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Instant messaging (IM) platforms are believed to foster intimate and controlled conversations within small groups and hence provide safe social settings for political conversations, and yet we know little about how political talk emerges from the everyday social interactions in these environments. To fill the gap, this study examines how sociability within small, private WhatsApp groups shapes the extent and forms of political talk among young adults. Relying on in-depth interviews conducted in the Netherlands, we find that young people perceive politics as personal, offensive, divisive, and depressing, hence unsafe for WhatsApp groups where they find comfort in communicating care and phatic exchanges. Nonetheless, rules, relationship qualities, and strategies enacted in these groups allow some political talk to become temporarily possible. However, they perceive that what makes political talk safer also makes it unproductive. Our findings thus contribute to a finer-grained understanding of political talk in the closed digital spaces. [ABSTRACT FROM AUTHOR]

Within the past few years, pandemics like HIV/AIDS, influenza, and SARS-CoV-2 have become common worldwide. The COVID-19 pandemic, which broke out recently, profoundly impacted the world. As part of containing this pandemic, lockdowns which put a moratorium on human mobility and associational life became a dominant measure. Yet these mobilities and associational life are the lifeblood of migrants and diaspora belonging. This paper examines the impacts of bans on associational life on migrants and, further, what migrants did to continue living in the absence of these associations during the COVID-19 pandemic. The paper is based on a case study of Lydiate informal settlement in Zimbabwe, where Malawian migrants have established an ethnic enclave to shield themselves from the precarity and injustices of foreign lands. Through convivial and digital ethnographic fieldwork, the paper revealed that bans on associational life disrupted community engagements and binding religious associational life, increased targeted violence and "othering," and perpetuated stigma and discrimination and loss of ties with family and fictive kin. However, migrants restructured their associational life by adopting agile and new forms of belonging to get by, including relocating religious shrines to more secretive places or conducting religious ceremonies in the dark, drinking beer within the perimeter of the settlement, using of WhatsApp and instant messaging and WhatsApp groups for important community updates, and collective resistance. I termed these strategies "nimble forms of sociality and belonging," meaning there are lithe mechanisms that migrants employ to further their sociality even when they are restricted. [ABSTRACT FROM AUTHOR]

Online dating and dating apps are meant to help sexual minorities find romantic partners, but they have also presented challenges and obstacles. Based on 27 in-depth interviews with lesbian, gay, and bisexual dating app users living in Taiwan, this exploratory study proposes the concept of hyperpersonal failure as a holistic framework for understanding these challenges. This framework specifies four types of failure, each corresponding to one element in the original hyperpersonal communication model: the failure to present oneself (online daters as the sender), the failure to meet conversational expectations (the channel), the failure to develop positive impressions of the targets (online daters as the receiver), and the failure to obtain responses (the feedback). The study also discusses how the affordances of online environments contribute to hyperpersonal failure. Overall, the framework has the potential to shed light on online dating in general, extending beyond the experiences of sexual minorities. [ABSTRACT FROM AUTHOR]

Adopting a person-centered approach, this article identifies different types of instant messaging (IM) users based on their underlying usage motives (social, hedonistic, and utilitarian) as maximizers, social groomers, entertainment seekers, or minimalists. It also explores users' value priorities as determinants of this classification. Focusing on the social experiences of two types of users who actively employ IM for social purposes (maximizers and social groomers), this study extends the stimulation hypothesis. Whereas stimulation effects emerge for social groomers, whose social experiences on IM are overwhelmingly positive, they do not arise for maximizers, whose IM social experiences are more ambivalent. Maximizers' more ambivalent social experiences significantly predict lower relationship satisfaction. [ABSTRACT FROM AUTHOR]

The term "computer-mediated communication" (CMC) describes the transmission of messages and information using computer technology. With the extensive use of email, instant messaging, social media, and other digital platforms in Nepal in recent years, this style of communication has grown in popularity. The article examines how computer-mediated communication (CMC) and artificial intelligence (AI) have grown in significance in Nepal's undergrad English education. This article allows students to collaborate on projects and tasks, which improves their learning experience, by examining the potential of AI and CMC. The facts of Nepal's education have been examined using the four different basic literature reviews. Despite the need for further literature on artificial intelligence and computer-mediated communication in Nepal's English classes for undergrads between 2018 and 2023, the studies reviewed shed light on the possibilities of technology and AI in language acquisition. Undergraduate class observation, self-administered text analysis, social information processing theory and experimental research, which involves adjusting variables to see how they affect learning results, were used to gather data. The study's findings also demonstrate how using CMC platforms encourages students to practice their digital literacy. They gain knowledge on how to move through online spaces, efficiently communicate with a variety of digital tools, and assess the reliability of information sources. Students can communicate with their teachers outside of the classroom via video conferencing software and online discussion boards. This may result in more in-depth discussions and debates as well as greater student engagement. [ABSTRACT FROM AUTHOR]

Emojis are widely used on social media, blogs, and instant messaging to express users' feelings. However, in everyday interactions, the same emoji often has different interpretations and aesthetic preferences among different age groups. This can lead to communication barriers and misunderstandings. Based on social identity theory, this study uses WeChat, a social platform popular in China, to analyze intergenerational differences in emoji understanding and preferences through a questionnaire survey. The results indicate: (1) There are significant intergenerational differences in the usage habits, interpretation, and aesthetic preferences of emojis. (2) Middle-aged and elderly tend to interpret goodbye emoji symbols as simple emotional expressions, such as "goodbye" or "see you later," while younger-age groups lean towards more complex emotions and social intentions, such as "speechlessness" and "end of friendship." (3) Youngerage groups use emojis frequently and with a wide variety, whereas middle-aged and elderly groups use emojis less frequently and with limited variety. Younger individuals' aesthetic preferences for emojis lean towards humor, conflict, and narrative, whereas middle-aged and elderly groups prefer emojis with bright colors and everyday greetings typical of their generation. Based on research findings, we believe that social identity theory provides a framework for understanding how individuals establish their identities through interactions with specific social groups. This study is beneficial for identifying the comprehension and aesthetic biases in emoji usage across generations, sheds light on the broader implications of social identity theory in digital communication contexts, and promotes friendly social interactions in real-time communication applications. [ABSTRACT FROM AUTHOR]

AbstractThis study examines the relationship between parental interactions, digital media usage, and health literacy among 19,386 elementary students (ages 6–11) in Guangdong Province, China, using the framework of parental mediation theory. Path analysis revealed that increased digital media usage is associated with decreased health literacy, particularly for short video platforms, which exhibit a significant negative correlation (β = −.335). Parental interaction was found to significantly reduce the use of instant messaging apps (β = −.007) and short video platforms (β = −.008), with the influence being moderated by the student’s residence status (boarding or non-boarding). The findings highlight the importance of frequent parental interaction in limiting digital media usage and enhancing health literacy among children. This study suggests that parental mediation theory should pay closer attention to environmental or living status factors, as they can significantly influence its mechanisms of action. Overall, this research contributes to the discourse on digital behavior in childhood and offers evidence-based insights for improving educational and health literacy strategies. [ABSTRACT FROM AUTHOR]

Emojis are small images conveying meaning, emotions, and tone embedded in electronic text messages that allow people to express their feelings and emotions in nonverbal and informal conversations. This study aimed to find out the role of emojis as a communication medium among college students in a state-run institution. Specifically, it sought to identify the popularly-used emojis, the social media platforms where these are used, determine their frequency of use, and the instances where these are used. Sophomore college students enrolled in a teacher education degree program specializing in the English language at a state-run university supplied the data collected using a validated survey questionnaire transformed and sent through the Google messenger application. Results revealed that the topmost popular emojis used by college students in their nonverbal communication were the heart, face with tears of joy, and loudly crying face. Participants stated that they always use emojis in their informal communication with friends on popular social media platforms, such as Facebook and Messenger. It was also established that emojis were used when messaging friends or family members expressing their feelings, and having nothing else to reply to in a conversation. These findings attest that the use of technology-driven trends has evolved in the communication media, particularly among the younger generation. [ABSTRACT FROM AUTHOR]

The article focuses on the role of instant messaging in cancer care, particularly its potential to enhance doctor-patient communication. Topics discussed include the effectiveness of text messaging for preventive health behaviors, the impact of bidirectional communication on patient outcomes, and the challenges of continuous availability for healthcare professionals.

Background and aims: Despite evidence that patients living with cancer who continue to smoke after diagnosis are at higher risk for all‐cause mortality and reduced treatment efficacy, many cancer patients continue to smoke. This protocol is for a study to test the effectiveness of a self‐determination theory‐based intervention (quit immediately or progressively) plus instant messaging (WhatsApp or WeChat) to help smokers with cancer to quit smoking. Design: This will be a multi‐centre, two‐arm (1:1), single‐blind, pragmatic, individually randomized controlled trial. Setting: Taking part will be specialist outpatient clinics in five major hospitals in different location‐based clusters in Hong Kong. Participants: The sample will include 1448 Chinese smokers living with cancer attending medical follow‐ups at outpatient clinics. Interventions: The intervention group will receive brief advice (approximately 5–8 minutes) from research nurses in the outpatient clinics and then be invited to choose their own quit schedules (immediate or progressive). During the first 6‐month follow‐up period they will receive instant messaging with smoking cessation advice once per week for the first 3 months, and thereafter approximately once per month. They will also receive four videos, and those opting to quit progressively will receive a smoking reduction leaflet. The control group will also receive brief advice but be advised to quit immediately, and instant messaging with general health advice during the first 6‐month follow‐up period using the same schedule as the intervention group. Participants in both groups will receive smoking cessation leaflets. Measurements The primary outcome is biochemically validated smoking abstinence at 6 months, as confirmed by saliva cotinine level and carbon monoxide level in expired air. Secondary outcomes include biochemically validated smoking abstinence at 12 months, self‐reported 7‐day point prevalence of smoking abstinence at 6 and 12 months, self‐reported ≥ 50% reduction of cigarette consumption at 6 and 12 months and quality of life at 6 and 12 months. All time‐points for outcomes measures are set after randomization. Comments The results could inform research, policymaking and health‐care professionals regarding smoking cessation for patients living with cancer, and therefore have important implications for clinical practice and health enhancement. [ABSTRACT FROM AUTHOR]

Background and aims: Despite evidence that patients living with cancer who continue to smoke after diagnosis are at higher risk for all-cause mortality and reduced treatment efficacy, many cancer patients continue to smoke. This protocol is for a study to test the effectiveness of a self-determination theory-based intervention (quit immediately or progressively) plus instant messaging (WhatsApp or WeChat) to help smokers with cancer to quit smoking. Design: This will be a multi-centre, two-arm (1:1), single-blind, pragmatic, individually randomized controlled trial. Setting: Taking part will be specialist outpatient clinics in five major hospitals in different location-based clusters in Hong Kong. Participants: The sample will include 1448 Chinese smokers living with cancer attending medical follow-ups at outpatient clinics. Interventions: The intervention group will receive brief advice (approximately 5-- 8 minutes) from research nurses in the outpatient clinics and then be invited to choose their own quit schedules (immediate or progressive). During the first 6-month follow-up period they will receive instant messaging with smoking cessation advice once per week for the first 3 months, and thereafter approximately once per month. They will also receive four videos, and those opting to quit progressively will receive a smoking reduction leaflet. The control group will also receive brief advice but be advised to quit immediately, and instant messaging with general health advice during the first 6-month follow-up period using the same schedule as the intervention group. Participants in both groups will receive smoking cessation leaflets. Measurements: The primary outcome is biochemically validated smoking abstinence at 6 months, as confirmed by saliva cotinine level and carbon monoxide level in expired air. Secondary outcomes include biochemically validated smoking abstinence at 12 months, self-reported 7-day point prevalence of smoking abstinence at 6 and 12 months, selfreported ≥ 50% reduction of cigarette consumption at 6 and 12 months and quality of life at 6 and 12 months. All time-points for outcomes measures are set after randomization. Comments: The results could inform research, policymaking and health-care professionals regarding smoking cessation for patients living with cancer, and therefore have important implications for clinical practice and health enhancement. [ABSTRACT FROM AUTHOR]

In caring for patients with stroke, the leading cause of death and disability affecting over 80 million people worldwide, caregivers experience substantial psychological and physical burdens and difficulties in help-seeking owing to physical and time-constraints. Social distancing measures imposed during the coronavirus disease 2019 (COVID-19) pandemic further restricted them from using caregiver support services. While the use of telehealth emerged as a global prevailing trend during the COVID-19 pandemic, evidence for utilising instant messaging (IM) applications for psychological intervention is scanty. This study aimed to explore stroke caregivers' perceived potential utility of IM-delivered psychological intervention. Between January and August 2020, 36 adult family stroke caregivers in Hong Kong were recruited to individual telephone semi-structured interviews using purposive sampling. The interviews were audio-recorded, transcribed verbatim and analysed using an interpretive description approach. Three themes of caregivers' perceptions towards IM-delivered psychological intervention emerged: perceived high convenience and ease of use, perceived advantages that overcome existing barriers to services and message delivery tailored to individual needs. Our findings suggested that there is an imminent need among stroke caregivers for personalised psychological interventions and that IM is a potential modality for overcoming existing barriers in delivering accessible support to caregivers in real-time, real-world settings. Our study highlighted caregivers' acceptance and perceived benefits of IM-delivered psychological intervention and provided practical insights into the design of IM-delivered psychological interventions. [ABSTRACT FROM AUTHOR]

Multiplatform messaging applications also referred to as cross-platform instant messaging play an important role in delivery of healthcare and education with its low cost, ease of use and accessibility. To evaluate the existing evidence regarding the use of multiplatform messaging applications in facilitating consultations and decision-making processes in the context of burns care, as well as to assess the impact of such applications on burns care and rehabilitation. A systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines and PROSPERO protocol CRD42021265203. The CASP and JBI tools were used to evaluate the quality of the studies. Eight hundred fifty-three papers were retrieved from PubMed, CINAHL, Scopus, EMBASE and LILACS published up to July 2022 (updated August 2023) with no time restrictions applied. An analysis of the seven studies included in this review, inclusive of 16 Multiplatform messaging applications, revealed six themes. These encompassed the utilization of social media for directing and managing clinical practice, as a mode of communication, for evaluating the quality-of-care provision, for investigating available platforms and their technological features, measuring quality of life and for examining issues related to confidentiality. Multiplatform messaging applications offer a solution for individuals with burn injuries to stay in direct contact with burn specialist clinicians for their follow-up and subsequent rehabilitation phase of recovery. • Multiplatform messaging applications play an important role in burn care. • Such platforms avoid unnecessary admissions and are easily accessible and cost- effective. • Multiplatform messaging apps allow burn survivors and caregivers to maintain direct communication with clinicians. • Multiplatform messaging applications lack transparency regarding confidentiality and privacy. [ABSTRACT FROM AUTHOR]

Background: CBT is an effective treatment for depression, but access varies across the United Kingdom. Online CBT increases access. The INTERACT platform was designed to support patient engagement in CBT, enabling therapists to deliver high‐intensity CBT via typed instant messaging and allowing patients and therapists access to an integrated online library of resources during and between sessions. Methods: The INTERACT trial aimed to evaluate this integrated approach to delivering CBT for primary care patients with depression. A nested qualitative study was conducted within the trial. Interviews were conducted with 20 patients who received the intervention, 9 therapists who delivered it and 3 therapist supervisors. Data were analysed using thematic analysis. Results: The combination of receiving support from a therapist and having access to integrated online CBT resources enabled patients to better manage their depression. Platform benefits included the opportunity to review transcripts to clarify how to complete homework tasks and track progress in managing their depression. The typing process allowed reflection and a focused discussion. However, less could be covered than during an in‐person session, which reduced therapists' expectations around goal setting. Patients who did not complete therapy struggled with the typing and found the CBT approach too demanding. Conclusion: Findings highlight the importance of establishing patient and therapist goals and expectations about what can be achieved in CBT mediated by typing. Some patients are comfortable communicating via typing and are motivated to utilise online resources in between sessions. Exploring the benefits and challenges of typed CBT with patients will enable them to make an informed choice about referral for this novel approach to therapy. Patient or Public Contribution: Patients, service users and members of the public were involved in the study design and management. Substantial pilot work gathered stakeholder feedback and informed the design of the intervention, before undertaking the RCT. Coauthor P.L. is a service user representative co‐applicant and member of the management group responsible for developing the intervention and the trial. Two PPI members sit on the Independent Steering Committee. PPI members provided valuable feedback on the study resources and documents. [ABSTRACT FROM AUTHOR]

Background: Smart phone technology including different instant messaging applications like, WhatsApp, can be used for the development of radiological skills, reporting, and performance. To determine the utility, attitude, and outcome of WhatsApp for augmenting education in FCPS radiology residency program. To assess the opinion of radiology residents regarding WhatsApp as a tool to enhance postgraduate training. Methodology: A mixed method (qualitative and quantitative) was conducted at Dow Institute of Radiology, Karachi, Pakistan. All FCPS Radiology residents were given a radiological case by principal investigator followed by residents' response in 24 h. Key findings were shared by the mentor. Before and after the intervention of WhatsApp, all residents were evaluated with written and radiological imaging reporting exam. For quantitative analysis, a closed ended questionnaire was used containing information about total number of messages, images, webpage links shared, level of contribution (active/non-active), and utility (contribution in education related topic only). A feedback form with Likert scale was also got filled by all residents. For qualitative research, semi structured interviews (SSIs) were conducted. Results: Median number of total images shared were 293 (IQR 1002 images), messages shared 110 (IQR), webpages shared were 54 webpages (61 webpages) and total contents shared by participants was 243 (544 contents). Active contributors showed better performance in utility, competency of contents and attitude towards using social media as a medium for learning. Comparison of written and OSCE results showed better performance after the intervention. Feedback form with Likert scale revealed that students responded positively regarding the shared learning content. Thematic analysis showed 52 codes and 16 themes. Conclusion: In this research we have observed that WhatsApp is highly efficient and productive academic tool which can amplify postgraduate radiology education. Student's narrative reflects that residents have found the missing link which can take them to radiological professional excellence through targeted high-profile learning outside lecture hall in time and place convenient motivational environment. Once it will be blended with existing teaching strategy, it can prove to be a game changer. [ABSTRACT FROM AUTHOR]

Background: To evaluate the efficacy of SIMBA as an educational intervention for both HCPs and people with either PCOS or adrenal conditions and to study the change in knowledge of people with PCOS or adrenal conditions about the conditions and expectations from the HCPs involved in their care following SIMBA-PPI sessions. Methods: Two SIMBA-PPI sessions (SIMBA-PPI Polycystic ovary syndrome (SIMBA-PCOS) and SIMBA-PPI Adrenal conditions (SIMBA-Adrenal conditions)) were conducted in September 2021 and March 2022. In both sessions, HCPs interacted with moderators on patient management through WhatsApp. Patients with respective conditions underwent workshop-style learning in the same cases. SIMBA-PCOS transcripts were also translated into Brazilian Portuguese and workshops were held in both Brazilian Portuguese and English. The two groups (HCPs and patients) were then brought together to discuss exploring gaps in knowledge and expectations. The Wilcoxon Signed-Rank test compared differences in pre- and post-SIMBA self-reported confidence levels in HCPs and patients. Qualitative data from the online recordings were transcribed and analysed with inductive thematic analysis to identify gaps in knowledge and expectations from managing the cases. Results: 48 HCPs and 25 patients participated in our study. When compared to pre-SIMBA confidence levels, SIMBA-PPI sessions effectively improved clinicians' confidence in managing PCOS (40.5%, p <.001) and adrenal conditions (23.0%, p <.001) post-SIMBA. Patient participants' confidence in HCPs significantly increased in the PCOS session (SIMBA-PCOS: 6.25%, p = 0.01). Conclusions: Integration of PPI into SIMBA improved HCPs' confidence in managing PCOS and adrenal conditions. SIMBA-PPI also improved patients' confidence in HCPs. Our findings suggest that participating in SIMBA-PPI sessions can reduce the gap in knowledge and expectations between patients and HCPs involved in their care. [ABSTRACT FROM AUTHOR]

Over the years, there has been a significant surge in the popularity of instant messaging applications (IMAs). However, the message notification functionality in IMAs exhibits certain limitations. Some IMAs fail to alert users about new messages after their phone restarts unless they unlock the phone. This is a consequence of end-to-end encryption (E2EE) and the app not knowing the message is in the queue until the app decrypts it. This approach using E2EE is used to prevent offline attacks, as the key is unavailable to decrypt the notification messages. In this paper, we introduce a novel design and implementation of a message notification protocol for IMAs based on the Signal protocol. The proposed protocol aims to securely display notifications on a locked device and ensures that cryptographic keys are stored in a location that is isolated from the user's device to prevent offline attacks. This approach enhances the security of private key storage, safeguarding private keys against various external threats. The innovative design strengthens the off-site key management system, rendering it resilient against offline attacks and mitigating the risk of key compromise. Additionally, the proposed protocol is highly efficient, requiring no specialized hardware for implementation. It offers confidentiality of cryptographic keys and protection against offline attacks, further enhancing the overall security of the system. We evaluate the protocol's effectiveness by analyzing multiple independent implementations that pass a suite of formal tests via ProVerif. [ABSTRACT FROM AUTHOR]

Introduction Instant messaging applications (MAs) represent a major component of modern telecommunications for data transmission. During overseas deployments, military doctors increasingly rely on MAs due to their availability and the urgent need to obtain advice from specialists for optimal patient management. In this study, we aimed to describe and analyze the context and usage characteristics of these MAs for transmitting medical data by military general practitioners (GPs) during overseas missions. Materials and Methods This observational study was conducted between June 2020 and December 2020, based on a survey sent to GPs from the French Military Health Service who had been deployed overseas in military operations between 2010 and 2020. Results We received 233 surveys of which 215 were analyzed. Among these, 141 military GPs used instant MAs to transmit medical data during deployment. Notably, WhatsApp was used by 97% of the participants. The military GPs mainly used these applications for the speed of exchanges (45%) and their ease of use (28%). The physician specialties predominantly involved in data sharing were trauma and orthopedic surgery (38%) and dermatology (31%). The correspondents were mainly military specialist physicians from French military teaching hospitals (85%). A response time of less than 1 h was reported in 78% of the cases. Additionally, 72 doctors (51%) undertook their last deployment in an isolated post. Conclusion MAs were extensively utilized communication tools among GPs during their overseas deployments. Although the use of these applications seems essential in telemedicine, it raises several legal and ethical questions. Thus, we recommend employing these tools while ensuring medical and military confidentiality. [ABSTRACT FROM AUTHOR]

This issue examines technology-driven economic developments during the global COVID-19 pandemic in Europe, Asia, and the Americas. Specifically, the articles cover the ways that gig work, the platform economy, and remote work have evolved during the course of the pandemic. The issue leads with articles that chart the interplay of the platform economy with various facets of the pandemic from the inequalities and risks faced by gig workers to market forces shaping the commercialization of hosting platforms. The following articles concentrate on the ways in which specific structural conditions—digital infrastructure as well as the structure of the economy—influence the unequal distribution of telework in Uruguay and the relationship between informality and remote work opportunities across Latin America. The last two articles explore remote work in Asia and North America. In the first of these two articles remote work in Japan is examined in order to investigate the cultural sources of resistance to the adoption of remote work. In the concluding article, the remote work preferences of U.S. adults are analyzed as a function of technology usage (videoconferencing versus instant messaging) as well as sociodemographic and occupational attributes. [ABSTRACT FROM AUTHOR]

This article explores key determinants of the intention to work from home (WFH) among U.S. adults in the early phase of the pandemic. Leveraging nationally representative survey data collected in the initial stages of the pandemic, it explores the role of modalities of communication alongside the more frequently studied behavioral, occupational, and sociodemographic factors in shaping WFH intentions as reported by survey respondents. Venturing beyond prior studies of remote work and remote work intentions, the study finds that the frequency of text messaging platform (e.g., Slack) usage and the frequency of videoconferencing (e.g., Zoom) exhibit diametrically opposed effects on the intentions to WFH in the future. Whereas a higher frequency of text messaging platform usage is linked to a preference for a preference for more frequent WFH in a hypothetical future WFH, a higher frequency of videoconferencing platform usage is associated with the opposite preference. Additionally, the effect of the intensity of respondents' engagement with these two communication modalities on their intentions is mediated by pre-pandemic WFH experience as well as the intensity of interruptions in their WFH environment. Intensive videoconferencers (Zoomers) who work in high-interruption environments are particularly averse to future WFH. Conversely, intensive messagers (Slackers) who work from home substantially prior to the pandemic report express a preference for more frequent WFH in the future. [ABSTRACT FROM AUTHOR]

Mobile instant messaging is widely used in governing circles today. This article considers the implications for political legitimacy, examining how far the technology encourages those in authority to act consistently with the obligations that come with their roles. It looks at several recent political scandals in which officeholders are alleged to have transgressed public norms with their use of instant messaging. It goes on to argue that the concerns raised are well grounded, as the affordances of the technology point to personalized, informal, and untransparent modes of rule. As the final section argues, that figures in public authority embrace the technology despite the scandals it can yield tells us something important about their political priorities, in particular their willingness to prize output over procedural legitimacy. [ABSTRACT FROM AUTHOR]

Mental health chatbots (MHCBs) designed to support individuals in coping with mental health issues are rapidly advancing. Currently, these MHCBs are predominantly used in commercial rather than clinical contexts, but this might change soon. The question is whether this use is ethically desirable. This paper addresses a critical yet understudied concern: assuming that MHCBs cannot have genuine emotions, how this assumption may affect psychotherapy, and consequently the quality of treatment outcomes. We argue that if MHCBs lack emotions, they cannot have genuine (affective) empathy or utilise countertransference. Consequently, this gives reason to worry that MHCBs are (a) more liable to harm and (b) less likely to benefit patients than human therapists. We discuss some responses to this worry and conclude that further empirical research is necessary to determine whether these worries are valid. We conclude that, even if these worries are valid, it does not mean that we should never use MHCBs. By discussing the broader ethical debate on the clinical use of chatbots, we point towards how further research can help us establish ethical boundaries for how we should use mental health chatbots. [ABSTRACT FROM AUTHOR]

This scoping review aimed to clarify and redefine the concepts of social and physical presence in the context of online livestreaming environments. Physical presence involves technical elements and nonhuman-to-human interaction, factors that inevitably influence social presence, which has human-to-human interactions at its core. Considering one type of presence to the exclusion of the other may not provide sufficiently informed decisions for user consumption. However, most previous studies have only studied either physical or social presence factors; few have systematically examined both to explain their influence. This review examined how the factors under these two presence influenced users' consumption decision-making process in TikTok live-stream retail purchases by synthesizing 60 studies conducted from 2019 to 2023 using Arksey and O'Malley's 5-step framework. Evidence of the specific attributes by which presence affects users' consumption decisions was elicited and reorganized. Using the preferred reporting items for systematic reviews and meta-analyses (PRISMA) framework for scoping review and guided by the joanna briggs institute (JBI) methodological guidelines, the results reveal that out of the 60 studies, 36 were influenced by social presence and 24 by physical presence. When livestreaming online, social presence tends to include the user and anchor perspectives, which prompts users to make consumption decisions. However, online physical presence includes products, technology, and scenes as its main dimensions, and users make consumption decisions through perceptual control. This review clarifies new media livestreaming communication and the key factors influencing users' consumption decision-making systems. It also suggests that integrating online social and physical presence in future research will yield a better understanding of livestreaming purchase decisions. [ABSTRACT FROM AUTHOR]

MRI is an expensive and traditionally time‐intensive modality in imaging. With the paradigm shift toward value‐based healthcare, radiology departments must examine the entire MRI process cycle to identify opportunities to optimize efficiency and enhance value for patients. Digital tools such as "frictionless scheduling" prioritize patient preference and convenience, thereby delivering patient‐centered care. Recent advances in conventional and deep learning‐based accelerated image reconstruction methods have reduced image acquisition time to such a degree that so‐called nongradient time now constitutes a major percentage of total room time. For this reason, architectural design strategies that reconfigure patient preparation processes and decrease the turnaround time between scans can substantially impact overall throughput while also improving patient comfort and privacy. Real‐time informatics tools that provide an enterprise‐wide overview of MRI workflow and Picture Archiving and Communication System (PACS)‐integrated instant messaging can complement these efforts by offering transparent, situational data and facilitating communication between radiology team members. Finally, long‐term investment in training, recruiting, and retaining a highly skilled technologist workforce is essential for building a pipeline and team of technologists committed to excellence. Here, we highlight various opportunities for optimizing MRI workflow and enhancing value by offering many of our own on‐the‐ground experiences and conclude by anticipating some of the future directions for process improvement and innovation in clinical MR imaging. Evidence Level: N/A Technical Efficacy: Stage 1 [ABSTRACT FROM AUTHOR]

Objective. We investigated the preliminary efficacy of a tailored human papillomavirus (HPV) vaccination on-line intervention designed to increase HPV vaccination intention. Participants. Female college students (N = 101; 18-26 years), who have not received the HPV vaccine. Methods. Participants were randomized to either a control group to read standard Center for Disease Control information or a narrative intervention group to read two narrative messages about HPV/HPV vaccination that were tailored based on the individual's sexual history and told from the perspectives from a peer and an expert. Participants were assessed at baseline (T1) and immediately after the intervention (T2). Results. The narrative intervention group reported a greater increase from T1 to T2 in vaccination intention compared with control group. Both groups reported increases in knowledge, positive attitude, self-efficacy, social norm, and perceived susceptibility to HPV from T1 to T2. Conclusions. A narrative intervention is promising to effectively increase HPV vaccination intention. [ABSTRACT FROM AUTHOR]

Teleradiology (teleradiologi), merupakan bagian dari layanan telemedicine, yang digunakan dengan memanfaatkan PACS sehingga dapat digunakan secara jarak jauh. Perkembangan teknologi memungkinkan teleradiologi dapat menggunakan smartphone sebagai media pengirim dan penampil gambar pemeriksaan sehingga memungkinkan adanya interpretasi hasil dari pemeriksaan radiologi secara cepat dan akurat dalam menegakkan diagnosis. Tujuan dari pelaksanaan tinjauan sistematis (systematic literatur review) ini adalah untuk mengetahui pemanfaatan layanan perpesanan pada teleradiologi sebagai upaya penegakkan diagnosis. Metode penelusuran jurnal penelitian ini menggunakan Google Scholar, Springer, PubMed, IEEE Xplore dan Elsevier. Pencarian ini dilakukan dengan menggunakan beberapa kata kunci antara lain teleradiologi, teleradiology, instant messaging, mobilephone, smartphone dengan masa publikasi 2010 hingga 2022. Hasil review dari 16 jurnal didapatkan bahwa penggunaan layanan perpesanan dapat digunakan sebagai media penampil gambar dan penilaian evaluasi dimana tidak terdapat perbedaan yang signifikan secara statistik antara penilaian standar menggunakan workstation berbasis PACS dengan menggunakan smartphone. Simpulan penelitian ini adalah layanan perpesanan dapat menjadi media penilaian dalam upaya menegakkan diagnosis dan membantu dalam menentukan tindakan yang akan dilakukan. Akan tetapi, saat ini belum dapat menggantikan peranan workstation berbasis PACS sebagai media penilaian dan evaluasi hasil pemeriksaan radiologi.

Background: Oncogenic types of human Papillomavirus (HPV) infection cause substantial morbidity and mortality in Nigeria. Nigeria has low cervical cancer screening and vaccination rates, suggesting the need for community engagement to enhance reach and uptake. We organised a designathon to identify community-led, innovative approaches to promote HPV screening and vaccination for women and girls, respectively, in Nigeria. A designathon is a three-phase participatory process informed by design thinking that includes the preparation phase that includes soliciting innovative ideas from end-users, an intensive collaborative event to co-create intervention components, and follow-up activities. Methods: We organised a three-phase designathon for women (30-65yrs) and girls (11-26yrs) in Nigeria. First, we launched a national crowdsourcing open call for ideas on community-driven strategies to support HPV screening among women and vaccination among girls. The open call was promoted widely on social media and at in-person gatherings. All eligible entries were graded by judges and 16 exceptional teams (with 4-6members each). All six geo-political zones of Nigeria were invited to join an in-person event held over three days in Lagos to refine their ideas and present them to a panel of expert judges. The ideas from teams were reviewed and scored based on relevance, feasibility, innovation, potential impact, and mother-daughter team dynamics. We present quantitative data on people who submitted and themes from the textual submissions. Results: We received a total of 612 submissions to the open call from mother-daughter dyads. Participants submitted ideas via a website designated for the contest (n = 392), in-person (n = 99), email (n = 31), or via an instant messaging application (n = 92). Overall, 470 were eligible for judging after initial screening. The average age of participants for daughters was 19 years and 39 years for mothers. Themes from the top 16 proposals included leveraging local leaders (5/16), faith-based networks (4/16), educational systems (4/16), and other community networks (7/16) to promote awareness of cervical cancer prevention services. After an in-person collaborative event, eight teams were selected to join an innovation training boot camp, for capacity building to implement ideas. Conclusions: Innovative strategies are needed to promote HPV screening for mothers and vaccination for girls in Nigeria. Our designathon was able to facilitate Nigerian mother-daughter teams to develop cervical cancer prevention strategies. Implementation research is needed to assess the effectiveness of these strategies. [ABSTRACT FROM AUTHOR]

This study offers valuable insights into family needs and interaction patterns regarding the use of information and communications technologies (ICT) in everyday life. Given that ICT has become an important part of everyday family life, it is essential to comprehensively explore family interactions related to experiences with digital technologies. Within the DigiGen project, 30 interviews involving 10 families were conducted with children aged 5 to 10 years and their family members in Estonia. The aim of the study was to identify the interaction patterns regarding ICT use that emerge between family members in daily life and the daily family needs that are accompanied by ICT use. Thematic analysis was carried out to identify the main themes in the data. Four primary themes of family needs and interaction patterns regarding the use of ICT in everyday life – satisfying needs in family life, the roles of family members, conflicts/disagreements in family life and family rules and negotiation – are discussed. [ABSTRACT FROM AUTHOR]

This study examines how intrinsic message characteristics (i.e. call to action, negative emotions, and informality) drive online information engagement (i.e. the numbers of likes and retweets). We also explore how the veracity of information (i.e. misinformation vs. accurate information) is intertwined with negative emotions in promoting online information engagement. Analyses of 472 tweets demonstrate that tweets with higher anger-laden words were more likely to be retweeted. By contrast, those with higher anxiety-laden words and more informal language were more likely to receive likes. Regarding the interaction between distinct emotions and the veracity of information, the results showed that anger-laden misinformation tended to be retweeted more and received more likes from users whereas anger-laden accurate information received fewer likes. Further, anxiety-laden accurate information received more likes. This study contributes to existing scholarship surrounding online information engagement by illustrating how intrinsic message features are differentially associated with liking and retweeting behaviours. Our findings also provide practical implications on how messages should be tailored to encourage engagement on social media and devise effective countermeasures to curb the potentially detrimental effects of anger when used for the purposes of misinformation. [ABSTRACT FROM AUTHOR]

The shift to service and gig economy and increasing polymediality have created communicative contexts where the workers have to construct varying social relations in different kinds of digital and text-based interaction environments. This article examines how transprofessional collaboration is managed in such contexts in the field of applied arts. Based on email and mobile messaging data, we study a project where an artist creates an installation artwork for the use of an organisation. By applying the methods of conversation analysis, we investigate text-based requests and news delivery sequences related to applying for external project funding. Our results show how the participants negotiate the aspects of knowledge, power and emotion within these sequences, and by doing so, maintain mutual professional relationships and display various levels of commitment to the continuation of the project. The article illuminates the facets of transprofessional collaboration in digital professional communication and in atypical work. [ABSTRACT FROM AUTHOR]

BACKGROUND: Providing effective health education is essential for patients with cancer-related pain. One solution is leveraging instant messaging tools for teach-back health education. OBJECTIVES: This study investigated the effects of WeChat-based teach-back health education on patients with advanced cancer who underwent patient-controlled intrathecal analgesia implantation and used hydromorphone. METHODS: This retrospective study evaluated 150 hospitalized patients with advanced cancer pain. Patients were classified into a conventional health education group (N = 50) and a teach-back group (N = 100) based on whether they received WeChatbased teach-back health education. Pain was rated using a numeric rating scale, and sleep quality was measured using the Pittsburgh Sleep Quality Index at one, two, and three months postdischarge. FINDINGS: Patients who received remote teachback health education better managed their pain. Data also demonstrated improvements in patients' sleep quality and caregiver satisfaction, and reductions in the occurrence of adverse reactions. [ABSTRACT FROM AUTHOR]

Background: Deep discussions play an important role in students' online learning. However, researchers have largely focused on engaging students in deep discussions in online asynchronous forums. Few studies have investigated how to promote deep discussion via mobile instant messaging (MIM). Objectives: In this study, we applied learning analytical tools (i.e., KBdeX and word clouds) to enhance students' shared epistemic agency and thereby support their deep discussions in MIM. Methods: Forty Chinese college students participated in this study and reflected on their MIM engagement by participating in the learning analytics (LA)‐augmented meta‐discourse sessions. The study used multiple data analysis methods, including content analysis, statistical analysis, epistemic network analysis and lag sequential analysis. Results: We found that LA engaged students in deep discussions and shared epistemic agency‐related discourse, such as creating shared understanding, creating knowledge objects, and projective and regulative processes. In particular, word clouds engaged students in more complete shared epistemic agency discourse trajectory which started from creating awareness of unknowns, then progressed to setting projective plans and sharing information, and ultimately, creating shared understanding. Moreover, our analysis indicated that epistemic agency discourse moves of creating shared understanding led students to a high level of deep discussion. Implications: This study contributes to research by extending the 'comparison paradigm', which focuses on comparing (a)synchronous forums with MIM, to a 'design paradigm', which mobilises design features from (a)synchronous forums to MIM and using learning analytical tools to engage students in deep online discussions by promoting their epistemic agency. Lay Description: What is known in this subject matter: Supporting students' online deep discussions is important.Prior studies have shown multiple technological and pedagogical strategies to support deep discussions in (a)synchronous discussion forums, but few studies in mobile instant messaging (MIM).MIM is a quasi‐synchronous tool. It is difficult to transform the traditional external scaffolds (i.e., scripts or teachers' facilitation) which promote deep discussions from (a)synchronous forums to MIM. What this paper adds to this: We constructed a design framework which used learning analytical tools‐augmented meta‐discourse to engage students in shared epistemic agency discourse moves to promote their deep discussion in MIM.We conducted multiple types of analyses (content analysis, statistical analysis, epistemic network analysis and lag sequential analysis) on students' WeChat message (a major MIM in China).Results indicated both learning analytical tools helped engage students in shared epistemic agency discourse moves, such as creating shared understanding, creating knowledge objects, projective and regulative, thus, to promote students' deep discussions. Word cloud especially engaged students in more complete shared epistemic agency discourse trajectory. Moreover, analysis results indicated that shared epistemic agency discourse moves of creating shared understanding would lead students to a high level of deep discussions. Implications of study findings for practitioners: Our study provides a feasible way to educational practitioners who want to promote students' deep discussions in their online learning course (both fully online and flipped classroom mode).Knowledge Building Discourse Explorer (KBDeX presents the original analysis results of students' written messages in discussion forums as socio‐cognitive networks.) could be implemented in the classroom. The objective is to encourage students to understand the importance of connecting with peers' ideas in a one‐session implementation period.If time allows, teachers could use word cloud and meta‐discourse to engage students in socio‐metacognitive conversations in class to promote their shared epistemic agency discourse in online discussions. [ABSTRACT FROM AUTHOR]

"Dr. Google" has long been a resource for health information-seeking individuals. With the well-established presence of artificial intelligence in the healthcare world, it is reasonable to imagine that ChatGPT, an artificial intelligence-powered online chatbot, could become the next outlet for seeking medical advice online. Similar to Mika et al, this study aims to analyze the ChatGPT's ability to answer frequently asked questions (FAQs) regarding total shoulder arthroplasty (TSA). Ten FAQs regarding TSA were presented to ChatGPT and initial responses were recorded and analyzed against evidence-based literature. Responses were rated as "excellent response requiring no clarification," "satisfactory response requiring minimal clarification," "satisfactory response requiring moderate clarification," or "unsatisfactory response requiring substantial clarification." Only one response from ChatGPT was rated unsatisfactory and required substantial clarification. While no responses received an excellent rating, the average rating was considered to only require minimal or moderate clarification. ChatGPT was able to provide largely accurate responses to FAQs regarding TSA while appropriately reiterating the importance of always consulting a medical professional. ChatGPT could prove to be another avenue for supplementary medical information regarding TSA. [ABSTRACT FROM AUTHOR]

Online peer feedback has become prevalent in university writing classes due to the widespread use of peer learning technology. This paper reports an exploratory study of Chinese-speaking undergraduate students' experiences of receiving and reflecting on online peer feedback for text revision in an English as a second language (L2) writing classroom at a northeastern-Chinese university. Twelve students were recruited from an in-person writing class taught in English by a Chinese-speaking instructor and asked to write and revise their English persuasive essays. The students sought online peer feedback asynchronously using an instant messaging platform (QQ), completed the revision worksheet that involved coding and reflecting on the peer feedback received, and wrote second drafts. Data included students' first and second drafts, online peer feedback, analytic writing rubrics, revision worksheets, and semi-structured interviews. The quantitative analysis of students writing performance indicated that peer feedback led to students' revisions produced meaningful improvements in the scores between drafts. The results of qualitative analyses suggested that: (1) the primary focus of peer feedback was content; (2) students generally followed peer feedback, but ignored disagreements with their peers; (3) students strategically asked for clarification from peers on the QQ platform when feedback was unclear or confusing while collecting information from the internet, e-dictionaries, and Grammarly; and (4) students thought they benefited from experiencing the peer-mediated revision process. Based on the results, we provide recommendations and instructional guidance for university writing instructors for scaffolding L2 students' text revision practices through receiving and reflecting on online peer feedback. [ABSTRACT FROM AUTHOR]

The elderly population continues to grow, this population has many chronic conditions, which is why they take multiple pills at the same time, this situation makes it difficult for them to take their medications at the appropriate time, which can cause health complications and even death. death. The objective of this research is to improve medication adherence using a medication dispenser that allows authenticating medication consumption accurately with a high level of usability. To do this, we implemented a dispenser with an alarm system that can be configured from a graphical interface, with internet of things (IoT) to remotely monitor the intake of pills and authenticate their consumption through artificial vision that will use the instant messaging system to inform the caregiver about the situation and finally measure the dispenser usability. [ABSTRACT FROM AUTHOR]

Chat-based counseling hotlines emerged as a promising low-threshold intervention for youth mental health. However, despite the resulting availability of large text corpora, little work has investigated Natural Language Processing (NLP) applications within this setting. Therefore, this preregistered approach (OSF: XA4PN) utilizes a sample of approximately 19,000 children and young adults that received a chat consultation from a 24/7 crisis service in Germany. Around 800,000 messages were used to predict whether chatters would contact the service again, as this would allow the provision of or redirection to additional treatment. We trained an XGBoost Classifier on the words of the anonymized conversations, using repeated cross-validation and bayesian optimization for hyperparameter search. The best model was able to achieve an AUROC score of 0.68 (p < 0.01) on the previously unseen 3942 newest consultations. A shapely-based explainability approach revealed that words indicating younger age or female gender and terms related to self-harm and suicidal thoughts were associated with a higher chance of recontacting. We conclude that NLP-based predictions of recurrent contact are a promising path toward personalized care at chat hotlines. [ABSTRACT FROM AUTHOR]

Purpose: The purpose of this study was to examine the effects of self-care intervention using a mobile instant messenger on hemodialysis patient`s knowledge, self-efficacy, self-care behavior and physiological indices. Methods: A non-equivalent control group pretest-posttest design was used. The participants consisted of 38 patients who had a regular hemodialysis of Seoul National University Hospital. They were assigned to one of two groups; an experimental group (n = 19) that had self-care intervention for 8 weeks and a control groups (n = 19) that had routine hemodialysis treatment. The data collection was conducted from September 5, 2022 to October 29, 2022. The date were analyzed by Chi-square test, Independent t-test, and Fisher`s exact test using SPSS Win 29 program. Results: There was a significant difference in self-efficacy (t = 3.42, p = .002) between experimental and control groups. There was no significant differences between the two groups in knowledge (t = 0.80, p = .428), self-care behavior (t = 0.09, p = .929), potassium (t = -0.82 p = .416), phosphorus (t = -0.03, p = .974), weight gain (t = 0.16, p = .867). Conclusion: Based on above results, it was verified that self-care intervention in this study was an effective indicator in improving the self-efficacy. There is a requirement to formulate comprehensive interventions capable of enhancing various indicators. [ABSTRACT FROM AUTHOR]

Objective: Beta-thalassemia major (B-TM) is an inherited hematological disease that affects nearly 300 million people worldwide. This study aimed to evaluate the effects of group-based mobile learning on stress, anxiety, depression, and pain among beta-thalassemia major patients. Materials and Methods: This randomized clinical study was conducted on 48 patients with beta-thalassemia major in Jahrom, Iran. Participants were randomly assigned to the control and intervention groups. Their partners in the intervention group were trained in self-care through mobile learning. The 21-item Depression, Anxiety, and Stress Scale and a visual analog scale for pain assessment were used to collect the data. Data were analyzed using the Statistical package for the Social Sciences version 23.0. Results: Although there was no significant difference between the control and intervention groups in the mean pre-test scores of depression (P = .21), anxiety (P = .05), stress (P = .48), and pain (P = .46), the mean post-test scores of depression, anxiety, and stress in the intervention group were significantly lower than the control group (P = .0001). The mean scores of depression (P = .33), anxiety (P = .74), stress (P = .83), and pain (P = .6) did not change significantly in the control group, while all these mean scores decreased significantly in the intervention group for DASS (P = .001) and pain (P = .002). Conclusion: Group-based mobile learning is effective in reducing depression, anxiety, stress, and pain in B-TM. [ABSTRACT FROM AUTHOR]

In organizations, employees actively manage the immediacy with which they respond to instant messages to cope with mobile connectivity overload caused by continuous interactions. This research conducted a naturalistic observational design to examine real-life mobile connectivity behaviors in organizations and measure their occupational well-being consequences. Specifically, we focused on the use of a feature (WhatsApp's blue checkmark) that enables senders to know precisely when recipients choose to read their messages. In the study, 192 participants sent important messages to their supervisors through WhatsApp. The study used Confirmatory Factor Analysis and moderation analyses to explore the relationship between supervisors' attentiveness (indicated by WhatsApp's blue checkmark), negative emotions, work engagement, and the quality of leader-member exchange (LMX). Drawing on the perspective of 'digital well-being,' we investigated the role of relationship quality between supervisors and employees (LMX) as a moderator. We hypothesized that relationship quality would buffer against negative feelings and decreased work engagement when employees await a response after sending important messages to their supervisors. Indeed, supervisor's inattentiveness was positively correlated with negative affect and negatively correlated with employee engagement. Surprisingly, we found that employees with strong relationship quality (high LMX) with their supervisors experienced lower work engagement while waiting for an indication that their message had been read. These results suggest that timely indications of message read by supervisors play an important role in mitigating negative emotions and fostering higher work engagement among employees. [ABSTRACT FROM AUTHOR]

Nowadays, different types of context information are integrated into mobile messaging to increase expressiveness and awareness, including mobile device setting, location, activity, and heart rate. Due to low recognition accuracy, sometimes users cannot accurately infer others' status through activity awareness. Recently, activity recognition technology has advanced. However, the user behaviors of activity awareness with improved technology have not been studied. In this study, we design ActAware, a mobile instant messaging application that integrates activity awareness based on improved activity recognition technology, i.e., improved recognition accuracy and the addition of activity transition notification. We conduct a field study to explore user behaviors and found that activity awareness allows users to speculate on the reasons for chat interruption, plan communication, speculate on whether the chat partner is departing/arriving, and deepen the understanding of living patterns. Compared with disclosing other types of context information, users have fewer privacy concerns about disclosing activity information in ActAware. Based on these findings, we provide design recommendations for mobile messaging to better support activity awareness. [ABSTRACT FROM AUTHOR]

Spanish universities still face many barriers to the training of people with disabilities, especially with intellectual disabilities (ID). In general, continuing higher education courses are the main training response for the latter. Knowing the impact that confinement by COVID-19 has had on the students of these courses is a relevant element. The present investigation focused on analyzing the case of the confinement experience of 12 young students with ID who attended the continuing training program called Unidiversidad at the University of Alcalá (Spain). In particular, the implications on their emotional well-being, interpersonal relationships, and individual training were analyzed. Information was collected through a semi-structured interview with the students and a questionnaire with their relatives. The results reflect changes in emotional well-being linked to the increased concern of students for the health of their families. Interpersonal relationships were also affected, although participants tried to compensate for the lack of face-to-face interaction with instant messaging applications and video calls. The change in training to the online modality generated concern and uncertainty in students, although it also provided learning opportunities, which have been supported by peer tutoring and support from teachers. [ABSTRACT FROM AUTHOR]