Questionnaire Study Research Articles

Owners' experiences of administering meglumine antimoniate injections to dogs with leishmaniosis: An online questionnaire study.

This study examined the experiences of owners of dogs with leishmaniosis who treated their dogs with daily subcutaneous meglumine antimoniate injections. The owners' perceived ease of administering the injections, the occurrence of problems and the effects on the owners and on the dog‒owner bond were evaluated. Dogs prescribed meglumine antimoniate as a treatment for leishmaniosis were identified using the database of the veterinary pharmacy of the Faculty of Veterinary Medicine, Utrecht University. An online questionnaire was sent to the owners of these dogs to evaluate the perceived ease of administering the injections, the occurrence of problems and the effects on the owner and the dog-owner bond. Responses were received from 64 dog owners. Most respondents (78%) reported that administering the injections was not difficult. Pain or the development of nodules at the injection site was reported in 50% and 40% of the dogs, respectively. Polyuria was reported in 44% of the dogs. Some owners reported that administering the injections had a negative impact on their psychological wellbeing (20%), and some would have liked more veterinary support (11%). Some questions were answered by a limited number of people, and their responses may not be representative. Dog owners remain highly motivated to persevere with meglumine antimoniate treatment and are willing to administer the injections themselves. The availability of active support when needed during the therapy cycle may further improve their acceptance of and confidence in giving the injections.

Capability to identify and manage critical conditions: effects of an interprofessional training intervention

BackgroundThe burden of critical illness is a global issue. Healthcare systems often fail to provide essential emergency and critical care for deteriorating patients, and the optimal strategy for ensuring safe care is not fully known. This study aimed to explore the capability to identify and manage critical conditions and to evaluate how an interprofessional training intervention that included theory as well as high-fidelity simulation (proACT) in the short and long term affected the capability.MethodsA questionnaire study was performed. A cross-sectional survey of all in-hospital nurses and physicians in a Swedish region (n538) and a longitudinal cohort of participants entering the proACT course during a six-month period (n99) were included. Descriptive and comparative statistics were generated. Additionally, qualitative content analysis was performed for free text answers.ResultsThe findings demonstrated that the intervention improved the individual healthcare professionals’ competence with a sustained effect over time. The coverage of proACT trained staff increased from 13.2% to 26.5%, but no correlation was observed with workplace conditions that support safe care. Collaboration and workplace climate were perceived to be mainly positive, but for safer care, an overall need for improved competence and staffing was emphasized.ConclusionsThe present study confirms previously identified issues and the need for improvements in the care of critically ill patients in general hospital wards. It supports the notion that a training intervention, such as proACT, can increase the capability to identify and manage patients with critical conditions. All healthcare professions increased the competence. Hence, more effort is needed to enable staff of all professions to participate in such training. Studies of interventions cover higher number of trained staff in the setting are warranted to clarify whether the training can also improve workplace conditions that support safe care of deteriorating and critically ill patients.

Mental health status among COVID-19 patients survivors of critical illness in Saudi Arabia: A 6-month follow-up questionnaire study

Mental health status among COVID-19 patients survivors of critical illness in Saudi Arabia: A 6-month follow-up questionnaire study

Norwegian general practitioners’ perceptions of their depression care – a national survey

BackgroundThe General Practitioner (GP) is often the first professional contact for patients with depression. Depression care constitutes a substantial part of GPs’ workload.ObjectiveTo assess how GPs experience their patients’ expectations and their own provision of depression care; further, how their depression care was associated with doctor- and practice-characteristics.MethodsA cross-sectional questionnaire study about depression care in general practice among the GPs in the Norwegian Physician Survey of 2021.ResultsOf the 221 responding GPs, 50% were female and 70% agreed to have constant time pressure due to workload. The GPs believed that patients with depression were interested in their professional assessment (87.2%) and saw them as providers of talking therapy (76,9%). Still, 77,8% of the GPs thought the patients expected a referral. Talking therapy was commonly provided (79.6%) along with consultations of more than 30 min (80.4%). The youngest age group and GPs with shorter patient lists spent more time. Most GPs (92.3%) considered their help to be of great benefit for depressed patients. However, one-fourth of the GPs did not feel competent in providing talking therapy, less frequently reported by the GPs aged 40–54 years.ConclusionsTalking therapy is commonly provided by GPs. However, there is a need to investigate what GP talking therapy implies, and to strengthen GP skills in this regard. Overall, the GPs experience their depression care to be useful for their patients, and do not de-prioritize this although they experience workload pressure.

Exploring potential influencing factors of inadherence to specialist aftercare and long-term medication in patients with acromegaly.

To improve the understanding of adherence as one major factor of disease control in acromegaly patients, we systematically assessed patients' motivations to adhere to advised follow-up schedules and recommended medication for acromegaly. Cross-sectional, postal questionnaire study on adult patients with acromegaly, operated upon a growth hormone producing pituitary adenoma more than 1 year ago in two tertiary treatment centers. We assessed demographic and clinical characteristics, disease status, adherence to acromegaly medication and/or aftercare, and the five dimensions defined by the World Health Organization influencing adherence. Wherever applicable, we included validated short scales. The answers of 63 patients (33 f, 30m; mean age 56.1 y) were analyzed. Patients with problems in adherence to aftercare had a significantly lower subjective symptomload than those adherent to aftercare (p = 0.026) and a lower perceived need for treatment (p = 0.045). Patients with adherence problems to medication had a higher subjective symptomload than those without (p = 0.056). They also tended to have shorter consultations, were significantly more often dissatisfied with the duration of their medical consultations (42% vs 4.8%, p = 0.019) and tended to find that their physician explained potential difficulties with adherence less well than patients without adherence problems (p = 0.089). To our knowledge, this is the first study which explored adherence to medication and aftercare in patients with acromegaly, taking into account potential influencing factors from all areas defined by the WHO model of adherence. Of the modifiable factors of adherence, patient-doctor relationship seemed to play a crucial role and could be one leverage point to improve adherence.

Awareness about COVID-19 among Patients Attending the Out-patient Department of a Tertiary Dental Care Center: A Cross-Sectional Study

ABSTRACT Objective: The study aimed to assess coronavirus disease 2019 (COVID-19) knowledge among dental patients seeking treatment at a tertiary care center. Materials and Methods: A cross-sectional study was conducted at the Government Dental College Thrissur to assess dental patients’ COVID-19 awareness. Patients over 18 who attended the dental department and agreed to participate were included after obtaining the informed consent. A validated self-administered questionnaire study was done. Results: The sample had an average age of 39.68 ± 13.83 years. The study included 179 men (46.9%) and 203 women (53.1%). The t-test revealed statistically insignificant age and gender distribution (P = 0.59). Conclusion: The study found that dental patients at tertiary care were aware of the health issue, its potential spread, and preventive measures.

In Traditional Greenhouses A field Research in Terms of Occupational Health and Safety (Antalya Example)

Although different levels of mechanization or automation systems are used in greenhouse cultivation depending on the infrastructure characteristics, there is an intensive use of human labor, especially for cultural operations. Therefore, the importance of occupational health and safety issues in greenhouse cultivation is increasing. Mechanization tools used, air conditioning systems, chemicals used, labour-intensive processes that require a certain muscle power and a certain posture during work, working at height, indoor air characteristics are among the main issues that need attention in terms of occupational health and safety. When the issues related to occupational health and safety in Turkey are examined, it is seen that studies have been carried out on different subjects such as working with agricultural machinery, chemical use, etc. However, it can be said that the studies on greenhouse cultivation are limited compared to other production branches. It is seen that the studies conducted consist of studies aimed at determining the situation in the form of field studies. Again, when the studies were examined, no study on indoor air in greenhouses, which is a closed environment, was found. In this study, it is aimed to examine the indoor air in terms of occupational health and safety in traditional greenhouses belonging to family businesses. In the study, the data were collected from 135 farmers in traditional greenhouses during the year and a questionnaire study was conducted in terms of occupational health and safety.

Anatomical Identification and Possibilities of Transfer of the Masseteric Nerve for Facial Reanimation

The masseteric nerve (MN) is often used as a donor nerve for facial reanimation. In addition to already established techniques, MN transfer is rapidly gaining importance, mainly due to the single-stage approach of the procedure and its reconstructive potential. This anatomical study and the associated questionnaire study aimed to evaluate the established methods for identification of the MN and its suitability for direct nerve transfer as well as to assess the importance of MN transfer in the daily clinical routine. Bilateral dissection of 25 fresh-frozen head specimens (n=50; 13 female, 12 male) was performed with accompanying measurement of the MN. In a questionnaire study conducted at established centres for facial surgery in German-speaking countries, clinical experience data of MN transfer was collected using the SurveyMonkey software. The data obtained was statistically analysed using Microsoft Excel and presented in numerical tables and boxplots. Using anatomical landmarks such as the zygomatic arch and the mandibular notch for orientation, the MN was found in 100% of cases. Its average length from the emerging point below the zygomatic arch towards its entry into the masseter muscle was measured to be 22 mm and was the length available for nerve transposition. Tension-free coaptation of the MN with the zygomatic branch was possible in 94% of cases. The questionnaire showed that the MN is considered an important donor nerve for motor nerve transfers and that MN transfer is now largely established as a standard procedure. In accordance with previously published studies, the MN was reliably found at the height of the mandibular notch and, in the vast majority of cases, was suitable for tension-free coaptation with the zygomatic branch. Differences to the existing literature, however, can be seen in the length of the nerve available for nerve transposition and the frequency of its division into several branches before entering the masseter muscle. In German-speaking countries, Cross-Face Nerve Grafting (CFNG) is still the preferred method for facial reanimation surgery. However, MN transfer is also well established by now, both as an alternative and a supplement to other techniques, possibly due to its low donor site morbidity and short time to regeneration.

Effect of the Pandemic on the Frequency of Rubber-dam Use by Dentists: A Questionnaire Study

Aim: This study aimed to compare the frequency of rubber-dam usage by dentists in different specialties before and after the Coronavirus Disease (COVID-19) pandemic. Materials and Method: A questionnaire was delivered electronically to dentists in different specialties during May 2021. This questionnaire included questions about the demographics and professional backgrounds of the dentists and their opinions about and the frequencies of use of the rubber-dam. Additionally, whether their rubber-dam usage approaches were affected by the COVID-19 pandemic was also questioned. Results: Seven hundred and fifty people responded to the questionnaire. Among the participants, 36.4% said that the frequency of using rubber-dams increased after the pandemic. Regardless of the specialty, the frequency of using rubber-dams decreased as the years of professional experience increased (P < 0.05). When specialties were considered, endodontists used rubber-dams during endodontic and restorative procedures significantly more often than the others (P < 0.05). When the workplaces were compared, it was seen that rubber-dams were used significantly more often in university clinics (P < 0.05). Conclusion: Despite the quality guideline recommendations, the use of rubber dams is still not at the desired level in Turkey; however, there has been an increase in the number of dentists using them since the pandemic.

Retrospective revaluation effects during interpersonal attributions

Three questionnaire studies examined retrospective revaluation during judgments of causal attribution in social situations, that is, judgments about whether a particular individual or environmental cause was responsible for an outcome. An initial phase of training occurred in which two individuals (or one person and an environmental event) were described as possible candidates as causes of an outcome. One cause was the target test cause, and the other cause was manipulated in Phase 2. In Phase 2, new information about the validity of the “nontarget” cause was presented. This “nontarget” cause was either elevated in its causal status (an “inflation” treatment) or decreased in status as a possible cause (a “deflation” treatment). Participants rated the extent that the target cause was the cause of the outcome before and after receiving the inflation or deflation information in Phase 2. The difference in those scores was calculated to examine the potential of the Phase 2 information to influence attributions regarding the target cause (retrospective revaluation). Retrospective revaluation effects were found, specifically in deflation conditions, such that this new Phase 2 information did influence judgments about causal status of the target cause (Study 1); but inflation effects were weak. Deflation occurred when the cause was environmental and when it involved two people as causes. Also, the importance of the strength of the association between two causes (“within-compound associations”) was evaluated in two subsequent studies, revealing that this factor is important for observing retrospective revaluation, particularly when the strength of the association is either weak or strong but not of medium strength.

Abolition of coercion in mental health services – A European survey of feasibility

BackgroundIn 2019, the Council of Europe agreed to urge member states to take steps toward total abolition of psychiatric coercive measures. AimsTo test if this aspiration is perceived as realistic and what the alternative would be in the event of a total abolition, we surveyed members of the European FOSTREN network of mental health practitioners and researchers, which is specifically dedicated to exchanging knowledge on reducing psychiatric coercion to its minimum. MethodsWeb-based survey. Categorical responses were analyzed using frequencies, and free text responses were analyzed through thematic analysis. ResultsIn total, out of 167 invitations to FOSTREN network members, 76 responded to the survey (Response Rate 45.5%). A minority (31%) of participating experts dedicated to the reduction of psychiatric coercive measures believed a total abolition to be an achievable goal. A commonly held belief was that total abolition is not achievable because mental health disorders are difficult to treat and may cause violence, necessitating coercion, and there is a need to protect the involved persons from harm. Those responding that complete abolition is achievable argued that the consequences of coercion outweigh any gains and indicated that use of advance directives are sufficient as alternatives to coercion. ConclusionOf a European group of experts specifically dedicated to the reduction of psychiatric coercion who participated in this questionnaire study, a minority believed a total abolition be an achievable goal. The study adds to the empirical evidence of the feasibility of the aspiration to totally abolish involuntary measures in the mental health services from the perspective of experts.

Psychometric properties and criterion related validity of the Norwegian version of hospital survey on patient safety culture 2.0

BackgroundSeveral studies have been conducted with the 1.0 version of the Hospital Survey on Patient Safety Culture (HSOPSC) in Norway and globally. The 2.0 version has not been translated and tested in Norwegian hospital settings. This study aims to 1) assess the psychometrics of the Norwegian version (N-HSOPSC 2.0), and 2) assess the criterion validity of the N-HSOPSC 2.0, adding two more outcomes, namely ‘pleasure of work’ and ‘turnover intention’.MethodsThe HSOPSC 2.0 was translated using a sequential translation process. A convenience sample was used, inviting hospital staff from two hospitals (N = 1002) to participate in a cross-sectional questionnaire study. Data were analyzed using Mplus. The construct validity was tested with confirmatory factor analysis (CFA). Convergent validity was tested using Average Variance Explained (AVE), and internal consistency was tested with composite reliability (CR) and Cronbach’s alpha. Criterion related validity was tested with multiple linear regression.ResultsThe overall statistical results using the N-HSOPSC 2.0 indicate that the model fit based on CFA was acceptable. Five of the N-HSOPSC 2.0 dimensions had AVE scores below the 0.5 criterium. The CR criterium was meet on all dimensions except Teamwork (0.61). However, Teamwork was one of the most important and significant predictors of the outcomes. Regression models explained most variance related to patient safety rating (adjusted R2 = 0.38), followed by ‘turnover intention’ (adjusted R2 = 0.22), ‘pleasure at work’ (adjusted R2 = 0.14), and lastly, ‘number of reported events’ (adjusted R2=0.06).ConclusionThe N-HSOPSC 2.0 had acceptable construct validity and internal consistency when translated to Norwegian and tested among Norwegian staff in two hospitals. Hence, the instrument is appropriate for use in Norwegian hospital settings. The ten dimensions predicted most variance related to ‘overall patient safety’, and less related to ‘number of reported events’. In addition, the safety culture dimensions predicted ‘pleasure at work’ and ‘turnover intention’, which is not part of the original instrument.

Literary text and historical discourse: A questionnaire study

This article explores historical discourse in a literary text from a fresh perspective through an experiment. We compiled the experiment’s questions in a Google Form, drawing inspiration from Askar Altai’s "The Hunchbak." The main emphasis in formulating the questions was placed on the category of historical figures in historical discourse. 23 students of Karaganda Buketov University, aged 19-22, voluntarily took part in our experiment. We chose a descriptive method for data analysis in the study. Using this method, three levels of reader perception (simple, medium, and high) are fully analyzed. As a result of the research, it was found that the vast majority of the survey participants fully understood the text of the literary work, thought about the subtext (indirect meaning) in it, analyzed the text from the point of view of their own knowledge, analyzed the author's position, and tried to express their thoughts. This indicates that the reader’s perceived level of comprehension is moderate. At the same time, the study showed that in the minds of the youth of the postcolonial country there are still some manifestations of ‘colonialism’; it is concluded that for the full recovery of a postcolonial country from ‘colonial diseases’, the full revival of historical consciousness, school programs and textbooks should be revised in Kazakhstan, and colleges and universities should have a systematic, fundamental state program for a long period (25 years).

THE INFLUENCE OF THE PHYSICAL WORK ENVIRONMENT AND CAREER DEVELOPMENT ON EMPLOYEE PERFORMANCE

This research explores the impact of the physical work environment and career development on employee performance at CV. Ide Creative Printing Tangerang Selatan. The research uses a quantitative approach for all CV employees. South Tangerang Creative Printing Idea, totaling 60 people, was used as the research population. Data collection methods include observation, literature study, and use of questionnaires. Data analysis was carried out using various statistical tests, such as Validity Test, Reliability, Classical Assumptions, Pearson Correlation, Determination, Simple Linear Regression, and Hypothesis Testing. The analysis results show that the physical work environment and career development significantly influence employee performance at CV. Ide Creative Printing Tangerang Selatan. The multiple linear regression value shows the positive contribution of these two variables to employee performance, with a contribution of 67.3%, while other factors influence the remaining 32.7%.

Awareness of Proton Pump Inhibitor Adverse Events and Treatment Pattern Change According to Physician Practice: A National Questionnaire Study in Korea.

Although adverse events of proton pump inhibitors (PPIs) have been reported, there are few studies on physicians' perceptions. We aimed to investigate physicians' awareness of PPI-related adverse events and changes in treatment patterns according to their practice. We conducted an online survey of physicians using a 15-item questionnaire. The survey queried respondents' demographic information, PPI prescription patterns, perceptions, and concerns on the reported PPI-related adverse events. Concerns regarding the adverse events of PPI were assessed by dividing them into possibilities and medical causality. Of the 450 respondents, 430 were specialists, and 232 were gastroenterologists. A total of 87.8% of the respondents were generally or well aware of the adverse effects of PPI, 29.1% considered side effects when prescribing PPI, and 14.6% explained them to patients. Specialists were more aware of the side effects of PPI than general practitioners (p = 0.005), and gastroenterologists were more aware of the side effects of PPI than non-gastroenterologists (p < 0.001). However, gastroenterologists explained less to patients (p = 0.001) and preferred to reduce the dose of PPI rather than discontinue it. The adverse events that were recognized as having the highest probability of occurrence and strongest association with PPI use were bone diseases, Clostridium difficile infection, gastrointestinal infection, pneumonia, and interactions with anti-thrombotic drugs. Physicians' awareness of PPI-related adverse events and treatment patterns differed significantly according to their positions and practice. Although a number of adverse events of PPIs were reported, physicians seem to accept their significance differently according to their specialty and practice patterns.

Leveraging G-CSF prescribing in the outpatient setting: considerations beyond clinical factors-a questionnaire study.

This study aims to delineate G-CSF treatment practices, assess decision criteria, and measure their implementation in ambulatory settings for patients with breast (BC), lung (LC), or gastrointestinal cancers (GIC), beyond standard recommendations. In this non-interventional, cross-sectional, multicenter study, clinical cases were presented using conversational interfaces (chatbots), simulating a conversation with one or more virtual interlocutors through voice or text exchange. The clinical simulations were configured by four parameters: types of cancer, risk of FN related to chemotherapy and comorbidities, access to care, and therapy setting (adjuvant/neoadjuvant/metastatic). The questionnaire was completed by 102 physicians. Most practitioners (84.5%) reported prescribing G-CSF, regardless of tumor type. G-CSF was prescribed more frequently for adjuvant/neoadjuvant therapy than for metastatic cases. The type of chemotherapy was cited as the first reason for prescribing G-CSF, with access to care being the second. Regarding the type of chemotherapy, physicians do not consider this factor alone, but combined with comorbidities and age (56.7% of cases). Pegfilgrastim long-acting was prescribed in most cases of BC and LC (70.1% and 86%, respectively), while filgrastim short-acting was named in the majority of cases of GIC (61.7%); 76.3% of physicians prescribed G-CSF as primary prophylaxis. Our findings suggest that recommended practices are broadly followed. In the majority of cases, G-CSF is prescribed as primary prophylaxis. In addition, physicians seem more inclined to prescribe G-CSF to adjuvant/neoadjuvant patients rather than metastatic patients. Finally, the type of chemotherapy tends to be a more significant determining factor than the patient's background.

The modal analysis of the Hungarian future auxiliary fog ‘will, be going to’

Abstract In this paper it is argued that the Hungarian future auxiliary fog is a modal rather than a temporal operator. As opposed to previous findings in the literature, the paper claims that it can be used when the proposition is inferred, therefore it can have an epistemic modal base. The results of a questionnaire study and introspective data are presented to support this claim. Based on these data, it is argued that the distributional difference between fog and the non-past cannot be explained by the presence or absence of temporal ambiguity only, the choice also depends on the context. Namely, the use of the non-past is marginal if the speaker infers the truth of the proposition from contextually known facts, while fog is natural and acceptable in such cases. The Hungarian data presented further strengthen the hypothesis that there is a strong connection between future-referring morphemes and epistemic modality.

Health-related conditions among long-term cancer survivors diagnosed in adolescence and young adulthood (AYA): results of the SURVAYA study.

With 5-year survival rates > 85%, gaining insight into the long-term and late health-related conditions of cancer survivors diagnosed in adolescence and young adulthood is of utmost importance to improve their quantity and quality of survival. This study examined the prevalence of and factors associated with, patient-reported health-related conditions and their latency times among long-term adolescent and young adult (AYA) cancer survivors. AYA cancer survivors (5-20years after diagnosis) were identified by the population-based Netherlands Cancer Registry (NCR), and invited to participate in the SURVAYA questionnaire study. Participants reported the prevalence and date of diagnosis of health-related conditions. Clinical data were retrieved from the NCR. Three thousand seven hundred seventy-six AYA cancer survivors (response rate 33.4%) were included for analyses. More than half of the AYAs (58.5%) experienced health-related conditions after their cancer diagnosis, of whom 51.4% were diagnosed with two or more conditions. Participants reported conditions related to vision (15.0%), digestive system (15.0%), endocrine system (14.1%), cardiovascular system (11.7%), respiratory system (11.3%), urinary tract system (10.9%), depression (8.6%), hearing (7.4%), arthrosis (6.9%), secondary malignancy (6.4%), speech-, taste and smell (4.5%), and rheumatoid arthritis (2.1%). Time since diagnosis, tumor type, age at diagnosis, and educational level were most frequently associated with a health-related condition. A significant proportion of long-term AYA cancer survivors report having one or more health-related conditions. Future research should focus on better understanding the underlying mechanisms of, and risk factors for, these health-related conditions to support the development and implementation of risk-stratified survivorship care for AYA cancer survivors to further improve their outcomes. NCT05379387.

Intention to Use Mobile-Based Partograph and Its Predictors Among Obstetric Health Care Providers Working at Public Referral Hospitals in the Oromia Region of Ethiopia in 2022: Cross-Sectional Questionnaire Study.

A partograph is a pictorial representation of the relationship between cervical dilatation and the time used to diagnose prolonged and obstructed labor. However, the utilization of paper-based partograph is low and it is prone to documentation errors, which can be avoided with the use of electronic partographs. There is only limited information on the proportion of intention to use mobile-based partographs and its predictors. The objective of this study was to determine the proportion of obstetric health care providers at public referral hospitals in Oromia, Ethiopia, in 2022 who had the intention to use mobile-based partographs and to determine the predictors of their intention to use mobile-based partographs. We performed an institution-based cross-sectional study from June 1 to July 1, 2022. Census was conducted on 649 participants. A self-administered structured English questionnaire was used, and a 5% pretest was performed. Data were entered into EpiData version 4.6 and exported to SPSS version 25 for descriptive analysis and AMOS (analysis of moment structure; version 23) for structural and measurement model assessment. Descriptive and structural equation modeling analyses were performed. The hypotheses developed based on a modified Technology Acceptance Model were tested using path coefficients and P values <.05. About 65.7% (414/630; 95% CI 61.9%-69.4%) of the participants intended to use mobile-based electronic partographs, with a 97% (630/649) response rate. Perceived usefulness had a positive influence on intention to use (β=.184; P=.02) and attitude (β=.521; P=.002). Perceived ease of use had a positive influence on attitude (β=.382; P=.003), perceived usefulness (β=.503; P=.002), and intention to use (β=.369; P=.001). Job relevance had a positive influence on perceived usefulness (β=.408; P=.001) and intention to use (β=.185; P=.008). Attitude positively influenced intention to use (β=.309; P=.002). Subjective norms did not have a significant influence on perceived usefulness (β=.020; P=.61) and intention to use (β=-.066; P=.07). Two-thirds of the obstetric health care providers in our study intended to use mobile-based partographs. Perceived usefulness, perceived ease of use, job relevance, and attitude positively and significantly influenced their intention to use mobile-based electronic partographs. The development of a user-friendly mobile-based partograph that meets job and user expectations can enhance the intention to use.

The new system for classification of periodontal and peri-implant disease: A questionnaire study of implementation by Swedish dental hygienists.

To what extent do dental hygienists (DH) employed by the Public Dental Health Service (PDHS) in Sweden use the new classification system, their knowledge of it and their attitudes towards it. A web-based questionnaire was distributed to DHs in the PDHS in different regions of Sweden. A total of 197 registered DHs responded. The questions covered their knowledge, attitudes and possible barriers to implementation of the new classification system of periodontal and peri-implant diseases, and a question about their perceived need for a complementary digital tool to facilitate its implementation. Seventy per cent of the DHs stated that they used the new classification system. Twenty-nine per cent of the participants were confident in classifying periodontitis under the new system. Furthermore, 36% of the participants considered their knowledge of the new system to be good and 33% to be poor or non-existent. Several DHs stated that the new system was too time-consuming, that it caused stress, that their knowledge was inadequate and that they, therefore, considered it too difficult to use. Eighty per cent of the participants were positive to a digital tool as a complement and support to classify periodontitis and peri-implantitis. The present study showed that most of the DHs used the new classification system and one-third considered their knowledge to be good, although it was difficult and time-consuming. Furthermore, in general, the DHs were positive to a digital tool to facilitate application of the new classification system.