Gender, education, and digital generations as determinants of attitudes toward health information for health workers in West Java, Indonesia

How WhatsApp is transforming health communication among frontline health workers: a mixed-method study among midwives in India

BACKGROUND

Limited literature exists in India on WhatsApp use for health communication among frontline health workers like Auxiliary Nurse Midwives (ANM). We conducted this study to assess the adoption of WhatsApp among ANMs and identify factors influencing its adoption. In addition, the study explored the perceptions of ANMs on WhatsApp use for sharing health information.

METHODS

We employed a mixed-method sequential explanatory design. We surveyed 259 ANMs, followed by in-depth interviews with 19 purposively sampled ANMs. We conducted multinomial logistic regression to identify factors associated with WhatsApp adoption and employed thematic analysis to analyze interviews.

RESULTS

257 ANMs responded to the survey questionnaire, of which 18.3%, 48.2%, and 33.5% had low, mid, and high levels of WhatsApp adoption, respectively. Education (AOR = 2.87 [95% CI = 1.20-6.85]), motivation (AOR = 6.31 [95% CI = 1.43-27.80]), and technical awareness (AOR = 2.91 [95% CI = 1.11-7.62]) were significantly associated with WhatsApp adoption. Thematic analysis of the interviews resulted in six themes describing perceptions and experiences of ANMs on WhatsApp use. They are: (i) a way of instant communication, (ii) provision for multimedia messaging, (iii) a quick fix tool for queries and concerns, (iv) make attendance and reporting easy (v) a way of reaching higher officials, and (vi) a cost-saving mechanism.

CONCLUSION

WhatsApp facilitated ANMs' communication and service delivery at the grassroots level. Measures to improve motivation, technical awareness, and digital education will likely improve WhatsApp adoption among health workers.

The christian religious education teachers' attitudes toward the five-stage lesson plan framework in Kenya: A gender-based analysis

New approaches have emerged in teaching Christian Religious Education (CRE). Five-stage lesson plan framework (FSLP) is one of the innovative approaches applicable in all learning areas. Even though the framework is learner-oriented, understanding teachers' attitudes towards the framework are essential. Developing a positive attitude among the stakeholders remains crucial in implementing any teaching approach. Therefore, this study assessed gender differences in the attitude toward the five-stage lesson plan framework among CRE teachers in Meru County, Kenya. A multi-stage sampling technique randomly selected 143 and 83 female and male CRE teachers. Using a semi-structured questionnaire, quantitative data were collected in a cross-sectional survey. Chi-square and t-test statistics were applied to test the statistical significance of the dummy and mean value of continuous variables using sex-disaggregated data. The study revealed that teachers' attitudes towards the FSLP framework did not significantly differ between male and female teachers. The study employed multiple linear regression modeling to assess the determinants of the attitudes towards the five-stage lesson plan framework for male, female, and pooled teachers. Similar determinants influenced teachers' attitudes towards the FSLP framework: academic qualification, teaching experience, utilization, and awareness. Researchers established that educational qualification was a negative and significant determinant of attitudes towards the FSLP framework among the participants. Teaching experience, awareness, and utilization of the FSLP framework among CRE teachers were positive and significant determinants of the attitudes towards the FSLP framework. The study findings implied development of policies inclined to the attitudes supporting the proper implementation of newly emerged teaching strategies among the stakeholders. The supplement schemes should be restructured and shaped to meet teachers' specific needs and preferences regarding the utilization of educational innovations to enable CRE teachers to select and practice the FSLP framework.

[Expectations of generation Y for digital health innovations]

BACKGROUND AND AIM

"Generation Y" is the term used to describe younger adults born between approximately 1980 and 2000. The generation is attributed with being digitally savvy and technically adept. It can thus be assumed that there is an increased desire among these people to use digital healthcare innovations when needed. However, the exact expectations in this regard are largely unknown. The aim of this study is to examine the expectations and needs of Generation Y in more detail.

MATERIALS AND METHODS

For data collection, five focus group interviews were conducted in April 2021, each with six people between 23 and 36 years of age, with three people per group working in the health sector. The interview material was analyzed using content analysis according to Mayring.

RESULTS

One of the expectations among respondents was to use low-threshold digital healthcare innovations. There was also a great demand for health information. The focus was on increasing efficiency in everyday life, in particular a reduction in the amount of time required. Influences of the corona pandemic on expectations were observed.

DISCUSSION

Three functions of digital applications emerge as particularly relevant: "administration," "tracking," and "information." For these, preference profiles of Generation Y were created. Customized solutions offered by digital innovations could help to implement target-group-specific health promotion and prevention more concretely and generate added value for Generation Y. Since the everyday life of the target group is already characterized by digitization and digital innovations, there is great potential here.

Assessment of factors influencing the patient's perception of teledentistry services

Background/Aim: The trend of using teledentistry increased significantly during the pandemic. Many studies have analysed patients' perceptions of teledentistry, but no studies have examined the factors that influence these perceptions. Aim of this study was to determine the factors that influenced the patient's perception of teledentistry. Methods: This type of research was a descriptive analysis with a cross sectional design. A total of 170 respondents filled out a questionnaire containing sociodemographic data and statements with a Likert scale related to the five perceptual domains of teledentistry. The data were analysed for correlation test with SPSS and model test with SEM-PLS. Results: There were only two factors, namely age and level of education that appear as factors that affect the patient's perception with a correlation significance value of 0.001 for age and 0.005 for education. The value of the correlation coefficient was positive, which means that the higher the age and level of education, there was a greater tendency for perceived value to be more strongly agreed. These results were reinforced by the results of the coefficient values on the SEM-PLS model test which were positive and significant, namely 0.311. The results of the goodness of fit analysis in this study were in the moderate category with a value of 0.265. However, the imbalance in the number of respondents in each sociodemographic group makes the results of this study less representative. Conclusion: There was a significant positive correlation between the level of education and the perception of teledentistry. This means that the higher a person's education level, the better his perception of teledentistry. Age had a significant positive correlation and influence with the patient's perception of teledentistry.

Identification of Workplace Social Sustainability Indicators Related to Employee Ergonomics Perception in Indonesian Industry

Sustainability indicators have provided a breakthrough for companies to assess their performance in supporting corporate sustainability. There is no standard framework for these support-defining indicators to conduct a social sustainability performance assessment. There is a limitation of quantitative social sustainability indicators appropriate for performing ergonomic concept assessments. Ergonomics, as a field concerning people and their interactions with the environment, in particular, the workplace, can play a role in social sustainability, besides its conventional approach of workplace re-engineering. Three major areas of ergonomics were analyzed. The indicators were established based on a review of the literature and confirmed using a factor analysis that covered all major aspects of workplace ergonomics. The factor analysis aimed to reduce the complexity of workplace social sustainability indicators related to ergonomics. The final result integrated 73 indicators into 17 indicators based on three major areas of ergonomics. The findings showed that the best workplace social sustainability indicators were divided into five factors: employee well-being, safety concerns, workplace comfort, musculoskeletal health, and environmental concerns. It would be very beneficial for the industry and the government to support corporate social sustainability and the global sustainability index.