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COVID-19 vaccination during pregnancy has been recommended, but the perceptions related to uptake remain unexplored. This pilot study aimed to explore how perceptions influence COVID-19 vaccine uptake among a sample of 115 pregnant women in Kenya, recruited via WhatsApp. Data were collected using an adapted online questionnaire between May and October 2022. Logistic analyses assessed the relationship between COVID-19 vaccination uptake and the Theory of Reasoned Action (TRA) constructs: attitudes and subjective norms. COVID-19 vaccination coverage was 73%, with vaccine hesitancy estimated at 41.4% among the unvaccinated group. Most participants had completed college education and had good knowledge of COVID-19 vaccines. There was no significant effect of enrollment in WhatsApp pregnancy groups on attitudes toward COVID-19 vaccination. Pregnant women were concerned about vaccine effectiveness (31.1%), and almost one-half (47.3%) were discouraged from receiving COVID-19 vaccines. Positive attitudes towards vaccination were associated with COVID-19 vaccination (aOR 2.81; 95% CI 1.12-7.04; p = 0.027), but no significant relationship was found between COVID-19 vaccination and strong subjective norms (influences to get COVID-19 vaccines). Our findings suggest that strategies to improve vaccination should consider targeting attitudes and proximal social networks (friends/family) to facilitate vaccination decision-making. WhatsApp can be used for research distribution and enhance the dissemination of accurate information.

This study investigates the outcomes of virtual nutritional counseling (VNC) for oncology patients during the Covid-19 pandemic. Our study evaluated the nutritional status data of cancer patients at the baseline and after VNC. An oncology dietitian evaluated the patients by video calling each patient via WhatsApp and sent an individual nutrition diet plan and recommendations via e-mail. Patient-Generated Subjective Global Assessment (PG-SGA) was used as a screening and evaluation tool to assess nutritional status. A total of 157 patients with a mean age of 55.8 ± 14.7 ( r  = 19-89) were included in the study. Researchers detected at least one nutrition-related sign in 77.7% of patients. After the VNC and based on the final PG-SGA assessments, 62.2% of the patients whose baseline PG-SGA Score-B improved to Score-A, 12.5% with a baseline PG-SGA Score-C improved to Score-A and 54.2% with a baseline Score-C improved to a Score - B ( χ 2  = 55,000, P  < 0.001). Based on the number of VNCs, the improvement in malnutrition status following two sessions and three or more sessions was found to be 17.6% and 35.7%, respectively ( P  < 0.001). Our results confirm that VNC can improve the nutritional status of cancer patients. Hence, nutritional counseling should be an integral part of oncological treatment., Competing Interests: Declaration of conflicting interestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Background: Older adults are at higher risk for health issues, including mental health problems. This was especially apparent during the COVID-19 pandemic, where older adults were simultaneously more vulnerable to the disease and the mental health concerns created by social distancing. Subsequently, the use of digital communication technology (DCT) became a critical option for maintaining social connectedness in older adults. Prior to the pandemic, the low uptake and use of technology by older adults was an established problem, known as the digital divide. However, not much is known about how this may have changed as a result of the pandemic., Objective: This study aims to explore how older adults maintained social connectedness through DCT during the pandemic and to understand factors influencing the use and acceptance of DCT., Methods: A mixed methods explorative field study was set up, involving surveys and interviews of 25 community-dwelling older adults (65-88 years old) living in the United Kingdom. The surveys included the internet acceptance questionnaire (based on the Technology Acceptance Model [TAM]); COVID-19 dysfunctional anxiety was captured using the COVID-19 Anxiety Scale (CAS). Background information (demographics, use of technology) was gathered before conducting semistructured interviews. We hypothesized that CAS would affect constructs of TAM and that predictive constructs of TAM would have remained valid during the pandemic. We also posited that there would be unidentified themes outside TAM that impacted the acceptance and use of DCT. We used the quantitative data to guide the semistructured interviews, which were then analyzed through thematic analysis to identify additional themes., Results: Correlational analysis showed that CAS influences all constructs of TAM. We also saw that the predictive constructs of TAM, especially the perceived ease of use (PEU) and perceived usefulness (PU), remained valid during the pandemic. Common acceptance-influencing themes were encountered in both quantitative and qualitative analyses, with 3 matching the known constructs of TAM (PU, PEU, and behavioral intention). We identified 2 additional themes affecting acceptance, namely influence of the pandemic (situational context) and privacy and security concerns. DCT use (especially email and videoconferencing use) increased during the pandemic, but the results related to social networking sites were mixed., Conclusions: The COVID-19 pandemic impacted technology acceptance and use by older adults, encouraging their use of certain DCT apps (email and videoconferencing apps, such as WhatsApp). These apps helped insulate them from adverse effects (social isolation and loneliness). Other social networking apps, however, exerted a negative influence, increasing anxiety and a general feeling of negativity. Future studies should maximize older adult agency related to design, privacy, security, and user requirements for development. We also recommend that when studying DCT acceptance for older adults, our additional identified themes should be considered alongside the existing TAM constructs., (©Eric Balki, Carol Holland, Niall Hayes. Originally published in the Journal of Medical Internet Research (https://www.jmir.org), 02.08.2023.)

Introduction: Messaging services (MS) are used widely worldwide. The implications of MS usage in daily hospital patient care have not been investigated. In this study, we discuss the extensive usage of MS in our Pediatric Neurosurgical Department, introduce our bubble algorithm, and provide additional input from an international survey., Methods: WhatsApp activity in the department of pediatric neurosurgery at Dana Children's Hospital, Tel Aviv, Israel, was analyzed. We designed a graphic representation of the content of the different conversation bubbles and how they interact. We also described a survey evaluating MS use in daily neurosurgical practice was sent to 25 neurosurgeons around the world. Collected data included details on the usage of MS, the type of information being transferred, and the participants' opinion of the potential risks and benefits of these systems. We began collecting messaging data November 2018, before the COVID pandemic era. We continued to collect data over the course of almost 3 years., Results: We identified a bubble network structure that reflects a logical method of communication between different segments of pediatric neurosurgical care in our institution. Additionally, we analyzed 22 survey responses, received from 14 different countries. The vast majority of centers with "department groups" use messaging services to transfer multimedia files of patient-related data. Nineteen responders believe that MS significantly improve overall patient care., Conclusion: MS has revolutionized and improved the patterns of communication in our department. The great benefits of quick, simple access to information strongly outweigh formality and the potential for medicolegal disadvantages (e.g., HIPAA)., (© 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)

Background: Telemedicine is emerging as an easy way to communicate between patients and surgeons. Use of telemedicine increased during the coronavirus disease 2019 (COVID-19) pandemic. WhatsApp is one of the most common smartphone applications for user-friendly telemedicine. The aim of this study was to evaluate patient perception of health quality and positive outcomes using a diary sent by the patient to the surgeon via WhatsApp during the first post-discharge week after proctologic surgery., Methods: Ninety-eight patients discharged after proctologic surgery at the Israelite Hospital of Rome and the AOU Policlinico Umberto I of Rome in 1 January-31 December 2019 were divided into two groups: the WhatsApp group (group A), (n = 36) and the no WhatsApp group (group B) (n = 62). Group A patients received a protocol to follow for the day-by-day diary during the first post-discharge week and sending it by WhatsApp to the surgeon. Group B patients only received recommendations at discharge. The tool's usefulness was assessed by a questionnaire one month after the intervention., Results: The two groups were homogeneous for age, sex, schooling, employment, and proctologic pathology. Group A patients had less difficulty keeping a diary (p < 0.0001). Group A patients had the perception of better follow-up post-discharge (p = 0.002). The use of the diary sent by WhatsApp significantly improved the perception of positive post-intervention outcomes (p = 0.007). WhatsApp was the only independent predictor of perception of post-surgical positive outcomes (odds ratio = 4.06; 95% CI 1.35-12.24; p = 0.01)., Conclusions: The use of WhatsApp in the post-discharge period improves the lifestyle quality of the patients and their perception of the safety and quality of care received., (© 2022. The Author(s).)

Background: WHO recommends donor milk as the next best choice if Mothers' own milk (MOM) is unavailable. At our milk bank, during the COVID 19 pandemic, we observed a steep decline in the collection of donor milk, while Pasteurised Donor human milk (PDHM) demand increased. This called for active intervention., Methods: We employed the quasi-experimental quality improvement initiative. During September 2020 (baseline period) the team members identified modifiable bottlenecks and suggested interventions (using WhatsApp to increase follow up, telehealth and digital tools) which were implemented in October 2020 and the impact was evaluated till March 2021. The SMART aim was "to meet the demand (estimated as 15,000 ml/month) of donor milk for adjoining 80-bedded NICU". Process measures were; daily amount of donor milk collected, pasteurized donor milk disbursed to NICU, number of donors and frequency of donations. The balancing measure was that the collection of donor milk should not undermine the provision of freshly expressed MOM for babies., Results: Collection of donor milk increased by 180% from baseline during the Intervention phase. This was sustained throughout the sustenance phase (November 2020 and March 2021) with an average monthly collection of 16,500 ml. Strikingly, the increased follow-up of mothers with emphasis on MOM decreased the NICU's donor milk requirement from 13,300 ml (baseline) to 12,500 ml (intervention) to 8,300 ml (sustenance). Monitoring of daily MOM used in the NICU revealed a 32% surge from 20,000 ml (baseline) to 27,000 ml (intervention) sustained at 25,000 ml per month., Conclusion: By improving the provisions of human milk banks, near-exclusive human milk feeding can be ensured even during the pandemic time., (© 2022. The Author(s).)

Objective: The adoption of telemedicine became a necessity during the COVID-19 pandemic because patients found commuting to be difficult owing to travel restrictions. Initially, audio-based teleconsultations were provided. Later, on the basis of the feedback of patients and caregivers, the authors started to provide video-based teleconsultations via WhatsApp. The authors subsequently surveyed the patients and caregivers to determine their satisfaction levels with telemedicine services., Methods: An anonymized telephone survey of patients who had participated in teleconsultation was conducted with a structured questionnaire. The responses were analyzed and their correlations with the perceived benefits and limitations of audio and video teleconsultation were determined., Results: Three hundred respondents were included in the first round of surveys, of whom 250 (83.3%) consented to video teleconsultation. Among the respondents who participated in both audio and video teleconsultations (n = 250), paired analysis showed that video teleconsultation was perceived as better in terms of providing easier access to healthcare services (p < 0.001), saving time (p < 0.001), and satisfaction with the way patient needs were conveyed to healthcare providers (p = 0.023), as well as in terms of adequacy of addressing healthcare needs (p < 0.001) and consequently providing a higher rate of overall satisfaction (p < 0.001). For both audio and video teleconsultation, overall patient satisfaction was significantly related to only previous exposure to WhatsApp. However, for video consultation, longer call duration (p = 0.023) was an important independent factor. Video teleconsultation was preferable to face-to-face consultation irrespective of educational status, but higher education was associated with preference for video teleconsultation., Conclusions: Both audio and video teleconsultation are viable cost-effective surrogates for in-person physical neurosurgical consultation. Although audio teleconsultation is more user-friendly and is not restricted by educational status, video teleconsultation trumps the former owing to a more efficient and satisfactory doctor-to-patient interface.

Introduction: This is the first study aimed at objectively quantifying the benefit of virtual education using WhatsApp-based discussion groups., Methods: A prospective, non-randomised interventional study was undertaken in the Department of General Surgery, at a tertiary care centre in Kolkata, India, with 200 undergraduate students over a period of 5 days each for 2 weeks, with the first week acting as a control arm. A WhatsApp group was created consisting of 197 eligible undergraduates, faculty members and the authors of this study. Each day, three questions were posted on this group. The second week involved an hour-long WhatsApp-based discussion between the participants and the faculty. Responses were recorded and compared for improvements between the two weeks. Participant feedback was collected and analysed., Results: Statistically significant improvements were observed in the study group compared with the control group in rates of one in three, two in three and three in three correct responses ( p =0.01649, 0.01146 and 0.00946, respectively). A total of 68 (51.92%) feedback respondents were satisfied with the programme. Convenience of use was the principal reason behind satisfaction in 79 respondents (60.31%), whereas 62 participants (47.33%) reported lack of hands-on training as a major drawback., Conclusions: WhatsApp was found to be a satisfactory supplement to traditional medical teaching. It can be implemented to fill lapses in medical education, especially in light of the COVID-19 pandemic, which has caused great disruption to traditional teaching methods. Research is needed to assess the feasibility of incorporating it into the curriculum.

Background: Worldwide, social media traffic increased following the onset of the COVID-19 pandemic. Although the spread of COVID-19 content has been described for several social media platforms (eg, Twitter and Facebook), little is known about how such content is spread via private messaging platforms, such as WhatsApp (WhatsApp LLC)., Objective: In this study, we documented (1) how WhatsApp is used to transmit COVID-19 content, (2) the characteristics of WhatsApp users based on their usage patterns, and (3) how usage patterns link to COVID-19 concerns., Methods: We used the experience sampling method to track day-to-day WhatsApp usage during the COVID-19 pandemic. For 1 week, participants reported each day the extent to which they had received, forwarded, or discussed COVID-19 content. The final data set comprised 924 data points, which were collected from 151 participants., Results: During the weeklong monitoring process, most participants (143/151, 94.7%) reported at least 1 COVID-19-related use of WhatsApp. When a taxonomy was generated based on usage patterns, around 1 in 10 participants (21/151, 13.9%) were found to have received and shared a high volume of forwarded COVID-19 content, akin to super-spreaders identified on other social media platforms. Finally, those who engaged with more COVID-19 content in their personal chats were more likely to report having COVID-19-related thoughts throughout the day., Conclusions: Our findings provide a rare window into discourse on private messaging platforms. Such data can be used to inform risk communication strategies during the pandemic., Trial Registration: ClinicalTrials.gov NCT04367363; https://clinicaltrials.gov/ct2/show/NCT04367363., (©Edina YQ Tan, Russell RE Wee, Young Ern Saw, Kylie JQ Heng, Joseph WE Chin, Eddie MW Tong, Jean CJ Liu. Originally published in the Journal of Medical Internet Research (https://www.jmir.org), 23.12.2021.)

The use of WhatsApp in health care has increased, especially since the COVID-19 pandemic, but there is a need to safeguard electronic patient information when incorporating it into a medical record, be it electronic or paper based. The aim of this study was to review the literature on how clinicians who use WhatsApp in clinical practice keep medical records of the content of WhatsApp messages and how they store WhatsApp messages and/or attachments. A scoping review of nine databases sought evidence of record keeping or data storage related to use of WhatsApp in clinical practice up to 31 December 2020. Sixteen of 346 papers met study criteria. Most clinicians were aware that they must comply with statutory reporting requirements in keeping medical records of all electronic communications. However, this study showed a general lack of awareness or concern about flaunting existing privacy and security legislation. No clear mechanisms for record keeping or data storage of WhatsApp content were provided. In the absence of clear guidelines, problematic practices and workarounds have been created, increasing legal, regulatory and ethical concerns. There is a need to raise awareness of the problems clinicians face in meeting these obligations and to urgently provide viable guidance.

Objective: To review the hoaxes' characteristics spread through WhatsApp in Spain during COVID-19 lockdown and identify what kind of substances were promoted for consumption or application., Method: A phone number was activated to receive hoaxes via WhatsApp. A total of 2353 messages were collected, and among those 584 different hoaxes were identified and validated, between March 18 and April 18, 2020. From these 584 hoaxes, a sub-sample of 126 was selected, exclusively related to the object of study, and a content analysis table with fourteen registration fields was applied. Besides, the averages and medians of the quantitative fields were extracted., Results: Most of the messages received were texts (39%) and videos (30%). In the majority, the acting subject was presented as medical personnel (36.5%) or as an anonymous person (30.9%). The videos lasted between 2' 40" and 18' 18", while the audios ranged between 1' 35" and 7' 48". Regarding the gender of the informant, there was a significant difference, with 45.2% being male, and 13.5%, female and 41.3% non-identifiable., Conclusions: One out of five false health claims received was about prevention or cure of the coronavirus, based on the principle of medical authority, and basically promoting the use and consumption of substances of natural origin., (Copyright © 2020 SESPAS. Publicado por Elsevier España, S.L.U. All rights reserved.)

Background: Globally, social distancing has been practiced during the ongoing coronavirus disease 2019 (COVID-19) pandemic to prevent the transmission of the virus. One of the measures to ensure social distancing and restricting the movements has been national lockdown, to break the chain of transmission. Telemedicine is a cost-effective measure to provide medical services to remote underserved areas., Objective: The present study aimed to evaluate the efficacy and acceptability of teleconsultation as an alternative option to in-person consultation in providing continued medical care for neurology patients during the national lockdown period of the COVID-19 pandemic., Materials and Methods: The clinical demographic profile, frequency of different neurological disorders, and treatment details of the patients attending the teleneurology consultation (TNCO) outpatient department (OPD) at Sir Sunderlal Hospital (S.S.H.), Institute of Medical Sciences (I.M.S.), BHU, Varanasi, India, were recorded in a prespecified pro forma., Results: A total of 1,567 patients attended the TNCO OPD over 90 days. The average patient attendance was 35 per day, and 72% were males. Out of these, 77% of patients were from the same district, and the majority of patients (68%) were regularly followed up in-person by the neurology OPD. The most common illness for consultation was epilepsy (19%) followed by low backache and stroke (18% each). The satisfaction rate among the patients with respect to teleservices was high (90%)., Conclusion: TNCO seems to be as effective as in-person OPD in the management of neurological disorders. During the lockdown due to the COVID-19 pandemic, avoiding physical visits through TNCO may reduce the spread of the virus. Parallel tele-OPD with routine OPD is a good option in the future., Competing Interests: None

During the start of the first wave of the coronavirus disease 2019 (COVID-19) pandemic, two family physicians in Tshwane, South Africa, reviewed the people at high-risk within their Health Catchment Area. The largest residential mental health care facility in Gauteng fell under their care, and they were responsible for providing care and support to this facility. Family physicians have to lead the primary care team and simultaneously take care of the well-being of their team members. This report discusses how these family physicians used digital platforms and virtual care to successfully coordinate and manage the response to an outbreak of COVID-19 at this mental healthcare facility.

Background: Telemedicine has become an integral part of health care delivery in recent years. One of the leading applications for this use is WhatsApp - a free smartphone application that allows instant messaging with pictures and videos. This study analyzed the emerging role of WhatsApp on reducing the need for referrals to medical specialists and to compare the views of physicians regarding WhatsApp consultations., Methods: A cross-sectional study based on an anonymous web-survey was conducted among PCPs and medical specialists working in the Israel Defense Forces Medical-Corps during September and October, 2019., Results: Of 201 participants, 153 were PCPs and 48 were medical specialists. 86.9 % of PCPs and 86.5 % of specialists used WhatsApp every day in professional settings. Added workload, potential breaching of patient confidentiality and lack of full documentation of consultations were the main concerns among physicians using the application. 60.7 % of PCPs and 95.7 % of specialists stated that these consultations have reduced the need for in-person appointments at least once a week., Conclusions: In times of COVID-19 that require social distancing, WhatsApp provides a simple, readily available platform for consultations between healthcare providers, even to the extent of rendering some in-person appointments unnecessary. Healthcare organizations should address the matters troubling healthcare providers, mainly patient confidentiality and lack of documentation in patients' medical records, while providing adequate compensation for those providing the service during and after work hours.

Background: The risks of misinformation on social networking sites is a global issue, especially in light of the COVID-19 infodemic. WhatsApp is being used as an important source of COVID-19-related information during the current pandemic. Unlike Facebook and Twitter, limited studies have investigated the role of WhatsApp as a source of communication, information, or misinformation during crisis situations., Objective: Our study aimed to evaluate the vulnerability of demographic cohorts in a developing country toward COVID-19-related misinformation shared via WhatsApp. We also aimed to identify characteristics of WhatsApp messages associated with increased credibility of misinformation., Methods: We conducted a web-based questionnaire survey and designed a scoring system based on theories supported by the existing literature. Vulnerability (K) was measured as a ratio of the respondent's score to the maximum score. Respondents were stratified according to age and occupation, and K mean was calculated and compared among each subgroup using single-factor analysis of variance and Hochberg GT2 tests. The questionnaire evaluated the respondents' opinion of the veracity of coronavirus-related WhatsApp messages. The responses to the false-proven messages were compared using z test between the 2 groups: coronavirus-related WhatsApp messages with an attached link and/or source and those without., Results: We analyzed 1137 responses from WhatsApp users in India. Users aged over 65 years had the highest vulnerability (K mean =0.38, 95% CI 0.341-0.419) to misinformation. Respondents in the age group 19-25 years had significantly lower vulnerability (K mean =0.31, 95% CI 0.301-0.319) than those aged over 25 years (P<.05). The vulnerability of users employed in elementary occupations was the highest (K mean =0.38, 95% CI 0.356-0.404), and it was significantly higher than that of professionals and students (P<.05). Interestingly, the vulnerability of healthcare workers was not significantly different from that of other occupation groups (P>.05). We found that false CRWMs with an attached link and/or source were marked true 6 times more often than false CRWMs without an attached link or source (P<.001)., Conclusions: Our study demonstrates that in a developing country, WhatsApp users aged over 65 years and those involved in elementary occupations were found to be the most vulnerable to false information disseminated via WhatsApp. Health care workers, who are otherwise considered as experts with regard to this global health care crisis, also shared this vulnerability to misinformation with other occupation groups. Our findings also indicated that the presence of an attached link and/or source falsely validating an incorrect message adds significant false credibility, making it appear true. These results indicate an emergent need to address and rectify the current usage patterns of WhatsApp users. This study also provides metrics that can be used by health care organizations and government authorities of developing countries to formulate guidelines to contain the spread of WhatsApp-related misinformation., (©Jay Amol Bapaye, Harsh Amol Bapaye. Originally published in JMIR Public Health and Surveillance (http://publichealth.jmir.org), 30.01.2021.)

Background: Telephones, internet-connected devices (phablets, personal computers), chat platforms, and mobile apps (eg, Skype, Facebook Messenger, WhatsApp) can be exploited for telemedicine applications. WhatsApp and similar apps are also widely used to facilitate clinical communication between physicians. Moreover, WhatsApp is used by emergency department (ED) physicians and consulting physicians to exchange medical information during ED consultations. This platform is regarded as a useful app in the consultation of dermatological and orthopedic cases. Preventing overcrowding in the ED is key to reducing the risk of disease transmission, and teleconsulting practice is thought to be effective in the diagnosis, treatment, and reduction of transmission risk of disease, most notably during the COVID-19 pandemic. Video consultation is highly recommended in some countries on the grounds that it is likely to reduce the risk of transmission. WhatsApp-like apps are among the video consultation platforms that are assumed to reduce the risk of contamination by minimizing patient-physician contact., Objective: The aim of this study was to investigate the effects of WhatsApp video consultation on patient admission and discharge times in comparison to bedside consultation in the evaluation of potential patients with COVID-19 visiting a COVID-19 outpatient clinic during the pandemic., Methods: Patients who presented to the ED COVID-19 outpatient clinic between March 11 and May 31, 2020, and for whom an infectious disease specialist was consulted (via WhatsApp or at bedside) were included in the study in accordance with the inclusion and exclusion criteria. Eventually, 54 patients whose consultations were performed via WhatsApp and 90 patients whose consultations were performed at bedside were included in our study., Results: The median length of stay in the ED of discharged patients amounted to 103 minutes (IQR 85-147.75) in the WhatsApp group and 196 minutes (IQR 141-215) in the bedside group. In this regard, the length of stay in the ED was found to be significantly shorter in the WhatsApp group than in the bedside group (P<.001). Among the consulted and discharged patients, 1 patient in each group tested positive for SARS-CoV-2 by polymerase chain reaction test and thus was readmitted and hospitalized (P=.62). The median length of stay of the inpatients in the ED was found to be 116.5 minutes (IQR 85.5-145.5) in the WhatsApp group and 132 minutes (IQR 102-168) in the bedside group. The statistical analysis of this time difference revealed that the length of stay in the ED was significantly shorter for patients in the WhatsApp group than in the bedside group (P=.04)., Conclusions: Consultation via WhatsApp reduces both contact time with patients with COVID-19 and the number of medical staff contacting the patients, which contributes greatly to reducing the risk of COVID-19 transmission. WhatsApp consultation may prove useful in clinical decision making as well as in shortening process times. Moreover, it does not result in a decreased accuracy rate. The shortened discharge and hospitalization timespans also decreased the length of stay in the ED, which can have an impact on minimizing ED crowding., Trial Registration: ClinicalTrials.gov NCT04645563; https://clinicaltrials.gov/ct2/show/NCT04645563., (©Ramazan Sabırlı, Emre Karsli, Omer Canacik, Dogan Ercin, Handan Çiftçi, Levent Sahin, Turgut Dolanbay, Emin Ediz Tutuncu. Originally published in JMIR mHealth and uHealth (http://mhealth.jmir.org), 11.12.2020.)

Background: During the COVID-19 pandemic period Health Care Practitioners (HCPs) were seen to facilitate healthcare delivery by using their mobile phones also known as "informal mHealth", especially in Sub-Saharan Africa (SSA). WhatsApp has become popular in recent years with over 380 million users. It has therefore been identified that the effective use of WhatsApp by HCP for health could positively impact it. This study aims to assess the potential effect of the use of WhatsApp by HCPs on Maternal Health Services (MHS) uptake during the COVID-19 pandemic in four primary healthcare facilities in the Kwadaso Municipality of Ghana. Methods: A cross-sectional study design was adopted using a quantitative approach involving a census sampling technique to collect data on monthly Maternal Health Services (MHS) attendance from the District Health Information Management Systems (DHIMS 2). Data collection was for the period March 2019 to February 2020 and March 2020 to February 2021. Results: During the COVID-19 pandemic, the introduction of WhatsApp as a mHealth intervention helped improve maternal health case management and patient confidence. This led to a 5.64% (p=0.02) increase in ANC attendance and a 5.62% (p=0.02) rise in health facility deliveries. However, although PNC service attendance dropped slightly (7.06%, p=0.95), it was not statistically significant. Overall, key maternal health indicators showed significant improvements from 2019 to 2021 COVID-19 period. Conclusion: WhatsApp usage by HCPs for a positive and timely patient management showed an increased attendance for ANC and delivery services in Ghana during the COVID-19 pandemic. This reveals that the use of WhatsApp for maternal health services referrals can be used as a communication tool for the management of high-risk obstetric referrals also. [ABSTRACT FROM AUTHOR]

The spread of disinformation has been a topic of heightened concern, particularly during the COVID-19 pandemic, as the response to a public health crisis relies on the ability for public officials to inform citizens. Using a representative two-wave panel of internet users in Brazil, we examine the relationship between pathways to information, WhatsApp use, and the persistence of misinformed beliefs about the pandemic. We find a strong relationship between presidential support, right-wing news sources, and participating in WhatsApp groups with strangers, and becoming more misinformed over time. Conversely, most media diets (traditional news media, social media and WhatsApp for news) had no effect. However, Bolsonaro supporters, using WhatsApp and Facebook for news was strongly associated with increasing and persistent misinformation. Our findings provide further evidence that political leaders undermine a country's ability to respond to a pandemic insofar as they breed mistrust in other institutions by instrumentalizing public health measures to win political fights. [ABSTRACT FROM AUTHOR]

Based on the shift from face-to-face participatory action research (PAR) with groups in situations of vulnerability to digital methods during COVID-19, we reflect on how we can go beyond compensating for the physical absence of the researcher from the field. We argue that instead of simply aiming to replace face-to-face research with a digital equivalent for maintaining 'participatory' and 'inclusive' research practices, remote practices have the potential of being more-than compensatory. We suggest that when producing multi-method digital approaches, we need to go beyond a concern with participant access to remote practices. By rethinking remote PAR in the light of expressive rather than participatory research practices, we critically reflect on the (sometimes experimental) process of trying out different digital research method(s) with Brazilian youth in situations of digital marginalisation, including the initial 'failures' and lessons learned in encouraging diverse forms of participant expression, and ownership using WhatsApp. [ABSTRACT FROM AUTHOR]

BackgroundSouth Asians, inclusive of individuals originating in India, Pakistan, Maldives, Bangladesh, Sri Lanka, Bhutan, and Nepal, comprise the largest diaspora in the world, with large South Asian communities residing in the Caribbean, Africa, Europe, and elsewhere. There is evidence that South Asian communities have disproportionately experienced COVID-19 infections and mortality. WhatsApp, a free messaging app, is widely used in transnational communication within the South Asian diaspora. Limited studies exist on COVID-19-related misinformation specific to the South Asian community on WhatsApp. Understanding communication on WhatsApp may improve public health messaging to address COVID-19 disparities among South Asian communities worldwide.ObjectiveWe developed the COVID-19-Associated misinfoRmation On Messaging apps (CAROM) study to identify messages containing misinformation about COVID-19 shared via WhatsApp.MethodsWe collected messages forwarded globally through WhatsApp from self-identified South Asian community members between March 23 and June 3, 2021. We excluded messages that were in languages other than English, did not contain misinformation, or were not relevant to COVID-19. We deidentified each message and coded them for one or more content categories, media types (eg, video, image, text, web link, or a combination of these elements), and tone (eg, fearful, well intentioned, or pleading). We then performed a qualitative content analysis to arrive at key themes of COVID-19 misinformation.ResultsWe received 108 messages; 55 messages met the inclusion criteria for the final analytic sample; 32 (58%) contained text, 15 (27%) contained images, and 13 (24%) contained video. Content analysis revealed the following themes: "community transmission" relating to misinformation on how COVID-19 spreads in the community; "prevention" and "treatment," including Ayurvedic and traditional remedies for how to prevent or treat COVID-19 infection; and messaging attempting to sell "products or services" to prevent or cure COVID-19. Messages varied in audience from the general public to South Asians specifically; the latter included messages alluding to South Asian pride and solidarity. Scientific jargon and references to major organizations and leaders in health care were included to provide credibility. Messages with a pleading tone encouraged users to forward them to friends or family.ConclusionsMisinformation in the South Asian community on WhatsApp spreads erroneous ideas regarding disease transmission, prevention, and treatment. Content evoking solidarity, "trustworthy" sources, and encouragement to forward messages may increase the spread of misinformation. Public health outlets and social media companies must actively combat misinformation to address health disparities among the South Asian diaspora during the COVID-19 pandemic and in future public health emergencies.

The dissemination of misinformation on social media platforms is faster than the spread of Corona Virus Diseases (COVID-19), and it can have severe negative effects on health in the midst of a catastrophe such as COVID-19. Consequently, this study examined the dissemination of misinformation on Facebook and WhatsApp from the perspectives of general misinformation belief, conspiracy belief, religious misinformation belief, and credibility evaluations' impact on COVID-19 individual responses. A total of 281 samples were collected, and the Software Package for the Social Sciences (SPSS) was used to analyse the collected data. The findings have practical implications for the public, so they will be wary of misinformation, particularly regarding the authority of a country or region, and take appropriate security measures against catastrophic misinformation in order to safeguard the public health from exploitation. [ABSTRACT FROM AUTHOR]

The Covid-19 pandemic has disrupted relationships between religious communities and the state. Churches, religious authorities, and believers have been obligated to modify key activities (prayer, ceremonies) and weigh their religious identity against state prohibitions. Accordingly, we ask how members of a reclusive religious community negotiated and performed their identity under a prolonged emergency. We analyse intra-communal discourse concerning the state's social distancing regulations during Covid-19 outbreaks and lockdowns that occurred in closed groups in messaging apps. Specifically, this research case-studies Jewish ultra-Orthodox communities in Israel (Haredim). Extensive analysis of over 2,000 WhatsApp and Telegram posts in 35 ultra-Orthodox groups over a two-year period indicates that participants constantly sought to affirm their primary, dominant, communal identity. While efforts to integrate adherence to state prohibitions into this primary identity were evident, these efforts were well accepted only when justifying them via affirmation of the communal identity – superseding medical, political, and practical concerns. The findings advance understanding of minority groups' attitudes towards state directives and illuminate contemporary pathways of identity dynamics in online social networks. The findings may also be applicable in a broader sense to the study of discourse dynamics in echo chambers and filter bubbles. [ABSTRACT FROM AUTHOR]

Latar belakang. Anak epilepsi berisiko mengalami malnutrisi, keterlambatan perkembangan, dan defisiensi vitamin D akibat obat anti-epilepsi. Pandemi COVID-19 membatasi kunjungan ke dokter sehingga menghambat pemantauan pertumbuhan anak epilepsi. Pemantauan jarak jauh dapat membantu asuhan nutrisi optimal selama pandemi.. Tujuan. Mengevaluasi efektivitas pendampingan asuhan nutrisi pediatrik melalui WhatsApp pada balita epilepsi. Metode. Penelitian multisenter dimulai Maret 2021 pada pasien epilepsi (6 bulan - 5 tahun). Kelompok intervensi mendapat pendampingan asuhan nutrisi melalui WhatsApp selama 3 bulan, sementara kelompok kontrol tidak. Sebelum intervensi, subjek diberikan edukasi melalui webinar, pemeriksaan anemia defisiensi besi dan vitamin D 25-OH. Hasil. Sebanyak 73 subjek direkrut dan 69 subjek mengikuti penelitian sampai selesai. Defisiensi/insufisiensi vitamin D didapatkan pada 35,6% subjek. Oral nutrition supplement merupakan saran intervensi terbanyak (23,1%). Meski WhatsApp tidak signifikan untuk perbaikan status gizi, 84,2% orangtua melihat manfaatnya dalam meningkatkan pengetahuan dan mengatasi masalah nutrisi. Meskipun beberapa memerlukan nutrisi enteral dan kunjungan tatap muka, dampak positif WhatsApp terlihat dalam meningkatkan pemahaman orangtua. Kesimpulan. Asuhan nutrisi anak epilepsi dapat ditingkatkan melalui pendampingan WhatsApp di masa pandemi. Beberapa intervensi memerlukan konsultasi tatap muka, tetapi kombinasi supervisi daring dan kunjungan tatap muka dapat menjadi alternatif setelah pandemi, mengatasi kendala jarak dan mobilitas dalam memberikan asuhan nutrisi.

This two-year study followed a professional learning community (PLC) of STEM Teachers Leaders, referred to as L-PLC. The onset of the COVID-19 pandemic accelerated changes in the focus of many professional development frameworks from face-to-face to online communication. We sought for new ways and tools to follow the professional development and the dynamics in our L-PLC. In particular, we explored professional knowledge development and social interactions, as derived from its WhatsApp group (43–48 participants) discourse, before and during the COVID-19 pandemic. Data were extracted from 6599 WhatsApp messages issued during four consecutive semesters (March 2019—March 2021), as well as from participant background questionnaires. The analysis incorporated both structure and content examination of the L-PLC WhatsApp discourse, using social network analysis (SNA), and a distinctive coding scheme followed by statistical analysis, heat map, and bar graph visualizations. These provided insights into whole group (macro), subgroups (meso), and individual (micro) profiles. The results indicated that over time, the participants gradually began to use the WhatsApp platform for professional purposes on top of its initial administrative intention. Moreover, the pandemic seemed to lead to a unique adjustment process, denoted by enhanced professional interactions, regarding content knowledge, professional content knowledge, and technological knowledge, and also accelerated the development of productive community behaviors, such as sharing and social support. The research approach enabled us to detect changes in key PLC characteristics, follow their dynamics under the influence of chaotic changes and navigate the community accordingly. Taken together, WhatsApp exchanges can serve as a rich source of data for a noninvasive continuous evaluation of group processes and progress. [ABSTRACT FROM AUTHOR]

The COVID-19 pandemic social distancing forced a shift from Face-to-Face (F2F) to virtual work sessions, applying innovative digital tools. These tools have previously been neglected, mainly due to a conservative approach or prioritization. Consequently, their effectiveness was never tested in depth. While applying these innovative digital tools during the COVID-19 pandemic was clearly preferable to shutting down organizational activity, managers and workers recognized the advantages of these alternatives and tended to apply them in the post-COVID-19 period. However, in this post-pandemic period, which is free from social distancing limitations, a relatively full space of choices was introduced again, which raised the question whether these alternatives should be kept. Therefore, this study examines whether digital communication tools can adequately substitute F2F sessions in project management. We conducted an experiment with participants (n=269),askingthem to perform project-oriented tasks on four platforms: as individuals, in an F2F group meeting, on Zoom, or using WhatsApp. The results indicate that while an F2F meeting is more effective than individual work, Zoom and WhatsApp are not. These findings appear surprising and may contradict the concept of group empowerment. The use of digital sharing platforms did not affect the tasks’ performances nor create synergy. This raises the issue of whether these digital means are here to stay, should be discarded, or must be upgraded.

Under COVID‐19 outbreak, retail operations are seriously threatened. There are lots of cases in which physical stores basically have to stop operating. This creates problems to the firm, its employees, and consumers. Recently, Timberland in Hong Kong and various other brands such as Joyce Boutiques and The North Face have established the "WhatsApp Shopping Service Operation" (WSO) in which consumers can shop by using the well‐established communication tool "WhatsApp." Salespeople in stores provide services via WhatsApp to assist the consumers without them having to visit the stores. We collect primary data from real‐world cases and theoretically explore WSO. We build a standard consumer utility based model to derive the firm's optimal pricing and employment decisions under different cases. We evaluate the impacts of COVID‐19 and values of WSO implementation from the "Worker‐Consumer‐Company" (WCC) welfare perspective. Our results interestingly imply that WSO is superior to the traditional online channel in terms of keeping business under the pandemic; meanwhile, implementing WSO can help stimulate demand in the physical store under COVID‐19. However, whether WSO is effective to help increase the firm's profit and WCC welfare depends on both consumer type' distribution and consumers' fear of infection. When consumers' fear of infection is very polarized (i.e., extremely low or high), WSO is not recommended. We further propose that the government's subsidy for WSO implementation could be an effective way to help the firm improve its profit and WCC welfare. We also check the robustness of our study by extending the model to consider endogenous consumer type, endogenous service level, and WCC‐welfare‐oriented firm. [ABSTRACT FROM AUTHOR]

The anti-vaccine community has on social media one of the main channels for the dissemination of fake news and disinformation. This represents a challenge for governments during health crises. This study analyzes the behavior of social media users concerning COVID-19 vaccination through a national survey including 1800 representatives of the Spanish population. WhatsApp, Facebook, and Instagram users were the most vaccinated. However, TikTok and YouTube hosted the highest percentage of the unvaccinated. In relation to the booster dose, most users show a positive attitude, with Facebook users standing out, while YouTube users show the highest rejection. In addition, users who have spent more time on social media were less vaccinated with booster doses and had a higher percentage of unvaccinated. Concrete data are provided to develop communication strategies such as segmentation and social listening to be carried out during a crisis. [ABSTRACT FROM AUTHOR]

Copyright of Perspectivas de la Comunicación is the property of Journal Perspectivas de la Comunicacion, PhD in Communication, University of La Frontera and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

"WhatsApp" is an instant messaging application, and its use for teaching and learning purposes has been widespread in recent years. The immediate and complete transition to distance learning increased the use of digital technologies, including the WhatsApp application. This study aims to get a comprehensive picture of the integration of WhatsApp groups in academic learning during the COVID-19 epidemic. A scoping review of the articles published on the subject was carried out to examine its advantages and challenges. For this review, 21 articles in the English language that were published in the years 2020 to 2022 in nine different countries were located, mapped, and analyzed. The review's findings indicate applying various quantitative, qualitative, and mixed methods. Among the study subjects studied, the most common was learning English as a foreign language. This review generally reflected a positive position toward integrating WhatsApp groups into learning and teaching processes in the academy. The pedagogical advantages were noted, such as creating scholarly discourse, sharing learning materials, and learning anywhere and anytime. At the same time, the findings regarding the effect of the integration of the WhatsApp group on academic achievements are not unequivocal and require further clarification. In examining the challenges from a pedagogical point of view, concerns arose about social distancing, which impairs the ability to monitor learning processes. Factors such as motivation, sense of belonging, involvement, and enjoyment were noted in the social-emotional field. The social-emotional field received a considerable place relative to the pre-pandemic occupation of the subject. Still, it received limited attention compared to the pedagogical and technical fields. The reference to technical issues was given a central place, reflecting the need to maintain scholarly communication during social distancing. Compared to various other technological tools, including other social networks, the use of WhatsApp for learning purposes has many advantages, including ease of operation, low costs, and diverse options. The findings of this review may help researchers, policymakers, and lecturers choose the best way to integrate an instant messaging application such as WhatsApp into the learning processes during a crisis and on regular days. [ABSTRACT FROM AUTHOR]

This study aims to reveal the strengths and limitations of the WhatsApp application as a support service in distance education, conducted through a learning management system during the Covid-19 pandemic, and make suggestions on improving its use in this capacity. Despite the lack of readiness on the part of the students and the lack of sufficient knowledge regarding distance education during the pandemic, many universities had to revert to emergency remote teaching. This situation necessitated the intensive use of various support services for the students to get the most out of their emergency remote teaching However, their lack of experience with distance education prevented them from using the support services offered by learning management systems. Due to the increasingly widespread use of mobile technologies, one of the support services used by course instructors became the WhatsApp application. The following research is a qualitative case study. The sample for the study was determined through purposive sampling. The data was analyzed using the content analysis method. Nvivo qualitative data analysis software was used to contribute to the detailed and versatile data analysis. The most important results of the study were that the application supported and strengthened distance learning by allowing instant communication, but that the absence of a moderator caused various limitations in this communication. In addition, it was concluded that incorporating natural language processing techniques into learning management systems and clearly stated rules by course instructors improved the use of such instant communication applications as a support service for distance education. [ABSTRACT FROM AUTHOR]

In this article, we identify a new form of public discourse that takes the shape of WhatsApp sticker memes personally created and nationally shared on WhatsApp by citizens in Oman during the Covid-19 pandemic to concomitantly act as carriers of information and as promoters of relational work. The data consist of 67 public sign stickers culled from a larger set amassed as part of an ethnographic project on Arabs and Covid-19. Drawing upon interpersonal pragmatics and visual semiotics, we examine the interplay of textual and visual modes in featured stickers, demonstrating how Omanis translated official Covid-19 instructions into three types of terse memes to facilitate communal distribution. We suggest that to encourage public cooperation, the stickers struck a culturally-imperative balance between keeping traditional norms intact while committing socially offensive acts. The article contributes to research on digital discourse by exploring sticker use as public signs in the understudied Arabic context. [ABSTRACT FROM AUTHOR]

Mobile devices have penetrated all levels of society worldwide, including what are predominantly considered inaccessible, low-income communities in developing nations. Mobile devices are frequently used for economic, political, and social interactions and even business transactions. In a similar fashion, teachers are slowly adapting to the use of mobile devices as a pedagogical tool in education. The aim of this study was to ascertain how a WhatsApp group, a messaging facility, could be used to enhance group interaction among pre-service teachers during the COVID-19 pandemic. Moore's Transactional Distance theory and Salmon's five-stage model guided this qualitative study. Twelve pre-service teachers, out of a class of thirty-five, were purposely selected to work on a group task using the WhatsApp application during the COVID- 19 pandemic. They also participated in a focus group interview. WhatsApp artifacts and focus group interview transcripts were analyzed deductively; the results showed that the WhatsApp intervention helped improve pre-service teachers' engagement and the sharing of content to successfully undertake the group activity virtually. WhatsApp's social nature has proven to be an enabler for keeping people connected despite physical distance: reducing cognitive loneliness resulting from social isolation. It is recommended that teacher educators, academics, and researchers, as well as students working remotely take advantage of the usability of WhatsApp for learning and research purposes. [ABSTRACT FROM AUTHOR]

The COVID-19 pandemic has also had a serious impact on the world of education. Learning at school or lectures on campus which has been carried out face-to-face has turned into online learning or lectures using various applications. One campus that uses various applications for online lectures is IAIN Salatiga. This article aims to examine how to use WhatsApp as a medium in online lectures at IAIN Salatiga. The COVID-19 pandemic has had an impact on the world of education where learning must be done online. WhatsApp is one of the applications that can be used to carry out online learning. The research method used is descriptive qualitative with a participatory action research (PAR) approach. Data collection techniques using observation and interviews. Data analysis techniques using data presentation techniques, data reduction, and drawing conclusions. The results of the study show that WhatsApp can be used for learning media in online lectures which is effective if it uses the right steps, especially for theoretical courses.

Globally, small-scale and subsistence farmers, like most small entrepreneurs, are facing the brunt of hard lockdowns due to COVID-19. The South African issues around COVID-19 and the aligned ICT use, as experienced by eleven farmers and two extension officers in KwaZulu-Natal (KZN) are highlighted in this paper. The aim of the study was to explore how small-scale farmers in KZN could improve their production and sales, in the light of resilience and sustainable livelihoods, by exploiting the potential of networking with ICT and WhatsApp. Eleven (11) farmers were selected using snowball sampling. Data were obtained through WhatsApp communication and telephonic interviews. The study reveals that, although during the lockdown necessitated by COVID-19 the farmers initially struggled with the changes and new restrictions, they had managed to find the value of using WhatsApp pictures, messages and voice recordings to sustain their livelihood. The results also confirm that using ICT tools such as mobile phones and WhatsApp had helped to enhance their livelihoods. Nevertheless, while some farmers had networked effectively, for many their low ICT literacy and administrative skills would need to be enhanced. In the face of COVID-19, these farmers are resilient entrepreneurs as they serve the community not only by alleviating poverty but also by being a cultural storehouse of indigenous, practical scientific knowledge and ways to sustain the environment. It is recommended that ICT literate community members, extension officers and the Department of Agriculture should provide ICT support for both farmers and consumers, in using appropriate local apps such as consumers/farmerslinked WhatsApp groups, Zoom and email for improving production and sales of crops. [ABSTRACT FROM AUTHOR]

Misinformation has been existed for centuries, though emerge as a severe concern in the age of social media, and particularly during COVID-19 global pandemic. As the pandemic approached, a massive influx of mixed quality data appeared on social media, which had adverse effects on society. This study highlights the possible factors contributing to the sharing and spreading misinformation through social media during the crisis. Preferred Reporting Items and Meta-Analysis guidelines were used for systematic review. Anxiety or risk perception associated with COVID-19 was one of the significant motivators for misinformation sharing, followed by entertainment, information seeking, sociability, social tie strength, self-promotion, trust in science, self-efficacy, and altruism. WhatsApp and Facebook were the most used platforms for spreading rumors and misinformation. The results indicated five significant factors associated with COVID-19 misinformation sharing on social media, including socio-demographic characteristics, financial considerations, political affiliation or interest, conspiracy ideation, and religious factors. Misinformation sharing could have profound consequences for individual and society and impeding the efforts of government and health institutions to manage the crisis. This SLR focuses solely on quantitative studies, hence, studies are overlooked from a qualitative standpoint. Furthermore, this study only looked at the predictors of misinformation sharing behavior during COVID-19. It did not look into the factors that could curb the sharing of misinformation on social media platforms as a whole. The study's findings will help the public, in general, to be cautious about sharing misinformation, and the health care workers, and institutions, in particular, for devising strategies and measures to reduce the flow of misinformation by releasing credible information through concerned official social media accounts. The findings will be valuable for health professionals and government agencies to devise strategies for handling misinformation during public health emergencies. [ABSTRACT FROM AUTHOR]

The Covid-19 pandemic resulted in a global lockdown and the cessation of all academic activities on-site. Higher education in Nigeria was not exempt, as a paradigm shift was required for university officials to explore non-conventional teaching methods to prevent students from wasting time and to keep them intellectually engaged. During the pandemic, our research examines how a private institution in Ede, Osun State, Nigeria, utilised the social networking platform WhatsApp for Ph.D. student seminars. The study obtained data from ten doctoral students in the Department of Library and Information Science at Adeleke University via online interviews. The difficulties faced by the students and the benefits of utilising ICT were highlighted. Due to the constant insecurity and poor road network in Nig eria, as well as the risk of long-distance travel, especially for postgraduate students who are not always resident on campus, we recommend the continued use of E-learning platforms in Higher Education Institutions as a solution to reducing transportation costs. [ABSTRACT FROM AUTHOR]

Copyright of Revista Peruana de Investigación Educativa is the property of Sociedad de Investigacion Educativa Peruana (SIEP) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Science process skills are the backbone of science, and innovations in this field. It is critical to inculcate such skills among learners at their early stages of learning science. This study reports on how using the mobile phone WhatsApp-supported instructional resources resulted in improvement in students' science process skills in chemistry, in the context of students in resourceconstrained schools. The study adopted the quantitative research approach, taking on a quasiexperimental pretest-posttest non-equivalent group design. Particularly, Solomon's four group design was used, given its high internal and external reliability and validity. Data from a sample of 240 students selected from two experimental and two control schools were analyzed using the independent samples t-tests, to establish if there was a statistically significant difference in students' chemistry process skills test mean scores between the experimental and control schools. The study illuminated that the integration of WhatsApp-supported instructional resources outside the classroom setting and its use improved significantly the students' test scores on chemistry process skills in the experimental schools as compared to the control schools. This has implications for the use of accessible Apps to support teaching and learning in resourceconstrained contexts. [ABSTRACT FROM AUTHOR]

Conversational remembering entails that people engage in recalling past experiences, which may themselves have been shared. Conversational remembering comes with social benefits for the person telling the narrative and the one receiving it (e.g., developing and strengthening friendships, fostering entertainment, and consolidating group identity). COVID-19 lockdowns have significantly affected social interaction, including face-to-face interactions where conversational remembering occurs. The aim of this study was to explore how WhatsApp group messages supported conversational remembering in a large group of friends living in Buenos Aires where a complete lockdown was established between 19 March 2020 and 6 November 2020. To accomplish such aim, we conducted a mixed-methods longitudinal study. The data consisted of 32,810 WhatsApp group messages collected over a period of 700 consecutive days, from 13 April 2019 to 13 March 2021. Our study shows that WhatsApp group messages enabled group members to keep connected during the COVID-19 lockdown period. This occurred by remembering together situations, events, and actions associated with the group's identity. The use of WhatsApp group messages may have represented an adaptive collective behaviour in response to changes in global social norms. [ABSTRACT FROM AUTHOR]

E-learning and access to internet facilities remain a problem for many students in South Africa. The purpose of this article is to assess students' perceptions of the use of WhatsApp as an online learning technology together with instructor-developed screencasts as a stand-alone method of instruction in an introductory statistics course during the COVID-19 pandemic at a South African university. The responses to an open-ended questionnaire showed that students preferred WhatsApp over the university's student learning platform. Although it is advocated to use screencasts to supplement traditional lectures, the findings of this research revealed that instructor-developed screencasts have the potential to be used as a stand-alone method of instruction for the teaching and learning of introductory statistics. Participants' responses also revealed that, apart from the electronic connection they had on WhatsApp, they valued the emotional connection as well. The sharing, support, love, as well as cooperation among the lecturer and students emphasised the importance of ubuntu in educational settings. Furthermore, the results revealed that the attitude and support of a lecturer play a crucial role in providing an online atmosphere where students feel safe and comfortable, especially during the pandemic period. [ABSTRACT FROM AUTHOR]

La educación en tiempos de Covid-19 es un reto en todas las instituciones educativas. El uso de las redes sociales se convirtió en el medio de comunicación idóneo para proporcionar información del que hacer académico a los padres de familia. El objetivo de esta investigación fue determinar el uso de la red social WhatsApp como herramienta de comunicación educativa entre docentes y padres de familia de la Unidad Educativa “Antonio José de Sucre Cedeño Cortez”, del cantón 24 de mayo, Provincia de Manabí, Ecuador. En el desarrollo del estudio se aplicó la metodología mixta, con un enfoque cualitativo y cuantitativo, además del método analítico apoyado en el bibliográfico, mismos que permitieron recopilar los datos requeridos para el tema de investigación, con la aplicación de una encuesta a 13 padres de familia del cuarto año de Educación General Básica y la entrevista a 14 docentes de Educación Primaria. Los resultados revelaron que el 100% de los padres de familia utilizan WhatsApp como herramienta de comunicación educativa, y el 71.4% de los docentes obtienen respuesta oportuna con el envío de actividades académicas y cualquier tipo de comunicación, por lo que se evidenció que esta red social constituye una estrategia de aprendizaje en los centros educativos.

Messaging applications are changing the communication landscape in emerging countries. While offering speed and affordability, these solutions have also opened the way for the spread of misinformation. Aiming to better understand the dynamics of COVID-19 as infodemic, we asked Brazilian participants (n=1007) to report the perceived accuracy of 20 messages (10 true and 10 false). Each message was randomly presented within five fictitious WhatsApp group chats of varying political orientation. Correlational analyses revealed that right-wing participants had lower levels of truth discernment as did those with greater trust in social media as a reliable source of coronavirus information. Conversely, open-minded thinking about evidence and trust in the WHO and traditional media was positively associated with truth discernment. Familiarity with the content consistently increased perceived truthness for both true and false messages. Results point to the nefarious effects of COVID-19 politicization and underline the importance of promoting the ability to recognize and value new evidence as well as enhancing trust in international agencies and traditional media.

Background: Misinformation related to the COVID-19 pandemic has accelerated global public concern and panic. The glut of information, or "infodemic," has caused concern for authorities due to its negative impacts on COVID-19 prevention and control, spurring calls for a greater scholarly focus on health literacy during the pandemic. Nevertheless, few studies have sought to qualitatively examine how individuals interpreted and assimilated health information at the initial wave of COVID-19 restrictions. Objective: We developed this qualitative study adopting chat-based focus group discussions to investigate how individuals interpreted COVID-19 health information during the first wave of COVID-19 restrictions. Methods: We conducted a qualitative study in Singapore to investigate how individuals perceive and interpret information that they receive on COVID-19. Data were generated through online focus group discussions conducted on the mobile messaging smartphone app WhatsApp. From March 28 to April 13, 2020, we held eight WhatsApp-based focus groups (N=60) with participants stratified by age groups, namely 21-30 years, 31-40 years, 41-50 years, and 51 years and above. Data were thematically analyzed. Results: A total of four types of COVID-19 health information were generated from the thematic analysis, labeled as formal health information, informal health information, suspicious health information, and fake health information, respectively. How participants interpreted these categories of information depended largely on the perceived trustworthiness of the information source as well as the perceived veracity of information. Both factors were instrumental in determining individuals' perceptions, and their subsequent treatment and assimilation of COVID-19-related information. Conclusions: Both perceived trustworthiness of the information source and perceived veracity of information were instrumental concepts in determining one's perception, and thus subsequent treatment and assimilation of such information for one's knowledge of COVID-19 or the onward propagation to their social networks. These findings have implications for how policymakers and health authorities communicate with the public and deal with fake health information in the context of COVID-19. [ABSTRACT FROM AUTHOR]

In this paper, the form and function of personalized Covid-19 WhatsApp sticker memes created and shared as social laments by citizens in Oman are examined. The compiled data set of 288 WhatsApp stickers was taken from a larger ethnographic project on Arabs and Covid-19. To collect and analyze the data, perspectives from visual semiotics were integrated with participatory and geosemiotic approaches to ground the stickers socially and globally. Six functions of Covid-19 WhatsApp stickers in Oman were identified: expressing political dissent, creating public signs, promoting religious agenda, indexing frustration, expressing levity, and constructing counter-discourse. Based on this analysis, it is suggested that by creating and using WhatsApp stickers during the 2020–2021 Covid-19 pandemic, Omani citizens positioned themselves as agentive participants in charge of their own lives, thus, solidifying a decade-long request for a new form of public-government relationship. The paper adds to research on Arabic digital communication and pandemic discourse. [ABSTRACT FROM AUTHOR]

The coronavirus pandemic has disrupted society in myriad ways, but how the pandemic has changed traditional forms of religion has been relatively understudied. Addressing this caveat, in this paper, I try to understand how adherents of an Islamic revivalist movement, the Tablighi Jamaat, turn to WhatsApp for meaning-making at the onset of the pandemic in Pakistan. The adherents are unable to sustain the use of the digital space due to incompatibility between the logic of the movement and the online platform. Without structural authority and organization, communication is chaotic and, at times, combative. The mixing of pure and impure ideas is also detrimental to communal cohesiveness. This study provides a counterexample to previous claims of symbiosis between online and offline religion and their inevitable merger. [ABSTRACT FROM AUTHOR]