving or empathetic towards clients, having strong communication with coworkers and supervisors, and valuing the flexibility and benefits they receive on the job, whereas other factors appeared to be relatively unique to staff working with adults with ID/DD, e.g., seeing progress and change in their clients and feeling love and appreciation from clients. When the reasons DSPs stay (e.g., relationships with clients, flexibility in their schedules) and leave their jobs (e.g., financial constraints, viewing the job as temporary) were compared, they appeared to differ, but more research is warranted. Further research is also needed to examine whether the factors promoting retention for DSPs may differ based on age and on the settings in which DSPs work. Suggestions for ways to improve recruitment, retention, and training efforts for DSPs are highlighted, and the implications of the current findings are discussed.Item Motivation, Satisfaction, and Retention of Sport Management Student Volunteers(Sagamore Publishing LLC, 2017) Johnson, James E.; Giannoulakis, Chrysostomos; Felver, Nathan; Judge, Lawrence W.; David, Pierce A.; Scott, Beau F.Sport management programs often partner with intercollegiate athletic departments or community sport organizations to provide student volunteers. Motivating, satisfying, and retaining the student population may constitute a challenge for academic program stakeholders. The purpose of this study was to examine the relationship between motivation, satisfaction, and retention of volunteers at undergraduate sport management programs. Three hundred and twenty-two undergraduate students from five Midwestern institutions completed a 46-item questionnaire assessing their volunteer motivation, satisfaction, and retention. Results indicated students were predominantly motivated to volunteer by Love of Sport and Career motivation factors. Career, Social, Understanding, and Enhancement motivations significantly aided in predicting satisfaction, while Career, Social, and satisfaction significantly predicted retention. Implications for sport management academic programs and directions for future research are discussed.Item Retention and adherence: global challenges for the long-term care of adolescents and young adults living with HIV(Wolters Kluwer, 2018-05) Enane, Leslie A.; Vreeman, Rachel C.; Foster, Caroline; Pediatrics, School of MedicinePurpose of review Adolescents living with HIV are the only age group with increasing HIV mortality at a time of global scale-up of access to antiretroviral therapy (ART). As a ‘treat all’ strategy is implemented worldwide, it is critically important to optimize retention and adherence for this vulnerable group. Recent findings Adolescents and young adults living with HIV have poorer outcomes when compared with adults at each stage of the HIV care cascade, irrespective of income setting. Rates of viral suppression are lowest for adolescents living with HIV, and adherence to ART remains an enormous challenge. High-quality studies of interventions to improve linkage to, and retention in, care on suppressive ART are starkly lacking for adolescents and young adults living with HIV across the globe. However, examples of good practice are beginning to emerge but require large-scale implementation studies with outcome data disaggregated by age, route of infection, and income setting, and include young pregnant women and key populations groups. Summary There is an urgent need for evidence-based interventions addressing gaps in the adolescent HIV care cascade, including supporting retention in care and adherence to ART.