Digital Access Research Articles

This research analyzes the development of the Transpolitan Program aimed at enhancing leading commodities through the role of the Village-Owned Enterprise (BUMDes) in Batu Betumpang Village, South Bangka Regency. This village is one of the 52 National Priority Transmigration Areas with significant potential in agricultural, plantation, and fishery commodities, yet it faces challenges in optimization. The objectives of this study are to (1) analyze the influence of the Transpolitan Program on the development of leading commodities, (2) examine the role of BUMDes in the development of these commodities, (3) analyze the level of community financial literacy, and (4) formulate strategies and policy recommendations to strengthen the program. The method used is qualitative research with a descriptive approach. Primary data were collected through in-depth interviews and Focus Group Discussions (FGDs) with stakeholders, including the village government, BUMDes management, and community representatives. The collected data were analyzed using SWOT (Strengths, Weaknesses, Opportunities, Threats) analysis and mapped onto a SPACE matrix to determine the strategic position. The research findings indicate that Batu Betumpang Village possesses significant strengths in the diversity and potential of its leading commodities, particularly rice, palm oil, and fisheries, supported by the national food self-sufficiency program. However, this development is hampered by serious structural weaknesses, such as the absence of an adequate irrigation dam, minimal road infrastructure, and a lack of local post-harvest processing facilities. The role of the BUMDes is identified as important in managing village assets and providing limited capital, but it is not yet optimal due to managerial constraints, a lack of innovation, and weak coordination. The community's financial literacy level shows foundational potential but is threatened by limited digital access and the risk of financial fraud. The SPACE matrix analysis places Batu Betumpang Village in the Aggressive quadrant, indicating that the village has strong internal strengths and external opportunities to proactively address existing weaknesses and maximize its growth potential.

The development of information technology has driven a significant transformation in the tax administration system in Indonesia through the digitization of services such as e-filing, e-billing, and the integration of NIK as an NPWP. This modernization aims to increase efficiency, transparency, and compliance, but at the same time poses serious risks in the form of leakage and misuse of taxpayers' personal data. Tax data is very sensitive because it includes identity, financial information, economic transactions, and compliance records, which in Law No. 27 of 2022 concerning Personal Data Protection (PDP Law) is categorized as specific data with high protection standards. In the legal context, the protection of taxpayer data is strengthened by Article 28G paragraph (1) of the 1945 Constitution and Article 34 of the KUP Law which requires tax officials to maintain confidentiality. The Directorate General of Taxes (DGT) as a data controller has the obligation to manage data in a legal, proportionate, and secure manner by implementing encryption, access control, and incident notification mechanisms. Failure to carry out these obligations can have administrative, civil, and criminal consequences. This study uses a normative juridical method with a statutory and conceptual approach to assess the effectiveness of taxpayer legal protection in digitalization. The results of the study emphasized the importance of harmonizing the PDP Law and the KUP Law as well as strengthening the DGT institution so that legal protection is more comprehensive, transparent, and able to maintain public trust in the digital tax system.

Breast cancer incidence is increasing globally, and it is the third leading cause of morbidity and mortality among women in Cambodia. This study explores how access to digital tools, media exposure, transportation, travel time to health facilities, and autonomy in health decisions relate to breast cancer screening among Cambodian women aged 15–49. The study used nationally representative, cross-sectional data from the Cambodia Demographic and Health Survey (CDHS) 2021–2022. After excluding 204 women who were unaware of breast or cervical cancer screening, the final weighted sample comprised 19,292 participants. The outcome was whether a woman had ever received a breast examination from a healthcare provider, encompassing clinical breast examinations (CBEs) and imaging techniques, such as mammograms. Multivariable logistic regression, adjusted for demographic and socioeconomic characteristics, was used. Only 10.9% (95% CI: 9.7%–11.6%) of women had undergone a breast exam. Exposure to multiple forms of media was associated with a higher odds of screening (AOR = 1.47; 95% CI: 1.13–1.91). Phone ownership—both non-smartphone (AOR = 1.35; 95% CI: 1.03–1.78) or smartphone (AOR = 1.37; 95% CI: 1.03–1.82)—was also positively associated. In contrast, longer travel times of over 30 minutes (AOR = 0.55; 95% CI: 0.39–0.78) and a lack of autonomy in healthcare decisions (AOR = 0.70; 95% CI: 0.52–0.94) were associated with reduced screening. Wealthier women had greater odds of being screened (AOR = 1.86; 95% CI: 1.40–2.48). These findings highlight the need for health initiatives that use digital communication to reach and emphasize the importance of improving transportation, and support women’s decision-making to increase screening rates in Cambodia.

To identify a brief scale to accurately assess digital skills among older adults for use in identifying need for support to use digital health tools. Patients age ≥50 speaking English, Spanish, or Cantonese completed surveys (n = 186) assessing digital health access, use, and skills. A subsample (n = 101) completed observational task assessments gauging competency on 4 tasks essential to digital health skills: (1) launch a video visit from an email/text message hyperlink, (2) visit a specific health website, (3) sign up for a patient portal, and (4) log in to a patient portal. We used exploratory factor analysis, receiver operator characteristic, logistic regression, and dominance analysis methods to identify and evaluate a scale measuring digital skills essential to using digital health tools. We found that a 9-item scale demonstrated unidimensionality and reliability (Cronbach's alpha 0.93) in measuring digital skills. Mean score was 19.3 out of 36. For each task, handout/video support was inadequate in facilitating completion for one-quarter of participants. We found high accuracy of the scale in predicting digital health competency (area under the curve 0.77-0.88). The Skills Measurement and Readiness Training for Digital Health (SMART Digital Health) scale is a measure of digital skills with evidence of reliability and validity to be used as a diagnostic tool to identify patients requiring support to use digital health tools. This early work supports the identification of patients with digital literacy needs who may require interventions to effectively engage in digital health communication and management.

BackgroundThis study aims to explore the mediating role of basic psychological need satisfaction in the relationship between digital back-feeding and mental health (specifically depression and loneliness) in rural older adults. The objective is to examine how different forms of digital back-feeding influence mental health by enhancing the satisfaction of basic psychological needs.MethodsThis study employed a multistage stratified sampling method, in which 1,663 valid survey responses were collected online. Depression and loneliness in older adults were measured using the Center for Epidemiologic Studies-Depression Scale and UCLA Loneliness Scale-6, respectively. Sociodemographic characteristics were controlled for in the analysis.ResultsDigital access, skills, and literacy were identified as significant negative predictors of depression and loneliness among older adults in rural areas, with basic psychological need satisfaction serving as a key mediator in this relationship. The adverse effects of digital access on depression and loneliness were especially pronounced among men, residents of lower-GDP regions, and individuals from low-income groups.ConclusionThis study explored the impact of digital back-feeding on the psychological health of older adults in rural areas, with a focus on the mediating role of basic psychological need satisfaction. The results revealed considerable heterogeneity in the effects of digital back-feeding on mental health, with variations across gender, regional economic development, and income levels. Based on these findings, we recommend that policymakers promoting digital empowerment consider these factors to design more targeted and effective intervention strategies.

In 2021, the Veterans Health Administration (VA) initiated a Tele-Emergency Care (TEC) program, where care is provided through phone or video by an emergency medicine provider to Veterans with urgent, unscheduled medical concerns. Early data suggest TEC effectively resolves Veterans' care concerns and decreases low-value emergency department visits. Equity of TEC receipt has yet to be assessed. To assess differences, by race and ethnicity, of Veterans' receipt of TEC. Cross-sectional study. Veterans who used TEC and/or low-acuity in-person VA emergency care in Southern California, Arizona, and New Mexico, from March 1, 2021 to May 1, 2023. TEC and/or low-acuity in-person VA care use. Veterans who only had TEC visits were less likely than those who only had in-person visits to be of racial and ethnic minority groups, namely Asian (1.38% vs. 3.54%, P<0.001), Black (12.2% vs. 18.1%, P<0.001), and Hispanic (15.7 vs. 19.1%, P<0.001). These findings persisted once adjusting for covariates; having only TEC visits was less likely than only having in-person care for Veterans who were Asian [relative risk (RR): 0.47, P<0.001], Black (RR: 0.61, P<0.001) or Hispanic (RR: 0.87, P<0.001), compared with White Veterans. Receipt of TEC, or both TEC and in-person care, rather than exclusively in-person care, is lower among Asian, Black, and Hispanic Veterans compared with White Veterans, independent of covariates. To promote equity, future work should determine and address root causes of disparities, including digital device access, triage processes, and Veteran experiences.

BackgroundOriginally adapted from a paper-based guide for skin-related neglected tropical diseases (NTDs), version 3.0.0 of the World Health Organization (WHO) SkinNTDs app aims to strengthen disease surveillance and frontline health worker capacity in NTD-endemic settings. Evidence on its usability in routine care remains limited.ObjectiveTo assess the usability and perceived quality of the SkinNTDs app in a real-life setting.MethodsThis mixed methods evaluation was conducted between April and September 2024 among frontline health workers in five regions of Cameroon. Data included online questionnaires, based on the user version of the Mobile Application Rating Scale (uMARS), completed by 180 participants, and focus group discussions with 214 participants. Analyses were performed using jamovi 2.6.13 for quantitative analyses, and NVivo 12 Plus for qualitative analyses.ResultsParticipants reported limited dermatology experience (46.1% untrained or unexperienced), and nearly half were trained to use the app (66.1%). The app received moderate overall quality (mean = 3.61/5), with functionality and information scoring highest (both 3.69) and engagement lowest (3.50). Perceived impact was strong (3.88), and users were highly willing to recommend the app (3.96) but reluctant to pay (1.82). Prior app training to use the app was identified as the strongest predictor of higher quality ratings. Qualitative feedback highlighted critical needs: offline functionality (essential in low-connectivity areas), multilingual support, inclusion of darker skin tone images, and data-saving features. Digital barriers (e.g., data storage) and contextual adaptation were emphasized for effective implementation, alongside formal training integration.ConclusionThe app is a promising diagnostic support and educational tool, particularly when user training is provided. However, enhancements in engagement, cultural relevance (e.g., diverse imagery and local languages), offline utility, and reduced technical demands are critical for wider adoption. Scaling up adoption may be enhanced by integrating training modules into health system programs government endorsement, and addressing digital access barriers.

As China accelerates its digital transformation in the education sector, the digital divide remains a significant challenge to achieving educational equity. This paper explores the manifestations of digital inequality (defined as differences in access to devices, network connectivity, digital skills, and teaching applications) in policies and practices. Through a discourse analysis of China's policies (2018 - 2025) and a case study of a rural junior high school in Jiangsu Province, this paper examines how national strategies envision digital equity and how these visions are (or are not) translated into actual conditions at the school level. This paper's results reveal the persistent gap between the national-led infrastructure planning and the actual experiences of resource-poor schools. Although policy narratives emphasize access and platform construction, they often overlook underlying challenges, such as insufficient teacher training, integrating teaching, and providing family digital support. School cases indicate that although rural and mobile students have nominal digital access, they still face disadvantages in digital participation and outcomes. This paper contends that narrowing the digital divide cannot simply rely on providing technology. Only when teaching is culture-adaptive, when the community can participate, and when teachers are trained, can a sustainable situation be achieved. The author argue that these research findings are relevant to current debates on fairness and inclusiveness in digital education and call for more localized and context-sensitive policy measures in China.

AimThis study examined the experience of digital connectivity among rural-living British Columbians both with and without access to high-speed Internet at home.BackgroundEvidence indicates that fewer rural communities have access to high-speed Internet compared to urban communities in Canada, despite government commitments to bring high-speed Internet to all British Columbians by 2027. Yet, differences within rural areas relative to those with access to high-speed compared to those with lower speeds remains a relatively unexplored area.MethodsA cross-sectional survey of rural British Columbians both with and without high-speed Internet was conducted between October 2023 and April 2024. Closed and open-ended questions gathered participants’ thoughts and experiences with digital technology access and use.FindingsOverall, 461 (M age = 56 years, 72% female) rural BC community members (47% with access to 50 + Mbps download speeds) completed the survey. Despite similar overall digital readiness, skill, and confidence using digital technology, those without high-speed Internet were older, more remote-living, reported using fewer connected devices alongside greater frustration with technology, yet had comparable frequency of Internet use except for less streaming compared to those with access to high-speed Internet. Similar themes were found among open-ended responses of both those with and without high-speed Internet access and surrounded: i) the actual and potential benefits of high-speed connectivity, and ii.) disconnects on many levels, but particularly between expectations for and reality of high-speed connectivity.ConclusionRegardless of broadband speed, there were greater similarities than there were differences across rural community participants, with common perceptions of the benefits of connectivity amid experiences with pervasive disconnections on a number of levels.

The extended digitalization of financial transactions has posed exceptional problems to fraud detection and prevention systems, prompting the development from conventional rule-based structures to superior artificial intelligence systems. Smart fraud detection structures based on generative AI are a revolutionary step towards countering swiftly evolving and complicated fraud schemes that take advantage of weaknesses in virtual fee structures. These cognizant systems showcase better overall performance in managing high transaction volumes, detecting latent styles, and dynamically adjusting themselves to new danger vectors without the need for human intervention or significant reconfigurations. The combination of generative AI with standard machine learning techniques allows for more advanced anomaly detection, contextualization, and real-time response against threats, which excel far beyond traditional methods of detection. Modern implementations exhibit significant gains in detection accuracy, accompanied by the lowering of false positive rates, thus improving operational effectiveness and customer satisfaction. The hybrid human-AI collaboration mode takes advantage of computational capabilities and pattern recognition of artificial intelligence while maintaining critical human expertise for context-based decision-making and strategic control. Environmental, economic, and social implications are not limited to direct fraud avoidance but cover wider financial ecosystem stability, energy efficiency from optimized computational power, and a greater level of financial inclusion for vulnerable groups through secure digital payment access.

Objective Social media is an increasingly relevant tool for health education, enabling information exchange, promoting autonomy and supporting informed decision-making. This study introduces Menopausando, a predominantly Portuguese-language digital platform designed to support women during menopausal transition and postmenopause. Method This cross-sectional study has been carried out in the Gynecology Discipline, São Paulo University, Brazil, since 2019. In the pre-implementation phase of the digital platform, interviews were conducted with 287 Internet users about their experiences and preferences to be disclosed on the digital platform. The chi-square test or Fisher’s exact test and analysis of variance with Stata 16 SE were utilized. Results Interviewees were 83.3% white with mean age 54.3 (1.82) years, and 78.8% were interested in a menopause digital platform. The platform reached 21,617 website users, 3048 Instagram users, 133 Facebook users and 1126 Spotify users. Facebook users were older, men age 51.3 (9.3) years, than Spotify users, mean age 45.6 (12.2) years (p < 0.001). Female gender was present in all social networks (p < 0.001). The largest number of Brazilian users was on the website, with 21,000 (97.1%) (p < 0.001) (all groups), and other countries’ websites and Instagram (p < 0.001). Conclusion Menopausando effectively supports women during menopausal transition and postmenopause via multiple digital channels. The results expose digital access tendencies and inequalities.

Purpose Information literacy (IL) has been identified as a significant educational outcome. The first quarter of the 21st century has had a great impact on IL instructions and students’ academic performance (AP). However, there is limited evidence about the strength of this connection between IL and AP. This meta-analysis examined the literature on IL and AP of students. Design/methodology/approach The PRISMA updated guidelines were followed and 23 relevant studies fulfilling the inclusion and exclusion criteria were included in this meta-analysis. Across the 23 publications included in the assessment, 22,054 research participants were collectively involved in the corresponding research studies. The Q test was significant (p &amp;lt; 0.05), and the I2 stayed within 97.70%. Hence, a random effect model was employed. Begg &amp; Mazumdar tests of Kendall’s value is (−0.03) and p-value is (0.85), indicating no evidence of correlation between publication bias and study size. Findings This analysis revealed a moderate positive relationship between IL and AP according to the combined effect size value of r = 0.33 (p &amp;lt; 0.001). We further performed subgroup analyses (on the basis of geographical locations and publication periods) to investigate whether the effect size differed on the basis of subgroups. The relationship demonstrated higher strength in “other countries” (r = 0.39, CI = 0.25–0.53) when compared to the USA studies (r = 0.24, CI = 0.07–0.40). Similarly, studies published between 2008 and 2018 revealed a pooled correlation (r = 0.38, CI = 0.25–0.51) as compared to studies published between 2019 and 2024 (r = 0.25, CI = 0.30–0.45). Originality/value Overall, all these relationships revealed a medium magnitude of relationship, which suggests that there may be other important factors contributing to the AP of student. It means other important factors also contribute to the AP of students, including IL, cognitive and psychological, learning and teaching environment, socio-economic, technological, curriculum integration, institutional support and digital access.

Purpose There is a current research gap based on exploring the information behaviour of visual artists (professional, semi-professional and amateur) and, particularly, the impact of their information needs satisfaction on their creativity. This research aims to address this gap, providing a comprehensive analysis of the complex relationship between information needs and creativity in Greek visual artists involved in both fine and applied arts. Design/methodology/approach Based on Wilson’s 1981 information behaviour model, a questionnaire survey was administered to a total of 777 visual artists in Greece, capturing their information-seeking behaviour, their information needs, the resources they use and the primary obstacles they encounter when searching for information, exploring the influence of demographic characteristics. The survey also examined the perceived importance visual artists place on the impact of information needs satisfaction on different visual art creative outcomes, focusing on diverse activities, such as painting, sculpture, printmaking, photography, digital art and decoration. Findings This research highlights the critical role that both digital and traditional information access plays in fulfilling visual artists’ information needs and fostering artistic creativity and imagination, as well as the importance of informal networks, professional development and digital information literacy. As visual artists create within an ever-evolving information environment, support systems that not only provide key information but also assist in navigating and managing the increasing complexity of the artist’s information world are needed. Practical implications Interaction with global art, both contemporary and historical, enhances personal growth and aesthetic principles. Artists benefit from a constant flow of accessible information through digital platforms, social media and personal contacts. However, challenges like information overload, burnout and digital exclusion exist. Education in digital literacy and intellectual property is vital for effectively using information and respecting creative sources. Originality/value This study specifically investigates the information-seeking behaviour and needs of visual artists in Greece, a context that has not been thoroughly explored in the research literature. It offers unique insights into the cultural and professional environment of Greek visual artists and explores how information needs satisfaction plays a crucial role in artistic creation by enhancing their imagination, fostering their creativity and providing new perspectives and outlets for their creative endeavours.

IntroductionThis study examines the drivers behind healthcare professionals’ and patients’ acceptance of medical AI chat assistants in China.MethodsA nationwide online survey was conducted from March 10 to April 28, 2024, using quota sampling to collect 500 valid responses, and data were analyzed via structural equation modeling.ResultsPerformance expectancy, perceived cost, digital access, and digital competence all positively predicted intention to use, whereas patient age and consultation frequency—rather than socioeconomic status—directly influenced actual usage behavior.DiscussionFindings validate an extended UTAUT model in digital-health contexts, highlight cultural moderators of technology acceptance, and inform age-friendly AI design and equitable health-informatization policies in aging societies.

This study examined the relationship between digital literacy competencies and learning outcomes through the implementation of blended learning models in Indonesian higher education institutions during the post-pandemic period. Employing a qualitative research methodology, this investigation utilized semi-structured interviews were conducted with 25 university students and 15 faculty members across five Indonesian universities, complemented by a document analysis of institutional policies and learning management system data. Through thematic analysis, following Braun and Clarke's six-phase approach, four primary themes emerged: (1) Digital Competency Development, (2) Pedagogical Transformation, (3) Learning Engagement Adaptation, and (4) Institutional Infrastructure Challenges. The findings revealed that students with higher digital literacy levels demonstrated enhanced learning outcomes in blended environments, characterized by improved critical thinking skills, increased collaborative engagement, and greater autonomous learning capabilities. However, significant disparities exist in digital access and competency levels, creating educational inequities that require institutional interventions. The study concludes that successful blended learning implementation necessitates comprehensive digital literacy development programs, robust technological infrastructure, and adaptive pedagogical strategies that bridge the digital divide, while enhancing educational quality in post-pandemic higher education contexts

IntroductionPrescription Digital Therapeutics (PDTs) hold unique potential to improve mental health in underserved rural areas. However, potential users' perceptions towards PDTs and community-specific differences in barriers to care are not well-understood.MethodsWe conducted an online survey of 351 U.S. adults with ≥1 mental health condition and care-seeking behaviors. Descriptive statistics and non-parametric tests were used to evaluate rural and non-rural differences in demographics, social determinants of health, current barriers to mental health treatment, and the perceived value of PDTs. Key limitations of this approach include self-reported rurality and digital access bias associated with online survey distribution.ResultsBarriers to mental healthcare impacted 60% of all rural respondents, and rurality was associated with unique challenges like lower incomes, lower education levels, substantial Medicaid enrollment, and further distances from care. Rural respondents were also more likely to be completely unfamiliar with digital apps for mental health treatment. 89% of all respondents thought PDTs could address at least one barrier to care and about 97% of respondents were likely to use a PDT recommended by their provider.DiscussionExisting gaps in care and positive perceptions towards PDTs demonstrate unique promise for these modalities to address unmet mental health needs. However, lower PDT familiarity among rural respondents suggests a need for provider intervention and policy reforms.

BackgroundThe practice of providing patients with digital access to clinical narrative documentation by health care professionals (HCPs) is known as open notes. In mental health care, this innovation has the potential to increase transparency and foster greater trust in the treatment process. While open notes may improve the quality of care and patient engagement, some HCPs are concerned that they may change the nature of clinical documentation and compromise its quality.ObjectiveThis study aims to examine potential objective and subjective changes in clinical documentation following the implementation of open notes.MethodsClinical notes written before and after the implementation of a patient portal with open notes function in 3 psychiatric outpatient clinics in Germany were collected. A total of 876 notes (453 prenotes and 423 postnotes) were rated on 16 linguistic features using a Likert scale. Differences were analyzed using the Wilcoxon signed rank test. In addition, 10 in-depth qualitative interviews with psychiatric HCPs were conducted and analyzed using reflexive thematic analysis.ResultsPostimplementation significant differences were found in several linguistic features: Monoglossic (P=.002), incomprehensible (P<.001), demeaning (P<.001), stigmatizing (P<.001), factual (P<.001), and controlling (P=.002) language decreased, while comprehensible (P<.001), resource-oriented (P<.001), heteroglossic (P<.001), personal (P<.001), and emotional positive (P=.047) language increased. Interviewed HCPs reported noticeable changes in both their clinical notes and documentation practices. They described reducing the use of medical jargon, providing more detailed explanations, and tailoring documentation to better meet patient needs, resulting in slightly longer notes. However, in the subjective perception of the HCPs, the information they documented in the clinical notes remained mostly the same. HCPs noted an increase in time and workload associated with the new documentation approach, partly due to the workflow adjustments required to adapt to open notes.ConclusionsTo our knowledge, this is the first study to systematically analyze quantitative documentation changes in the field of mental health. The implementation of open notes seems to result in both objective and subjective changes in clinical documentation and documentation practices. Quantitative and qualitative findings from our study suggest that HCPs generally strove to create more patient-friendly notes. In practice, this may benefit both patients and the therapeutic relationship. For open notes to be sustainable in practice, they must be seamlessly and efficiently integrated into HCPs' daily workflows. This requires not only structural changes, but also educating HCPs—both during their training and in clinical practice—on how to write open notes in a way that is both effective and patient-friendly.Trial RegistrationGerman Register of Clinical Studies DRKS00030188; https://tinyurl.com/mum4djbe

This study aimed to propose standards for developing digital awareness and digital literacy, empowering staff with the digital skills necessary to perform tasks accurately, with quality, and a competitive advantage, and achieving desired goals in the shortest possible time and with the least effort. This is achieved by leveraging digital technology, its applications, and software, based on the principles of a culture of responsibility. This was achieved through a comprehensive analysis of educational literature, research, and previous studies during the 2024/2025 academic year. The study focused on providing clear practical steps to enhance the digital competence, skills, and capabilities of leaders to ensure continued excellence and achieve comprehensive quality in light of rapid technological developments. What distinguishes this study from others is its reliance on an analytical approach as a basis for extrapolating and analyzing the results of previous studies to understand the challenges and threats to digital literacy. This is to build future standards for developing digital awareness and empowering individuals with the digital skills, capabilities, and expertise necessary to eradicate digital literacy. This is achieved by promoting a culture of responsibility as a cornerstone in developing sound digital awareness, enabling individuals to engage with technology and the internet in a safe, ethical, and effective manner. This culture includes a set of basic principles that form a framework for good digital citizenship. These include: Principle 1: Respect and Positive Interaction; Principle 2: Protecting Privacy and Digital Security; Principle 3: Critical Thinking and Information Literacy; Principle 4: Understanding Digital Rights and Responsibilities; Principle 5: Digital Health and Balance; Principle 6: Digital Law and Ethics; Principle 7: Digital Access and Inclusion. The study recommends the development of educational content that promotes the concepts of safe and responsible use of digital technologies, with a focus on the ethics of handling personal information and data.

Breast cancer incidence is increasing globally, and it is the third leading cause of morbidity and mortality among women in Cambodia. This study explores how access to digital tools, media exposure, transportation, travel time to health facilities, and autonomy in health decisions relate to breast cancer screening among Cambodian women aged 15-49. The study used nationally representative, cross-sectional data from the Cambodia Demographic and Health Survey (CDHS) 2021-2022. After excluding 204 women who were unaware of breast or cervical cancer screening, the final weighted sample comprised 19,292 participants. The outcome was whether a woman had ever received a breast examination from a healthcare provider, encompassing clinical breast examinations (CBEs) and imaging techniques, such as mammograms. Multivariable logistic regression, adjusted for demographic and socioeconomic characteristics, was used. Only 10.9% (95% CI: 9.7%-11.6%) of women had undergone a breast exam. Exposure to multiple forms of media was associated with a higher odds of screening (AOR = 1.47; 95% CI: 1.13-1.91). Phone ownership-both non-smartphone (AOR = 1.35; 95% CI: 1.03-1.78) or smartphone (AOR = 1.37; 95% CI: 1.03-1.82)-was also positively associated. In contrast, longer travel times of over 30 minutes (AOR = 0.55; 95% CI: 0.39-0.78) and a lack of autonomy in healthcare decisions (AOR = 0.70; 95% CI: 0.52-0.94) were associated with reduced screening. Wealthier women had greater odds of being screened (AOR = 1.86; 95% CI: 1.40-2.48). These findings highlight the need for health initiatives that use digital communication to reach and emphasize the importance of improving transportation, and support women's decision-making to increase screening rates in Cambodia.

This study examined the role of digital communication tools in enhancing office productivity across multiple dimensions, including ease of use, effectiveness, collaboration, access to information, and their broader influence on task efficiency, work quality, employee engagement, and teamwork. Results revealed consistently high ratings across all dimensions, with overall mean scores ranging from 3.64 to 3.75—all described as Very Satisfactory. The highest-rated factor was effectiveness of communication (M = 3.75), while collaboration and teamwork (M = 3.64) scored lowest, highlighting that while digital tools streamline communication and information access, they may not fully replicate the interpersonal richness of face-to-face interaction. Strong positive and highly significant correlations were also found between digital communication tools and office productivity outcomes (r = .715 to .855, p &lt; .001), with overall productivity (r = .855) and work quality (r = .835) showing the strongest associations. These findings emphasize that digital communication tools are not only effective in improving efficiency and accuracy but also play a central role in fostering collaboration and employee engagement in modern organizational settings.