Views Of Participants Research Articles

A person‐centred view of citizen participation in civic crowdfunding platforms: A mixed‐methods study of civic backers

AbstractCrowdfunding platforms have emerged as a promising contemporary means for mobilising collective civic actions to address local or social issues, improve community cohesion and develop the public good. This empirical study taps into the understudied civic crowdfunding platforms (CCP) developed to facilitate such actions, proposing, supporting and funding public‐interest projects through crowdsourcing and microfinancing. Previous studies have shown that individuals' characteristics affect their level of civic engagement with social issues. Considering the diversity of contributor motivations, we aim to shed light on the dynamics of emergent subpopulations of citizens who participate in CCPs. To this end, we use a sequential mixed‐methods approach to integrate our fuzzy set Qualitative Comparative Analysis (fsQCA) findings with the results of an in‐depth qualitative study, to gain rich and robust inferences and meta‐inferences. In Study 1 (n = 316), we used fsQCA to explore five distinctive configural profiles that display the heterogeneity of civic backers' motivations, including civic champions, prosocial advocates, normative supporters, reward seekers and regret‐averse contributors. In Study 2, we corroborated and complemented our fsQCA inferences through an extreme‐case study and identified four boundary conditions. Taken together, our inferences and meta‐inferences address the heterogeneity of motivations for participating in CCPs, by understanding and theorising about diverse profiles of citizen backers. Finally, we offer practical implications for successful civic crowdfunding initiatives.

The effect of web-based peer feedback on students’ writing achievement

Peer feedback via CMC modalities has become an alternative to conventional in-class peer feedback due to the rapid rise of educational technology and the widespread use of computer-mediated communication in L2 education. Despite the fact that much research has been published on the benefits of CMC tools for enhancing L2 proficiency, the number of studies on peer feedback provided on online platforms and its effect on L2 writing achievement is limited. Therefore, the current research, with the participation of 42 university preparatory class engineering students, aimed to investigate the effectiveness of web-based peer feedback on L2 writing achievement and their views towards web-based peer feedback. For this study, the purposive sampling method was employed. To collect the data, pre-and post-tests were used and semi-structured interviews were conducted with the experimental group members. The findings have indicated that compared to traditional teacher feedback, web-based peer feedback is found to be more effective in improving students’ L2 writing achievement. Regarding the views of participants, web-based platforms to give feedback has several advantages, including practicality, ease of access, motivation, and continuous learning. The quality of the input, a lack of technological resources, or connectivity problems were regarded as the disadvantages.

'Rules of engagement': Does competition drive engagement in faculty development.

Faculty development (FD) is integral to the implementation of educational programmes. However, attracting new faculty is challenging. Competition is a motivator for learning at an undergraduate level; however, incorporating competition to engage faculty in continued FD has not been explored. In the context of a new strategy to embed in situ simulation in postgraduate education across our healthcare group, and drawing on motivational theory, we asked 'does competition drive engagement in new FD initiatives?' We conducted semi-structured interviews with nine healthcare professionals (HCPs) who had participated in an in situ simulation 'SimStars' competition. Guided by thematic analysis and borrowing from constructivist grounded theory, we explored participants' motivations for entering a competition, their experiences of competition throughout their education and how this process impacted on their engagement in FD. Three overarching concepts arose and challenged our understanding of the role of competition as a motivator: (1) 'Competition is a necessary evil'; (2) 'It really is the taking part that counts'; and (3) 'Teamwork makes the dream work'. In contrast to previously published work, our results suggest participants view competition negatively and as a means to career progression. However, the opportunity to work as part of an (interprofessional) team towards a goal, and to develop a new skill (i.e. the process), was more motivating for participants than 'winning' a competition. Competition may not provide a motivation for HCPs to engage in FD and may be a barrier. Providing collaboration opportunities, faculty coaching and the chance to develop new skills could enhance engagement.

The Quality in Acute Stroke Care (QASC) global scale-up using a cascading facilitation framework: a qualitative process evaluation

BackgroundVariation in hospital stroke care is problematic. The Quality in Acute Stroke (QASC) Australia trial demonstrated reductions in death and disability through supported implementation of nurse-led, evidence-based protocols to manage fever, hyperglycaemia (sugar) and swallowing (FeSS Protocols) following stroke. Subsequently, a pre-test/post-test study was conducted in acute stroke wards in 64 hospitals in 17 European countries to evaluate upscale of the FeSS Protocols. Implementation across countries was underpinned by a cascading facilitation framework of multi-stakeholder support involving academic partners and a not-for-profit health organisation, the Angels Initiative (the industry partner), that operates to promote evidence-based treatments in stroke centres. .We report here an a priori qualitative process evaluation undertaken to identify factors that influenced international implementation of the FeSS Protocols using a cascading facilitation framework.MethodsThe sampling frame for interviews was: (1) Executives/Steering Committee members, consisting of academics, the Angels Initiative and senior project team, (2) Angel Team leaders (managers of Angel Consultants), (3) Angel Consultants (responsible for assisting facilitation of FeSS Protocols into multiple hospitals) and (4) Country Co-ordinators (senior stroke nurses with country and hospital-level responsibilities for facilitating the introduction of the FeSS Protocols). A semi-structured interview elicited participant views on the factorsthat influenced engagement of stakeholders with the project and preparation for and implementation of the FeSS Protocol upscale. Interviews were recorded, transcribed verbatim and analysed inductively within NVivo.ResultsIndividual (n = 13) and three group interviews (3 participants in each group) were undertaken. Three main themes with sub-themes were identified that represented key factors influencing upscale: (1) readiness for change (sub-themes: negotiating expectations; intervention feasible and acceptable; shared goal of evidence-based stroke management); (2) roles and relationships (sub-themes: defining and establishing roles; harnessing nurse champions) and (3) managing multiple changes (sub-themes: accommodating and responding to variation; more than clinical change; multi-layered communication framework).ConclusionA cascading facilitation model involving a partnership between evidence producers (academic partners), knowledge brokers (industry partner, Angels Initiative) and evidence adopters (stroke clinicians) overcame multiple challenges involved in international evidence translation. Capacity to manage, negotiate and adapt to multi-level changes and strategic engagement of different stakeholders supported adoption of nurse-initiated stroke protocols within Europe. This model has promise for other large-scale evidence translation programs.

Co-creating experiences through the use of arts in social work education

ABSTRACT The inclusion of citizens in social work education was initiated over 30 years ago and continues to travel a ‘long and winding road’. Social work education in the UK faces increasing pressure from a range of stakeholders including citizens who use services, regulatory bodies and the media to demonstrate that newly qualified social workers are competent and uphold public trust. While social work education and practice within England and Wales draw on similar traditions in theory and practice, there are important differences in the national and institutional frameworks within which they operate. This article illustrates some of these differences through a focus on social work education provision in one English and one Welsh university. Drawing on the experience and views of the student participants, we examine the benefits of creative approaches that promote citizen involvement and suggest how European traditions can contribute to this process. We define key terms and summarize the literature, followed by presentation of the results and identification of the key learning. We identify that emancipatory models of education can encourage recognition of learners’ different strengths and can help to assist social work students’ readiness for practice. Finally, we acknowledge the need for cost-benefit outcomes research into if and how citizen coproduction influences subsequent service delivery.

Effects of Augmented Reality-Based Remote Mentoring on Task Performance and Communication: A Simulation Study in the Context of Emergency Medical Services.

Background: Augmented reality head-worn displays (HWDs) may enable efficient remote support in the prehospital environment due to their hand-free operability, their "see-what-I-see" features, and their ability to superimpose digital content over the environment. Methods: In this simulation-based randomized controlled study, a remote mentor used either a phone or HWD to instruct 23 physicians on how to insert a Multi-Lumen Access Catheter into a mannequin. In the phone condition, information could be exchanged only verbally. In the HWD condition, the mentor could additionally see the participant's first-person view and show reference images. We hypothesized that participants who received instructions via the HWD would achieve better procedural performance (lower task completion times, fewer errors advancing the catheter) and exhibit different communication patterns than participants who received instructions via phone. Results: The HWD did not significantly reduce task completion times or errors during catheter advancement. However, by analyzing the frequency of communication events with a Poisson regression, we could demonstrate that with the HWD, the mentor had to request situation reports less often (p < 0.001) but provided more instructions (p = 0.004) and more feedback (p = 0.008). As a possible consequence, participants in the HWD condition rated their workload as lower than participants who used a phone to communicate (p = 0.45). Conclusion: The study demonstrates that HWD-based telemedicine systems can be rated positively by physicians, can benefit communication, and can provide more opportunities for the detection of clinical errors.

The status of the teaching profession in Turkey: a case study about the Teaching Profession Act

ABSTRACT This study aimed to identify the views of educators on the status of the teaching profession taking into consideration the enacted Teaching Profession Act (TPA) in Turkey. The study aimed to reflect the views of participants from different backgrounds as much as possible. A qualitative research pattern and a case study model were adopted. The results identified the issues and content to be considered in the TPA. The results showed that the content of current TPA was limited. Participants emphasized that a participatory approach should have been adopted to prepare a comprehensive TPA. The participants requested a profession act that includes the qualifications framework of the teaching profession and professional rights of teachers. Participants also stated that the principles that protect the prestige and status of the teaching profession should be included in the professional law.

How Do Molecular Systems Engineering Scientists Frame the Ethics of Their Research?

Background There are intense discussions about the ethical and societal implications of biomedical engineering, but little data to suggest how scientists think about the ethics of their work. The aim of this study is to describe how scientists frame the ethics of their research, with a focus on the field of molecular systems engineering. Methods Semi-structured qualitative interviews were conducted during 2021–2022, as part of a larger study. This analysis includes a broad question about how participants view ethics as related to their work, with follow up probes about the topics they consider most important. Interviews were transcribed, inductively coded by two researchers to consensus, and analyzed thematically. Results Twenty-four scientists participated in the study. Interviewees hold positions as professors, principal investigators, and senior staff researchers in universities or research institutes in the United States and Europe. Among those scientists who reported reflecting on ethical considerations in their work, many equated ethics with research ethics topics (e.g., safety, replicability), or with regulation and guidelines. Participants expressed the view that ethical issues are primarily relevant for clinical trials of bioengineered products, or for those working with animal or human subjects. Scientists described their research as “too early” or “not examining anything living” with regard to ethical reflection. Finally, many felt that ethics is seen as territory for experts and therefore beyond scientists’ competencies. Conclusions Molecular systems engineering scientists currently focus on regulatory aspects as the framework for their ethical analyses. They describe using a framework to define when life arises, as a means to determine when further ethical engagement is warranted. Further research is needed to investigate how scientists relate to the ethics of their scientific work, and build consensus around concepts of life, autonomous behavior, and physiological relevance of bioengineered systems.

Participant Experiences With a Community-Based, "Older Adult" Walking Football Initiative in Australia: A Qualitative Exploration.

Despite the growing popularity of walking sports, little is known about who is attracted to them, and what skills, motivations, and experiences encourage ongoing participation. The aim of this study was to gain an in-depth understanding of the phenomenon of walking football in Australia. The authors first conducted semistructured interviews with 53 older adults (M = 62.37years, 30.19% female) participating in walking football in Australia. Next, they conducted thematic analysis to develop themes that represented participant perspectives.Results indicated that walking football led to several physical benefits, but the social and mental benefits seemed to be more closely associated with continued participation. The slower pace of walking football created a valuable option to engage in physical activity among those with injuries or severe health issues, as well as older adults concerned about injuries. The slower pace also shifted the focus of walking football away from fitness and ability, and toward technique and skill development, and this focus, along with the mix in abilities, led to informal coaching and mentoring roles which were highly valued among older participants. Participant views about competition in walking football were diverse, with some expressing a mild concern. Understanding such diverse experiences of walking football helps to better understand how different aspects of the sport influence the perceived benefits and likelihood of continuing for different people. Using these findings to further develop walking sports in Australia could have large impacts on the health and well-being of older people.

Can artificial intelligence replace assurance, governance and risk management professionals?

The digitalization of most businesses through the integration of artificial intelligence (AI) presents a great threat to many professionals asking themselves if their skill set will still be relevant in the future. The purpose of the research was to understand if AI is ready to replace assurance, governance and risk management professionals in Southern Africa and across the globe. The author critically assessed the role of governance, assurance, and risk management professionals in business and the realities of emerging technology deduced from the author’s many years of practical work as an assurance professional. The methodology applied in this study was a narrative approach as the author wanted to gather the views of the conference participants and keep the audience engaged by asking questions during the conference session. The main findings of the paper were that governance, assurance, and risk management play a critical role in business strategy as corporate governance influences investment strategic decisions. This article challenges professionals to embrace and optimise innovative technologies to remain relevant in their areas of influence and expertise. In conclusion, businesses are encouraged to be more innovative and embrace entrepreneurship during the 4th to 5th Industrial Revolution (4IR to 5IR) transformation to improve efficiencies and customer experience (Paschek et al., 2019).

Exploring the prospective acceptability of a healthy food incentive program from the perspective of people with type 2 diabetes and experiences of household food insecurity in Alberta, Canada.

FoodRx is a 12-month healthy food prescription incentive program for people with type 2 diabetes (T2DM) and experiences of household food insecurity. In this study, we aimed to explore potential users' prospective acceptability (acceptability prior to program use) of the design and delivery of the FoodRx incentive and identify factors influencing prospective acceptability. We used a qualitative descriptive approach and purposive sampling to recruit individuals who were interested or uninterested in using the FoodRx incentive. Semi-structured interviews were guided by the theoretical framework of acceptability, and corresponding interview transcripts were analysed using differential qualitative analysis guided by the socioecological model. Individuals living in Alberta, Canada. In total, fifteen adults with T2DM and experiences of household food insecurity. People who were interested in using the FoodRx incentive (n 10) perceived it to be more acceptable than those who were uninterested (n 5). We identified four themes that captured factors that influenced users' prospective acceptability: (i) participants' confidence, views and beliefs of FoodRx design and delivery and its future use (intrapersonal), (ii) the shopping routines and roles of individuals in participants' social networks (interpersonal), (iii) access to and experience with food retail outlets (community), and (iv) income and food access support to cope with the cost of living (policy). Future healthy food prescription programs should consider how factors at all levels of the socioecological model influence program acceptability and use these data to inform program design and delivery.

Evaluation of a Disaster Preparedness Curriculum and Medical Students' Views on Preparedness Education Requirements for Health Professionals.

In general, medical students perceive themselves as inadequately prepared to assist in disasters. This study evaluated the impact of a disaster preparedness curriculum and medical students' views toward required preparedness education for health care professionals. A comprehensive disaster preparedness curriculum was evaluated on its effect on medical students' views on preparedness education requirements, preparedness, and prior disaster training using self-report survey methodology. Results provide evidence to support curricular effectiveness in significantly increasing initial participant views of health professionals' education requirements, perceived preparedness for integrating professional roles into the emergency response system, and confidence in exposure risk assessment and triage skills. Most participants possessed limited recent prior disaster training and drill experience. Most interestingly, the majority consistently believed throughout the study that disaster preparedness training should be a medical license mandate. For those instructing current medical students in disaster preparedness, it is suggested that a curriculum be chosen that can create participant initial anticipation, awareness, and belief in the importance of and need for disaster preparedness training. Further investigation is recommended into the relationship between students' perceived training importance and any future curriculum delivery efforts on behalf of required or mandatory preparedness offerings in continuing professional development.

The Classic Stroop Asymmetry Works for Spoken as Well as Written Words

In modern versions of the Stroop task, participants view target words presented on a computer screen with pixels that are either congruent (e.g., “Red” in red pixels) or incongruent (e.g., “Red” in blue pixels) with the meaning of the target word. When participants report the target color, the difference in response time between congruent and incongruent targets (i.e., Stroop effect) is typically larger than when they report the target word (i.e., reverse Stroop effect); this is the classic Stroop asymmetry. For decades following Stroop’s experiments, the prevailing explanation for the asymmetry asserted that, for most people, word reading but not color naming has become automatic, so the target word should always become mentally accessible before the target color. Recent studies have argued instead that the advantage for the target word results not from automaticity but from a strong association between the identification task and verbal processing. To test the strength-of-association account, we developed Qualtrics scripts to deliver visual and auditory target words in Stroop and reverse Stroop tasks. The visually presented targets replicated the classic Stroop asymmetry, p &lt; .001, ηp2 = .27. The auditorily presented targets extended the classic Stroop asymmetry to the auditory domain, p &lt; .001, ηp2 = .18. These results support the argument that, for an identification task, the target’s semantic features enjoy an advantage over the target’s perceptual features regardless of the sensory modality to which the target is presented. In turn, this shows that task demands are more important than automaticity in mental processing.

Evaluation of knowledge and awareness of clinical trials among undergraduate, interns, and postgraduate medical students

Background: Clinical trials aim to improve health care by reducing treatment costs, enhancing quality, and advancing the discovery of safe treatments. Notably, limited knowledge among resident doctors may impact research quality. Aims and Objectives: The study seeks to evaluate awareness and knowledge of clinical trials among undergraduate, intern, and postgraduate medical students. Materials and Methods: It was an observational, cross-sectional study conducted on 300 medical students over 3 months after approval from the Institutional Ethics Committee (IEC). The pre-validated questionnaire containing 24 items was administered through email, WhatsApp, or in person. Data were analyzed using descriptive statistics. Results: In the study, 96.7% of participants believe the necessity of clinical trials. Notably, 72% of undergraduates and 76% of postgraduates express willingness to participate in a clinical trial. Furthermore, 93% of participants view trials as vital for innovative therapies, and 74.3% believe that they enhance health-care services. Knowledge gaps in clinical trials were evident: 56.3% of participants knew good clinical practice guidelines, 46.7% of participants were aware of them, and only 12.3% of participants knew the IEC role. However, 66.7% of participants recognized the Drug Controller General of India (DCGI) and IEC approvals as crucial for trials, and 53.7% of participants identified DCGI as the regulatory authority. 68.3% of participants could not define a placebo-controlled trial. However, 75% of participants were aware of the consequences of informed consent form non-compliance. Most knew about post-marketing surveillance (80.33%), but awareness of healthy volunteer involvement in Phase 1 was lower (48%). In addition, 62.33% of participants knew about marketing access after Phase 3, and 60% of participants were aware of adverse effects reporting procedures. Conclusion: The study reveals a concerning lack of awareness regarding clinical trials among undergraduate, intern, and postgraduate medical students, emphasizing the need for targeted educational interventions in medical curricula.

Stakeholder’s Perspective on the Challenges Faced during the Implementation of the Integrated Curriculum at Medical Colleges of Khyber Pakhtunkhwa

OBJECTIVES To explore and identify the challenges stakeholders face in implementing and sustaining the integrated curriculum in undergraduate medical colleges of Khyber Pakhtunkhwa METHODOLOGY The study design was qualitative exploratory. A total of 15 participants (student, faculty member, and educationist from each institute, two public sector and three private sector medical colleges in Peshawar. The participants meeting the inclusion criteria were enrolled through a purposive sampling technique. An interview guide was developed based on the literature review, and experts’ validation was done and used to conduct semi-structured interviews with nine participants. A Focused group discussion (FGD) comprised six participants to complement the data from individual interviews. Audio recordings of interviews and FGD were transcribed verbatim manually. The ten transcripts were fragmented and searched for primary codes. A total of 166 codes in vivo codes were generated. The second cycle of 44 descriptive codes was defined. The secondary codes were merged into 17 subthemes and six themes. RESULTSA total of six themes were derived from the data. The themes were that planning curriculum integration is like planning an uphill drive, dream versus ground reality, moving up and down the ladder, teamwork is the heart of the paradigm shift, the challenges, and the road to success. Participants views on the difficulty of implementing an integrated curriculum varied widely, and these differences were attributable to the participants' unique perspectives and contextual factors of the institutes. CONCLUSION Implementing an integrated curriculum is not a journey on the road; it faces many challenges. Teamwork is the hallmark of successful implementation.

The Future of UAVs in Urban Air Mobility: Public Perception and Concerns

This study aims to examine the public perception of Unmanned Aerial Vehicles (UAVs) in the context of Urban Air Mobility (UAM) and evaluate the widespread acceptance and applicability of this new technology. In this study, semi-structured interviews were conducted with 82 participants residing in the provinces of Istanbul and Ankara. The data obtained were analyzed using the thematic analysis method to categorize participants' views about UAVs in a specific structure. As a result of this analysis, participant views were categorized into three main themes: positive views, negative views, and neutral perspectives. Among the positive views, participants' expectations regarding the emergency use of UAVs stand out. In the negative views, concerns about the security and potential risks of UAVs took the lead, while mixed thoughts about the impact of UAVs on society, legal regulations, and technological development formed the neutral category.

Effectiveness of ICT for Secondary Education System in Vyas Municipality Ward No-1 of Nepal

ICT education in Nepal encounters obstacles that impede its effective implementation and widespread adoption. Insufficient infrastructure, including reliable internet connectivity, electricity, and hardware, poses a significant challenge to providing comprehensive ICT education countrywide. Additionally, a considerable digital divide exists between urban and rural areas, leading to disparities in access to ICT tools and technology. The research aims to explore the effectiveness of ICT in enhancing Nepal’s secondary education system, assessing its impact and benefits. It seeks to understand how ICT can improve various aspects of secondary education, ultimately enhancing the overall quality and efficiency of the educational process. Questionnaires and group discussion are the main tools of this research. Mixed method used in this research. The majority of participants considered ICT’s effectiveness as “Sufficient”, indicating a significant positive impact on the secondary education system. Additionally, 33% rated it as “Normal” suggesting an average impact. 8% perceived it as “Satisfactory”, indicating a modestly positive perception. However, 21% rated it as “Insufficient” indicating room for improvement. This analysis reveals that while many participants view ICT positively, a considerable proportion sees scope for enhancement. Overall, this study provides insights into the perception of ICT’s effectiveness in enhancing secondary education in Nepal, with most participants viewing it positively, through some believe improvements are needed.

Awareness and Availability of Low Sodium Iodized Salt: Results from Formative Research of Promoting Uptake of Low SodiUm Iodized Salt by Rural and Urban HousehoLds in India-The PLURAL Study.

Dietary sodium intake is high among adults in India. Use of low sodium iodized salt (LSIS) can help reduce sodium intake. However, contextually relevant and culturally appropriate interventions to promote LSIS uptake in India have not been developed and implemented. We carried out formative research to inform an intervention to promote uptake of LSIS among rural and urban households in north (Sonipat district) and south (Visakhapatnam and Anakapalli districts) India. Sixty-two in-depth interviews of six focus groups were held with a range of stakeholders-consumers, retailers and influencers. Participant views on availability, affordability, taste and safety of LSIS, along with views on hypertension, its risk factors and potential intervention design and delivery strategies were elicited. Thematic analysis of the data was carried out. While the awareness of hypertension and its risk factors was high among the participants, awareness of LSIS was low. There was also low demand for, and availability of, LSIS. Since cost of LSIS was higher than regular salt, participants preferred that a subsidy be provided to offset the cost. Based on these findings, an intervention to promote the uptake of LSIS was implemented by project staff using various educational materials such as posters, pamphlets and short videos.

What do the revised UK standards of proficiency mean for diagnostic radiography training? A regional radiographer focus group study

IntroductionRevisions to the UK Health and Care Professions Council (HCPC) standards of proficiency for diagnostic radiographers came into effect on September 1st 2023. Changes include an increase of proficiencies in CT and extended to MRI imaging. As workforce support the development of learners to meet stage outcomes in practice, this study aimed to understand the radiographers' expectations of future learners' training to meet the new standards of proficiency. MethodsSnowball sampling was used to invite practice educators/student supervisors and department leads within the 21 NHS Trusts in the North East and Yorkshire region providing diagnostic radiography practice placements. Online focus groups used a semi structured topic guide to explore the expectations of student performance during different stages of their training, and on different types of pre-registration programmes. Participants views were sought on considerations for appropriate assessment. Thematic analysis was supported by NVivo software. ResultsFifteen diagnostic radiographers across 11 NHS trusts participated in 5 focus groups in November 2022. The findings showed consistency in expectations of student performance in projectional radiography, patient care and communication. Participants felt some standards of proficiency were beyond threshold competency, or current practices were a barrier in supporting learning. Participants felt assessment over a period and range of examinations in the clinical environment gave a fairer picture of student performance. ConclusionThere is uncertainty and perceived barriers in supporting future diagnostic radiography training in the practice setting. Implications for practiceFurther work will be needed to identify and support appropriate learning opportunities and stage outcomes if learners are to meet the breadth of HCPC standards of proficiency with some consistency.

FACTORS ASSOCIATED WITH ELECTRONIC HEALTH RECORD ADOPTION AMONG ADULT DAY SERVICES IN THE US

Abstract Successful adoption of Electronic Health Records (EHR) is becoming increasingly important for Adult Day Service Centers (ADSC) to function effectively and competently, particularly in care coordination with other healthcare providers. Therefore, in the present study, we assessed the EHR adoption among ADSC and its associated organizational characteristics using the 2018 National Study of Long-Term Care Providers (NPALS). The sample included 4,035 ADSC from a national representative sample. Directors or managers of ADSC completed the survey that included questions on organization characteristics, staffing, practice procedures, services, technology use, etc. Findings reveal that the adoption rate of EHR among ADSC was less than thirty percent and less than twenty percent of ADSC used EHR for health information exchange with either physicians or pharmacists. In addition, we found that an ADSC located near other healthcare providers, with Medicaid authorization and a higher percentage of Medicaid patients, and various computer capabilities such as recording participants’ demographic information, clinical notes, medications, service plans, and lab results were related to a higher likelihood of EHR use and EHR exchange. However, possibly due to privacy concerns, the capabilities to record participant problems and view lab results, negatively predict EHR exchange with physicians or pharmacists. The findings are discussed in terms of challenges and strategies to promote EHR adoption in ADSC.