scholarly journals Evaluation of a sitting light volleyball intervention: a social-ecological approach

2019 ◽  
Author(s):  
Ka Man Leung ◽  
Pak-Kwong Chung ◽  
William Chu
Keyword(s):  
Qualitative Study ◽  
Ecological Model ◽  
Self Regulation ◽  
Community Setting ◽  
Well Being ◽  
Organizational Level ◽  
Structured Interviews ◽  
Intervention Programme ◽  
Social Ecological ◽  
The Government

Abstract Background This study was part of a 15-week sitting light volleyball (SLVB) intervention programme which examined the effectiveness of the intervention on physical and psychological attributes of people with physical disabilities (PWPD) in Hong Kong. Gaining an in-depth understanding of the perceptions and experiences of PWPD in the SLVB intervention is critical to further develop SLVB as a PA intervention and sport. This qualitative study explored and examined the association between the SLVB intervention elements and outcomes. Methods Using a social–ecological model (SEM), the participants’ experiences regarding the intervention were assessed and the suitability and feasibility of the SLVB intervention elements were examined. Twenty participants (mean age = 53.52 years standard deviation (SD = 9.02), 60% female participants; 25% had at least a college degree) attended our semi-structured interviews. Results Using thematic analysis, their experiences at the individual or intrapersonal level (improved health and well-being, enjoyment, novelty, competence autonomy, and self-regulation when playing SLVB); relationship or interpersonal levels (teamwork, social support, socialization, and communication); perceived environment level (comfort, privacy, spaciousness, and accessibility concerns); community or organizational level (safety, dissemination of information, and community facilities); and policy level (resources allocation by the government) were obtained. The participants also commented on the suitability of the SLVB intervention for PWPD, contents and coaching, modified rules, duration of session and scheduling, and number of participants and coaches. Conclusion This qualitative study identified several primary drivers and barriers for engaging PWPD in SLVB, and demonstrated that adopting a multilevel approach to our SLVB intervention has positive outcomes. Our results can facilitate the development of the experiential aspects of SLVB and indicate the suitability and feasibility of organizing SLVB-related activities in a community setting in the future.

scholarly journals Evaluation of a sitting light volleyball intervention to adults with physical disabilities: Qualitative study using social–ecological approach

2020 ◽  
Author(s):  
Ka Man Leung ◽  
Pak-Kwong Chung ◽  
William Chu
Keyword(s):  
Qualitative Study ◽  
Psychological Health ◽  
Ecological Model ◽  
Physical Disabilities ◽  
Structured Interviews ◽  
Intervention Programme ◽  
Social Ecological ◽  
Physical And Psychological Health ◽  
The Government ◽  
Community Facilities

Abstract Background: This study was part of a 15-week sitting light volleyball (SLVB) intervention programme which examined the effectiveness of the intervention on physical and psychological attributes of adults with physical disabilities (PWPD) in Hong Kong. SLVB was a new sport, combing Paralympic volleyball and light volleyball. Gaining an in-depth understanding of the perceptions and experiences of PWPD in the SLVB intervention is critical to further develop SLVB as a PA intervention and sport. Using a social–ecological model (SEM), (a) the participants’ experiences regarding the intervention were assessed and (b) the suitability and feasibility of the SLVB intervention to PWPD were qualitatively examined. Methods: Twenty participants (mean age = 53.52 years standard deviation (SD = 9.02), 60% female participants; 25% had at least a college degree) attended our semi-structured interviews. Results: Using content analysis, their experiences at the individual or intrapersonal level (physical and psychological health, enjoyment, novelty, competence autonomy); interpersonal levels (socialization, teamwork, social support); organizational and community levels (perceived sport venue environment, venue accessibility, safety, dissemination of information, and community facilities); and policy level (resources allocation by the government) were obtained. The participants also commented on the suitability and feasibility of the SLVB intervention for PWPD, contents and coaching, modified rules, duration of session and scheduling, and number of participants and coaches. Conclusion: This qualitative study identified several themes for engaging PWPD in SLVB, and demonstrated that adopting a multilevel approach to intervention in SLVB has positive outcomes to participants. In general, SLVB is suitable and feasible to PWPD. The study contributes to an in-depth understanding of the experiences among PWPD in the SLVB intervention, which is very critical to the further development of SLVB in terms of a PA intervention and sport.

scholarly journals Protective and Risk Factors of Italian Healthcare Professionals during the COVID-19 Pandemic Outbreak: A Qualitative Study

2021 ◽  
Vol 18 (2) ◽  
pp. 453
Author(s):  
Amalia De Leo ◽  
Eloisa Cianci ◽  
Paolo Mastore ◽  
Caterina Gozzoli
Keyword(s):  
Risk Factors ◽  
Qualitative Study ◽  
Extrinsic Motivation ◽  
Healthcare Professionals ◽  
Well Being ◽  
Organizational Level ◽  
Emotional Impact ◽  
Snowball Sampling ◽  
Structured Interviews ◽  
Interpersonal Level

The COVID-19 pandemic put the Italian health system under great stress. The sudden reorganization of work practices and the emotional impact of the large number of the victims had many consequences on the well-being of the healthcare professionals (HCPs) involved in managing the crisis. In the available literature, most studies have focused on the risk aspects while only few studies also take into account protective factors. For this reason, it was decided to conduct, within psycho-sociological perspective, a qualitative study with the aim to explore in depth the protective and risk factors as experienced by HCPs who worked in the Italian healthcare system during the COVID-19 outbreak. A total of 19 semi-structured interviews were conducted with HCPs–9 nurses and 10 physicians (7M and 12F) with an average age of 43 (SD = 13.4)–selected using snowball sampling. Considering three different levels of analysis the results highlight the protective and risk factors: personal history level (intrinsic/ethical motivation and flexible role versus extrinsic motivation and static role), interpersonal level (perception of supportive relationships with colleagues, patients, and family versus bad relationships), and organizational level (good leadership and sustainable work purpose versus absence of support from management and undefined or confused tasks).

scholarly journals When COVID-19 Enters in a Community Setting: An Exploratory Qualitative Study of Community Perspectives on COVID-19 Affecting Mental Well-Being

2020 ◽  
Author(s):  
Naureen Akber Ali ◽  
Anam Shahil Feroz ◽  
Noshaba Ali ◽  
Ridah Feroz ◽  
Salima Nazim Meghani ◽  
...  
Keyword(s):  
Mental Health ◽  
Qualitative Study ◽  
Community Setting ◽  
Well Being ◽  
Coping Mechanisms ◽  
Community Members ◽  
The Government ◽  
Mental Well Being ◽  
Depth Interviews ◽  
Anxiety And Fear

Abstract Background: The COVID-19 pandemic has certainly resulted in an increased level of anxiety and fear among the general population related to its management and infection spread. Due to the current unprecedented situation the normal routine life of every individual has been hindered which may cause florid mental distress. Considering the relevance of present circumstances we explored perceptions and attitudes of community members towards COVID-19 pandemic and its impact on their mental well-being. Methods: We conducted an exploratory qualitative study using a purposive sampling approach, at two communities of Karachi, Pakistan. In-depth interviews were conducted with community members including, young adults, middle-age adults, and older adults of both genders. Study data was analyzed manually using the conventional content analysis technique. Results: A total of 27 in-depth interviews were conducted, between May and June, 2020. Three overarching themes were identified: (I) Impact of COVID-19 on mental health of the general communities; (II) Current coping mechanisms to adapt to the new reality; and (III) Recommendations to address mental health of communities. Generally community members underwent increased anxiety and fear due to the contagious nature of the virus. Alongside, social, financial and religious repercussions of the pandemic have also heightened psychological distress among community members. However, community members were able to point out some of the coping mechanisms such as getting closer to God, connecting with family, participating in mental health sessions and resetting lives by indulging in diverse activities. Simultaneously, they also recommended the need of remote mental health services for elders and continuous efforts by the government to address mental health needs of the community at larger scale.Conclusion: COVID-19-associated mental health consequences have hit every individual in the society. The study finding has the potentialto guide the development of context-specific innovative mental health programs to overcome the pandemic repercussions.

Advocating for Transgender and Non-Binary Affirmative Spaces in Graduate Education

2020 ◽  
Author(s):  
Douglas Knutson ◽  
Em Matsuno ◽  
Chloe Goldbach ◽  
Halleh Hashtpari ◽  
Nathan Grant Smith
Keyword(s):  
Graduate Students ◽  
Graduate Education ◽  
Undergraduate Students ◽  
Ecological Model ◽  
Well Being ◽  
Educational Success ◽  
Post Secondary Education ◽  
Identity Exploration ◽  
Post Secondary ◽  
Social Ecological

Nearly 50% of graduate students report experiencing emotional or psychological distress during their enrollment in graduate school. Levels of distress are particularly high for transgender and non-binary graduate students who experience daily discrimination and marginalization. Universities and colleges have yet to address and accommodate the needs and experiences of transgender and non-binary graduate students. Given the multitude of challenges these students may face, educational settings should not present additional barriers to educational success and well-being. In an effort to improve graduate education for transgender and non-binary students, we add to the existing scholarship on affirming work with transgender undergraduate students by addressing the unique concerns of graduate students. We utilize a social-ecological model to identify sources of discrimination in post-secondary education and to provide transgender- and non-binary-affirming recommendations at structural, interpersonal, and individual levels. For practitioners who wish to do personal work, we provide guidance for multicultural identity exploration. A table of recommendations and discussion of ways to implement our recommendations are provided.

scholarly journals Period poverty in rural Uganda; an exploration of the challenges and the need for intervention

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
C Kennedy ◽  
J Severe
Keyword(s):  
Community Setting ◽  
Female Education ◽  
Structured Interviews ◽  
Intervention Programme ◽  
Cross Sectional ◽  
School Year ◽  
Main Challenge ◽  
The Common ◽  
Women And Girls ◽  
Academic Year

Abstract Background Period poverty refers to a lack of access to safe means of managing menstruation. It affects the education, health and dignity of millions of women and girls globally. This study aims to identify the barriers facing menstruating girls in rural Uganda, investigate the effects of period poverty in this demographic and assess the need to implement a programme to tackle challenges identified. Methods A qualitative study was undertaken in a community setting. 42 Participants were selected in Bududa, Uganda using convenience sampling. School-age girls supported by The Shelo Foundation (charity no.1155142) who had begun menstruating and adults in positions of responsibility in the community were interviewed to gain a cross sectional understanding of the questions posed. Data was collected prospectively in semi-structured interviews over a four-week period in July 2013. Questions focused on access to essential hygiene materials, challenges faced when menstruating (with a focus on accessing education) and possible solutions to the barriers reported. Interview transcripts were analysed; the common concepts were identified, and conclusions drawn from the results. Results Inability to access sanitation products, due to financial poverty and local availability, was the main challenge highlighted throughout the analysis of the interview transcripts. The other common themes included lack of suitable hygiene facilities, absence of education on menstruation and the vulnerability of menstruating girls to abuse and stigma. Analysis found that on average girls were missing three days of school a month due to their periods, equalling 18% of the academic year. Conclusions Period poverty disadvantages school-aged females in Bududa, Uganda. Financial poverty, lack of education and stigma contribute to period poverty. An intervention programme including accessible sanitation products and education is recommended to tackle this gender inequality for girls in this population. Key messages A lack of sanitation products, subpar education and stigma contribute to period poverty in Uganda and negatively impact female education with menstruating students missing up to 18% of a school year. An intervention programme incorporating access to sanitation products alongside education is recommended to tackle period poverty in this population and improve women’s health and female education.

scholarly journals Higher education as a space for promoting the psychosocial well-being of refugee students

2018 ◽  
Vol 78 (1) ◽  
pp. 51-66 ◽  
Author(s):  
Odette Jack ◽  
Elaine Chase ◽  
Ian Warwick
Keyword(s):  
Ecological Model ◽  
Well Being ◽  
Social Ecological Model ◽  
Support Needs ◽  
Refugee Students ◽  
Social Ecological ◽  
The Social ◽  
Health Promoting ◽  
Health Promoting University ◽  
Health And Well Being

Objective: This study aimed to investigate how well a single higher education institution (HEI) was perceived to be meeting the psychosocial support needs of refugee students and to identify possible ways in which the HEI might better promote refugee students’ psychosocial well-being. Design: Adopting an exploratory, focused case study design, the research employed a qualitative interpretive approach utilising three data collection methods: narrative inquiry, Photovoice and key informant interviews. The social ecological model and the health-promoting university approach guided the enquiry and analysis. Setting: A single HEI in London, UK. Results: Refugee student-participants reported stressful and traumatic experiences at different points in their migratory experience. Participants were motivated by being involved in education but identified barriers to seeking institutional support to improve their health and well-being. Student-participants and staff identified ways in which support for refugee student well-being could be improved. Conclusion: Refugee students were found to have specific health and well-being support needs which were not met due to a range of organisational constraints. The social ecological model and the health-promoting university offer frameworks for HEIs to respond better to the diverse health and well-being needs of students.

scholarly journals In-depth examination of issues surrounding the reasons for child marriage in Kelantan, Malaysia: a qualitative study

BMJ Open ◽  
2019 ◽  
Vol 9 (9) ◽  
pp. e027377 ◽  
Author(s):  
Ayako Kohno ◽  
Maznah Dahlui ◽  
Nik Daliana Nik Farid ◽  
Siti Hawa Ali ◽  
Takeo Nakayama
Keyword(s):  
Qualitative Study ◽  
Ecological Model ◽  
Social Ecological Model ◽  
Reproductive Age ◽  
Community Leader ◽  
Health Clinic ◽  
Child Marriage ◽  
Negative Consequences ◽  
Key Informants ◽  
Social Ecological

ObjectiveTo examine individual, familial, community and societal issues surrounding the reasons for child marriage in Kelantan, Malaysia.DesignQualitative study by means of semistructured interviews with women and key informants, using social-ecological model as a conceptual framework.SettingInterviews were conducted in Kota Bharu district, Kelantan, a northeast state in Peninsular Malaysia.ParticipantsEighteen women of reproductive age (18 to 44 years old) that experienced their first marriage below the age of 18, as well as five key informants, consisting of a government officer, a community leader, an officer from religious department and two mothers. The women were recruited from a reproductive health clinic. The key informants who had specialised knowledge related to child marriage were selectively chosen.ResultsThree themes emerged that aligned with the social-ecological model: immaturity in decision-making, family poverty and religious and cultural norms.ConclusionsThe findings imply that sex education and awareness-building activities regarding the consequences of child marriage must be implemented to eradicate child marriage in Malaysia. Such implementation must be coordinated as a team-based approach involving experts in such fields as law, religion, psychology, social-welfare and public health. In order to increase the awareness of child marriage consequences, the target for awareness must extend not only to the adolescent girls and their families, but also to the community and society at large by clearly communicating the negative consequences of and addressing the drivers for child marriage.

scholarly journals The impact of sleep disturbances on care home residents with dementia: the SIESTA qualitative study

2020 ◽  
Vol 32 (7) ◽  
pp. 839-847
Author(s):  
Lucy Webster ◽  
Kingsley Powell ◽  
Sergi G. Costafreda ◽  
Gill Livingston
Keyword(s):  
Qualitative Study ◽  
Sleep Disturbance ◽  
Sleep Disturbances ◽  
Care Home ◽  
Well Being ◽  
Structured Interviews ◽  
Topic Guide ◽  
Disturbed Sleep ◽  
Risk Of Falls ◽  
The Impact

ABSTRACTObjectives:Nearly 40% of care home residents who are living with dementia also have symptoms of disturbed sleep. However, the impact of these disturbances is relatively unknown and is needed to indicate whether interventions are warranted; therefore, we aimed to investigate the impact.Design:One-to-one semi-structured interviews.Settings:Four UK care homes.Participants:We interviewed 18 nurses and care assistants about residents with sleep disturbances.Measurements:We used a topic guide to explore staff experience of sleep disturbance in residents with dementia. The interviews were audio recorded and transcribed and then analyzed thematically by two researchers independently.Results:Staff described that sleep disturbances in most, but not all, residents impacted negatively on the resident, other residents, staff, and relatives. Residents became more irritable or agitated if they had slept badly. They slept in the daytime after a bad night, which then increased their chances of being awake the following night. For some, being sleepy in the day led to falls, missing medication, drinks, and meals. Staff perceived hypnotics as having low efficacy, but increasing the risk of falls and drowsiness. Other residents were disturbed by noise, and staff described stress when several residents had sleep disturbance. Some of the strategies reported by staff to deal with sleep disturbances such as feeding or providing caffeinated tea at night might be counterproductive.Conclusions:Sleep disturbances in care home residents living with dementia negatively affect their physical and psychological well-being. These disturbances also disturb other residents and increase stress in staff.

scholarly journals Positive health as a new concept for physiotherapy in the Netherlands?

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
C M A De Bot ◽  
C Boemaars ◽  
J A J Dierx
Keyword(s):  
Multidisciplinary Approach ◽  
Self Regulation ◽  
Well Being ◽  
Structured Interviews ◽  
Positive Health ◽  
Alternative Approach ◽  
Dutch Association ◽  
Dutch Health ◽  
Professional Profile ◽  
Definition Of

Abstract Background The current WHO definition of health seems to no longer meet the changes in the current Dutch health system. An alternative approach which puts emphasis on health, not disease, is Positive Health. This focus shifts the emphasis on improving resilience and well-being rather than the perspective on what is lacking in health. In 2014, this new definition of Positive health was included in the professional profile ’physiotherapist’ of the Royal Dutch Association for Physiotherapy. This study examines the attitude of physiotherapists to Positive Health and to what extent they experience this concept in their current working practice. Methods A mixed method study was used, with a quantitative and qualitative method. A survey was completed by 276 physiotherapists and 7 semi-structured interviews were conducted among physiotherapists. Results Positive health was considered positive by 68% of the physiotherapists that health is seen as a dynamic concept rather than static, and 60.5% consider it important that the emphasis is on self-regulation. However, physiotherapists wonder if all patients have the ability to self-manage skills. The qualitative analysis shows that all therapists find the new definition positive and that it covers all aspects of health. Conclusions In general, physiotherapists are positive about the definition of positive health. Positive health can help physiotherapists in their work with clients and other professionals because of the multidisciplinary approach. Key messages Positive health can help physiotherapists to promote health in their clients. Positive health can stimulate cooperation between physiotherapists and client to increase self-management.

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