Pub Date : 2025-12-04eCollection Date: 2025-01-01DOI: 10.12688/f1000research.172707.1
Raghavendra G, Shashidhara Y N, Poornima Panduranga Kundapur, Jyothi Mallya
Background: A structured review on mHealth adoption among older adults is needed understand and synthesize existing evidence on the factors influencing their engagement with various mHealth technologies. Such a review helps policymakers, healthcare providers, and technology designers in developing age-friendly mobile health interventions that enhance older adults' well-being and healthcare access. Thus, this review aims to synthesise and provide a detailed summary of older adults' mHealth engagement and adoption literature from a business perspective.
Methods: This study adopts the systematic procedure and rationale for the systematic literature review (SPAR-4-SLR) protocol to achieve the study's objective. Nineteen articles from the Scopus and Web of Science databases related to mHealth engagement and adoption by older adults are included in this study.
Results: The findings revealed that the majority of the studies are atheoretical. The Unified Theory of Acceptance and Use of Technology is used most in this domain. The review findings also reveal a complex interplay of technological, psychological, and social factors influencing adoption. It has also been found that quantitative methods have frequently been used to examine the adoption of mHealth among older adults.
Conclusion: The study concludes with a constructive discussion of the existing theoretical, methodological, and contextual gaps in mHealth engagement and adoption literature.
背景:需要对老年人的移动医疗采用情况进行结构化审查,了解并综合影响老年人使用各种移动医疗技术的因素的现有证据。这样的回顾有助于政策制定者、卫生保健提供者和技术设计者开发老年人友好型移动卫生干预措施,以提高老年人的福祉和卫生保健可及性。因此,本综述旨在从商业角度综合并提供老年人移动健康参与和采用文献的详细总结。方法:本研究采用系统文献综述(SPAR-4-SLR)方案的系统程序和基本原理来达到研究目的。本研究纳入了来自Scopus和Web of Science数据库的19篇与老年人参与和采用移动医疗相关的文章。结果:研究结果显示,大多数研究都是理论性的。技术接受与使用统一理论在这一领域应用最为广泛。审查结果还揭示了影响采用的技术、心理和社会因素的复杂相互作用。研究还发现,经常使用定量方法来检查老年人对移动医疗的采用情况。结论:本研究对移动医疗参与和采用文献中现有的理论、方法和背景差距进行了建设性的讨论。
{"title":"mHealth Adoption by the Older Adults: A Structured Literature Review.","authors":"Raghavendra G, Shashidhara Y N, Poornima Panduranga Kundapur, Jyothi Mallya","doi":"10.12688/f1000research.172707.1","DOIUrl":"10.12688/f1000research.172707.1","url":null,"abstract":"<p><strong>Background: </strong>A structured review on mHealth adoption among older adults is needed understand and synthesize existing evidence on the factors influencing their engagement with various mHealth technologies. Such a review helps policymakers, healthcare providers, and technology designers in developing age-friendly mobile health interventions that enhance older adults' well-being and healthcare access. Thus, this review aims to synthesise and provide a detailed summary of older adults' mHealth engagement and adoption literature from a business perspective.</p><p><strong>Methods: </strong>This study adopts the systematic procedure and rationale for the systematic literature review (SPAR-4-SLR) protocol to achieve the study's objective. Nineteen articles from the Scopus and Web of Science databases related to mHealth engagement and adoption by older adults are included in this study.</p><p><strong>Results: </strong>The findings revealed that the majority of the studies are atheoretical. The Unified Theory of Acceptance and Use of Technology is used most in this domain. The review findings also reveal a complex interplay of technological, psychological, and social factors influencing adoption. It has also been found that quantitative methods have frequently been used to examine the adoption of mHealth among older adults.</p><p><strong>Conclusion: </strong>The study concludes with a constructive discussion of the existing theoretical, methodological, and contextual gaps in mHealth engagement and adoption literature.</p>","PeriodicalId":12260,"journal":{"name":"F1000Research","volume":"14 ","pages":"1358"},"PeriodicalIF":0.0,"publicationDate":"2025-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12756596/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145899700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Hybrid nanofluids, consisting of two distinct nanoparticles dispersed in a base fluid, are widely used in industries requiring enhanced heat and mass transfer, such as cooling systems and heat exchangers. These fluids improve thermal conductivity and fluid dynamics, leading to better heat management and energy efficiency. This study investigates the combined effects of non-linear thermal radiation, Cattaneo-Christov heat and mass fluxes, and other factors on the three-dimensional flow, heat, and mass transfer of a Williamson hybrid nanofluid. The flow occurs over a stretching porous sheet subjected to an external magnetic field, Joule heating, chemical reactions, and heat generation.
Methods: Copper (Cu) and aluminum oxide (Al₂O₃) nanoparticles are suspended in ethylene glycol (C₂C₆O₂) to form the hybrid nanofluid. The governing partial differential equations are transformed into ordinary differential equations using similarity transformations and solved numerically with MATLAB's bvp4c solver. The study examines various parameters, including stretching ratio, nanoparticle volume fraction, and relaxation times for concentration and thermal effects. Results are validated against existing literature.
Results: The findings reveal that a higher stretching ratio reduces velocity, temperature, concentration profiles, and local Nusselt and Sherwood numbers, while also lowering skin friction and secondary velocity. Increasing nanoparticle volume fraction decreases velocity and temperature profiles but enhances skin friction, local Nusselt, and Sherwood numbers. Concentration profiles decline with higher concentration relaxation time, while temperature increases with longer thermal relaxation time.
Conclusions: In conclusion, Cu-Al₂O₃/C₂C₆O₂ hybrid nanofluids demonstrate superior heat and mass transfer capabilities compared to mono-nanofluids. The performance is significantly influenced by parameters such as nanoparticle volume fraction, relaxation times, and the stretching ratio, providing valuable insights for heat and mass transfer applications.
{"title":"Effect of nonlinear thermal radiation and Cattaneo-Christov heat and mass fluxes of Williamson hybrid nanofluid over a stretching porous sheet.","authors":"Asfaw Tsegaye, Eshetu Haile, Gurju Awgichew, Hunegnaw Dessie","doi":"10.12688/f1000research.160734.3","DOIUrl":"10.12688/f1000research.160734.3","url":null,"abstract":"<p><strong>Background: </strong>Hybrid nanofluids, consisting of two distinct nanoparticles dispersed in a base fluid, are widely used in industries requiring enhanced heat and mass transfer, such as cooling systems and heat exchangers. These fluids improve thermal conductivity and fluid dynamics, leading to better heat management and energy efficiency. This study investigates the combined effects of non-linear thermal radiation, Cattaneo-Christov heat and mass fluxes, and other factors on the three-dimensional flow, heat, and mass transfer of a Williamson hybrid nanofluid. The flow occurs over a stretching porous sheet subjected to an external magnetic field, Joule heating, chemical reactions, and heat generation.</p><p><strong>Methods: </strong>Copper (Cu) and aluminum oxide (Al₂O₃) nanoparticles are suspended in ethylene glycol (C₂C₆O₂) to form the hybrid nanofluid. The governing partial differential equations are transformed into ordinary differential equations using similarity transformations and solved numerically with MATLAB's bvp4c solver. The study examines various parameters, including stretching ratio, nanoparticle volume fraction, and relaxation times for concentration and thermal effects. Results are validated against existing literature.</p><p><strong>Results: </strong>The findings reveal that a higher stretching ratio reduces velocity, temperature, concentration profiles, and local Nusselt and Sherwood numbers, while also lowering skin friction and secondary velocity. Increasing nanoparticle volume fraction decreases velocity and temperature profiles but enhances skin friction, local Nusselt, and Sherwood numbers. Concentration profiles decline with higher concentration relaxation time, while temperature increases with longer thermal relaxation time.</p><p><strong>Conclusions: </strong>In conclusion, Cu-Al₂O₃/C₂C₆O₂ hybrid nanofluids demonstrate superior heat and mass transfer capabilities compared to mono-nanofluids. The performance is significantly influenced by parameters such as nanoparticle volume fraction, relaxation times, and the stretching ratio, providing valuable insights for heat and mass transfer applications.</p>","PeriodicalId":12260,"journal":{"name":"F1000Research","volume":"14 ","pages":"210"},"PeriodicalIF":0.0,"publicationDate":"2025-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12090890/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144110435","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-02eCollection Date: 2025-01-01DOI: 10.12688/f1000research.166713.2
Opesemowo Oluwaseyi Aina Gbolade, Taiwo Olufunmi, Alawaye Modupe, Etobro Benjamin Apkesi
Objective: This study examined the application of Modified Flanders Interaction Analysis during mathematics lessons in senior secondary schools in the Festac area of Lagos State, Nigeria.
Methods: The study employed a descriptive survey design to observe and analyse classroom interactions between teachers and students, focusing on verbal and non-verbal communication. Researchers used a structured observation schedule to collect data from a purposively selected sample of 10 mathematics teachers and 725 students across five schools. The researchers designed the instrument to collect information on teachers' and students' interaction patterns in the classroom. They analysed the data using mean scores, standard deviation, percentages, and t-test statistics, applying a 0.05 significance level for hypothesis testing.
Findings: The results of the analysis revealed that teachers dominate all the activities in the classroom; that is, the teachers were the active people in the classes, while the students were just passive listeners and moderate engagement through non-verbal behaviours. Statistical analysis showed significant differences between teacher and student patterns, particularly verbal behaviours. The study underscores that mathematics classes in senior secondary schools in the Festac area of Lagos State were teachers-centered.
Conclusion: Based on the study findings, the researchers recommended that mathematics teachers adopt more student-centered teaching approaches to enhance active student participation and engagement during lessons. Also, they should not be too strict, but they should be approachable, friendly, and accommodating so that the students will not be afraid to ask questions during or after the lesson, enhancing their performance. Hence, the government should ensure that teacher training programs incorporate observation techniques to effectively equip teachers with the skills to assess and improve classroom interaction.
{"title":"Application of Modified Flanders Interaction Analysis During Mathematics Lessons in Lagos State Senior Secondary Schools.","authors":"Opesemowo Oluwaseyi Aina Gbolade, Taiwo Olufunmi, Alawaye Modupe, Etobro Benjamin Apkesi","doi":"10.12688/f1000research.166713.2","DOIUrl":"10.12688/f1000research.166713.2","url":null,"abstract":"<p><strong>Objective: </strong>This study examined the application of Modified Flanders Interaction Analysis during mathematics lessons in senior secondary schools in the Festac area of Lagos State, Nigeria.</p><p><strong>Methods: </strong>The study employed a descriptive survey design to observe and analyse classroom interactions between teachers and students, focusing on verbal and non-verbal communication. Researchers used a structured observation schedule to collect data from a purposively selected sample of 10 mathematics teachers and 725 students across five schools. The researchers designed the instrument to collect information on teachers' and students' interaction patterns in the classroom. They analysed the data using mean scores, standard deviation, percentages, and t-test statistics, applying a 0.05 significance level for hypothesis testing.</p><p><strong>Findings: </strong>The results of the analysis revealed that teachers dominate all the activities in the classroom; that is, the teachers were the active people in the classes, while the students were just passive listeners and moderate engagement through non-verbal behaviours. Statistical analysis showed significant differences between teacher and student patterns, particularly verbal behaviours. The study underscores that mathematics classes in senior secondary schools in the Festac area of Lagos State were teachers-centered.</p><p><strong>Conclusion: </strong>Based on the study findings, the researchers recommended that mathematics teachers adopt more student-centered teaching approaches to enhance active student participation and engagement during lessons. Also, they should not be too strict, but they should be approachable, friendly, and accommodating so that the students will not be afraid to ask questions during or after the lesson, enhancing their performance. Hence, the government should ensure that teacher training programs incorporate observation techniques to effectively equip teachers with the skills to assess and improve classroom interaction.</p>","PeriodicalId":12260,"journal":{"name":"F1000Research","volume":"14 ","pages":"1018"},"PeriodicalIF":0.0,"publicationDate":"2025-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12790597/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145959010","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-02eCollection Date: 2025-01-01DOI: 10.12688/f1000research.166336.2
Ismahil Adekunle Adeniyi, Daniel Owu, Olufunke Onaadepo, Umar Uthman Shehu, Ishak Abdi Jama, Joshua Ojodale Aruwa, Theophilus Pius, Ibe Michael Usman
Background: Bisphenol A (BPA), a ubiquitous environmental pollutant, is known to induce oxidative stress and disrupt male reproductive function. This study evaluated the ameliorative effects of the ethyl-acetate extract of Bidens pilosa L., Asteraceae (EABP) on oxidative stress and reproductive impairment in BPA-exposed male mice.
Method: GC-MS phytocompounds from EABP were subjected to in-silico pharmacokinetic, drug-likeness, and toxicological screening using the SwissAdme and PkCSM web servers. Antioxidant capacity of EABP was determined using 2,2-diphenyl-1-picrylhydrazyl (DPPH) radical scavenging assay. Over a 28-day period, male mice were assigned to six groups. The control group (Group 1) received distilled water, while Group 2 administered BPA at a dose of 100 mg/kg/day. Groups 3, 4, and 5 were treated with BPA in combination with EABP at doses of 250, 500, and 1000 mg/kg/day, respectively. Group 6 received BPA along with vitamin C at 100 mg/kg/day. Various parameters, including body weight, malondialdehyde, catalase, and superoxide dismutase level were assessed.
Result: Molecular docking analysis revealed that 9,12,15-octadecatrienoic acid, a key phytoconstituent of EABP, exhibited strong binding affinity for both the androgen receptor (AR) and nuclear factor erythroid 2-related factor 2 (NRF2). Its interaction with AR was comparable to that of testosterone, suggesting potential androgenic activity, while its binding to NRF2 mirrored that of vitamin C. The extract's antioxidant activity was further supported by the DPPH radical scavenging assay, where it demonstrated moderate potency with an IC₅₀ of 6.11μg/mL, compared to 1.25μg/mL for vitamin C. in vivo findings showed that treatment with EABP at 250 mg/kg, 500 mg/kg, and 1000 mg/kg restored SOD activity and significantly reduced MDA levels. Catalase (CAT) activity also improved, particularly at the higher dose.
Conclusion: Collectively, these results indicate that the EABP offers protective effects against BPA-induced oxidative stress, metabolic disturbance, and reproductive dysfunction, possibly through its combined antioxidant and hormone-like properties.
{"title":"Ameliorative Effects of Ethyl-Acetate Extract of <i>Bidens pilosa</i> on Oxidative Stress and Reproductive Impairment in Bisphenol A-Exposed Male Mice: Insight from In-silico, Invitro and In-vivo Studies.","authors":"Ismahil Adekunle Adeniyi, Daniel Owu, Olufunke Onaadepo, Umar Uthman Shehu, Ishak Abdi Jama, Joshua Ojodale Aruwa, Theophilus Pius, Ibe Michael Usman","doi":"10.12688/f1000research.166336.2","DOIUrl":"10.12688/f1000research.166336.2","url":null,"abstract":"<p><strong>Background: </strong>Bisphenol A (BPA), a ubiquitous environmental pollutant, is known to induce oxidative stress and disrupt male reproductive function. This study evaluated the ameliorative effects of the ethyl-acetate extract of <i>Bidens pilosa L., Asteraceae</i> (EABP) on oxidative stress and reproductive impairment in BPA-exposed male mice.</p><p><strong>Method: </strong>GC-MS phytocompounds from EABP were subjected to <i>in-silico</i> pharmacokinetic, drug-likeness, and toxicological screening using the SwissAdme and PkCSM web servers. Antioxidant capacity of EABP was determined using 2,2-diphenyl-1-picrylhydrazyl (DPPH) radical scavenging assay. Over a 28-day period, male mice were assigned to six groups. The control group (Group 1) received distilled water, while Group 2 administered BPA at a dose of 100 mg/kg/day. Groups 3, 4, and 5 were treated with BPA in combination with EABP at doses of 250, 500, and 1000 mg/kg/day, respectively. Group 6 received BPA along with vitamin C at 100 mg/kg/day. Various parameters, including body weight, malondialdehyde, catalase, and superoxide dismutase level were assessed.</p><p><strong>Result: </strong>Molecular docking analysis revealed that 9,12,15-octadecatrienoic acid, a key phytoconstituent of EABP, exhibited strong binding affinity for both the androgen receptor (AR) and nuclear factor erythroid 2-related factor 2 (NRF2). Its interaction with AR was comparable to that of testosterone, suggesting potential androgenic activity, while its binding to NRF2 mirrored that of vitamin C. The extract's antioxidant activity was further supported by the DPPH radical scavenging assay, where it demonstrated moderate potency with an IC₅₀ of 6.11μg/mL, compared to 1.25μg/mL for vitamin C. in vivo findings showed that treatment with EABP at 250 mg/kg, 500 mg/kg, and 1000 mg/kg restored SOD activity and significantly reduced MDA levels. Catalase (CAT) activity also improved, particularly at the higher dose.</p><p><strong>Conclusion: </strong>Collectively, these results indicate that the EABP offers protective effects against BPA-induced oxidative stress, metabolic disturbance, and reproductive dysfunction, possibly through its combined antioxidant and hormone-like properties.</p>","PeriodicalId":12260,"journal":{"name":"F1000Research","volume":"14 ","pages":"771"},"PeriodicalIF":0.0,"publicationDate":"2025-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12811727/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145997443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01eCollection Date: 2025-01-01DOI: 10.12688/f1000research.170507.1
Marc Antonino Albert, Aleeza Qayyum, Kailyn MacKinnon, Janina Ramos, Gustavo de Paula Dídimo, Gabriela Ferreira Kalkmann, Anna Catharina Vieira Armond, David Moher, Kelly D Cobey
Narrative Curriculum Vitae (NCVs) are a type of CV focusing on written descriptions of researchers' skills, experiences, collaborations, and achievements, which seek to promote more equitable and responsible research assessments. Despite an apparent shift by funding organizations towards the use of NCVs to reassess how researchers are evaluated, the extent of current NCV adoption is unclear. Therefore, we conducted a scoping review to answer the following: 1. Which research funding agencies currently provide NCVs templates for their applicants? and 2. What are the characteristics of said NCV templates? To this end, we employed grey literature searches to identify all existing NCV templates provided by research funding organizations. Our findings highlight several key insights. First, number of funders currently requiring NCVs remains low overall, although national granting agencies are among the early adopters. Second, some funders do not provide formal guidance on how to complete narrative CV's-this may create barriers to uptake. Third, among the NCV templates identified, there are structural commonalities, although there is little insight into the evaluation of NCVs. As interest in NCVs grows, addressing these gaps will be essential to realizing their potential as a fairer and more holistic tool for research assessment.
{"title":"What goes in a funder's Narrative CV?: A Scoping Review.","authors":"Marc Antonino Albert, Aleeza Qayyum, Kailyn MacKinnon, Janina Ramos, Gustavo de Paula Dídimo, Gabriela Ferreira Kalkmann, Anna Catharina Vieira Armond, David Moher, Kelly D Cobey","doi":"10.12688/f1000research.170507.1","DOIUrl":"10.12688/f1000research.170507.1","url":null,"abstract":"<p><p>Narrative Curriculum Vitae (NCVs) are a type of CV focusing on written descriptions of researchers' skills, experiences, collaborations, and achievements, which seek to promote more equitable and responsible research assessments. Despite an apparent shift by funding organizations towards the use of NCVs to reassess how researchers are evaluated, the extent of current NCV adoption is unclear. Therefore, we conducted a scoping review to answer the following: 1. Which research funding agencies currently provide NCVs templates for their applicants? and 2. What are the characteristics of said NCV templates? To this end, we employed grey literature searches to identify all existing NCV templates provided by research funding organizations. Our findings highlight several key insights. First, number of funders currently requiring NCVs remains low overall, although national granting agencies are among the early adopters. Second, some funders do not provide formal guidance on how to complete narrative CV's-this may create barriers to uptake. Third, among the NCV templates identified, there are structural commonalities, although there is little insight into the evaluation of NCVs. As interest in NCVs grows, addressing these gaps will be essential to realizing their potential as a fairer and more holistic tool for research assessment.</p>","PeriodicalId":12260,"journal":{"name":"F1000Research","volume":"14 ","pages":"1345"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12820469/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146028908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01eCollection Date: 2025-01-01DOI: 10.12688/f1000research.165762.2
Bama Andika Putra
The Association of Southeast Asian Nations (ASEAN) has taken some measures to advance collective action to accelerate telehealth in the region. Still, it has encountered the problem of digital readiness and digital health preparedness disparities within the region. To maintain the consolidation of digital health utilization across ASEAN member states, this article offers policy recommendations to address the diverse approaches taken and compensate for capacity differences among members. Drawing on insights from published official policies, government health ministry websites of Southeast Asian nations, and ASEAN's digital health policies, the article first reviews the diversities of digital technologies in a post-pandemic Southeast Asia and then assesses measures to enhance regional approaches. Several recommendations are presented: First, ASEAN can standardize regional frameworks for telehealth by sharing digital health transformation blueprints and leveraging ASEAN and ASEAN Plus forums to bridge divergent understandings and advance the region's digital health initiatives. Second, ASEAN facilitates investment through a telehealth sandbox and fosters collaboration among stakeholders. Although the recommendations are consistent with the 'ASEAN Way,' lingering concerns in Southeast Asia's telehealth landscape include different commitments and expectations, risks of privacy infringements, and the misuse of technology in the region's authoritarian states.
{"title":"Digital Technologies in a Post-Pandemic Southeast Asia: Measures for Enhancing Regional Approaches.","authors":"Bama Andika Putra","doi":"10.12688/f1000research.165762.2","DOIUrl":"10.12688/f1000research.165762.2","url":null,"abstract":"<p><p>The Association of Southeast Asian Nations (ASEAN) has taken some measures to advance collective action to accelerate telehealth in the region. Still, it has encountered the problem of digital readiness and digital health preparedness disparities within the region. To maintain the consolidation of digital health utilization across ASEAN member states, this article offers policy recommendations to address the diverse approaches taken and compensate for capacity differences among members. Drawing on insights from published official policies, government health ministry websites of Southeast Asian nations, and ASEAN's digital health policies, the article first reviews the diversities of digital technologies in a post-pandemic Southeast Asia and then assesses measures to enhance regional approaches. Several recommendations are presented: First, ASEAN can standardize regional frameworks for telehealth by sharing digital health transformation blueprints and leveraging ASEAN and ASEAN Plus forums to bridge divergent understandings and advance the region's digital health initiatives. Second, ASEAN facilitates investment through a telehealth sandbox and fosters collaboration among stakeholders. Although the recommendations are consistent with the 'ASEAN Way,' lingering concerns in Southeast Asia's telehealth landscape include different commitments and expectations, risks of privacy infringements, and the misuse of technology in the region's authoritarian states.</p>","PeriodicalId":12260,"journal":{"name":"F1000Research","volume":"14 ","pages":"623"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12728336/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145833475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01eCollection Date: 2025-01-01DOI: 10.12688/f1000research.167364.3
Andrea Basantes-Andrade, Gabriela Bastidas-Amador, Claudia Ruiz-Chagna, Marlen Congo-Cervantes, Gabriela Quintana-Andrade
Background: The development of intercultural competences mediated by digital technologies has gained prominence in higher education, driven by academic internationalization and the advancement of virtual learning environments. However, questions remain regarding the most frequently studied competence dimensions, the geographic regions involved, and the methodologies employed.
Methods: A systematic literature mapping was conducted following the PRISMA 2020 guidelines to analyze scientific production from 2005 to 2024, sourced from Scopus, Web of Science, and SciELO. Inclusion criteria focused on peer-reviewed, open-access articles, in English or Spanish, addressing the integration of digital technologies in the teaching of intercultural competence. After screening 176 records, 23 studies were included for analysis.
Results: Scientific production was primarily concentrated in the Americas and Europe (78%), with Mexico (15%) and countries such as the United States, Spain, and Russia each accounting for 11%. The most frequent competence dimensions were adaptation and management (47.83%), intercultural knowledge (39.13%), communication skills (39.13%), and intercultural attitudes (39.13%). Competences such as cultural adaptability, intercultural awareness, and intercultural communication were the most frequently addressed, reflecting the need for flexibility and communication skills in multicultural contexts. Technologies like COIL (Collaborative Online International Learning) and immersive tools are emerging as effective strategies to promote intercultural learning, although areas such as innovative leadership (4.35%) and personal development (8.70%) remain underexplored. Temporally, there has been sustained growth in research since 2019, with peaks in 2021, 2022, and 2023.
Conclusion: Digital technologies show significant potential for the development of intercultural competences, but their implementation requires addressing structural, pedagogical, and equity-related gaps. This study lays the groundwork for future research and policies aimed at enhancing inclusive and sustainable intercultural education in digital environments.
背景:在学术国际化和虚拟学习环境的推动下,数字技术介导的跨文化能力的发展在高等教育中得到了突出的体现。然而,关于最常研究的能力维度、所涉及的地理区域和所采用的方法,问题仍然存在。方法:按照PRISMA 2020指南进行系统的文献制图,分析2005 - 2024年的科学产出,数据来源为Scopus、Web of Science和SciELO。收录标准侧重于同行评议、开放获取的英文或西班牙文文章,涉及数字技术在跨文化能力教学中的整合。在筛选176份记录后,纳入23项研究进行分析。结果:科研产出主要集中在美洲和欧洲(78%),墨西哥(15%),美国、西班牙和俄罗斯等国各占11%。最常见的能力维度是适应与管理(47.83%)、跨文化知识(39.13%)、沟通技巧(39.13%)和跨文化态度(39.13%)。文化适应性、跨文化意识和跨文化交际等能力是最常被提及的,反映了多元文化背景下对灵活性和沟通技巧的需求。尽管创新领导力(4.35%)和个人发展(8.70%)等领域仍未得到充分开发,但COIL(协作式在线国际学习)和沉浸式工具等技术正在成为促进跨文化学习的有效策略。从时间上看,自2019年以来,研究持续增长,在2021年、2022年和2023年达到峰值。结论:数字技术显示出发展跨文化能力的巨大潜力,但其实施需要解决结构、教学和平等相关的差距。本研究为未来的研究和政策奠定了基础,旨在加强数字环境下包容和可持续的跨文化教育。
{"title":"Integrating Digital Technologies into the Teaching of Intercultural Competences: A Systematic Literature Mapping.","authors":"Andrea Basantes-Andrade, Gabriela Bastidas-Amador, Claudia Ruiz-Chagna, Marlen Congo-Cervantes, Gabriela Quintana-Andrade","doi":"10.12688/f1000research.167364.3","DOIUrl":"10.12688/f1000research.167364.3","url":null,"abstract":"<p><strong>Background: </strong>The development of intercultural competences mediated by digital technologies has gained prominence in higher education, driven by academic internationalization and the advancement of virtual learning environments. However, questions remain regarding the most frequently studied competence dimensions, the geographic regions involved, and the methodologies employed.</p><p><strong>Methods: </strong>A systematic literature mapping was conducted following the PRISMA 2020 guidelines to analyze scientific production from 2005 to 2024, sourced from Scopus, Web of Science, and SciELO. Inclusion criteria focused on peer-reviewed, open-access articles, in English or Spanish, addressing the integration of digital technologies in the teaching of intercultural competence. After screening 176 records, 23 studies were included for analysis.</p><p><strong>Results: </strong>Scientific production was primarily concentrated in the Americas and Europe (78%), with Mexico (15%) and countries such as the United States, Spain, and Russia each accounting for 11%. The most frequent competence dimensions were adaptation and management (47.83%), intercultural knowledge (39.13%), communication skills (39.13%), and intercultural attitudes (39.13%). Competences such as cultural adaptability, intercultural awareness, and intercultural communication were the most frequently addressed, reflecting the need for flexibility and communication skills in multicultural contexts. Technologies like COIL (Collaborative Online International Learning) and immersive tools are emerging as effective strategies to promote intercultural learning, although areas such as innovative leadership (4.35%) and personal development (8.70%) remain underexplored. Temporally, there has been sustained growth in research since 2019, with peaks in 2021, 2022, and 2023.</p><p><strong>Conclusion: </strong>Digital technologies show significant potential for the development of intercultural competences, but their implementation requires addressing structural, pedagogical, and equity-related gaps. This study lays the groundwork for future research and policies aimed at enhancing inclusive and sustainable intercultural education in digital environments.</p>","PeriodicalId":12260,"journal":{"name":"F1000Research","volume":"14 ","pages":"772"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12605581/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145512341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-29eCollection Date: 2025-01-01DOI: 10.12688/f1000research.168900.3
Víctor Hugo Puican Rodríguez, Rita DE Jesus Toro López, Waldemar Ramón García Vera
Background: Efficient inventory management is a critical internal capability for ensuring the financial sustainability of micro and small enterprises, especially in emerging economies affected by post-pandemic disruptions. In Bagua, Peru, MSMEs often lack digitised control systems, leading to frequent stock imbalances, rushed purchases at high prices, and lower profitability; a deeper understanding of inventory practices that drive financial performance can contribute to more informed and strategic decision-making.
Method: This quantitative, descriptive, and explanatory study examined the effects of four components of inventory management-control, valuation methods, control records, and measurement-on profitability; a convenience sample of 83 MSMEs yielded 200 valid responses from key personnel involved in inventory decisions; A 21-item Likert scale validated by experts was applied, and the data were analysed using descriptive statistics and multiple linear regression in SPSS v27. Profitability indicators included return on assets (ROA), gross margin (GM), and return on equity (ROE).
Results: All dimensions of the inventory showed moderate levels of implementation (means: 2.37-2.62 on a five-point scale). The regression model demonstrated satisfactory predictive power (R 2 = 0.402; F = 32.81; p < 0.001). Inventory measurement was the strongest and only highly significant predictor of profitability (β = 0.383; p < 0.001), followed by inventory control, with a smaller but significant contribution (β = 0.257; p = 0.013). Inventory valuation methods and control records did not show statistically significant direct effects (p > 0.40).
Conclusion: The findings highlight that decision-oriented measurement practices, supported by systematic control, are essential factors for the financial performance of micro and small enterprises; investment in digital monitoring tools, replenishment based on key performance indicators, and staff training could improve operational and financial efficiency; due to its cross-sectional design and localised context, future studies should incorporate longitudinal data and broader geographical comparisons to strengthen generalisation and explore possible mediation pathways between accounting-oriented practices and profitability.
背景:有效的库存管理是确保微型和小型企业财务可持续性的关键内部能力,特别是在受大流行后中断影响的新兴经济体中。在秘鲁巴瓜,中小微企业往往缺乏数字化控制系统,导致库存经常失衡,高价抢购,盈利能力下降;更深入地了解驱动财务绩效的库存实践可以有助于更明智和更具战略性的决策。方法:这个定量、描述性和解释性的研究考察了库存管理的四个组成部分——控制、估值方法、控制记录和测量——对盈利能力的影响;83家中小微企业的便利样本从参与库存决策的关键人员中获得了200份有效回复;采用经专家验证的21题Likert量表,采用SPSS v27软件进行描述性统计和多元线性回归分析。盈利能力指标包括资产收益率(ROA)、毛利率(GM)和净资产收益率(ROE)。结果:量表的所有维度都显示出中等水平的实施(5分制的平均值:2.37-2.62)。回归模型具有令人满意的预测能力(r2 = 0.402; F = 32.81; p < 0.001)。库存测量是盈利能力最强且唯一高度显著的预测因子(β = 0.383; p < 0.001),其次是库存控制,贡献较小但显著(β = 0.257; p = 0.013)。存货评估方法和对照记录没有显示统计学上显著的直接影响(p > 0.40)。结论:研究结果表明,以决策为导向、辅以系统控制的计量实践是影响小微企业财务绩效的重要因素;投资于数字监测工具、基于关键绩效指标的补充以及员工培训可以提高业务和财务效率;由于其横断面设计和本地化背景,未来的研究应纳入纵向数据和更广泛的地理比较,以加强概括性,并探索会计导向实践与盈利能力之间可能的中介途径。
{"title":"Innovations in Inventory Management to Improve the Profitability of Local SMEs.","authors":"Víctor Hugo Puican Rodríguez, Rita DE Jesus Toro López, Waldemar Ramón García Vera","doi":"10.12688/f1000research.168900.3","DOIUrl":"10.12688/f1000research.168900.3","url":null,"abstract":"<p><strong>Background: </strong>Efficient inventory management is a critical internal capability for ensuring the financial sustainability of micro and small enterprises, especially in emerging economies affected by post-pandemic disruptions. In Bagua, Peru, MSMEs often lack digitised control systems, leading to frequent stock imbalances, rushed purchases at high prices, and lower profitability; a deeper understanding of inventory practices that drive financial performance can contribute to more informed and strategic decision-making.</p><p><strong>Method: </strong>This quantitative, descriptive, and explanatory study examined the effects of four components of inventory management-control, valuation methods, control records, and measurement-on profitability; a convenience sample of 83 MSMEs yielded 200 valid responses from key personnel involved in inventory decisions; A 21-item Likert scale validated by experts was applied, and the data were analysed using descriptive statistics and multiple linear regression in SPSS v27. Profitability indicators included return on assets (ROA), gross margin (GM), and return on equity (ROE).</p><p><strong>Results: </strong>All dimensions of the inventory showed moderate levels of implementation (means: 2.37-2.62 on a five-point scale). The regression model demonstrated satisfactory predictive power (R <sup>2</sup> = 0.402; F = 32.81; p < 0.001). Inventory measurement was the strongest and only highly significant predictor of profitability (β = 0.383; p < 0.001), followed by inventory control, with a smaller but significant contribution (β = 0.257; p = 0.013). Inventory valuation methods and control records did not show statistically significant direct effects (p > 0.40).</p><p><strong>Conclusion: </strong>The findings highlight that decision-oriented measurement practices, supported by systematic control, are essential factors for the financial performance of micro and small enterprises; investment in digital monitoring tools, replenishment based on key performance indicators, and staff training could improve operational and financial efficiency; due to its cross-sectional design and localised context, future studies should incorporate longitudinal data and broader geographical comparisons to strengthen generalisation and explore possible mediation pathways between accounting-oriented practices and profitability.</p>","PeriodicalId":12260,"journal":{"name":"F1000Research","volume":"14 ","pages":"853"},"PeriodicalIF":0.0,"publicationDate":"2025-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12754351/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145888772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-29eCollection Date: 2025-01-01DOI: 10.12688/f1000research.171062.2
Ashwin Prabhu, Abhimanyu Pradhan, Sharath S, Rajagopal Kadavigere, Winniecia Dkhar, Priya P S, Suresh Sukumar, Pulagam Vamsidhar Reddy, Neil Abraham Barnes
Background: Cerebral computed tomography angiography (CTA) is widely used to assess neurovascular disorders, but venous contamination often obscures arteries. Optimizing bolus-tracking thresholds is crucial, yet patient factors influencing contrast dynamics and the value of radiation dose indices in head CTA remain unclear.
Objectives: To optimize bolus-tracking thresholds in cerebral CTA by examining patient-related influences on enhancement and radiation metrics.
Methods: 126 adults undergoing cerebral CTA were evaluated in this prospective study. Demographics, physiologic parameters, peak enhancement time (PET), peak enhancement attenuation (PEA), and dose indices (CTDIvol, SSDE) were recorded. Linear regression identified predictors of enhancement. Two blinded radiologists graded venous contamination. ROC analysis, including age subgroups, determined the optimal HU threshold.
Results: Median age was 55.5 years; 70% were male. PET rose with age (+0.086 s/year, p < 0.001) and was shorter in females (-2.39 s, p = 0.003). PEA increased with threshold (+1.03 HU/unit, p < 0.001). Arterial enhancement was higher in females (+40.7 HU, p < 0.001) and patients ≥60 years (+70 HU, p < 0.001). Venous enhancement correlated with PET (p = 0.023) and systolic pressure (p = 0.002). ROC analysis showed an optimal threshold of 105 ± 5 HU (AUC = 0.634; sensitivity 88.4%, specificity 77.1%). CTDIvol, but not SSDE, correlated with weight (p = 0.015).
Conclusion: Intrinsic (age, gender) and extrinsic (threshold) factors shape CTA enhancement. A 105 ± 5 HU threshold reduces venous contamination, especially in younger patients. CTDIvol remains the preferred dose index. Findings support individualized, resource-efficient CTA protocols aligned with UN SDGs 3, 9, and 12.
背景:脑计算机断层血管造影(CTA)被广泛用于评估神经血管疾病,但静脉污染经常掩盖动脉。优化剂量跟踪阈值至关重要,但影响头部CTA造影动态和辐射剂量指标值的患者因素尚不清楚。目的:通过检查患者对增强和放射指标的相关影响,优化脑CTA的剂量跟踪阈值。方法:在这项前瞻性研究中对126名接受脑部CTA治疗的成年人进行评估。记录人口统计学、生理参数、峰值增强时间(PET)、峰值增强衰减(PEA)和剂量指数(CTDIvol、SSDE)。线性回归确定了增强的预测因子。两名盲法放射科医生对静脉污染进行分级。ROC分析,包括年龄亚组,确定最佳HU阈值。结果:中位年龄为55.5岁;70%为男性。PET随年龄增加(+0.086 s/年,p < 0.001),女性较短(-2.39 s/年,p = 0.003)。PEA随阈值升高(+1.03 HU/unit, p < 0.001)。女性(+40.7 HU, p < 0.001)和≥60岁患者(+70 HU, p < 0.001)的动脉强化程度更高。静脉增强与PET (p = 0.023)和收缩压(p = 0.002)相关。ROC分析显示最佳阈值为105±5 HU (AUC = 0.634;敏感性88.4%,特异性77.1%)。CTDIvol与体重相关,而SSDE与体重无关(p = 0.015)。结论:内因(年龄、性别)和外因(阈值)影响CTA增强。105±5 HU的阈值可减少静脉污染,尤其是在年轻患者中。CTDIvol仍然是首选剂量指数。研究结果支持符合联合国可持续发展目标3、9和12的个性化、资源高效的CTA方案。
{"title":"Optimization of Bolus-Tracking Thresholds levels in Cerebral CT Angiography: Influence of Patient Characteristics on contrast enhancement dynamics and radiation dose metrics.","authors":"Ashwin Prabhu, Abhimanyu Pradhan, Sharath S, Rajagopal Kadavigere, Winniecia Dkhar, Priya P S, Suresh Sukumar, Pulagam Vamsidhar Reddy, Neil Abraham Barnes","doi":"10.12688/f1000research.171062.2","DOIUrl":"10.12688/f1000research.171062.2","url":null,"abstract":"<p><strong>Background: </strong>Cerebral computed tomography angiography (CTA) is widely used to assess neurovascular disorders, but venous contamination often obscures arteries. Optimizing bolus-tracking thresholds is crucial, yet patient factors influencing contrast dynamics and the value of radiation dose indices in head CTA remain unclear.</p><p><strong>Objectives: </strong>To optimize bolus-tracking thresholds in cerebral CTA by examining patient-related influences on enhancement and radiation metrics.</p><p><strong>Methods: </strong>126 adults undergoing cerebral CTA were evaluated in this prospective study. Demographics, physiologic parameters, peak enhancement time (PET), peak enhancement attenuation (PEA), and dose indices (CTDIvol, SSDE) were recorded. Linear regression identified predictors of enhancement. Two blinded radiologists graded venous contamination. ROC analysis, including age subgroups, determined the optimal HU threshold.</p><p><strong>Results: </strong>Median age was 55.5 years; 70% were male. PET rose with age (+0.086 s/year, p < 0.001) and was shorter in females (-2.39 s, p = 0.003). PEA increased with threshold (+1.03 HU/unit, p < 0.001). Arterial enhancement was higher in females (+40.7 HU, p < 0.001) and patients ≥60 years (+70 HU, p < 0.001). Venous enhancement correlated with PET (p = 0.023) and systolic pressure (p = 0.002). ROC analysis showed an optimal threshold of 105 ± 5 HU (AUC = 0.634; sensitivity 88.4%, specificity 77.1%). CTDIvol, but not SSDE, correlated with weight (p = 0.015).</p><p><strong>Conclusion: </strong>Intrinsic (age, gender) and extrinsic (threshold) factors shape CTA enhancement. A 105 ± 5 HU threshold reduces venous contamination, especially in younger patients. CTDIvol remains the preferred dose index. Findings support individualized, resource-efficient CTA protocols aligned with UN SDGs 3, 9, and 12.</p>","PeriodicalId":12260,"journal":{"name":"F1000Research","volume":"14 ","pages":"1219"},"PeriodicalIF":0.0,"publicationDate":"2025-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12891954/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146178641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-28eCollection Date: 2025-01-01DOI: 10.12688/f1000research.156316.2
Jibril Bashir Adem, Anas Ali Alhur, Shimels Derso Kebede, Agmasie Damtew Walle, Daniel Niguse Mamo
Introduction: Globally, around 40% of women report unintended pregnancies, with approximately 214 million women in developing countries wanting to avoid pregnancy but not using any contraception. Modern contraceptives (MCs) are effective tools for preventing unintended pregnancies, controlling rapid population growth, and reducing fertility and maternal mortality rates, particularly in developing countries. This study aimed to identify the determinants of modern contraceptive use among Ethiopian women of reproductive age using machine learning (ML) algorithms.
Methodology: The study utilized secondary data from the 2019 Performance Monitoring and Accountability (PMA) Ethiopia survey, analyzing 8,837 samples. Preprocessing steps included data cleaning, feature engineering, dimensionality reduction, and splitting the data, with 80% used for training and 20% for testing the algorithms. Six supervised ML algorithms were employed and assessed using confusion matrices, with information gain applied to identify critical attributes for predicting MC use.
Results: Only 24% of participants used modern contraceptives [95% CI (23.1%, 24.9%)]. Extreme gradient boosting (XGB) demonstrated the highest predictive accuracy (81.97%, 95% CI {79.06%, 82.7%}) and area under the ROC curve (76.63%), followed by logistic regression (80.52%) and support vector machines (80.41%). Key determinants of MC use included starting family planning at age 20 or older, being single, having partner approval, being the wife of the household head, being between 36 and 49 years old, advice from healthcare providers, concerns about side effects, and having a household size of five or more.
Conclusion and recommendations: The use of modern contraceptives among Ethiopian women remains low. Extreme gradient boosting proved most effective in predicting determinants of MC use. Based on the results of predictive associations, improved counseling during antenatal and postnatal care visits, promoting partner discussions on family planning, and addressing concerns about family size and contraceptive use are recommended strategies to enhance MC uptake.
导言:在全球范围内,约有40%的妇女报告意外怀孕,发展中国家约有2.14亿妇女希望避免怀孕,但没有采取任何避孕措施。现代避孕药具是预防意外怀孕、控制人口快速增长和降低生育率和孕产妇死亡率的有效工具,特别是在发展中国家。本研究旨在利用机器学习(ML)算法确定埃塞俄比亚育龄妇女使用现代避孕药具的决定因素。方法:该研究利用了2019年绩效监测和问责制(PMA)埃塞俄比亚调查的二手数据,分析了8837个样本。预处理步骤包括数据清理、特征工程、降维和分割数据,其中80%用于训练,20%用于测试算法。采用了六种监督ML算法,并使用混淆矩阵进行评估,使用信息增益来识别预测MC使用的关键属性。结果:只有24%的参与者使用现代避孕药具[95% CI(23.1%, 24.9%)]。极端梯度增强(XGB)的预测准确率最高(81.97%,95% CI {79.06%, 82.7%}), ROC曲线下面积最高(76.63%),其次是逻辑回归(80.52%)和支持向量机(80.41%)。使用MC的关键决定因素包括:在20岁或以上开始计划生育、单身、获得伴侣同意、是户主的妻子、年龄在36至49岁之间、获得医疗保健提供者的建议、对副作用的担忧以及有5人或以上的家庭规模。结论和建议:埃塞俄比亚妇女使用现代避孕药具的比例仍然很低。极端梯度增强在预测MC使用决定因素方面被证明是最有效的。根据预测关联的结果,建议采取改善产前和产后护理访问期间的咨询、促进伴侣对计划生育的讨论以及解决对家庭规模和避孕药具使用的担忧等策略,以提高MC的吸收。
{"title":"Predicting determinants of modern contraceptive use among reproductive-age women in Ethiopia using machine learning algorithms: Evidence from the Performance Monitoring and Accountability (PMA) Survey 2019 dataset.","authors":"Jibril Bashir Adem, Anas Ali Alhur, Shimels Derso Kebede, Agmasie Damtew Walle, Daniel Niguse Mamo","doi":"10.12688/f1000research.156316.2","DOIUrl":"10.12688/f1000research.156316.2","url":null,"abstract":"<p><strong>Introduction: </strong>Globally, around 40% of women report unintended pregnancies, with approximately 214 million women in developing countries wanting to avoid pregnancy but not using any contraception. Modern contraceptives (MCs) are effective tools for preventing unintended pregnancies, controlling rapid population growth, and reducing fertility and maternal mortality rates, particularly in developing countries. This study aimed to identify the determinants of modern contraceptive use among Ethiopian women of reproductive age using machine learning (ML) algorithms.</p><p><strong>Methodology: </strong>The study utilized secondary data from the 2019 Performance Monitoring and Accountability (PMA) Ethiopia survey, analyzing 8,837 samples. Preprocessing steps included data cleaning, feature engineering, dimensionality reduction, and splitting the data, with 80% used for training and 20% for testing the algorithms. Six supervised ML algorithms were employed and assessed using confusion matrices, with information gain applied to identify critical attributes for predicting MC use.</p><p><strong>Results: </strong>Only 24% of participants used modern contraceptives [95% CI (23.1%, 24.9%)]. Extreme gradient boosting (XGB) demonstrated the highest predictive accuracy (81.97%, 95% CI {79.06%, 82.7%}) and area under the ROC curve (76.63%), followed by logistic regression (80.52%) and support vector machines (80.41%). Key determinants of MC use included starting family planning at age 20 or older, being single, having partner approval, being the wife of the household head, being between 36 and 49 years old, advice from healthcare providers, concerns about side effects, and having a household size of five or more.</p><p><strong>Conclusion and recommendations: </strong>The use of modern contraceptives among Ethiopian women remains low. Extreme gradient boosting proved most effective in predicting determinants of MC use. Based on the results of predictive associations, improved counseling during antenatal and postnatal care visits, promoting partner discussions on family planning, and addressing concerns about family size and contraceptive use are recommended strategies to enhance MC uptake.</p>","PeriodicalId":12260,"journal":{"name":"F1000Research","volume":"14 ","pages":"99"},"PeriodicalIF":0.0,"publicationDate":"2025-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12686783/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145721610","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}