Search Results (1,397)

Cyberattacks in education are a serious concern (e.g., breaches and system intrusions) that teachers need to respond to by cultivating cybersecurity awareness, engaging in continuous professional development, and modeling safe digital practices in their daily work, while technical prevention and mitigation are primarily the responsibility of institutional IT services and system-level governance. Strengthening cybersecurity depends on fostering awareness of how information is collected, analyzed, and used, thereby enabling users to take proactive steps to protect data, which are key components of teachers’ professional media literacy, particularly in managing personal and student information across social media, email, and cloud platforms. This quantitative study was conducted in Hong Kong with 120 early childhood, primary, secondary, and tertiary education teachers (88.3% female, age range = 18–54, Mage = 23.76) via an online survey. The study focused on social media, email, and cloud storage, and administered the Perceived Severity, Perceived Vulnerability, and Self-Efficacy Scales; the Data Protection Strategies Scale; and the Data Fabrication Strategies Scale, along with questions assessing awareness of data protection. Results revealed significant positive relationships among data protection awareness, psychological factors, and use of protection strategies. Awareness and protection strategies were also moderately linked to data fabrication behaviors. The findings indicate concerning gaps in teachers’ awareness of cyberattacks and their limited understanding of media literacy concepts, highlighting the need to integrate comprehensive media literacy training into teacher education programs and also provide intensive, mandatory on-site training for in-service early childhood, primary, secondary, and tertiary education teachers. Full article

Vascular diseases remain a major global health burden despite remarkable technological advances in vascular surgery and endovascular therapies. Conditions such as peripheral arterial disease, abdominal aortic aneurysm, carotid stenosis, chronic venous disease, diabetic vasculopathies, and vascular chronic ulcers are not only biological entities but are deeply shaped by social structures, cultural norms, and economic inequalities. This article introduces Vascular Sociology as an interdisciplinary field that integrates vascular surgery with medical sociology to provide a more comprehensive understanding of vascular health and disease. Drawing on classical and contemporary sociological theory, including concepts such as social determinants of health, embodiment, illness narratives, and the disease–illness–sickness triad, the article argues that vascular pathology reflects cumulative social exposures across the life course. Socially patterned behaviors, work conditions, food environments, healthcare access, gender norms, and geographic inequalities profoundly influence disease onset, progression, treatment decisions, and outcomes. The paper highlights how surgical success is contingent not only on technical excellence but also on patients’ social contexts, including health literacy, trust in institutions, caregiving resources, and the capacity to adhere to long-term follow-up and rehabilitation. By outlining conceptual foundations, epidemiological evidence, and mixed-methods research strategies, the article positions Vascular Sociology as a framework capable of bridging biomedical knowledge with lived experience. This approach expands the definition of vascular outcomes to include social reintegration, identity transformation, and equity of care, ultimately aiming to improve patient-centered practice, reduce disparities, and inform more socially responsive vascular health policies. Full article

This study aims to explore the relationship between the digital financial literacy of homestay business owners and economic sustainability. A conceptual model is developed by integrating three primary constructs—performance expectancy, effort expectancy, and facilitating conditions—from the unified theory of acceptance and use of technology (UTAUT) with digital financial literacy and FinTech use by homestay business owners. Further, the effect of FinTech use on economic sustainability is examined through the interaction between facilitating conditions and financial inclusion. Data were collected from Southern India, and hypothesized relationships were tested after checking the measurement properties of the survey instrument. The findings indicate that (i) the digital financial literacy of homestay business owners is a precursor to FinTech use, which, in turn, is positively associated with economic sustainability; (ii) digital financial literacy interacting with performance expectancy (first moderator) and effort expectancy (second moderator) significantly influenced FinTech use; and (iii) FinTech use interacting with facilitating conditions (first moderator) and financial inclusion (second moderator) increased economic sustainability. The three-way interactions in this study provide insights into the boundary conditions that increase FinTech use and economic sustainability, particularly in the context of homestay businesses. The proposed digital financial literacy and FinTech adoption model contributes to the information technology adoption research by extending the UTAUT, in which performance expectancy and effort expectancy play a vital role in FinTech adoption by homestay business owners. The three-way model developed and tested, to the best of our knowledge, is the first of its kind in the Indian context and hence makes a pivotal contribution to the advancement of the UTAUT model through its application to homestay business owners. The implications for theory and practice are discussed. Full article

Background: Health literacy can be defined as the ability to access, understand, evaluate, and apply health information in order to make informed health decisions in daily life. Despite its importance, little is known about health literacy in the domains of physical activity and nutrition among children with congenital heart disease. The aim of this study was to examine differences in health literacy related to physical activity and nutrition between children and adolescents with congenital heart disease and a healthy control group (Control). Methods: A total of 244 children and adolescents (age 8–18 years; mean age 13.4 ± 3.1 years, 53.3% girls) were enrolled, comprising 122 patients with congenital heart disease and 122 age- and sex-matched healthy controls. Patients were recruited during routine medical examinations at the German Heart Center, while controls were recruited from Munich schools. The Physical Activity Health Literacy Scale for Children (PAHL-C) and the Nutrition Health Literacy Scale for Children (NHL-C) were used to assess health literacy in the domains of physical activity and nutrition. Scores for both scales were calculated as additive sum scores and converted to a scale from 0 to 100, where higher scores indicate better health literacy. Physical activity levels were measured via self-reported frequency of days per week in which children engaged in at least one hour of physical activity. Results: Children with congenital heart disease showed lower PAHL-C scores (Patients: 65.9 ± 18.0 vs. Control: 72.9 ± 14.9, p = 0.001) and lower NHL-C scores (Patients: 63.6 ± 19.0 vs. Control: 69.3 ± 14.8, p = 0.009) than healthy controls. Boys reported significantly higher self-reported physical activity levels (p = 0.001) and had significantly higher PAHL-C scores than girls (p < 0.001). Patients with congenital heart disease reported significantly less physical activity compared to controls (Patients: 4.2 ± 1.7 days/week vs. Control: 5.2 ± 1.8 days/week, p < 0.001). Conclusions: Children with congenital heart disease demonstrate lower health literacy in the domains of physical activity and nutrition than their healthy counterparts and report being less active. This highlights the need for targeted interventions to address both physical activity and health literacy in children with congenital heart disease. Full article

Environmental Health Literacy (EHL) empowers individuals and communities to understand and make informed decisions about health and the environment. This study uses bibliometric indicators to map the field, identifying patterns, emerging trends, and gaps that offer opportunities for future research. We analyze 152 articles from PubMed, Scopus, and Web of Science databases. The first publication was recorded in 2012, and there was a significant increase in output since 2018. The literature emphasizes environmental exposures and public health, with a growing focus on social justice and participatory research. While areas such as environmental exposure, environmental health, health literacy, and participatory research are well established, significant gaps remain in emerging and cross-cutting themes, including education, health risks, environmental/climate justice, community engagement, communication, and climate-related health literacy. These issues are increasingly central to debates on the intersection of health, environment, and social equity, as they are key to advancing environmental justice, reducing health inequalities, and empowering vulnerable populations to make informed decisions, contributing to the development of more inclusive and effective public policies. Full article

Against the backdrop of the “dual carbon” strategy and digital rural development, examining the impact of farmers’ digital literacy on the adoption and efficiency of green agricultural technologies can provide micro-level evidence and actionable policy insights for advancing the green transformation of agriculture. Through a systematic literature review and thematic analysis of 52 eligible studies, this study identifies a significant triple role of digital literacy—as an enabler, a mediating mechanism, and a potential barrier—in the adoption of green agricultural technologies. While digital literacy significantly facilitates technology adoption, its positive effects are constrained by a “capacity gap” arising from limited digital skills, low literacy levels, and inadequate digital infrastructure. Technology adoption demonstrates distinct stratification: digital information and communication technologies (ICTs) exhibit high penetration but superficial utilization; green production technologies are largely limited by capital availability; and precision agriculture, intelligent systems, and blockchain applications remain primarily at the pilot or demonstration stage. Furthermore, the interaction between digital literacy and technology adoption enhances agricultural efficiency by reducing income disparities, fostering rural entrepreneurship, and improving green total factor productivity (GTFP). This review highlights the importance of targeted policies and further research to address the capacity gap, realize sustained efficiency gains, and promote digital empowerment as a pathway to sustainable agricultural transformation. Full article

Endometriosis affects one in seven women in Australia and is a significant public health concern. Access to appropriate health information is essential for informed decision-making and quality of life, especially for culturally and linguistically diverse (CALD) women who may face additional communication and health literacy barriers. This study explored the information-seeking behaviours and experiences of CALD women living with endometriosis using semi-structured interviews. Through convenience and snowball sampling via social media, eleven women were recruited. Data were analysed using thematic analysis. The results showed that although women often did not view their cultural background as influential, taboos and stigma can shape information-seeking behaviours. Women primarily relied on healthcare professionals, online resources, and other women with endometriosis as information resources. Healthcare professionals were appreciated for providing tailored information, but some were perceived to have limited knowledge of endometriosis, reducing their usefulness. Online information was abundant and easily accessible but often overwhelming and difficult to navigate. Information from other women with lived experience provided both practical insights and validation, though participants recognised its limited transferability to their own circumstances. These findings highlight the need for information pathways, including better patient education through healthcare providers, as well as accessible and evidence-based online resources. Full article

Diagnostic errors have been a critical concern in healthcare, leading to substantial financial burdens and serious threats to patient safety. The Improving Diagnosis in Health Care report by the National Academies of Sciences, Engineering, and Medicine (NASEM) defines diagnostic errors, focusing on accuracy, timeliness, and communication, which are influenced by clinical knowledge and the broader healthcare system. This review aims to integrate existing literature on diagnostic error from a systems-based perspective and examine the factors across various domains to present a comprehensive picture of the topic. A narrative literature review was structured upon the Systems Engineering Initiative for Patient Safety (SEIPS) model that focuses on six domains central to the diagnostic process: Diagnostic Team Members, Tasks, Technologies and Tools, Organization, Physical Environment, and External Environment. Studies on contributing factors for diagnostic error in these domains were identified and integrated. The findings reveal that the effectiveness of diagnostics is influenced by complex, interconnected factors spanning all six SEIPS domains. In particular, socio-behavioral factors, such as team communication, cognitive bias, and workload, and environmental pressures, stand out as significant but difficult-to-capture contributors in traditional and commonly used data resources like electronic health records (EHRs), which limits the scope of many studies on diagnostic errors. Factors associated with diagnostic errors are often interconnected across healthcare system stakeholders and organizations. Future research should address both technical and behavioral elements within the diagnostic ecosystem to reduce errors and enhance patient outcomes. Full article

Multi-dimensional inequality among rural residents has become a major obstacle hindering the achievement of global poverty alleviation goals. This study utilized household sample data from the China Family Panel Studies (CFPS) over four periods from 2014 to 2020 and applied them to a high-dimensional fixed effects model to estimate the impact of digital literacy on multi-dimensional inequality among rural residents. The results show that digital literacy can effectively alleviate the multi-dimensional inequality of rural residents. From the perspective of a mediating effect, digital literacy alleviates the multi-dimensional inequality of rural residents by improving the level of social capital and promoting social harmony. Moreover, the alleviation of multi-dimensional inequality among rural residents by digital literacy varies among different groups. The impact of digital literacy on the multi-dimensional inequality of agricultural workers and rural residents in western regions is relatively greater than that of non-agricultural workers and rural residents in other regions. Information processing literacy in digital literacy has the most significant impact on the multi-dimensional inequality of rural residents. This paper enriches the mechanism paths of digital literacy in alleviating the multi-dimensional inequality among rural residents in terms of both material and spiritual aspects, and provides a certain reference value for achieving the all-round development of rural residents and contributing to rural production practices. Full article

Understanding how investors maintain positions during adverse market conditions, investment grip, is increasingly important as retail participation rises and information environments diversify. While prior research identifies demographic, psychological, and economic determinants of investment grip, little is known about how information sources influence investors’ tolerance for losses. This study examines the relationship between investment information channels and investment grip among Japanese retail investors using a large-scale dataset of 161,677 respondents from the 2025 Survey on Life and Money. Investment grip is measured through a hypothetical loss scenario, and ordered probit and probit models are used to analyze associations between loss tolerance, information sources, and investor characteristics. Results show that reliance on professional information sources such as outsourced independent financial advisors, one’s own securities company, other securities firms, and external financial experts is negatively associated with investment grip. Free information sources, including mass media and personal networks, are also linked to lower loss tolerance. In contrast, reliance on social media is consistently associated with higher investment grip. Financial literacy, wealth, and age increase investment grip, whereas risk aversion, short-term outlooks, and family responsibilities reduce it. These results have implications for policy design, advisory practices, and digital and AI-enhanced investment platforms. Full article

People with intellectual disabilities are disproportionately affected by diet-related health inequalities. This Perspective outlines a dual challenge: (1) intrinsic vulnerabilities—cognitive limitations, health-literacy constraints, and comorbidities—that impair individuals’ ability to make healthy dietary choices, and (2) extrinsic neglect—insufficient support in care environments, inadequate nutrition-related training among informal caregivers and support staff, and structural gaps in policy and services. We argue that this “double jeopardy” undermines nutritional equity and proposes strategies for person-centered nutrition education, caregiver empowerment, supportive food environments, and inclusive policy frameworks. Greater interdisciplinary collaboration and tailored research are urgently needed to ensure nutritional health as a right for people with intellectual disabilities. Full article

Background: Artificial intelligence (AI) is reshaping health sciences education worldwide, yet regional data from Latin America remain scarce. Understanding students’ AI literacy and perceptions is essential for developing informed curricular strategies. Methods: A cross-sectional online survey was conducted among 270 students from four Costa Rican universities across five health sciences programs. Descriptive and inferential analyses (ANOVA, Chi-square) examined AI knowledge, usage frequency, and perceptions of ethical integration in academic contexts. Results: Over 80% of respondents reported moderate or higher AI knowledge and frequent use of tools such as ChatGPT, mostly for academic support tasks. However, more than 90% had not received formal institutional training, and ethical awareness—particularly regarding misinformation and bias—was limited. Conclusions: Students demonstrate active engagement with AI despite minimal curricular exposure. These findings emphasize the need for structured AI training, faculty development, and equitable access policies aligned with global digital ethics frameworks to ensure responsible adoption within Costa Rican health sciences education. Full article

Digital inclusion has become an essential component in ensuring the autonomy, social participation, and well-being of older adults. However, their learning of digital skills depends to a large extent on the quality of support provided by the facilitator, whose age, training, and experience directly influence teaching processes and how older adults relate to technology. This study compares the digital competences, and ICT skills of 107 facilitators of digital literacy programs, classified into three groups: peer educators (PEERS), young students without gerontological training (YOS), and young gerontology specialists (YGS). A quantitative design was used. Statistical analyses included non-parametric tests (Kruskal–Wallis, Mann–Whitney, Kendall’s Tau) and parametric tests (ANOVA, t-tests), to examine associations between socio-demographic variables, the level of digital competence, and ICT skills for teachers (technological and pedagogical). The results show clear differences between profiles. YOS achieved the highest scores in digital competence, especially in problem-solving and tool handling. The YGS achieved a balanced profile, combining competent levels of digital skills with pedagogical strengths linked to their gerontological training. In contrast, PEERS recorded the lowest levels of digital competence, particularly in security and information management; nevertheless, their role remains relevant for fostering trust and closeness in training processes among people of the same age. It was also found that educational level is positively associated with digital competence in all three profiles, while age showed a negative relationship only among PEERS. The findings highlight the importance of creating targeted training courses focusing on digital, technological, and pedagogical skills to ensure effective, tailored teaching methods for older adults. Full article

Physical Education (PE) is envisioned differently across generations, yet these perspectives can be aligned with contemporary curriculum reform. Guided by Strauss–Howe generational theory and Turkey’s 2025 Türkiye Century Education Model, this qualitative study examines lesson design preferences among teachers (Generations X and Y) and students (Generation Z). Thirty-two purposively selected participants from provinces identified by Ministry success indicators completed semi-structured interviews. Data were analysed through directed content analysis alongside thematic analysis. Findings indicate convergence on gamified, technology-supported, and individualized PE with process-oriented, fair assessment. Teachers endorse this vision while foregrounding constraints associated with infrastructure, time, space, and class size. The emergent profile mirrors the 2025 curriculum’s virtue–value–action orientation and its literacy and socio-emotional competencies. Four priorities translate the framework into implementable design: (i) multi-evidence assessment that captures performance and growth, (ii) systematic differentiation via station-based and modular activity designs, (iii) short feedback cycles coupled with structured student-voice mechanisms, and (iv) strengthened school digital infrastructure with targeted professional learning to build digital pedagogical competence. Overall, the study articulates a generationally informed, feasible architecture for PE that bears implications for curriculum development, teacher education, and school improvement. Full article

Background: Peritoneal dialysis (PD) remains underutilized worldwide, partly due to limited patient education, misconceptions, and barriers to accessing reliable health information. Artificial intelligence (AI)-based chatbots have emerged as promising tools for improving health literacy, supporting shared decision-making, and enhancing patient engagement. However, concerns regarding content quality, reliability, and readability persist, and no study to date has systematically evaluated AI-generated content in the context of PD. Therefore, this study aimed to systematically evaluate the quality, reliability, and readability of AI-generated educational content on peritoneal dialysis using multiple large language model-based chatbots. Methods: A total of 45 frequently asked questions about PD were developed by nephrology experts and categorized into three domains: general information (n = 15), technical and clinical issues (n = 21), and myths/misconceptions (n = 9). Three AI-based chatbots, Gemini Pro 2.5, ChatGPT-5, and LLaMA Maverick 4, were prompted to generate responses to all questions. Each response was independently evaluated by two blinded reviewers for textual characteristics, readability using the Flesch Reading Ease Score (FRES) and Flesch-Kincaid Grade Level (FKGL), and content quality/reliability using the Ensuring Quality Information for Patients (EQIP) tool and the Modified DISCERN instrument. Results: Across all domains, significant differences were observed among the chatbots. Gemini Pro 2.5 achieved higher Flesch Reading Ease (FRES) scores (32.6 ± 10.5) compared with ChatGPT-5 (24.2 ± 11.7) and LLaMA Maverick 4 (16.2 ± 7.5; p < 0.001), as well as higher EQIP scores (75.4% vs. 59.4% and 61.5%, respectively; p < 0.001) and Modified DISCERN scores (4.0 [4.0–4.5] vs. 3.0 [3.0–3.5] and 3.0 [2.5–3.5]; p < 0.001). ChatGPT-5 demonstrated intermediate performance, while LLaMA Maverick 4 showed lower scores across evaluated metrics. Conclusions: These findings demonstrate differences among AI-based chatbots in readability, content quality, and reliability when responding to identical peritoneal dialysis–related questions. While AI chatbots may support health literacy and complement clinical decision-making, their outputs should be interpreted with caution and under appropriate clinical oversight. Future research should focus on multilingual, multicenter, and outcome-based studies to ensure the safe integration of AI into PD patient education. Full article