Testing the decoy effect to improve online survey participation: Evidence from a field experiment

As low participation and retention in online survey participation decrease confidence in its results, traditional research has focused on ways to optimize the survey structure and design. So far, no study has tested the decoy effect (i.e. offering an inferior decoy option to increase the attractiveness of the target option) to increase survey participation. In a field experiment with 203 students, we tested the effectiveness of adding a decoy questionnaire to the choice set to improve online survey participation. The decoy questionnaire featured open-ended instead of close-ended questions and delayed remuneration (1 week vs. 4 weeks). We found that the presence of the decoy questionnaire increased the probability of the target questionnaire being completed from 32.7 % to 55.9 %. Furthermore, while the decoy did not affect response behavior or cause non-response bias, a significant order effect was observed. When the target questionnaire was presented before the decoy, the participation was 82.7 % in comparison to 28.0 % when the decoy was presented first. This study is the first to test the decoy effect in the context of aiming to improve survey participation. These findings offer a ‘proof of principle’ that decoys have the potential to increase participation without negatively influencing question response behavior

Acceptability of risk-stratified breast screening: Effect of the order of presenting risk and benefit information

OBJECTIVE: To test whether reduced-frequency risk-stratified breast screening would be perceived more favourably by transposing the order of information on benefits and risks. METHODS: After reading vignettes describing non-stratified three-yearly screening and a risk-stratified alternative with five-yearly invitations for women at low risk, 698 women completed an online survey. Participants were allocated at random to information on screening benefits followed by risks, or vice versa, and asked to state preferences for either screening system. Participants also rated perceived magnitude of screening benefits and risks, and breast cancer susceptibility. RESULTS: Binomial logistic regression did not find order effects on preferences (p = 0.533) or perceived benefits of screening (p = 0.780). Perceived screening risks were greater when risks were presented first (p < 0.0005). Greater perceived susceptibility was associated with lower proportions preferring risk-stratified screening (15% vs. 39% in highest and lowest groups; p = 0.002), as were greater perceived screening benefits (e.g. 13% vs. 45% in highest and lowest groups; p < 0.0005). CONCLUSIONS: No information order effect on preferences was observed. Information order did affect screening risk perceptions. Efforts to improve perceptions may need to be more intensive than those tested. Women perceiving themselves as high risk or perceiving greater benefits of screening may be particularly averse to less frequent screening

Surgical treatment of a complicated distal tibia epiphyseal Salter–Harris type I fracture in a yearling

This article describes the management of a complicated distal epiphyseal Salter–Harris type I fracture of the left tibia in a yearling horse. Closed reduction and internal fixation was attempted in the first surgery using tension band wires. Due to fracture instability 2 weeks after surgery, a full‐limb transfixation pin cast was applied to the tibia and maintained for 7 weeks to prevent further fracture displacement and to achieve axial alignment. The full‐limb cast was maintained for a total of 12 weeks, including the time with the transfixation pin cast. Cast sores and tendon laxity resolved without further complications. Ten months after the first surgery, the fracture had radiographically healed, and the horse was sound at the walk and trot in a straight line

Sneutrino-induced like sign dilepton signal with conserved R-parity

Lepton number violation could be manifest in the sneutrino sector of supersymmetric extensions of the standard model with conserved R-parity. Then sneutrinos decay partly into the ``wrong sign charged lepton'' final state, if kinematically accessible. In sneutrino pair production or associated single sneutrino production, the signal then is a like sign dilepton final state. Under favourable circumstances, such a signal could be visible at the LHC or a next generation linear collider for a relative sneutrino mass-splitting of order ${\cal O}(0.001)$ and sneutrino width of order ${\cal O}$(1 GeV). On the other hand, the like sign dilepton event rate at the TEVATRON is probably too small to be observable.Comment: 19 pages, 14 Figures. Section about LSD at LHC and TEVATRON added. Previous Title "Single sneutrino production and the wrong charged lepton signal

Follow-up study of sensory-motor polyneuropathy in Type 1 (insulin-dependent) diabetic subjects after simultaneous pancreas and kidney transplantation and after graft rejection

The influence of successful simultaneous pancreas and kidney transplantation on peripheral polyneuropathy was investigated in 53 patients for a mean observation period of 40.3 months. Seventeen patients were followed-up for more than 3 years. Symptoms and signs were assessed every 6 months using a standard questionnaire, neurological examination and measurement of sensory and motor nerve conduction velocities. While symptoms of polyneuropathy improved (pain, paraesthesia, cramps, restless-legs) and nerve conduction velocity increased, there was no change of clinical signs (sensation, muscle-force, tendon-reflexes). Following kidney-graft-rejection there was a slight decrease of nerve conduction verlocity during the first year, which was not statistically significant. Following pancreas-graft rejection there was no change of nerve conduction velocity during the first year. Comparing the maximum nerve conduction velocity of the patients with pancreas-graft-rejection to the nerve conduction velocities of these patients at the end of the study, there was a statistically significant decrease of 6.5 m/s. In conclusion, we believe that strict normalization of glucose metabolism alters the progressive course of diabetic polyneuropathy. It may be stabilized or partly reversed after successful grafting even in long-term diabetic patients

Health literacy, health status, and healthcare utilization of Taiwanese adults: results from a national survey

Abstract Background Low health literacy is considered a worldwide health threat. The purpose of this study is to assess the prevalence and socio-demographic covariates of low health literacy in Taiwanese adults and to investigate the relationships between health literacy and health status and health care utilization. Methods A national survey of 1493 adults was conducted in 2008. Health literacy was measured using the Mandarin Health Literacy Scale. Health status was measured based on self-rated physical and mental health. Health care utilization was measured based on self-reported outpatient clinic visits, emergency room visits, and hospitalizations. Results Approximately thirty percent of adults were found to have low (inadequate or marginal) health literacy. They tended to be older, have fewer years of schooling, lower household income, and reside in less populated areas. Inadequate health literacy was associated with poorer mental health (OR, 0.57; 95% CI, 0.35-0.91). No association was found between health literacy and health care utilization even after adjusting for other covariates. Conclusions Low (inadequate and marginal) health literacy is prevalent in Taiwan. High prevalence of low health literacy is not necessarily indicative of the need for interventions. Systematic efforts to evaluate the impact of low health literacy on health outcomes in other countries would help to illuminate features of health care delivery and financing systems that may mitigate the adverse health effects of low health literacy.http://deepblue.lib.umich.edu/bitstream/2027.42/78252/1/1471-2458-10-614.xmlhttp://deepblue.lib.umich.edu/bitstream/2027.42/78252/2/1471-2458-10-614.pdfPeer Reviewe

Susceptibility functions for slow relaxation processes in supercooled liquids and the search for universal relaxation patterns

In order to describe the slow response of a glass former we discuss some distribution of correlation times, e.g., the generalized gamma distribution (GG) and an extension thereof (GGE), the latter allowing to reproduce a simple peak susceptibility such as of Cole-Davidson type as well as a susceptibility exhibiting an additional high frequency power law contribution (excess wing). Applying the GGE distribution to the dielectric spectra of glass formers exhibiting no beta-process peak (glycerol, propylene carbonate and picoline) we are able to reproduce the salient features of the slow response (1e-6 Hz - 1e9 Hz). A line shape analysis is carried out either in the time or frequency domain and in both cases an excess wing can be identified. The latter evolves in a universal way while cooling and shows up for correlation times tau_alpha > 1e-8 s. It appears that its first emergence marks the break down of the high temperature scenario of mode coupling theory. - In order to describe a glass former exhibiting a beta-process peak we have introduced a distribution function which is compatible with assuming a thermally activated process in contrast to some commonly used fit functions. Together with the GGE distribution this function allows in the frame of the Williams-Watts approach to completely interpolate the spectra, e.g. of fluoro aniline (1e-6 Hz - 1e9 Hz). The parameters obtained indicate an emergence of both the excess wing and the beta-process again at tau_alpha > 1e-8s.Comment: 22 pages, 12 figure

Type 2 diabetes and colorectal cancer screening: Findings from the English Longitudinal Study of Ageing

Objectives: Type 2 diabetes has been identified as a risk factor for colorectal cancer, but little is known about whether it influences participation in colorectal cancer screening programmes. This study tested the extent to which Type 2 diabetes is negatively associated with colorectal cancer screening uptake. Methods: We analysed individual data of screening eligible men and women aged 60–75 without cancer diagnosis from wave 6 of the English Longitudinal Study of Ageing (collected 2012–2013), to investigate whether Type 2 Diabetes influences colorectal cancer screening behaviour independently of demographic characteristics, body mass index, socio-economic status and other chronic diseases. Results: Individuals who reported to have Type 2 diabetes or had glycated haemoglobin (HbA1c) levels of 48 mmol/mol or higher were less likely to have ever completed a screening test (faecal occult blood test; 62.8% vs. 75.8%, p < 0.01) or to be up-to-date with their biennial screening invitation (60.2% vs. 72.0%, p < 0.05). The negative associations of Type 2 diabetes on colorectal cancer screening were found both in unadjusted and adjusted regression models. Conclusions: Future qualitative and quantitative research should identify reasons for this discrepancy, to inform interventions to increase screening uptake in this high-risk population