An 18-month follow-up of the Covid-19 psychology research consortium study panel: Survey design and fieldwork procedures for Wave 6.

OBJECTIVES: Established in March 2020, the C19PRC Study monitors the psychological and socio-economic impact of the pandemic in the UK and other countries. This paper describes the protocol for Wave 6 (August-September 2021). METHODS: The survey assessed: COVID-19 related experiences; experiences of common mental health disorders; psychological characteristics; and social and political attitudes. Adult participants from any previous wave (N = 3170) were re-invited, and sample replenishment procedures helped manage attrition. Weights were calculated using a survey raking algorithm to ensure the on-going original panel (from baseline) was nationally representative in terms of gender, age, and household income, amongst other factors. RESULTS: 1643 adults were re-interviewed at Wave 6 (51.8% retention rate). Non-participation was higher younger adults, those born outside UK, and adults living in cities. Of the adults recruited at baseline, 54.3% (N = 1100) participated in Wave 6. New respondent (N = 415) entered the panel at this wave, resulting in cross-sectional sample for Wave 6 of 2058 adults. The raking procedure re-balanced the longitudinal panel to within 1.3% of population estimates for selected socio-demographic characteristics. CONCLUSIONS: This paper outlines the growing strength of the publicly available C19PRC Study data for COVID-19-related interdisciplinary research.

COVID-19 pandemic impacts on mental health, burnout, and longevity in the workplace among healthcare workers: A mixed methods study.

To explore the mental health impacts of the COVID-19 pandemic on healthcare workers in Massachusetts and identify potential strategies to maintain the healthcare workforce we conducted a sequential exploratory mixed methods study. Fifty-two individuals completed interviews from April 22nd - September 7th, 2021; 209 individuals completed an online survey from February 17th - March 23rd, 2022. Interviews and surveys asked about the mental health impacts of working in healthcare during the COVID-19 pandemic, burnout, longevity in the workplace, and strategies for reducing attrition. Interview and survey participants were predominantly White (56%; 73%, respectively), female (79%; 81%) and worked as physicians (37%; 34%). Interviewees indicated high stress and anxiety levels due to frequent exposure to patient deaths from COVID-19. Among survey respondents, 55% reported worse mental health than before the pandemic, 29% reported a new/worsening mental health condition for themselves or their family, 59% reported feeling burned out at least weekly, and 37% intended to leave healthcare in less than 5 years. To decrease attrition, respondents suggested higher salaries (91%), flexible schedules (90%), and increased support to care for patients (89%). Healthcare workers' experiences with death, feeling unvalued, and overworked resulted in unprecedented rates of burnout and intention to leave healthcare.

Stakeholder perspectives of adaptations of a burnout intervention for special education teachers

The high attrition and turnover rates of qualified special education teachers (SETs) is a significant concern exacerbated by COVID-19. Unfortunately, there are limited studies available on research-based interventions to decrease burnout. The purpose of this study was to describe our processes and results for adaptations and modifications of BREATHE, a burnout intervention originally developed for community mental health workers, into Burnout Reduction: Enhanced Awareness, Tools, Handouts, and Education: Evidence-based Activities for Stress for Educators (BREATHE-EASE) for special educators with guidance from the Framework for Reporting Adaptation and Modifications to Evidence-Based Interventions (FRAME). We applied the FRAME within a hybrid Type 1 trial for characterizing our approach. Four focus groups (N = 30;83% female) were conducted separately according to job title (SETs;school administrators), with semi-structured questions tailored to each group. Emergent thematic analysis was used to identify core themes related to adaptations, and results were presented to a subset of focus group members. Modifications involved content, context, and implementation changes for the adapted intervention, with most changes identified for content. FRAME was helpful for providing a systematic approach to integrate stakeholder-informed adaptations of a burnout intervention, addressing significant concerns of SET stress, burnout, and attrition.

Utilizing a Decentralized Clinical Study Approach for Expedited and Diverse Recruitment for Clinical Validation of a Novel Non-invasive Multitargeted Stool-based RNA Test

Introduction: Traditional clinical trials that utilize fixed sites often fail to recruit participants that are representative of the intended use population. Participants, particularly those from minority groups, cite geographical constraints, mistrust, miscommunication, and discrimination as barriers to successful recruitment. A decentralized clinical trial enrollment strategy offers reduced cost, reduced time requirements, and circumvents barriers associated with the recent pandemic outbreak. Method(s): After the mt-sRNA test system entered design-lock, a decentralized clinical trial (CRC-PREVENT) was launched through a digital campaign (https://www.colonscreeningstudy.com/;NCT04739722). Online advertisements were published on multiple social media sites, and engagement with materials directed patients to an online screener. Participants who completed the screener were eligible for enrollment if they met CRC-PREVENT inclusion and exclusion criteria and were willing to complete all clinical trial components, including providing a stool sample before an optical colonoscopy. Result(s): After 12 months of active enrollment, 276,400 individuals engaged with digital advertisements and completed pre-screener surveys to determine eligibility for the clinical trial. In total, 14,264 individuals consented to participate in the CRC-PREVENT clinical trial. Of these individuals, 58% were female (42% were male), and 65% were over 50. Regarding race and ethnicity, eligible individuals directly represented the intended use population: 16% were Black or African American, 0.2% were Native Hawaiian, Pacific Islander, American Indian, or Alaskan Native, and 7% were Hispanic or Latinx. Regarding socioeconomic status, the decentralized approach permitted access to individuals with healthcare inequities: 25% of participants had income under $29,999, 5% of participants were from rural areas (defined as a city center , 10,000 people), and 36.7% of participants were on public insurance. Individuals were derived from 7,644 unique zip codes across all 48 continental United States. (Table) Conclusion(s): A decentralized recruitment strategy permits highly successful enrollment in the face of screening burdens heightened by COVID-19 pandemic. This approach also offered a significantly more diverse population and could mitigate selection bias and attrition bias associated with the cohorts observed in traditional clinical studies.

The Impact of COVID-19 on Students' Perceived Justice, University Support, Professor Support, and Intentions to Drop Out

Postsecondary education significantly contributes to individuals' career opportunities, lifetime earnings, and social mobility;therefore, understanding the factors that contribute to student retention in higher education has positive economic and societal implications. In this study, with the purpose of contributing to student retention with actionable findings, we focus on factors over which universities exercise reasonable control. We collected data from 430 students in the college of business of a southwestern public university in the U.S. before and during the remote instruction period of the COVID-19 pandemic. We exploit the natural experiment created by COVID-19 to examine group differences in the relationships of perceived organizational support, professor support, fairness of treatment, fairness of outcome, and intentions to drop out. After conducting measurement invariance tests, both samples were fitted to a multi-group structural equation model. Our data revealed that in contrast to the before-COVID sample, during COVID-19, students' perceptions of professor support uniquely and strongly influenced their intentions of dropping out of their studies. Our findings have important implications for student retention. © 2023, North American Business Press. All rights reserved.

The impact of mental health and trauma on student retention: A faculty perspective

Obtaining a college credential can be a vital pathway for economic security in the United States. Institutions of higher education have prioritized not just enrollment, but the retention and degree completion of their students. One significant contributing factor to student attrition is the presence of a mental health condition. Prior to the COVID-19 global pandemic, student mental health was at a crisis level;entering the third year of the pandemic, those levels have worsened. A deeper understanding of the factors that contribute to mental health conditions as well as the prevalence of trauma among college students is critical for addressing the issue. The heterogeneity of community college students and their distinction from 4-year residential institutions must be considered when developing institutional retention strategies. Research has found faculty engagement to be an essential component in student retention, but little is known of the community college faculty perspective when considering student mental health. This phenomenological qualitative study interviewed community college faculty to understand their perspective of how student mental health and trauma affect student retention. Themes and subthemes were gleaned from narrative data, which informed the implications and recommendations for practice, policy, and future research. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Examining Leadership Traits to Succeed in a VUCA-Induced Environment in Eskom

Leading through a crisis and volatile environment requires very different and unique leadership traits. This research sought to understand if the leaders at a state-owned (SoE) utility in South Africa, Eskom, are equipped with the required traits to succeed in a volatile, uncertain, complex, ambiguous (VUCA) induced crisis environment like the Covid-19 pandemic and if there is an alignment between how leaders perceive how well they can perform their tasks with their employees' perceptions of their ability to do the task in this environment. Ineffective leadership response to such an environment and crisis due to leaders lacking the essential traits can cost the SoE direly in financial terms, market value, service delivery, brand equity, and employee attrition. Thus, establishing the key leadership traits that leaders at Eskom lack for leading in VUCA and crisis environments would assist Eskom in identifying the appropriate upskilling for their leaders. Using a quantitative research design, the study surveyed a total of 65 senior managers and 45 employees at Eskom, an SoE in South Africa, using an online survey platform. The study found that the senior managers at Eskom are equipped to some degree with the appropriate traits required to succeed in a VUCA environment. They could not perform all 32 tasks well as per the SCAILES framework but do display key traits that align to 6 constructs of the framework: strategic, complex, adaptive, learning, emergence, and systems.

The great hospitality worker resignation

This study sought to identify and analyze hospitality industry employees' rationale for leaving the industry during the COVID-19 pandemic. This study further explored possible remedies hospitality industry organizations can adopt to rehire employees who decided to leave the industry. A qualitative survey was conducted online using Qualtrics to anonymously collect data from hospitality industry employees who had voluntarily left the industry during the COVID-19 pandemic–a sample that is difficult to recruit for research purposes. The thematic analysis revealed several explanations behind the great exodus from the hospitality industry. Unfortunately, not many incentives for employees' return to the industry were revealed. Practical implications and future research suggestions are discussed. © 2023 Taylor & Francis.

Online course formats and student self-efficacy in academic skills predict persistence in introductory psychology

Concerns about student persistence in online college courses have increased since the onset of the COVID-19 pandemic. This study examined factors associated with self-selection into asynchronous versus synchronous online course sections and effects of course format, self-efficacy, and self-regulatory behaviors on course withdrawal rates and final grades in Introductory Psychology. We assessed learning outcomes of students (N = 563, Mean age = 20.3 years) enrolled in Introductory Psychology at a nonselective, minority-serving institution in Spring 2021. Half of the sections were fully asynchronous;half met synchronously via Zoom. Students enrolled in asynchronous sections were more often first semester students;asynchronous students were less likely to access the online textbook or check Blackboard settings before submitting their first assignment. While students enrolled in synchronous sections more often reported challenges sustaining attention and motivation, students enrolled in asynchronous sections more often reported difficulties managing coursework and work obligations. Controlling for demographic factors, students in asynchronous sections had a higher risk of withdrawing, as did students with lower self-efficacy and those reporting family obligations. For students completing the course, final grades were associated with accessing the textbook, reading comprehension, and demographics, but not with course format or self-efficacy. These findings provide insight into factors that predict enrollment in online course formats and subsequent associations with learning outcomes. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

How transformational leaders increase nurse retention and decrease attrition

The COVID-19 pandemic exacerbated the problem of nurse attrition, which negatively impacted the lives of nurses, decreased patients' perception of their healthcare, and increased the cost of healthcare. Facility administrators who lack strategies to decrease nurse turnover may lose their ability to provide quality nursing services in their facility and control their costs of care. Grounded in the transformational leadership theory, the purpose of this qualitative multiple case study was to explore the strategies private medical treatment facility administrators use to decrease nurse attrition. Five private medical treatment facility administrators located in Southern Texas completed semistructured, open-ended interviews, and three employee engagement survey results were analyzed. Results were analyzed using thematic analysis. Four themes emerged: develop a culture of engagement, approach associates' concerns from a perspective of listening, provide financial benefits within the control of management, and advocate to the United States Federal Government. A key recommendation for facility administrators is to remain visible leaders and conduct unit rounding often. The implications for social change include the potential to improve the lives of nurses, increase patients' perception of their healthcare, and decrease the cost of healthcare. (PsycInfo Database Record (c) 2022 APA, all rights reserved)

The risks of attrition bias in longitudinal surveys of the impact of COVID-19.

As the COVID-19 pandemic continues, interest in mental health impacts is shifting from short-term to long-term outcomes. As part of a longitudinal online survey study examining mental health impacts of the pandemic, we assessed the risk of attrition bias related to a history of depression-a condition research shows can increase challenges of recruitment and retention. Among 5023 participants who completed the baseline survey, significantly more reporting a history of depression were lost to follow-up: baseline to 3 months: 497/760 (65.4%) vs 2228/4263 (52.3%), P < 0.001; 3 to 6 months: 179/263 (68.1%) vs 1183/2035 (58.1%), P = 0.002. Participants reporting a history of depression also had greater adjusted odds of a Patient Health Questionnaire-8 score ≥10 (odds ratio [OR] = 3.97, 95% confidence interval [CI] 3.27, 4.84), Generalized Anxiety Disorder-7 score ≥10 (OR = 3.77, 95% CI 3.07, 4.62), and Posttraumatic Diagnostic Scale for DSM V score ≥ 28 (OR = 7.17, 95% CI 4.67, 11.00) at baseline, indicating a need to account for attrition bias when examining these outcomes. Similar considerations likely apply to other longitudinal survey studies and are important to address to ensure accurate evidence is available to support policy decisions regarding resource allocation and funding.

Recruiting and retaining community-based participants in a COVID-19 longitudinal cohort and social networks study: lessons from Victoria, Australia.

BACKGROUND: Longitudinal studies are critical to informing evolving responses to COVID-19 but can be hampered by attrition bias, which undermines their reliability for guiding policy and practice. We describe recruitment and retention in the Optimise Study, a longitudinal cohort and social networks study that aimed to inform public health and policy responses to COVID-19. METHODS: Optimise recruited adults residing in Victoria, Australia September 01 2020-September 30 2021. High-frequency follow-up data collection included nominating social networks for study participation and completing a follow-up survey and four follow-up diaries each month, plus additional surveys if they tested positive for COVID-19 or were a close contact. This study compared number recruited to a-priori targets as of September 302,021, retention as of December 31 2021, comparing participants retained and not retained, and follow-up survey and diary completion October 2020-December 2021. Retained participants completed a follow-up survey or diary in each of the final three-months of their follow-up time. Attrition was defined by the number of participants not retained, divided by the number who completed a baseline survey by September 302,021. Survey completion was calculated as the proportion of follow-up surveys or diaries sent to participants that were completed between October 2020-December 2021. RESULTS: At September 302,021, 663 participants were recruited and at December 312,021, 563 were retained giving an overall attrition of 15% (n = 100/663). Among the 563 retained, survey completion was 90% (n = 19,354/21,524) for follow-up diaries and 89% (n = 4936/5560) for monthly follow-up surveys. Compared to participants not retained, those retained were older (t-test, p <  0.001), and more likely to be female (χ2, p = 0.001), and tertiary educated (χ2, p = 0.018). CONCLUSION: High levels of study retention and survey completion demonstrate a willingness to participate in a complex, longitudinal cohort study with high participant burden during a global pandemic. We believe comprehensive follow-up strategies, frequent dissemination of study findings to participants, and unique data collection systems have contributed to high levels of study retention.

Incidence and predictors of attrition rate after children started inpatient treatments for complicated severe acute malnutrition in North West Ethiopia.

BACKGROUND: Retaining children for inpatient treatment of complicated severe acute malnutrition (SAM) is a growing challenge until achieved the reference weight of a child. In Ethiopia, there is limited information regarding the time to be lost from the stabilizing centers after initiation of treatment. Thus, this study aimed to identify incidence and predictors of attrition for children suffering from SAM after started inpatient treatment in North West Ethiopia. METHODS: A retrospective cohort study was conducted among under-five children admitted and started inpatient treatment for complicated SAM from 2015/2016 to 2020/2021. Data were entered using Epi-data version 4.2 and then exported to STATA (SE) version R-14 software for further analysis. The analysis was computed using Cox proportional hazard regression model after checking all proportional hazard assumptions. Covariates having < 0.2 of P values in the bi-variable analysis were candidates transferred to the multivariable Cox proportional hazard regression model. Finally, a statistical significance was declared at a P value of < 0.05. RESULT: Overall, 760 files of under-five children were analyzed with a mean (± SD) age of participants 27.8 (± 16.5) months. About 6944 child-days of treatment observation were recorded with the crude incidence of attrition rate of 9.7% (95% CI 7.9-12.6). The overall median time of attrition and half-life time S(t1/2) of survival rates was determined as 14 (IQR = ± 7) days and 91.6% (95% CI 88.2-93.1), respectively. The attrition rate was significantly associated with cases living in rural residents (AHR = 6.03; 95% CI 2.2; 25.2), being re-admitted SAM cases (AHR = 2.99; 95% CI 1.62; 5.5), and caregivers did not have formal education (AHR = :5.6, 95% CI 2.7; 11.7) were all independent predictors for attrition from inpatient treatment. CONCLUSIONS: Nearly one in every ten severely acute malnourished under-five children defaulted at the end of treatment observation with a median time of 14 (IQR = ± 7) days. Living in a rural residence, being re-admitted cases, caregivers who did not have a formal education were significantly associated with the attrition rate. Hence, it is crucial to detect and control the identified causes of defaulting from treatment observation promptly. Furthermore, serious counseling during admission and nutritional provision strategies are essential for virtuous treatment outcomes.

Post-secondary online learning in the U.S.: an integrative review of the literature on undergraduate student characteristics.

Even prior to the COVID-19 pandemic, online learning had become a fundamental part of post-secondary education. At the same time, empirical evidence from the last decade documents higher dropout online in comparison to face-to-face courses for some students. Thus, while online learning may provide students access to post-secondary education, concerns about academic momentum and degree attainment dominate the higher education online learning landscape. Because course completion is often used as a measure of effectiveness, there is a strong need for institutions to be able to predict the potential persistence of online students to direct efforts towards ameliorating dropout. Yet currently, a widely tested and validated archetypical predictive model of retention and success does not exist for undergraduate online learning. This integrative review of the literature examines evidence gathered over the last decade, organizing and summarizing major findings, to help identify potential undergraduate student characteristics for inclusion in such a model. The body of literature collected in this review suggests ten factors for consideration.

A Phenomenology of First-Year Music Teaching During the COVID-19 Pandemic

The purpose of this phenomenology was to examine the lived experience of being a first-year music teacher during the COVID-19 pandemic. Across two data waves, the first in winter 2020 and the second in late spring 2021, we collected written reflections and conducted online interviews with 10 music teachers who began their careers in 2020 to 2021. We found that participants' experiences were characterized by overwhelm, disconnection, a pervasive concern for well-being, and a sense of missing out. These experiences were shaped by contextual factors like being responsible for mixed instructional modalities, coping with inconsistent student attendance, and navigating safety protocols that presented barriers to learning. The essence of being a first-year music teacher during the pandemic was the feeling of being adrift amid a largely lost year, looking to the next year as another first year of teaching. We suggest that this cohort of novice music teachers is distinct from previous cohorts, having been shaped by an intensified teaching experience. Induction supports such as mentoring may need to be extended through the first 3 years of their careers, and researchers should continue to follow this cohort because their trajectory is unclear.

EVERY CLOUD HAS A SILVER LINING: SHORT-TERM PSYCHOLOGICAL EFFECTS OF COVID-19 ON BRITISH UNIVERSITY STUDENTS

There are widespread concerns about the mental health implications of the pandemic, particularly among university students, an already at-risk population for poor mental health. This study looked at 1,281 UK university students, recruited through the Prolific website. Participants were asked to complete the Attitudes towards COVID-19 Scale, the CORE-10, the PERMA Profiler, the GAD-7 and the Office for National Statistics wellbeing questions (ONS4). The first survey was conducted between May 14th and 16th, when the UK was in national lockdown. The second survey was carried out between June 26th and July 15th. There was only an 11% attrition rate between the two time points. Well-being improved overall between the two time points. Some findings were contradictory as overall well-being, anxiety and levels of flourishing improved, but reports of psychological distress increased. It is also important to note that levels of positivity about the pandemic increased as time went on. There was evidence that higher levels of positivity were linked to better mental health outcomes. Encouraging a positive mindset and outlook in students, probably through positive psychology-based interventions, might act as a protective factor against severe mental illness. The wider relevance and practical implications for higher education are discussed.

Reasons for Preoperative Patient Attrition among Bariatric Surgery Candidates: Patients' Point of View.

PURPOSE: Obesity has become a global health concern, associated with decreased quality of life and life expectancy. Although bariatric surgery has many benefits (e.g., substantial and durable weight loss, amelioration of comorbidities, and improvement in functionality), its patient attrition rate is relatively high. Therefore, we aim to assess the causes of withdrawal from our program. MATERIALS AND METHODS: We interviewed patients who dropped out of our bariatric surgery program between January 2016 and December 2021. A total of 1999 patients were eligible for bariatric surgery during this period, and 255 patients withdrew from the program. We interviewed patients over the phone to find out the reason for withdrawal. We divided participants into two groups: dropouts before and during the COVID-19 pandemic. Several options explaining the reason for leaving the program were presented to the patients to choose from. RESULTS: The number of patients who withdrew from the program before and during the COVID-19 pandemic was 135 (8.9%) and 120 (25.2%), respectively. Before the COVID-19 pandemic, most patients (49.1%) stated that the long waiting time was the cause of withdrawal. Even though during the COVID-19 pandemic, the main causes of attrition were the fear of contracting the disease and COVID-19 infection; the most common reason unrelated to COVID-19 was still the long preoperative preparation. CONCLUSION: Long waiting time was the most common cause of patient attrition before bariatric surgery. To reduce the attrition rate, more studies should be conducted to find an optimized waiting time before bariatric surgery.

The Impact of COVID-19 and Telehealth Services on Attrition Rates in Psychotherapy.

Attrition in psychotherapy has been identified as a significant obstacle in the productive delivery of mental health services. Defined generally as the ending of a treatment prior to proper optimal benefit, attrition both hinders treatment efficacy and costeffectiveness in therapy. With the demands for quality mental health services increasing, resources must be identified to reduce barriers to such services. The COVID-19 pandemic has resulted in the emergence of one potential resources: telehealth services. The current study aims to identify how COVID-19 and telehealth services have influenced attrition by analyzing attrition rates from both before and during the pandemic in a community health center where a transition to telehealth was made at the start of the pandemic. In addition, the variables of age, gender, socioeconomic status, and insurance coverage were also tested as potential predictors of attrition. Using de-identified patient information, clients who had participated in therapy services within a six-month period at a community health center (N = 329) were selected. A survival analysis was used to assess the time taken from initial appointment to the point of attrition. Results indicated that those who attended therapy via telehealth were less likely to stop attending treatment than those who participated in therapy in person. Individuals who used both in-person and telehealth visits were the least likely to terminate treatment prematurely. Clinical implications include the need for therapists to offer both telehealth and in-person services in order to give clients more resources to reduce a large barrier to needed mental healthcare treatment. Supplementary Information: The online version contains supplementary material available at 10.1007/s10591-023-09661-0.

An Empirical Study on Stress Modalities in IT Sector with Special Reference to COVID 19

This paper majorly signifies in handling of stress of an individual more emphasized on their cognition mishandled due to external environmental changes and relative compulsive forces acting especially in the context of COVID "19 who are Working from Home rather than working from MNC's. In addition, it describes how to handle invidually to get motivated for generating the effective outcomes as on whole productively helpful for an organization. The employees working in different organizations have to deal with the stress. Especially IT professionals are under a great deal of stress due to many reasons. The stress contributes to decreased organizational performance, decreased employee overall performance, decreased quality of work, high attrition rate. Right at this point of time there is no way out to make the industry stress free. With increasing application of technology and new age facilities this kind of pressure is bound to increase. So, the sector has decided to face the problem rather than avoid it. Thus, this paper emphasis on the comparative study of stress impact on their performance work from Home and MNC's Environment Due to COVID "19. Copyright © 2022 Wolters Kluwer Medknow Publications. All rights reserved.