Evidence map›Paper›PMID 31313658›Full record

ArticleJMIR formative research2019

Audience Response Systems and Missingness Trends: Using Interactive Polling Systems to Gather Sensitive Health Information From Youth.

Tammy Toscos, Michelle Drouin, Mindy Flanagan, Maria Carpenter, Connie Kerrigan, Colleen Carpenter, Cameron Mere, Marcia Haaff

Abstract read
In one paragraph

Article in JMIR formative research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Tammy Toscos *Parkview Research Center, Fort Wayne, IN, United States.ORCID http://orcid.org/0000-0002-9679-5359
Michelle Drouin *Parkview Research Center, Fort Wayne, IN, United States.ORCID http://orcid.org/0000-0003-0010-9260
Mindy Flanagan *Parkview Research Center, Fort Wayne, IN, United States.ORCID http://orcid.org/0000-0002-7146-5628
Maria CarpenterParkview Research Center, Fort Wayne, IN, United States.ORCID http://orcid.org/0000-0003-3011-8512
Connie KerriganParkview Research Center, Fort Wayne, IN, United States.ORCID http://orcid.org/0000-0002-9490-5083
Colleen CarpenterParkview Research Center, Fort Wayne, IN, United States.ORCID http://orcid.org/0000-0002-4491-0781
Cameron MereParkview Research Center, Fort Wayne, IN, United States.ORCID http://orcid.org/0000-0003-4609-9037
Marcia HaaffLutheran Foundation, Fort Wayne, IN, United States.ORCID http://orcid.org/0000-0001-9256-7220

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe widespread availability and cost-effectiveness of new-wave software-based audience response systems (ARSs) have expanded the possibilities of collecting health data from hard-to-reach populations, including youth. However, with all survey methods, biases in the data may exist because of participant nonresponse.

objectiveThe aims of this study were to (1) examine the extent to which an ARS could be used to gather health information from youths within a large-group school setting and (2) examine individual- and survey-level response biases stemming from this Web-based data collection method.

methodsWe used an ARS to deliver a mental health survey to 3418 youths in 4 high schools in the Midwestern United States. The survey contained demographic questions, depression, anxiety, and suicidality screeners, and questions about their use of offline resources (eg, parents, peers, and counselors) and Web-based resources (ie, telemental health technologies) when they faced stressful life situations. We then examined the response rates for each survey item, focusing on the individual- and survey-level characteristics that related to nonresponse.

resultsOverall, 25.39% (868/3418) of youths answered all 38 survey questions; however, missingness analyses showed that there were some survey structure factors that led to higher rates of nonresponse (eg, questions at the end of survey, sensitive questions, and questions for which precise answers were difficult to provide). There were also some personal characteristics that were associated with nonresponse (eg, not identifying as either male or female, nonwhite ethnicity, and higher levels of depression). Specifically, a multivariate model showed that male students and students who reported their gender as other had significantly higher numbers of missed items compared with female students (B=.30 and B=.47, respectively, P<.001). Similarly, nonwhite race (B=.39, P<.001) and higher depression scores (B=.39, P<.001) were positively related to the number of missing survey responses.

conclusionsAlthough our methodology-focused study showed that it is possible to gather sensitive mental health data from youths in large groups using ARSs, we also suggest that these nonresponse patterns need to be considered and controlled for when using ARSs for gathering population health data.

Indexed as

health caremental healthsoftwaresurveys and questionnairesyouth

Identifiers

PMID31313658
PMCPMC6664663

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.