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Reducing Missed Mental Health Appointments: A Telehealth Clinic Quality Improvement Project
BACKGROUND: A patient\u27s failure to attend scheduled follow-up appointments significantly impacts patient outcomes, healthcare costs, outpatient clinical revenue, and productivity. No-call and no-show appointments cost the United States healthcare system more than 150 billion dollars annually. There has been significant research on the causes and possible interventions to decrease the number of no-call and no-show appointments; many have demonstrated a substantial improvement with reminders.
LOCAL PROBLEM: This quality improvement project setting is a mental health outpatient clinic providing telehealth services throughout a northeastern state. All services are provided using a custom-built platform with an in-session charting system. This project aims to implement a person-to-person reminder to decrease the number of patients who fail to attend their scheduled mental health appointments.
METHODS: The Model for Improvement (MFI) guides the project. A person-to-person reminder call is provided to the patient one business day before the appointment. A spreadsheet was maintained to identify the number of contacts, unsuccessful contacts, and rescheduled or canceled appointments. A comparison of pre-intervention and post-intervention show rates was presented after three months of implementation. A chi-square test is used to identify the difference between the observable and expected data chance or relationship between pre- and post-intervention.
INTERVENTIONS: The intervention was implementing a person-to-person reminder call one business day before the scheduled appointment. Patients who could not attend their scheduled appointments were assisted with rescheduling.
RESULTS: The number of no-show appointments decreased from 16.5% to 15.9% across the organization after implementation of the person-to-person reminder. A Chi-square test was completed using SPSS, and the difference between pre- and post-intervention was statistically significant. This quality improvement project yielded an 86% attendance rate from 81% the previous year.
CONCLUSION: A person-to-person reminder successfully decreased the number of no-show appointments, increased the possibility for provider productivity, and increased the potential for financial revenue
The role of fans’ responses to sponsorship activation in shaping sport sponsorship effectiveness
The study explored how types of benefit in sponsorship affect fans’ inference of sponsors’ motives and their consequences on sponsorship effectiveness. A total of 1,478 National Basketball Association fans were recruited via Amazon Mechanical Turk and completed surveys through Qualtrics. Findings indicated that sponsors’ motives varied with types of benefit, with egoistic motives linked to utilitarian benefit and altruistic or normative motives tied to hedonic and social benefit. These results extended previous research by exploring more than the altruistic-egoistic motive dichotomy in linking benefit types to sponsorship effectiveness, highlighting the importance of aligning benefit with fan preference to boost relevance
Facilitating Bedroom Recording Practices
An increase in access to recording technology has expanded opportunities for teachers and students. One approach, bedroom recording, involves the use of low-budget hardware and software in common, untreated spaces, often in one’s home. Bedroom recording practices significantly impact the sense of place and workflow in the industry for both professionals and amateur music makers. As an art form that thrives on mobility, bedroom recording is a natural pathway for music students to achieve low-cost, self-guided recordings. The purpose of this study was to explore best practices and student interactions related to a bedroom recording project. Participants were 17 Music Education Majors and 10 Music Technology and Production Majors. Participants from both majors collaborated to record an original song. Exploratory case study methodology was used to gather perceptions of the recording project. Data collection included students completing writing prompts before and after the project. Coding revealed four primary themes: resourcefulness, workflow, communication, and relevant social groups. Findings reveal best practices for bedroom recording include clearly defining roles, facilitating communication, and providing appropriate guidance
Implementation of an SBAR Pre-Brief with Medical Interpreters: An Improvement Project
BACKGROUND: The Hispanic/Latino population is disproportionately affected by sexual assault but simultaneously faces barriers that keep them from accessing care, including language barriers and fear of discrimination. As many as 28% of Latinos in the United States are not fluent in English, demonstrating a need for high-quality medical interpretation.
LOCAL PROBLEM: National guidelines recommend that interpreters be pre-briefed to facilitate communication with traumatized individuals with limited English proficiency (LEP). This project aimed to improve patient satisfaction by implementing a Situation, Background, Assessment, Recommendation (SBAR) briefing between the sexual assault nurse examiner (SANE) and interpreter. The specific aims of this project were to 1) Increase overall satisfaction in patients with LEP to ≥4.5, 2) Achieve 60% adherence to SBAR pre-briefing, and 3) Increase the number of patients with LEP seeking SANE services by 10% by 12 weeks.
METHODS: The Model for Improvement guided this evidence-based quality improvement project.
INTERVENTIONS: When a patient with LEP presented after sexual assault, the SANE used SBAR to brief the interpreter before the medical-forensic exam. Community outreach efforts focused on providing awareness of services and patient rights. Data was collected using pre- and post-implementation satisfaction surveys.
RESULTS: During the 13-week implementation period, 86 patients sought acute sexual assault care through SACET. There were no encounters where an interpreter was needed for the patient and 2 where the interpreter was considered for family. Sixteen organizations were contacted to spread awareness of services. Of those, 4 organizations expressed interest in distributing educational materials and/or organizing an event for sexual assault awareness.
CONCLUSIONS: Patients with LEP face significant barriers to reporting sexual assault. This project was implemented during a time of reduced healthcare-seeking behaviors related to immigration enforcement concerns. These findings demonstrate the importance of ongoing engagement with immigrant communities and ensuring culturally and linguistically appropriate services
SACSCOC Response - Program Closure - Fundamentals of Engineering and Computing Teaching in Higher Education Graduate Certificate
Research Mentoring Needs of International Doctoral Counseling Students: An Interpretive Phenomenological Inquiry
The authors of this article sought to explore the research mentoring needs of International Doctoral Counseling Students (IDCS). The purpose of this inquiry was to help research mentors better support this community. Centering Relational Cultural Theory as the theoretical framework, the authors interviewed 14 participants. These individuals were identified using convenience and snowball sampling. Using interpretive phenomenological analysis, three grand themes emerged from participants’ interviews: socialization and belonging in academia, feeling invisible, and mutuality and research. Implications for research mentors and/or counselor educators, and future research are also discussed
Man vs. Machine: Evaluating Open Access LIS Journals
In the fall of 2025, five librarians at the University of Tennessee Knoxville Libraries gathered to conduct research on how ChatGPT can be used to evaluate open access journals. 15 diamond open access Library and Information Science journals were chosen using filters from the Directory of Open Access Journals. We developed a set of journal quality criteria based on the OASPA’s “Principles of Transparency and Best Practice in Scholarly Publishing.” We then created two main rubrics: one rubric for the human researchers and ChatGPT to evaluate journal quality based on the established set of criteria, and one rubric for the human researchers to measure how ChatGPT performed in its evaluation. A poster depicting our study results was accepted to the 2025 Charleston Conference