Published in last 50 years
Articles published on Digital Access
- New
- Research Article
- 10.55324/enrichment.v3i7.413
- Oct 27, 2025
- Enrichment: Journal of Multidisciplinary Research and Development
- Banu Surya Ganea Wijaya + 2 more
This research analyzes strategies for enhancing Service Continuity through the integration of Organizational Resilience (OR) and Business Continuity Management (BCM), with Digital Technology as a moderating variable. The study focuses on PT. ABC, a heavy equipment rental company operating in a critical sector that faces operational challenges arising from supply chain disruptions, manual systems, and limited digital coordination. These circumstances necessitate the implementation of an organizational resilience strategy capable of ensuring sustainable service continuity. A quantitative approach was adopted using the Partial Least Squares–Structural Equation Modeling (PLS-SEM) method. The OR construct is modeled as a second-order formative construct comprising four dimensions: Anticipation, Readiness to Respond, Synchronization, and Proactive Learning. Data were collected through questionnaires distributed among respondents directly involved in the company’s risk management and operational activities. The analysis is further supported by Importance–Performance Map Analysis (IPMA) to identify strategic priorities for improving service performance. The results reveal that OR significantly influences BCM, and that BCM has both direct and indirect (mediating) effects on Service Continuity. Moreover, Digital Technology strengthens the relationship between BCM and Service Continuity, demonstrating that the integration of cloud-based systems, real-time monitoring, and digital access enhances organizational responsiveness to disruptions. Among the OR dimensions, Readiness to Respond and Proactive Learning emerge as key factors in service performance improvement. In conclusion, the integration of Organizational Resilience and Business Continuity Management, supported by the adoption of digital technology, substantially enhances resilience and service sustainability within critical operational sectors.
- New
- Research Article
- 10.63486/jpchr.25102701
- Oct 27, 2025
- Journal of Public and Clinical Health Research
- Deep Shah
Despite living in an age of instant digital access, scientific research still faces major delays in reaching the public, professionals and policymakers. The bottlenecks aren’t limited to conducting studies but they’re embedded across the publication process. Researchers often face months of delays formatting manuscripts, waiting through desk rejections and enduring long peer-review cycles. Reviewer fatigue, journal backlogs and outdated workflows slow things further. For early career researchers, these delays can seriously impact career progress, funding chances and visibility. Important decisions like health policies, clinical guidelines or future research plans might be based on evidence that no longer reflects the latest knowledge. Even systematic reviews and emergency-response studies have suffered from late publication, missing the moment when their findings mattered most. Yet, the rapid publication seen during COVID-19 proves that speed is possible when prioritized. To address these challenges, several promising solutions are emerging: advance online publication, continuous publishing models, preprint sharing and systems for peer review reuse and manuscript transfers. These approaches can help reduce delays without compromising scientific rigor. The future of research publishing must focus not just on quality, but also on timeliness, because knowledge delayed is often opportunity lost.
- New
- Research Article
- 10.9734/jsrr/2025/v31i113648
- Oct 27, 2025
- Journal of Scientific Research and Reports
- Shilpa Karat + 2 more
Aims: To profile banana farmers in Kerala across demographic, economic, social, technical, physical, and psychological domains and assess how these determinants shape natural hazard management. Study Design: Ex-post facto research design Place and Duration of Study: Palakkad, Malappuram, and Wayanad districts of Kerala, India, from March 2024 to February 2025. Methodology: A multistage random sampling technique was used to select 300 banana farmers and 30 agricultural facilitators, totalling 330 respondents. Data were collected using a pre-tested structured interview schedule. Determinants were categorised into six dimensions: demographic, economic, social, technical, physical, and psychological. Primary data were supplemented with secondary sources including agricultural statistics and hazard records. Data were analysed using descriptive statistics (frequencies, percentages, means, standard deviations) in Stata. Results: Most banana farmers were aged (57%) and male, with long farming experience but limited youth involvement. Economic assessment revealed predominance of low annual incomes (68%), marginal landholdings, and high tenancy, with significant gaps in credit utilisation and insurance enrolment. Social factors showed weak extension contact,low training exposure, and poor institutional participation. Physical determinants highlighted reliance on single irrigation sources, poor digital access, and inadequate road connectivity in parts of Kerala. Technical determinants indicated high access to weather forecasts but limited electricity and mechanisation. Psychological analysis revealed medium levels of scientific temperament, risk orientation, and innovativeness, but medium prevalence of stress (75%) and depression (96%) across districts. Conclusion: The results revealed the systemic vulnerabilities in Kerala’s banana sector, shaped by socio-economic fragility and recurring natural hazards. Strengthening hazard management requires integrating economic support (credit, insurance, subsidies), technical services, infrastructure investment, social networks and support along with mental health interventions into farmer-oriented programmes and policy frameworks. Tailored natural hazard management frameworks focusing on proactive than reactive measures can build resilience among banana growers.
- New
- Research Article
- 10.1093/geronb/gbaf211
- Oct 25, 2025
- The journals of gerontology. Series B, Psychological sciences and social sciences
- Minzhi Ye + 1 more
This study innovatively includes digital access as a social determinant of health (SDoH) to examine the longitudinal relationship between digital inclusion and subjective well-being among older adults in China, one of the largest aging populations worldwide. We used data from the Chinese Longitudinal Aging Social Survey (CLASS, 2016 and 2020 waves). We applied the SDoH framework to analyze the interaction between digital inclusion and social structures at the micro, meso, and macro levels. Digital accessibility was captured in waves in 2016 and 2020. Four digital accessibility trajectories were identified: continuous access, gained access, lost access, and never accessed. Subjective well-being is a latent variable constructed from life satisfaction, self-rated health, and social adaptation from CLASS 2020 wave. All other independent variables, including micro-, meso-, and macro-level variables, were measured in the CLASS 2016 wave. Multinomial logistic regression and ordinary least squares analyses were conducted to determine the factors associated with digital inclusion and subjective well-being. Our findings reveal that urban residence, higher education, pre-retirement occupation, and intergenerational co-residence are significantly associated with increased digital inclusion. Conversely, advanced age and lower socioeconomic status are linked to digital exclusion. Continuous digital access, education, activities of daily living (ADL), and social support have been found to positively correlate with enhanced subjective well-being. This study recognizes digital inclusion as a key SDoH, emphasizes the structural barriers to digital access, and advocates interventions for enhancing digital literacy, infrastructure, and family/community digital engagement for older adults.
- New
- Research Article
- 10.62872/pa9drr31
- Oct 24, 2025
- Maneggio
- Tiara Nirmala + 2 more
This study aims to analyze digital detox policy as a managerial strategy to reduce burnout and enhance employee productivity in multinational corporations. The phenomenon of digital overload caused by constant connectivity has created significant psychological pressure and emotional exhaustion within global work environments. Adopting a descriptive–qualitative approach with a juridical–managerial framework, this study integrates Strategic Human Resource Management (SHRM), Self-Determination Theory (SDT), and the Job Demands–Resources (JD-R) model. Data were collected through literature reviews and semi-structured interviews with 12 HR managers from four multinational companies operating in Southeast Asia and Europe. Findings reveal that strategically integrated digital detox policies including restricted digital access hours, digital mindfulness training, and right to disconnect initiatives, reduced burnout levels by up to 25% and improved work engagement and overall productivity by 12% on average. The results highlight that digital detox should be viewed not merely as a wellness initiative but as a strategic instrument that strengthens competitiveness and human-centered sustainability within global organizations. The study recommends stronger top management commitment and cross-functional collaboration to ensure consistent and culturally adaptive implementation of digital detox policies across multinational contexts.
- New
- Research Article
- 10.1108/lhtn-09-2025-0158
- Oct 21, 2025
- Library Hi Tech News
- George Osas Eromosele + 1 more
Purpose This paper aims to examine the low adoption of effective e-book management systems within Nigerian university libraries, despite technological advancements. It highlights the transformative potential of the Calibre application and discusses the need to overcome key barriers to its implementation. Design/methodology/approach A qualitative assessment was carried out to identify challenges hindering the deployment of Calibre, including limited staff expertise, infrastructural shortcomings and low user awareness. Strategic recommendations are proposed to promote adoption and improve digital resource management. Findings The study shows that the poor uptake of e-book management systems has led to underused in academic content, restricted access and disengagement among users. Solutions such as capacity-building workshops, increased ICT funding, collaborative policy frameworks and supercentre design can substantially improve digital access and operational efficiency. Originality/value This research presents Calibre as a practical, open-source solution to transform digital service delivery in Nigerian academic libraries. It offers actionable strategies that align with educational standards and foster inclusive distribution of information within the digital environment.
- New
- Research Article
- 10.63931/ijchr.v7isi3.300
- Oct 21, 2025
- International Journal on Culture, History, and Religion
- Helene Daya
The transition to online learning during the COVID-19 pandemic created unprecedented challenges that deeply affected students’ mental health. Historically, educational disruptions such as the 1918 influenza pandemic demonstrated that the quality of alternative learning arrangements shapes long-term academic and psychological outcomes. Unlike past events, however, the COVID-19 shift occurred in a digitally connected but socioeconomically unequal world. Quantitative results show that 95.3% of students (n = 1,376) experienced psychological distress, with heightened stress, anxiety, and depression. Thematic analysis (n = 229) from interviews, FGDs, and open-ended questionnaires revealed unstable home learning environments, particularly in multi-generational households common in collectivist cultures, which caused distractions and academic fatigue. Technological barriers, including poor internet access and platform overload, further compounded difficulties, especially in rural or disadvantaged areas. Culturally, online learning disrupted peer networks and instructor relationships that typically serve as vital sources of motivation and emotional support. Social isolation and reduced face-to-face interaction intensified loneliness and disconnection. Historical inequalities in educational infrastructure magnified these issues in communities with limited digital access. Students adopted coping strategies such as maintaining routines, seeking family and peer support, and engaging in physical activities. Overall, findings underscore that unstructured environmental factors exerted a stronger influence on mental health than course content. The study highlights the importance of culturally responsive interventions, equitable access to technology, and sustained social connections in strengthening students’ resilience in online learning contexts.
- New
- Research Article
- 10.24857/rgsa.v19n10-049
- Oct 20, 2025
- Revista de Gestão Social e Ambiental
- Karinthia De Fátima Wanderley Jardim + 2 more
Objective: To investigate how public marketing and intercultural communication strategies, informed by the COM-B model, can expand digital access to justice through Digital Inclusion Points (PIDs) in the Kalunga territory, identifying barriers and facilitators to the target behavior of service use. Theoretical Framework: There is a scholarship integration on access to justice, public/ service marketing, and public communication with the COM-B model (Capability, Opportunity, Motivation) as a structure for diagnosis and intervention design in behavior change. Method: The present research uses qualitative, exploratory study using semi-structured interviews with seven staff members responsible for the PIDs. Analysis followed thematic content analysis with a priori categories guiding coding and interpretation. Results and Discussion: Findings reveal deficits in Capability, constraints in Opportunity and dynamics of Motivation. Enhancements in Capability and Opportunity fed Motivation and translated into effective use when the service was nearby, intelligible, and welcoming. Research Implications: We propose a three-pillar implementation: (1) user enablement routines (coaching, micro-learning), (2) logistical/environmental reconfiguration (itinerant outreach, flexible hours, climate control/accessibility), and (3) motivational nurturing (utility/dignity narratives, feedback, peer modeling). Originality/Value: The study offers an operational grammar to turn PIDs into public intermediation ecosystems, linking public-marketing decisions to measurable behavioral mechanisms in a traditional territory.
- New
- Research Article
- 10.38035/jlph.v6i1.2356
- Oct 20, 2025
- Journal of Law, Politic and Humanities
- Riska Pratiwi Djaman + 3 more
This study examines the role of the e-Berpadu system in addressing the lex imperfecta nature of Article 143 paragraph (4) of the Indonesian Criminal Procedure Code (KUHAP), which obliges prosecutors to provide case files to suspects or their legal counsel but prescribes no sanction for non-compliance. The research was conducted at the Kotamobagu District Court using a qualitative approach that combined interviews, observations, document analysis, and focus group discussions. The findings reveal that e-Berpadu enables digital access to case files for legal counsel and supports the fulfillment of the right to information. No significant technical barriers were identified in its implementation. However, the case file access feature is neither a core component of the system’s design nor emphasized in its official dissemination, leaving many defense lawyers unaware of its availability. The study concludes that although e-Berpadu can function as a supplementary tool to ensure access to case files, it cannot substitute the prosecutor’s mandatory obligation under KUHAP
- New
- Research Article
- 10.25229/beta.1643860
- Oct 20, 2025
- Bulletin of Economic Theory and Analysis
- Muhammed Fatih Yürük
This study examines the investment decisions of 542 individual investors in Türkiye’s Southeastern Anatolia Region (Diyarbakır, Bingöl, Mardin) from a behavioral finance perspective. Data were collected through face-to-face interviews using a structured questionnaire, tailored to the region’s low literacy and limited digital access. The relationships between demographic factors (gender, marital status, age, occupation, income, education) and behavioral finance tendencies were analyzed using t-tests and ANOVA. No significant relationships were found for gender, marital status, age, occupation, or income, but education level significantly influenced behavioral finance tendencies (p=0.010), with high school graduates showing lower cognitive biases (e.g., overconfidence, loss aversion) than primary school graduates. Investors exhibited a conservative approach, favoring traditional instruments like gold (32.3%) and real estate (24.4%), reflecting cultural influences and risk aversion. These findings highlight education’s critical role in enhancing financial literacy and reducing biases in socio-economically disadvantaged regions, informing targeted financial education programs.
- New
- Research Article
- 10.11648/j.ijics.20251002.12
- Oct 18, 2025
- International Journal of Information and Communication Sciences
- Quansah Robert
Global political communication has changed significantly as a result of the rapid development of information and communication technologies (ICTs), shifting from conventional, one-way methods to more interactive and participatory ones. The increased usage of social media and the broad use of mobile internet devices in Ghana have created new avenues for political and civic participation. Platforms like Facebook and WhatsApp have emerged as essential tools for individuals and political leaders alike, facilitating quick information sharing, direct communication, and the rallying of political support. However, there is still a significant lack of empirical studies examining how social media influences political participation at Obuasi East Constituency. This study investigates the role of social media as an emerging tool for political participation among residents of the Obuasi East Constituency in Ghana. Employing a quantitative research design, data were gathered from a sample of 100 respondents residing in the Obuasi East Constituency to explore how social media is used for political engagement. The study focused on identifying the patterns of social media usage in political activities, assessing the perceived benefits derived from such engagement, and examining the challenges users face. The analysis revealed that social media plays a pivotal role in enhancing political participation by promoting public discourse, encouraging political advocacy, and supporting campaign efforts. Platforms such as Facebook and WhatsApp emerged as the most commonly used tools, owing to their accessibility and interactive features. Nevertheless, several barriers hinder the optimal use of these platforms, including the spread of misinformation, concerns over data privacy and security, and disparities in digital access between urban and rural populations. It is advised that policymakers and telecom service providers focus on improving internet infrastructure and access, especially in the underserved rural areas of the Obuasi East Constituency.
- New
- Research Article
- 10.55606/jekombis.v4i4.5597
- Oct 18, 2025
- Jurnal Penelitian Ekonomi Manajemen dan Bisnis
- Mulazimatul Hasanah Lailiyah + 2 more
This study examines public perceptions of the online gambling phenomenon and its social and economic implications from the perspective of maqashid shariah, with a case study of the community in Jambi City. The research aims to: (1) identify and analyze the perceptions of Jambi City residents regarding online gambling, and (2) analyze the social and economic implications of online gambling practices within the framework of maqashid shariah. This study employs a descriptive method with a qualitative approach. Data were collected through observation, semi-structured interviews, and documentation, involving various informants including members of the general public, religious figures, university students, former online gamblers, academics, and law enforcement officers. The data were analyzed using the Miles and Huberman interactive model. The findings reveal that the people of Jambi City generally hold negative perceptions of online gambling, grounded in religious, social, and moral values. Such practices are viewed as deviant behaviors that contradict Islamic teachings and social norms. However, some younger individuals perceive online gambling as a form of entertainment or a quick means to earn money, influenced by environmental factors and digital access. Online gambling has resulted in social consequences such as family breakdowns, reduced social interaction, and domestic conflicts, as well as economic impacts including financial losses, dependence on interest-based loans, and the risk of bankruptcy. From the perspective of maqashid shariah, online gambling contradicts the five fundamental objectives of Islamic law: the protection of religion (hifz al-din), life (hifz al-nafs), intellect (hifz al-‘aql), lineage (hifz al-nasl), and wealth (hifz al-mal). Therefore, active involvement from the government, religious leaders, educational institutions, and society is essential to comprehensively prevent and address the issue of online gambling in order to safeguard public welfare.
- New
- Research Article
- 10.70096/tssr.250307066
- Oct 18, 2025
- The Social Science Review A Multidisciplinary Journal
- Supriya Konai
In an era of rapid technological advancements and environmental challenges, sustainable skills have emerged as critical for both personal and societal resilience. This article explores “Sustainable Skills for a Changing World: A Lifelong Journey,” emphasizing the importance of continuous learning and adaptability. Drawing from a comprehensive review of the literature, the article highlights key sustainable skills, including critical thinking, digital literacy, environmental awareness, and emotional intelligence, as fundamental to thriving in a dynamic global landscape. Scholars such as Billett (2010) and Kolb (2015) emphasize that lifelong learning fosters adaptability and innovation, enabling individuals to respond effectively to evolving challenges. Additionally, research by UNESCO (2020) underscores the role of sustainable education in promoting environmental stewardship and social equity. By integrating interdisciplinary insights, the article examines how lifelong learning initiatives can empower individuals to acquire sustainable skills while fostering community resilience. This study also identifies challenges, including digital divides and access disparities, which hinder widespread participation in lifelong learning. Solutions proposed include inclusive policies, digital access initiatives, and community-driven learning models to bridge these gaps. Ultimately, the article advocates for a paradigm shift where education systems prioritize sustainable skill-building as a core component of curricula. By aligning individual growth with sustainable practices, lifelong learning becomes a powerful tool for addressing global challenges, ensuring a more equitable and sustainable future.
- New
- Research Article
- 10.58578/aldyas.v4i3.7650
- Oct 18, 2025
- Al-DYAS
- Fira Zulmawati + 1 more
The implementation of the Digital Population Identity (IKD) program by the Ministry of Home Affairs targets 30% coverage of the eligible population; however, as of July 2025, realization in Tanah Datar Regency has reached only 17,530 individuals, or approximately 6.12%. This study aims to evaluate the extent to which the IKD program has been implemented as an innovation in population administration services and to identify its supporting and inhibiting factors. A qualitative method with a descriptive approach was employed, using interviews and document analysis as data collection techniques. The findings reveal that the implementation of IKD by the Civil Registration Office (Disdukcapil) in Tanah Datar has not fully met the innovation attributes outlined in Rogers’ theory. IKD presents a relative advantage through easier access, service efficiency, and improved security systems. In terms of compatibility, the innovation aligns with the needs of younger generations and civil servants but lacks inclusivity for the broader community. Ease of use (complexity) remains a barrier for elderly users and those with limited digital literacy. Trialability has been introduced gradually, though its utilization remains suboptimal, and observability is still low, as the benefits of IKD are not yet widely perceived. Supporting factors include relatively easy digital access, budget efficiency, and human resource competence. Conversely, major barriers include the digital divide, limited technological infrastructure, weak inter-agency integration, and low public adoption of digital population administration technologies. The study concludes that an acceleration strategy is needed, based on digital literacy enhancement, infrastructure expansion, and system integration, to improve the effectiveness of IKD implementation.
- New
- Research Article
- 10.3390/ijerph22101572
- Oct 15, 2025
- International Journal of Environmental Research and Public Health
- Tatiana Palotta Minari
Background: Type 2 diabetes (T2D) is no longer a standalone clinical condition—it has become a syndemic shaped by food insecurity, social inequality, and digital marginalization in emerging economies. This convergence calls for a reimagining of public health through intersectoral, digitally enabled, and culturally grounded approaches. This study explores how intersectoral strategies, supported by digital innovation and rooted in food sovereignty, can help prevent and manage T2D in emerging countries. Methods: A narrative review was conducted using the PubMed, Scopus, and Web of Science databases. Studies published between 2014 and 2025 were included if they addressed T2D and food security in emerging contexts, focusing on intersectoral or multisectoral strategies. Studies on T1D, non-human subjects, and high-income settings were excluded from the study. Thirty-nine studies were critically synthesized. Results: Food insecurity acts as both a biological stressor and a sociopolitical condition that worsens poor glycemic control. Promising but underutilized intersectoral strategies include agroecological food systems, school-based nutrition programs, and community health worker networks. Digital tools, such as AI-driven diagnostics, blockchain food traceability, and mobile health platforms, offer scalable solutions but face challenges in infrastructure, digital literacy, and ethical governance. Conclusions: A digitally inclusive, ethically reflexive intersectoral paradigm is needed that recognizes food and digital access as human rights.
- New
- Research Article
- 10.32736/sisfokom.v14i4.2489
- Oct 15, 2025
- Jurnal Sisfokom (Sistem Informasi dan Komputer)
- Arniawati Arniawati + 3 more
E-marketplaces play a pivotal role in Indonesia’s digital economic transformation; however, infrastructural limitations, high logistical costs, and low levels of technological literacy hinder their adoption in West Papua Province. Jasa Titip (JASTIP) represents an informal digital facilitation mechanism that enables communities to collectively and affordably access e-marketplace products. Importance–Performance Map Analysis (IPMA) is used to identify strategic intervention priorities for e-marketplace adoption in West Papua using an expanded Unified Theory of Acceptance and Use of Technology (UTAUT) framework. The moderating influence of gender in community-based social support is examined. PLS-SEM was used to analyze data from 177 respondents. Results show that enabling environments, hedonic incentives, and social influence greatly affect behavioural intention and utilization. Gender also moderates social impact and behavioural intention, highlighting its function in adoption. The model explains 62.1% of behavioural intention and 66.2% of use behaviour. Policymakers and e-marketplace stakeholders should learn from these results about the necessity of inclusive initiatives that account for gender-specific adoption habits. Moreover, they highlight the critical role of JASTIP practices in overcoming structural barriers to digital access in underserved regions
- New
- Research Article
- 10.1108/imds-04-2025-0453
- Oct 14, 2025
- Industrial Management & Data Systems
- Yunkai Zhai + 3 more
Purpose This study aims to investigate the psychological mechanism linking digital policy, social network environment and older adults’ mental health from an ecological systems perspective. Specifically, it examines how the implementation of digital elderly care policy and the digital environment influence the mental health of the elderly. The study also explores the heterogeneity of these effects across different population segments and regions. Design/methodology/approach Drawing on ecological systems theory, this research constructs a multilevel framework connecting macro-level policy, meso-level digital environment, micro-level digital behavior and individual psychological outcomes. Using panel data from the China Family Panel Studies (China Family Panel Studies, 2014–2022), multiple regression was employed to test direct, indirect, and moderating effects. Findings The findings demonstrate that information and communication technology (ICT) use significantly improves older adults’ mental health and mediates the effect of digital elderly care policy. In contrast, the direct effects of the digital environment on mental health are not statistically significant. Moreover, heterogeneity analyses reveal that digital benefits are more pronounced among urban residents, individuals with chronic conditions and those in eastern China, underscoring the role of digital literacy, access and infrastructure in shaping outcomes. Originality/value This study offers a novel contribution by adopting a policy–environment–individual systems perspective to examine the impact of ICT on older adults’ mental health. By integrating institutional, infrastructural and behavioral levels into one framework, it reveals the pathway through which digital benefits are realized and underscores the importance of aligning policy design with individual engagement.
- New
- Research Article
- 10.20473/vol11iss20244pp382-393
- Oct 13, 2025
- Jurnal Ekonomi Syariah Teori dan Terapan
- Emiliana + 2 more
The purpose of this study was to determine: the significant influence of understanding Sharia economics on the level of religiosity and awareness of paying ZIS. The significant effect of ease of digital access on the level of religiosity and awareness of paying ZIS. The significant effect of religiosity on awareness of paying ZIS. Religiosity significantly mediates the effect of understanding the Sharia economy on awareness of paying ZIS. Significant religiosity mediates the effect of ease of digital access on awareness of paying ZIS. This research is an expansion research with a quantitative approach. The research sample of 83 was taken from the population of FEBI IAIN Pontianak students in 2020, totalling 485 students. The analysis used is SEM-PLS using the Warp-PLS 8.0 programme. There is a significant effect of understanding Islamic economics on awareness of paying ZIS mediated by religiosity with a P-value of 0.005. There is no significant effect of ease of digital access on awareness of paying ZIS mediated by religiosity with a P-value of 0.117.
- New
- Research Article
- 10.36948/ijfmr.2025.v07i05.57807
- Oct 12, 2025
- International Journal For Multidisciplinary Research
- Rupali Sharma
This study investigates barriers to effective EdTech implementation in K–10 education within India’s policy and pedagogical context. Using a mixed-method approach involving teachers, parents, students, and EdTech providers, it identifies structural, pedagogical, and behavioral challenges influencing technology adoption. The analysis highlights major constraints such as inadequate infrastructure, limited training, digital inequity, and policy misalignment. It also examines how digital literacy, device access, and stakeholder attitudes affect engagement and adoption. The study proposes a synchronized adoption framework that integrates technology, pedagogy, motivation, and policy perspectives to support equitable and sustainable EdTech integration in education.
- New
- Research Article
- 10.1177/15305627251387193
- Oct 10, 2025
- Telemedicine journal and e-health : the official journal of the American Telemedicine Association
- Silvio Fernandes-Junior + 7 more
Background: Health care systems increasingly rely on digital tools, including patient portals such as Epic MyChart® and telemedicine platforms, to optimize communication between patients and providers. Families with language barriers face disproportionate challenges in accessing and utilizing these services equitably. This study examines the association between language preference and digital health engagement, with a particular focus on patient portal activation and telemedicine use among pediatric patients. Methods: We conducted a retrospective analysis of pediatric patients in a large primary care network, categorizing them into three groups based on language use: English Proficient (EP), Limited English proficiency (LEP), and Intermittent Interpreter Users (IIU). Patients are predominantly seen for office visits but are also offered telemedicine for clinically appropriate acute and chronic conditions. Measures of digital engagement included Epic MyChart activation status, the proportion of appointments scheduled online, and telemedicine utilization. Social Drivers of Health (SDOH) were also incorporated into the analysis to account for potential confounding factors. Results: Of the total patients, 66% were classified as EP, 20.4% as LEP, and 13.6% as IIU. LEP patients showed significantly lower digital engagement across all measures. Telemedicine use was notably lower among LEP patients (EP = 95.5%, IIU = 2.2%, LEP = 2.3%). Epic MyChart activation rates were also lower in LEP (60.3%) and IIU (76.2%) groups compared with EP patients (82.2%). Online scheduling was least frequent among LEP patients (LEP = 2.3%, IIU = 5.7%, EP = 8.6%). When reviewing SDOH responses, among patients who used telemedicine, transportation-related challenges were more pronounced in the LEP group (EP = 12.4%, IUI = 0%, LEP = 16.7%). Conclusions: These findings underscore the need for targeted interventions to improve digital health access for non-English-speaking pediatric patients in the primary care setting.