المؤلفون: Kohut, Mike, Scharnetzki, Liz, Pajka, Joseph, Jacobs, Elizabeth A., Fairfield, Kathleen M.

المساهمون: National Institute of General Medical Sciences

المصدر: Health Expectations ; volume 26, issue 3, page 1052-1064 ; ISSN 1369-6513 1369-7625

الوصف: Purpose Many people, especially in rural areas of the United States, choose not to receive novel COVID‐19 vaccinations despite public health recommendations. Understanding how people describe decisions to get vaccinated or not may help to address hesitancy. Methods We conducted semistructured interviews with 17 rural inhabitants of Maine, a sparsely populated state in the northeastern US, about COVID‐19 vaccine decisions during the early rollout (March–May 2021). We used the framework method to compare responses, including between vaccine Adopters and Non‐adopters. Findings Adopters framed COVID‐19 as unequivocally dangerous, if not personally, then to other people. Describing their COVID concerns, Adopters emphasized disease morbidities. By contrast, Non‐adopters never mentioned morbidities, referencing instead mortality risk, which they perceived as minimal. Instead of risks associated with the disease, Non‐adopters emphasized risks associated with vaccination. Uncertainty about the vaccine development process, augmented by social media, bolstered concerns about the long‐term unknown risks of vaccines. Vaccine Adopters ultimately described trusting the process, while Non‐adopters expressed distrust. Conclusion Many respondents framed their COVID vaccination decision by comparing the risks between the disease and the vaccine. Associating morbidity risks with COVID‐19 diminishes the relevance of vaccine risks, whereas focusing on low perceived mortality risks heightens their relevance. Results could inform efforts to address COVID‐19 vaccine hesitancy in the rural US and elsewhere. Patient or Public Contribution Members of Maine rural communities were involved throughout the study. Leaders of community health groups provided feedback on the study design, were actively involved in recruitment, and reviewed findings after analysis. All data produced and used in this study were co‐constructed through the participation of community members with lived experience.

الإتاحة: https://doi.org/10.1111/hex.13714Test

المؤلفون: Scharnetzki, Liz, Schiller, Joan H.

المصدر: Chest ; volume 159, issue 5, page 1721-1722 ; ISSN 0012-3692

مصطلحات موضوعية: Cardiology and Cardiovascular Medicine, Critical Care and Intensive Care Medicine, Pulmonary and Respiratory Medicine

الإتاحة: https://doi.org/10.1016/j.chest.2020.12.043Test
https://api.elsevier.com/content/article/PII:S0012369221000131?httpAccept=text/xmlTest
https://api.elsevier.com/content/article/PII:S0012369221000131?httpAccept=text/plainTest

المؤلفون: Kohut, Michael, PhD, Scharnetzki, Liz, Pajka, Joseph, Jacobs, Elizabeth A, Fairfield, Kathleen M

المصدر: Maine Medical Center

مصطلحات موضوعية: COVID-19, qualitative research, risk perception, trust, vaccines, socio, lang

الوصف: PURPOSE: Many people, especially in rural areas of the United States, choose not to receive novel COVID-19 vaccinations despite public health recommendations. Understanding how people describe decisions to get vaccinated or not may help to address hesitancy. METHODS: We conducted semistructured interviews with 17 rural inhabitants of Maine, a sparsely populated state in the northeastern US, about COVID-19 vaccine decisions during the early rollout (March-May 2021). We used the framework method to compare responses, including between vaccine Adopters and Non-adopters. FINDINGS: Adopters framed COVID-19 as unequivocally dangerous, if not personally, then to other people. Describing their COVID concerns, Adopters emphasized disease morbidities. By contrast, Non-adopters never mentioned morbidities, referencing instead mortality risk, which they perceived as minimal. Instead of risks associated with the disease, Non-adopters emphasized risks associated with vaccination. Uncertainty about the vaccine development process, augmented by social media, bolstered concerns about the long-term unknown risks of vaccines. Vaccine Adopters ultimately described trusting the process, while Non-adopters expressed distrust. CONCLUSION: Many respondents framed their COVID vaccination decision by comparing the risks between the disease and the vaccine. Associating morbidity risks with COVID-19 diminishes the relevance of vaccine risks, whereas focusing on low perceived mortality risks heightens their relevance. Results could inform efforts to address COVID-19 vaccine hesitancy in the rural US and elsewhere. PATIENT OR PUBLIC CONTRIBUTION: Members of Maine rural communities were involved throughout the study. Leaders of community health groups provided feedback on the study design, were actively involved in recruitment, and reviewed findings after analysis. All data produced and used in this study were co-constructed through the participation of community members with lived experience.

العلاقة: https://knowledgeconnection.mainehealth.org/mmc/3123Test

الإتاحة: https://knowledgeconnection.mainehealth.org/mmc/3123Test

المؤلفون: Minnehan, Kaitlin S, Dexter, William W, Holt, Christina T, Scharnetzki, Liz, Alex, James P, Chin, Kaitlyn E, Kokmeyer, Dirk J

المصدر: Maine Medical Center

مصطلحات موضوعية: Adult, Humans, Quadriceps Muscle (diagnostic imaging, pathology), Reproducibility of Results, Retrospective Studies, Ultrasonography, Knee Joint, Magnetic Resonance Imaging (methods), Orthopedics

الوصف: Minnehan, KS, Dexter, WW, Holt, CT, Scharnetzki, L, Alex, JP, Chin, KE, and Kokmeyer, DJ. Validation of panoramic ultrasound measurement of the cross-sectional area of the vastus medialis. J Strength Cond Res 37(1): 41-45, 2023-The cross-sectional area (CSA) of the vastus medialis (VM) is an independent predictor of important clinical outcomes in musculoskeletal conditions of the knee, such as pain and long-term function. Previous studies validated ultrasound (US) to measure larger muscles of the thigh, but this approach has limited accuracy in measuring smaller muscles, such as the VM. In this study, we aimed to validate panoramic US measurements of the CSA of the VM and compare the results with those from the gold standard of magnetic resonance imaging (MRI) (significance set p ≤ 0.05). In this retrospective, single-center study, we compared pairs of US and MRIs taken of 25 adults who participated in a 10-week study of non-weight-bearing activity at a National Aeronautics and Space Administration facility. Images were acquired from various locations on the right thigh at multiple time points. Two researchers independently analyzed the US and MRI pairs by outlining the intermuscular border of the VM in the most distal image. We found excellent agreement between the US and MRI measurements of the CSA of the VM analyzed by researcher 1 (interclass correlation coefficient [ICC]: 0.997) and researcher 2 (ICC: 0.980). We also found excellent agreement for interrater reliability for MRI (ICC: 0.988) and US (ICC: 0.982) and intrarater reliability for US for researcher 1 (ICC: 0.999) and researcher 2 (ICC: 0.996). Our findings demonstrate that US is a valid and reliable tool for measuring the CSA of the VM compared with MRI.

العلاقة: https://knowledgeconnection.mainehealth.org/mmc/2860Test; https://pubmed.ncbi.nlm.nih.gov/36515588Test/

الإتاحة: https://knowledgeconnection.mainehealth.org/mmc/2860Test
https://pubmed.ncbi.nlm.nih.gov/36515588Test/

المؤلفون: McCann, Nicole, Scharnetzki, Liz, Ruben, Mollie, Han, Paul, Hutchinson, Rebecca

المصدر: Journal of Pain and Symptom Management ; volume 65, issue 5, page e646-e647 ; ISSN 0885-3924

مصطلحات موضوعية: Anesthesiology and Pain Medicine, Neurology (clinical), General Nursing

الإتاحة: https://doi.org/10.1016/j.jpainsymman.2023.02.263Test
https://api.elsevier.com/content/article/PII:S0885392423003421?httpAccept=text/xmlTest
https://api.elsevier.com/content/article/PII:S0885392423003421?httpAccept=text/plainTest

المؤلفون: Gillman, Arielle S.¹ arielle.gillman@nih.gov, Scharnetzki, Liz², Boyd, Patrick¹, Ferrer, Rebecca A.¹, Klein, William M. P.¹, Han, Paul K. J.^1,2

المصدر: Journal of Behavioral Medicine. Apr2023, Vol. 46 Issue 1/2, p40-53. 14p. 1 Diagram, 2 Charts, 2 Graphs.

مصطلحات موضوعية: *VACCINATION, *COVID-19, *MEDICINE information services, *COVID-19 vaccines, *ATTITUDE (Psychology), *UNCERTAINTY, *PUBLIC health, *ATTITUDES toward illness, *HEALTH information services, *VACCINE hesitancy, *RESEARCH funding, *COMMUNICATION, *INTENTION, *PSYCHOLOGICAL resilience, *TRUST, *COVID-19 pandemic, *HEALTH promotion

مصطلحات جغرافية: UNITED States

مستخلص: The COVID-19 crisis has exposed the public to considerable scientific uncertainty, which may promote vaccine hesitancy among individuals with lower tolerance of uncertainty. In a national sample of US adults in May–June 2020, we examined how both perceptions of uncertainty about COVID-19 and trait-level differences in tolerance of uncertainty arising from various sources (risk, ambiguity, and complexity) are related to vaccine hesitancy-related outcomes, including trust in COVID-19 information, COVID-19 vaccine intentions, and beliefs that COVID-19 vaccines should undergo a longer testing period before being released to the public. Overall, perceptions of COVID-19 uncertainty were not associated with trust in information, vaccine intentions, or beliefs about vaccine testing. However, higher tolerance of risk was associated with lower intentions to get vaccinated, and lower tolerance of ambiguity was associated with lower intentions to get vaccinated and preferring a longer period of vaccine testing. Critically, perceptions of COVID-19 uncertainty and trait-level tolerance for uncertainty also interacted as predicted, such that greater perceived COVID-19 uncertainty was more negatively associated with trust in COVID-19 information among individuals with lower tolerance for risk and ambiguity. Thus, although perceptions of uncertainty regarding COVID-19 may not reduce trust and vaccine hesitancy for all individuals, trait-level tolerance of uncertainty arising from various sources may have both direct and moderating effects on these outcomes. These findings can inform public health communication or other interventions to increase COVID-19 vaccination uptake. [ABSTRACT FROM AUTHOR]

المؤلفون: Gillman, Arielle S., Scharnetzki, Liz, Boyd, Patrick, Ferrer, Rebecca A., Klein, William M. P., Han, Paul K. J.

المصدر: J Behav Med

مصطلحات موضوعية: Article, envir, psy

الوصف: The COVID-19 crisis has exposed the public to considerable scientific uncertainty, which may promote vaccine hesitancy among individuals with lower tolerance of uncertainty. In a national sample of US adults in May–June 2020, we examined how both perceptions of uncertainty about COVID-19 and trait-level differences in tolerance of uncertainty arising from various sources (risk, ambiguity, and complexity) are related to vaccine hesitancy-related outcomes, including trust in COVID-19 information, COVID-19 vaccine intentions, and beliefs that COVID-19 vaccines should undergo a longer testing period before being released to the public. Overall, perceptions of COVID-19 uncertainty were not associated with trust in information, vaccine intentions, or beliefs about vaccine testing. However, higher tolerance of risk was associated with lower intentions to get vaccinated, and lower tolerance of ambiguity was associated with lower intentions to get vaccinated and preferring a longer period of vaccine testing. Critically, perceptions of COVID-19 uncertainty and trait-level tolerance for uncertainty also interacted as predicted, such that greater perceived COVID-19 uncertainty was more negatively associated with trust in COVID-19 information among individuals with lower tolerance for risk and ambiguity. Thus, although perceptions of uncertainty regarding COVID-19 may not reduce trust and vaccine hesitancy for all individuals, trait-level tolerance of uncertainty arising from various sources may have both direct and moderating effects on these outcomes. These findings can inform public health communication or other interventions to increase COVID-19 vaccination uptake. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s10865-022-00302-9.

العلاقة: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8990605Test/

الإتاحة: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8990605Test/

المؤلفون: DayBranch, Emma, Chessa, Frank, Feutz, Catherine, Jacobs, Elizabeth A, Lessard, Amanda, Riker, Richard R, Scharnetzki, Liz, Sullivan, Carrie, Balligan, Lisbeth, Korsen, Neil

المصدر: Costas T. Lambrew Research Retreat 2022

مصطلحات موضوعية: Community Heatlh, Engagement, Research, Rural Health, Clinical & Translational Research

الوصف: What is Community Engaged Research? Community engaged research (CER) is the process of working collaboratively with groups of people affiliated by geographic proximity, special interests, or similar situations across the lifecycle of research. ; https://knowledgeconnection.mainehealth.org/lambrew-retreat-2022/1040/thumbnail.jpgTest

وصف الملف: application/pdf

العلاقة: https://knowledgeconnection.mainehealth.org/lambrew-retreat-2022/41Test; https://knowledgeconnection.mainehealth.org/context/lambrew-retreat-2022/article/1040/viewcontent/CEC_poster_lambrew_10.21.22_Final.pdfTest

الإتاحة: https://knowledgeconnection.mainehealth.org/lambrew-retreat-2022/41Test
https://knowledgeconnection.mainehealth.org/context/lambrew-retreat-2022/article/1040/viewcontent/CEC_poster_lambrew_10.21.22_Final.pdfTest

المؤلفون: Gillman, Arielle S, Scharnetzki, Liz, Boyd, Patrick, Ferrer, Rebecca A, Klein, William M, Han, Paul K

المصدر: Maine Medical Center

مصطلحات موضوعية: Ambiguity, COVID-19, Trust, Uncertainty, Uncertainty tolerance, Vaccine hesitancy

الوصف: The COVID-19 crisis has exposed the public to considerable scientific uncertainty, which may promote vaccine hesitancy among individuals with lower tolerance of uncertainty. In a national sample of US adults in May-June 2020, we examined how both perceptions of uncertainty about COVID-19 and trait-level differences in tolerance of uncertainty arising from various sources (risk, ambiguity, and complexity) are related to vaccine hesitancy-related outcomes, including trust in COVID-19 information, COVID-19 vaccine intentions, and beliefs that COVID-19 vaccines should undergo a longer testing period before being released to the public. Overall, perceptions of COVID-19 uncertainty were not associated with trust in information, vaccine intentions, or beliefs about vaccine testing. However, higher tolerance of risk was associated with lower intentions to get vaccinated, and lower tolerance of ambiguity was associated with lower intentions to get vaccinated and preferring a longer period of vaccine testing. Critically, perceptions of COVID-19 uncertainty and trait-level tolerance for uncertainty also interacted as predicted, such that greater perceived COVID-19 uncertainty was more negatively associated with trust in COVID-19 information among individuals with lower tolerance for risk and ambiguity. Thus, although perceptions of uncertainty regarding COVID-19 may not reduce trust and vaccine hesitancy for all individuals, trait-level tolerance of uncertainty arising from various sources may have both direct and moderating effects on these outcomes. These findings can inform public health communication or other interventions to increase COVID-19 vaccination uptake.

العلاقة: https://knowledgeconnection.mainehealth.org/mmc/2296Test; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8990605Test/

الإتاحة: https://knowledgeconnection.mainehealth.org/mmc/2296Test
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8990605Test/

المؤلفون: Minnehan, Kaitlin S., Dexter, William W., Holt, Christina T., Scharnetzki, Liz, Alex, James P., Chin, Kaitlyn E., Kokmeyer, Dirk J.

المصدر: Journal of Strength and Conditioning Research ; volume 37, issue 1, page 41-45 ; ISSN 1064-8011

الوصف: Minnehan, KS, Dexter, WW, Holt, CT, Scharnetzki, L, Alex, JP, Chin, KE, and Kokmeyer, DJ. Validation of panoramic ultrasound measurement of the cross-sectional area of the vastus medialis. J Strength Cond Res 37(1): 41–45, 2023—The cross-sectional area (CSA) of the vastus medialis (VM) is an independent predictor of important clinical outcomes in musculoskeletal conditions of the knee, such as pain and long-term function. Previous studies validated ultrasound (US) to measure larger muscles of the thigh, but this approach has limited accuracy in measuring smaller muscles, such as the VM. In this study, we aimed to validate panoramic US measurements of the CSA of the VM and compare the results with those from the gold standard of magnetic resonance imaging (MRI) (significance set p ≤ 0.05). In this retrospective, single-center study, we compared pairs of US and MRIs taken of 25 adults who participated in a 10-week study of non–weight-bearing activity at a National Aeronautics and Space Administration facility. Images were acquired from various locations on the right thigh at multiple time points. Two researchers independently analyzed the US and MRI pairs by outlining the intermuscular border of the VM in the most distal image. We found excellent agreement between the US and MRI measurements of the CSA of the VM analyzed by researcher 1 (interclass correlation coefficient [ICC]: 0.997) and researcher 2 (ICC: 0.980). We also found excellent agreement for interrater reliability for MRI (ICC: 0.988) and US (ICC: 0.982) and intrarater reliability for US for researcher 1 (ICC: 0.999) and researcher 2 (ICC: 0.996). Our findings demonstrate that US is a valid and reliable tool for measuring the CSA of the VM compared with MRI.

الإتاحة: https://doi.org/10.1519/jsc.0000000000004196Test