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Field Evaluations of Sampling, Interviewing, and Flight Tracking of NASA's Low Boom Flight Demonstrator Aircraft

The first year’s effort identified sampling and interviewing as the principal risks to assessment of prompt reactions to overflights producing low-amplitude sonic booms. It also 1) established the utility of geo-information system-based route planning for LBFD flight missions, 2) developed and demonstrated a prototype of a geographically-distributed, Internet-enabled instrumentation system capable of wide-area tracking of LBFD aircraft in near-real time. The latter system permits synchronizing the conduct of interviews in multiple overflown communities with arrival times of shock waves at interviewing sites; and of measuring, archiving, and processing their acoustic signatures. Means were also recommended for constructing representative, telephone-based samples of eligible respondents living in households within carpet boom corridors adjacent to LBFD flight tracks, and for conducting interviews with cross-sectional (independent) samples of such respondents about their prompt reactions to exposure to low-amplitude sonic booms. A detailed study design was prepared and accepted by NASA for a set of single-contact attempt telephone interviews with a nationally representative sample of households. The study design focused on testing automated and live agent interview completion rates obtainable without callbacks. A minimal (two monitoring station) version of the aircraft tracking system was built and installed near a civil airport in a successful demonstration of the system’s ability to detect and track aircraft movements. The field exercise also demonstrated the ability of the system to capture the acoustic emissions of departing aircraft, and to serve aircraft position and sound level information to remote, geographically-distributed analysts in near-real time. Upon approval of OMB and IRB of the detailed study plan, a stratified, nationally representative sample of landline and wireless telephone-subscribing households was constructed. A total of 12,734 telephone interview contact attempts of the sort required by a straightforward cross-sectional study design were then made. These contact attempts demonstrated the impracticality of conducting a time-critical, cross-sectional study of prompt community response to low-amplitude sonic booms by means of “independent” (single contact attempt per respondent for each LBFD flight mission) telephone samples of respondents. The observed interview completion rates for these single telephone contact attempts were so low (~ 1% to 3% for automated and live agent interviews, respectively) that: 1) the representativeness of collected opinions would be susceptible to intuitive challenge as inadequate, even absent conclusive evidence of non-representativeness. Refuting challenges to representativeness would have to demonstrate that the composition of the actual sample did not differ from that of the target population, a task that is tantamount to proving a negative; 2) the information required to refute allegations of non-representativeness would require a questionnaire considerably lengthier than that required simply to determine the prevalence of boom-induced startle and annoyance. Such a questionnaire would have to inquire about potentially sensitive and intrusive matters, including respondents’ age, gender, education, employment, home ownership, income, ethnicity, family size, and other demographic factors; and 3) unreasonable numbers of attempts would be required to re-contact households with unsuccessful initial contact attempts, given the limited time available for doing so. For example, if about 500 completed interviews were desired in a supersonically overflown community, approximately 50,000 automated interview attempts would have to be made within ten to fifteen minutes of each LBFD overflight. Such large numbers of contact attempts could well exceed the numbers of households available for interview in areas of similar boom exposure levels in some communities near LBFD flight tracks. Such large numbers of interviews could be cost-effectively undertaken only by means of automated (i.e., outgoing interactive voice response) interviewing, a data collection method ill-suited for complex and sensitive questionnaire items. The infeasibility of independent sampling for evaluating prompt responses to LBFD overflights in a cross-sectional study is due in large part to simple non-response: that is, potential respondents – particularly those contacted on wireless telephones – refusing to answer calls with unfamiliar caller IDs. It is also due in part, however, to 1) the lack of time to attempt to contact the same respondent more than once within a few minutes after the arrival of a shock wave at the respondent’s location; and 2) the need to place calls during weekday/daytime hours, when response rates are notably lower than during evenings and weekends. Despite the poor interview completion rates achieved under the above constraints, cross sectional assessments of delayed reactions to LBFD overflights could still be feasible, if multiple attempts could be made to contact respondents during evening and weekend time periods, over extended time periods. Detailed plans for a longitudinal (panel) sample were developed as an alternative to a cross sectional sample design.

Fidell, Sanford↗

Unsafe acts and unsafe outcomes in aircraft maintenance

Road safety studies using the Driver Behaviour Questionnaire (DBQ) have provided support for a three-way distinction between violations, skill-based errors and mistakes, and have indicated that a tendency to commit driving violations is associated with an increased risk of accident involvement. The aims of this study were to examine whether the three-way distinction of unsafe acts is applicable in the context of aircraft maintenance, and whether involvement in maintenance safety occurrences can be predicted on the basis of self-reported unsafe acts. A Maintenance Behaviour Questionnaire (MBQ) was developed to explore patterns of unsafe acts committed by aircraft maintenance mechanics. The MBQ was completed anonymously by over 1300 Australian aviation mechanics, who also provided information on their involvement in workplace accidents and incidents. Four factors were identified: routine violations, skill-based errors, mistakes and exceptional violations. Violations and mistakes were related significantly to the occurrence of incidents that jeopardized the quality of aircraft maintenance, but were not related to workplace injuries. Skill-based errors, while not related to work quality incidents, were related to workplace injuries. The results are consistent with the three-way typology of unsafe acts described by Reason et al. (1990) and with the DBQ research indicating an association between self-reported violations and accidents. The current findings suggest that interventions addressed at maintenance quality incidents should take into account the role of violations and mistakes, and the factors that promote them. In contrast, interventions directed at reducing workplace injury are likely to require a focus on skill-based errors.

Maintenance/manpower/methods↗

Physiological changes, sleep, and morning mood in an isolated environment

BACKGROUND: Previous isolation studies have shown increased 24-h urine volumes and body weight gains in subjects. This project examined those and other physiological variables in relationship to sleep motor activity, subjective sleep quality, mood, and complaints during confinement. METHODS: Six male and two female subjects lived for 7 d in the National Space Development Agency of Japan's isolation chamber, which simulates the interior of the Japanese Experiment Module. Each 24-h period included 6 h of sleep, 3 meals, and 20 min of exercise. Each morning, subjects completed Sleep Sensation and Complaint Index questionnaires. Catecholamine and creatinine excretion, urine volume, and body weight were measured on the 2 d before and 2 d after confinement, and sleep motor activity was measured during confinement. RESULTS: Confinement produced no significant change in body weight, urine volume, or questionnaire results. In contrast, epinephrine, norepinephrine, and sleep motor activity exhibited significant differences during confinement (p < 0.05). Higher nocturnal norepinephrine excretion correlated with higher sleep motor activity. CONCLUSION: The 24-h epinephrine values were slightly higher than normal throughout the experiment, but lower than for subjects working under time-stress. High sympathetic activity (as indicated by norepinephrine) may have interfered with sleep.

NASA Discipline Space Human Factors↗

Outcome analysis of individualized vestibular rehabilitation protocols

OBJECTIVE: To determine the outcome of vestibular rehabilitation protocols in subjects with peripheral vestibular disorders compared with normal and abnormal control subjects. STUDY DESIGN: Prospective study using repeated measure, matched control design. Subjects were solicited consecutively according to these criteria: vestibular disorder subjects who had abnormal results of computerized dynamic posturography (CDP) sensory organization tests (SOTs) 5 and 6 and underwent rehabilitation; vestibular disorder subjects who had abnormal results of SOTs 5 and 6 and did not undergo rehabilitation; and normal subjects (normal SOTs). SETTING: Tertiary neurotology clinic. SUBJECTS: Men and women over age 18 with chronic vestibular disorders and chief complaints of unsteadiness, imbalance, and/or motion intolerance, and normal subjects. INTERVENTIONS: Pre- and post-rehabilitation assessment included CDP, vestibular disability, and activities of daily living questionnaires. Individualized rehabilitation plans were designed and implemented to address the subject's specific complaints and functional deficits. Supervised sessions were held at weekly intervals, and self-administered programs were devised for daily home use. MAIN OUTCOME MEASURES: CDP composite and SOT scores, number of falls on CDP, and self-assessment questionnaire results. RESULTS: Subjects who underwent rehabilitation (Group A) showed statistically significant improvements in SOTs, overall composite score, and reduction in falls compared with abnormal (Group B) control groups. Group A's performances after rehabilitation were not significantly different from those of normal subjects (Group C) in SOTs 3 through 6, and close to normal on SOTs 1 and 2. Subjects in Group A also reported statistically significant symptomatic improvement. CONCLUSIONS: Outcome measures of vestibular protocol physical therapy confirmed objective and subjective improvement in subjects with chronic peripheral vestibular disorders. These findings support results reported by other investigators.

NASA Discipline Neuroscience↗

The Pine Ridge-Mayo National Aeronautics and Space Administration Telemedicine Project: Program Activities and Participant Reactions

OBJECTIVE: To determine the response of participants to the Pine Ridge-Mayo National Aeronautics and Space Administration telemedicine project. DESIGN: We describe a 3-month demonstration project of medical education and clinical consultations conducted by means of satellite transmission. Postparticipation questionnaires and a postproject survey were used to assess the success of the activity. MATERIAL AND METHODS: Patients and employees at the Pine Ridge Indian Health Service Hospital in southwestern South Dakota and employees at Mayo Clinic Rochester participated in a telemedicine project, after which they completed exit surveys and a postproject questionnaire to ascertain the acceptability of this mode of health care. RESULTS: Almost all Pine Ridge and Mayo Clinic participants viewed the project as beneficial. The educational sessions received favorable evaluations, and almost two-thirds of the patients who completed evaluations thought the consultation had contributed to their medical care. More than 90% of the respondents from Pine Ridge and more than 85% of the respondents from Mayo Clinic Rochester said that they would recommend participation in this project to others. More than 90% of respondents from Pine Ridge and 80% of Mayo respondents agreed with the statement that the project should continue. CONCLUSION: These data suggest that a program of clinical consultation services, professional education, and patient education available by telemedicine might be viewed as beneficial.

United States Indian Health Service↗

Uterine Artery Embolization in Women with Symptomatic Cervical Leiomyomata: Efficacy and Safety

Purpose: To perform an evaluation on safety and efficacy of uterine artery embolization (UAE) in the patients with symptomatic cervical leiomyomata. Methods: Patients with symptomatic cervical leiomyomata who underwent UAE in one specialized hospital were retrospectively analyzed, both clinically and with MR imaging. The 3-month outcomes were assessed with MR imaging and a validated questionnaire. Long-term follow-up was assessed by direct contact or file review. To determine the efficacy of UAE for cervical leiomyomata, the primary objective was to assess the clinical outcome with the UFS-QOL questionnaire, containing the health-related quality of life (HRQOL) and symptom severity score (SSS). To assess safety, the secondary objective included leiomyomata volume reduction, the infarction/complication rate and secondary interventions were needed. Results: Between 2006 and 2017, eight of 1180 patients underwent UAE and were eligible for inclusion. All embolizations were technically successful (n = 8). At 3 months, all patients showed cervical leiomyomata volume reduction with a median reduction of 41.5% (38.8 cm{sup 3}) compared to baseline (p = 0.012). No complications occurred. At a median follow-up of 3 months (range 1–7, n = 7), the HRQOL and SSS improved with a median difference of 13 points (range − 5 to 60, p = 0.063) and − 13 points (range − 79 to 3, p = 0.046), respectively. Long-term follow-up showed two secondary interventions (median of 43.5 months). Six patients reported no symptom recurrence. Conclusion: UAE in women with symptomatic cervical leiomyomata is effective and safe with significant improvement in symptoms and quality of life. UAE is a valuable option for women seeking a non-surgical solution.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

A dataset of eco-evidence tools to inform early-stage environmental impact assessments of hydropower development

The datasets described herein provide the foundation for a decision support prototype (DSP) toolkit aimed at assisting stakeholders in determining evidence of which aspects of river ecosystems have been impacted by hydropower. The DSP toolkit and its application are presented and described in the article “Evidence-based indicator approach to guide preliminary environmental impact assessments of hydropower development” [1]. Development of the DSP and the output for decision support centralize around 42 river function indicators describing the dimensionality of river ecosystems through six main categories: biota and biodiversity, water quality, hydrology, geomorphology, land cover, and river connectivity. Three main tools are represented in the DSP: A science-based questionnaire (SBQ), an environmental envelope model (EEM), and a river function linkage assessment tool (RFLAT). The SBQ is a structured survey-style questionnaire whose objective is to provide evidence of which indicators have been impacted by hydropower. Based on a global literature review, 140 questions were developed from general hypotheses regarding the impacts of dams on rivers. The EEM is a model to predict the likelihood of hydropower impacting indicators based on a several variables. The intended use of the EEM is for situations of new hydropower development where results of the SBQ are incomplete or highly uncertain. The EEM was developed through the compilation of a dataset containing attributes of dams, reservoirs, and geospatial information on environmental concerns, which was combined with data on ecological indicators documented at those sites through literature review. The model operates through 247 “envelopes” and weighting factors, representing the individual effect of each variable on each indicator, all available through spreadsheets. Finally, the RFLAT is a tool to examine causal relationships amongst indicators. Inter-indicator relationships were hypothesized based on literature review and summarized into node and edge datasets to represent the structure of a graphical network. Bayes theorem was used estimate conditional probabilities of inter-indicator relationships based on the output of the SBQ. Nodes and edges were imported into R programming environment to visualize ecological indicator networks. The datasets can be expanded upon and enriched with more detailed questions for the SBQ, building upon the EEM with to develop more sophisticated models, and identifying new relationships for the RFALT. Additionally, once the tools are applied to numerous hydropower developments, the output of the tools (e.g. evidence of impacted indicators) becomes a very useful dataset for meta-analyses of hydropower impacts.

13 HYDRO ENERGY↗

Validity of self-reported indicators to assess secondhand smoke exposure in the home

Highlights: • Self-reported indicators showed moderate-strong correlations, low sensitivity and high specificity. • Low sensitivities suggest that SHS exposure could be underreported due to other SHS sources. • The self-reported exposure indicators studied are good to assess SHS exposure at home. • Questions about outdoor sources and third hand smoke should be included in questionnaires. Questionnaires are widely used to assess secondhand smoke (SHS) exposure. However, the validity of self-reported SHS exposure indicators has been rarely assessed. We aimed to assess correlations, sensitivity, specificity, and predictive values between self-reported SHS exposure indicators and airborne nicotine concentrations.

54 ENVIRONMENTAL SCIENCES↗

Control and prevention measures for legionellosis in hospitals: A cross-sectional survey in Italy

Highlights: • Legionellosis risk is high in Italian hospitals with many hospitalizations. • Legionella contamination in the water system was assessed in 97% of hospitals. • Risk assessment was performed in 73% of hospitals but only 53% had a dedicated team. • Measures to reduce legionellosis risk were adopted in 93.3% of hospitals. • Training courses on Legionnaires’ disease were planned in 36.5% of hospitals. Risk assessment, environmental monitoring, and the disinfection of water systems are the key elements in preventing legionellosis risk. The Italian Study Group of Hospital Hygiene of the Italian Society of Hygiene, Preventive Medicine, and Public Health and the Italian Multidisciplinary Society for the Prevention of Health Care-Associated Infections carried out a national cross-sectional survey to investigate the measures taken to prevent and control legionellosis in Italian hospitals. A multiple-choice questionnaire was developed, comprising 71 questions regarding hospital location, general characteristics, clinical and environmental surveillance, and control and preventive measures for legionellosis in 2015. Overall, 739 hospitals were enrolled from February to June 2017, and 178 anonymous questionnaires were correctly completed and evaluated (response rate: 24.1%). The survey was conducted using the SurveyMonkey® platform, and the data were analyzed using Stata 12 software. Of the participating hospitals, 63.2% reported at least one case of legionellosis, of which 28.2% were of proven nosocomial origin. The highest case numbers were reported in the Northern Italy, in hospitals with a pavilion structure or cooling towers, and in hospitals with higher numbers of beds, wards and operating theaters. Laboratory diagnosis was performed using urinary antigen testing alone (31.9%), both urinary antigen testing and single antibody titer (17.8%), or with seroconversion also added (21.5%). Culture-based or molecular investigations were performed in 28.8% and 22.1% of the clinical specimens, respectively. The water systems were routinely tested for Legionella in 97.4% of the hospitals, 62% of which detected a positive result (> 1000 cfu/L). Legionella pneumophila serogroup 2–15 was the most frequently isolated species (58.4%). The most common control measures were the disinfection of the water system (73.7%), mostly through thermal shock (37.4%) and chlorine dioxide (34.4%), and the replacement (69.7%) or cleaning (70.4%) of faucets and showerheads. A dedicated multidisciplinary team was present in 52.8% of the hospitals, and 73% of the hospitals performed risk assessment. Targeted training courses were organized in 36.5% of the hospitals, involving nurses (30.7%), physicians (28.8%), biologists (21.5%), technicians (26.4%), and cleaners (11%). Control and prevention measures for legionellosis are present in Italian hospitals, but some critical aspects should be improved. More appropriate risk assessment is necessary, especially in large facilities with a high number of hospitalizations. Moreover, more sensitive diagnostic tests should be used, and dedicated training courses should be implemented.

54 ENVIRONMENTAL SCIENCES↗

Individual low-carbon behaviors and influencing factors: Insights from a behavior survey study in China

Climate change is a major global concern. Greenhouse gas emissions that cause global climate change are directly or indirectly affected by human activities. Individual low-carbon behaviors are crucial in reducing CO 2 emissions and improving environmental and ecological health. To effectively promote individual low-carbon behavior, this study designed a questionnaire on the factors influencing individual low-carbon intentions and behavior based on theoretical models of environmental behavior. A total of 2430 valid questionnaires were collected in China. This study focuses on analyzing the impact of demographic characteristics, internal and external factors on individual low-carbon behaviors and their interrelationships. The research shows correlations between internal and external factors in determining low-carbon intention or behaviors. Internal factors-related low-carbon behavior is not closely linked with demographic variables, whereas the external factors-related low-carbon behavior vary significantly by age, residence, education, marital status, occupation, and income. The findings have important implications for designing effective policies to promote low-carbon behaviors, such as creating a more favorable external environment and increasing the use of policy tools for reducing CO 2 emission.

32 ENERGY CONSERVATION, CONSUMPTION, AND UTILIZATI↗

2002 St. Louis Region Travel Survey

The 2002 St. Louis Household Travel Survey entailed the collection of weekday travel behavior characteristics of households residing in each of the eight counties that comprise the St. Louis region. In addition to collecting basic demographic and socioeconomic information about each household and its members, the survey documented specific characteristics of activities and trips, including the number and purpose of trips, trip duration, time of day, mode of transportation, and specifics of school- and work-related travel. The survey instruments contained three components: 1) the recruitment questionnaire, 2) the travel log, and 3) the retrieval questionnaire. In total, 7,046 households were recruited to participate in the study via telephone interview. Of these, 5,094 completed travel logs during a specific 24-hour period, and the information was retrieved from all household members, regardless of age. Demographic information for this study includes age, gender, education level, employment status, and household income.

1Hz data↗

Transit Rider/Travel Behavior Inventory Survey - Minneapolis-St. Paul Metro - 1990

The 1990 transit on-board survey aimed to update the 1988 survey, which was conducted as part of the Preliminary Engineering Study for the Hennepin County Light Rail Transit System. The 1988 study received Regional Transit Board funding, and survey results could be applied to a mode split model for projecting ridership on the proposed Light Rail Transit System. However, this survey was designed with the 1990 Travel Behavior Inventory in mind. The intention had been to update the 1988 survey in 1990 to be compatible with the 1990 Travel Behavior Inventory data. The results of the 1990 survey were used primarily to create a table of observed transit trips between each of the 1,200 traffic analysis zones in the region. This trip table was used to calibrate a new mode split model, which estimated future year travel by mode. The 1990 update survey focused on new routes and routes that had changed significantly since 1988. To preserve compatibility with the 1988 survey, the same survey questionnaire card was used, together with the same survey procedures for data collection. The procedures randomly sampled bus patrons during the transit trip, asking key questions about the patron and the transit trip. The survey card was intended for patrons to fill out quickly so it could be completed during the transit trip. The questions focused on conditions that have proven over time to significantly influence ridership. In all, a total of 20,126 valid survey records were processed. Adding surrogate trips, the survey data file is composed of a total of 27,159 trip records . About 10% of the records were filled out by persons who had answered more than one questionnaire.

32 ENERGY CONSERVATION, CONSUMPTION, AND UTILIZATI↗

Trait Vs. Skill: Individual Differences -- Survey Questions

This document is UUR survey questions for use in an exploratory express LDRD experiment. The purpose of the study is to understand if people overestimate their performance only in some situations or some people are more prone to it do to an underlying trait. To investigate our aims, we must use 3 experimental tasks: two domain general (an English grammar task a logic task) and a domain specific task (a science & technology questionnaire). The reason we are using these tasks is to see if people overestimate their abilities on tasks they are more familiar with (grammar and logic) but not on domains in which they are more specialized (science and technology). To understand the traits and characteristics of our participants, we are using 7 well-validated assessments from the field of psychology. All questionnaires are available for research and teaching purposes. Citations for all materials have been included.

99 GENERAL AND MISCELLANEOUS↗

Operations, maintenance, and cost considerations for PV+Storage in the United States

Battery storage systems are increasingly being installed at photovoltaic (PV) sites to address supply-demand balancing needs. Although there is some understanding of costs associated with PV operations and maintenance (O&M), costs associated with emerging technologies such as PV plus storage lack details about the specific systems and/or activities that contribute to the cost values. This study aims to address this gap by exploring the specific factors and drivers contributing to utility-scale PV plus storage systems (UPVS) O&M activities costs, including how technology selection, data collection, and related and ongoing challenges. Specifically, we used semi-structured interviews and questionnaires to collect information and insights from utility-scale owners and operators. Data was collected from 14 semi-structured interviews and questionnaires representing 51.1 MW with 64.1 MWh of installed battery storage capacity within the United States (U.S.). Differences in degradation rate, expected life cycle, and capital costs are observed across different storage technologies. Most O&M activities at UPVS related to correcting under-performance. Fires and venting issues are leading safety concerns, and owner operators have installed additional systems to mitigate these issues. There are ongoing O&M challenges due the lack of storage-specific performance metrics as well as poor vendor reliability and parts availability. Insights from this work will improve our understanding of O&M consideration at PV plus storage sites.

14 SOLAR ENERGY↗

U.S. Offshore Wind Energy Noise Reduction Associated with Installation of Fixed-Bottom Foundations: Workshop Report

As offshore wind energy development grows in the United States, solutions are needed to reduce the underwater noise and substrate vibration generated during fixed-bottom turbine installation to help protect marine life. Monopiles are currently the main turbine foundation type installed globally and impact pile driving, the primary installation method, can be a major source of noise and vibration generation during wind farm construction. Opportunities exist to reduce the amount of noise and vibration produced during future offshore wind farm development. The use of alternative foundation types and installation methods, as well as innovative noise abatement technologies, would help reduce the potential detrimental effects on sensitive marine species. To explore these opportunities, the Department of Energy’s Wind Energy Technologies Office, in collaboration with the Bureau of Ocean Energy Management and the National Oceanic and Atmospheric Administration, funded the National Renewable Energy Laboratory and the Pacific Northwest National Laboratory to organize, host, and facilitate a virtual workshop in December 2022. The goal of the workshop was to gather input from the offshore wind energy community on noise reduction strategies for the installation of fixed-bottom offshore wind turbines in U.S. waters across multiple regions, including the U.S. Atlantic Coast, Gulf of Mexico, and Great Lakes to inform recommendations on future research. The joint lab team convened industry representatives, subject matter experts, and regulators to discuss potential pathways to reduce noise and vibration associated with fixed-bottom turbine installation, including the practicality of using alternative foundations and installation methods, the effectiveness of noise abatement technologies, as well as research and monitoring needs. In preparation for the workshop, the team invited experts to be part of a steering committee and worked with its members to help focus activities to meet the workshop goals. Additional pre-workshop activities included developing the invitee list and workshop agenda, reviewing existing Construction and Operations Plans (COP) for proposed offshore wind projects, distributing a brief questionnaire to industry representatives, and drafting the workshop discussion questions and Mural boards. In total, 128 workshop participants provided over 600 comments in response to the 17 group discussion questions used over two workshop sessions. Overarching recommendations highlighted across themes included future investments to provide data sharing, consistency, transparency, and opportunities for sharing best available science, knowledge, and expertise. The joint lab team synthesized the comments and identified four key research and development themes that could help advance the successful implementation of noise and vibration reduction strategies (see report). This report provides an overview of the workshop goals and scope, reviews the pre-workshop activities, presents brief summaries of participant feedback, and concludes with detailed research themes and recommendations for future investments. Appendix A includes the group discussion questions, Appendix B includes the results of the COP review, and Appendix C includes the results of the industry questionnaire. Overall, there was a high level of interest and engagement in the workshop. The sessions provided an opportunity for significant exchange of information between workshop participants from across sectors. Participants identified a variety of opportunities for next steps towards the noise reduction of offshore wind turbine installation in U.S. waters, including recommendations for future investments to provide certainty in the use of new technologies associated with alternative foundation types, noise abatement systems, and efficacy monitoring.

17 WIND ENERGY↗

Psychometric property study of the Affective Lability Scale-short form in Chinese patients with mood disorders

Introduction This study aimed to investigate the psychometric properties of the Affective Lability Scale-short form (ALS-SF) among Chinese patients with mood disorders, and to compare ALS-SF subscale scores between patients with major depressive disorder (MDD) and patients with bipolar disorder (BD) depression. Methods A total of 344 patients with mood disorders were included in our study. Participants were measured through a set of questionnaires including the Chinese version of ALS-SF, Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder 7-item (GAD-7), and NEO-Five Factor Inventory (NEO-FFI). Exploratory factor analysis and confirmatory factor analysis were applied to examine the psychometric properties of ALS-SF. Besides, correlation and regression analyses were performed to explore the relationship between affective lability and depression, anxiety, and neuroticism. Independent samples t -tests were used to compare the subscale scores of ALS-SF between the MDD and BD depression groups. Results Results of factor analysis indicated that the model of ALS-SF was consistent with ALS-SF. The ALS-SF showed a solid validity and high internal consistency (Cronbach’s alpha = 0.861). In addition, each subscale of ALS-SF was significantly correlated with PHQ-9, GAD-7, and NEO-FFI neuroticism subscale, except for the anger subscale showed no significant correlation with PHQ-9. Besides, the depression/elation and anger factor scores in patients with BD depression were higher than in patients with MDD. Conclusion Our study suggests that the Chinese version of ALS-SF has good reliability and validity for measuring affective lability in Chinese patients with mood disorders. Assessing affective lability would assist clinicians to distinguish between MDD and BP depression and may decrease the risks of misdiagnosis.

Ma, Mohan↗

Understanding the use intention and influencing factors of telerehabilitation in people with rehabilitation needs: a cross-sectional survey

Objective This study aimed to investigate the use intention and influencing factors of telerehabilitation in people with rehabilitation needs. Methods This cross-sectional survey recruited a total of 183 participants with rehabilitation needs from May 2022 to December 2022. Sociodemographic and medical data were collected by a structured questionnaire. The factors influencing the use intention of telerehabilitation were measured by the extended Unified Theory of Acceptance and Use of Technology (UTAUT) model. Multiple hierarchical regression analyses were performed. Results A total of 150 valid questionnaires were included for analysis. The results indicated that the use intention of telerehabilitation was overall high in people with rehabilitation needs. Health condition ( β = −0.21, p = 0.03), performance expectancy ( β = 0.21, p = 0.01), facilitating conditions ( β = 0.25, p = 0.03), perceived trust ( β = 0.25, p < 0.01), and self-efficacy ( β = 0.19, p = 0.04) were significant factors influencing the use intention of telerehabilitation. Conclusion Overall, the use intention of telerehabilitation is high in individuals with rehabilitation needs. Health conditions, performance expectancy, facilitating conditions, perceived trust, and self-efficacy are important factors influencing the use intention of telerehabilitation in individuals with rehabilitation needs.

Wang, Mao-Yuan↗

The Use of Artificial Intelligence in Head and Neck Cancers: A Multidisciplinary Survey

Artificial intelligence (AI) approaches have been introduced in various disciplines but remain rather unused in head and neck (H&N) cancers. This survey aimed to infer the current applications of and attitudes toward AI in the multidisciplinary care of H&N cancers. From November 2020 to June 2022, a web-based questionnaire examining the relationship between AI usage and professionals’ demographics and attitudes was delivered to different professionals involved in H&N cancers through social media and mailing lists. A total of 139 professionals completed the questionnaire. Only 49.7% of the respondents reported having experience with AI. The most frequent AI users were radiologists (66.2%). Significant predictors of AI use were primary specialty (V = 0.455; p < 0.001), academic qualification and age. AI’s potential was seen in the improvement of diagnostic accuracy (72%), surgical planning (64.7%), treatment selection (57.6%), risk assessment (50.4%) and the prediction of complications (45.3%). Among participants, 42.7% had significant concerns over AI use, with the most frequent being the ‘loss of control’ (27.6%) and ‘diagnostic errors’ (57.0%). This survey reveals limited engagement with AI in multidisciplinary H&N cancer care, highlighting the need for broader implementation and further studies to explore its acceptance and benefits.

60 APPLIED LIFE SCIENCES↗