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A large-scale study involving 5891 first year science students from various French tertiary education tracks (University, preparatory classes for engineering schools and technological university institutes, etc.) conducted over 9 years allows us to document the understanding of physics concepts and the mastery of basic mathematical tools after completion of the baccalauréat (French high school exit examination). We observe a level of mastery well below the skills expected at the end of high school, which first-year university teachers rely on to organize their courses. We also observe a significant decline over time of student achievement scores during the 9 years of the study. We discuss the need to adapt first-year university courses to the actual skills of new students, rather than those they are assumed to have acquired.

Background: This study on interprofessional relationships took place in Eastern Kentucky analyzing optometry, medical and nursing students at the University of Pikeville.  The Readiness for Interprofessional Learning Scale (RIPLS), regarding all three healthcare professional schools, was used to measure and determine students' views on working with one another.  The purpose of the study was to examine similarities and differences in student attitudes across the three health professional programs within the same university. Methods: Second year University of Pikeville (UPIKE) nursing, optometry, and medical students were given survey questions that followed the validated 19-item Readiness for Interprofessional Learning Scale (RIPLS). Results: While the optometry and medical students demonstrated statistically similar attitudes, key statistical findings included that nursing students were more likely than medical students to believe that clinical problem solving can only be learned effectively with students/professionals from their own school/organization (p = 0.015);  nursing students were more likely than medical students to welcome the opportunity to work on small group projects with other health and social care students/professionals (p = 0.018); and nursing students were more likely than both optometry and medical students to not be sure what their professional role will be/is  (p=.005). Conclusions: At the UPIKE, there is an observable difference between the attitudes toward IPE. Nursing students appeared to have a more positive attitude toward IPE than medical and optometry students, with the medical and optometry students having similar attitudes.

Background The need for time-efficient and accessible mental health assessment is a priority in the face of high demand, limited resources and a progressive increase in the percentage of adults experiencing high or very high levels of psychological distress. Although there is broader supportive evidence for using online assessment as a potential solution, there is relatively little evidence from randomised controlled trials. Objective To investigate whether patient online self-reported clinical information can save clinician time in subsequent mental health assessment via phone. Methods Patients referred to a public mental health service by general practitioners via fax during business hours between February 2020 and June 2022 were randomly allocated to either the intervention (self-reporting of clinical information followed by clinician assessment by phone) or control (clinician phone assessment as usual) arm. The time to complete the assessment (call duration) was the primary outcome measure. Results Out of 758 referrals assessed for eligibility, 377 (49.34%) entered the study and were randomised. Out of 184 referrals allocated to the intervention arm, the assessment was completed in 125, but only 81 were included in the analysis, mostly due to failure of clinicians to follow the protocol (completing the assessment without using self-reported data, likely due to inexperience with the novel process). Of 193 referrals allocated to the control arm, 135 completed the assessment and were included in the analysis. Average assessment completion time in the control arm was 25.19 min (standard deviation (SD) of 11.5 min) and 20.76 min (SD 7.49 min) in the intervention arm respectively, with a mean difference of 4.43 min (17.59% time reduction). When a mixed effects linear model was used to adjust for potential seasonal effect and correlation of outcome within clinicians, a statistically significant reduction of 3.29 min ( P  = 0.016, 95% CI (5.85, 0.73)) was still demonstrated by using online assessment. Conclusion The use of online self-report clinical assessment by patients can save time to complete subsequent clinician assessment. Greater time-saving can be expected with better integration of this tool in workflow and increased clinician familiarity with using online self-reported data. Trial registration (registered retrospectively) Registry: Australian and New Zealand Clinical Trial Registry (ACTRN). Registration number: anzctr.org.au ACTRN12624001293550. Date of registration: 24/10/2024.

Health systems are increasingly offering patient portals as tools for patients to access their health information with the goal of improving engagement in care. However, understanding health care providers' perspectives on patient portal implementation is crucial. This study aimed to understand health care providers' experiences of implementing the MyChart patient portal, perspectives about its impact on patient care, clinical practice, and workload, and opportunities for improvement. Using an explanatory sequential mixed methods approach, we conducted a web-based questionnaire and semistructured individual interviews with health care providers at a large Canadian community hospital, 6 months after MyChart was first offered to patients. We explored perspectives about the impact of MyChart on clinical practice, workload, and patient care. Data were analyzed using descriptive statistics and thematic analysis. In total, 261 health care providers completed the web-based questionnaire, and 15 also participated in interviews. Participants agreed that patients should have access to their health information through MyChart and identified its benefits such as patients gaining a greater understanding of their own health, which could improve patient safety (160/255, 62%). While many health care providers agreed that MyChart supported better patient care (108/258, 42%), there was limited understanding of features available to patients and expectations for integrating MyChart into clinical routines. Concerns were raised about the potential negative impacts of MyChart on patient-provider relationships because sensitive notes or results could be inappropriately interpreted (109/251, 43%), and a potential increase in workload if additional portal features were introduced. Suggested opportunities for improvement included support for both patients and health care providers to learn about MyChart and establishing guidelines for health care providers on how to communicate information available in MyChart to patients. While health care providers acknowledged that MyChart improved patients' access to health information, its implementation introduced some friction and concerns. To reduce the risk of these challenges, health systems can benefit from engaging health care providers early to identify effective patient portal implementation strategies.

Vehicle-to-everything (V2X) refers to the technology that enables electric vehicles (EVs) to push their battery energy back to the grid. The system’s V2X integration includes key functions like V2G, V2H, V2B, etc. This paper explores the preferences of Swedish EV drivers in contributing to V2X programs through an online questionnaire. Respondents were asked to answer questions in three contexts: (1) claims related to their EV charging, (2) V2G application by EV, and (3) V2H application by EV. The respondents were questioned about the importance of control, pricing, energy sustainability and climate issues, impact on the battery, the acceptability of V2X, range anxiety, financial compensation, as well as how and where they prefer to charge the EV. The results of the survey indicate that Swedish EV drivers are more interested in the V2H application than in V2G. Additionally, they express more concern about range anxiety than battery degradation due to the V2X application.

Background To investigate the perspectives and expectations of faculty radiologists, residents, and medical students regarding the integration of artificial intelligence (AI) in radiology education, a survey was conducted to collect their opinions and attitudes on implementing AI in radiology education. Methods An online questionnaire was used for this survey, and the participant anonymity was ensured. In total, 41 faculty radiologists, 38 residents, and 120 medical students from the authors’ institution completed the questionnaire. Results Most residents and students experience different levels of psychological stress during the initial stage of clinical practice, and this stress mainly stems from tight schedules, heavy workloads, apprehensions about making mistakes in diagnostic report writing, as well as academic or employment pressures. Although most of the respondents were not familiar with how AI is applied in radiology education, a substantial proportion of them expressed eagerness and enthusiasm for the integration of AI into radiology education. Especially among radiologists and residents, they showed a desire to utilize an AI-driven online platform for practicing radiology skills, including reading medical images and writing diagnostic reports, before engaging in clinical practice. Furthermore, faculty radiologists demonstrated strong enthusiasm for the notion that AI training platforms can enhance training efficiency and boost learners’ confidence. Notably, only approximately half of the residents and medical students shared the instructors’ optimism, with the remainder expressing neutrality or concern, emphasizing the need for robust AI feedback systems and user-centered designs. Moreover, the authors’ team has developed a preliminary framework for an AI-driven radiology education training platform, consisting of four key components: imaging case sets, intelligent interactive learning, self-quiz, and online exam. Conclusions The integration of AI technology in radiology education has the potential to revolutionize the field by providing innovative solutions for enhancing competency levels and optimizing learning outcomes.

The paper reports a case study where a relatively lightweight technology in the form of a Web-based questionnaire was used to support members of a real community of professionals in externalizing and sharing their good practices and achieving a better awareness of and agreement on topics of common interest. We focused on an important medical association that counts more 1000 doctors all around the world as its members. In particular, we report how this association used the occasion of the on-line survey enabled by our technology to increase the awareness of its members about the actual heterogeneity of preferences existing in their daily clinical practice, and to trigger discussion toward a better consensus on best practices, appropriate indications, and treatments of choice for their profession and practice. We also report the result of a post-hoc evaluation of the Web-based technology employed, and draw some implications for the better design of this kind of tool in order to collect and share collective knowledge in specific professional domains.

Background Overall survival is used to assess clinical effectiveness in cancer clinical trials. In practice, it may be influenced by intercurrent events post-randomisation. The decisions made on how to address intercurrent events, change the interpretation of the results. An example is when participants stop their trial intervention and start subsequent anti-cancer interventions (treatment lines) during trial follow-up. At present, there is no evidence on the views of all stakeholders about this intercurrent event or consensus on how it should be addressed. The aim of this work was to understand the perspectives of all stakeholders and to obtain consensus through a qualitative study to guide future methodological work. Methods A modified Rand/UCLA appropriateness method was implemented. Stakeholder views were collected using an online questionnaire and discussed at a focus group. The questionnaire included items on, the different methods for addressing an intercurrent event, data collection following an intercurrent event, statistical assumptions, and data presentation. Analysis was descriptive incorporating a conventional content approach. Consensus was defined a priori. Results One hundred three stakeholders (30 statisticians or other data analysts, 6 payers or industry partners, 22 healthcare professionals and 45 patient, carer or members of the public) completed the questionnaire between 3/8/2022 and 30/9/2022. Seventy-nine percent of respondents thought it important to consider the potential effect of subsequent treatment lines. Consensus was reached on most questionnaire items. Stakeholders agreed that statistical assumptions were applicable only in “Some Scenarios” and that results should be presented using both a visual and summary measure. The focus group discussed different methods for addressing an intercurrent event and items around data collection where consensus was unclear. Seven participants attended (two patients/carers, one healthcare professional, three statisticians and one payer) with K-LR and PW. Attendees agreed that the treatment policy approach should be considered in future work as it was the most realistic, and that data collection was acceptable with informed consent. Discussion This work demonstrates that all stakeholder groups are interested in how subsequent treatment lines may impact overall survival and provides evidence on what future methodological work in the area should consider. The next step of this work will investigate whether it is possible to estimate the overall survival treatment effect in a hypothetical scenario where participants who received second-line therapy all received the same second-line therapy. This will aim to complement the existing treatment policy approach and quantify the impact of subsequent treatments.

Nutrition Literacy (NL) positively impacts diet quality and has the potential to promote health and prevent nutrition-related chronic diseases. Brazil is one of the countries with the highest rates of nutrition-related chronic diseases. Nevertheless, in Brazil, few studies have explored the NL levels of its population. To provide remote access to the Nutrition Literacy Assessment Instrument for Brazilians (NLit-Br) and assess Brazilian bank employees, we conducted a study to estimate the validity of the NLit-Br online and to investigate whether bank employees have an adequate NL level. In the first step, we randomly assigned 21 employees from three financial institution branches to two groups to complete NLit-Br paper and online versions. After an interval period, both groups completed the NLit-Br with an opposite delivery method (paper vs. online). We compared the validity of the digital and paper versions of the NLit-Br by the Intraclass Correlation Coefficient (ICC), and the reliability by Kuder–Richardson formula 20. Second, we evaluated 1174 bank employees using the NLit-Br online version. We found an excellent absolute agreement (ICC ≥ 0.75) between the paper and online versions. The questionnaire had good internal consistency (KR-20 = 0.64). The sample was characterized as mostly male (61.0%), married/cohabitant (73.8%), and white (69.8%), with high household income (85.2%), and graduated or postgraduate (97.4%). The mean age of the population was 42.1 (SD = 7.6) years. Subjects predominantly had possibly inadequate NL (62.3%). The online NLit-Br total score was significantly associated with gender, age, and household income (p < 0.05). Women and individuals with higher incomes had a higher degree of NL. Subjects over 50 years old had a lower degree of NL. There was no significant association between the NLit-Br score and the participants’ education. The NLit-Br online is a valid instrument to assess NL remotely. The population studied showed a high prevalence of inadequacy of the NL. Therefore, there is a need for targeted actions to improve the NL of bank employees.

Purpose: This study aimed to identify the foundational themes and strategies to enhance response quality in online surveys. Method: The term \"online survey\" and its variations were employed as broad keywords for the article selection process to identify methodological and empirical articles about online survey quality. The selected database was characterized using bibliometric techniques, the foundational themes were identified through co-citation analysis, and recommended strategies were determined using bibliographic coupling analysis. Findings:  The foundational themes in online survey literature encompass Device, Mode of Administration, Question Design, Careless Responses, Response Rate, Paradata, Statistical Adjustment, Incentives, and Household Survey. Device and Mode of Administration emphasize the description and comparison of online collection methods with traditional approaches and explore the use of different devices. The remaining themes investigate strategies aimed at enhancing online survey response, focusing on specific strategies, quality indicators, or participant behaviors. Originality/Value: This study serves as a valuable guideline for survey researchers. To the authors’ knowledge, this is the first review using co-citation analysis to identify the main strategies for improving response quality in online survey research. Theoretical/Methodological contributions: This research contributes across many disciplines by uncovering the main strategies to improve response quality in online survey research and providing guidance for survey researchers. Social/Managerial contributions: By highlighting the importance of survey protocols and the potential biases and errors associated with unplanned research, the findings offer practical insights for social and managerial contexts.