How Feasible is Multiple Time Point Web-Based Data Collection with Individuals Experiencing Street Homelessness?

Perspectives of researchers with lived experience in implementation science research: Opportunities to close the research-to-practice gap in substance use systems of care

Background

The field of implementation science acknowledges the importance of diversity within research teams including members from diverse disciplines and with lived expertise in practical implementation (e.g., administrators, front-line workers, patients/clients). Gaps remain in the successful implementation of proven substance use treatment interventions.

Methods

This paper will outline the rationale for the purposeful inclusion of researchers with lived experience (RLE) related to substance use disorder (SUD) within implementation science research studies focused on improving SUD services.

Results

We posit that researchers with such experience can help address research-to-practice gaps by (1) building strong community partnerships, (2) engaging in conversations around effective interventions through knowledge translation, (3) providing community-congruent approaches to evaluation, and (4) aiding in dissemination and sustainability efforts.

Conclusions

We end by offering recommendations for researchers without lived experience as they intentionally collaborate with RLE.

Web-based decision aids to support breast cancer screening decisions: systematic review and meta-analysis

Aim: Breast cancer is a leading cause of cancer among women. Because guidelines on screening for breast cancer for certain ages are controversial, many experts advocate the use of shared decision making (SDM) using validated decision aids (DAs). Recent studies have concluded that DAs are beneficial; however, the results have great heterogeneity. Therefore, further studies are needed to improve understanding of these tools. Objective: This systematic review and meta-analysis aimed to investigate the impact of using web-based DAs in women aged 50 years and below facing the decision to be screened for breast cancer in comparison with usual care. Methods: PubMed, Web of Science, Embase and the Cochrane CENTRAL databases were searched up to February 2020 for studies assessing web-based DAs for women making a breast cancer screening decision and reported quality of decision-making outcomes. Using a random-effects model or a fixed-effects model, meta-analyses were conducted pooling results using mean differences (MD), standardized mean differences (SMD) and relative risks (RR). Results: Of 1097 unique citations, three randomized controlled trials and two before-after studies met the study eligibility criteria. Compared with usual care, web-based DAs increased knowledge (SMD = 0.69; 95% CI: 0.57-0.80; p < 0.00001), reduced decision conflict and increased the proportion of women who made an informed choice (RR = 1.86; 95% CI: 1.38 to 2.50; p < 0.0001), but did not change the intention of women deciding to be screened or affect decision regret. Conclusion: This analysis showed the positive effect of web-based DAs on patient-centered outcomes in breast cancer screening. In the future, more internet devices and free or larger discount WI-FI should be established to ensure more women can benefit from this effective tool.

Retaining a Sample of Homeless Youth

OBJECTIVE

Hard to reach populations need to be included in research studies to ensure proper representation of the general population. This paper explores tracking strategies used in the Youth Matters in London project to retain a sample of homeless youth.

METHOD

A total of 187 youth, aged between 16 and 24 years, homeless or precariously housed, and experiencing a serious mental health issue were recruited at a community drop-in center, by word of mouth and by snowball sampling. After the initial interview, three repeat interviews were conducted six months apart.

RESULTS

The most successful strategy for contacting participants was through a local agency and e-mail. An analysis of the contact data identified participant retention rates as 88%, 86%, and 82% for each successive interview. This longitudinal retention rate is very high compared with research in other vulnerable populations, suggesting a strong willingness to participate in the Youth Matters in London project.

CONCLUSIONS

Retaining a sample of homeless youth is difficult, however, with time, patience and effort it has proven possible. This research underscores the importance of relationships with community agencies to retain vulnerable youth samples in longitudinal research designs.