Discussion Forums Research Articles

The power of Us:

The power of community – of Us – has long been assumed to be important in adult learning. Student interactions on discussion forums are encouraged, and it has been claimed that they foster a learning community which makes a difference to student outcomes through collaboration and joint construction of knowledge. This paper reports on interim results of a research project to establish, firstly, if there is a correlation between student participation in forums and their overall course outcomes, and secondly, shares a matrix designed to code both social and cognitive forum activity, to support an investigation into the existence of a learning community in student forum conversations – the power of Us.

Analysing the learning pathways of students in a large flipped engineering course

Recent advancements in educational technologies (learning management systems, online discussion forums, peer-learning tools) coupled with new methods of course delivery (e.g. blended, flipped, MOOCs) provide significant opportunities for universities to deliver challenging, high quality, yet engaging curriculum for students. In this paper, we examine the variations and similarities of student’s approaches to learning (learning pathways) by examining how well they performed in a large (N ~ 1000 student) first year engineering flipped classroom. The analysis focused on student’s performance in their assessment (formative and summative) as well as their online interaction with a range of tools purposely built to support students through peer learning and acquisition of resources and expertise. Analysis using k-means clustering reveals that students do in fact adopt a variety of successful pathways through the course. The unique aspects of this work lie in the use of analytics algorithms that whilst perhaps routinely utilised in data mining, are not as well utilised in better understanding patterns (successful or otherwise) of student interactions within a technology enhanced active learning environment that integrates theory with engineering practice.

Learning Material Organization for Disaster Resilient Villages

This study aims to express the best learning material organization for the Disaster Resilient Village Program (Program Desa Tangguh Bencana, DESTANA). It was delivered to the people of Pacitan Regency as a disaster-prone area. Various potential disasters exist in the area of Pacitan Regency. The learning material is organized in line with the revised Bloom’s Taxonomy, which applies six levels of thought processes. The learning process starts from a hierarchical structure that identifies lower-level thinking skills to higher levels of skills that are ready for operational implementation. The Lower Order Thinking Skills materials encompass understanding various disaster vulnerabilities based on geographical conditions, the nature of disaster threats and risks, participatory disaster management by the community, principles of evacuation planning, the role of Disaster Management Plans, the paradigm of disaster risk management, principles of the Early Warning System (EWS), the purpose of contingency plans, and principles of first aid in emergencies. The Higher Order Thinking Skills materials include the ability to measure indicators for disaster-resilient villages, establish volunteer working groups, design evacuation stages, develop Disaster Management Plans, Disaster Risk Management, Early Warning Systems (EWS), and Village Contingency Plans. The learning achievement is measured through community understanding and practice, the success of building a disaster response coordination structure, and activities in a disaster simulation. It is organized in seven discussion forums. The program resulted in significant achievements. The Pacitan Regency Government implemented the Disaster Resilient Village Program for the safety of its residents. Keywords: disaster, resilient village, learning material

A Web-Based Peer Support Network to Help Care Partners of People With Serious Illness: Co-Design Study.

Care partners of people with serious illness experience significant challenges and unmet needs during the patient's treatment period and after their death. Learning from others with shared experiences can be valuable, but opportunities are not consistently available. This study aims to design and prototype a regional, facilitated, and web-based peer support network to help active and bereaved care partners of persons with serious illness be better prepared to cope with the surprises that arise during serious illness and in bereavement. An 18-member co-design team included active care partners and those in bereavement, people who had experienced serious illness, regional health care and support partners, and clinicians. It was guided by facilitators and peer network subject-matter experts. We conducted design exercises to identify the functions and specifications of a peer support network. Co-design members independently prioritized network specifications, which were incorporated into an early iteration of the web-based network. The team prioritized two functions: (1) connecting care partners to information and (2) facilitating emotional support. The design process generated 24 potential network specifications to support these functions. The highest priorities included providing a supportive and respectful community; connecting people to trusted resources; reducing barriers to asking for help; and providing frequently asked questions and responses. The network platform had to be simple and intuitive, provide technical support for users, protect member privacy, provide publicly available information and a private discussion forum, and be easily accessible. It was feasible to enroll members in the ConnectShareCare web-based network over a 3-month period. A co-design process supported the identification of critical features of a peer support network for care partners of people with serious illnesses in a rural setting, as well as initial testing and use. Further testing is underway to assess the long-term viability and impact of the network.

Writing Assessment Model: Demands of Indonesian Teachers in the 21st Century

This research explores Indonesian teachers' perceptions of writing assessment models based on their needs from school. This research also collected input from the teachers regarding important elements in an ideal writing assessment model with 21st century. The development research model used is the Borg and Gall model adapted by Sugiyono, but development research was only at the design planning stage. This research data was collected through surveys and group discussion forums. Data analysis used the Miles and Huberman model. In short, the results showed the demands of teachers to develop a writing skills assessment model that is oriented towards the 4C and HOTS aspects and that focuses on the characteristics of reliability, sustainability, construct validity, collaboration, assessment criteria, competency standards, question construction, objectivity, and communication. Additionally, the procedural framework for the required writing skills assessment model consists of three parts: 1) identifying assessment standards, 2) writing assignment development, 3) implementation and follow-up. Therefore, this research can make a positive contribution to Indonesian teachers' efforts to measure student achievement in writing skills.

The Impact of Mindfulness-based Cognitive Therapy in enhancing Psychological Resilience among basic education teachers in Oman: Longitudinal Study

The current study aimed to investigate the impact of Mindfulness-based cognitive therapy counseling program in enhancing the psychological resilience of basic education teachers in the Dhofar Region, south of the Sultanate of Oman. The experimental study sample consisted of (60) male teachers in cycle two of basic education in Dhofar Governorate with low psychological resilience scores. This sample was randomly divided into two equivalence groups: one experimental group and the other control group. Each group consisted of (30) male teachers. The counseling program was applied for the male teachers in the experimental group rather than the control group to develop psychological resilience with them. The researchers have used the psychological resilience scale (prepared by the researchers) and a counseling program based on mindfulness-based cognitive therapy (prepared by the researchers). The results of the study indicated that there were statistically significant differences at level (0.01) between the mean scores of the experimental and the control group in the post-test on the psychological resilience scale in favor of the experimental group. There are also statistically significant differences at the level of (0.01) between the mean scores of the experimental group in both the pre-test and post-test on the psychological resilience scale in favor of the post-test. This revealed the effectiveness of mindfulness-based cognitive therapy in increasing the level of psychological resilience among male teachers as the scores of teachers rose significantly on the pre-test. In addition, the study has also concluded with finding non-statistically significant differences at the level of (0.05) between the mean scores of the experimental group in both pre-test and follow-up tests on the psychological resilience scale. The results emphasise continuing mindfulness-based cognitive therapy's effectiveness in increasing psychological resilience among male teachers. In the light of the results, it can be recommended by: Organizing workshops and open discussion forums between teachers, as this approach will significantly motivate social relations, reinforce confidence among teachers, and enhance occupational performance.

Experiments in Zoomumentary – telepresence and absence beyond the grid

ABSTRACT This report describes and reflects on the practical workshop activity that was part of the Telepresence to Teletrust online Symposium in July 2021 hosted by Bournemouth University Experimental Media Research Centre led by Professor David Garcia. The Zoom workshops co-convened by Dr Trevor Hearing and Dr. Brad Gyori were a forum for experimentation and discussion by attendees to performatively investigate the notion of ‘the third space’, in the context of an emerging hybrid environment of shared online presence and performance. The theme was set out by Garcia, acknowledging the foundational conceptualisation and use of the term in other contexts previously in the work of Bhabha, Soja, Tuan and others. The workshops explored the experience of ‘risk’, ‘liveness’ and ‘presence and absence’ in the telepresence context and were reflected on by participants as they discovered the value of practice as a method of enquiry in this developing field.

Emerging Trends of Self-Harm Using Sodium Nitrite in an Online Suicide Community: Observational Study Using Natural Language Processing Analysis.

There is growing concern around the use of sodium nitrite (SN) as an emerging means of suicide, particularly among younger people. Given the limited information on the topic from traditional public health surveillance sources, we studied posts made to an online suicide discussion forum, "Sanctioned Suicide," which is a primary source of information on the use and procurement of SN. This study aims to determine the trends in SN purchase and use, as obtained via data mining from subscriber posts on the forum. We also aim to determine the substances and topics commonly co-occurring with SN, as well as the geographical distribution of users and sources of SN. We collected all publicly available from the site's inception in March 2018 to October 2022. Using data-driven methods, including natural language processing and machine learning, we analyzed the trends in SN mentions over time, including the locations of SN consumers and the sources from which SN is procured. We developed a transformer-based source and location classifier to determine the geographical distribution of the sources of SN. Posts pertaining to SN show a rise in popularity, and there were statistically significant correlations between real-life use of SN and suicidal intent when compared to data from the Centers for Disease Control and Prevention (CDC) Wide-Ranging Online Data for Epidemiologic Research (⍴=0.727; P<.001) and the National Poison Data System (⍴=0.866; P=.001). We observed frequent co-mentions of antiemetics, benzodiazepines, and acid regulators with SN. Our proposed machine learning-based source and location classifier can detect potential sources of SN with an accuracy of 72.92% and showed consumption in the United States and elsewhere. Vital information about SN and other emerging mechanisms of suicide can be obtained from online forums.

Preface

The purpose of the three-day 2023 2nd International Conference on Acoustics, Fluid Mechanics and Engineering (AFME 2023), held during November 17th to 19th, 2023 in Nanjing, China, was to create a timely forum for multi-disciplinary discussions related to the recent developments on acoustics, fluid mechanics and engineering.Highly eventful program of the Conference, the list of well-established organizations-participants and devoted engagement of many colleagues throughout all the stages of the Conference preparation instill confidence in practical importance of mutual initiative. As usual, the program of the meeting mainly consisted of plenary speeches, invited speeches, oral presentations and poster presentations, discussing significant problems facing technologies related to areas of acoustics, fluid mechanics and engineering, proposing innovative ideas and approaches to solution of the problems, and considering new possibilities of application and development of cutting-edge technology.In the framework of experimental and theoretical approaches, the Conference gathered 150 delegates from all over the world and addressed a number of highly relevant aspects of acoustics, fluid mechanics and engineering. Covering topics on Acoustic Materials, Hydrodynamic Acoustics, Ultrasonics, Physical Chemical Hydrodynamics, Hydromechanical Hydrodynamics, Engineering Fluid Mechanics, etc., the selected contributions of this special issue provide guidance for future interdisciplinary developments. In this way, the multi-scale aspects of acoustics, fluid mechanics and engineering should be considered.We received various manuscripts of invited papers and other contributions presented at the Conference. All of these papers have gone through a rigorous peer review process and are collected in this volume. We would like to thank all the anonymous colleagues who have acted as referees to assess the suitability of the various articles for publication in Journal of Physics: Conference Series. We are confident that the high quality of both invited and contributed papers contained in this Proceedings will be appreciated by relevant communities.We would like to express our thanks to all the authors for their time and genuine contributions, and to the reviewers for their fruitful comments during the preparation of this volume. We also acknowledge the support provided in various ways by Guangdong University of Technology, Dalian Maritime University, School of Marine Science and Technology, Northwestern Polytechnical University, and University of Toronto.List of Committee Member is available in this pdf.

ЕФЕКТИВНІ СТРАТЕГІЇ ДЛЯ ПОКРАЩЕННЯ НАУКОВОЇ КОМУНІКАЦІЇ АНГЛІЙСЬКОЮ МОВОЮ

The article discusses the main strategies for improving scientific communication in English. It has been determined that the process of obtaining a university education includes educational and research components. The educational component includes the formation of English-language academic competence, the research component requires mastery of a scientific style of speech, since the essence of scientific communication in English is the exchange of information between a group of people united by common ideas and interests. In addition, it has been determined that effective formation of scientific communication in English for students is possible if a systematic approach to learning a foreign language is implemented. Formal (scientific publications and dissertation defenses) and informal communication in a virtual environment (conversations of scientists, speeches at conferences, electronic correspondence, other forms of computer communication) have been considered. Various aspects of scientific communication have been analyzed. It has been found that effective scientific communication requires an understanding of the audience (interacting with different groups, such as scientists, students, the public, politicians and financial partners, requires adapting the communication approach to their unique interests, technical level and perception of information), creating active interaction (creating forums for discussion where scientists and the audience can exchange ideas, questions and answers), using simple and understandable speech (avoiding complex terms and technical vocabulary, using analogies, definitions), using visual aids (interactive presentations, videos, graphics), use of modern technologies (social networks Twitter, Facebook and LinkedIn, websites and multimedia tools). Based on the analysis, the conclusions have been drawn that effective scientific communication is possible if the right strategies and tools are used. We see the study of scientific communication as a component of scientific and pedagogical activity as a perspective for further exploration.

Scholar- Study Material Application

In the contemporary educational landscape, the symbiotic relationship between technology and the classroom has become increasingly imperative for fostering student success. Among the myriad educational tools emerging in the digital age, SCHOLAR stands out as an innovative app designed to revolutionize the learning experience. SCHOLAR embodies a multifaceted approach to enhance student learning, offering a plethora of features tailored to cater to diverse learning styles and preferences. One of its hallmark features is interactive knowledge sharing, which facilitates seamless exchange of information between students and instructors. Through real-time collaboration and discussion forums, students can engage in dynamic discourse, enriching their understanding of various subjects. Furthermore, SCHOLAR integrates interactive quizzes into its framework, transforming traditional assessment methods into engaging and immersive experiences.

EXPLORING CHALLENGES OF INDONESIAN EFL TEACHERS IN ADOPTING TEACHER-RESEARCHER IDENTITY THROUGH CLASSROOM ACTION RESEARCH

This study centres on investigating the challenges faced by Indonesian EFL teachers when conducting classroom action research (CAR). In this pursuit, the paper employs content analysis techniques to delve into teachers’ competency in conducting CAR. This exploration is facilitated through an in-depth examination of the teachers’ CAR reports and conversations in the discussion forum on the learning management system (LMS) of Pendidikan Profesi Guru (PPG) or the Teacher Professional Education (TPE). The thematic content analysis was conducted manually and using NVivo 12 software to ease the data coding process. The results of the study showed that teachers’ knowledge of CAR varies, with most teachers perceiving an improvement in students’ scores as the primary indicator of CAR success. It also found that some teachers grappled with the technical aspects of conducting CAR, such as formulating appropriate research questions, reviewing the literature, selecting appropriate research instruments, analysing data, and reporting writing, while others encountered practical obstacles, including constraints related to time and resources. This study underscores the importance of providing ongoing support for EFL teachers to develop their CAR competencies and ultimately improve their teaching practices. The paper concludes with implications for future research and practice.

Challenges for trainee physician-scientists during their PhD candidature: a cross-sectional study.

Physician-scientists are important drivers of research, in both knowledge acquisition and research translation. In Australia, many newly qualified physicians and advanced physician trainees enrol in PhD studies, with a view to training as physician-scientists. However, data on perceived challenges and ways to support them are limited. This single-centre study surveyed trainee physician-scientists undertaking PhD studies within the Monash University Department of Medicine in 2020. Following discussions with PhD students and a qualitative written questionnaire, trainee physician-scientists were invited to complete a quantitative survey that aimed to identify current and future career challenges and determine the type of enrichment and support mechanisms they value most and would most likely use. From 45 eligible participants, 25 responses were received (76% female). Participants identified multiple substantial challenges (median of 6) during their candidature relating to their project, changes in roles and their personal lives. They also envisaged future challenges post-PhD in establishing themselves as an independent investigator, further changes in their identity and their personal lives. Of potential support mechanisms during their candidature, a mentoring program was the most favoured, with an online discussion forum being the least popular. Trainee physician-scientists report multiple challenges during their PhD candidature and envisage significant challenges in establishing their research independence after PhD completion. They valued several potential support mechanisms, particularly a mentoring program. Australian universities and their associated academic health services should consider establishing programs to support trainee physician-scientists.

Beyond theoretical courses – A study of Swedish psychiatric residents’ collegial learning through conversations in the workplace

Background Collegial conversations are important for sustainable learning to last beyond a course. Research on collegial conversations and peer learning in the workplace during psychiatric residency courses remains sparse, however. In this study, the aim was to explore residents’ opportunities for collegial conversations during and after national courses in psychiatry. Methods Residents in psychiatry completed an online survey including questions on opportunities for collegial conversations in their workplaces. Logistic regression was used for multivariate analysis and thematic content analysis was used for the open-ended answers where a theoretical framework of communities of practice was employed for the interpretation of the findings. Results The survey was completed by 112 residents out of 725 (15,4%). The participants reported few structured forums for collegial discussion. The results of multivariate analysis suggest that more women than men feel it is advantageous to attend courses with others from the same workplace or from the same group of residents, described here as a team. The analysis of qualitative data identified how opportunities for collegial conversations differ across contexts and the type of values that are attached to team participation in residency courses. Conclusions This study highlights the importance of collegial conversations as a way to sustain the learning from residency courses into the workplace. By learning about residents’ perceptions of collegial conversations during and after courses, teachers and directors may be more able to support residents’ lifelong learning and professional development.

SAGES White Paper on the importance of diversity in surgical leadership: creating the fundamentals of leadership development (FLD) curriculum.

The Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) has long recognized and championed increasing diversity within the surgical workplace. SAGES initiated the Fundamentals of Leadership Development (FLD) Curriculum to address these needs and to provide surgeon leaders with the necessary tools and skills to promote diversity, equity, and inclusion (DEI) in surgical practice. In 2019, the American College of Surgeons issued a request for anti-racism initiatives which lead to the partnering of the two societies. The primary goal of FLD was to create the first surgeon-focused leadership curriculum dedicated to DEI. The rationale/development of this curriculum and its evaluation/feedback methods are detailed in this White Paper. The FLD curriculum was developed by a multidisciplinary task force that included surgeons, education experts, and diversity consultants. The curriculum development followed the Analysis, Design, Development, Implementation and Evaluation (ADDIE) instructional design model and utilized a problem-based learning approach. Competencies were identified, and specific learning objectives and assessments were developed. The implementation of the curriculum was designed to be completed in short intervals (virtual and in-person). Post-course surveys used the Kirkpatrick's model to evaluate the curriculum and provide valuable feedback. The curriculum consisted of interactive online modules, an online discussion forum, and small group interactive sessions focused in three key areas: (1) increasing pipeline of underrepresented individuals in surgical leadership, (2) healthcare equity, and (3) conflict negotiation. By focusing on positive action items and utilizing a problem-solving approach, the curriculum aimed to provide a framework for surgical leaders to make meaningful changes in their institutions and organizations. The FLD curriculum is a novel leadership curriculum that provided surgeon leaders with the knowledge and tools to improve diversity in three areas: pipeline improvement, healthcare equity, and conflict negotiation. Future directions include using pilot course feedback to enhance curricular effectiveness and delivery.

Appraisal of the IADT fellowship - A member survey.

The International Association of Dental Traumatology (IADT) is considered the foremost authority in Dental Traumatology. Fellowship status was introduced in 2015 and is considered an international standard of excellence. The Fellowship Committee of the IADT believed it was essential to survey members seeking information on the benefits of the IADT Fellowship and potential considerations for future development. This survey aimed to explore the perceptions of members of IADT surrounding the fellowship process in terms of interest, accessibility, equality, perceived prestige, and value to the membership. The survey was sent to 546 IADT members, of whom 89 were fellows (as of 31 July 2022) from 74 countries via an email invitation. Answers were analysed using the Chi2 and Fisher's exact test (p < .05). The response rate to the survey was 20.69% (n = 113), including 28 fellows (24.78%). Forty-six respondents (40.71%) were female, and 67 (59.30%) were male. Dentists identified as specialists were significantly more likely to be involved in teaching dental trauma (p = .000008). A majority of respondents (87.76%; 86/98) expressed interest in obtaining fellowship, with increased interest from more recent graduates. Learning opportunities, obtaining expertise, networking and a sense of community and prestige, were key factors in considering fellowship. There was interest in alternate pathways other than examination alone, with 60.2% of 98 respondents suggesting a combination of publications /service to IADT/ reviewer for Dental Traumatology, 57.14% suggesting the submission of case reports, and 42.86% suggesting Honorary Fellowship. Respondents (73%) were willing to participate in online discussion forums and other professional development opportunities. This preference was more notable among non-fellows (75.29%) than fellows (67.85%). The survey indicates the diverse motivations and perceptions regarding the IADT Fellowship, despite the low participation of IADT members. Achieving fellowship status is desired by 87.7% of non-fellows. The majority of respondents were aware of the process, but main concerns were identified as eligibility criteria and examination difficulty. Options for alternate pathways and other initiatives promoting engagement were identified. Further exploration of these issues is required to be representative of the entire IADT membership. Addressing these obstacles could significantly enhance fellowship participation and overall member satisfaction within the IADT community.

Do inclusive incentive systems encourage prosocial or competitive behavior in online communities?

Platform designers create and implement incentive systems to encourage users to contribute content to online communities. This article examines the effect of a multidimensional incentive hierarchy in motivating users to engage in competitive and prosocial activities. Utilizing an external change observed in the data science community, Kaggle, and applying a quasi-experimental design, we compared users’ engagement levels before and after introducing a multidimensional incentive hierarchy. We found that implementing a multidimensional incentive system directed users from submitting answers to Kaggle competitions to participating in Kaggle’s online forum discussions. However, our additional analyses suggest that the most and the least motivated users may be less likely to be impacted by such incentives.

“Why can't I say people's names?” Alexinomia as a widespread psychological phenomenon

Psychological research has recently proposed alexinomia, characterised by an inhibited behaviour in saying names, as a distinct psychosocial phenomenon. Alexinomia is associated with anxiety and avoidance behaviours with regards to saying names and thus severely impacts every day social interactions and relationships. This study aimed to explore the prevalence of this newly established and poorly understood psychological phenomenon and to further determine its impact on everyday life. For this purpose, online advice and discussion forums were systematically searched for threads on and mentions of problems with saying names. We analysed a broad dataset from English-language comments discussing alexinomia-related experiences and behaviours, inclusive of varied demographics and geographical regions. The findings based on the qualitative analysis of 257 unique sources show that alexinomia is a widespread phenomenon. Moreover, the analysed online materials showed affected individual's use of a variety of effective and ineffective coping strategies and experience varying degrees of severity, which can potentially diminish with training. The study's results therefore highlight alexinomia as a relevant, yet highly under researched, field of study, and add to our knowledge on the experience of alexinomia in everyday life and its potential origins, especially relating to social anxiety and early-life familial dynamic.

Designing a primary care pharmacist-led review for people treated with opioids for persistent pain: a multi-method qualitative study.

Opioids are frequently prescribed for persistent non-cancer pain despite limited evidence of long-term effectiveness and risk of harm. Evidence-based interventions to address inappropriate opioid prescribing are lacking. To explore perspectives of people living with persistent pain to understand barriers and facilitators in reducing opioids in the context of a pharmacist-led primary care review, and identify review components and features for optimal delivery. Primary care multi-method qualitative study. Adults with experience of persistent pain and taking opioids participated in semi-structured interviews (n=15, 73% female) and an online discussion forum (n=31). The Theoretical Domains Framework (TDF) provided a framework for data collection and thematic analysis, involving deductive analysis to TDF domains, inductive analysis within-domains to generate subthemes, and subtheme comparison to form across-domain overarching themes. The behaviour change technique taxonomy v.1 and motivational behaviour change technique classification system were used to systematically map themes to behaviour change techniques to identify potential review components and delivery features. 32 facilitator and barrier subthemes for patients reducing opioids were identified across 13 TDF domains. These combined into six overarching themes: learning to live with pain, opioid reduction expectations, assuming a medical model, pharmacist-delivered reviews, pharmacist-patient relationship and patient engagement. Subthemes mapped to 21 unique behaviour change techniques, yielding 17 components and five delivery features for the proposed PROMPPT review. This study generated theoretically-informed evidence for design of a practice pharmacist-led PROMPPT review. Future research will test the feasibility and acceptability of the PROMPPT review and pharmacist training.

Appearance of hexahydrocannabinols as recreational drugs and implications for cannabis drug testing – focus on HHC, HHC-P, HHC-O and HHC-H

This study investigated the effects of hexahydrocannabinol (HHC) and other unclassified cannabinoids, which were recently introduced to the recreational drug market, on cannabis drug testing in urine and oral fluid samples. After the appearance of HHC in Sweden in 2022, the number of posts about HHC on an online drug discussion forum increased significantly in the spring of 2023, indicating increased interest and use. In parallel, the frequency of false positive screening tests for tetrahydrocannabinol (THC) in oral fluid, and for its carboxy metabolite (THC-COOH) in urine, rose from <2% to >10%. This suggested that HHC cross-reacted with the antibodies in the immunoassay screening, which was confirmed in spiking experiments with HHC, HHC-COOH, HHC acetate (HHC-O), hexahydrocannabihexol (HHC-H), hexahydrocannabiphorol (HHC-P), and THC-P. When HHC and HHC-P were classified as narcotics in Sweden on 11 July 2023, they disappeared from the online and street shops market and were replaced by other unregulated variants (e.g. HHC-O and THC-P). In urine samples submitted for routine cannabis drug testing, HHC-COOH concentrations up to 205 (mean 60, median 27) µg/L were observed. To conclude, cannabis drug testing cannot rely on results from immunoassay screening, as it cannot distinguish between different tetra- and hexahydrocannabinols, some being classified but others unregulated. The current trend for increased use of unregulated cannabinols will likely increase the proportion of positive cannabis screening results that need to be confirmed with mass spectrometric methods. However, the observed cross-reactivity also means a way to pick up use of new cannabinoids that otherwise risk going undetected.