scholarly journals An ecological model of adaptation to displacement: individual, cultural and community factors affecting psychosocial adjustment among Syrian refugees in Jordan

2018 ◽  
Vol 5 ◽  
Author(s):  
Ruth Wells ◽  
Catalina Lawsin ◽  
Caroline Hunt ◽  
Omar Said Youssef ◽  
Fayzeh Abujado ◽  
...  
Keyword(s):  
Psychosocial Adjustment ◽  
Ecological Model ◽  
Global Mental Health ◽  
Theory Approach ◽  
Syrian Refugees ◽  
Psychosocial Needs ◽  
Adaptive Responses ◽  
Factors Affecting ◽  
Community Factors ◽  
Potentially Traumatic Events

Background.There is a need for ecological approaches to guide global mental health programmes that can appropriately address the personal, family, social and cultural needs of displaced populations. A transactional ecological model of adaptation to displacement was developed and applied to the case of Syrian refugees living in Jordan.Methods.Syrian and Jordanian psychosocial workers (n = 29) supporting the Syrian refugee community in Jordan were interviewed in three waves (2013–2016). A grounded-theory approach was used to develop a model of key local concepts of distress. Emergent themes were compared with the ecological model, including the five ADAPT pillars identified by Silove (2013).Results.The application of the ecological concept of niche construction demonstrated how the adaptive functions of a culturally significant concept of dignity (karama) are moderated by gender and displacement. This transactional concept brought to light the adaptive capacities of many Syrian women while highlighting the ways that stigma may restrict culturally sanctioned opportunities for others, in particular men. By examining responses to potentially traumatic events at the levels of individual, family/peers, society and culture, adaptive responses to environmental change can be included in the formulation of distress. The five ADAPT pillars showed congruence with the psychosocial needs reported in the community.Conclusions.The transactional concepts in this model can help clinicians working with displaced people to consider and formulate a broader range of causal factors than is commonly included in individualistic therapy approaches. Researchers may use this model to develop testable hypotheses.

scholarly journals Multilevel Factors Associated with Frailty among the Rural Elderly in Korea Based on the Ecological Model

2021 ◽  
Vol 18 (8) ◽  
pp. 4146
Author(s):  
Ah Ram Jang ◽  
Ju Young Yoon
Keyword(s):  
Physical Activity ◽  
Depressive Symptoms ◽  
Rural Areas ◽  
Ecological Model ◽  
Frailty Index ◽  
Rural Elderly ◽  
Health Study ◽  
Cardiovascular Health Study ◽  
Factors Affecting ◽  
Community Factors

Frailty is prevalent in the rural elderly and, as a result, they are vulnerable to serious health problems. The purpose of this study was to examine the multilevel factors affecting frailty among the rural elderly using the ecological model. A total of 386 participants aged 65 years or older from 60 rural areas were included in the study. Frailty was measured using the Cardiovascular Health Study frailty index. Multilevel logistic regression analysis was used to identify the factors affecting frailty among the rural elderly. The results show that the levels of prevalence for robust, pre-frailty, and frailty groups were 81 (21%), 216 (56%), and 89 (23%), respectively. As for intrapersonal factors, old age, lower than middle school education, low and moderate levels of physical activity, depressive symptoms, and cognitive dysfunction significantly increased the risk of frailty; however, no interpersonal and community factors were significant in affecting frailty. The findings indicate that individualized strategies to encourage physical activity, prevent depressive symptoms, and preserve cognitive function are needed to prevent frailty in the rural elderly.

scholarly journals Explaining the determinants of hookah consumption among women in southern Iran: a qualitative study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Sakineh Dadipoor ◽  
Gerjo Kok ◽  
Teamur Aghamolaei ◽  
Mohtasham Ghaffari ◽  
Ali Heyrani ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Ecological Model ◽  
Structured Interview ◽  
Psychosocial Needs ◽  
Political Factors ◽  
Factors Affecting ◽  
Southern Iran ◽  
Data Saturation ◽  
Bandar Abbas ◽  
Internal And External Factors

Abstract Background The prevalence of hookah consumption has been on the increase in Iran over the past two decades. This rate is higher among women than men in the south of Iran than other geographical areas. The purpose of this study was to explain the determinants of hookah consumption among indigenous women of Bandar Abbas city, southern Iran. Methods This is the first qualitative study with the conventional content analysis approach that has examined the factors affecting the consumption of hookah at all ecological levels in 2018–2019. Participants, with a maximum variation in terms of age, education, occupation, hookah consumption and geographical areas of the city, were selected purposefully to take part in a semi-structured interview. The data were recorded, typed and analyzed according to the framework of the ecological model of health promotion at five levels (intrapersonal, interpersonal, organizational, social and political). The interview continued until data saturation. MAXQDA software version 10 was used for data management. Results Interviews were conducted with 56 participants (21 female hookah smokers, 15 female ex- smokers, and 20 experienced experts). A total of eight main categories were extracted from the data including; positive attitude towards hookah consumption, psychosocial needs, sensory charms of hookah, individual factors, family factors, cultural-environmental backgrounds, social-political backgrounds, and economic challenges. Conclusions The results indicated the extensive influence of internal and external factors on the consumption of hookah. In order to successfully reduce the consumption of hookah, it is essential to consider intrapersonal, interpersonal, organizational, social and political factors.

scholarly journals Expert Knowledge Influences Decision-Making for Couples Receiving Positive Prenatal Chromosomal Microarray Testing Results

2018 ◽  
Author(s):  
Meagan Rubel
Keyword(s):  
Decision Making ◽  
Genetic Testing ◽  
Expert Knowledge ◽  
Pregnancy Termination ◽  
Chromosomal Microarray ◽  
Theory Approach ◽  
Psychosocial Needs ◽  
Prenatal Genetic Testing ◽  
Factors Affecting ◽  
Uncertain Significance

To assess how participants receiving abnormal prenatal genetic testing results seek information and understand the implications of results, 27 US female patients and 12 of their male partners receiving positive prenatal microarray testing results completed semi-structured phone interviews. These interviews documented participant experiences with chromosomal microarray testing, understanding of and emotional response to receiving results, factors affecting decision-making about testing and pregnancy termination, and psychosocial needs throughout the testing process. Interview data were analyzed using a modified grounded theory approach. In the absence of certainty about the implications of results, understanding of results is shaped by biomedical expert knowledge (BEK) and cultural expert knowledge (CEK). When there is a dearth of BEK, as in the case of receiving results of uncertain significance, participants rely on CEK, including religious/spiritual beliefs, “gut instinct,” embodied knowledge, and social network informants. CEK is a powerful platform to guide understanding of prenatal genetic testing results. The utility of culturally situated expert knowledge during testing uncertainty emphasizes that decision-making occurs within discourses beyond the biomedical domain. These forms of “knowing” may be integrated into clinical consideration of efficacious patient assessment and counseling.

scholarly journals A Qualitative Exploration of the “Critical Window”: Factors Affecting Australian Children’s After-School Physical Activity

2013 ◽  
Vol 10 (1) ◽  
pp. 33-41 ◽  
Author(s):  
Rebecca Megan Stanley ◽  
Kobie Boshoff ◽  
James Dollman
Keyword(s):  
Physical Activity ◽  
Peer Influence ◽  
Ecological Model ◽  
After School ◽  
Critical Window ◽  
Factors Affecting ◽  
Children's Perceptions ◽  
Children’S Perceptions ◽  
Children’S Voices ◽  
School Period

Background:The after-school period is potentially a “critical window” for promoting physical activity in children. The purpose of this study was to qualitatively explore children’s perceptions of the factors influencing their engagement in physical activity during the after-school period as the first phase in the development of a questionnaire.Methods:Fifty-four South Australian children age 10−13 years participated in same gender focus groups. Transcripts, field notes, and activity documents were analyzed using content analysis. Through an inductive thematic approach, data were coded and categorized into perceived barriers and facilitators according to a social ecological model.Results:Children identified a number of factors, including safety in the neighborhood and home settings, distance to and from places, weather, availability of time, perceived competence, enjoyment of physical activity, peer influence, and parent influence. New insights into bullying and teasing by peers and fear of dangerous animals and objects were revealed by the children.Conclusions:In this study, hearing children’s voices allowed the emergence of factors which may not be exposed using existing surveys. These findings are grounded in children’s perceptions and therefore serve as a valuable contribution to the existing literature, potentially leading to improved intervention and questionnaire design.

Barriers of Antenatal Care Service Utilization in Somali Regional State Using Social Ecological Framework, Eastern Ethiopia, Ethiopia: a Qualitative Study

2020 ◽  
Author(s):  
Abdurehman Mohammed ◽  
Alula Teklu ◽  
Senait Beyene ◽  
Abdiwahab Hashi ◽  
Zerihun Abebe ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Service Utilization ◽  
Ecological Model ◽  
Care Service ◽  
Structured Interview ◽  
Organizational Level ◽  
Enabling Factors ◽  
Eastern Ethiopia ◽  
Factors Affecting ◽  
Regional State

Abstract Background: A good Antenatal Care during pregnancy is important to ensure the health of the mother and the healthy development of the fetus. In 2016, at Ethiopian Somali region (43.6 %) of pregnant mothers had an Antenatal Care (ANC) visit at least once during their last pregnancy and only (11.8%) had a history of four or more visits for Antenatal Care, which are the lowest rates among all regions in Ethiopia.Objective: The objective of the study was to explore the barriers and determine enabling factors affecting Antenatal Care service utilization in Somali Regional state.Methods: A qualitative exploration was conducted from February 18 to March 11, 2017. A pre-tested semi-structured interview guides, and facility abstractions with checklists were used to collect the data. A total of 31 individual interviews, 12 focus group discussions, and 21 facility abstractions were collected. The population of the region were stratified into three areas based on their settlement characteristics as agro-pastoralist, pastoralist, and urban. Two districts were selected from each category based on their performance. The data was entered, coded, categorized, and analyzed by utilizing Nvivo version 11software. A thematic analysis was conducted using themes that were developed based on the constructs of the socio-ecological model.Results: According to the study, economic constraints, place of residence, mothers’ being lack of awareness, preference of female health care provider, husband’s disapproval, lack of acceptance by the community, absence of full ANC services packages related with shortage of manpower, medical supply in majority of the health facilities and lack of perceived benefits from ANC service were the main barriers of ANC service utilization. Conclusion: Individual, interpersonal, and organizational level factors were the most dominant barriers for ANC service utilization. Therefore, FMOH, regional, zonal and district level health administrators and other stakeholders should design effective IEC, community mobilization and work on supply-related problems to .increase ANC utilization in the region.

Unit Manager's Role with Family Members of Clients in Complex Continuing Care Settings: An Untold Story

2005 ◽  
Vol 24 (2) ◽  
pp. 127-137
Author(s):  
Sepali Guruge ◽  
Katherine McGilton ◽  
Linda Yetman ◽  
Heather Campbell ◽  
Ruby Librado ◽  
...  
Keyword(s):  
Family Relationships ◽  
Family Members ◽  
Future Research ◽  
Continuing Care ◽  
Theory Approach ◽  
Term Care ◽  
Factors Affecting ◽  
Closing The Loop

ABSTRACTMost literature on staff-family relationships has come from studies of long-term care settings, has focused mainly on the families' perspectives on factors affecting their relationships with staff, and has included scant findings from the staff's perspective. No studies that examined staff-family relationships in complex continuing care (CCC) environments from the perspective of staff were found in the literature. A qualitative study that draws on a grounded theory approach was conducted to explore staff-family relationships in CCC, and the findings presented in this article illuminate the unit manager's role. Data were collected through in-depth interviews with nine unit managers and a follow-up focus group with five unit managers who work in three CCC facilities. Three categories reflecting the unit manager's role with family members of clients in CCC settings were derived: establishing supportive entry; building and preserving relationships; and closing the loop. Implications of the findings for practice and future research are presented.

Factors Affecting the Adoption of Entertainment Mobile Applications in Iran

2016 ◽  
Vol 24 (4) ◽  
pp. 67-79
Author(s):  
Sina Baghbaniyazdi ◽  
Amir Ekhlassi ◽  
Kamal Sakhdari
Keyword(s):  
Mobile Applications ◽  
Mobile Application ◽  
Valuable Insight ◽  
Theory Approach ◽  
The Novel ◽  
Structured Interviews ◽  
Application Development ◽  
Factors Affecting ◽  
Whole Process ◽  
Research On Application

While previous research on application adoption has partly advanced our understanding of factors affecting the adoption of mobile applications, less attention has been given to the whole process of application development, from idea characteristics to the supportive activities after launch. In particular, less is known about these factors in the context of developing countries, where mobile applications are gaining increasing popularity. In this vein, this paper, adopting a grounded theory approach, aims to identify factors influencing the adoption of entertainment mobile application from the developer's points of view focusing on different phases of application development in the novel context of Iran. The authors' in-depth semi-structured interviews with experts in mobile application development firms indicate 15 factors classified within four categories based on the application development process, entailing idea characteristics, design, marketing communications and supportive activities. The implications of these findings provides valuable insight into why some mobile applications are more successful than others.

Representing women? Leadership roles and women in Canadian broadcast news

2016 ◽  
Vol 31 (5/6) ◽  
pp. 374-395 ◽  
Author(s):  
Wendy Cukier ◽  
Samantha Jackson ◽  
Mohamed A. Elmi ◽  
Erin Roach ◽  
Darren Cyr
Keyword(s):  
Ecological Model ◽  
News Coverage ◽  
Future Research ◽  
Broadcast News ◽  
Substantive Representation ◽  
Content Type ◽  
Factors Affecting ◽  
Broadcast Media ◽  
Representation Of Women ◽  
The Way

Purpose The purpose of this paper is to examine the representation of women in Canadian broadcast news coverage, exploring the notion of substantive representation as it relates to gender, leadership and framing. Design/methodology/approach Using computer-aided text analysis software, the authors analyzed the frequency of women appearing in on-air roles, the way in which they are framed, as well as technical and expressive details, such as how they are featured. In total, the authors analyzed representation of 2,031 individuals in the four suppertime local news broadcasts from 6 p.m. to 7 p.m. Framed in an ecological model of complex social change, this paper focuses on understanding how women are presented in Canadian broadcast media. Findings This study finds that women are under-represented in Canadian broadcast media. Furthermore, it finds that women are less likely to be framed as leaders or experts and are less likely to hold news host or anchor positions. For all major news broadcasters analyzed, women are less likely to be portrayed positively or in leadership/expert positions and are more often represented as victims. They are less likely to appear on screen and are more likely to be referred to off-screen, paraphrased and cited rather than speaking for themselves. Research limitations/implications By framing this study in an (critical) ecological, this study moved beyond required descriptive benchmarking to examine the degree of substantive representation of women. However, the sample of the study is only a snapshot of Canada’s largest city, and, therefore, more research involving further a comparative analysis of cities, a variety of print sources and online media outlets is needed. Future research might include more qualitative analysis of the representation, the type of representation and the factors affecting levels of representation. For example, such research might explore the practices in broadcast organizations, the way in which stories are framed and how guests selected. Also of interest is the relationship between women’s representation at the decision-making table, as an input, and the representation of women in on-air roles, as an outcome. Practical implications The implications of this article are important for understanding the complex factors affecting female leadership across sectors, particularly, the Canadian broadcast industry, the barriers they face and the strategies that may lead to their advancement. Originality/value This study moved beyond descriptive benchmarking to examine the degree of substantive representation of women by coding the frames, roles and means of quotation experienced by women on broadcast news.

scholarly journals Vietnamese Academics' Research Capacity in Tertiary Contexts

2021 ◽  
Author(s):  
◽  
Tien Huynh
Keyword(s):  
Higher Education ◽  
Research Productivity ◽  
Ecological Model ◽  
Geographical Location ◽  
National Development ◽  
Research Capacity ◽  
Structured Interviews ◽  
Factors Affecting ◽  
Research Engagement ◽  
Different Levels

<p>Research carried out by academics at higher education institutions (HEIs) has substantially contributed to nations’ development, particularly in a time of globalisation and internationalisation of higher education (HE). A range of studies on academics’ research have been undertaken in western contexts. Those studies can be classified into studies of academics’ research perceptions and studies of factors affecting academics’ research productivity. However, there has been a very limited number of studies on academics’ research capacity and HEIs’ research capacities in Vietnam. Meanwhile, the Vietnamese Government has attempted to develop its HE system to contribute to the success of its national development. Over the past ten years, the Vietnamese Government has issued a series of research related policies and has had a greater investment into the development of its HE system. However, the research capacity of Vietnamese HEIs has been lower than that of its neighbouring countries in the region. Therefore, this study was conducted with the hope that it might provide an in-depth understanding of the research capacities of Vietnamese HEIs and their academics and how they can be better fostered in the Vietnamese HE system.  The study was conducted in three public HEIs at different levels in southern Vietnam: provincial, regional, and national. The study employed an interpretive case study approach with a lens of historical and sociocultural theory. Three key tools used for data collecting were surveys, individual semi-structured interviews, and document analysis. The research participants were purposefully selected from the three institutions. For data analysis, the study utilised a combined framework adapted from the predictive model department research productivity of Bland, Center, Finstad, Risbey, and Staples (2005), the model of factors affecting academics’ research productivity of Chen, Gupta, and Hoshower (2006), and Moore’s (2015) social-ecological model: Looking beyond the individual. The study’s findings indicated that the research capacities of Vietnamese HEIs and their academics were influenced by various factors at different levels. At societal level, they include socioeconomic, sociocultural, and political factors. At community level, they comprise resources, research orientation, research networks, professional development practices. At institutional level, they consist of establishment history, geographical location, and organisation. Additionally, the study identified that institutional contexts affected the academics’ research motivation and research engagement at this level. Finally, this study suggested some recommendations for both academic leaders and academics from the three HEIs and Vietnamese HE policy makers to consider so that they may find ways to enhance the research capacities of the Vietnamese HEIs and their academics’ research engagement.</p>

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