In this section, we examined the impact of discussion forum on course completion rates and final scores.
While there is evidence of contagion in psychiatric settings e.g. [ 35], less is known about the impact of discussion of NSSI among community-based samples.
Dolan et al studied the impact of discussion in a focus group setting [ 19] but this examined theoretical health care purchasing decisions and not preferences on health states.
There is therefore a case for further research into the impact of discussion, and additional information, in a more diverse population.
Because students voted twice on only a subset of clicker questions, this subset of 83 discussions across all groups was used to describe the impact of discussion on performance (initial vote to revote; Table 2).
A number of online interventions for mood disorders that include discussion boards have shown significant improvements in QoL [ 2, 26, 27], though only one of these studies specifically evaluated the impact of discussion board use on QoL [ 27].
This program offers a valuable opportunity to: Observe differing levels of active and passive discussion engagement in comparison to those who do not engage at all; evaluate the impact of discussion board engagement on both self report and clinician administered psychosocial outcome measures; and view discussion engagement in the context of an online self-help intervention.
Even though no relationship was found between ΔA and APS and the majority of ΔA values were the result of low shifts in application scoring, it is important to explore the impact of discussion-based score shifts on the fundability status of applications for these two review settings.
In addition, the midwives were deeply concerned for the physical and psychological health of pregnant women and worried about perceived negative impacts of discussion about weight and related interventions with women.
