Explaining the Dimensions of Social Support for Breakfast and Healthy Snacks in Students: A Qualitative Study

2019 ◽  
Author(s):  
Fatemeh Bastami ◽  
Arash Ardalan ◽  
Fereshteh Zamani-Alavijeh ◽  
Firoozeh Mostafavi

Abstract Background: breakfast elimination as well as consumption of low-value snacks is ever increasing among adolescents. This study sought to explain the dimensions of social support for breakfast and healthy snacks among students. Methods : A qualitative research was conducted in Isfahan, Tehran, and Khorramabad high schools in 2017--18. Data were obtained from five focus group discussions and 35 in-depth interviews as well as semi-structured interviews with students of both sex, parents and school authorities. The data simultaneously analyzed using conventional content analysis in three stages including preparation, organization, and reporting. Prolonged engagement, maximum variation of sampling and member check were the enrichment factors of the research. Results : Three main categories emerged. First, family supports with sub- categories of family in the school programs as well as mother-sponsored support and family life patterns. Second, school supports with sub- categories of instrumental and informational support. And third, support of other community organizations with sub- categories of intra-department coordination and mass media. Conclusion : By providing exciting advocacy opportunities such as holding an exhibition and building families' confidence in the safety of school nutrition, school can attract family partnerships. In addition, promoting healthy eating needs multi-level supports such as mass media, municipalities, police, and the school's renovation office as well as the coordination of these organizations with health sector.

Author(s):  
Fatemeh Bastami ◽  
Arash Ardalan ◽  
Fereshteh Zamani-Alavijeh ◽  
Firoozeh Mostafavi

AbstractBackgroundbreakfast elimination as well as consumption of low-value snacks is ever increasing among adolescents. This study sought to explain the dimensions of social support for breakfast and healthy snacks among students.MethodsA qualitative research was conducted in Isfahan, Tehran, and Khorramabad, Iran high schools in 2017–18. Data were obtained from five focus group discussions and 35 in-depth interviews as well as semi-structured interviews with students of both sex, parents and school authorities. The data simultaneously analyzed using conventional content analysis in three stages including preparation, organization, and reporting. Prolonged engagement, maximum variation of sampling and member check were the enrichment factors of the research.ResultsThree main categories emerged. First, family supports with sub- categories of family in the school programs as well as mother-sponsored support and family life patterns. Second, school supports with sub- categories of instrumental and informational support. And third, support of other community organizations with sub- categories of intra-department coordination and mass media.ConclusionThe concepts emerging in the present study develop multilevel ecological strategies to promote nutritional health including family, school, and community organizations such as school renovations, municipalities, police, education, and mass media to promote healthy breakfast and snack behavior are applicable for students.


2019 ◽  
Vol 6 (02) ◽  
pp. 77-86
Author(s):  
Anisah Aninditya Rahmaputri ◽  
Dianti Endang Kusumawardhani

Teachers have an important role in educating students well. One way that teachers can do to be able to increase motivation and school engagement is by providing social support to students. This study aims to find out the overview of perceived social support from teachers by high school “X” students in South Tangerang. The research method is descriptive qualitative research with data collection techniques through focus group discussions and structured interviews. The results of data retrieval show that the perceived social support from some teachers by high school "X" students is quite satisfying for students but not from every teachers. This means it can still be improved again. This is because not all teachers are considered good enough at providing social support to students. The total number of teachers are 17 people and for students are 67. It should be able to be improved in communication skills so that they can provide better social support to students. Keywords : Adolescent, School, Social support. Abstrak Guru memiliki peran penting dalam mendidik siswa dengan baik. Salah satu cara yang dapat guru lakukan untuk dapat meningkatkan motivasi serta keaktivan siswa di sekolah adalah dengan memberikan dukungan sosial kepada siswa. Penelitian ini bertujuan untuk mencari tahu gambaran dukungan sosial dari guru yang dirasakan oleh siswa SMA “X” di Tangerang Selatan. Metode penelitian berupa penelitian kualitatif deskriptif dengan teknik pengambilan data melalui focus group discussion dan wawancara terstruktur. Hasil pengambilan data menunjukkan bahwa gambaran dukungan sosial dari guru yang dirasakan oleh siswa SMA “X” cukup memuaskan bagi siswa tetapi masih dapat ditingkatkan lagi. Hal ini dikarenakan belum semua guru dianggap sudah bagus dalam memberikan dukungan sosial kepada siswa. Total guru yang berjumlah 17 orang untuk siswa sebanyak 67 orang seharusnya dapat ditingkatkan dalam kemampuan komunikasi sehingga mampu memberikan dukungan sosial kepada siswa dengan lebih baik lagi.


2021 ◽  
Vol 15 (5) ◽  
pp. 1249-1255
Author(s):  
S. Forootan ◽  
S. Hajebrahimi ◽  
B. Najafi ◽  
A. Janati

Background: The Relative Value Unit (RVU) is a value scale and plays a key role in the physician reimbursement system. The health sector has faced challenges such as providers’ dissatisfaction, income disparities, and reduced service quality which is said to be due to improper RVUs. Always there are debates about it. This study aims to identify the challenges of the RVU experience in Iran from the perspective of the service providers, payers and, policymakers. Methods: This qualitative study was conducted in 2020. Data were collected from November 2019 to February 2020. Thirty experts participated in the study and were categorized into four groups: insurance organizations’ managers, surgeons, health economists, and health policymakers. Focus Group Discussions and semi-structured interviews were held to collect data. Content analysis was conducted to analyze data. Results: According to the expert, the challenges of RVU in Iran are classified into five scopes. Financial, payment, macro-organization, regulation, and persuasion scope. Each scope’s result was categorized into main themes and relevant sub-themes. Conclusions: The RVU has an important impact on the health system, provider behavior, and even patients. Paying attention to required infrastructures, decision- makers’ conflict of interests, decrease the Ministry of Health and Medical Education’s authority, and expanding the active role of involved organizations to increase their commitment to the successful implantation of RVU is necessary. Keywords: Relative Value Unit, Challenge, Expert opinion, Qualitative study, Iran.


2013 ◽  
Vol 33 (2) ◽  
pp. 239-264
Author(s):  
Aleksandras Dobryninas ◽  
Ilona Čėsnienė ◽  
Margarita Dobrynina ◽  
Vincentas Giedraitis ◽  
Remigijus Merkevičius

Santrauka. Siūlomas skaitytojui straipsnis yra tų pačių autorių publikacijos „Apie kriminalinės justicijos suvokimą visuomenėje“ (Dobryninas, A., Dobrynina, M., Česnienė, I., Giedraitis, V., Merkevičius, R. “On Perceptions of Criminal Justice in Society”, Sociologija. Mintis ir veiksmas, 2012/2, p. 222–38) tęsinys. Straipsnyje empiriškai iliustruojama, kaip baudžiamojo teisingumo principai suprantami skirtinguose socialinėse episteminėse grupėse, kokie yra panašumai ir skirtumai tarp šių grupių, kaip vyksta tarpgrupinė komunikacija kriminalinės justicijos klausimais. Analizuojami ir apibendrinami 2012–2014 metais Lietuvoje atliktų kokybinių (tai fokusuotos grupinės diskusijos ir pusiau struktūruoti interviu su Lietuvos kriminalinės justicijos ekspertais, politikais, žurnalistais, visuomenės lyderiais) ir kiekybinių (Lietuvos gyventojų reprezentatyvi apklausa ir Lietuvos masinių medijų turinio analizė) tyrimų rezultatai. Pirmame skyriuje nagrinėjami socialinės normatyvinės kriminalinės justicijos suvokimo ypatumai, antrame – analizuojami poliniai ekonominiai kriminalinės justicijos žinojimo aspektai, trečiame – nagrinėjama, kokią įtaką daro Lietuvos masinės informavimo priemonės kriminalinės justicijos įvaizdžiui visuomenėje. Daromos išvados, kad sutarimas dėl kriminalinės justicijos principų įgyvendinimo tarp įvairių visuomenės grupių įmanomas tik iš dalies. Nors visų poreikiai yra tie patys, t. y. kriminalinės justicijos sistemoje priimami sprendimai turi būti nešališki, objektyvūs, humaniški, lygūs visiems, tačiau nuomonės, kaip tokio sutarimo pasiekti, labai išsiskiria. Tyrimo dalyviai įvardija įvairias priežastis, kurios apsunkina tarpusavio susikalbėjimą: finansinius apribojimus, tarpinstitucinio bendradarbiavimo stoką, partinių ar individualių interesų viršenybę priešpriešiais visuomenės interesų, medijų vaidmenį ir pan. Taip pat siūloma gerinti esamą situaciją organizuojant ir skatinant komunikacinius ryšius bei interesų derinimą tarp įvairių socialinių grupių, panaudojant tiek masinių medijų, tiek kitų socialinių institucinių resursų galimybes. ABSTRACT SPECIFIC CHARACTERISTICS OF THE RECEPTION OF CRIMINAL JUSTICE IN LITHUANIAN SOCIETYAbstract. It is suggested that the reader consider an earlier publication by the same authors with a similar theme: “Perceptions of criminal justice in society” (Dobryninas, A., Dobrynina, M., Česnienė, I., Giedraitis, V., Merkevičius, R. “On Perceptions of Criminal Justice in Society.” Sociologija: Mintis ir veiksmas. 2012. Issue 2. pg. 222–238). This article empirically illustrates how criminal justice principles are used to understand different social groups’ perspectives, what are the similarities and differences between these groups, how the intergroup communications about criminal justice issues form, and so on. The authors analyzed and summarized qualitative data (focus group discussions and semi-structured interviews with Lithuanian criminal justice experts, politicians, journalists, community leaders) and quantitative data (using a Lithuanian representative survey of the population and Lithuanian mass media content analysis), which was collected during 2012–2014. The first chapter is devoted to the social normative perceptions of criminal justice, the second – the economic and political aspects which influenced the understanding of criminal justice in society, and the third chapter – examines the influence of mass media on the Lithuanian Criminal Justice system’s public image. It is concluded that a consensus on the implementation of the principles of criminal justice among different groups is possible only in part. While the needs are the same as the criminal justice system, decisions must be impartial, objective, humane, equal for all, but how to achieve such a consensus of opinions is very divided. The study participants indicated a variety of reasons that impede the achievement of a mutual understanding: financial constraints, lack of inter-institutional cooperation, party or individual interests take precedence over the interests of society, the role of the media and so on. It is also proposed to improve the current situation in the organization and promotion of communication and alignment of interest between different social groups that have to be done in cooperation with the mass media and other governmental and nongovernmental institutions. Key words: criminal justice; professional, political and public discourses, mass media. Pagrindiniai žodžiai: kriminalinė justicija; profesinis, politinis ir viešas diskursai; masinės medijos.


2020 ◽  
pp. 17-26
Author(s):  
Arista Apriani ◽  
M Mufdlilah ◽  
Menik Sri Daryanti

ABSTRAK GDM dapat berpotensi menimbulkan komplikasi serius yang dapat mengakibatkan risiko kesehatan jangka pendek dan jangka panjang bagi ibu dan bayinya. diagnosis GDM menimbulkan efek emosional yang negatif. Persepsi ibu hamil tentang GDM dapat memengaruhi perubahan gaya hidup. Garis pertama penatalaksanaan DMG yaitu dengan perubahan gaya hidup. Tujuan menggali secara mendalam kebutuhan ibu dengan diagnosis diabetes melitus gestasional. Metode penelitian kualitatif dengan pendekatan  fenomenologi. Lokasi di Kabupaten Karanganyar yaitu Puskesmas Jaten I, Puskesmas Matesih dan RSUD Kabupaten Karanganyar, pada bulan Oktober 2019 - Januari 2020. Sampel secara criterion sampling Pengumpulan data dengan semistructure interview dengan one on one interview. Uji Keabsahan Data dengan Credibility pada penelitian ini menggunakan strategi validitas triangulasi, Tranferability, Dependability, Confirmability. Analisis data dengan Interpretative Phenomenological Analysis (IPA). Hasil penelitian kebutuhan ibu hamil dengan DMG teridentifikasi empat tema, yaitu dukungan keluarga dalam hal mengontrol pola makan, mengatarkan periksa ke tenaga kesehatan, dan mengingatkan untuk aktifitas olah raga. Dukungan sosial, yaitu cara mengontrol gula darah. Dukungan tenaga kesehatan, yaitu saran dan motivasi untuk mengontrol gula darah. Informasi mendapat saran atau perawatan DMG dalam kehamilan adalah dari tenaga kesehatan yaitu bidan, dokter, serta selain tenaga kesehatan dari teman dan internet. Kesimpulannya kebutuhan ibu hamil dengan DMG teridentifikasi empat tema, yaitu dukungan keluarga, dukungan sosial, dukungan tenaga kesehatan dan informasi.   Kata kunci: diabetes melitus gestasional, kehamilan, kebutuhan.   ABSTRACT GDM can overcome serious problems that can overcome short-term and long-term health problems for mother and baby. a diagnosis of GDM has a negative emotional effect. Pregnant women 's perception of GDM can affect lifestyle changes. The first line of management of DMG is lifestyle changes. Diagnosis of gestational diabetes mellitus. Qualitative research methods by studying phenomenology. Locations in Karanganyar Regency are Jaten I Health Center, Matesih Health Center and Karanganyar District Public Hospital, in October 2019 - January 2020. Sample sampling criteria Data collection by semi-structured interviews with one-on-one interviews. Data Validity Test with Credibility in this study using the triangulation validity strategy, Transparency, Dependability, Confirmability. Data analysis with Interpretative Phenomenological Analysis (IPA). The results of the study of the needs of pregnant women with DMG identified four themes, namely supporting the family in terms of controlling diet, sending check to health workers, and reminding for sports activities. Social support, which is a way to control blood sugar. Support of Health Workers, namely advice and motivation to control blood sugar. The information obtained from DMG advice or treatment in the assessment is from health workers, namely midwives, doctors, and also health workers from friends and the internet. In conclusion, the needs of pregnant women with DMG identified four themes, namely family support, social support, support of health workers and information.  


2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Daniel Hind ◽  
Kate Allsopp ◽  
Prathiba Chitsabesan ◽  
Paul French

Abstract Background A 2017 terrorist attack in Manchester, UK, affected large numbers of adults and young people. During the response phase (first seven weeks), a multi-sector collaborative co-ordinated a decentralised response. In the subsequent recovery phase they implemented a centralised assertive outreach programme, ‘The Resilience Hub’, to screen and refer those affected. We present a process evaluation conducted after 1 year. Methods Case study, involving a logic modelling approach, aggregate routine data, and semi-structured interviews topic guides based on the Inter-Agency Collaboration Framework and May’s Normalisation Process Theory. Leaders from health, education and voluntary sectors (n = 21) and frontline Resilience Hub workers (n = 6) were sampled for maximum variation or theoretically, then consented and interviewed. Framework analysis of transcripts was undertaken by two researchers. Results Devolved government, a collaborative culture, and existing clinical networks meant that, in the response phase, a collaboration was quickly established between health and education. All but one leader evaluated the response positively, although they were not involved in pre-disaster statutory planning. However, despite overwhelming positive feedback there were clear difficulties. (1) Some voluntary sector colleagues felt that it took some time for them to be involved. (2) Other VCSE organisations were accused of inappropriate, harmful use of early intervention. (3) The health sector were accused of overlooking those below the threshold for clinical treatment. (4) There was a perception that there were barriers to information sharing across organisations, which was particularly evident in relation to attempts to outreach to first responders and other professionals who may have been affected by the incident. (5) Hub workers encountered barriers to referring people who live outside of Greater Manchester. After 1 year of the recovery phase, 877 children and young people and 2375 adults had completed screening via the Resilience Hub, 79% of whom lived outside Greater Manchester. Conclusions The psychosocial response to terrorist attacks and other contingencies should be planned and practiced before the event, including reviews of communications, protocols, data sharing procedures and workforce capacity. Further research is needed to understand how the health and voluntary sectors can best collaborate in the wake of future incidents.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ingrid G. Boelhouwer ◽  
Willemijn Vermeer ◽  
Tinka van Vuuren

Abstract Background The prevalence of the group of workers that had a cancer diagnosis in the past is growing. These workers may still be confronted with late effects of cancer (treatment) possibly affecting their work ability. As little is known about the guidance of this group, the aim of this study was to explore the experiences and ideas of managers and professionals about the guidance of these workers in the case of late effects of cancer (treatment). Given the positive associations with work ability of the job resources autonomy, social support by colleagues and an open organisational culture found in several quantitative studies, these job resources were also discussed. Further ideas about the influences of other factors and points of attention in the guidance of this group of workers were explored. Methods Semi-structured interviews were conducted with managers (n = 11) and professionals (n = 47). Data-collection was from November 2019 to June 2020. The data were coded and analysed using directed content analyses. Results The late effects of cancer or cancer treatment discussed were physical problems, fatigue, cognitive problems, anxiety for cancer recurrence, and a different view of life. The self-employed have less options for guidance but may struggle with late effects affecting work ability in the same way as the salaried. Late effects may affect work ability and various approaches have been described. Autonomy, social support of colleagues and an open organisational culture were regarded as beneficial. It was indicated that interventions need to be tailor-made and created in dialogue with the worker. Conclusions Especially with respect to cognitive problems and fatigue, guidance sometimes turned out to be complicated. In general, the importance of psychological safety to be open about late effects that affect work ability was emphasized. Moreover, it is important to take the perspective of the worker as the starting point and explore the possibilities together with the worker. Autonomy is an important factor in general, and a factor that must always be monitored when adjustments in work are considered. There is a lot of experience, but there are still gaps in knowledge and opportunities for more knowledge sharing.


BMJ Open ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. e037874
Author(s):  
Lisa Hinton ◽  
James Hodgkinson ◽  
Katherine L Tucker ◽  
Linda Rozmovits ◽  
Lucy Chappell ◽  
...  

ObjectiveOne in 20 women are affected by pre-eclampsia, a major cause of maternal and perinatal morbidity, death and premature birth worldwide. Diagnosis is made from monitoring blood pressure (BP) and urine and symptoms at antenatal visits after 20 weeks of pregnancy. There are no randomised data from contemporary trials to guide the efficacy of self-monitoring of BP (SMBP) in pregnancy. We explored the perspectives of maternity staff to understand the context and health system challenges to introducing and implementing SMBP in maternity care, ahead of undertaking a trial.DesignExploratory study using a qualitative approach.SettingEight hospitals, English National Health Service.ParticipantsObstetricians, community and hospital midwives, pharmacists, trainee doctors (n=147).MethodsSemi-structured interviews with site research team members and clinicians, interviews and focus group discussions. Rapid content and thematic analysis undertaken.ResultsThe main themes to emerge around SMBP include (1) different BP changes in pregnancy, (2) reliability and accuracy of BP monitoring, (3) anticipated impact of SMBP on women, (4) anticipated impact of SMBP on the antenatal care system, (5) caution, uncertainty and evidence, (6) concerns over action/inaction and patient safety.ConclusionsThe potential impact of SMBP on maternity services is profound although nuanced. While introducing SMBP does not reduce the responsibility clinicians have for women’s health, it may enhance the responsibilities and agency of pregnant women, and introduces a new set of relationships into maternity care. This is a new space for reconfiguration of roles, mutual expectations and the relationships between and responsibilities of healthcare providers and women.Trial registration numberNCT03334149.


2019 ◽  
Vol 13 ◽  
Author(s):  
Susilo Wibisono ◽  
Winnifred Louis ◽  
Jolanda Jetten

Indonesia has seen recent expansions of fundamentalist movements mobilising members in support a change to the current constitution. Against this background, two studies were conducted. In Study 1, we explored the intersection of religious and national identity among Indonesian Muslims quantitatively, and in Study 2, we qualitatively examined religious and national identification among members of moderate and fundamentalist religious organisations. Specifically, Study 1 (N= 178) assessed whether the association of religious and national identity was moderated by religious fundamentalism. Results showed that strength of religious identification was positively associated with strength of national identification for both those high and low in fundamentalism. Using structured interviews and focus group discussions, Study 2 (N =35) examined the way that self-alignment with religious and national groups develops among activists of religious movements in Indonesia. We found that while more fundamentalist activists attached greater importance to their religious identity than to any other identity (e.g., national and ethnic), more moderate activists represented their religious and national identities as more integrated and compatible. We conclude that for Indonesian Muslims higher in religious fundamentalism, religious and national identities appear to be less integrated and this is consequential for the way in which collective agendas are pursued.


Author(s):  
Katharina Puchmüller ◽  
Iris Fischlmayr

Purpose The purpose of this paper is to evaluate experiences of female international business travellers living in dual-career families (DCFs) who also have childcare obligations. In particular, the paper explores in which way different sources of support – specifically organizational support – are perceived as important and are available to the women under research. Because of the women’s regular absences due to business trips and the fulfilment of their family role, challenges regarding childcare or household responsibilities may occur. Consequently and also according to social support theory, different types of support may be necessary to organize family and international career, and effectively perform in both environments. Design/methodology/approach This paper examines the experiences and thoughts of these women with special regards on support issues. Data are collected from 51 semi-structured interviews with internationally travelling women in DCF situations originating from seven Western and non-Western countries. The interviews are analysed applying template analysis. Findings Results show that, across countries, support is mainly derived from within family. Regarding institutional or organizational support, however, the reported expectations and actually offered activities differ because of local institutional and cultural variations. The examined women value different forms of organizational support, but do not necessarily expect it. Originality/value This paper represents the first exploratory examinations of various forms of support for female international business travellers in DCFs suggested by social support theory. It includes a culturally diverse sample and contributes to cross-cultural career research.


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