scholarly journals Health, Wellness, and Place Attachment During and Post Health Pandemics

2020 ◽  
Vol 11 ◽  
Author(s):  
Salman Majeed ◽  
Haywantee Ramkissoon
Keyword(s):  
Place Attachment ◽  
Future Research ◽  
Health And Wellness ◽  
Inclusion Criteria ◽  
Measurement Scales ◽  
Therapeutic Landscapes ◽  
Tourist Behavior ◽  
Wellness Tourism ◽  
Different Dimensions ◽  
Tourism Destinations

Therapeutic landscapes encapsulate healing and recovery notions in natural and built environmental settings. Tourists’ perceptions determine their decision making of health and wellness tourism consumption. Researchers struggle with the conceptualization of the term ‘therapeutic landscapes’ across disciplines. Drawing on extant literature searched in nine databases, this scoping review identifies different dimensions of therapeutic landscapes. Out of identified 178 literature sources, 124 met the inclusion criteria of identified keywords. We review the contribution and the potential of environmental psychology in understanding tourist behavior to promote health and wellness tourism destinations in a post COVID-19 context. We develop and propose a conceptual framework comprising: (1) perceived goodness of therapeutic landscapes, (2) health and wellness consumption, (3) COVID-19 pandemic perceived health and wellness risk, (4) place attachment, and (5) re-visitation. We propose measurement scales and discuss implications and major issues in the immediate and post the COVID-19 pandemic to inform future research.

scholarly journals Medical, Health and Wellness Tourism Research—A Review of the Literature (1970–2020) and Research Agenda

2021 ◽  
Vol 18 (20) ◽  
pp. 10875
Author(s):  
Lina Zhong ◽  
Baolin Deng ◽  
Alastair M. Morrison ◽  
J. Andres Coca-Stefaniak ◽  
Liyu Yang
Keyword(s):  
Research Agenda ◽  
Travel Medicine ◽  
Future Research ◽  
Health And Wellness ◽  
Future Research Agenda ◽  
Research Themes ◽  
Wellness Tourism ◽  
Medical Health ◽  
And Behavior

Medical, health and wellness tourism and travel represent a dynamic and rapidly growing multi-disciplinary economic activity and field of knowledge. This research responds to earlier calls to integrate research on travel medicine and tourism. It critically reviews the literature published on these topics over a 50-year period (1970 to 2020) using CiteSpace software. Some 802 articles were gathered and analyzed from major databases including the Web of Science and Scopus. Markets (demand and behavior), destinations (development and promotion), and development environments (policies and impacts) emerged as the main three research themes in medical-health-wellness tourism. Medical-health-wellness tourism will integrate with other care sectors and become more embedded in policy-making related to sustainable development, especially with regards to quality of life initiatives. A future research agenda for medical-health-tourism is discussed.

Hiking as a relevant wellness activity - results of an exploratory study of hiking tourists in Portugal applied to a rural tourism project

2010 ◽  
Vol 16 (4) ◽  
pp. 331-343 ◽  
Author(s):  
Áurea Rodrigues ◽  
Elisabeth Kastenholz ◽  
Apolónia Rodrigues
Keyword(s):  
Well Being ◽  
The Body ◽  
Rural Tourism ◽  
Health And Wellness ◽  
Tourism Marketing ◽  
Tourism Product ◽  
Wellness Tourism ◽  
Tourism Activity ◽  
Tourism Destinations ◽  
The Mind

New forms of tourism are gaining ground throughout the world. Nowadays, successful tourism destinations must offer variety and new tourism products, addressing special interest niches. One increasingly popular tourism product is health and wellness tourism. The wellness concept typically integrates physical activity combined with relaxation of the mind and intellectual stimulus, enhancing well-being through a balance of the body, mind and spirit. Promoting well-being is a relevant motive of most tourists and should be regarded in any tourism marketing strategy. Hiking is an appropriate activity to integrate in a wellness tourism context, being since long a strategically developed recreational and tourism activity in many European countries. In the present study we show the results of an exploratory survey of hikers in Portugal and discuss possible implications on planning and management of rural tourism destinations, with emphasis on the creation of integrated wellness products. Results were used for developing a more holistic tourism offer within the European Network of Village Tourism.

scholarly journals Analysis on Tourists’ Preferences for Rural Tourism Destinations in Romania

Societies ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. 92
Author(s):  
Andra Poruțiu ◽  
Olivia Paula Tirpe ◽  
Camelia Oroian ◽  
Valentin C. Mihai ◽  
Gabriela O. Chiciudean ◽  
...  
Keyword(s):  
Rural Areas ◽  
Statistical Tests ◽  
Marketing Strategies ◽  
Rural Tourism ◽  
Future Research ◽  
Tourism Demand ◽  
Tourism Destination ◽  
Tourist Behavior ◽  
Adventure Tourism ◽  
Tourism Destinations

Consumer behavior plays an important role in establishing the marketing strategies of a tourism destination. Analysis of traveling motivation offers valuable information regarding the characteristics and trends of tourism demand. In this context, the aim of this paper is to determine tourists’ preferences regarding rural tourism destinations. To achieve the purpose of the paper, a survey was conducted among tourists from rural areas of Cluj County. The data were analyzed using descriptive statistics and statistical tests were applied to determine if there were any significant differences among different groups. The results revealed that the respondents prefer to travel in small groups, especially during summer. They are concerned about the security and safety of the destination, and the price also plays an important role in choosing a tourism destination. Cultural attractions and adventure tourism possibilities are more appreciated by younger respondents. Future research should focus on post-pandemic tourist behavior and new tourist products should be developed to fulfill tourists’ expectations.

scholarly journals Driving Factors of the Health and Wellness Tourism Industry: A Sharing Economy Perspective Evidence from KPK Pakistan

2021 ◽  
Vol 13 (23) ◽  
pp. 13344
Author(s):  
Nadeem Ullah ◽  
Shagufta Zada ◽  
Muhammad Amir Siddique ◽  
Yike Hu ◽  
Heesup Han ◽  
...  
Keyword(s):  
Sharing Economy ◽  
Entropy Method ◽  
Tourism Industry ◽  
Driving Factors ◽  
Future Research ◽  
Driving Mechanism ◽  
Market Demand ◽  
Health And Wellness ◽  
Emerging Industries ◽  
Wellness Tourism

In the recent years, the health and wellness tourism industry has become one of the new emerging industries in Pakistan. In terms of the sharing economy, the driving mechanism of the health and wellness tourism industry has undergone significant changes. Based on a combination of theoretical and practical research, the paper explores the dynamic system and mechanism of innovation development of health and wellness in the tourism industry in Pakistan. Firstly, it theoretically constructs the driving factors in four aspects, which include market demand, industrial supply, infrastructure, and external environment. Secondly, taking Khyber Pakhtunkhwa province (KPK) as an example, it uses the entropy method and Grey relational analysis to test the driving factors system. The empirical results show that four aspects jointly influence the innovation of the health and wellness tourism industry in Pakistan. Finally, this study discusses several practical implications for the development of the health and wellness tourism industry of KPK for academics, policymakers, business owners, and scholars, with recommendations for future research.

scholarly journals Dietary Supplementation for Para-Athletes: A Systematic Review

Nutrients ◽  
2021 ◽  
Vol 13 (6) ◽  
pp. 2016
Author(s):  
Keely A. Shaw ◽  
Gordon A. Zello ◽  
Brian Bandy ◽  
Jongbum Ko ◽  
Leandy Bertrand ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Dietary Supplements ◽  
Sports Medicine ◽  
Spinal Cord Injuries ◽  
Sport Performance ◽  
Future Research ◽  
Inclusion Criteria ◽  
Supplement Use ◽  
Sport Supplements ◽  
Cord Injury

The use of dietary supplements is high among athletes and non-athletes alike, as well as able-bodied individuals and those with impairments. However, evidence is lacking in the use of dietary supplements for sport performance in a para-athlete population (e.g., those training for the Paralympics or similar competition). Our objective was to examine the literature regarding evidence for various sport supplements in a para-athlete population. A comprehensive literature search was conducted using PubMed, SPORTDiscus, MedLine, and Rehabilitation and Sports Medicine Source. Fifteen studies met our inclusion criteria and were included in our review. Seven varieties of supplements were investigated in the studies reviewed, including caffeine, creatine, buffering agents, fish oil, leucine, and vitamin D. The evidence for each of these supplements remains inconclusive, with varying results between studies. Limitations of research in this area include the heterogeneity of the subjects within the population regarding functionality and impairment. Very few studies included individuals with impairments other than spinal cord injury. Overall, more research is needed to strengthen the evidence for or against supplement use in para-athletes. Future research is also recommended on performance in para-athlete populations with classifiable impairments other than spinal cord injuries.

scholarly journals Children’s outdoor active mobility behaviour and neighbourhood safety: a systematic review in measurement methods and future research directions

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Roula Zougheibe ◽  
Jianhong (Cecilia) Xia ◽  
Ashraf Dewan ◽  
Ori Gudes ◽  
Richard Norman
Keyword(s):  
Three Dimensional ◽  
Measurement Methods ◽  
Future Research ◽  
Inclusion Criteria ◽  
Eligibility Criteria ◽  
Research Directions ◽  
Spatial Locality ◽  
Mobility Behaviour ◽  
Health Studies ◽  
Future Research Directions

Abstract Background Numerous studies have examined the association between safety and primary school-aged children’s forms of active mobility. However, variations in studies’ measurement methods and the elements addressed have contributed to inconsistencies in research outcomes, which may be forming a barrier to advancing researchers’ knowledge about this field. To assess where current research stands, we have synthesised the methodological measures in studies that examined the effects of neighbourhood safety exposure (perceived and measured) on children’s outdoor active mobility behaviour and used this analysis to propose future research directions. Method A systematic search of the literature in six electronic databases was conducted using pre-defined eligibility criteria and was concluded in July 2020. Two reviewers screened the literature abstracts to determine the studies’ inclusion, and two reviewers independently conducted a methodological quality assessment to rate the included studies. Results Twenty-five peer-reviewed studies met the inclusion criteria. Active mobility behaviour and health characteristics were measured objectively in 12 out of the 25 studies and were reported in another 13 studies. Twenty-one studies overlooked spatiotemporal dimensions in their analyses and outputs. Delineations of children’s neighbourhoods varied within 10 studies’ objective measures, and the 15 studies that opted for subjective measures. Safety perceptions obtained in 22 studies were mostly static and primarily collected via parents, and dissimilarities in actual safety measurement methods were present in 6 studies. The identified schematic constraints in studies’ measurement methods assisted in outlining a three-dimensional relationship between ‘what’ (determinants), ‘where’ (spatial) and ‘when’ (time) within a methodological conceptual framework. Conclusions The absence of standardised measurement methods among relevant studies may have led to the current diversity in findings regarding active mobility, spatial (locality) and temporal (time) characteristics, the neighbourhood, and the representation of safety. Ignorance of the existing gaps and heterogeneity in measures may impact the reliability of evidence and poses a limitation when synthesising findings, which could result in serious biases for policymakers. Given the increasing interest in children’s health studies, we suggested alternatives in the design and method of measures that may guide future evidence-based research for policymakers who aim to improve children’s active mobility and safety.

scholarly journals Manual Therapy in Cervical and Lumbar Radiculopathy: A Systematic Review of the Literature

2021 ◽  
Vol 18 (11) ◽  
pp. 6176
Author(s):  
Tomasz Kuligowski ◽  
Anna Skrzek ◽  
Błażej Cieślik
Keyword(s):  
Manual Therapy ◽  
Functional Outcomes ◽  
Web Of Science ◽  
Current Knowledge ◽  
Controlled Trial ◽  
Future Research ◽  
Lumbar Radiculopathy ◽  
Inclusion Criteria ◽  
Randomized Controlled ◽  
The Mean

The aim of this study was to describe and update current knowledge of manual therapy accuracy in treating cervical and lumbar radiculopathy, to identify the limitations in current studies, and to suggest areas for future research. The study was conducted according to PRISMA guidelines for systematic reviews. A comprehensive literature review was conducted using PubMed and Web of Science databases up to April 2020. The following inclusion criteria were used: (1) presence of radiculopathy; (2) treatment defined as manual therapy (i.e., traction, manipulation, mobilization); and (3) publication defined as a Randomized Controlled Trial. The electronic literature search resulted in 473 potentially relevant articles. Finally, 27 articles were accepted: 21 on cervical (CR) and 6 in lumbar radiculopathy (LR). The mean PEDro score for CR was 6.6 (SD 1.3), and for LR 6.7 (SD 1.6). Traction-oriented techniques are the most frequently chosen treatment form for CR and are efficient in reducing pain and improving functional outcomes. In LR, each of the included publications used a different form of manual therapy, which makes it challenging to summarize knowledge in this group. Of included publications, 93% were either of moderate or low quality, which indicates that quality improvement is necessary for this type of research.

scholarly journals Understanding Preferences for Coastal Climate Change Adaptation: A Systematic Literature Review

2021 ◽  
Vol 13 (15) ◽  
pp. 8594
Author(s):  
Angela Mallette ◽  
Timothy F. Smith ◽  
Carmen Elrick-Barr ◽  
Jessica Blythe ◽  
Ryan Plummer
Keyword(s):  
Literature Review ◽  
Systematic Literature Review ◽  
Place Attachment ◽  
Private Property ◽  
Public Support ◽  
Inclusion Criteria ◽  
Policy Makers ◽  
Coastal Adaptation ◽  
Significant Research ◽  
Response Policy

Lack of public support for coastal adaptation can present significant barriers for implementation. In response, policy makers and academics are seeking strategies to build public support for coastal adaptation, which requires a deeper understanding of peoples’ preferences for coastal adaptation and what motives those preferences. Here, we conduct a systematic literature review to understand preferences for coastal adaptation options and the factors influencing these preferences. Ninety peer-reviewed publications meet the inclusion criteria. The findings revealed that hard protection options were often the most frequently preferred, likely due to a desire to maintain current shoreline, for the protection of recreational spaces and private property, and a perceived effectiveness of hard protection options. Soft protection, including nature-based approaches, accommodation, and no action were the next most preferred options. Finally, retreat options were the least preferred, often due to strong place attachment. We identify twenty-eight factors that could influence preferences, with risk perception, place attachment, and financial considerations occurring most frequently in the literature. In the conclusion, we outline the most significant research gaps identified from our analysis and discuss the implication for adaptation research and practice.

scholarly journals Does the model of additive effect in placebo research still hold true? A narrative review

JRSM Open ◽  
2017 ◽  
Vol 8 (3) ◽  
pp. 205427041668143 ◽  
Author(s):  
Katja Boehm ◽  
Bettina Berger ◽  
Ulrich Weger ◽  
Peter Heusser
Keyword(s):  
Context Effects ◽  
Experimental Studies ◽  
Additive Model ◽  
Drug Effects ◽  
Future Research ◽  
Inclusion Criteria ◽  
Integrative Study ◽  
Additive Relation ◽  
Specific Factors ◽  
Study Designs

Personalised and contextualised care has been turned into a major demand by people involved in healthcare suggesting to move toward person-centred medicine. The assessment of person-centred medicine can be most effectively achieved if treatments are investigated using ‘with versus without’ person-centredness or integrative study designs. However, this assumes that the components of an integrative or person-centred intervention have an additive relationship to produce the total effect. Beecher’s model of additivity assumes an additive relation between placebo and drug effects and is thus presenting an arithmetic summation. So far, no review has been carried out assessing the validity of the additive model, which is to be questioned and more closely investigated in this review. Initial searches for primary studies were undertaken in July 2016 using Pubmed and Google Scholar. In order to find matching publications of similar magnitude for the comparison part of this review, corresponding matches for all included reviews were sought. A total of 22 reviews and 3 clinical and experimental studies fulfilled the inclusion criteria. The results pointed to the following factors actively questioning the additive model: interactions of various effects, trial design, conditioning, context effects and factors, neurobiological factors, mechanism of action, statistical factors, intervention-specific factors (alcohol, caffeine), side-effects and type of intervention. All but one of the closely assessed publications was questioning the additive model. A closer examination of study design is necessary. An attempt in a more systematic approach geared towards solutions could be a suggestion for future research in this field.

Osteopathic manipulative treatment and the Spanish flu: a historical literature review

2021 ◽  
Vol 121 (2) ◽  
pp. 181-190
Author(s):  
Francesca Baroni ◽  
Damiana Mancini ◽  
Silvia Clara Tuscano ◽  
Simone Scarlata ◽  
Christian Lunghi ◽  
...  
Keyword(s):  
Healthy Lifestyle ◽  
Influenza Pandemic ◽  
Future Research ◽  
Osteopathic Manipulative Treatment ◽  
Inclusion Criteria ◽  
Medical Subject Headings ◽  
National Library ◽  
Hand Search ◽  
Spanish Flu ◽  
Osteopathic Physicians

Abstract Context The Spanish flu pandemic of 1918 was approached with a variety of management techniques available at that time, including osteopathic care in addition to standard medical care. Objective To analyze the osteopathic manipulative treatment (OMT) techniques used for the management of patients affected by the Spanish flu according to four themes: the principles and procedures used, frequency and length of OMT, reported side effects, and advice for patients. Methods A structured review of the literature was performed by hand-searching texts at the Museum of Osteopathic Medicine International Center for Osteopathic History in Kirksville, Missouri, and online via PubMed (National Library of Medicine), ScienceDirect (Elsevier), and Google Scholar (Google, Inc). The literature search was carried out between February and March 2020. Three keywords were selected from the medical subject headings database of the National Library of Medicine: manipulation, osteopathic; influenza pandemic, 1918–1919; epidemics. Articles were then reviewed for relevance by screening for articles published between 1900 and 1940 that contained at least 1 of the following keywords in their title: Spanish influenza, flu, epidemic, grippe, pneumonia, or osteopathic management/treatment. All articles that provided information about OMT and advice met the inclusion criteria. Articles that did not report descriptions of manipulative intervention were excluded. Results Our search yielded 63 articles: 23 from the hand-search and 40 from the electronic search. No electronic source was selected for the review because none met inclusion criteria. A total of 16 articles from the hand-searched set met inclusion criteria and were analyzed according to the four main themes stated in the objective. The range of OMT approaches reported to be administered to patients with Spanish flu suggests that early osteopathic physicians treated patients with this disease using OMT in addition to offering advice on healthy lifestyle behaviors. Conclusion Conclusions from this study are limited by the historical and descriptive nature of the data gathered, which lacked the rigor of modern-day scientific studies. However, this review could lead to future research inquiries on the effectiveness of these approaches. Osteopathic physicians and osteopaths should embrace their historical osteopathic heritage by continuing the work of our predecessors and combining their hands-on experience and osteopathic principles with modern medical treatment and rigorous scientific standards.

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