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Time-dependent recordkeeping fatigue among youth completing health diaries of unintentional injuries
Authors:Strickland Matthew J  Crawford J Mac  Shen Lei  Wilkins J R
Institution:

aDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia 30322, USA

bDivision of Environmental Health Sciences, School of Public Health, The Ohio State University, Columbus, Ohio 43210, USA

cDivision of Biostatistics, School of Public Health, The Ohio State University, Columbus, Ohio 43210, USA

dCenter for Injury Research and Policy, Columbus Children's Hospital, Columbus, Ohio 43205, USA

Abstract:PROBLEM: Increasingly, investigators are asking youth to self-report daily activity patterns and health outcomes in diary studies. This study assesses recordkeeping fatigue with respect to data quality and event reporting among youth participating in a health diary study. METHOD: Unintentional injury data were collected during a 13-week longitudinal diary study of Ohio youth exposed to agricultural hazards. Two analyses were conducted using data from 2000. Analysis 1 examined trends in discernable recordkeeping errors (DREs) over the course of follow-up. Analysis 2 assessed trends in injury reporting over follow-up. RESULTS: The percentage of items containing a DRE showed a slight, non-significant decline throughout follow-up. Injury reporting declined significantly (p<0.001) over follow-up. SUMMARY: There was no compelling evidence of respondent fatigue with respect to DREs. The observed decline in injury reporting is problematic because estimates of youth injury incidence in health diary studies may vary depending upon the length of the follow-up period.
Keywords:Health diaries  Minor injuries  Children  Adolescents  Agriculture
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