Adoption of smartphones by older adults (i.e., 65+ years old) is not fully understood, especially in relation to cybersecurity and cyberthreats. In this study, we focus on the perceived threat of cyberattacks (PT) as a potential barrier to smartphone adoption and use among older adults. The study also investigates the differences between users and non-users of smartphones, and the differences between older adults who are aware of smartphones and those who are not. We conducted a quantitative cross-sectional survey of older adults in Slovenia (N=535). The results of covariance-based structural equation modeling indicate consistent support for the associations of intention to use (ItU) with perceived usefulness (PU), subjective norm (SN) and attitude toward use (AtU), the association between ease of use (EoU) and PU, the association between hedonic motivation (HM) and AtU, and the association between smartphone technology anxiety (STA) and fear of use (FoU). Even though the negative association between PT and ItU was significant in the full sample, the non-user and the not aware subsamples, its role in adoption of smartphones among older adults remains puzzling. We uncovered significant positive associations between PT and AtU (except in the not aware subsample), and PT and PU which we could not fully explain. The results of our study provide some insights on how campaigns promoting smartphone adoption among older adults should focus on reducing STA, improving confidence in cybersecurity awareness, and emphasizing the PU of smartphones through practical, user-friendly training programs tailored to the needs of this population.
1 November 2020 in International Journal for Quality in Health Care
Objectives: In healthcare, a variety of quality management practices are used. Although they are important sources for quality improvement initiatives, they do not focus on each particular process. On the other hand, 'Control Objectives for Information and Related Technologies' (COBIT) offers a well-defined process representation structure for representing potential process improvements. The objective of this study was to adopt the COBIT structure for healthcare processes and assess the applicability of such process representations. Design: A two-round Delphi technique was applied: in round 1, open-ended interviews were performed with the participants; in round 2, the participants responded to the web questionnaire. Settings: The participants provided their opinion between 11 September 2018 and 26 June 2019. Participants: It included 37 members of an expert panel from 8 European countries. Intervention: N/A Main Outcome Measures: In round 1, strengths, weaknesses, opportunities and threats indicators of using the proposed structure in healthcare were identified. These were evaluated on a 9-point Likert scale in round 2. Results: All participants noted that elements of the COBIT process representation structure were suitable for representing healthcare processes. The consensus was reached only for strengths and opportunities indicators. Conclusions: A set of processes represented with the suggested structure has the potential to become a valid reference in healthcare quality improvements initiatives, as COBIT in IT domain. Despite the fact that the expert panel members confirmed the applicability of the COBIT process representation structure for healthcare processes, the identified weaknesses and threats cannot be ignored.
23 September 2024 in Slovenian Journal of Public Health
Introduction: This article presents the development, implementation and results of the project “An interdisciplinary approach to the treatment of overweight children” under the name “My Challenge” camp. It is a 2-week multidisciplinary programme involving a physician, a dietitian, a psychologist, an occupational therapist or physiotherapist and a kinesiologist. The children stay in camp for 2 weeks and are actively involved in the daily preparation of healthy meals, participate in cooking workshops and interactive nutrition lessons, and are active outdoors throughout the programme. Methods: The study included 117 overweight or obese children, aged 7–18 years, 66 girls and 51 boys from ten camps between 2017 and 2023. Completed dietary questionnaires and anthropometric measurements were compared at baseline, after 2 weeks, and after 1 month. Results: Changes in children's diets include an increase in meal frequency, in higher vegetables, fish, and seafood consumption, lower consumption of fried food and reduced consumption of sugary drinks. Boys more frequently consume fried food than girls and less frequently consume milk and dairy products. After one month, there was a decrease in body fat percentage, waist circumference and waist-to-height ratio in both genders. Conclusions: The “My Challenge” camp demonstrates promising outcomes in combating childhood obesity. Through a two-week multidisciplinary programme, significant improvements in dietary habits and anthropometric measures were observed. The findings underscore the importance of preventive education programmes for children in addressing the long-term health consequences of obesity. Further research and continued implementation of such initiatives are warranted to effectively tackle this public health issue.
Introduction: With couples' increasing postponement of pregnancy to later in life and the associated rising infertility rates, healthcare professionals need to be proactive in counselling on the risk factors affecting reproduction. To do so, they need specific counselling skills and evidence-based information. The aim of this study was to assess and compare participants' knowledge of fertility issues before and after an educational intervention on preconception health care.Methods: A cross-sectional observational study was conducted, using the same questionnaire to assess the pre- and post-intervention status. The questionnaire was developed on the basis of a literature review on infertility risk factors. The survey was conducted in a conference setting. Participation in the survey was voluntary and confidentiality was assured to all participants (midwives, nurses and healthcare students). The differences in participants' pre- and post-intervention knowledge were calculated using the Wilcoxon signed rank test.Results: The results of our study show an improvement in participants' overall knowledge on infertility risk factors. These improvements were statistically significant in the sections of 'Age and Fertility' and 'Environmental Hazards', while in the sections 'Pre-existing Medical Conditions' and 'Lifestyle Factors Affecting Fertility', participants already possessed comprehensive knowledge prior to the educational intervention.Discussion and conclusion: Health professionals can improve their knowledge on preconception health through continuous education. Further studies need to test the long-term effects of different educational approaches.