scholarly journals Developing an Intervention to Reduce Sedentary Behavior: Assisted Living Resident Feedback

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 381-381
Author(s):  
Katelyn Webster ◽  
Janet Larson
Keyword(s):  
Sedentary Behavior ◽  
Thematic Analysis ◽  
Assisted Living ◽  
Functional Decline ◽  
Functional Abilities ◽  
Structured Interviews ◽  
Light Physical Activity ◽  
Wide Range ◽  
Intervention Message ◽  
Short Intervention

Abstract Older adults in assisted living (AL) tend to be highly sedentary, which increases their risk of functional decline and frailty. Reducing sedentary behavior (SB) and replacing it with light physical activity (LPA) could have important implications for maintenance of functional abilities. The purpose of this qualitative study was to gather feedback from AL residents on a proposed exercise-specific self-efficacy enhancing intervention designed to promote LPA and reduce SB. We conducted one-on-one semi-structured interviews at four AL facilities with 20 residents ages 65-99 (mean age 83.1; 60% women). They were presented with the proposed intervention and were asked questions to inform the development and modification of the intervention. Data were analyzed with a thematic analysis approach. Specific recommendations included short intervention sessions of one hour and scheduled in the morning. Many residents thought a 16 week intervention was too long. We identified broader themes, including concerns about how the intervention would work for residents with a wide range of abilities and concerns about safety. They suggested that exercises will need to be highly modifiable. Most residents recommended framing the intervention message as increasing LPA rather than decreasing SB, because it would be more positive. All except one said they would want to participate in the intervention, but they were unsure how many other residents would want to be more active. The resident feedback and suggestions will guide development of the intervention and are important for increasing the probability that a future feasibility and acceptability trial of the intervention will be successful.

scholarly journals Physical Activity Programming for Older Adults in Assisted Living: Contextual Factors to Consider

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 1051-1051
Author(s):  
Katelyn Webster ◽  
Janet Larson
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Sedentary Behavior ◽  
Thematic Analysis ◽  
Assisted Living ◽  
Contextual Factors ◽  
Attitudes And Beliefs ◽  
Wide Range ◽  
Exercise Classes ◽  
Physical Activity Programming

Abstract Sedentary behavior may adversely affect physical and cognitive health of older adults in assisted living (AL). Replacing sedentary behavior with light physical activity (PA) could help them maintain functional abilities and independence. We interviewed AL residents to obtain their guidance regarding the implementation of an intervention to reduce sedentary behavior. Here we report the results of a thematic analysis exploring contextual factors that may influence intervention implementation. We interviewed 20 residents (mean age 83.1; 60% women) and identified 7 themes. The first was attitudes and beliefs about PA. Most residents believed PA was important, but some lacked motivation or confidence to perform PA. Another theme was attitudes and beliefs about aging, as some residents felt discouraged about aging and uncertainty about how much PA they could safely perform. Abilities of AL residents was seen as an important consideration. It was noted that residents have a wide range of abilities and this could present challenges in planning a PA program appropriate for all residents. Social influences for PA should be considered, as residents may find encouragement from family or other residents. Space for being active is another factor because it is typically limited within AL. We found that some residents wanted more challenging exercise classes than currently provided by their facility. Finally, residents described limited opportunities for PA due to the nature of the AL environment. This thematic analysis brings attention to important factors that could influence the implementation of PA interventions with the AL population.

scholarly journals Radiologists in the loop: the roles of radiologists in the development of AI applications

2021 ◽  
Author(s):  
Damian Scheek ◽  
Mohammad. H. Rezazade Mehrizi ◽  
Erik Ranschaert
Keyword(s):  
Artificial Intelligence ◽  
Thematic Analysis ◽  
Development Process ◽  
Key Factors ◽  
Structured Interviews ◽  
Development Teams ◽  
Key Points ◽  
Wide Range ◽  
Quality Controller

Abstract Objectives To examine the various roles of radiologists in different steps of developing artificial intelligence (AI) applications. Materials and methods Through the case study of eight companies active in developing AI applications for radiology, in different regions (Europe, Asia, and North America), we conducted 17 semi-structured interviews and collected data from documents. Based on systematic thematic analysis, we identified various roles of radiologists. We describe how each role happens across the companies and what factors impact how and when these roles emerge. Results We identified 9 roles that radiologists play in different steps of developing AI applications: (1) problem finder (in 4 companies); (2) problem shaper (in 3 companies); (3) problem dominator (in 1 company); (4) data researcher (in 2 companies); (5) data labeler (in 3 companies); (6) data quality controller (in 2 companies); (7) algorithm shaper (in 3 companies); (8) algorithm tester (in 6 companies); and (9) AI researcher (in 1 company). Conclusions Radiologists can play a wide range of roles in the development of AI applications. How actively they are engaged and the way they are interacting with the development teams significantly vary across the cases. Radiologists need to become proactive in engaging in the development process and embrace new roles. Key Points • Radiologists can play a wide range of roles during the development of AI applications. • Both radiologists and developers need to be open to new roles and ways of interacting during the development process. • The availability of resources, time, expertise, and trust are key factors that impact how actively radiologists play roles in the development process.

scholarly journals Use of the Washington Group Questions in Non-Government Programming

2021 ◽  
Vol 18 (21) ◽  
pp. 11143
Author(s):  
Alex Robinson ◽  
Liem Nguyen ◽  
Fleur Smith
Keyword(s):  
Data Collection ◽  
Thematic Analysis ◽  
Online Survey ◽  
Exploratory Research ◽  
Structured Interviews ◽  
Government Organizations ◽  
Raising Awareness ◽  
Wide Range ◽  
Staged Approach ◽  
Purposive Sample

The Washington Group questions (WGQ) on functioning have been widely promoted as the go-to tool for disability data collection. Designed for use by government, the WGQ have been adopted by non-government organizations (NGOs) for use in programming. However, little is known about how the WGQs are being used by NGOs or how use may be contributing to disability inclusion. Method: This paper describes exploratory research on the use of the WGQ in NGO programming. An online survey provided an overview of adoption followed by semi-structured interviews from a purposive sample to explore data collection, analysis, and use. Results: Thematic analysis showed limited inclusion outcomes directly attributable to use of the WGQ, adoption driven by individual champions rather than systematically across organizations, and challenges in data collection resulting in a wide range of prevalence rates. What information the WGQ can realistically contribute to programs was also overestimated. However, the process of using the WGQ was raising awareness on disability inclusion within program teams and communities. Conclusion: Acknowledging differences in emerging use by NGOs beyond the WGQ’s intended purpose, alongside promoting a flexible and staged approach to adoption and use in programming, may improve utility and disability inclusion outcomes over time.

scholarly journals Patient and befriender experiences of participating in a befriending programme for adults with psychosis: A qualitative study.

2020 ◽  
Author(s):  
Erin Burn ◽  
Agnes Chevalier ◽  
Monica Leverton ◽  
Stefan Priebe
Keyword(s):  
Thematic Analysis ◽  
Structured Interviews ◽  
Patient Interviews ◽  
People With Mental Illness ◽  
Wide Range ◽  
Participant Preferences ◽  
Trial Testing ◽  
Conflicting Interests ◽  
Development And Management ◽  
Over Time

Abstract Background Befriending is a popular form of volunteering in healthcare, and research suggests that it can be beneficial for people with mental illness. This study aimed to explore the experiences of a large sample of volunteer befrienders and patients who participated in the VOLUME trial, testing the efficacy of a structured befriending programme for individuals with psychosis. This is the first study to explore the specific challenges and benefits of befriending in both volunteers and patients in this population within the same programme. Methods A series of in-depth semi-structured interviews were conducted with 34 volunteer befrienders and 28 participating patients. All participants who had taken part in at least one befriending session were invited to be interviewed about their experiences with the aim of including a wide range of views, including those who were more or less engaged with the befriending programme. The data were analysed using Thematic Analysis. Results Four broad themes were developed from the analysis of the befriender and patient interviews which, although were largely discrete, captured the overall experiences of participating in the befriending programme: 1) Bridging the gap, 2) A genuine relationship that developed over time, 3) A big commitment, and 4) A flexible approach. Conclusions These results further support that, befriending programmes for individuals with psychosis can be a worthwhile experience for both befrienders and patients. However, participation also requires perseverance and flexibility from both sides. Different factors, such as incorporating participant preferences for frequency of meetings, have to be considered in the development and management of a befriending programme in order to provide effective support to both befrienders and patients. Declaration of conflicting interests None

scholarly journals The presence and potential impact of psychological safety in the healthcare setting: an evidence synthesis

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
K. E. Grailey ◽  
E. Murray ◽  
T. Reader ◽  
S. J. Brett
Keyword(s):  
Thematic Analysis ◽  
Healthcare Workers ◽  
Evidence Synthesis ◽  
Psychological Safety ◽  
Structured Interviews ◽  
Situational Context ◽  
Safety Research ◽  
Modifiable Factors ◽  
Wide Range ◽  
Facilitators And Barriers

Abstract Introduction Psychological safety is the shared belief that the team is safe for interpersonal risk taking. Its presence improves innovation and error prevention. This evidence synthesis had 3 objectives: explore the current literature regarding psychological safety, identify methods used in its assessment and investigate for evidence of consequences of a psychologically safe environment. Methods We searched multiple trial registries through December 2018. All studies addressing psychological safety within healthcare workers were included and reviewed for methodological limitations. A thematic analysis approach explored the presence of psychological safety. Content analysis was utilised to evaluate potential consequences. Results We included 62 papers from 19 countries. The thematic analysis demonstrated high and low levels of psychological safety both at the individual level in study participants and across the studies themselves. There was heterogeneity in responses across all studies, limiting generalisable conclusions about the overall presence of psychological safety. A wide range of methods were used. Twenty-five used qualitative methodology, predominantly semi-structured interviews. Thirty quantitative or mixed method studies used surveys. Ten studies inferred that low psychological safety negatively impacted patient safety. Nine demonstrated a significant relationship between psychological safety and team outcomes. The thematic analysis allowed the development of concepts beyond the content of the original studies. This analytical process provided a wealth of information regarding facilitators and barriers to psychological safety and the development of a model demonstrating the influence of situational context. Discussion This evidence synthesis highlights that whilst there is a positive and demonstrable presence of psychological safety within healthcare workers worldwide, there is room for improvement. The variability in methods used demonstrates scope to harmonise this. We draw attention to potential consequences of both high and low psychological safety. We provide novel information about the influence of situational context on an individual’s psychological safety and offer more detail about the facilitators and barriers to psychological safety than seen in previous reviews. There is a risk of participation bias - centres involved in safety research may be more aligned to these ideals. The data in this synthesis are useful for institutions looking to improve psychological safety by providing a framework from which modifiable factors can be identified.

scholarly journals Social marginalization and its relationship with cultural participation in Mexico

Córima ◽  
2020 ◽  
Vol 6 (10) ◽  
pp. 1-23
Author(s):  
Javier Reyes-Martínez ◽  
◽  
Óscar Alfonso Martínez-Martínez
Keyword(s):  
Mexico City ◽  
Thematic Analysis ◽  
Exploratory Study ◽  
Cultural Policy ◽  
Policy Design ◽  
Central Question ◽  
Cultural Participation ◽  
Structured Interviews ◽  
Social Marginalization ◽  
Wide Range

Mexico is a country with a wide range of social marginalization. The intersection of this phenomenon and cultural participation has been little studied. Bearing this in mind, the central question of this work is: can the attendance toc ultural events and the type of events in which Mexicans participate be related to their marginalization level? In order to answer this question, a qualitative exploratory study was designed. Data were collected through semi-structured interviews (N=247) infour Mexican states (Mexico City, Tamaulipas, Estado de Mexico, and Oaxaca). Data were processed through a thematic analysis that shows a relationship between marginalization and cultural participation in three large subjects: the facility or difficulty to participate incultural activities and events,the expressed interest in it, and the perceived benefits of the interviewee on these actions. These topics vary according to the marginalization level, confirming the need for cultural policy design to include marginalization as a key issue of cultural participation.

‘Are we on the same wavelength?’ International nurses and the process of confronting and adjusting to clinical communication in Australia

2017 ◽  
Vol 13 (3) ◽  
pp. 263-274 ◽  
Author(s):  
Tonia Crawford ◽  
Peter Roger ◽  
Sally Candlin
Keyword(s):  
Communication Skills ◽  
Thematic Analysis ◽  
Care Setting ◽  
Linguistically Diverse ◽  
The Other ◽  
Culturally And Linguistically Diverse ◽  
Central Theme ◽  
Structured Interviews ◽  
Clinical Communication ◽  
Professional Experiences

Effective communication skills are important in the health care setting in order to develop rapport and trust with patients, provide reassurance, assess patients effectively and provide education in a way that patients easily understand (Candlin and Candlin, 2003). However with many nurses from culturally and linguistically diverse (CALD) backgrounds being recruited to fill the workforce shortfall in Australia, communication across cultures with the potential for miscommunication and ensuing risks to patient safety has gained increasing focus in recent years (Shakya and Horsefall, 2000; Chiang and Crickmore, 2009). This paper reports on the first phase of a study that examines intercultural nurse patient communication from the perspective of four Registered Nurses from CALD backgrounds working in Australia. Five interrelating themes that were derived from thematic analysis of semi-structured interviews are discussed. The central theme of ‘adjustment’ was identified as fundamental to the experiences of the RNs and this theme interrelated with each of the other themes that emerged: professional experiences with communication, ways of showing respect, displaying empathy, and vulnerability.

What do patients want? A qualitative exploration of patients’ needs and expectations regarding online access to their primary care record

2020 ◽  
Vol 70 (suppl 1) ◽  
pp. bjgp20X711245
Author(s):  
Gail Davidge ◽  
Caroline Sanders ◽  
Rebecca Hays ◽  
Rebecca Morris ◽  
Helen Atherton ◽  
...  
Keyword(s):  
Primary Care ◽  
Thematic Analysis ◽  
Support Needs ◽  
Future Design ◽  
Wide Range ◽  
Primary Care Record ◽  
Online Access ◽  
Qualitative Exploration ◽  
Nhs Health Check ◽  
Patients Wishes

BackgroundPrimary care records have traditionally served the needs and demands of clinicians rather than those of the patient. GP contracts in England state practices must promote and offer registered patients online access to their primary care record and research has shown benefits to both patients and clinicians of doing so. Despite this, we know little about patients’ needs and expectations regarding online access.AimTo explore patients’ views about accessing online primary care records and to find out how patients would like to interact with their records and what support they may need.MethodInterviews and focus groups with a sample of 50 patients from a variety of socio-demographic backgrounds who were either; eligible for the NHS Health Check; had multimorbidities or were carers. Thematic analysis of data identified major themes impacting upon patients’ wishes and needs as well as highlighting population-specific issues.ResultsParticipants highlighted a wide range of views about the benefits and drawbacks of accessing their records online. The majority of participants indicated that they would be more likely to access their online primary care record if improvements were made to the design, reliability and functionality of existing online record services. Carers found accessing online records particularly useful.ConclusionConsultation with patients and carers about their experiences of accessing online records; support needs and preferred functions can provide useful insights to inform the future design of online record services.

Acceptance of the HPV Vaccine in a Multiethnic Sample of Latinx Mothers

2021 ◽  
Vol 31 (3) ◽  
pp. 472-483
Author(s):  
Ana Cristina Lindsay ◽  
Madelyne J. Valdez ◽  
Denisse Delgado ◽  
Emily Restrepo ◽  
Yessica M. Guzmán ◽  
...  
Keyword(s):  
Health Care Providers ◽  
Thematic Analysis ◽  
Hpv Vaccine ◽  
Female Adolescents ◽  
Future Research ◽  
Care Providers ◽  
Foreign Born ◽  
Structured Interviews ◽  
Direct Benefits ◽  
Multiethnic Sample

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.

scholarly journals Staying Home, Staying Alive: Campus Food Pantry Student Clients’ Experiences During the COVID-19 Pandemic

2021 ◽  
pp. 193672442110356
Author(s):  
Elmira Jangjou
Keyword(s):  
Coping Strategies ◽  
Thematic Analysis ◽  
Future Research ◽  
Postsecondary Students ◽  
Structured Interviews ◽  
Short Term ◽  
Income Loss ◽  
Food Pantry ◽  
Global Pandemic ◽  
Seeking Help

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.

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