Self-completed Questionnaire Research Articles

P0719 The SAPHIR study: Assessment of Fresenius Kabi adalimumab biosimilar persistence in patients with inflammatory chronic diseases: Descriptive analysis of patients baseline characteristics

Abstract Background Biosimilar treatment initiation is based on a shared decision-making process, in which the patient’s acceptability to the treatment plays a major role. Indeed, negative perception of the biosimilar by the patient can generate a nocebo effect, which interferes with treatment results, leading to subjective worsening of the disease or poor tolerability. The SAPHIR study aimed to evaluate baseline patients’ characteristics predictive of biosimilar treatment persistence. Methods The SAPHIR study is a prospective, multicentre, observational cohort study. All patients with inflammatory rheumatic diseases and inflammatory bowel diseases were included after initiating treatment with Idacio® (adalimumab biosimilar) and were to be followed over a period of one year with assessments at 1, 6 and 12 months. We present here the patients baseline characteristics and their acceptability to treatment. Results Of the 582 patients enrolled, 18 presented a protocol deviation and were not analysed. The 564 patients analysed were divided into two groups based on the circumstances of the Adalimumab biosimilar prescription: the "initiation" group (n=318) not previously treated with biotherapy and the "switch" group (n=246) previously treated with originator adalimumab. Disease severity was assessed globally on a Likert scale. According to this evaluation, 61% (n=185) of patients in the "initiation" group versus 10% (n=25) in the "switch" group were considered markedly or severely ill. Baseline data from these patients are summarised in Table 1. Patients were questioned about chronic treatment in general: 38% (n=61) of patients in the "initiation" group and 13.5% (n=25) in the "switch" group do not know if their medications are effective or even doubt their benefit. The perception of the biosimilar was assessed by a serie of affirmations (self-completion questionnaire on the acceptability of switching to a biosimilar), summarised in Table 2. Conclusion Biosimilars still meet with reluctance from patients. This situation seems linked to a lack of information on the concept of biosimilarity. Numerous guidelines have been published to promote and facilitate the transition from biotherapy to its biosimilar. These preliminary results show that difficulties with treatment acceptability also exist and seem more pronounced in patients initiating biological treatment with a biosimilar. Table 1: Baseline data: BMI, Body Mass Index; SF-12, 12-Items Short Form Survey; HAD Scale, Hospital Anxiety and Depression Scale. Table 2: Perception of the biosimilar by the patient

The Influence of Family Adaptability and Cohesion on Child Sexual Abuse Among Middle School Students in Rural Areas, Central China

Aim: To investigate associations between family cohesion and adaptability level of secondary school students and the prevalence of CSA. Method: A retrospective study conducted in the rural middle school in Hubei province, central China. The correlation between the prevalence and family cohesion and adaptability, risk factors of CSA were tested by an anonymous self-completed questionnaire and FACES II-CV 3082 middle school students. Result: The total ratio of CSA is 20.8%. Boys (25.7% vs 14.9%, P<0.05), senior school students (25.4% vs 17.4%, P<0.05) and left-behind children (22.0% vs 18.0%, P<0.05) got higher rate of CSA. After adjustment for potential confounders, logistic regression analysis showed separated (AOR = 0.72, 95%CI:0.53-0.98), connected (AOR = 0.50, 95% CI:0.37-0.69) and enmeshed (AOR = 0.48, 95% CI:0.34-0.67), chaotic (AOR = 0.51, 95% CI:0.34-0.76) were associated with reduced odds of child sexual abuse. Conclusion: The prevalence of CSA was relatively high in rural area, central China. Family adaptability and cohesion level of middle school students were associated with prevalence of CSA.

Growing up without violence (GWV): Study protocol for a cluster randomised trial and process evaluation of a school-based intervention preventing adolescent sexual exploitation in Brazil.

Sexual exploitation of children and adolescents (SECA) is a mostly invisible phenomenon, having negative impacts on adolescents' health and well-being.. There is increasing awarenessof preventative strategies to reduce sexual exploitation of children and adolescents, but limited evidence on their effectiveness and mechanisms. This project addresses this gap through the impact and process evaluation of 'Growing Up Without Violence' (GWV), the largest intervention in Brazil tackling SECA. We will conduct a two-arm cluster randomised trial (CRT) with parallel assignment in the municipalities of Cabo de Santo Agostinho and Jaboatão dos Guararapes, in Brazil. We will randomly allocate 30 schools to intervention and 30 to wait-list control arms. In each of these schools, we will randomly select independent samples of seventy students (aged 12 to 17) to participate in baseline and endline surveys. We will invite students to self-complete pre-programmed questionnaires in a private school space, under the supervision of trained researchers. Our main analysis is a cross-sectional comparison between control and intervention schools of students' levels of basic knowledge for identifying appropriate and inappropriate sexual advances and acts (primary outcome). Secondary outcomes include knowledge of risks of online sexual exploitation, willingness to report incidents of sexual abuse and exploitation, and recall of exposure SECA preventive training content. To our knowledge, this is the first large-scale rigorous evaluation of an intervention to prevent SECA in Brazil. Findings will inform our strategies and future interventions to prevent SECA.

Enhancing Talent Retention of TVET Colleges’ Lecturers through Specific Talent Management Dimensions

"Talent management (TM) is a critical strategic issue for higher education institutions (HEIs) in South Africa (SA) given its impact on institutional performance, however, retaining academic talent remains a challenge in this highly competitive work environment. This study aimed to investigate talent retention (TR) of lecturers through specific TM dimensions (i.e., talent training and development (TT&D), performance management (PM), and compensation) at public technical and vocational education and training (TVET) colleges in the North West province, SA. A quantitative research approach was adopted, employing a cross-sectional study that collected data from 124 lecturers using self-completed questionnaires. This study’s results revealed that a substantial number of respondents were considering leaving their employment, citing dissatisfaction with TT&D, PM, compensation, and TR practices at public TVET colleges. A high positive correlation between TT&D and TR, and between compensation and TR, and a moderate positive correlation between PM and TR were established in this study. Policymakers and practitioners can refer to the findings of this study to better understand and improve TR through enhanced TT&D, PM, and compensation practices. Strategic development of policies intended for improving TT&D, PM, compensation, and TR practices at public TVET colleges is thus highlighted. "

Onlyfans, un’indagine per comprendere il rapporto degli adolescenti con intimità e nuove vetrinizzazioni

The image is central in social relations, a self packaged to present itself to the public, constructed to be liked, to collect likes and to be shared, commented on. This is a true externalization of our individuality, which increasingly places the display of the body as other than self at the center (Pira, 2017). In this sense we are witnessing a transformation of intimacy, the resulting representation of the self appearing as a public expression in a medial key. In this path precisely the dimensions of the body and sexuality seem to assume a centrality that gives them a strong relevance in the identity construction of each person. In this perspective, we intend to provide an analysis on the Onlyfans phenomenon through the anonymous administration of a self-completion questionnaire in CAWI mode, which involved 1116 respondents between the ages of 14 and 30. The title of the survey was “The Impact of OnlyFans on Generation Z.” In fact, the platform is mainly associated with sexual content. Based on the assumption that OnlyFans creators are in a unique position, at the intersection of professional social media content creation and sex work, we tried to identify what attitude young people interviewed have toward the OnlyFans platform; to understand what is their perception of the social and the definition they give in relation to the content conveyed; and to understand what their attitude is in relation to the perceptions of sexuality and individual freedom of expression.

Determinants of the Development of Cyber-Crime Operating Within Digital Banking: The Case of Commercial Bank of Ethiopia

This study was initiated with the aim to analyze the determinants of the development of cyber-crime operating within digital banking at Commercial Bank of Ethiopia (CBE). A descriptive and explanatory survey design entertaining a mixed approach was adopted. Qualitative data was collected through administering a self-completion questionnaire distributed to 380 sample respondents. The study enjoyed a 92.1% response rate. The study focused on customers of commercial bank of Ethiopia as a target population. The convenient sampling technique was employed to include the bank's customers who were available during the study period when the researcher visited the head office. The data collected from questionnaires was analyzed using the statistical package for social science (SPSS) version 22, and the findings were interpreted based on the listed hypothesis, regression mode, descriptive and inferential statistics. The findings of the study indicated that technological advancement, lack of cyber security awareness and training, insider threats, regulatory and legal frame work and inadequate security measures are the factors that have significant effects on the development of cyber-crime at a 95% confidence level. The findings highlight the importance of investing in advanced technologies such as artificial intelligence (AI), machine learning (ML), and big data analytics, to strengthen the banks capabilities in detecting and mitigating risks in real time.

Exploratory study of French healthcare workers' experiences of anosognosia in Alzheimer's disease and related disorders.

Anosognosia or lack of insight is a common feature of Alzheimer's disease (AD) and associated disorders. It is an impairment in the ability to recognize the disease and related symptoms. Anosognosia is associated among patients with poor compensatory strategies, behavioral disorders, apathy and caregiver burden. Therefore, its early identification by healthcare workers is a major challenge in order to provide support for both patients and caregivers. To explore the knowledge, attitudes and experiences of French healthcare workers relating to anosognosia in AD and related disorders. An online self-completed questionnaire was created for the study. It was anonymous and divided into three dimensions: general knowledge, confidence, and subjective experiences of anosognosia. One hundred and eleven healthcare workers completed the questionnaire. Mann Whitney and Kruskal Wallis tests were used to determine the variables associated with the total knowledge and confidence scores. Ordinal logistic regressions were performed to explore the associations between subjective experiences and demographics. The participants had moderate knowledge. Knowledge scores were influenced by their experience in the geriatric field, type of profession, workplaces and training. The areas where knowledge was poorest were anosognosia assessment and management. The participants with the lowest knowledge levels were those interacting the most with patients, especially at home. Overall, they identified difficulties related to anosognosia and did not seem confident about their ability to deal with this condition. This study determines specific areas for training on anosognosia, such as identification, assessment and management of this condition.

Level of Acceptance of E-Learning Courses for Upgrading Digital Skill Sets Among Built Environment Professionals

E-learning has emerged as a new way of training employees, making the digital upgrading process more efficient and economically viable. This study aimed to assess the perceptions of built environment (BE) professionals concerning e-learning courses aimed at digital upskilling and to identify the positive and negative influences on the level of acceptance of such e-learning courses. Having identified the influencing factors, a self-completed questionnaire was a good approach for this study. A questionnaire was distributed to BE professionals in Singapore. Over four weeks from the middle of December 2022 to early January 2023, 78 valid responses were collected. The results indicated that individual demographics (such as age, gender, and education level) other than years of computer experience using e-learning do not encourage or deter BE professionals from accepting e-learning courses. This study also identified fifteen positive factors that increase the level of acceptance, with the top-rated factors being usefulness to a BE professional’s job scope, increased efficiency at work, potential pay increment, and supportive work culture. This study also identified ten significant negative factors, with the most important ones being cost, compatibility issues with work systems, and negative instructor characteristics.

Disentangling the temporal relationship between alcohol-related attitudes and heavy episodic drinking in adolescents within a randomized controlled trial.

Within many alcohol prevention interventions, changes in alcohol-related attitudes (ARA) are often proposed as precursors to changes in drinking behaviour. This study aimed to measure the longitudinal relationship between ARA and behaviour during the implementation of a large-scale prevention trial. This study was a two-arm school-based clustered randomized controlled trial. A total of 105 schools in Northern Ireland and Scotland participated in the Steps Towards Alcohol Misuse Prevention Programme (STAMPP) Trial. A sample of 12 738 pupils (50% female; mean age = 12.5years at baseline) self-completed questionnaires on four occasions (T1-T4). The final data sweep (T4) was 33 months post baseline. Individual assessments of ARA and heavy episodic drinking (HED) were made at each time-point. Additional covariates included location, school type, school socio-economic status and intervention arm. Estimated models examined the within-individual autoregressive and cross-lagged effects between ARA and HED across the four time-points (Bayes estimator). All autoregressive effects were statistically significant for both ARA and HED across all time-points. Past ARA predicted future ARA [e.g. ARAT1 → ARAT2 = 0.071, credibility interval (CI) = 0.043-0.099, P < 0.001, one-tailed]. Similarly, past HED predicated future HED (e.g. HEDT1 → HEDT2 = 0.303, CI = 0.222-0.382, P < 0.001, one-tailed). Autoregressive effects for HED were larger than those for ARA at all time-points. In the cross-lagged effects, past HED statistically significantly predicted more positive ARA in the future (e.g. HEDT2 → ARAT3 = 0.125, CI = 0.078-0.173, P < 0.001, one tailed) except for the initial T1-T2 path. In contrast, past ARA did not predict future HED across any time-points. Changes in alcohol-related attitudes were not a precursor to changes in heavy episodic drinking within the Steps Towards Alcohol Misuse Prevention Programme (STAMPP) Trial in Scotland and Northern Ireland. Rather, alcohol-related attitudes were more likely to reflect prior drinking status than predict future status. Heavy episodic drinking status appears to have a greater impact on future alcohol attitudes than attitudes do on future heavy episodic drinking.

Do actors’ incentives obstruct sector-wide long-term productivity in the design and production of bridges in Sweden?

An increase in productivity is necessary to reduce economic costs in bridge projects. Previous research indicates that construction productivity has decreased since the 1960s. A quantitative study was performed to find out how the incentives of the three major actors (client, contractor, and design engineer) could be obstacles to long-term productivity in the Swedish bridge construction industry. The study was performed as a self-completed questionnaire and received 151 responses. The results show that the contractors’ employees find profit in a single project more important than the company’s profit over time. Thus, the project´s incentives obstruct innovation and standardization, which could benefit future projects and thereby increase long-term productivity and the company’s profit over time. In contrast to contractors, design engineers and clients value company profit more than profit in a single project, and they value the quality of delivered products as the most important factor for increased long-term productivity.

The Economic Impact on the Use of 100% Guide to All Common Entrance Examinations in Mathematics and Quantitative Reasoning: A Case Study of Delta State, Nigeria

This paper focuses on the financial implications and the families in Delta State, Nigeria who made use of Joshua Okwuwe’s “A 100% Guide to All Common Entrance Examinations in Mathematics and Quantitative Reasoning”. While there is a clear need for the book to be used in schools as a preparatory book focusing on preparing pupils for entrance examinations into secondary schools, this has added a very important changes which have had a positive impact on the financial achievements of a number of families especially those in the low income earners’ bracket. By using paper and online self-completed questionnaires to which interviews with parents, teachers and students were added after the surveys had been completed. The sample consists of 300 parents, 150 teachers, 500 students from Delta State who use the “100% Guide.” Questionnaires gathered information on the amount of money spent in the households on education materials, performance in mathematics/numeracy and views on the equity of education. Further, a combination of structured and semi structured interviews with school heads aimed at establishing their views on the use of the guide. For data analysis, the hypothesis test was done through the analysis of variance (ANOVA) to establish the statistical tests. Using statistical methodologies it is ascertained that the guide serves a purpose in raising the academic success by a 75% improvement in mathematics and 82% in quantitative reasoning for the learners but at the same time yields an average cost to the families. This economic stress is particularly felt by low income earners hence increasing learning inequity. These outcomes call for policy changes, including reduced-cost materials and the proper advertisement of cheap educational products. This study adds an important voice on the discourse on the pro and cons standardization of tests in Nigeria to the current academic writing based on its socioeconomic implications to students, educators, and policy makers in their strive towards enhancing learning for better performances and creating equity.

Academic performance, perceptions, and motivations of medical PhD students in Ukraine during wartime: a mixed methods study

BackgroundThe full-scale Russian invasion of Ukraine, initiated on February 22, 2022, has created numerous challenges, including the need to study under the constant threat of bombardment. This study aimed to analyze the effects of the war on the academic performance of medical PhD students in Ukraine, explore their perceptions of stressful wartime events, and identify their motivations and future aspirations.MethodsThis mixed-method study included medical PhD students from Bogomolets National Medical University in Kyiv, Ukraine, during the 2022–2023 academic year amid ongoing Russian military attacks. Data were collected through self-completed questionnaires. Additionally, qualitative data were gathered via one-on-one interviews with participants. The questionnaire and interviews addressed educational difficulties during the war, motivation to pursue academic studies, the likelihood of continuing an academic or medical career in Ukraine, academic progress at the time of the survey, and self-assessed adaptation to studying during the war.Results108 PhD students participated in the questionnaire, and 53 were interviewed. Nearly half of the participants described their education as challenging. More than two-thirds experienced class disruptions due to air raid alarms or shelling, and a similar proportion resumed classes afterward. Among the PhD students, 85% envision their future careers as physicians, scientists, or teachers in Ukraine. Adaptation to the extraordinary conditions varied, with half adapting well. A substantial number remained motivated to pursue their education and professional careers in Ukraine despite financial strain, loss of research data, and damaged infrastructure, which hindered progress for some. Others struggled significantly, highlighting the war’s profound impact on their education and mental well-being.ConclusionWhile the war has imposed severe challenges on the educational pursuits of medical PhD students in Kyiv, Ukraine, the resilience displayed by many underscores their determination to persevere. This resilience reflects their commitment to their academic careers despite the adversities posed by the ongoing conflict. However, some students struggled to cope. Further psychological and financial support will be crucial in helping these students continue their studies and contribute to the rebuilding of their country.

Perceived values of luxury fashion brands—evidence from Indonesian Millennials

Consumers in the Association of Southeast Asian Nations (ASEAN) countries represent rapid growth, and they are anticipated to become next wave of important markets for luxury fashion sector. This empirical study aims to examine millennials’ perceptions towards luxury fashion brand values and how these influence their purchase intentions in Indonesia, the biggest market in the ASEAN. Through quantitative research, the primary data was collected from 301 self-completed online questionnaires. It is revealed that Indonesian millennials regard the consumption of luxury fashion brands as an investment. Meanwhile, ethical and sustainability issues have become increasingly important in consumers’ decisions to purchase luxury fashion brands. Based upon the value-based segmentation of luxury consumption, the present study recognizes that Indonesian millennials prioritize symbolic and financial values and seek conspicuousness in line with self-identity.

The relationship between nocturia and suicidal ideation: A study on The National Health and Nutrition Survey data.

The focus of this research was to explore any potential link between nocturia and the risk of suicidal ideation. Drawing from the National Health and Nutrition Survey, data relating to 25 241 participants was scrutinized. This included 13 421 individuals identifying as male and 11 820 individuals identifying as female. Participants provided information on nocturia and suicidal ideation via self-completed questionnaires. To determine if nocturia was independently related to suicidal ideation, a multivariable logistic regression analysis was employed. Analyses were also undertaken separately for adult males and females. It was found that around 3.5% of participants had experienced suicidal ideation. The results indicated that nocturia increased the risk for suicidal ideation in all adult groups (odds ratio [OR] = 1.67, 95% confidence interval[CI]: 1.37-2.03, p < 0.0001), including both males (OR = 1.91, 95% CI: 1.38-2.65, p < 0.001) and females (OR = 1.48, 95% CI: 1.158-1.90, p = 0.002). The risk for suicidal ideation increased with the severity of nocturia, with significant trends observed in adult males (p for trend = 0.04) and adult females (p for trend = 0.01). Additionally, subgroup examination showed a significant interaction between nocturia and educational level in adult males (p for interaction = 0.03). Among adult females, a noteworthy interaction was observed between nocturia and body mass index (p for interaction = 0.02). The research uncovered a connection between nocturia and an elevated risk of suicidal ideation.

To Assess The Prevalence Of Dental Anxiety Among Patients Visiting A Department Of Conservative Dentistry In Chhatrapati Sambhajinagar, Maharashtra

Background - Anxiety before dental treatment is well recognized problem in the population avoiding dental care. Tense and anxious patients disrupt scheduling, make treatment difficult and arouse uncomfortable feelings in the dentist. The extent of needle phobia and its effect on the patients in the community is the topic which still remains largely unexplored. Thus, the present study was planned to check the nature of the anxiety among dental college patients by using Modified Dental Anxiety Scale (MDAS). The Modified Dental Anxiety Scale (MDAS) is a brief, selfcomplete questionnaire consisting of five questions and summed together to produce a total score ranging from 5 to 25. It has reasonable psychometric properties, low instrumental effects and can be integrated into everyday dental practice as a clinical aid and screen for dental anxiety. Materials and methods – The study was carried with the help of questionnaires specially formulated for the study. The study included 200 patients came to the outpatient department of the dental college, observation was recorded and analyzed. Most of the male and female participants had experience of Dental phobia due to experience shared by parents or relatives. The purpose of this study is to determine the assessment of changing levels of Dental anxiety with the help of (MDAS)i.e. modified dental anxiety scale.

Adult orthodontic consultations in private dental practice: How much information do patients remember when they leave the surgery?

With good communication and information retention being key aspects of valid consent, this study aimed to assess adult patient information recall immediately after an orthodontic consultation. Adults interested in bracket-based or clear aligners were invited to take part at a single private dental practice. A 45-minute consultation with one of three general dental practitioners (GDPs) primarily providing orthodontics took place. A participant self-completed questionnaire tested recall of 20 items from the consultation. Demographics such as gender, age, level of English, education level, previous orthodontic experience and having a close family member or friend who had orthodontic treatment were also recorded. Forty-two participants completed the questionnaire, and the information recall rate was 75% (mean score = 15). Three of the 42 participants recalled all 20 items. No statistically significant differences (P < 0.05) were found between information recall and any demographic variable, however, older participants (36 years and over) scored less (mean = 13.83) than participants 18-25 years (mean = 15.6). A quarter of information provided during an orthodontic consultation with a GDP in a private dental practice cannot be recalled immediately afterwards by patients and so it is recommended that any verbal or visual information is always supplemented with written information.

Perceived accessibility matters: Unveiling key urban parameters through traditional and technology-driven participation methods

The demand for innovative solutions to address urban complexities, with accessibility being crucial for sustainable environments, is growing globally. As demographic shifts and disability prevalence evolve, understanding spatial dynamics affecting accessibility becomes urgent. The research hypothesis suggests that investigating both physical and perceived accessibility realms reveals critical insights into challenges individuals face in public spaces. This study explores public participation methods of different nature to evaluate their effectiveness and complementarity in portraying perceived accessibility in urban spaces. A multi-method approach, integrating participant observation tools like self-completion questionnaires and semi-structured interviews with non-participant technology-driven data sources like Foursquare, Twitter, and Google Places, was employed. The analysis focused on two areas in Alicante, Spain. Findings emerge in four phases: (1) identifying perceived accessible public spaces via questionnaires, (2) discerning influential parameters from interviews, (3) conducting a comprehensive analysis incorporating quantitative and qualitative methods, and (4) establishing correlations between parameters gathered through the methods. The results underscore the importance of diverse public participation methods in urban planning, offering a comprehensive framework for future research to improve accessibility and inclusivity in urban environments. Understanding the relationship between physical urban features and citizens' perceptions advocates targeted interventions for improved accessibility and socially inclusive environments.

Knowledge, opinions and experiences of nurses and nursing students in Portugal regarding the use of medical Cannabis

BackgroundThe opening up of the laws to medicinal cannabis in recent years is a key factor in the growth of this therapy, but there is little information about what nurses know and think about it. The present paper seeks to analyze the knowledge, opinions, and experiences of nurses and nursing students in Portugal regarding the use of cannabis and to understand gender differences.MethodsA self-completion questionnaire was drawn up and published online. It received face and content validity and was approved by the Ethics Committee. The instrument includes socio-demographic data, questions about knowledge, opinions, experiences, and training in cannabis. The data was collected and processed by applying descriptive and inferential statistics using the chi-square test and Fisher’s exact test on the SPSS platform.ResultsThe majority of the 610 participants were women. The therapeutic benefits of medical cannabis were appreciated by 79,6% of nurses and 84,3% of students. When asked about the functions of the endocannabinoid system, 71,7% of nurses and 79,5% of students had never heard of it. There is a statistically significant gender difference concerning personal experience of cannabis use to treat symptoms or illnesses.ConclusionsAs the levels of knowledge were low and a minority had education on medical cannabis, there is a need for further education of nurses and for this emerging area to be included in the curricula.

Knowledge and perspectives about medicinal cannabis in nurses and nursing students in Portugal

Abstract Background The opening up of legislation on medicinal cannabis in recent years has been a determining factor in the growth of this therapy. In Europe, regulation of medicinal use is a reality in several countries. Nurses can play a leading role in its administration, helping to ensure that it is carried out more effectively and assuming a fundamental role in the success of the therapy. It is therefore pertinent to analyze the knowledge of nurses and nursing students in Portugal about medicinal cannabis. Methods Quantitative descriptive study. A self-completion questionnaire was drawn up and made available on the google forms platform. It was face-validated, content-validated and approved by the Ethics Committee. The instrument included sociodemographic data, questions about cannabis knowledge and perspectives. Descriptive statistics were analyzed. Results Out of a total of 610 responses, 318 were nurses and 292 nursing students. Medical cannabis is considered legitimate by 79.6% of nurses and 84.3% of students. When asked about the functions of the endocannabinoid system, 71.7% of nurses and 79.5% of students said they had no knowledge. 88.7% of nurses and 79.5% of students disagreed that they had sufficient knowledge to advise users on the use of medicinal cannabis. Also, 38.4% believe that their patients use cannabis illegally to manage the symptoms of illnesses. Conclusions There is a need for continuing training for nurses and for the undergraduate and postgraduate nursing curricula to include this emerging area. Key messages • The results show that this issue is a public health problem. It reinforces the need to formulate public policies in this area and to implement training for nurses and nursing students. • These measures will be fundamental in preventing the use of illegal cannabis and promoting the safe use of medicinal cannabis.

Caffeine intake, chronotype, and student sleep quality at Polytechnic of Leiria

Abstract Introduction Higher education students ingest very high doses of caffeine, on average twice the recommended safe dose. This excessive consumption can become problematic, ultimately affecting sleep quality and, consequently, academic performance. The aim of this work is to describe caffeine consumption, sleep quality and to characterize the chronotype and academic performance of students at Polytechnic of Leiria. Methods An online self-completion questionnaire was developed, consisting of several instruments: The Caffeine Consumption Questionnaire; Horne and Ostberg morningness-eveningness Questionnaire; Pittsburgh Sleep Quality Index (PSQI), to describe caffeine consumption, characterize chronotype and assess sleep quality, respectively. The mean, standard deviation, minimum and maximum values were calculated for the quantitative variables. Absolute and relative frequencies were calculated for the qualitative variables. Parametric tests were used to compare groups; when this was not possible, non-parametric tests were used. P &amp;lt; 0.05 was considered statistically significant. Results Of the 261 students (mean age: 23.26 ± 6.60 years), 64.2% had poor sleep quality and 45.3% reported an afternoon chronotype. It was found that men consumed more coffee and energy drinks than women, although women consumed more caffeine-containing food products. The average academic score was 14.56 ± 1.61. There was a statistically significant association (p &amp;lt; 0.01) between the afternoon chronotype and poor sleep quality and between the consumption of coffee and chocolate drinks and poor sleep quality. Conclusions Students at Polytechnic of Leiria tend to have poor sleep quality and an intermediate chronotype. Those with an afternoon chronotype or who drink coffee and chocolate drinks have poor sleep quality. Key messages • Accurately assessing the situation is essential for crafting suitable solutions. • Higher students should adjust their coffee consumption to achieve better sleep quality.