Background: The COVID-19 pandemic has significantly impacted various sectors, including healthcare, the economy, and education, leading to a quick shift towards e-learning. Aim: To evaluate student experiences and academic performance with E-Learning during the COVID-19 pandemic. Methods: This descriptive cross-sectional study surveyed 378 students across 13 colleges in the Jouf region of Saudi Arabia, using a structured, self-administered electronic questionnaire. Results: The majority of respondents expressed strong satisfaction with e-learning, reporting minimal challenges in adapting and observing an increase in their Grade Point Average (GPA) post-transition.

Background: Asthma during pregnancy is associated with adverse maternal and neonatal outcomes. Nursing education, self-management support, and mobile health (mHealth) technologies may support asthma management during pregnancy. Aim: This study evaluated the effect of a structured nursing intervention supported by an mHealth application on asthma control, treatment adherence, and self-monitoring, and maternal and neonatal outcomes among pregnant women with asthma. Design and Setting: A quasi-experimental pretest–posttest design with a control group was conducted at two Maternal and Child Health Centers in Shebin El-Kom, Menoufia Governorate, Egypt. Participants: A convenience sample of 140 pregnant women with physician-diagnosed asthma was recruited and allocated non-randomly according to the center attended to a study group (n = 70) and a control group (n = 70). The sample size was calculated a priori based on a previous study using a 5% significance level and 80% statistical power, with a 1:1 allocation ratio, resulting in a required sample of 70 participants per group. All recruited participants completed the study, with no withdrawals or loss to follow-up. Intervention: The study group received routine antenatal care plus an eight-week structured nursing intervention consisting of four individualized weekly educational sessions (60–90 min each) addressing asthma management, medication adherence, self-monitoring, trigger avoidance, warning signs, inhaler technique, lifestyle modification, and rhythmic breathing exercises. Participants were trained to use the Airlyn mHealth application for guided breathing exercises, practiced 2–3 times daily, and received telephone/WhatsApp follow-up during weeks 6–8. The control group received routine antenatal care according to usual MCH center procedures. Measures: Asthma control was assessed using the Asthma Control Test (ACT). Treatment adherence and self-monitoring were assessed using the Asthma Adherence and Self-Monitoring Questionnaire. Maternal outcomes included hypertensive disorders, gestational diabetes, infections, preterm labor/PPROM, hemorrhage, and mode of delivery. Neonatal outcomes included birth weight, Apgar scores, respiratory distress and respiratory support, NICU admission and length of stay, and condition at discharge. The researcher-developed instruments underwent expert assessment of content validity and assessment of internal consistency before use. Results: Baseline ACT scores were comparable between the study and control groups (14.5 ± 4.2 vs. 14.1 ± 4.3; mean difference = 0.4; p = 0.580). Following the intervention, ACT scores were higher in the study group than in the control group (19.7 ± 3.6 vs. 15.2 ± 4.2; mean difference = 4.5; 95% CI: 3.189–5.811; p < 0.001; Cohen’s d = 1.147). Well-controlled asthma was observed in 75.7% of the study group compared with 17.1% of the control group (p < 0.001). Treatment adherence and self-monitoring scores were also better in the study group (5.6 ± 2.7 vs. 9.1 ± 3.1; mean difference = −3.5; 95% CI: −4.476 to −2.524; p < 0.001; Cohen’s d = 1.199). The overall maternal outcome score was more favorable in the study group (3.5 ± 1.7 vs. 6.1 ± 2.6; mean difference = −2.6; 95% CI: −3.340 to −1.860; p < 0.001; Cohen’s d = 1.174), as was the overall neonatal outcome score (7.7 ± 2.2 vs. 5.5 ± 2.1; mean difference = 2.2; 95% CI: 1.480–2.920; p < 0.001; Cohen’s d = 1.022). Significant between-group differences were also observed in birth weight, Apgar scores, respiratory distress, and NICU admission. Conclusions: Participants who received the structured nursing intervention supported by the Airlyn mHealth application were associated with improved asthma control, treatment adherence, and self-monitoring, as well as more favorable maternal and neonatal outcomes, compared with those receiving routine antenatal care. However, the quasi-experimental design, convenience sampling, and non-randomized allocation limit causal interpretation and the generalizability of the findings. Therefore, the findings should be interpreted cautiously. Recommendations: Larger randomized controlled trials with standardized protocols, adequate sample sizes to evaluate maternal and neonatal outcomes, and longer follow-up periods are recommended to confirm these findings and further assess their clinical relevance.

Background: The COVID-19 pandemic has significantly impacted various sectors, including healthcare, the economy, and education, leading to a quick shift towards e-learning. Aim: To evaluate student experiences and academic performance with E-Learning during the COVID-19 pandemic. Methods: This descriptive cross-sectional study surveyed 378 students across 13 colleges in the Jouf region of Saudi Arabia, using a structured, self-administered electronic questionnaire. Results: The majority of respondents expressed strong satisfaction with e-learning, reporting minimal challenges in adapting and observing an increase in their Grade Point Average (GPA) post-transition.

Background: Attention-Deficit/Hyperactivity Disorder (ADHD) is one of the most prevalent neurodevelopmental disorders among children and is associated with significant behavioral, academic, and social challenges. Caregiver-focused behavioral interventions have gained increasing attention as effective non-pharmacological approaches for improving child outcomes and enhancing parental management skills. Thus, this study aimed to evaluate the potential effectiveness of behavior change wheel (BCW)-based nursing intervention in improving maternal behavioral management practices, as well as child outcomes involving ADHD symptoms among preschool children aged 3–6 years with attention-deficit/hyperactivity disorder. Methods: A one-group pretest–posttest quasi-experimental design was conducted among 55 mothers and their children diagnosed with ADHD at Thawat Center and King Abdullah Center for Disability Services in Jeddah, Saudi Arabia. The study did not include a control group. Participants were recruited using a convenience sampling technique. Data were collected using a sociodemographic questionnaire, ADHD Rating Scale IV—Preschool Version, the BCW Intervention Compliance Questionnaire, and the Parental Knowledge and Attitude Questionnaire. The intervention was implemented over eight weeks and included educational sessions, behavioral skills training, motivational enhancement, role-play activities, and follow-up reinforcement. Results: The preliminary findings from the one-group pre/posttest quasi-experimental study revealed statistically significant improvements in children’s inattentive and hyperactivity symptoms following the intervention (p < 0.001). Mothers also demonstrated significant improvements in perceived knowledge, attitudes, and compliance with BCW components after program implementation (p < 0.001). The proportion of mothers with satisfactory perceived knowledge increased from 21.8% pre-intervention to 94.5% post-intervention, while positive attitudes increased from 23.6% to 98.2%. In addition, compliance with BCW components improved from 30.9% before the intervention to 94.5% after implementation. Conclusions: The BCW-based nursing intervention was associated with pre–post improvement in maternal caregiving outcomes and reduced ADHD symptoms among preschool children. These preliminary findings from the one-group pretest–posttest quasi-experimental study suggest the potential value of theory-informed, caregiver-focused nursing interventions in pediatric and community healthcare settings. However, due to the one-group pretest–posttest design without a control group, causal inferences cannot be made. Further controlled studies are needed to confirm these associations and establish causal inferences.