Computer Assisted Web Interview Research Articles

MODEL OF SUSTAINABILITY OF SMES IN V4 COUNTRIES

The research’s objective was to develop a thorough model of the viability of SMEs in the V4 countries based on predetermined variables. The following factors were defined: human resources management, business ethics, corporate social responsibility, company digitalisation, environmental considerations, financial management, and sustainability of SMEs. The model was developed on the solid empirical research carried out in the Visegrad Four countries in June 2022 by the renowned external agency MNFORCE using a sample of 1,398 respondents and the “Computer Assisted Web Interviewing” technique. According to the research, the developed complex model of SMEs’ sustainability depending on the listed criteria is statistically significant. Each investigated factor has a favourable impact on SMEs’ sustainability. The study’s findings supported the notion that the environmental aspects of the business have the strongest positive impact on the long-term sustainability of SMEs. The study’s findings indicate that the management of human resources, finances, and the degree of digitalisation of SMEs significantly influence the viability of businesses. The findings provide an important platform for managers responsible for the sustainability of the SME segment at the worldwide level (International council for small business), national level (particularly for V4 nations), as well as institutions supporting SMEs and SME owners.

External audits and official controls – what’s the difference in their usefulness and credibility?

PurposeThe study aims to determine whether audited organizations experience differences between external audits and official controls.Design/methodology/approachA survey among 100 organic food producers was conducted to explore differences regarding the usability of external audits and official controls. The survey was conducted in 2020 using the computer-assisted telephone interview (CATI) method supplemented by the computer-assisted web interview (CAWI) method. Organizations processing organic farming products in Poland were chosen for the study.FindingsThree primary benefits associated with external audits and official controls were identified, i.e. (1) enabling and initiating activities related to the improvement of the organization, (2) improving the financial performance of the organization and (3) enhancing credibility. For most organizations, the assessment of these features was at the same level for both external audits and official control. However, if these assessments differed, commercial audits were assessed at a higher level than official controls.Research limitations/implicationsThe study is limited to only one specific type of manufacturing organization and one European country.Originality/valueThe literature review shows some conceptual differences between audits and official controls, but the results of this study show that the business environment does not perceive these differences as significant. Thus, the value of the study is reflected in the conclusion that both external audits and official controls are considered useful and credible approaches to monitoring the quality within the organization, which allows us to state that external evaluation is generally seen as an opportunity to improve the performance of the organization.

Greenery in times of crisis: Accessibility, residents' travel preferences and the impact of travel time

Urban green spaces (UGSs) played a pivotal role in easing the effects of COVID-19 pandemic restrictions. It is, therefore, relevant to identify factors influencing why people choose specific UGSs. This paper aims to investigate the preferences of residents of Kraków (Poland) regarding the selection of UGSs in times of crisis. Distance or travel time from home are among the key factors affecting the choice of UGSs. The paper verifies whether such other factor considerations as age, type of housing, and physical activity influence travel preferences to UGSs. We analyse residents' preferences regarding travelling to UGSs by integrating survey research with statistical and geostatistical methods, which is the innovative value of the research. The Computer Assisted Web Interview (CAWI) survey yielded 1353 returned questionnaires, which provided input data when combined with geostatistical analyses of network distance (routing). With nonparametric statistical methods, we could identify preferences of Kraków residents regarding travelling to UGSs during times of crisis. The primary results show that travel time was not always a factor when selecting UGSs. In times of crisis, the respondents were willing to cover larger distances to UGSs, namely up to 51 minutes on foot and 16 minutes by bicycle. We also demonstrated that there is a relationship between age and UGS travel time and a link between type of housing and UGS travel time. The results are inconclusive regarding the importance of distance to UGSs for people who are physically active. Note that accessibility recommendations for travel time often presented in the literature did not apply to Kraków in times of crisis.

Use and acceptance of traditional, complementary and integrative medicine in Germany-an online representative cross-sectional study.

Older representative surveys show that Traditional, Complementary and Integrative Medicine (TCIM) is used by about 60% of the German population. However, no data exists for the current nationwide situation. The main aim of this cross-sectional study is to investigate the current use and acceptance of TCIM in Germany. This study is based on a representative sample of the German population aged 18-75 years. Participants were asked about the use and acceptance of TCIM. The survey was conducted online using Computer Assisted Web Interview (CAWI) in 2022 by three renowned German market research institutes on behalf of and in close coordination with the working group. The data set was analyzed descriptively and inferentially. In total, 4,065 participants (52% female, 48% male, 0.4% diverse) responded completely (response rate: 21.5%). Among participants, 70% stated that they had used TCIM at some point in their lives, with 32% doing so in the last 12 months and 18% currently. The most common reason given (17%) was musculoskeletal pain. For their own health, 39% stated that TCIM is important. Traditional European Medicine was rated as very/mainly effective by 27% of participants and as partly effective by 44% (conventional medicine: 69% very/mainly effective, 19% partly effective). As a complementary treatment strategy to conventional medicine, 35% considered TCIM to be optimal ("Complementary Medicine"), 33% in combination with conventional medicine ("Integrative Medicine") and 5% without conventional medicine ("Alternative Medicine"). The majority of the participants were in favor of more research on TCIM and stated that the costs of TCIM services should be covered by health insurance companies (71% and 69%, respectively). These results from a representative online-population suggest that the use of TCIM in Germany remains at a high level. The nationwide relevance of TCIM should be given greater consideration in German health care policy making. TCIM should be systematically investigated using appropriate study designs and methods including high quality randomized clinical trials to investigate their effectiveness, efficacy, therapeutic safety and costs in the future.

Overactive bladder negatively affects erectile function and promotes premature ejaculation: findings from large representative population-level study.

The effect of overactive bladder (OAB) on sexual health has been evaluated extensively for women but much less for men. Therefore, the aim of this study was to evaluate the relationship between OAB and men's sexual activity and the effect of OAB on erectile dysfunction (ED) and premature ejaculation (PE) in a large representative cohort of men at the population level. This study was based on computer-assisted web interviews that used validated questionnaires. The most recent census and the sample size estimation calculations were employed to produce a population-representative pool. The study included 3001 men, representative of the population in terms of age and place of residence. The frequency of sexual intercourse was higher for respondents without OAB symptoms compared with persons who had OAB (p = 0.001), but there was no association between OAB symptoms and number of sexual partners (p = 0.754). Regression models did not confirm the effect of OAB on sexual activity (odds ratio 0.993, CI 0.974-1.013, p = 0.511). Both ED and PE were more prevalent in respondents with OAB symptoms compared with persons who lacked those symptoms (p < 0.001). Importantly, the effect of OAB on ED or PE was independent of age, comorbidities, and lifestyle habits (regression coefficients of 0.13 and 0.158 for ED and PE, respectively). Overactive bladder did not significantly affect men's sexual activity, but it significantly correlated with ED and PE. Our results suggest a need in daily clinical practice to screen for OAB symptoms for persons who report ED or PE.

Influenza Vaccine Uptake in Italy-The 2022-2023 Seasonal Influenza Vaccination Campaign in Italy: An Update from the OBVIOUS Project.

Influenza is a significant public health concern, with Italy being profoundly impacted annually. Despite extensive vaccination campaigns and cooperative initiatives between the Public Health Departments of Local Healthcare Authorities and family physicians, low vaccine uptake rates persist. This study builds upon the OBVIOUS project, providing an updated picture of influenza vaccine uptake in Italy through a representative sample. A cross-sectional computer-assisted web interviewing (CAWI) survey of 10,001 Italian citizens was conducted between 31 March and 5 June 2023. Our findings underscore the negative impact of a lack of awareness that a person is in a priority group for influenza vaccination (-26.1 percentage points in vaccine uptake) and the profound influence of social circles on vaccination decisions (-5 percentage points when unfavorable). Medical professionals played a pivotal role, with recommendations from family doctors significantly promoting vaccine uptake (+20.2 percentage points). Age, chronic conditions, and socio-demographic factors also influenced vaccination behaviors. For children, parental negative perceptions regarding the flu (-10.4 percentage points) and vaccine safety (-23.4 percentage points) were crucial determinants. The present study emphasizes the need for a comprehensive approach addressing awareness, societal beliefs, and tailored medical advice to enhance vaccination rates and protect public health in Italy.

Provision of special diets to children in public nurseries and kindergartens in Kraków (Poland).

A specialized diet could be due to an allergy or other medical needs and also religious or cultural reasons. This study aimed to assess the availability and provision of special diets in kindergartens and nurseries financed by the Municipality of Kraków. This observational cross-sectional study was based on a diagnostic survey carried out using the Computer-Assisted Web Interview method and addressed to the managers of nurseries (n = 21) and kindergartens (n = 71) and, separately, to the parents of children attending these facilities (n = 1,096). Non-parametric tests were applied for an unadjusted comparison between children at nurseries and those at kindergartens. Children with particular dietary requirements received special diet meals in 95.2% of nurseries and 60.5% of kindergartens. The availability of special diets was associated with the type of facility (p = 0.001), the number of children who ate in the facility (p = 0.032), and the daily cost of meals served to children (p = 0.009). The cost of meals was higher in kindergartens that offered special diets vs. those that did not offer such diets (p < 0.001). According to parents, 96.4% of the total number of children ate meals served in the facilities. In nurseries, 16.1% of children were on a special diet (as per the doctor's recommendations in 11.7% of cases and according to parents' own choice in 4.4%). In kindergartens, a special diet was served to 12.7% of children (doctor's recommendations, 8.5%; parents' own choice, 4.2%). The most common reason for using a special diet was food allergy (8.2% of children in nurseries and 5.8% of children in kindergartens). It was reported more often by the parents of children attending nurseries than by the parents of children attending kindergartens (8.0% vs. 4.2%, p = 0.007). The requirement for a special diet was found to be associated with the age of children (p < 0.033) and the use of oral treatment for chronic disease (p < 0.001). Providing special diets for children is better in nurseries than in kindergartens. Legal regulations are urgently needed to ensure equal access to adequate nutrition for all children with special dietary needs in childcare facilities.

The empirical study on the results of the certification of enterprises from the Republic of Moldova in the ISO 22000 and ISO 22005 systems

The European Union's food safety policy aims to protect consumers' health by ensuring compliance with production and control rules, hygiene of agri-food products and preventing their contamination with harmful substances. In its first stage, this objective can be applied in the Republic of Moldova, an EU candidate country, by implementing the ISO 22000 and ISO 22005 food safety management system, which establishes the basic requirements for the design and application of a traceability system for food and agri-food products. The study focused on identifying food and agri-food enterprises in the Republic of Moldova, which are certified by the ISO 22000 and ISO 22005 international standards. The advantages of these certifications and the barriers encountered were identified as well. In order to achieve this objective, there was carried out the survey according to the Computer Assisted Web Interviewing (CAWI) method, based on the completion of an online questionnaire created with the help of Google Drive.

Gender Equality Plan for Building Employer Branding of a Research Institution

Abstract The aim of this article is to discuss the possibility of using gender equality plans (GEPs) to build a brand, especially the employer branding (EB) of a research institution. The example of the GEP of the Central Mining Institute-National Research Institute (GIG-PIB) has been used in this article. The research methodology includes an analysis of the existing data and a survey involving all the GIG-PIB employees, not only those in research and scientific positions. The computer-assisted web interviewing (CAWI) research covered five key areas associated with gender equality, such as work–life balance, gender balance in management and decision-making bodies, gender equality in recruitment and career development, gender mainstreaming in the research process and measures to combat gender-based violence. This article presents the results of the survey. The analysis of the results shows that the opportunities for professional, scientific and personal development were positively assessed by the staff of GIG-PIB. Such favourable opinions of employees are an important element of building a competitive advantage based on the brand of the research institution and its Employer Branding.

The Associations of Exposome Score with Various Domains of Psychopathology: A Network Analysis in a Non-Clinical Sample.

The intricate correlation between environmental exposures and mental health outcomes is increasingly acknowledged in psychiatric research. This study investigated the relationship between cumulative environmental risk factors, as represented by the exposome score (ES), and various domains of psychopathology within a non-clinical sample using a network analysis. We recruited 1100 participants (aged 18-35 years, 51.4% females) via a computer-assisted web interview, assessing psychopathological symptoms using standardized questionnaires. Environmental exposures, including season of birth, obstetric complications, advanced paternal age, childhood trauma, cannabis use, and urban upbringing, were self-reported to calculate the ES. A network analysis revealed significant associations of the ES with psychotic-like experiences (PLEs) (weight = 0.113), manic (weight = 0.072), and attention-deficit/hyperactivity disorder symptoms (weight = 0.062). These connections did not differ significantly with respect to their weights. Depressive symptoms had the highest centrality and predictability. The mean predictability across all nodes included in the network was 0.344. These findings underscore the transdiagnostic nature of environmental exposures, aligning with previous research indicating broad associations between the ES and various facets of psychopathology. Our results suggest that the ES may not specifically correlate with PLEs but may indicate the risk of a broader psychopathology.

Exploring Sustainability Concerns and Ecosystem Services: The Role of the New Ecological Paradigm Scale in Understanding Public Opinion

This study mainly explores people’s environmental attitudes and perceptions and their motivations for protecting and improving ecosystem services in Italy. The environmental perceptions of people were explored through the New Ecological Paradigm (NEP) scale, a tool for gauging environmental consciousness and perceptions, especially in the context of ecological sustainability. Data were collected from a sample of more than 1500 respondents residing in Italy using computer-assisted web interviewing (CAWI). The results showed that respondents have a high level of environmental concern for most scale issues. The application of principal component analysis (PCA) to the respondents’ responses revealed the multidimensionality of the NEP scale: anti-anthropocentrism (pro-NEP items), human domination (pro-dominant social paradigm (DSP) items), and limits of nature. The results also showed that socio-demographic characteristics and people’s knowledge and beliefs are associated with a strong concern for nature, which can support ecosystem service conservation. Different cultural backgrounds may place varying emphasis on sustainability, conservation, or economic development.

Philosophy of future: analytical overview of interaction between education, science, and artificial intelligence in the context of contemporary challenges

Currently, artificial intelligence is changing the future landscape of technology and digitalization and transforming the way knowledge is generated and shared in education and science. The aim of the article is to interpret the future through interactions between education, science, and AI and to outline their potential challenges when digital transformations occur. While answering the research questions the mixed-methods approach was applied. For the study both quantitative and qualitative data was collected through descriptive and empirical survey. The empirical survey included computer-assisted web interview to assess the most relevant concepts according to the participants responses. The study involved 42 participants that were selected randomly. The selection criteria concerned educational background, previous experience, representation of diverse perspectives, theories, or approaches within the philosophy, active engagement in educational practice, and wiliness to participate. To analyse the data statistical software NVivo was applied. Approximately 70 recent scientific works were studied to present the problem through multifaceted approach. The findings show the participants’ anticipations are related to the cognitive load theory, constructivist theory, and socio-cultural theory. A number of challenges threatening innovative developments arise within the educational and scientific environments. They include ethical concerns, misinformation, digital divide, unequal infrastructure, lack of regulation, lack of digital skills, resistance to change, technology integration, and limited digital pedagogy. Ethics plays a crucial role in shaping digital transformations in education and science. The category of academic virtue is closely connected to ethical and responsible use of Ai. The paradigm of academic virtue includes ethical of knowledge, collaboration, responsibility, honesty, accuracy, adaptability, openness. AI brings automated content creation, language processing opportunities, real-time translation, and enhanced accessibility and, therefore, changes communication in the field of education and science. The research showed that the principles of effective implementation of AI in education and science include philosophical, educational, and ethical dimensions.

War refugees from Ukraine in Poland: the welfare system in the face of New social challenges

ABSTRACT The article describes the experiences of social workers in Poland supporting refugees from Ukraine who came to Poland after the outbreak of the war in February 2022. Social work is a profession that supports vulnerable people in need, including those experiencing war. A social worker is a professional who “can help translate policy into workable projects, help design and evaluate direct services and projects, and work towards community capacity building”.The influx of refugees from the Ukraine war has created unprecedented challenges for social workers. This research was conducted between 6 and 20 July 2022 using the computer-assisted web interviewing (CAWI) technique in six voivodships in Poland among social workers employed in local social welfare institutions where most war refugees were given shelter. Most respondents were satisfied with the help provided to refugees in their municipalities. Grassroots initiatives for refugees were particularly appreciated. Most social welfare institutions for refugees from Ukraine offered social counselling as well as material and financial assistance. Integration and social activation services were provided much less frequently. The research shows the scope of cross-sectoral cooperation. The key partners helping refugees from Ukraine, in addition to schools, were ordinary citizens, creating various informal insurance groups.

Association between cyberchondria and the use of complementary and alternative medicine (CAM) - a cross-sectional study.

Cyberchondria has been described relatively recently as a behaviour characterized by excessive Internet searching for medical information related to increasing levels of health anxiety. Complementary and alternative medicine (CAM) refers to a broad set of health care practices that are not part of a country's traditional or conventional medicine, and are not fully integrated into the dominant health care system The aim of this study is to evaluate the relationship between cyberchondria and the use of complementary and alternative medicine. A cross-sectional study was conducted from 25 April - 25 December 2022. A computer-assisted web interviewing (CAWI) survey technique was used. The study population consisted of 626 respondents who took part in the study. The severity of cyberchondria is associated with 'a greater number of CAM products used' (beta = 0.101; p = 0.043), 'a greater number of self-help techniques used' (beta = 0.210; p<0.001), searching for knowledge about CAM on the Internet (beta-0.199; p<0.001), using sources other than books (beta = -0.114; p = 0.025), younger age (beta = -0.170; p<0.001) and worse education (beta = -0.101; p = 0.033). The research results indicate that there is a link between cyberchondria and the use of CAM. However, since some components of the CSS-PL scale and self-rated health were not associated with more frequent use of CAM, it is likely that these results may not be fully reliable. The association between cyberchondria and CAM use should be investigated in further studies using comprehensive medical interviews.

Public Expectations and Needs Related to Type 2 Diabetes Prevention: A Population-Based Cross-Sectional Study in Poland.

Objective: This study aimed to understand the public's expectations regarding type 2 diabetes prevention and to identify factors associated with willingness to participate in preventive activities among adults in Poland. Methods: A cross-sectional survey was carried out using a computer-assisted web interview (CAWI) on a representative sample of 1,046 adults in Poland. A non-probability quota sampling method was used. A study tool was a self-prepared questionnaire. Results: Most respondents (77.3%) declared willingness to participate in preventive activities. Consultation with a diabetologist (75.1%) or family doctor consultation (74.9%) were the most often selected. Lifestyle interventions in the form of dietary and culinary workshops (58.1%) were the least chosen. Having higher education (OR = 3.83, 1.64-8.94, p = 0.002), chronic diseases (OR = 1.36, 1.01-1.85, p = 0.04), and a history of diabetes in the family (OR = 1.67, 1.21-2.30, p = 0.002) were significantly associated with a higher interest in type 2 diabetes prevention. Conclusion: The adults in Poland are keen on participating in diabetes prevention programs, mostly those based on medical counselling rather than lifestyle-oriented interventions. Educational level was the most important factor associated with willingness to participate in type 2 diabetes prevention.

Analyzing organic food purchase intentions: eco-literacy and innovation resistance

Purpose This research examines consumer reluctance to purchase organic food using the theory of innovation resistance and also extends the theory by investigating the moderating influence of eco-literacy. In addition, the authors used a multigroup analysis to identify differences between consumer segments.Design/methodology/approach Data collection used computer-assisted web interviewing and a prior screening process to confirm engagement. Through stratified quota sampling, 1,000 useable responses were obtained from 2,887 recipients.Findings The findings reveal barriers are significant inhibitors to adopting organic food. Among these barriers, usage, risk tradition and image barriers have a significant adverse influence on purchase intention. In contrast, the value barrier has a nonsignificant influence on the purchase intention of organic food. However, the study found that eco-literacy significantly reduces the negative influence of risk and tradition barriers on consumers' intentions. In addition, a multigroup analysis examines notable differences between consumer groups based on education, age and income.Social implications This research has significant social implications for boosting sustainable consumption in Lithuania. It identifies key barriers to organic food adoption, emphasizing the need for strategic interventions. The study highlights eco-literacy as an essential tool in diminishing resistance to organic food, advocating for targeted educational initiatives. Additionally, it reveals the importance of tailored marketing strategies based on different consumer demographics. Overall, this study provides important insights to promote environmentally conscious consumer behavior and overcome resistance to innovation in the organic food sector.Originality/value This study expressively advances the understanding of intentional behavior by exploring organic food within Lithuania's Baltic economy. It authenticates the innovation resistance theory's applicability to organic food behavior in the region while emphasizing the moderating impact of eco-literacy in the link between barriers and purchase intention concerning organic food. Furthermore, using advanced methods such as partial least squares statistical modeling and multi-group analysis, the research reveals how barriers affect the purchase intention of organic food among different groups of consumers.

Sexual activity in a large representative cohort of Polish men: Frequency, number of partners, correlates, and quality of life.

Sexual activity of men has been evaluated at the population-level in different regions of the world. However, reliable data are lacking for Eastern Europe. Therefore, the aim of this study was to analyze the frequency of sexual activity and the number of sexual partners in a large representative cohort of Polish men. We performed a cross-sectional investigation with computer-assisted web interviews. Participants were stratified by age (≥18 years) and place of residence. The most recent population census was used to produce a population-representative sample of respondents. Men's sexual activity was then correlated with multiple variables. We enrolled 3001 men, representative for age and place of residence, including adequate proportions of respondents from urban and rural areas. Most Polish men were sexually active, predominantly having had sex at least weekly with one partner. Almost 18% of respondents declined sexual intercourse and/or sexual partner in the prior year. The highest sexual activity was observed for men 35-44-years-old (for sex frequency) and 18-24-years-old (for partner number), living in medium-sized cities, employed, and married (for sex frequency) or divorced (for partner number). Erectile dysfunction negatively affected the frequency of sexual activity and lowered the number of sexual partners, although premature ejaculation did not have any effect. Frequency of sexual activity and number of sexual partners correlated well with psychological distress, quality of sex life, and overall life quality. Whereas lifestyle habits including smoking and alcohol intake decreased the likelihood of sexual activity, all analyzed comorbidities did not affect sex life. This study of men's sexual activity was the first population-representative and nationwide investigation performed in Poland. Most Polish men were sexually active and sexual activity correlated with multiple variables including sociodemographic factors, erectile functioning, mental distress, overall and sex-specific quality of life, and lifestyle habits.

Opioid Treatment in Primary Care: Knowledge and Practical Use of Opioid Therapy.

Primary care physicians play a key role in initiating opioid therapy. However, knowledge gaps in opioid use and pain management are significant barriers to providing optimal care. This research study aims to investigate the educational needs of primary care physicians regarding opioid therapy and opioid use in pain management. A computer-assisted web interview (CAWI) protocol was used to collect data from primary care physicians. Drug selection criteria, knowledge of opioid substitutes and dosage, and practical use of opioid therapy were evaluated. While 84% of participating physicians (724 respondents) reported initiating opioid treatment, only a minority demonstrated accurate opioid dosage calculations. Significant discrepancies between physicians' self-perceived knowledge and their clinical skills in opioid prescribing and pain management were observed. In total, 41% of physicians incorrectly indicated dose conversion rates for tramadol (the most frequently used drug according to 65% of responders). Targeted educational programs are essential to bridge the knowledge gap and increase physicians' competence in pain management. The proper self-assessment of one's own skills may be the key to improvement. Further research should focus on developing specialized educational courses and decision-support tools for primary care physicians and examining the impact of interprofessional pain management teams on patient outcomes.

Driving economic inclusion: Analyzing the participation of individuals with disabilities

The population with disabilities constitutes the largest minority group in the labour market, facing social and organizational barriers. The ambiguous nature of employment support provisions and the lack of unified vocational activation systems hinder their economic participation. This study reviews existing literature and examines the effectiveness of support programmes, and discusses the employment challenges faced by disabled individuals. The research emphasizes the need for coordinated national guidelines and highlights disparities across Central and Eastern European countries. The objective of this study was to analyze the economic activity of individuals with disabilities in micro, small, medium, and large enterprises in Poland. The study was conducted using the CAWI method (computer assisted web interview). The questionnaires were sent and completed online. The study found that individuals with severe disabilities may face greater challenges in accessing resources to support their own sole proprietorship (8.33%) in the labour market, compared to entrepreneurs with moderate (66.67%) and light (25%) disabilities. Furthermore, only 2.56% of individuals with physical disabilities are employed in micro-enterprises, with 32.08% being professionally inactive. This study identifies significant factors that contribute to the active participation of disabled individuals in the workforce, particularly in the Wielkopolska region, which was chosen as a case study. The results of the survey indicate a preference for enterprises without a high proportion of disabled employees. The factors influencing disabled individuals’ participation in the workforce include age, education, and professional activity. The improvement of the system should take into account company size, disability level, job assessment tools, and the use of job coaches. Incentives should not be based on disability status. The findings from this study have the capacity to inform about changes in SME job creation and enhance professional activity for people with disabilities.

Wellness or medicine? Use and perception of Ayurveda in Germany: data from an online-representative cross-sectional study.

Ayurveda, South Asia's largest and most relevant system of Traditional Medicine, holds a legal status akin to conventional Western medicine in India and elsewhere. There is an almost complete lack of data on the use of Ayurveda in Germany. The aim of this study was to investigate Ayurveda's utilization patterns, entry points, and factors influencing its use and the perception of Ayurveda among the German population. Basis of this manuscript was an online-representative survey which involved 4,065 participants aged 18-75 about the use and acceptance of Traditional, Complementary and Integrative Medicine (TCIM) in Germany. The survey was conducted online using Computer Assisted Web Interview (CAWI) in 2022. The dataset was analyzed descriptively and inferentially. Altogether 9.3% (n = 377) of all survey participants (n = 4,065) had already used Ayurveda somehow, either more often (1.7%) or at least once in a lifetime (7.6%). Responders associated Ayurveda primarily with Indian Medicine (27.7%) and wellness (18%). Commonly used Ayurvedic services included non-medical treatments at wellness resorts/spas (48.3%), in outpatient practices (27.1%), and hotels (23.6%). 30.2% of the participants believe in Ayurveda's therapeutic potential. 76.7% of Ayurveda users find healthy nutrition important or very important. Nine predictors were found to classify Ayurveda users vs. non-users with spirituality and belief in Ayurveda's therapeutic efficacy as the most relevant ones. Ayurveda seems to be primarily used by well-educated and female individuals, often from higher-income groups and with a rather modern social milieu-orientation. Study results suggest that about every tenth German citizen has used Ayurveda in the past and about one third believes in its therapeutic potential. Because Ayurvedic therapies are often not evidence-based, there is an urgent need to perform high quality randomized controlled trials to investigate potential effects and safety of Ayurveda and how evidence-based Ayurveda treatments can be integrated into the German healthcare system.