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The PV quantifies variability by calculating the average percentage difference between all combinations of measurements [37-40]:
where n is the total number of values, z is a list of values on which pair-wise comparisons are calculated, and i and j are indices of any 2 different values. The PV improves upon CV because it is not mean dependent, and it is less sensitive to rare events [37] (Figure 2 B).
J Med Internet Res 2025;27:e66231
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One client said “The challenge I find as a leader is I work a lot of extra hours” while another stated, “I'm on call 24 hours a day.” Additionally, clients reported operational stress due to PPTE exposures (n=5, 50%). One client explained, “in leadership positions…you get exposed to a lot of things” while another client elaborated, “I’ve been through riots… finding dead bodies.”
Clients further identified a variety of organizational stressors that impact their well-being.
J Med Internet Res 2025;27:e72321
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The 4-item scale assesses the participant’s feelings of being able to stop smoking permanently (“I feel confident in my ability to not smoke,” “I now feel capable of not smoking,” “I am able to not smoke anymore,” and “I am able to meet the challenge of not smoking”). Responses are scored on a 7-point scale from 1 (strongly disagree) to 7 (strongly agree), and individual items are averaged to create a scale mean. In prior work [23], PCS was reliable (α=.95) at the 6-month follow-up [23].
JMIR Res Protoc 2025;14:e63693
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Examples include accredited training completion or progress toward completion, reflective supervision participant reports, and wellness assessment completion reported through study surveys and through wellness screening data output (duplicated unless noted by the participant by selecting “I have taken this assessment before,” and if selected, the participant can select the number of times the assessment has been completed prior).
JMIR Res Protoc 2025;14:e69829
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For usability testing, participants completed the 30-item USE questionnaire [65] which contains 4 subscales assessing usefulness (eg, “It helps me be more effective”), ease of use (eg, “It is easy to use”), ease of learning (eg, “I learned to use it quickly”), and satisfaction (eg, “I am satisfied with it”) on an 8-point Likert scale (1=strongly disagree to 8=strongly agree).
JMIR Form Res 2025;9:e65188
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Sample items include “I think that I would like to use bhoos frequently” and “I thought bhoos was easy to use.” Responses to each item range from 1 (strongly disagree) to 5 (strongly agree). Possible scores on the SUS range from 0 to 100, with a higher score indicating higher overall usability of a system or program. The SUS has been used in roughly 3500 surveys within 273 studies evaluating a range of systems, interfaces, and programs [37]. Internal consistency of the SUS was good (α=0.84).
JMIR Hum Factors 2025;12:e69873
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