Using smartphones to collect daily sexual behavior data from college students

ABSTRACT

Objective: Our objectives were to measure reporting differences between sexual behavior data from daily diary and retrospective estimates and to assess the utility of using smartphones to collect sexual behavior data from a college student population. Participants: Eighty-six participants (68 women, 18 men) completed the study. Methods: For 30 days during the Spring 2017 semester, participants received prompts to participate in daily diaries about their previous day's sexual behavior on their smartphones. Participants then retrospectively reported their past 30 days of sexual behavior and provided feedback on the process of receiving daily diaries on their smartphones. Results: We found that college students overreported their sexual behavior on the retrospective survey compared to their daily diary reports (ps < .001; Cohen's ds ≥ 1.51). Participants provided positive and constructive feedback. Conclusions: Using smartphones to administer daily diaries is a promising technique for obtaining reliable sexual behavior data from college students.     

Psychotropic Drug Use Among College Students: Patterns of Use,Misuse, and Medical Monitoring

Abstract

Objective: To assess whether college students who use psychotropic drugs are (1) aware of potential side effects, (2) appropriately monitored by prescribing physicians, and (3) taking medications as prescribed. Participants: Fifty-five college students, currently taking psychotropic medications, were recruited between Summer 2008 and Fall 2009. Methods: Participants were given interviews assessing (1) interactions with prescribing physicians, (2) patterns of psychotropic drug use, and (3) Diagnostic and Statistical Manual of Mental Disorders Fourth Edition (DSM-IV) substance use disorders. Results: Twenty-five percent of participants did not remember being assessed for suicidal ideation. A large number of participants took their medications in different quantities or frequencies than prescribed and 35% of participants met DSM criteria for substance dependence. Conclusions: Many students are misusing psychotropic medications and this misuse is not being communicated with prescribing physicians.     

An evaluation of the use of diaries in a study of medication in later life

This paper is based upon our experience of commissioning diaries to be kept by research subjects. First the paper reviews some previous research based on diaries, then it outlines the aims of our research and the method of data collection. Then the paper goes on to evaluate the design and use of a diary that participants in our research completed. In particular we consider the ways in which the diary may have biased our sample, caused the participants difficulties and generated poor data. There is also a discussion on how it may have affected behaviour and on the ethical issues that are raised by commissioned diaries. In conclusion, observations are made about the strengths and weaknesses of diaries as an investigative tool with a wider applicability. The diary proved particularly revealing and we recommend that other researchers consider diaries as a method of investigating everyday life.     

A comparison of the reliability of questionnaire versus diary data

The crucial role that communication plays in organizations has led to the development of various methodologies to collect communications data. Two of the more common techniques are one-shot questionnaires and self-recording diaries completed at the time of the interaction. Questionnaires are often viewed as unreliable since they are based on the memory and perceptions of the participants. Diaries, on the other hand, are considered to be more reliable since they are completed immediately following an interaction when the event is still fresh in the individual's mind. This paper compares the cross-recorder reliability of these two data collection instruments. A reliability measure which indicates the degree to which an individual concurs as to the occurrence of interactions across all individuals is introduced. The results, based on studies in three organizations involving 49, 61 and 110 participants respectively, indicate that diary data are significantly more reliable than data obtained from questionnaires.     

Correlates of AUDIT Risk Status for Male and Female College Students

Abstract

Objective: The current study identified gender-specific correlates of hazardous drinker status as defined by the AUDIT. Participants: A total of 462 college student volunteers completed the study in 2006. The sample was predominantly Caucasian (75%) and female (55%). Methods: Participants completed a survey assessing demographics, alcohol use patterns, and health indices. Scores of 8 or more on the AUDIT defined the at-risk subsample. Logistic regression models determined which variables predicted AUDIT risk status for men and women. Results: The at-risk participants reported higher alcohol use and related problems, elevated sleep problems and lower health ratings. High typical blood alcohol concentration (BAC), lifetime drug use, and psychosocial problems predicted risk status for males. Binge frequency and psychosocial problems predicted risk status for females. Conclusions: Different behavioral profiles emerged for men and women identified as hazardous drinkers on the AUDIT. The efficacy of brief alcohol interventions could be enhanced by addressing these behavioral correlates.     

Impact of a Student Assistance Program

A half-time Student Assistance Program (i.e., 20 hours per week) was designed and implemented for two semesters in an urban high school in New Jersey. The findings indicate that the proportion of the students who used the SAP increased with time. In both time periods, males outnumbered the females in use of the SAP and the most frequently cited of the presenting problems for both males and females were alcohol and drug issues and problems. Educators were the primary source of referral to the SAP.     

The relative costs and benefits of telephone interviews versus self-administered diaries for daily data collection

This article compares two methods of collecting daily data: self-administered diaries and telephone interviews. Study participants included 44 men and 56 women between the ages of 16 and 35 who participated in a larger study of drinking, drug use, and sexual activity. Participants were randomly assigned to either the written diary or the telephone interview conditions; question wording and format were identical in both conditions. Daily data were collected for a period of 8 weeks. Results indicate that although telephone interviews resulted in slightly more missed days of data collection, they generally yielded less item-level missing data, produced cleaner data and therefore were less costly to process, and were as palatable to participants as self-administered diaries. Except for reports of drinking and vegetable consumption, telephone and diary conditions did not differ in the amount of behavior reported; more drinking and vegetable consumption were reported with telephone interviews, however. Telephone interviews also imposed considerably higher overall personnel costs.     

College students' use of widely advertised medications

The authors describe college and university students' use of widely advertised pharmaceutical products. Four hundred seventy-one students from three institutions completed self-administered questionnaires that addressed the use of advertised medications, attention to magazine ads for medications, communications with physicians about medications, and the conditions the medications address. Results indicated that the majority of the students used at least one of the advertised products. Most students did not discuss the pharmaceutical products with their physicians or discuss the conditions for which they reported they were taking the drugs.     

Capturing daily family dynamics via text messages: development of the mobile diary

In this paper we introduce a new tool, the mobile phone, for use in diary research. We demonstrate, with reference to two family studies conducted in Finland, how daily family dynamics can be captured by using the mobile diary. In both studies family members sent text messages (SMSs) in answer to structured diary questions three times a day over a one-week period. The participants kept also paper-and-pencil diaries. Two mobile diary items measuring mood (stressfulness and feelings of competence) both at home and at work are reported here as examples. For both items we found statistically significant daily and weekly variation as well as individual fluctuation. The data gathered by the mobile diary were congruent but not identical with the data gathered by the paper-and-pencil diary. The mobile phone method of data collection facilitated participants’ answers at the agreed times and the participants reported that answering was easy and did not take too much time. The main limitation is the lack of space for answers; therefore, the few questions that are used have to be reliable and valid.     

College Students' Use of Widely Advertised Medications

Abstract

The authors describe college and university students' use of widely advertised pharmaceutical products. Four hundred seventy-one students from three institutions completed self-administered questionnaires that addressed the use of advertised medications, attention to magazine ads for medications, communications with physicians about medications, and the conditions the medications address. Results indicated that the majority of the students used at least one of the advertised products. Most students did not discuss the pharmaceutical products with their physicians or discuss the conditions for which they reported they were taking the drugs.     

The accuracy and biases of diary communication data

A study to determine the accuracy and reliability of telephone communications data obtained via self-recording diaries was undertaken. The methodology involved comparing data obtained from the diaries to the more objective data provided by the recording capabilities of a PBX (Private branch Exchange). Two questions formed the basis for the analysis. First, what is the level of accuracy of diary data, and, second what biases are inherent in data obtained from self-recorded diaries. The findings indicate that diary data significantly understate the actual frequency of communications. There were also several biases inherent in the diary data. One involved a significant understatement of very short communications (i.e. those lasting less than 90 seconds). The others showed an under-recording of received calls and a likelihood to record internal rather than external cals. The conclusion drawn is that in the absence of objective data (i.e. data obtained from machine recording) diaries can provide usable data as long as one pays attention to the biases inherent in their use.     

Risk factors for Chlamydia trachomatis infection in a California collegiate population

Chlamydia trachomatis infection in college students has not undergone a detailed large-scale evaluation. The authors undertook a cross-sectional study of 4,086 students enrolled on the campuses of California State University, Sacramento, and 3 local community colleges from fall 2000 through spring 2002. They used an outreach screening model to determine the presence of infection by testing urine for chlamydial DNA by polymerase chain reaction. Participants completed demographic and behavioral risk questionnaires and a chlamydia knowledge assessment. Overall, 3.4% of participants tested positive for infection. Screening of male and female students was evenly distributed and incidence rates for males (3.03%) and females (3.78%) were similar Variables associated with significantly increased risk were younger than 25 years, ethnicity other than White, more than one sexual partner in the preceding year or a new partner in the preceding 2 months, and current symptoms. Innovative outreach programs to screen a majority of at-risk college students should be developed.     

Adolescent Gambling Behavior: A Prevalence Study and Examination of the Correlates Associated with Problem Gambling

Eight-hundred and seventeen adolescent high school students in the Montreal region completed the DSM-IV-J gambling screen along with a questionnaire devised by the authors inquiring about their gambling behavior, including items assessing the types of activities in which they engage, frequency of involvement, reasons for gambling, and their cognitive perceptions of gambling activities. The results indicate that, in general, 80.2% of students reported having gambled during the previous year, with 35.1% gambling a minimum of once per week. Adolescents reported participating in gambling behavior more often than any other addictive behavior, including cigarette smoking, alcohol consumption, and illicit drug use. The mean age of onset of gambling behavior for the sample was 11.5 years. The rate of pathological gambling was 4.7% as measured by the DSM-IV-J. Pathological gamblers were more likely to have parents with gambling problems and to be engaging in illegal activities than non-pathological gamblers. Gender differences were evident, with males engaging in gambling activities more than females. Differences in game preferences were found, with males more attracted to sports lottery tickets and sports pool betting and females more attracted to lottery tickets and bingo. Gambling awareness and prevention issues are addressed.     

The reflective diary: an experiential tool for enhancing social work students’ research learning

There has been substantial discussion internationally about the need for social work students to integrate research into practice. Little has been written, however, about teaching methods that address the cognitive and emotional challenges students experience in their efforts to develop research competencies. Many students believe that research does not apply to the ‘real’ world of practice and are anxious and fearful when they begin a research course. Using a retrospective review of students’ assignments, this article describes the use of reflective diaries in teaching MSW students from a university in the USA skills for practice-based social work research. Reflective diaries provide a safe forum for students to actively engage with the challenges they experience while taking a research course and take ownership of their learning needs. The diary entries provide instructors with windows into their students’ learning processes that enable them to create scaffolding opportunities that support students in developing confidence in their research skills. This article describes the pedagogical philosophy behind reflective diaries, details of the diaries assignment, and benefits of this learning tool for students and instructors. The authors offer recommendations for incorporating reflective diaries into social work research courses and implications for evidence-based practice.     

Risk Factors for Chlamydia Trachomatis Infection in a California Collegiate Population

Abstract

Chlamydia trachomatis infection in college students has not undergone a detailed large-scale evaluation. The authors undertook a cross-sectional study of 4,086 students enrolled on the campuses of California State University, Sacramento, and 3 local community colleges from fall 2000 through spring 2002. They used an outreach screening model to determine the presence of infection by testing urine for chlamydial DNA by polymerase chain reaction. Participants completed demographic and behavioral risk questionnaires and a chlamydia knowledge assessment. Overall, 3.4% of participants tested positive for infection. Screening of male and female students was evenly distributed and incidence rates for males (3.03%) and females (3.78%) were similar. Variables associated with significantly increased risk were younger than 25 years, ethnicity other than White, more than one sexual partner in the preceding year or a new partner in the preceding 2 months, and current symptoms. Innovative outreach programs to screen a majority of at-risk college students should be developed.