Usage Survey Research Articles

Factors that Affect Usage of Educational Information Technologies by Children and Inequalities related with Such Usage

Usage of Information Technologies by children (6–15-year-olds) is increasing day by day. All schools have adopted online education after the breakout of the Covid-19 Pandemic. This new situation is affected by households’ socioeconomic backgrounds. As there are inequalities among households via socioeconomic conditions that lead to education inequalities, the pandemic has exacerbated the existing inequalities related to education. From this point of view, it is crucial to examine the factors that affect the usage of information technologies and the Internet for educational purposes. This paper uses the 2013 Household Information Technologies Usage Survey (HITUS). We estimate the probability of using information technologies and the Internet for education with logistic regression. Age has the highest impact on increasing Internet use for teaching. Being a girl has a negative effect on using the Internet for education. Conversely, being a girl has a positive impact when we use only Internet users as the sample. This means that whenever a girl starts using the Internet, the probability of using it for education is higher for girls than for boys. Educational impact changes based on the sample used. Education increases lead to the rise for all, while it decreases when we use only Internet users. All the regions have a higher probability of using the Internet for education compared to the Southeast. However, regional impacts are changing. Istanbul and the West Black Sea region have the most significant changes in the probability while being in urban areas loses its effect whenever a child starts using the Internet.

Türkiye’de bilişim teknolojileri kullanımının ÇKKV yöntemleriyle incelenmesi 2014-2021 dönemi

Electronics and communication sector investments, which have increased with the decreasing infrastructure costs in recent years in Turkey, Information Communication Technologies (ICT) is becoming widespread. According to the data of the Turkish Statistical Institute (TUIK) for 2021, the number of households with internet access has increased to 92%. The development of information and communication technologies provides social transformation by affecting the development speed of countries. Despite the regional differences in Turkey, the development of the informatics infrastructure has shown great improvement. In this study, with Multi-Criteria Decision Making Methods, a model that can measure the development performance of the regions in Turkey towards the use of information technologies at the statistical region level has been examined. In the model created, PSI (Preference Selection Index) was used to weight the criteria, and WEDBA (Weighted Euclidean Distance Based Approach) methods were used to evaluate the ICT usage level of the regions. The data in the study was taken from the TUIK database and is based on the Household Information Technologies (IT) Usage Survey of 2021 carried out by the institution. The criteria for the use of information and communication technologies consist of internet access, broadband, fixed broadband, mobile broadband, regular internet usage and internet usage. According to the findings of the study, it can be said that while the most important criterion was internet access in 2014, it was mobile bandwidth in 2021. Within the scope of the study, Istanbul and East Marmara regions showed the best performance. In addition, it was concluded that the Southeastern Anatolia region, which showed the most development, was followed by the Western Anatolia, Mediterranean, Central and Middle East Anatolia regions, and the development in other regions was less than the aforementioned regions.

Developing a Technology Acceptability and Usage Survey (TAUS) for mHealth Intervention Planning and Evaluation in Nigeria: Pilot Study.

BackgroundTechnology acceptability and usage surveys (TAUS) are brief questionnaires that measure technology comfort, typical daily use, and access in a population. However, current measures are not adapted to low- and middle-income country (LMIC) contexts.ObjectiveThe objective of this pilot study was to develop a TAUS that could be used to inform the implementation of a mobile health (mHealth) intervention in Nigeria.MethodsA literature review of validated technology comfort and usage scales was conducted to identify candidate items. The draft measure was reviewed for face validity by an expert panel comprised of clinicians and researchers with cultural, methodological, and clinical expertise. The measure was piloted by radiologists at an oncology symposium in Nigeria.ResultsAfter expert review, the final measure included 18 items organized into 3 domains: (1) comfort with using mobile applications, (2) reliability of internet or electricity, and (3) attitudes toward using computers or mobile applications in clinical practice. The pilot sample (n=16) reported high levels of comfort and acceptability toward using mHealth applications in the clinical setting but faced numerous infrastructure challenges.ConclusionsPilot results indicate that the TAUS may be a feasible and appropriate measure for assessing technology usage and acceptability in LMIC clinical contexts. Dedicating a domain to technology infrastructure and access yielded valuable insights for program implementation.

Time is money: Examining the time cost and associated charges of common performance validity tests

Objective: This study presents data on the time cost and associated charges for common performance validity tests (PVTs). It also applies an approach from cost effectiveness research to comparison of tests that incorporates cost and classification accuracy. Method: A recent test usage survey was used to identify PVTs in common use among adult neuropsychologists. Data on test administration and scoring time were aggregated. Charges per test were calculated. A cost effectiveness approach was applied to compare pairs of tests from three studies using data on test administration time and classification accuracy operationalized as improvement in posterior probability beyond base rate. Charges per unit increase in posterior probability over base rate were calculated for base rates of invalidity ranging from 10 to 40%. Results: Ten commonly used PVTs measures showed a wide range in test administration and scoring time from 1 to 3 minutes to over 40 minutes with associated charge estimates from $4 to $284. Cost effectiveness comparisons illustrated the nuance in test selection and benefit of considering cost in relation to outcome rather than prioritizing time (i.e. cost minimization) classification accuracy alone. Conclusions: Findings extend recent research efforts to fill knowledge gaps related to the cost of neuropsychological evaluation. The cost effectiveness approach warrants further study in other samples with different neuropsychological and outcome measures.

EVALUATING THE IMPACT OF WORKED EXAMPLE VIDEOS FOR BLENDED LEARNING IN A LARGE-ENROLMENT BUSINESS STATISTICS COURSE

Statistics courses are frequently perceived by tertiary students as extremely difficult and anxiety-inducing, negatively impacting student outcomes and experiences. To address this, the present study considered worked example videos (where an instructor demonstrates the solution to a problem while narrating the process) as a blended learning approach for enhancing an introductory business statistics course taken by 2265 students over three semesters. Impact was evaluated with video usage, academic performance, and student survey data. Students heavily utilised worked example videos before assessment deadlines, frequently employing active learning strategies during their engagements. Improvements in academic performance and course satisfaction were observed compared to previous cohorts. This demonstrates worked example videos are well-suited to large-enrolment courses due to their highly scalable capacity to deliver timely support for learning, which individuals can tailor to their diverse needs.

Natural history of lower urinary tract symptoms among men undergoing stereotactic body radiation therapy for prostate cancer with and without a Rectal Hydrogel Spacer.

Stereotactic body radiation therapy (SBRT) is increasingly used for prostate cancer, but has morbidity as both the bladder and rectum are radiated during treatment. Our goal was to document and compare lower urinary tract symptoms (LUTS) among men who underwent SBRT with and without SpaceOAR hydrogel (Augmenix, Inc., Bedford, MA). We performed a retrospective analysis of 87 men (50 SpaceOAR and 37 non-SpaceOAR) who underwent SBRT. Primary outcomes were patient reported symptoms during radiation therapy, pharmacotherapy usage, and urologic and bowel survey scores up to 6-months post-SBRT. 78% of men were on α-inhibitors at the end of SBRT, an increase from 27.6% baseline usage (p < 0.001). Post-SBRT urinary frequency was more common in the non-SpaceOAR group versus the SpaceOAR group (68% versus 38%, p = 0.006), as was nocturia (35% vs. 8%, p = 0.002). Acute gastrointestinal symptoms did not differ. 58.8% of men were on α-inhibitors at 6-months of follow-up post-SBRT, an increase from 27.6% baseline usage (p < 0.001). Importantly, there was a difference of α-inhibitor use between non-SpaceOAR and SpaceOAR groups at the end of SBRT and at 1.5-, 3-, and 6-months follow up (86% vs. 53% [p = 0.002], 83% vs. 53% [p = 0.005], 72% vs. 49% [p = 0.038], respectively). LUTS after SBRT remains a significant problem for men undergoing treatment for prostate cancer. LUTS affects men during and up to 6-months following SBRT. Owing to these increased LUTS, preemptive minimally invasive solutions and their mechanisms of protection, including the SpaceOAR, should be further investigated.

A Study on the Characteristics Influencing Youth’s Problematic Gaming Behaviors

Based on the I-PACE model, the present study aimed to examine which characteristics influence the determination of problematic gaming behaviors risk group. Using data from the 2018 Internet Game Usage Survey, 3,317 adolescents from 4th grade to 12th grade were analyzed. Gender, personality, self-esteem, and interpersonal skills were used to verify which characteristics have significant influence on the determination of problematic gaming behaviors risk group. The results were as follows. First, gender, self-esteem, and leadership had a significant influence on the determination of youth problematic gaming behaviors risk group. For male students, the chances of being classified as the risk group increased. Also, the higher self-esteem, the less likely they were to be judged, and the higher leadership, the more likely they were to be judged as the risk group. Second, the results of subfactors of problematic gaming behaviors suggested that gender had a significant effect on all subfactors, with the rest of the personal characteristics showing different results for each sub-factor. These results presented practical advantages for planning and applying interventions for youths’ problematic gaming behaviors.

Differences in personal care product use by race/ethnicity among women in California: implications for chemical exposures

BackgroundPersonal care products may contain many chemicals, some of which are suspected endocrine disrupters. This is an important source of chemical exposure for women, but little is known about how chemical exposure differs among different races/ethnicities.ObjectiveThis study examines differences in personal care product use among Black, Latina, Vietnamese, Mixed Race, and White women in California.MethodsWe used a community-based participatory process to create and administer a personal care product usage survey to 321 Black, Latina, Vietnamese, Mixed Race, and White women. We used multivariate regression models with pairwise comparisons to examine the frequency of product use by race/ethnicity.ResultsWe found distinct trends of personal care product use by race/ethnicity: Latina women typically used makeup most frequently; Black women used certain hair products or styles most frequently; and Vietnamese women were most likely to use facial cleansing products compared to other races/ethnicities. Latina and Vietnamese women were less likely to try to avoid certain ingredients in their products.SignificanceThese findings can help estimate disparities in chemical exposure from personal care product use and complement future research on health inequities due to chemical exposures in the larger environmental and social context.

Management of Post-LASIK Dry Eye with Intense Pulsed Light in Combination with 0.1% Sodium Hyaluronate and Heated Eye Mask.

IntroductionLaser in situ keratomelieusis (LASIK) is one of the most frequently performed refractive treatments. Dry eye (DE) is common in patients after LASIK and can be bothersome postoperatively. Therapies such as intense pulsed light (IPL), sodium hyaluronate (SH) and heated eye mask (HEM) have been reported to improve signs and symptoms of DE .AimThe purpose of this prospective study was to evaluate and compare the effects of IPL and 0.1% SH (IPL group, 50 eyes) and IPL in combination with 0.1% SH and HEM (IPL + group, 50 eyes) in participants with persistent post-LASIK DE.MethodsThe final analysis included 100 patients (100 eyes) who had LASIK for myopic correction and had been experiencing moderate to severe DE following LASIK for over a year. Participants were randomly assigned to either the IPL group (2 IPL sessions) or IPL + group (2 IPL sessions and daily HEM for 4 weeks), and both groups continued the use of daily 0.1% SH (HYLO-COMOD®) preservative-free eye drops. Non-invasive tear break-up time (NITBUT), tear film lipid layer (TFLL), lower tear meniscus height (LTMH), meibomian gland quality (MGQ), meibomian gland expressibility (MGEx), corneal fluorescein staining (CFS), ocular surface disease index (OSDI) and artificial tear usage (ATU) survey were assessed at baseline (BL) and follow-up at 2 (F1) and 4 weeks (F2).ResultsFollowing the treatment protocol, all dry eye (DE) parameters assessed in this study improved significantly (P < 0.05) in both groups at F2 compared with their respective BL measurements. Inter-group comparison at F2 found significant differences in their NITBUT (IPL: 6.06 ± 0.59 vs. IPL +: 6.67 ± 0.86, P < 0.001), TFLL (IPL: 1.90 ± 0.65 vs. IPL +: 1.60 ± 0.64, P = 0.021), LTMH (IPL: 0.186 ± 0.053 vs. 0.204 ± 0.034, P = 0.003), MGQ (IPL: 1.48 ± 0.54 vs. IPL +: 1.26 ± 0.56, P = 0.026), MGEx (IPL: 1.62 ± 0.53 vs. IPL +: 1.44 ± 0.50, P = 0.038) and OSDI (IPL: 32.54 ± 6.85 vs. IPL +: 29.76 ± 4.74, P = 0.001), while CFS score (IPL: 4.02 ± 0.65 vs. IPL +: 3.96 ± 0.73, P = 0.652) and ATU (IPL: 1.88 ± 0.63 vs. IPL +: 1.72 ± 0.50, P = 0.159) showed no significant difference.ConclusionPost-LASIK DE signs and symptoms can be improved by combining therapies such as IPL, HEM and 0.1% SH. Increased TFLL due to a combination of IPL, 0.1% SH and HEM had a greater positive impact on the subjective and objective DE measurements in participants with persistent post-LASIK DE.

Use of Granulocyte Transfusions in Two National Cohorts and Association between Transfusion Dose and Patient Outcomes: The Best Collaborative Study

Granulocytes for transfusion (GTX) continue to be administered, mostly to treat refractory infection 1. Single center series continue to be reported, but evidence of GTX effectiveness remains uncertain. Recent attempts at randomized trials of GTX have not been completed to target although the largest trial, RING 2, identified potentially promising results in a sub-group analysis by dose.GTX can be produced by apheresis (from ‘stimulated’ donors), aGTX, or as a component pooled from whole blood (WB) donations. Logistic difficulties arise with aGTX, including recruitment of suitable donors willing to undergo cell mobilization and collection. In England GTX are now only supplied as pooled (10 WB donations/pool, mean volume single pooled unit 207 ml, mean granulocyte yield/unit 0.9 x10 10, typical adult dose 2 pools, available 6 days per week). In France, production moved from aGTX to pooled in 2020 (20 WB donations/pool, mean volume single pooled component 428 ml, mean granulocyte yield/unit 1.8 x10 10, typical adult dose 1 pool, available 6 days per week). There have been no recent published national data on the clinical use of pooled granulocytes, or comparisons between large datasets.The aim of this study was to 1) describe the use of GTX, including pooled granulocytes, in two national cohorts of recipients; 2) estimate the effect of dose on patient mortality using statistical methods which could be applied to a larger dataset in the future.A pre-piloted data collection form (DCF) was used to collect prospective audit data on all GTX given to patients in participating hospitals in England from March 2017 -Sept 2020 in England. The PROspective Granulocyte usage and outcomEs Survey (ProGrES) was deemed a national registry/audit with no individual patient consent required for anonymized data. Information on patient characteristics and outcomes was collected at the time of the request for GTX, following completion of GTX and at 28 days and 6 months follow up. DCFs were adapted for international use, and French data were collected from Jan 2018 to Dec 2020.Descriptive analyses were performed to summarize GTX dose, patient characteristics, and outcomes. Using the English data, we investigated the association between GTX dose and mortality within 28 days of final GTX using logistic regression models with and without adjustment for possible confounders (age, infection source, use of renal therapy) and using the target trial framework. Ethical approval was obtained from London School of Hygiene and Tropical Medicine for analysis of English data.Results are presented on 224 (England, pooled) and 139 (France) patients who received GTX. In France, 95 and 44 patients received aGTX and pooled GTX, respectively. Table 1 shows patient features and outcomes. The most frequent underlying diagnosis was acute myeloid leukemia in all groups, and the most common indication was treatment of refractory infection. Median number of transfusions was similar in all groups (5.0, 5.3, 6.0). The mean dose/kg/transfusion was highest in the aGTX group (0.55 x10 9/kg), followed by French pooled (0.40) and English pooled (0.2). Death within 28 days of last GTX varied from 20.2% (French apheresis) to 32.5% (French pooled).Additional analyses were performed on the English data; for death within 28 days, a 0.1 x10 9 increase in GTX dose was associated with a 22% reduction (95% CI -45% to +0%) in odds of death within 28 days of referral; odds ratio 0.78 (95% CI 0.57 to 1.00). After adjustment for potential confounders, the odds ratio was attenuated to 0.92 (95% CI 0.67, 1.23).In summary, GTX continue to be requested by clinicians in patients with poor outcomes, despite an uncertain evidence-base. Regression analysis found dose was associated with lower odds of 28-day mortality. This was not significant after confounder adjustment, but this proof-of-principle analysis was limited by the sample size. A potential dose effect was also seen in the RING study. Our analysis using a target trial approach provides an approach for estimating GTX effectiveness in a larger cohort, which is required given the well-recognized challenges of undertaking randomized trials. The analysis provides a range of sample size calculations for testing an association between dose and outcomes for a defined effect size in a larger international cohort, supported by the BEST Collaborative 3.

Insecticides and Oilseed Rape: The Case for Updating the Monitoring of Pesticide Usage

The moratorium on the use of neonicotinoids in 2013 and ban on all outdoor use in 2018, prompted debate about replacement insecticide sprays farmers might apply to oilseed rape. The UK Pesticide Usage Survey (PUS) reports are used to summarise insecticide use on oilseed rape from 1988 to 2018. This summary is compared with statements made and reveal diverse views about insecticide use on oilseed rape. The PUS methodology is examined and limitations identified. It is proposed that all agricultural use of pesticides should be reported online to a central database. This would improve the monitoring of pesticide usage and assist in meeting the aim of the DEFRA National Action Plan on the Sustainable Use of Pesticides to minimise the risks and impacts to human health and the environment.

Integrating language literacy in physical sciences in Riba Cross District, South Africa

The language of teaching and learning challenges Physical Sciences teachers and impacts learners’ achievements. The study aimed to investigate how language literacy is integrated into the teaching of Physical Sciences. A descriptive survey design was adopted. The participants were five Grade 10 Physical Sciences teachers and 211 learners (108 boys; 103 girls) from nine schools exhibiting low academic achievements. Data were gleaned through the Literacy Skills Usage Survey Questionnaire (LSUSQ). The results show that 77.78% of the teachers did not engage learners in report writing and arguments which are fundamental to language literacy, suggesting that integrating literacy in science teaching was inadequate. Learners had difficulties in contributing to word walls, writing reports, and arguing from evidence. The lack of integration suggests that teachers lacked training in integrating language literacy into science teaching. These findings underscore the need for workshops to enable teachers to incorporate language literacy in teaching Physical Sciences.&#x0D; &#x0D; Keywords: arguing from evidence, integrate, language literacy, reading and report writing

The Role of Social Media Use in Peer Bullying Victimization and Onset of Anxiety Among Indonesian Elementary School Children.

Objectives: This study explored a multidimensional model of the relationships between social media use, gender, peer bullying victimization experiences, and the onset of anxiety symptoms among children. We hypothesized that greater experience of bullying would be associated with greater onset of anxiety. We also expected that gender and social media use (specifically Instagram and YouTube) would be linked with anxiety among elementary school children. To test this hypothesis, a structural equation modeling approach was used.Methods: A total of 456 elementary children aged 11–13 years from nine schools were recruited for this research. We used two psychological measures: The Screen for Child Anxiety Related Emotional Disorders (SCARED) and the Personal Experience Checklist (PECK) as well as a sociodemographic questionnaire (general demographic information and social media-related information).Results: The social media usage survey found that all participants (100%) used social media. Instagram (52.42%) and YouTube (47.58%) were the platforms most used by the participants. The Structural Equation Model results suggest that bullying victimization and gender predicted the onset of anxiety in elementary school children. The model explained 32.1% of the variance of the outcome with very adequate fit indicators based on most indices, χ2 = 173.56, df = 52, p < 0.001; CFI = 0.92; TLI = 0.94; RMSEA = 0.07 (90% CI: 0.06–0.08). Instagram use was correlated positively with generalized anxiety disorder. Gender was negatively correlated with Instagram use and positively correlated with YouTube use. Girls were found to use Instagram more and boys were found to use YouTube more. It was also found that girls had higher scores onSCARED dimensions, except for school avoidance. Girls were more prone to onset of anxiety than boys, except for school avoidance, which was not related to gender. Boys were found to experience significantly more physical bullying than girls. On the other hand, girls were found to experience more panic disorder, generalized anxiety disorder, separation anxiety disorder, and social anxiety than boys.Conclusion: This study found that bullying victimization significantly influences the onset of anxiety in children. Particular attention should be paid to cyberbullying in this context. This study also found a link between gender and anxiety—girls had a greater tendency to experience the onset of various types of anxiety, including panic disorder, generalized anxiety disorder, separation anxiety disorder, and social anxiety. Gender was also correlated with the form of bullying victimization. The findings of this study suggest that boys were more likely to experience physical bullying than girls. Interestingly, we found that Instagram use was significantly correlated with developing separation anxiety. In particular, children demonstrated school avoidance when experiencing cyberbullying. Limitations and future directions are discussed.

Modeling of the Factors Affecting e-Commerce Use in Turkey by Categorical Data Analysis

e-Commerce use is a subject of study that has been frequently discussed in recent years. The aim of this study was to detect the socio-demographic and economic factors affecting e-commerce use of individuals in Turkey. The micro dataset obtained from Information and Communication Technology (ICT) Usage Survey in Households performed by the Turkish Statistical Institute in 2014-2018 was employed in this study. Multinomial logistic and multinomial probit regression analyses were performed to detect the factors affecting e-commerce use of individuals in Turkey. The data of 129,643 individuals, who participated in ICT Usage Survey in Households in 2014-2018, were employed in the regression analyses. According to the analysis results, the variables of survey year, age, gender, educational level, occupation, income level, region and household size were detected to be effective on online shopping. The results of the study indicated that e-commerce use was gradually increasing. It was determined that more educated and young individuals and individuals living in relatively more developed regions were more inclined to online shopping. Policies should also be developed to increase e-commerce use of low educated individuals and individuals over middle age. In particular, small and medium-sized businesses (SMB) should pay more attention to the use of e-commerce in order to increase their activities by taking these situations into consideration. Indeed, how important e-commerce use is has been found out in epidemics/pandemics such as COVID-19, which causes people to lock themselves at home in the countries.

Usage Survey of the Square and the Surrounding Buildings in Chungbuk National University before and after the Coronavirus Epidemic

Usage Survey of the Square and the Surrounding Buildings in Chungbuk National University before and after the Coronavirus Epidemic

Determinants of e-Commerce Use at Different Educational Levels: Empirical Evidence from Turkey

Rapid spread of internet has made e-commerce an essential and effective tool for commercial transactions. The purpose of this study is to investigate e-commerce use differences between individuals in Turkey according to their educational levels and to specify the relationship between demographic characteristics of individuals and e-commerce use. In this study, the cross-sectional data obtained by Household Information Technologies Usage Survey were used. Binary logistic regression analysis was utilized to determine the factors associated with the e-commerce use of individuals. This study has concluded that the variables of income level, age, gender, occupation, region, social media use, use of internet banking, use of e-government, number of information equipment in a household and the number of people in a household have relationships with e-commerce use. In addition, it has been found out that the variables in e-commerce use showed differences according to educational levels of individuals. It has been determined as a result of this study that as the education level of the individuals increased, their tendency towards online shopping increased. Higher education level refers to higher income level at both state and private institutions and more perception towards innovations. This has naturally a positive effect on online shopping behaviors of individuals.

Listening to Music “in” the Library

Digital and streaming audio and video (A/V) content have usurped the primacy of physical media materials and their playback technology within institutional music libraries, notwithstanding throwbacks to and resurgences of physical media in commercial and personal contexts. Music libraries are challenged with the conflicting responsibilities of maintaining legacy format materials that are not digitally available, continuing to collect physical resources that are not available either digitally or through institutional streaming subscriptions, and acquiring born-digital and digitized resources. They must also reconcile these responsibilities with the fact that many streaming A/V resources are freely available to individual consumers. In an era of dwindling resources and appreciation for curated music collections, how will libraries ensure that their A/V resources, in all formats, remain relevant to current and future users? This paper presents the results of an A/V usage survey administered to affiliates of the University of Alberta’s Music Department to learn about the attitudes, preferences and experiences of music library users’ practises for accessing recorded music.

Impact of mHealth interventions for reproductive, maternal, newborn and child health and nutrition at scale: BBC Media Action and the Ananya program in Bihar, India

Background Mobile health (mHealth) tools have potential for improving the reach and quality of health information and services through community health workers in low- and middle-income countries. This study evaluates the impact of an mHealth tool implemented at scale as part of the statewide reproductive,maternal, newborn and child health and nutrition (RMNCHN) program in Bihar, India. Methods Three survey-based data sets were analysed to compare the health-related knowledge, attitudes and behaviours amongst childbearing women exposed to the Mobile Kunji and Dr. Anita mHealth tools during their visits with frontline workers compared with those who were unexposed. Results An evaluation by Mathematica (2014) revealed that exposure to Mobile Kunji and Dr. Anita recordings were associated with significantly higher odds of consuming iron-folic acid tablets (odds ratio (OR) = 2.3, 95% confidence interval (CI) = 1.8-3.1) as well as taking a set of three measures for delivery preparedness (OR = 2.8, 95% CI = 1.9-4.2) and appropriate infant complementary feeding (OR = 1.9, 95% CI = 1.0-3.5). CARE India's Community-based Household Surveys (2012-2017) demonstrated significant improvements in early breastfeeding (OR = 1.64, 95% CI = 1.5-1.78) and exclusive breastfeeding (OR = 1.46, 95% CI = 1.33-1.62) in addition to birth preparedness practices. BBC Media Action's Usage & Engagement Survey (2014) demonstrated a positive association between exposure to Mobile Kunji and Dr. Anita and exclusive breastfeeding (58% exposed vs 43% unexposed, P < 0.01) as well as maternal respondents' trust in their frontline worker. Conclusions Significant improvements in RMNCHN-related knowledge and behaviours were observed for Bihari women who were exposed to Mobile Kunji and Dr. Anita. This analysis is unique in its rigorous evaluation across multiple data sets of mHealth interventions implemented at scale. These results can help inform global understanding of how best to use mHealth tools, for whom, and in what contexts. Study registration ClinicalTrials.gov number NCT02726230.

Impact of mHealth interventions for reproductive, maternal, newborn and child health and nutrition at scale: BBC Media Action and the Ananya program in Bihar, India.

BackgroundMobile health (mHealth) tools have potential for improving the reach and quality of health information and services through community health workers in low- and middle-income countries. This study evaluates the impact of an mHealth tool implemented at scale as part of the statewide reproductive,maternal, newborn and child health and nutrition (RMNCHN) program in Bihar, India.MethodsThree survey-based data sets were analysed to compare the health-related knowledge, attitudes and behaviours amongst childbearing women exposed to the Mobile Kunji and Dr. Anita mHealth tools during their visits with frontline workers compared with those who were unexposed.ResultsAn evaluation by Mathematica (2014) revealed that exposure to Mobile Kunji and Dr. Anita recordings were associated with significantly higher odds of consuming iron-folic acid tablets (odds ratio (OR) = 2.3, 95% confidence interval (CI) = 1.8-3.1) as well as taking a set of three measures for delivery preparedness (OR = 2.8, 95% CI = 1.9-4.2) and appropriate infant complementary feeding (OR = 1.9, 95% CI = 1.0-3.5). CARE India’s Community-based Household Surveys (2012-2017) demonstrated significant improvements in early breastfeeding (OR = 1.64, 95% CI = 1.5-1.78) and exclusive breastfeeding (OR = 1.46, 95% CI = 1.33-1.62) in addition to birth preparedness practices. BBC Media Action’s Usage & Engagement Survey (2014) demonstrated a positive association between exposure to Mobile Kunji and Dr. Anita and exclusive breastfeeding (58% exposed vs 43% unexposed, P < 0.01) as well as maternal respondents’ trust in their frontline worker.ConclusionsSignificant improvements in RMNCHN-related knowledge and behaviours were observed for Bihari women who were exposed to Mobile Kunji and Dr. Anita. This analysis is unique in its rigorous evaluation across multiple data sets of mHealth interventions implemented at scale. These results can help inform global understanding of how best to use mHealth tools, for whom, and in what contexts.Study registrationClinicalTrials.gov number NCT02726230.

Literasi Internet Untuk Meminimalisir Dampak Konten Negatif Pada Ibu-Ibu Pkk Desa Citeras

Internet rapid use in daily life has led to lifestyle changes. Internet is not only used by adults but also children. The Family Welfare Empowerment (PKK) action as the vanguard in the family has goals to create a family with noble character. It is important for PKK mothers to understand internet literacy in order to educate their children in healthy internet use so that the negative impact can be minimized. Based on the situation analysis, problems in Citeras village can be formulated, namely the need to increase the understanding of Citeras village PKK mothers regarding internet literacy. The solution to this problem is to conduct training activities on internet literacy and use of parental control applications. This activity aims to improve the competence of PKK mothers so that they can monitor their children in using the internet positively. This training has been carried out well. This is reinforced by the data from the internet usage survey, the high category N-gain value of 96,15, and the results of the survey on the implementation of activities to the community which received a positive response from the participants