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14 pages, 341 KiB  
Article
Queensland Independent School Teachers’ Understanding of Education Law Implications
by Mark Butlin
Educ. Sci. 2025, 15(8), 974; https://doi.org/10.3390/educsci15080974 - 29 Jul 2025
Viewed by 194
Abstract
There has been a widely held view for some time that school teachers and principals need to possess a level of knowledge and understanding of the legal regulation of schools and that of their workers. This study explores the level of understanding of [...] Read more.
There has been a widely held view for some time that school teachers and principals need to possess a level of knowledge and understanding of the legal regulation of schools and that of their workers. This study explores the level of understanding of legal matters pertaining to the school environment that independent school teachers hold in Queensland. This level of ‘legal literacy’ is investigated in a qualitative research study that explains the various areas of education law that are known and those that are less understood by such educators. Data was analysed using content analysis methodology, using a coding scale that was created specifically for the purposes of coding the participants’ scenario responses. Overall, it was discovered that the level of legal literacy held by Queensland independent school teachers was alarmingly low. This varied across the myriad topics, but essentially, the educators surveyed did not demonstrate an adequate legal understanding to successfully complete their roles. More education in this area should be made available for educators to better equip them with such an understanding to ensure they know when and how to more capably protect themselves and the children entrusted to their care. Full article
(This article belongs to the Special Issue Transforming Teacher Education for Academic Excellence)
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18 pages, 627 KiB  
Review
Mapping the Impact of Generative AI on Disinformation: Insights from a Scoping Review
by Alexandre López-Borrull and Carlos Lopezosa
Publications 2025, 13(3), 33; https://doi.org/10.3390/publications13030033 - 21 Jul 2025
Viewed by 817
Abstract
This article presents a scoping review of the academic literature published between 2021 and 2024 on the intersection of generative artificial intelligence (AI) and disinformation. Drawing from 64 peer-reviewed studies, the review examines the current research landscape and identifies six key thematic areas: [...] Read more.
This article presents a scoping review of the academic literature published between 2021 and 2024 on the intersection of generative artificial intelligence (AI) and disinformation. Drawing from 64 peer-reviewed studies, the review examines the current research landscape and identifies six key thematic areas: political disinformation and propaganda; scientific disinformation; fact-checking; journalism and the media; media literacy and education; and deepfakes. The findings reveal that generative AI plays a dual role: it enables the rapid creation and targeted dissemination of synthetic content but also offers new opportunities for detection, verification, and public education. Beyond summarizing research trends, this review highlights the broader societal and practical implications of generative AI in the context of information disorder. It outlines how AI tools are already reshaping journalism, challenging scientific communication, and transforming strategies for media literacy and fact-checking. The analysis also identifies key policy and governance challenges, particularly the need for coordinated responses from governments, platforms, educators, and civil society actors. By offering a structured overview of the field, the article enhances our understanding of how generative AI can both exacerbate and help mitigate disinformation, and proposes directions for research, regulation, and public engagement. Full article
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23 pages, 3492 KiB  
Article
Innovating Personalized Learning in Virtual Education Through AI
by Luis Fletscher, Jhon Mercado, Alvaro Gómez and Carlos Mendoza-Cardenas
Multimodal Technol. Interact. 2025, 9(7), 69; https://doi.org/10.3390/mti9070069 - 3 Jul 2025
Viewed by 696
Abstract
The rapid expansion of virtual education has highlighted both its opportunities and limitations. Conventional virtual learning environments tend to lack flexibility, often applying standardized methods that do not account for individual learning differences. In contrast, Artificial Intelligence (AI) empowers the creation of customized [...] Read more.
The rapid expansion of virtual education has highlighted both its opportunities and limitations. Conventional virtual learning environments tend to lack flexibility, often applying standardized methods that do not account for individual learning differences. In contrast, Artificial Intelligence (AI) empowers the creation of customized educational experiences that address specific student needs. Such personalization is essential to mitigate educational inequalities, particularly in areas with limited infrastructure, scarce access to trained educators, and varying levels of digital literacy. This study explores the role of AI in advancing virtual education, with particular emphasis on supporting differentiated learning. It begins by selecting an appropriate pedagogical model to guide personalization strategies and proceeds to investigate the application of AI techniques across three key areas: the characterization of educational resources, the detection of learning styles, and the recommendation of tailored content. The primary contribution of this research is the development of a scalable framework that can be adapted to a variety of educational contexts, with the goal of enhancing the effectiveness and personalization of virtual learning environments through AI. Full article
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19 pages, 252 KiB  
Article
Searching for Scientific Culture in Professional Development Programs for In-Service Teachers: Case of Latvia
by Linda Daniela and Zinta Zālīte-Supe
Educ. Sci. 2025, 15(6), 784; https://doi.org/10.3390/educsci15060784 - 19 Jun 2025
Viewed by 354
Abstract
Scientific culture in pedagogical work involves the integration of scientific principles, values, and practices into education to promote critical thinking, evidence-based reasoning, and curiosity. It fosters an environment where students develop as independent learners, problem-solvers, and informed citizens. Teachers play a key role [...] Read more.
Scientific culture in pedagogical work involves the integration of scientific principles, values, and practices into education to promote critical thinking, evidence-based reasoning, and curiosity. It fosters an environment where students develop as independent learners, problem-solvers, and informed citizens. Teachers play a key role in cultivating this culture, acting as facilitators and guides who equip students with the tools to think critically and engage with the world scientifically. While often associated with STEM disciplines, scientific literacy extends beyond these areas, emphasizing the integration of scientifically grounded knowledge into all subject areas. To achieve this, teachers must continually enhance their own understanding and skills in scientific thinking. Staying updated with the latest scientific discoveries, critically evaluating information, and applying innovative pedagogical methods are essential. Professional development can provide a vital avenue for teachers to acquire these competencies. Approaches such as reading scientific literature, collaborating with colleagues, and attending specialized training programs can improve teaching strategies and promote scientific thinking in the classroom. This study investigated professional development programs provided for in-service teachers to understand how they contribute to fostering a scientific culture. The researchers collected data from municipalities in Latvia and online resources to summarize the information on the professional development programs provided to in-service teachers. This study examined how elements of scientific culture are reflected in teacher professional development programs in Latvia, using Merton’s CUDOS norms as an analytical framework. The acronym CUDOS refers to four foundational principles of scientific ethos: communalism, universalism, disinterestedness, and organized skepticism. These norms guided the evaluation of whether and how scientific inquiry values are embedded in the design and delivery of training programs for in-service teachers. Using quantitative and qualitative methods for data analysis, it was found that in-service teacher training in Latvia is highly eclectic and often lacks alignment with scientifically grounded principles. There are a lot of programs provided to develop transversal competencies, but very few subject-specific programs are available. The findings highlight the need for more structured and cohesive professional development programs to support in-service teachers in developing competence in cultivating scientific inquiry, nurturing curiosity, and empowering students to navigate an increasingly complex and technology-driven society. These insights offer practical implications for education policymakers and program designers aiming to enhance the scientific orientation of teacher training. By identifying specific gaps in content and alignment with scientific culture, this study provides an original contribution to the discourse on evidence-informed teacher development and supports a more conceptually grounded and equitable approach to lifelong professional learning in Latvia. Full article
(This article belongs to the Section Teacher Education)
21 pages, 292 KiB  
Article
AI and ChatGPT in Higher Education: Greek Students’ Perceived Practices, Benefits, and Challenges
by Apostolos Kostas, Vasilios Paraschou, Dimitrios Spanos, Filippos Tzortzoglou and Alivisos Sofos
Educ. Sci. 2025, 15(5), 605; https://doi.org/10.3390/educsci15050605 - 14 May 2025
Viewed by 1165
Abstract
As artificial intelligence (AI) continues to evolve, its integration into higher education (HE) has sparked both enthusiasm and concern. This study examines HE students’ perceptions of ChatGPT and AI tools. An online survey with closed questions was administered, and a convenient sample of [...] Read more.
As artificial intelligence (AI) continues to evolve, its integration into higher education (HE) has sparked both enthusiasm and concern. This study examines HE students’ perceptions of ChatGPT and AI tools. An online survey with closed questions was administered, and a convenient sample of 515 students was gathered and analyzed. Findings reveal a dual perspective, where students recognize AI’s potential to enhance research efficiency, support academic tasks, and personalize learning experiences, while simultaneously raising concerns regarding ethical considerations, content reliability, and potential declines in critical thinking skills. A key insight from this study is the variation in AI perceptions based on academic level and ICT competence. The findings reinforce the importance of comprehensive AI literacy programs, ethical guidelines, and institutional support. Additionally, this study highlights the importance of bridging the digital divide, ensuring equitable engagement with AI tools across different competency levels. This study contributes to the ongoing discourse on AI in HE by identifying key areas where AI adoption can be optimized while mitigating its risks. Future research and policy initiatives should focus on striking a balance between technological advancements and human-centered learning, ensuring that AI adoption supports academic integrity and educational innovation. Full article
(This article belongs to the Special Issue Unleashing the Potential of E-learning in Higher Education)
16 pages, 1168 KiB  
Article
Higher Education Students’ Biodiversity Knowledge
by Ana Paula Oliveira, Ana Paramés, António Bajanca and Clara Martinez-Perez
Educ. Sci. 2025, 15(4), 499; https://doi.org/10.3390/educsci15040499 - 16 Apr 2025
Viewed by 911
Abstract
Biodiversity is fundamental to ecosystem stability and sustainability, yet its global decline underscores the urgent need for effective education to foster awareness and conservation efforts. This study evaluates the biodiversity knowledge of higher education students at ISEC Lisboa and examines the influence of [...] Read more.
Biodiversity is fundamental to ecosystem stability and sustainability, yet its global decline underscores the urgent need for effective education to foster awareness and conservation efforts. This study evaluates the biodiversity knowledge of higher education students at ISEC Lisboa and examines the influence of academic content on their understanding. A mixed-methods approach was applied, combining a structured survey with curriculum analysis. The survey, distributed among 149 students across different academic programs, assessed their perception, awareness, and knowledge of biodiversity. Statistical analysis, including Chi-square tests, was conducted to identify significant differences between study areas. The findings reveal that only 4.87% of the curricular units incorporate biodiversity-related content, and students primarily associate biodiversity with species richness rather than ecosystem complexity or genetic diversity. Despite expressing strong agreement as to the importance of biodiversity, most participants demonstrated limited knowledge of species’ conservation status. No significant differences in biodiversity knowledge were found across academic disciplines, suggesting that content within the curriculum remains insufficient. These results highlight the need for a more integrative and interdisciplinary approach to biodiversity education in higher education institutions. Strengthening hands-on learning experiences and incorporating biodiversity themes across various disciplines could enhance students’ ecological literacy and engagement in conservation efforts. Full article
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14 pages, 2215 KiB  
Article
Learning Objectives Matrix in DIM.RUHR: A Didactic Concept for the Interprofessional Teaching of Data Literacy in Outpatient Health Care
by Vivian Lüdorf, Anne Mainz, Sven Meister, Jan P. Ehlers and Julia Nitsche
Healthcare 2025, 13(6), 662; https://doi.org/10.3390/healthcare13060662 - 18 Mar 2025
Viewed by 473
Abstract
(1) Background: Each year, significant volumes of healthcare data are generated through both research and care. Since fundamental digital processes cannot function effectively without essential data competencies, the challenge lies in enhancing the quality of data management by establishing data literacy among [...] Read more.
(1) Background: Each year, significant volumes of healthcare data are generated through both research and care. Since fundamental digital processes cannot function effectively without essential data competencies, the challenge lies in enhancing the quality of data management by establishing data literacy among professionals in outpatient healthcare and research. (2) Methods: Within the DIM.RUHR project (Data Competence Center for Interprofessional Use of Health Data in the Ruhr Metropolis), a didactic concept for interprofessional data literacy education is developed, structured as a learning objectives matrix. Initially conceived through a literature review, this concept has been continually developed through collaboration with interprofessional project partners. The study was conducted between February 2023 and June 2024. (3) Results: The foundational structure and content of the didactic concept are based on various scientific studies related to general data literacy and the outcomes of an interactive workshop with project partners. Eight distinct subject areas have been developed to encompass the data literacy required in healthcare professions: (1) Fundamentals and general concepts, (2) ethical, legal, and social considerations, (3) establishing a data culture, (4) acquiring data, (5) managing data, (6) analyzing data, (7) interpreting data, and (8) deriving actions. Within these, learners’ data literacy is assessed across the four competency areas: basic, intermediate, advanced, and highly specialized. (4) Conclusions: The learning objectives matrix is anticipated to serve as a solid foundation for the development of teaching and learning modules aimed at enhancing data literacy across healthcare professions, enabling them to effectively manage data processes while addressing the challenges associated with digital transformation. Full article
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17 pages, 2406 KiB  
Article
Improving Student Teacher Preparedness in Reading Instruction
by Jennifer Milne and Keith J. Topping
Educ. Sci. 2025, 15(1), 97; https://doi.org/10.3390/educsci15010097 - 16 Jan 2025
Viewed by 2725
Abstract
Background: Learning to read is a complex linguistic and cognitive process. Despite the ever-growing body of empirical evidence, the complex knowledge and skills needed to teach all children to read have not been passed to trainee and in-service teachers. Methods: This study examined [...] Read more.
Background: Learning to read is a complex linguistic and cognitive process. Despite the ever-growing body of empirical evidence, the complex knowledge and skills needed to teach all children to read have not been passed to trainee and in-service teachers. Methods: This study examined the delivery and evaluation of a short, intense literacy elective course, with 9 h of learning for trainee primary/elementary teachers, focused on the key knowledge areas of phonemic awareness, phonics instruction, fluency, vocabulary, text comprehension, and reading assessment. An open questionnaire was administered to 16 trainee teachers: they completed this same questionnaire prior to beginning the elective and again after. The questionnaire focused on the understanding of quality reading instruction, at-risk readers, and provision for struggling readers. The data were analyzed using a qualitative interpretational analysis (QIA). Results: The lowest levels of understanding at the outset were in reading fluency instruction and reading assessment: these areas then showed the greatest knowledge development. Importantly, by post test, participants increased access to evidence-based literature and resources. Feedback demonstrated the high value placed by the group on this learning. Conclusions: This approach improved trainee teachers’ content knowledge to teach reading in a short time. Initial Teacher Education should increase its focus on reading, a crucial foundation skill. Full article
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15 pages, 266 KiB  
Review
Amplifying School Mental Health Literacy Through Neuroscience Education
by Peter J. Vento, Steven B. Harrod, Brittany Patterson, Kristen Figas, Tucker Chandler, Brooke Chehoski and Mark D. Weist
Behav. Sci. 2024, 14(11), 996; https://doi.org/10.3390/bs14110996 - 25 Oct 2024
Viewed by 2298
Abstract
Children and adolescents face a wide variety of developmental changes and environmental challenges, and it is estimated that at least one in five children aged 3–17 will experience behavioral or mental health issues. This period of life coincides with major changes in brain [...] Read more.
Children and adolescents face a wide variety of developmental changes and environmental challenges, and it is estimated that at least one in five children aged 3–17 will experience behavioral or mental health issues. This period of life coincides with major changes in brain structure and function that have profound long-term consequences for learning, decision-making (including risk taking), and emotional processing. For example, continued development of the prefrontal cortex in adolescence is a sensitive period during which individuals are particularly susceptible to risky behaviors, environmental stressors, and substance use. While recent advances in mental health literacy programs have paved the way for increased awareness of the benefits of mental health curricula in schools, these efforts could be greatly bolstered with support in basic neuroscience education in developmentally appropriate and area-specific content. Here, we provide a discussion on the basic structural and functional changes occurring in the brain throughout childhood, how this contributes to changes in cognitive function, and the risk factors posed by early life adversity, stress, and drug use. Finally, we provide a perspective on the benefits of integrating findings from the field of neuroscience and suggestions for tools to better equip students, teachers, administrators, and school mental health staff to provide new directions for addressing the mental health crises faced by millions of children and youth each year. Full article
(This article belongs to the Section Social Psychology)
17 pages, 273 KiB  
Article
Financial Literacy: Identification of the Challenges, Needs, and Difficulties among Adults Living in Rural Areas
by Katarzyna Czech, Luiza Ochnio, Michał Wielechowski and Serhiy Zabolotnyy
Agriculture 2024, 14(10), 1705; https://doi.org/10.3390/agriculture14101705 - 28 Sep 2024
Cited by 5 | Viewed by 10293
Abstract
Financial literacy plays a crucial role in individuals’ decision-making processes. The paper aims to thoroughly identify the financial literacy needs and challenges of adults with low financial literacy living in rural areas. The paper presents the results of a focus group study conducted [...] Read more.
Financial literacy plays a crucial role in individuals’ decision-making processes. The paper aims to thoroughly identify the financial literacy needs and challenges of adults with low financial literacy living in rural areas. The paper presents the results of a focus group study conducted among a target group (35 people) and interviews with financial experts (14 people) in the first quarter of 2023. The study allows us to identify common areas of financial knowledge crucial for adults with low financial literacy living in rural areas. The study was conducted in seven European countries as part of the Erasmus+ project “Learning by Experiencing Escape Rooms: Financial Literacy for Adults (FLER)”. Key findings from the study revealed that participants exhibited low awareness of financial fraud and expressed a need to protect personal information when using digital platforms. There was a clear demand for improved knowledge in certain areas, such as budgeting, emergency funds, balancing risk and reward, and planning for retirement or long-term savings. Participants consistently viewed gamification as a valuable tool for enhancing their understanding of financial topics. The contribution of our study is that we narrow the research gap on the needs and challenges related to financial literacy among rural residents. The results will help pinpoint specific areas of financial knowledge and competencies that are particularly important for adults with low financial literacy. Moreover, these insights are crucial for developing educational content integrated into a virtual escape room to improve financial literacy through engaging, scenario-based learning. Full article
(This article belongs to the Section Agricultural Economics, Policies and Rural Management)
20 pages, 303 KiB  
Article
Empowering Diverse Learners: Integrating Writing-to-Learn Strategies in a Middle School Science Classroom in the U.S.
by So Lim Kim and Deoksoon Kim
Educ. Sci. 2024, 14(9), 1031; https://doi.org/10.3390/educsci14091031 - 21 Sep 2024
Viewed by 2643
Abstract
Science education has shifted towards emphasizing science literacy rather than simply memorizing facts. Studies have shown that incorporating writing in science education engages students in higher-order thinking, fosters critical reasoning skills, and deepens subject matter comprehension. However, writing can be particularly challenging for [...] Read more.
Science education has shifted towards emphasizing science literacy rather than simply memorizing facts. Studies have shown that incorporating writing in science education engages students in higher-order thinking, fosters critical reasoning skills, and deepens subject matter comprehension. However, writing can be particularly challenging for CLD (culturally and linguistically diverse) students due to content-specific vocabulary and distinctive grammatical patterns. This case study explores six CLD students’ experiences with writing in a seventh-grade science classroom in the northeastern United States that used invention-based learning (IBL). By incorporating hands-on invention processes, IBL facilitates problem-solving and student-centered learning. The study shows how a writing-to-learn approach in science education can simultaneously support CLD students in developing a scientific understanding of abstract concepts and address the need for science literacy skills. The implications of this study suggest that teachers should integrate writing-to-learn strategies into their science instruction to promote deeper understanding and improve science literacy. By supporting students through productive struggles with writing and providing opportunities to practice scientific language, teachers can help students develop critical thinking skills and better comprehension of scientific concepts. In addition, by connecting hands-on experiences with writing tasks, educators can make science more accessible and engaging for students, particularly those from diverse linguistic and cultural backgrounds. Full article
23 pages, 310 KiB  
Article
Cultivating Environmental Citizenship: Agriculture Teachers’ Perspectives Regarding the Role of Farm-Schools in Environmental and Sustainability Education
by Daphne Goldman and Iris Alkaher
Sustainability 2024, 16(16), 6965; https://doi.org/10.3390/su16166965 - 14 Aug 2024
Cited by 1 | Viewed by 2299
Abstract
Agricultural education is a fertile framework for environmental and sustainability education (ESE). Hence, ‘farm-schools’, which are learning settings around agriculture, can and should play a crucial role in promoting ESE. Farm-school teachers are key to realizing this potential. Therefore, the aim of this [...] Read more.
Agricultural education is a fertile framework for environmental and sustainability education (ESE). Hence, ‘farm-schools’, which are learning settings around agriculture, can and should play a crucial role in promoting ESE. Farm-school teachers are key to realizing this potential. Therefore, the aim of this study was to examine the perspectives of farm-school teachers concerning the role of farm schools in conducting ESE and their role as environmental and sustainability educators. The research employed a mixed methodology. Quantitative data from close-ended sections of the questionnaire enabled evaluation of the teachers’ environmental literacy and citizenship attributes, which are fundamental for their capacity to incorporate ESE within their teaching. Open-ended sections of the questionnaire and interviews provided in-depth information regarding the teachers’ perspectives and practices concerning ESE (content, values, and pedagogies) within the framework of farm schools. Findings indicate that these teachers have pro-environmental dispositions in their individual lives and as educators and that they incorporate ESE within their teaching, but they exhibit a relatively narrow perspective regarding ESE, focusing largely on content knowledge, with limited focus on values discourse. Providing professional development tailored to the specific attributes and needs of these agriculture teachers will strengthen their capacities in teaching the strategies inherent to ESE, such as facilitating in-depth critical discourse around socio-environmental dilemmas. This will contribute to realizing the full potential of farm schools in terms of contributing to the crucial area of ESE within the educational system, employing agriculture as the curricular platform. Full article
(This article belongs to the Section Sustainable Agriculture)
17 pages, 898 KiB  
Systematic Review
Writing Strategies for Elementary Multilingual Writers: A Systematic Review
by Bethany P. Lewis
Educ. Sci. 2024, 14(7), 759; https://doi.org/10.3390/educsci14070759 - 11 Jul 2024
Cited by 3 | Viewed by 3194
Abstract
Because of the Common Core State Standards (2010), all elementary students across the United States, including multilingual learners, must learn to compose written texts in opinion, informational, and narrative genres. By nature, writing also plays many diverse roles in educational settings, and advanced [...] Read more.
Because of the Common Core State Standards (2010), all elementary students across the United States, including multilingual learners, must learn to compose written texts in opinion, informational, and narrative genres. By nature, writing also plays many diverse roles in educational settings, and advanced writing skills are needed for students to reach interdisciplinary success. Specifically, writing can be incorporated into content-area learning in subjects such as science, social studies, and math to support genre-based writing development. While advanced writing can be challenging for any student to master, multilingual students may need additional support to develop these crucial composition skills because of the complexities of learning two languages simultaneously. Furthermore, while many educators understand that multilingual students have distinct literacy needs, not all teachers are prepared to meet these specific writing instructional demands. This article presents the results of a systematic review guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) approach. This study investigated literacy-based empirical research used to support multilingual learners since the inception of the Common Core (2010–2023) genre-based writing standards. In characterizing effective writing supports, seven themes emerged: (a) the role of the teacher, (b) writing mentor texts, (c) the creation of multimodal texts, (d) writing scaffolds, (e) authenticity, (f) specific teacher instruction, and (g) multilingual language approaches. While this body of research is literacy-focused, these findings provide elementary teachers with specific strategies to support developing multilingual writers when implemented into traditional literacy spaces or content-area instruction. Full article
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36 pages, 616 KiB  
Systematic Review
The Role of Health Information Sources on Cervical Cancer Literacy, Knowledge, Attitudes and Screening Practices in Sub-Saharan African Women: A Systematic Review
by Joyline Chepkorir, Dominique Guillaume, Jennifer Lee, Brenice Duroseau, Zhixin Xia, Susan Wyche, Jean Anderson and Hae-Ra Han
Int. J. Environ. Res. Public Health 2024, 21(7), 872; https://doi.org/10.3390/ijerph21070872 - 3 Jul 2024
Cited by 6 | Viewed by 3871
Abstract
Cervical cancer is the leading cause of cancer deaths among Sub-Saharan African women. This systematic review aimed to identify information sources and their relation to cervical cancer knowledge, literacy, screening, and attitudes. Peer-reviewed literature was searched on 2 March 2022, and updated on [...] Read more.
Cervical cancer is the leading cause of cancer deaths among Sub-Saharan African women. This systematic review aimed to identify information sources and their relation to cervical cancer knowledge, literacy, screening, and attitudes. Peer-reviewed literature was searched on 2 March 2022, and updated on 24 January 2023, in four databases—CINAHL Plus, Embase, PubMed, and Web of Science. Eligible studies included those that were empirical, published after 2002, included rural women, and reported on information sources and preferences. The quality of the selected articles was assessed using the Mixed Methods Appraisal Tool. Data extraction was conducted on an Excel spreadsheet, and a narrative synthesis was used to summarize findings from 33 studies. Healthcare workers were the most cited information sources, followed by mass media, social networks, print media, churches, community leaders, the Internet, and teachers. Community leaders were preferred, while healthcare workers were the most credible sources among rural women. There was generally low cervical cancer knowledge, literacy, and screening uptake, yet high prevalence of negative attitudes toward cervical cancer and its screening; these outcomes were worse in rural areas. A content analysis revealed a positive association of health information sources with cervical cancer literacy, knowledge, screening, and positive screening attitudes. Disparities in cervical cancer prevention exist between rural and urban Sub-Saharan African women. Full article
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25 pages, 338 KiB  
Article
To Reconstruct or Not to Reconstruct: Piloting a Vietnamese and Arabic Breast Reconstruction Decision Aid in Australia
by Patsy S. Soon, Khouloud Kamalmaz, Verena S. Wu, Neda Karimi, Martha Gerges, Kerry A. Sherman and Afaf Girgis
Curr. Oncol. 2024, 31(7), 3713-3737; https://doi.org/10.3390/curroncol31070274 - 28 Jun 2024
Viewed by 1390
Abstract
Currently, there are no resources to support culturally and linguistically diverse (CALD) women with breast cancer to make decisions about undergoing breast reconstruction (BR). This study evaluated the usability and acceptability of decision aids (DAs) for Vietnamese- and Arabic-speaking women. This two-phase qualitative [...] Read more.
Currently, there are no resources to support culturally and linguistically diverse (CALD) women with breast cancer to make decisions about undergoing breast reconstruction (BR). This study evaluated the usability and acceptability of decision aids (DAs) for Vietnamese- and Arabic-speaking women. This two-phase qualitative recruited Vietnamese- (Phase 1) and Arabic-speaking (Phase 2) adult (age ≥ 18 years) women who were diagnosed with breast cancer and could read Vietnamese/Arabic. Women participated in either think-aloud telephone interviews (Phase 1) or semi-structured telephone interviews (Phase 2) and provided feedback on the DA. Interviews were audio-recorded, translated, and transcribed from Vietnamese/Arabic to English, and inductive thematic analysis was undertaken. Additionally, Arabic-speaking women completed the Preparation for Decision Making (PrepDM) scale in Round 2. Twenty-five women were recruited in two phases (Phase 1: Vietnamese-speaking women, n = 14; Phase 2: Arabic-speaking, n = 11). Three themes were developed in Phase 1: (1) DA content and reception; (2) linguistic attributes and cultural appropriateness; and (3) factors that improve the DAs’ impact. Three themes were developed in Phase 2: (1) varying perceptions of DA content; (2) linguistic and cultural suitability of information; and (3) impact of DA on decision making. Women from both phases identified areas for improvement: minimising the use of medical terminology, considering the cultural taboos associated with the word ‘breast’, and addressing remaining information gaps. Both language DAs were generally perceived as acceptable and useful in providing information about BR options and prompting women’s reflections about the suitability of BR as part of their treatment. The mean PrepDM score for Arabic-speaking women in Round 2 was 4.8/5 (SD = 0.3). Further work is needed to ensure that culturally adapted DAs take into account the myriad of information needs and health literacy levels. The key role of healthcare professionals in shared decision making among CALD populations should also be considered. Full article
(This article belongs to the Section Psychosocial Oncology)
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