scholarly journals Optimal App Use by Dietitians Limited by Payment Structures, App Usability, and Lack of Dietitian Familiarity With Available Apps: A Qualitative Thematic Analysis

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 979-979
Author(s):  
Dagny Larson ◽  
Jacqueline Henning ◽  
Marissa Burgermaster

Abstract Objectives To expand on previous survey-based research that provided a basic understanding of dietitian perspectives on app use by exploring factors that are influencing dietitian decision-making regarding the use and recommendation of apps with individual clients. Methods 20–60-minute semi-structured interviews conducted in-person, over the phone, or via videoconferencing from November 2019 to July 2020 with U.S. dietitians (n = 20) working in outpatient practice. Interview audio transcribed verbatim. Qualitative thematic analysis of interview transcripts. The creation of an audit trail, memos, and peer debriefing were used to enhance trustworthiness. Results Years in practice ranged from 2–42. Weight management and diabetes were most common counseling topics. Several factors that influence dietitian decision-making appear to limit a dietitians’ optimal use of apps, including current payment structure, limited app usability, and a dietitian's familiarity with available apps. Current payment structures typically don't compensate dietitians for time spent outside of visits to review app data or communicate/provide feedback to clients via the app. Participants described having difficulty finding apps for non-English speaking clients, clients with low literacy, and clients with complex dietary restrictions. A dietitian's familiarity with available apps also influenced if they were able to find apps that included desired features. Conclusions Despite noting potential benefits of app use, dietitians are not utilizing apps as frequently as desired due to current payment structures, app feature and usability limitations, and the overabundance of apps without sufficient time or guidance for assessing available apps. Future research and policies to address these limitations could greatly improve the efficacy and use of apps in dietetics. Funding Sources None

2021 ◽  
Author(s):  
Helané Wahbeh ◽  
Nina Fry ◽  
Paolo Speirn ◽  
Lutvija Hrnjic ◽  
Emma Ancel ◽  
...  

Abstract The term “noetic” comes from the Greek word noēsis/noētikos that means inner wisdom, direct knowing, intuition, or implicit understanding. Strong cultural taboo exist about sharing these experiences. Thus, many may not feel comfortable transparently discussing or researching these topics, despite growing evidence that these experiences may be real. The study’s objective was to qualitatively evaluate first-hand accounts of noetic experiences. 521 English-speaking adults from around the world completed an online survey collected demographic data and four open-ended questions about noetic experiences. Thematic analysis was used to characterize the data. The ten most used codes were expressing to or sharing with others, impacts decision making, intuition/”just knowing,” meditation/hypnosis, inner visions, setting intentions/getting into the “state,” healing others, writing for self, and inner voice. There were five main themes identified: 1. Ways of Engagement; 2. Ways of Knowing; 3. Types of Information; 4. Ways of Affecting; and 5. Ways of Expressing. Subthemes. Future research will include investigating the nuances of these themes and also establishing standardized methods for evaluating them. This would also then inform curricula and therapies to support people in these experiences.


2021 ◽  
Vol 31 (3) ◽  
pp. 472-483
Author(s):  
Ana Cristina Lindsay ◽  
Madelyne J. Valdez ◽  
Denisse Delgado ◽  
Emily Restrepo ◽  
Yessica M. Guzmán ◽  
...  

This descriptive qualitative study explored Latinx mothers’ acceptance of the human papillomavirus (HPV) vaccine for their adolescent children. Data were collected through individual, semi-structured interviews and analyzed using a hybrid method of thematic analysis that incorporated deductive and inductive approaches. Twenty-two ( n = 22), mostly foreign-born, Latinx mothers of male and female adolescents participated in the study. Three main themes and nine subthemes emerged from the analyses. Findings identified the need for increased efforts to raise awareness and knowledge among Latinx mothers of the direct benefits of the HPV vaccine for sons, including stressing prevention of HPV-associated cancers in males. Findings also underscore the need for improved health care providers’ communication and recommendation of the HPV vaccine for Latinx adolescent males. Future research should intervene upon the study’s findings to address barriers that remain and affect Latinx mothers’ acceptance and uptake of the HPV vaccine for their children, in particular their sons.


2021 ◽  
pp. 193672442110356
Author(s):  
Elmira Jangjou

In response to students’ food insecurity, a number of colleges and universities have taken action and established campus food pantries as part of their intervention plans. However, many of these pantries ceased operation due to COVID-19 campus shutdowns. The purpose of this study is to illustrate the short-term impacts of the COVID-19 pandemic on postsecondary students, who use a university-provided food pantry. Drawing from semi-structured interviews with 12 participants, the thematic analysis explored the initial coping strategies these students used to endure the pandemic. Findings revealed that many students experienced the immediate effects of the pandemic in the form of income loss, self-isolation, anxiety, and appetite change. Although the pandemic interrupted these students’ journeys to continue their studies and become independent in various ways, the affected students implemented various coping strategies, including seeking help from family or friends, using available resources, cooking at home, and even trying to save money. However, considering that the targeted population in this study was already at risk because of their basic needs insecurity, these postsecondary students require extra attention from their higher education institutions in the case of emergencies, such as a global pandemic. In addition to its timely and relevant findings, this study provides important avenues for future research and intervention efforts.


2018 ◽  
Vol 13 (8) ◽  
pp. 184 ◽  
Author(s):  
Umar Altahtooh ◽  
Thamir Alaskar

Despite the importance of milestone as a key knowledge in project management, there has been lack of research to understand the relationship between milestones and decision-making. This paper presents a pragmatic research context that aims understanding the nature of milestones and their relationship with different decision-making structures and responsibilities across projects. Data were collected through 14 semi-structured interviews with project managers and analyzed using thematic analysis. The findings explore the concepts of project milestones among project managers in Saudi Arabia. The paper finds that there is a relationship between milestones and the impact on decision-making.


2018 ◽  
Vol 7 (2) ◽  
pp. 248-264 ◽  
Author(s):  
Sharon L. Storch ◽  
Anna V. Ortiz Juarez-Paz

Use of media devices has evolved over the past 10–15 years and the resulting effects on family communication are of interest for this study. Through 26 semi-structured interviews, the authors sought to understand the role mobile devices play in family communication. Qualitative grounded theory analysis was used to find themes and interpret results (Creswell, 2013). One overarching paradoxical theme emerged from these data, family connect–family disconnect. In family connect, categories of across distance, reassurances, and boundaries are shared. Within family disconnect, distractions, misunderstandings, and negative emotional responses are conveyed. Future research avenues recommended are decision making related to mobile devices based on values and morals, in-depth social media and app usage, emoji emotional responses, individuals under 18 and between 18 and 30 years old, and a network analysis of one extended family.


2019 ◽  
Vol 27 (2) ◽  
pp. 128-135 ◽  
Author(s):  
Jenessa Banwell ◽  
Gretchen Kerr ◽  
Ashley Stirling

Women remain underrepresented in the coaching domain across various levels of sport both in Canada and internationally. Despite the use of mentorship as a key strategy to support female coaches, little progress has been seen in achieving parity. At the same time, greater advances in gender equity have occurred in other non-sport sectors such as business, engineering, and medicine. The purpose of this study, therefore, was to learn from non-sport domains that have seen advances in gender equity to inform mentorship for women in coaching. A mixed-methods methodology was employed and consisted of distributing mentorship surveys to female coaches (n = 310) at various competitive levels, representing current (88%), former (12%), full-time (26%), part-time (74%), paid (54%), and unpaid (46%) coaching status. In addition, eight in-depth semi-structured interviews were also conducted with women in senior-level positions across various non-sport domains, including business (n = 1), media (n = 1), engineering (n = 2), higher education (n = 1), law (n = 1), and medicine (n = 2), regarding the role of mentorship in advancing women in their field. A descriptive and thematic analysis of the survey and interview data were conducted and findings are interpreted to suggest considerable variation in the characteristics of female coaches’ mentoring relationships, as well as the need to move beyond mentorship to sponsorship for advancing women in coaching. Recommendations for future research and advancing women in coaching are provided.


2019 ◽  
Vol 69 (4) ◽  
pp. 258-265 ◽  
Author(s):  
S Rees ◽  
D Cohen ◽  
N Marfell ◽  
M Robling

Abstract Background Understanding of what prevents doctors from seeking help for mental ill-health has improved. However, less is known about what promotes timely disclosure and the nature of doctors’ decision making. Aims This study aimed to define how doctors make decisions about their own mental ill-health, and what facilitates disclosure. It explored the disclosure experiences of doctors and medical students; their attitudes to their decisions, and how they evaluate potential outcomes. Methods Qualitative, semi-structured interviews with UK doctors and medical students with personal experience of mental ill-health. Participants were recruited through relevant organizations, utilizing regular communications such as newsletters, e-mails and social media. Data were subject to a thematic analysis. Results Forty-six interviews were conducted. All participants had disclosed their mental ill-health to someone; not all to their workplace. Decision making was complex, with many participants facing multiple decisions throughout their careers. Disclosures were made despite the many obstacles identified in the literature; participants described enablers to and benefits of disclosing. The importance of appropriate responses to first disclosures was highlighted. Conclusions Motivations to disclose mental ill-health are complex and multifactorial. An obstacle for one was an enabler for another. Understanding this and the importance of the first disclosure has important implications for how best to support doctors and medical students in need.


2015 ◽  
Vol 14 (4) ◽  
pp. 183-192 ◽  
Author(s):  
Suzanne Young

Purpose – The purpose of this paper is to examine the factors that influence police officers’ decision making when dealing with young women considered violent. Design/methodology/approach – Semi-structured interviews were carried out with frontline police officers in Scotland on their experiences of responding to incidents where young women displayed violence. Findings – The police officers clearly distinguished encounters with women using violence from those with young men, portraying young women as irrational, unpredictable and uncontrollable. The research found that while gender alone was not a determining factor for arrest, police officers did stereotype young women according to gender norms and these norms could have a bearing on decision making. The findings show that police officers prefer to respond to situations with male perpetrators due to their own difficulties effectively communicating with young women, who are often under the influence of alcohol. Research limitations/implications – The research indicates that police officers, regardless of their gender, have difficulties handling violent incidents that involve young women. This provides scope for further analysis of police training to ascertain whether sufficient guidance is provided to fully equip police officers when faced with aggressive young women. This study focused on police officers’ own views and experiences but future research could consider a more ethnographic approach to observe police decision making in practice to determine whether the stereotypes portrayed were a true reflection of their experiences. Originality/value – This is one of only a very few studies that has explored the relation between gender and arrest decision making. It enhances the understanding of how young women come to be arrested and indicates how police officers are currently ill equipped to effectively respond to young women considered violent.


1992 ◽  
Vol 16 (4) ◽  
pp. 449-465 ◽  
Author(s):  
Irene Hanson Frieze ◽  
Maureen C. McHugh

How important is the use of physical violence in determining the balance of power within marriage? Do women in violent marriages make more use of indirect strategies in attempting to persuade their husbands than do women in nonviolent marriages? Is marital satisfaction related to influence styles? These questions are investigated by looking at decision making in couples and how this is related to the forms of influence strategies used by wives and husbands in violent and nonviolent marriages. Data from in-depth structured interviews with 137 self-identified battered wives and 137 comparison wives, some of whom were also found to have experienced violence from their husbands, are used to answer these questions. Results indicated that women with violent husbands used more influence strategies overall, although these women had less overall power in terms of decision making than did women with nonviolent husbands. The relationship of influence strategies to decision making was different for women with violent husbands than for those whose husbands were not violent. As expected, the use of coercive strategies related negatively to marital happiness, whereas positive strategies were positively predictive. Violence and other negative strategies should be included in future research on influence strategies in close relationships, and a positive–negative dimension should be included as a way of categorizing influence strategies.


2012 ◽  
Vol 27 (1) ◽  
pp. 27-37 ◽  
Author(s):  
Marianne K Dees ◽  
Myrra J Vernooij-Dassen ◽  
Wim J Dekkers ◽  
Glyn Elwyn ◽  
Kris C Vissers ◽  
...  

Background: Euthanasia has been legally performed in the Netherlands since 2002. Respect for patient’s autonomy is the underpinning ethical principal. However, patients have no right to euthanasia, and physicians have no obligation to provide it. Although over 3000 cases are conducted per year in the Netherlands, there is little known about how decision-making occurs and no guidance to support this difficult aspect of clinical practice. Aim: To explore the decision-making process in cases where patients request euthanasia and understand the different themes relevant to optimise this decision-making process. Design: A qualitative thematic analysis of interviews with patients making explicit requests for euthanasia, most-involved relative(s) and treating physician. Participants/setting: Thirty-two cases, 31 relatives and 28 treating physicians. Settings were patients’ and relatives’ homes and physicians’ offices. Results: Five main themes emerged: (1) initiation of sharing views and values about euthanasia, (2) building relationships as part of the negotiation, (3) fulfilling legal requirements, (4) detailed work of preparing and performing euthanasia and (5) aftercare and closing. Conclusions: A patient’s request for euthanasia entails a complex process that demands emotional work by all participants. It is characterised by an intensive period of sharing information, relationship building and negotiation in order to reach agreement. We hypothesise that making decisions about euthanasia demands a proactive approach towards participants’ preferences and values regarding end of life, towards the needs of relatives, towards the burden placed on physicians and a careful attention to shared decision-making. Future research should address the communicational skills professionals require for such complex decision-making.


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