scholarly journals The Northumberland Exercise Referral Scheme as a Universal Community Weight Management Programme: A Mixed Methods Exploration of Outcomes, Expectations and Experiences across a Social Gradient

2020 ◽  
Vol 17 (15) ◽  
pp. 5297
Author(s):  
Caroline J. Dodd-Reynolds ◽  
Dimitris Vallis ◽  
Adetayo Kasim ◽  
Nasima Akhter ◽  
Coral L. Hanson
Keyword(s):  
Weight Loss ◽  
Mixed Methods ◽  
Missing Data ◽  
Structured Interviews ◽  
Obesity Class ◽  
Weight Management Programme ◽  
Sociodemographic Predictors ◽  
And Gender ◽  
Ongoing Support ◽  
Exercise Referral

Exercise referral schemes (ERS) are internationally recognised, yet little attention has been paid to discrete referral groups or the influence of wider social determinants of health. The primary quantitative element of this mixed methods study used a mixed effects linear model to examine associations of sociodemographic predictors, obesity class and profession of referrer on weight and physical activity (PA) variables for weight-related referrals (n = 3624) to an established 24-week ERS. Chained equations modelling imputed missing data. The embedded qualitative element (n = 7) used individual semi-structured interviews to explore participant weight-related expectations and experiences. Age, gender and profession of referrer influenced weight loss. PA increased and was influenced by age and gender. The weight gap between the most and least obese narrowed over time but the PA gap between most and least widened. Age, employment and obesity class were most predictive of missing data but would unlikely alter overall conclusions. Qualitative themes were weight-loss support, personal circumstances and strategies, and weight expectations versus wellbeing rewards. This ERS worked, did not widen existing obesity inequalities, but demonstrated evidence of PA inequalities for those living with deprivation. To improve equity of experience, we recommend further stakeholder dialogue around referral experience and ongoing support needs.

scholarly journals Satisfaction with Fertility Preservation Decisions among Adolescent Males with Cancer: A Mixed Methods Study

Cancers ◽  
2021 ◽  
Vol 13 (14) ◽  
pp. 3559
Author(s):  
Charleen I. Theroux ◽  
Kylie N. Hill ◽  
Anna L. Olsavsky ◽  
James L. Klosky ◽  
Nicholas D. Yeager ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Fertility Preservation ◽  
Childhood Cancer Survivors ◽  
Mixed Methods Study ◽  
Decision Quality ◽  
Structured Interviews ◽  
Short Term ◽  
Male Adolescents ◽  
Decisional Satisfaction ◽  
Ongoing Support

Half of male childhood cancer survivors experience treatment-related fertility impairment, which can lead to distress. Survivors often regret forgoing fertility preservation (FP), and decisional dissatisfaction is associated with a lower quality of life. This mixed methods study examined short-term FP decisional satisfaction among families of male adolescents newly diagnosed with cancer who received an initial fertility consult and completed an FP values clarification tool. One-two months after the FP decision, thirty-nine families completed the Brief Subjective Decision Quality measure. Decisional satisfaction was compared for participants (mothers, fathers, adolescents) who did and did not attempt to bank. Semi-structured interviews included the following question: How do you/your family feel about the banking decision now/in the future? Decisional quality scores were moderate-high (M = 5.74–6.33 out of 7), with no significant differences between non-attempter (n = 15) and attempter (n = 24) families (adolescents: p = 0.83, d = 0.08; mothers: p = 0.18, d = 0.45; fathers: p = 0.32, d = 0.44). Three qualitative themes emerged among non-attempter families: (1) satisfaction with decision (50% of participants), (2) acceptance of decision (60%), and (3) potential for future regret (40%). Satisfaction with decision was the only theme identified in attempter families (93%). Quantitively, short-term decisional satisfaction was high regardless of the banking attempt. However, the qualitative findings suggest that the experiences of families who did not bank may be more nuanced, as several participants discussed a potential for future regret, highlighting the importance of ongoing support.

scholarly journals Using personalised avatars in a weight loss management programme: participants’ perspectives

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M Horne ◽  
A Hill ◽  
H Ugail ◽  
T Murrells ◽  
M Hardy
Keyword(s):  
Weight Loss ◽  
Weight Management ◽  
Real World ◽  
Healthy Lifestyle ◽  
Management Programme ◽  
Structured Interviews ◽  
Computer Gaming ◽  
Sustained Weight Loss ◽  
Weight Management Programme ◽  
Reduce Weight Loss

Abstract Background Obesity interventions rely predominantly on managing dietary intake and/or increasing physical activity but sustained adherence to behavioural regimens is often poor. Avatar technology is well established within the computer gaming industry and evidence suggests that virtual representations of self may impact real-world behaviour, acting as a catalyst for sustained weight loss behaviour modification. We explore patient's experiences of using an avatar as an adjunct to a weight management programme. Methods Exploratory, qualitative research design with a sub sample of participants to explore uncertainties and develop intervention optimisation and conduct of a future trial. Semi-structured interviews, with a purposive sub sample of obese and overweight patients a undergoing weight management programme (n = 12) from two settings in West Yorkshire, England (November-March 2020). Ethical approval was granted. Data were analysed using framework approach of verbatim transcripts. Results Three main themes emerged through data analysis (i) avatar appearance (ii) added benefits and (iii) areas of development. Visual perception of the personalised avatar could positively or negatively influence current and future realities. Patients generally found that using a personalised avatar provided added motivation to continue with the weight management programme and increased their confidence in their ability to work towards a healthy lifestyle to reduce weight loss. Several areas of development were identified for both the weight loss programme and the personalised avatar in relation to accessing psychological support and ways of developing and strengthening their own personal resilience. Conclusions The findings suggest that using personalised avatars could be a useful technique to increase engagement, motivation and adherence to weight loss management programmes among individuals who are obese or overweight. Key messages There appears to be some added motivational benefits to using personalised avatars. Virtual representations of self may impact real-world behaviour, acting as a catalyst for sustained weight loss behaviour.

scholarly journals The Impact of Facebookers’ Posts on Other Users’ Attitudes According to Their Age and Gender: Evidence from Al Ain University of Science and Technology

2018 ◽  
Vol 7 (8) ◽  
pp. 128 ◽  
Author(s):  
Abdel Rahman Mitib Altakhaineh ◽  
Sulafah Abdul Salam Alnamer
Keyword(s):  
Mixed Methods ◽  
Special Focus ◽  
Structured Interviews ◽  
Negative Attitudes ◽  
Age And Gender ◽  
Mixed Methods Approach ◽  
Al Ain ◽  
Gender And Age ◽  
And Gender ◽  
The Impact

This study aims at exploring the reasons that drive many Facebookers to share negative posts on Facebook, with a special focus on their gender and age. It also aims at identifying the negative attitudes and feelings that negative Facebook posts might evoke in Facebookers. Thus, a mixed-methods approach was adopted employing both a five-point agreement Likert scale questionnaire and semi-structured interviews which were conducted with 40 participants. Based on the participants’ responses, the results show that many Facebookers write posts to satisfy different needs including receiving compliments and attention, sharing daily updates, showing off, and deliberately teasing others, all of which have been found to trigger feelings of jealousy, hatred, annoyance, demotivation, inferiority, and sadness. The study concludes with recommendations for further research.

Race and gender differences in attitudes toward help seeking among marginalized young adults with mood disorders: A mixed-methods investigation.

2018 ◽  
Vol 41 (4) ◽  
pp. 277-289 ◽  
Author(s):  
Sarah C. Narendorf ◽  
Michelle R. Munson ◽  
Shelly Ben-David ◽  
Andrea R. Cole ◽  
Lionel D. Scott
Keyword(s):  
Gender Differences ◽  
Young Adults ◽  
Mixed Methods ◽  
Mood Disorders ◽  
Help Seeking ◽  
Race And Gender ◽  
And Gender

Cross-border Migration and Gender Boundaries in Central Eastern Europe – Female Perspectives

2020 ◽  
Vol 17 (4) ◽  
pp. 499-509
Author(s):  
Ágnes Erőss ◽  
Monika Mária Váradi ◽  
Doris Wastl-Walter
Keyword(s):  
Gender Roles ◽  
Eastern Europe ◽  
Labour Migration ◽  
Structured Interviews ◽  
Livelihood Strategy ◽  
Central Eastern Europe ◽  
Cross Border ◽  
Dual Earner ◽  
And Gender ◽  
Gender Boundaries

In post-Socialist countries, cross-border labour migration has become a common individual and family livelihood strategy. The paper is based on the analysis of semi-structured interviews conducted with two ethnic Hungarian women whose lives have been significantly reshaped by cross-border migration. Focusing on the interplay of gender and cross-border migration, our aim is to reveal how gender roles and boundaries are reinforced and repositioned by labour migration in the post-socialist context where both the socialist dual-earner model and conventional ideas of family and gender roles simultaneously prevail. We found that cross-border migration challenged these women to pursue diverse strategies to balance their roles of breadwinner, wife, and mother responsible for reproductive work. Nevertheless, the boundaries between female and male work or status were neither discursively nor in practice transgressed. Thus, the effect of cross-border migration on altering gender boundaries in post-socialist peripheries is limited.

Transition from Childcare Institutions to Adulthood for Youth: Through the Lens of Identity and Gender

2020 ◽  
pp. 234930032098055
Author(s):  
Garima Sharma
Keyword(s):  
Young Adults ◽  
Qualitative Study ◽  
Social Factor ◽  
Smooth Transition ◽  
Structured Interviews ◽  
Male And Female ◽  
Female Youth ◽  
Youth Identity ◽  
The Social ◽  
And Gender

This article explores the transition of youth from childcare institutions as young adults through the lens of youth identity and gender. The research revolves around rethinking the delicate boundaries of adolescence and adulthood for the ‘institutionalised’ youth that is already on the edge of the society. This research tries to understand and decode the experiences of youth, who have lived in the childcare institutions. The childcare institutions reinforce the gender roles through its practices and structure, enabling gaps and challenges for both male and female youth outside the childcare institutions. There is an absence of a strong mechanism, enabling the smooth transition of youth from childcare institutions to adulthood. This results in unprepared young adults for an unplanned transition, fostering several challenges on them as they exit the childcare system. This is a qualitative study. The research includes both male and female youth who have lived in childcare institutions situated in Delhi. The data was collected using semi-structured interviews with the youth. This study finds that youth leaving the childcare institutions are at higher risks of having negative adult outcomes in life. While there is an absolute absence of any body or mechanism to help the youth transit smoothly, childcare institutions reinforce the inferiority and exclusion on a child during the stay period, creating a foundation for youth to perceive the social factor outside the institutions.

Risk perception on the labour ward: A mixed methods study

2021 ◽  
Vol 26 (2) ◽  
pp. 56-63
Author(s):  
Claire McCarthy ◽  
Sarah Meaney ◽  
Marie Rochford ◽  
Keelin O’Donoghue
Keyword(s):  
Mixed Methods ◽  
Lived Experience ◽  
Healthcare Providers ◽  
Emergency Obstetric Care ◽  
Obstetric Care ◽  
Daily Basis ◽  
Mixed Methods Study ◽  
Structured Interviews ◽  
Staff Support ◽  
Staff Wellbeing

Healthcare providers commonly experience risky situations in the provision of maternity care, and there has been increased focus on the lived experience in recent years. We aimed to assess opinions on, understanding of and behaviours of risk on the LW by conducting a mixed methods study. Staff working in a LW setting completed a descriptive questionnaire-based study, followed by qualitative structured interviews. Statistical analysis was performed with SPSS on quantitative data and thematic analysis performed on qualitative data. Nearly two thirds of staff (64%; 73/114) completed the questionnaire, with 56.2% (n = 47) experiencing risk on a daily basis. Experiencing risk evoked feelings of apprehension (68.4%; n = 50) and worry (60.2%; n = 44) which was echoed in the qualitative work. Structured clinical assessment was utilised in risky situations, and staff described “ going on autopilot” to manage these situations. A large number of respondents reflected on their provision of care following an adverse event (87.7%; n = 64). Debriefing was mentioned as an important practice following such events by all respondents. This study describes the negative terminology prevailing in emergency obstetric care. These experiences can have a profound impact on staff. Risk reduction strategies and the provision of increased staff support and training are crucial to improve staff wellbeing in stressful scenarios.

scholarly journals Crafting New Narratives of Diasporic Resistance with Indo-Caribbean Women and Gender-Expansive People across Generations

Societies ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. 2
Author(s):  
Arita Balaram
Keyword(s):  
Oral History ◽  
Digital Archive ◽  
Second Phase ◽  
Structured Interviews ◽  
Women And Gender ◽  
Digital Archiving ◽  
Caribbean Women ◽  
Gender Based ◽  
And Gender ◽  
Oral History Interviews

This study used participatory oral history and digital archiving to explore two interrelated questions: How do Indo-Caribbean women and gender-expansive people across generations experience processes of storytelling? What are the challenges and possibilities of oral history and digital archiving for constructing alternative histories and genealogies of resistance? In the first phase of the study, twelve Indo-Caribbean women and gender-expansive people across generations participated in an oral history workshop where they were introduced to oral history methods, co-created an interview guide, conducted oral history interviews of one another, and engaged in collective reflection about processes of storytelling. In the second phase, four co-authors of a community-owned digital archive participated in semi-structured interviews about their work to craft new narratives of diasporic resistance rooted in the everyday stories of Indo-Caribbean women and gender-expansive people. In this paper, I analyze how Indo-Caribbean women and gender-expansive people practice resistance by breaking silences in their communities around gender-based oppression, shift norms through producing analyses of their own stories, and reshape community narratives. Furthermore, I explore how oral history participants and co-authors of a digital archive understand the risks associated with sharing stories, raising the ethical dilemmas associated with conceptualizing storytelling as purely liberatory.

scholarly journals Identifying a space for young Black Muslim women in contemporary Britain

Ethnicities ◽  
2021 ◽  
pp. 146879682110018
Author(s):  
Sheymaa Ali Nurein ◽  
Humera Iqbal
Keyword(s):  
Black Community ◽  
Muslim Women ◽  
Structured Interviews ◽  
Negative Effects ◽  
Race And Gender ◽  
The United Kingdom ◽  
Different Dimensions ◽  
And Gender ◽  
Black Muslim ◽  
And Coping

Young Black Muslim Women (BMW) have complex, intersectional identities and exist at the margins of various identity groupings. Given this, members of the community can face societal relegation across, not only race and gender lines, but across religious ones, too. This paper explores the lived experiences of intragroup discrimination, identity and belonging in 11 young Black Muslim Women in the United Kingdom. In-depth, semi-structured interviews were conducted with participants and thematically analysed through the lens of intersectionality. The use of an intersectional framework facilitated an understanding of the manner in which the sample was multiply marginalised. Two key themes emerged from the interviews: firstly, around experiences of intragroup and intersectional discrimination and, secondly, around the challenges of responding to and coping with the negative effects of such discrimination. Participants discussed the cross-cutting nature through which they faced discrimination: from within the Black community; from within the Muslim community; and as a result of their gender. The non-exclusivity of these three identities result in constant encounters of discrimination along different dimensions to their personal identity. They also developed diverse means of coping with this marginalisation including drawing from religious beliefs and mobile identifications, i.e. performing different aspects of their identities in different contexts. The present study contributes to existing knowledge in its focus on an under-researched group and emphasises the negative effects of intragroup discrimination. The paper importantly highlights the diversity within the Black community and considers the (in)visibility of Black Muslim Women within society.

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