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Acceptability of Caesarean Section among Pregnant Women Seeking Antenatal Care at Women and Newborn Hospital-University Teaching Hospitals, Lusaka Zambia
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作者 Huhenya Sharon Chongo Maureen Masumo Namayipo Nankamba 《Open Journal of Obstetrics and Gynecology》 2024年第5期721-743,共23页
Caesarean section remains one of the most common obstetric and major operations performed on women during pregnancy and has contributed to improving maternal and foetal health. Consequently, significant mortality and ... Caesarean section remains one of the most common obstetric and major operations performed on women during pregnancy and has contributed to improving maternal and foetal health. Consequently, significant mortality and morbidity from pregnancy and labour-related causes can be eliminated by a timely caesarean section. The acceptance of the life-saving procedure remains unsatisfactory in most sub-Saharan nations. The study aimed to assess the acceptability of caesarean section and associated factors among pregnant women seeking antenatal care at Women and Newborn Hospital-University Teaching Hospitals in Lusaka Zambia. The study utilised a quantitative cross-sectional analytical study design involving 420 pregnant women selected using systematic random sampling at Women and Newborn Hospital-University Teaching Hospitals Lusaka Zambia. Data was obtained using an Interview schedule and analysed using R software version 4.3.2. Chi-square, Fisher’s exact test, Wilcoxon rank sum test and binary logistic regression for statistical analysis at a 5% level of significance. The study found that the acceptability of Caesarean section as a mode of delivery was low (29%) among respondents at Women and Newborn Hospital-University Teaching Hospitals. This was influenced by marital status (P = 0.002), socioeconomic status (P = 0.050), parity (P = 0.004), gestation age (P = 0.008), previous history of caesarean section (P = 0.003), knowledge (P < 0.001), attitude (P < 0.001), and sociocultural beliefs (P = 0.045). Low acceptability of Caesarean section delivery is common among women at Women and Newborn Hospital-University Teaching Hospitals, despite its potential benefits for maternal and neonatal health. Socio-demographic and maternal characteristics, knowledge, attitude, perception, and socio-cultural beliefs play a major role in determining acceptability. Therefore, efforts to enhance acceptability should focus on improving knowledge, enhancing positive perceptions and attitudes, and allaying negative socio-cultural beliefs towards caesarean section. 展开更多
关键词 Caesareans Section acceptABILITY Knowledge ATTITUDE PERCEPTION
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Coverage and Factors Associated with Acceptance and Satisfaction of Seasonal Malaria Chemoprevention in Six Health Zones in Benin
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作者 Cyriaque Affoukou Georgia Damien +8 位作者 Thibaud Lègba Olarewadjou Richard Biaou Boni Géraud Padonou Rock Aïkpon William Houndjo Camille Houetohossou Elysé Sohizoun Aurore Ogouyemi Badirou Aguèmon 《Open Journal of Preventive Medicine》 2024年第3期49-60,共12页
Introduction: Seasonal malaria chemoprevention (SMC) was adopted in 2019 in two health zones in Benin where malaria transmission is very high. Positive results led to the extension of the intervention to other zones w... Introduction: Seasonal malaria chemoprevention (SMC) was adopted in 2019 in two health zones in Benin where malaria transmission is very high. Positive results led to the extension of the intervention to other zones with additional financial support. Annual SMC campaigns from 2021 to 2023 were carried out in all six health zones in the Atacora and Alibori departments. In five years of implementation, various approaches have been developed on the basis of a communication plan facilitating buy-in and acceptance by all stakeholders. The aim of this study was to assess the effective coverage and acceptance of the SMC by their beneficiary populations in 2023. Methods: It was a cross-sectional study with an analytical focus. Data collection took place from November 30 to December 13, 2023. The study population consisted of children under 5 years of age residing in the departments of Atacora and Alibori in northern Benin. A total of 3573 children under 5 years of age were included in the study, and their parents or guardians were interviewed. Results: During the 2023 campaign, 87.7% of targets were reached by SMC administration and 100.00% of children had received at least one dose of SMC by the fourth visit. Effective therapeutic coverage of SMC was 70.55%, with 99.60% in BNK, 69.40% in KGS, 16.20% in MK, 56.10% in 2KP, 92.40% in NBT and 89.60% in TMC. This coverage was statistically related to child and respondent ages (p Conclusion: SMC is a strategy accepted by the population, and the main reasons for non-participation in SMC were dominated by the absence of mothers or babysitters when the agents visited. 展开更多
关键词 COVERAGE acceptANCE SMC BENIN
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Acceptance and Experience of HIV-Infected Adolescents in Two Hospitals in Yaoundé
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作者 Isabelle Mekone Nkwele Nelly Kamgaing +7 位作者 Pierrette Amanda Emah Manga Jeannette Épée Ngoué Hélène Kamo Sélangai Claude Audrey Meguieze Nsoh Ndeh-Fofang Serge Tchoukoua Jean-Baptiste Fotso Djemo Paul Koki Ndombo 《Open Journal of Pediatrics》 2024年第2期435-443,共9页
Introduction: Access to antiretroviral drugs has improved the survival of children infected with the Human Immunodeficiency Virus (HIV). As they reach adolescence, they are confronted with various constraints related ... Introduction: Access to antiretroviral drugs has improved the survival of children infected with the Human Immunodeficiency Virus (HIV). As they reach adolescence, they are confronted with various constraints related to the infection and its treatment, in addition to those of the growth period they are going through. The main aim of the study was to assess the acceptance and describe the experience of HIV infection by infected adolescents but also to investigate the factors associated with good acceptance and a positive experience. Methodology: The cross-sectional analytic study concerned HIV-infected adolescents aged 15 to 19 followed up at the Chantal Biya Foundation-Mother and Child Centre (CME-FCB) and the Yaoundé University Hospital Centre (CHUY) between February 2020 and June 2020. The study saw participants complete a questionnaire containing socio-demographic data and assessing acceptance and experience with the infection. Data analysis was accomplished using Epi info software version 7.2.2.6. Results: One hundred and thirteen HIV-infected adolescents were included in the study. The sex ratio was 0.68 and the mean age was 17 years. More than half of the adolescents had a good acceptance and positive experience with the infection. Related factors were the adolescent’s perception of good health and participation in an association with other infected adolescents. Conclusion: Emphasizing the psychological and educational follow-up of infected adolescents and encouraging their participation in associations for adolescents living with HIV could reduce the consequences of poor acceptance and ensure a better transition to adulthood. . 展开更多
关键词 HIV ADOLESCENT acceptANCE EXPERIENCE
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COVID-19 Vaccine Acceptance and Hesitancy among Pregnant Women: A Knowledge, Attitude, and Perceived Risks Survey in Lusaka, Zambia
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作者 Steward Mudenda Ruth Mbewe +1 位作者 Manal Hadi Ghaffoori Kanaan Shafiq Mohamed 《Pharmacology & Pharmacy》 2024年第5期147-166,共20页
Introduction: The coronavirus disease 2019 (COVID-19) is an infectious disease of the respiratory tract caused by SARS-CoV-2. Since its emergence, there have been increased rates of transmission and spread, morbidity ... Introduction: The coronavirus disease 2019 (COVID-19) is an infectious disease of the respiratory tract caused by SARS-CoV-2. Since its emergence, there have been increased rates of transmission and spread, morbidity and mortality which led to the development of COVID-19 vaccines to address the pandemic. This study assessed acceptance, knowledge, attitude, and perceived risks regarding COVID-19 vaccines among pregnant women attending antenatal care at two First-Level Hospitals in Lusaka, Zambia. Materials and Methods: This was a cross-sectional study that was conducted among 241 pregnant women using a questionnaire from August 2023 to October 2023 in two First-Level Hospitals in Lusaka district, Zambia. The collected data were analyzed using IBM Statistical Package for Social Sciences (SPSS) version 22.0. Statistical analysis was performed using a Chi-square test. The statistical significance was set at a 95% confidence level. Results: Of the 241 participants, 107 (42.7%) were aged between 24 and 34 years. Overall, 64.3% accepted the COVID-19 vaccines, of which 122 (50.6%) were already vaccinated. Further, 203 (84.6%) of the pregnant women had good knowledge, and 199 (82.6%) had positive attitudes towards COVID-19 vaccines. However, 58.5% thought COVID-19 vaccines were not safe and could cause infertility. Alongside this, 70.1% thought that COVID-19 vaccines were harmful during pregnancy. Having good knowledge of COVID-19 vaccines was associated with age (p = 0.049), education status (p = 0.001), and employment status (p = 0.001). Having a positive attitude towards COVID-19 vaccines was associated with education status (p = 0.001) and employment status (p = 0.001). Conclusion: This study found that most pregnant women had good knowledge, and positive attitudes, and the majority accepted the COVID-19 vaccine. Encouragingly, most of the pregnant women who accepted the COVID-19 vaccines were already vaccinated. Most pregnant women thought that COVID-19 vaccines had side effects, were not safe, and could be harmful during pregnancy. Consequently, this could have contributed to the hesitancy to receive a vaccine among some participants. The findings of this study demonstrate the need to provide pregnant women with continuous educational programs on the benefits of vaccinations for themselves and their children. 展开更多
关键词 COVID-19 Vaccines Pregnant Women Vaccine acceptance Vaccine Hesitancy Zambia
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Acceptability of Kangaroo Mother Care (KMC) by Mothers with Low-Birth-Weight Babies at Arthur Davison Children’s Hospital, in Ndola, Zambia
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作者 Julia D. Kalito Maureen M. Masumo Chapima Fabian 《Open Journal of Obstetrics and Gynecology》 2024年第5期790-823,共34页
Background: Kangaroo Mother Care is a simple safe method used to care for low-birth-weight babies. Low-birth-weight is a global public health issue that pose significant challenge to perinatal care systems. Globally, ... Background: Kangaroo Mother Care is a simple safe method used to care for low-birth-weight babies. Low-birth-weight is a global public health issue that pose significant challenge to perinatal care systems. Globally, complications due to low-birth-weight are the leading cause of neonatal mortality, resulting in an estimated 1 million deaths annually. Kangaroo Mother Care (KMC) is a low-cost method of care for low-birth-weight infants in areas with inadequate incubators and power outages with positive outcomes. Objectives: To assess factors influencing acceptability of Kangaroo Mother Care (KMC) in NICU at Arthur Davison Children’s Hospital in Ndola, Zambia. Methodology: A cross sectional quantitative analytical study design was used. The study was conducted at Arthur Davison Children’s Hospital (ADCH) in Ndola, Zambia. The purposive sampling method was used to select the study participants and a total of 129 mothers with Low Weight Babies A were selected to participate structured closed ended questionnaire was used to collect data from the participants using an interview. Data was analyzed using a Statistical Package for Social Scientists (SPSS) software version 26. Cross tabulations were done to determine association of variables using a Chi square (x<sup>2</sup>) test at 95% confidence interval and were assumptions where not met, fishers exact test was used. Multivariate binary logistic regression analysis was used to quantify the relationship between the dependent and independent variables. Results: Most of the respondents had male babies 77%, 69% of the babies weighed 1000 g - 1400 g, majority 79% had normal delivery, 71% of the respondents were multigravida and most of the respondents 79% were married. The study reviewed that 85% of those who attained secondary education accepted KMC, 74% of the respondents without monthly income accepted KMC, 80% of the respondents had positive attitude and accepted KMC. 82% of the respondents who had positive perception accepted KMC. Conclusion: Acceptance of Kangaroo Mother Care (KMC) among 75% of the mothers underscores its widespread favourability as a beneficial method for infant care. 展开更多
关键词 acceptABILITY Kangaroo Mother Care Low Birth Weight Babies
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The relationship between age,acceptable noise level,and listening effort in middle-aged and older-aged individuals
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作者 Hemanth Narayan Shetty Suma Raju Sanjana Singh S 《Journal of Otology》 CAS CSCD 2023年第4期220-229,共10页
Objective:The purpose of the study was to evaluate listening effort in adults who experience varied annoyance towards noise.Materials and methods:Fifty native Kannada-speaking adults aged 41e68 years participated.We e... Objective:The purpose of the study was to evaluate listening effort in adults who experience varied annoyance towards noise.Materials and methods:Fifty native Kannada-speaking adults aged 41e68 years participated.We evaluated the participant's acceptable noise level while listening to speech.Further,a sentence-final wordidentification and recall test at 0 dB SNR(less favorable condition)and 4 dB SNR(relatively favorable condition)was used to assess listening effort.The repeat and recall scores were obtained for each condition.Results:The regression model revealed that the listening effort increased by 0.6%at 0 dB SNR and by 0.5%at 4 dB SNR with every one-year advancement in age.Listening effort increased by 0.9%at 0 dB SNR and by 0.7%at 4 dB SNR with every one dB change in the value of Acceptable Noise Level(ANL).At 0 dB SNR and 4 dB SNR,a moderate and mild negative correlation was noted respectively between listening effort and annoyance towards noise when the factor age was controlled.Conclusion:Listening effort increases with age,and its effect is more in less favorable than in relatively favorable conditions.However,if the annoyance towards noise was controlled,the impact of age on listening effort was reduced.Listening effort correlated with the level of annoyance once the age effect was controlled.Furthermore,the listening effort was predicted from the ANL to a moderate degree. 展开更多
关键词 Listening effort acceptable noise level Cognitive reservoir Repeat and recall task
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Influencing Factors for Social Acceptance of Noma (Cancrum Oris) Patients in Niger: A Hospital-Based Cross-Sectional Study
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作者 Abdou Hassane Issa Kadre Alio Kadre Ousmane +5 位作者 Elhadj Ousmane Hamady Issa Jiahao Shen Maiga Djibo Douma Alkassoum Salifou Ibrahim Moeng Eva Ying Guan 《Health》 CAS 2023年第4期326-348,共23页
Background: Noma, mostly identified in malnourished young children in the world’s low-income countries, causes severe orofacial disfigurement and significant mortality and morbidity. The majority of noma patients sur... Background: Noma, mostly identified in malnourished young children in the world’s low-income countries, causes severe orofacial disfigurement and significant mortality and morbidity. The majority of noma patients surviving with aesthetical effects are exposed to stigmatization and social rejection. Studies focusing on the socio-psychological impact of noma survivors have rarely been done. Our study aimed to identify the differences in social acceptance/rejection and the influencing factors associated with social acceptance in noma patients. Methods: A cross-sectional study was conducted at the NGO-Sentinelles (Niger) reception center on patients with noma from Zinder, Maradi, and Tahoua regions between 9<sup>th</sup> May 2017 and 2<sup>nd</sup> June 2017. The survey was conducted through a face-to-face interview on patients admitted to the center and those discharged from the centre after the treatment. The interview questionnaire comprised 45 questions (Cronbach’s alpha coefficient = 0.812) with pathological information, sociodemographic characteristics, and socio-psychological qualitative information. Findings: We recorded 50 noma patients (43 from Zinder and 7 from Maradi and Tahoua). The younger patients (1 - 5 years old), noma patients who stayed in school during follow-up treatment, patients who were referred by a health structure, patients enrolled into the centre in a short time (<30 days), and patients in the acute phase of noma had a significantly high social acceptance rate with 60.0%, 82.9%, 60.0%, 57.1% and 94.3% respectively;whereas single adults and cheek lesion site had the highest social rejection rate when compared to their corresponding factors with 60.0% and 86.7% respectively. There were significant differences in victims’ perception of noma [χ<sup>2</sup> = 45.536, (P < 0.001)] and acceptance of their new faces [P = 0.023], between the social acceptance and social rejection rate, therefore all patients who accepted their new faces felt social acceptance. Social acceptance was significantly highly correlated with pathological history (admission method, phase of noma, care, and treatment received at center) with r<sub>s</sub> ranging from 0.609 to 0.810, moderately correlated with patient’s sociodemographic characteristics (age, marital status, and region) with r<sub>s</sub> ranging from 0.381 to 0.474. Lowly correlated with clinical evolution after treatment (r<sub>s</sub> = 0.293). Logistic regression results showed that the likelihood of social acceptance increased when the patient’s age was young (≤15 years), their marital status was minor, they were enrolled at the school before noma appearance, they were referred to the centre after diagnosis, the admission time to the centre was short (≤30 days), acute phase of noma, and care received at the centre was non-surgery. The location of the lesion on the cheek was a risk factor for social acceptance, indicating cheek lesions from noma increased the likelihood of social rejection in our study. Conclusion: The sociodemographic characteristics, pathological history, and psychological aspects of noma patients were correlated and were found to be important factors influencing their social acceptance/rejection rate. 展开更多
关键词 NOMA After-Effects Socio-Psychological Factors Social acceptance/Rejection Social Reintegration
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Acceptability of Phone-Based Communication Intervention by Healthcare Workers as an Adjunct to Routine Referral Form: A Qualitative Study in South Western Uganda
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作者 Hamson Kanyesigye Joseph Ngonzi +3 位作者 Edgar Mulogo Yarine Fajardo Noni E. MacDonald Jerome Kabakyenga 《Open Journal of Preventive Medicine》 CAS 2023年第2期23-40,共18页
Introduction: A functional maternal referral system should encompass a feasible communication system between health facilities. In Uganda, the current paper-based patient referral form is associated with inadequate pa... Introduction: A functional maternal referral system should encompass a feasible communication system between health facilities. In Uganda, the current paper-based patient referral form is associated with inadequate patient-information and low feedback rates. A recent quasi-experimental study demonstrated that a phone-based communication intervention is feasible for iterative communication between health facilities, and there were improved maternal-fetal outcomes and high rates of feedback. However, the acceptability of the intervention was not assessed. Objective: The study assessed the acceptability of a phone-based communication intervention by the health care workers (HCWs) for iterative communication between the referring and receiving health facilities. Methods: This was a qualitative study conducted in South Western Uganda, in April 2021. The study employed a theoretical framework of acceptability of medical interventions. We conducted in-depth interviews with HCWs and used deductive-inductive analysis. Results: We enrolled a total of 23 HCWs, of whom 69.6% (n = 16) were females while 30.4% (n = 7) were males. Majority (65.2%, n = 15), were midwives and the rest were: doctors (30.4%, n = 7) and a nurse (4.3%). The HCWs were positive towards the intervention: they believed that the intervention reduced delays, promoted professional escort, encouraged sharing of supplies, enabled exchange of relatively more patient details, feedback and improved case management. They believed it was culturally acceptable and had enough skills and experience of operating phones. All participants recommended scale out of the intervention, but advised on the need for dedicated human-resource to coordinate phone calls, ensure availability of airtime and charged battery. Conclusion: This study demonstrates that the phone-based communication intervention was highly accepted by the healthcare workers, and that hospitals can successfully give feedback to lower health centres through iterative phone calls. This provides a possible solution to the long-standing challenge of poor feedback rates and a vicious cycle of poor maternal-fetal outcomes in resource limited settings. 展开更多
关键词 acceptABILITY Phone-Based Communication Intervention Referral Form Healthcare Workers
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Effects of Internet-Based Acceptance and Commitment Therapy (IACT) on Adolescents: A Systematic Review and Meta-Analysis
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作者 Jing Wang Shuanghu Fang 《International Journal of Mental Health Promotion》 2023年第4期433-448,共16页
Objectives:This study reviewed published randomized controlled trials(RCTs)and evaluated the efficacy of internet-based acceptance and commitment therapy(IACT)on adolescent mental health.Methods:Searches were conducte... Objectives:This study reviewed published randomized controlled trials(RCTs)and evaluated the efficacy of internet-based acceptance and commitment therapy(IACT)on adolescent mental health.Methods:Searches were conducted in PubMed,ProQuest,APA(PsycNET/PsycINFO),and Web of Science from inception to Jan-uary 2022 to identify RCTs evaluating the effects of IACT on adolescents.The included studies were assessed for quality and risk of bias.This study was performed using the standard mean difference and associated 95%confidence interval of effective measures.Review Manager 5.4 software was adopted to calculate the effect size.Results:Compared to adolescents in control groups,those in the IACT groups showed some improvement in the efficacy of depression symptoms(SMD=−0.24,95%CI=[−0.44,−0.05],p=0.01)and had a small but sig-nificant effect on reducing experiential avoidance(SMD=−0.24,95%CI=[−0.46,−0.01],p=0.04).However,the effect size on anxiety did not reach the threshold(SMD=−0.18,95%CI=[−0.27,−0.09],p<0.0001).In addition,there were no significant differences in stress and well-being compared to those of the control group.Compared with universal adolescents,IACT was found to have a more significant therapeutic effect on targeted adolescents.Conclusions:IACT is effective in adolescent mental health interventions,but its clinical reliability and significant efficacy are limited,and more rigorous RCTs are needed in future studies. 展开更多
关键词 Internet-based acceptance and commitment therapy adolescents mental health META-ANALYSIS
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Factors Contributing to the Acceptability of Second Dose of Measles Vaccine among Children in Livingstone District, Zambia
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作者 Mirriam Nchimunya Dorothy Chanda Emmanuel Musenge 《Open Journal of Pediatrics》 CAS 2023年第2期220-234,共15页
Introduction: Measles is a viral disease that is a major public health problem in both developed and developing countries. It is a contagious disease resulting from infection with the measles virus and is still respon... Introduction: Measles is a viral disease that is a major public health problem in both developed and developing countries. It is a contagious disease resulting from infection with the measles virus and is still responsible for more than 100,000 deaths per year. Although vaccination is one of the most successful and cost-effective public health interventions to reduce mortality and morbidity, approximately 1.4 million children worldwide die from vaccine-preventable diseases each year. In Zambia, MCV2 was 66% below WHO recommended target of 95%. This study therefore assessed the acceptability of second dose measles vaccination services among caretakers/mothers with children less than two years of age in Livingstone, Zambia. Methods: The study used analytical cross-sectional study design. A logistic regression analysis was performed to identify factors associated with acceptability of the second dose of measles vaccine. A semi structured questionnaire was administered to collect data on socio demographic characteristics and factors related to acceptability of the second dose of measles vaccine. SPSS version 26.0 was used for descriptive and inferential analysis at 5% level of significance. Results: There was no statistically significant difference in acceptability of the second dose of measles vaccine by gender, marital status, type of employment, income level, socio-cultural and traditional beliefs, and education level. However, there was a statistically significant difference in acceptability of the second dose of measles vaccine by knowledge level of second dose of measles vaccine. A Chi square test result indicated that second dose acceptability was higher with less children than that of respondents with many children (χ2(5) = 15.3, p and knowledge levels (χ2(2) = 14.8, p Changes in knowledge level from medium to high reduced the odds of second dose measles vaccine acceptability. Furthermore, this study showed that acceptance of the second measles vaccination increased from mothers/caretakers with low knowledge (3.6%) to medium knowledge (13.3%) and finally high knowledge (83.1%). Conclusion: Tailored messaging to increase knowledge among mothers and caregivers on the importance of the second dose of measles vaccine is critical in improving acceptability. Therefore, the researchers recommend that the health providers should continue to raise awareness associated with the low acceptability of the second dose of measles vaccine and improve on child preventable diseases such as measles. 展开更多
关键词 MEASLES Second Dose acceptABILITY Caretakers
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Systematic Review of Literature for Smartphones Technology Acceptance Using Unified Theory of Acceptance and Use of Technology Model (UTAUT)
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作者 Mazharuddin Syed Ahmed John Everatt +1 位作者 Wendy Fox-Turnbull Fahad Alkhezzi 《Social Networking》 2023年第2期29-44,共16页
Systematic Review and Meta-analysis are techniques which attempt to associate the findings from similar studies and deliver quantitative summaries of the research literature [1]. The Systematic review of research... Systematic Review and Meta-analysis are techniques which attempt to associate the findings from similar studies and deliver quantitative summaries of the research literature [1]. The Systematic review of research literature identifies the common research methods, research design, sample size, parameters used, survey instruments, etc. used by the group of researchers. This study intends to fulfill this purpose in order to identify common research mythologies, dependent variables, sample sizes, moderators and mediators used in the field of analysing technology adoption based studies that utilizes the UTAUT2 model. This research collected over 59 published articles and conducted descriptive analytics. The results have revealed performance expectancy/perceived usefulness, trust and habit as the best predictors of consumer behavioural intentions towards the adoption of mobile application. Behavioural intention was the best predictor of use behaviour among the 57 articles selected. 274 was the mean sample size of research with 25 mean questionnaire items. SPSS and AMOS were the most common softwares used in all 57 studies, and 32 of those studies used UTAUT1 model while 14 researches incorporated the UTAUT2 model. There were also two promising predictors such as perceived risk on behavioural intention and habit on use behaviour. 展开更多
关键词 Systematic Review of Literature UTAUT Technology acceptance SMARTPHONE Education Technology Technology acceptance
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Acceptability of Ambulatory Surgical Services and Its Predictors among Residents of Budondo Sub-County—Jinja District, Uganda
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作者 Anna Turumanya Kalumuna 《Surgical Science》 2023年第3期170-191,共22页
Background: 25% of all people requiring surgical care are not able to access it due to its high cost. These people stand a high risk of preventable severe morbidity and mortality due to poor prognosis of surgically co... Background: 25% of all people requiring surgical care are not able to access it due to its high cost. These people stand a high risk of preventable severe morbidity and mortality due to poor prognosis of surgically correctable illnesses. Ambulatory surgical care services are significantly cheaper than orthodox surgical care and have become very relevant in this time and age where health conditions that can only be treated with surgical intervention are on the rise. The acceptability of ambulatory surgical care services will determine how this model increases universal health coverage. Objective: To assess the acceptability of ambulatory surgical services and its predictors among residents of Budondo Sub-County—Jinja district. Methods: The study was cross-sectional targeting 371 household heads in Budondo Sub-County, which was stratified by parish, with villages in each randomly sampled. Systematic random sampling was used to sample households and households therein were purposively sampled. Structured interviews and questionnaires were the data collection techniques, and data was analyzed in SPSS version 25 using descriptive statistics and a binomial logit model. Results: The level of acceptability of ambulatory surgical care services among residents of Budondo Sub-County was found to be near-universal, at 96.5%. The odds of accepting ambulatory surgical care were least among household heads who agreed that surgery done in a hospital would be cheaper than surgery done at community level (aOR = 0.174 [CI = 0.055 - 0.553]), those who had health insurance (aOR = 0.105 [95% CI = 0.030 - 0.371]), and household heads who were covered with private health insurance (aOR = 0.078 [95% CI = 0.008 - 0.792]). Acceptability of ASC was higher among household heads who agreed that they would trust ambulatory surgical centers with their life were more likely to accept ambulatory surgical care (aOR = 1.124, [95% CI = 1.122 - 3.218], P = 0.000), and household heads from households that had less than five members with surgery history were twice as likely to accept ambulatory surgical care (aOR = 2.431 [95% CI = 1.122 - 5.898], P = 0.000). Conclusion: Acceptability of ambulatory surgical care services among residents of Budondo Sub-County is high, and near-universal. It is mainly predicted by intrapersonal correlates and to a small extent by socio-demographic characteristics, with the implication that the administration of Global Surgical Initiatives in Kyabirwa ought to focus on modifying or uphold the intrapersonal characteristics found to be antagonists and protagonists of acceptability, respectively. 展开更多
关键词 acceptABILITY Ambulatory Surgery PREDICTORS Jinja District
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The New Meaning of “Bond” of Jiban in Chinese: A Study of Cultural, Accepted, and Social Dimensions
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作者 YU Zihan CHEN Yong 《Cultural and Religious Studies》 2023年第10期475-485,共11页
Jiban,a term that means“fetter”in Chinese,is commonly used to denote the“bond between people”within a Chinese context.The meaning of“bond”of jiban is derived from the Japanese word kizuna.From a cultural standpo... Jiban,a term that means“fetter”in Chinese,is commonly used to denote the“bond between people”within a Chinese context.The meaning of“bond”of jiban is derived from the Japanese word kizuna.From a cultural standpoint,the association between the meanings of jiban and kizuna is interconnected on a cultural level.From an accepted perspective,the emergence of the new meaning of jiban encompasses various factors within the accepted context,and individuals gain a comprehensive understanding of the meaning“bond”through the cognitive processes of meaning,motivation,and aesthetics.From a societal viewpoint,the distribution of the original meaning and the new meaning of jiban differs significantly across various language environments.Furthermore,the acceptance of the new meaning of jiban is currently witnessing a growing trend among a specific group,necessitating attention and further investigation. 展开更多
关键词 jiban kizuna BOND CULTURE accept
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Acceptability and strategies for enhancing uptake of human immunodeficiency virus self-testing in Nigeria
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作者 Victor Abiola Adepoju Chidinma Umebido +1 位作者 Ademola Adelekan Ali Johnson Onoja 《World Journal of Methodology》 2023年第3期127-141,共15页
BACKGROUND In 2019,the Nigerian Ministry of Health published the first operational guidelines for human immunodeficiency virus self-testing(HIVST)to improve access to human immunodeficiency virus(HIV)testing services ... BACKGROUND In 2019,the Nigerian Ministry of Health published the first operational guidelines for human immunodeficiency virus self-testing(HIVST)to improve access to human immunodeficiency virus(HIV)testing services among undertested populations in the country.Also,as part of the campaign to increase HIV testing services in Nigeria,the Nigerian Ministry of Health developed standard operating procedures for using HIVST kits.AIM To systematically review the acceptability and strategies for enhancing the uptake of HIVST in Nigeria.METHODS The systematic review was conducted and reported in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses.Different databases were searched to get the necessary materials needed for this review.Standardized forms developed by the authors were used for data extraction to minimize the risk of bias and ensure that the articles used for the study were properly screened.Identified articles were first screened using the titles and their abstracts.The full papers were screened,and the similarities of the documents were determined.Qualitative,quantitative,and mixed-method studies were evaluated using the Critical Appraisal Skills Programme and Critical Appraisal Framework criteria.RESULTS All the publications reviewed were published between 2015 and 2022,with 33.3%published in 2021.Most(77.8%)of the studies were cross-sectional,43.3%were conducted in Lagos State,and 26.3%were conducted among young people.The study revealed a high level of acceptability of HIVST.Certain factors,such as gender,sexual activity,and previous testing experience,influence the acceptability of HIV self-testing,with some individuals more likely to opt-out.The cost of the kit was reported as the strongest factor for choosing HIVST services,and this ranged from 200 to 4000 Naira(approximately United States Dollar 0.55-11.07),with the majority willing to pay 500 Naira(approximately United States Dollar 1.38).Privately-owned,registered pharmacies,youthfriendly centres,supermarkets,and online stores were the most cited access locations for HIVST.The least influential attribute was the type of specimen needed for HIVST.Strategies addressing cost and preferred access points and diverse needs for social media promotion,local translation of product use instructions,and HIVST distribution led by key opinion leaders for key populations were found to significantly enhance HIVST uptake and linkage to care.CONCLUSION HIVST acceptability is generally high from an intention-to-use perspective.Targeted strategies are required to improve the acceptability of HIV self-testing,especially among males,sexually active individuals,and first-time testers.Identified and proposed uptake-enhancing strategies need to be investigated in controlled settings and among different populations and distribution models in Nigeria. 展开更多
关键词 acceptABILITY HIV self-testing UPTAKE Intention-to-use Regulation Linkage to care
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Unlocking Societal Recognition and Acceptance: A Case Study of Python
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作者 Guanwen Wang 《Proceedings of Business and Economic Studies》 2023年第6期69-75,共7页
This study employs Python,a high-level programming language,as a case study.By analyzing the inherent characteristics of Python within its social context,this study explores its advantages in meeting social needs,infl... This study employs Python,a high-level programming language,as a case study.By analyzing the inherent characteristics of Python within its social context,this study explores its advantages in meeting social needs,influencing social psychology,and garnering external support.The primary objective of this analysis is to disrupt the established monopoly held by older programming languages such as Java,Rust,and C++.As a result,Python has emerged as the most widely utilized and popular programming language globally.Using Python as a representative example,this study extends its focus to examine the conditions under which products across various societal domains not only gain recognition but also find widespread acceptance and application in the world.Through thorough scrutiny within the demanding landscape of society,the study contends that products meeting such conditions are well-positioned to contribute significantly to societal progress. 展开更多
关键词 PYTHON SOCIETY acceptANCE
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基于ACCEPT方案的EICU危重患者院内转运路径的应用 被引量:2
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作者 张婧婧 易利华 任国琴 《南通大学学报(医学版)》 2015年第6期611-612,共2页
目的 :探讨基于ACCEPT方案的危重患者院内转运路径在急诊重症监护室(emergency intensive care unit,EICU)的应用效果。方法 :将2013年3—12月从EICU转运的65例危重患者设为对照组;2014年1—10月的70例危重患者设为观察组。对照组采用... 目的 :探讨基于ACCEPT方案的危重患者院内转运路径在急诊重症监护室(emergency intensive care unit,EICU)的应用效果。方法 :将2013年3—12月从EICU转运的65例危重患者设为对照组;2014年1—10月的70例危重患者设为观察组。对照组采用常规方法转运;观察组在建立基于ACCEPT方案的转运路径后,按转运路径实施院内转运。结果:两组不良事件发生率、接收科室满意度比较差异有统计学意义(P<0.01)。结论:应用基于ACCEPT方案的EICU危重患者院内转运路径,可以提高危重患者的转运安全,提升护理服务质量。 展开更多
关键词 accept方案 危重患者 院内转运 临床护理路径
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An Acceptance Model of Using Mobile-Government Services(AMGS) 被引量:1
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作者 Ahmad Althunibat Mohammad Abdallah +2 位作者 Mohammed Amin Almaiah Nour Alabwaini Thamer Ahmad Alrawashdeh 《Computer Modeling in Engineering & Sciences》 SCIE EI 2022年第5期865-880,共16页
In recent years,the telecommunications sector is no longer limited to traditional communications,but has become the backbone for the use of data,content and digital applications by individuals,governments and companie... In recent years,the telecommunications sector is no longer limited to traditional communications,but has become the backbone for the use of data,content and digital applications by individuals,governments and companies to ensure the continuation of economic and social activity in light of social distancing and total closure inmost countries in the world.Therefore,electronic government(e-Government)andmobile government(m-Government)are the results of technological evolution and innovation.Hence,it is important to investigate the factors that influence the intention to use m-Government services among Jordan’s society.This paper proposed a new m-Government acceptance model in Jordan(AMGS);this model combines the Information System(IS)Success Factor Model and Hofstede Cultural Dimensions Theory.The study was conducted by surveying different groups of the Jordanian community.Astructured questionnaire was used to collect data from203 respondents.Multiple regression analysis has been conducted to analyze the data.The results indicate that the significant predictors of citizen intention to use m-Government services in Jordan are Information Quality,Service Quality,Uncertainty Avoidance,and Indulgence vs.restraint.While,the results also suggest that Power Distance is not a significant predictor of citizen intention to use m-Government services. 展开更多
关键词 acceptance test E-GOVERNMENT m-Government acceptance model IS success factor model Hofstede cultural dimensions theory
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Blog acceptance model: An empirical study on exploring users' acceptance and continual usage of blogs 被引量:1
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作者 ZHAO Yuxiang ZHU Qinghua 《Chinese Journal of Library and Information Science》 2009年第3期44-61,共18页
Blogs have permeated into our daily lives at a fast speed, and various kinds of blog spaces have attracted our attention. However, little effort has been made on studying the users' motivation to participate in bl... Blogs have permeated into our daily lives at a fast speed, and various kinds of blog spaces have attracted our attention. However, little effort has been made on studying the users' motivation to participate in blog activities. This paper aims to construct a theoretical model about the blog adoption based on technology acceptance model(TAM theory), social capital theory and social exchange theory, and put forward 18 related hypotheses. Then the survey method is adopted to analyze the data from 208 questionnaires using the SPSS and LISREL tools, and to examine the theoretical model and hypotheses. Finally, the paper makes a discussion from five aspects due to the results of data analysis, including individual driving factors, group driving factors, community driving factors, technology acceptance factors and moderating variables. The results show that curiosity/enjoyment, user's experience, social interaction and social identification will greatly affect users' motivation to accept a blog; meanwhile, perceived ease of use, exchange cost and trust will partially influence users' intention to participate in blog activities. The results also suggest that age and education degrees have significant moderating effects on users' acceptance and updating of blogs. 展开更多
关键词 Blog acceptance model Users' motivation technology acceptance model(TAM) Social capital theory Social exchange theory
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Behavioral Analysis of E-commerce Acceptance in Micro-enterprises
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作者 XU Lei WANG Jian-qiong 《Computer Aided Drafting,Design and Manufacturing》 2013年第2期57-61,共5页
E-commerce present opportunities and challenges for businesses, especially for micro-enterprises. This paper proposed a theoretical framework that in line with the unique characteristics of E-commerce acceptance in mi... E-commerce present opportunities and challenges for businesses, especially for micro-enterprises. This paper proposed a theoretical framework that in line with the unique characteristics of E-commerce acceptance in micro-enterprises in Chengdu, which is based on the unified theory of acceptance and use of technology (UTAUT) model. The extending UTAUT model includes key constructs of performance expectation, perceived behavioral control and the characteristics of owner-managers. 展开更多
关键词 E-COMMERCE user acceptance micro-enterprises unified theory of acceptance and use of technology
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STABILITY OF INNOVATION DIFFUSION MODEL WITH NONLINEAR ACCEPTANCE 被引量:5
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作者 于宇梅 王稳地 《Acta Mathematica Scientia》 SCIE CSCD 2007年第3期645-655,共11页
In this article, an innovation diffusion model with the nonlinear acceptance is proposed to describe the dynamics of three competing products in a market. It is proved that the model admits a unique positive equilibri... In this article, an innovation diffusion model with the nonlinear acceptance is proposed to describe the dynamics of three competing products in a market. It is proved that the model admits a unique positive equilibrium, which is globally stable by excluding the existence of periodic solutions and by using the theory of three dimensional competition systems. 展开更多
关键词 Global stability nonlinear acceptance innovation diffusion model
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