scholarly journals Self-Management Strategies for Problem Gambling in the Context of Poverty and Homelessness

2021 ◽  
pp. 81-109
Author(s):  
Flora I Matheson ◽  
Sarah Hamilton-Wright ◽  
Arthur McLuhan ◽  
Jing Shi ◽  
Jessica L Wiese ◽  
...  

Problem gambling and gambling disorder are serious public health issues that disproportionately affect persons experiencing poverty, homelessness, and multimorbidity. Several barriers to service access contribute to low rates of formal treatment-seeking for problem gambling compared with treatments for other addictions. Given these challenges to treatment and care, self-management may be a viable alternative or complement to formal problem gambling interventions. In this study, we described problem gambling self management strategies among persons experiencing poverty and homelessness. We conducted semi-structured interviews with 19 adults experiencing problem gambling and poverty/homelessness, and employed qualitative content analysis to code and analyze the data thematically. We identified five types of self-management strategies: (1) seeking information on problem gambling, (2) talking about gambling problems, (3) limiting money spent on gambling, (4) avoiding gambling providers, and (5) engaging in alternative activities. Although these strategies are consistent with previous research, the social, financial,housing, and health challenges of persons experiencing poverty and homelessness shaped their self-management experiences and approaches in distinct ways. Approaches to problem gambling treatment should attend to the broader context in which persons experience and attempt to self-manage problem gambling.

2020 ◽  
pp. 1-9
Author(s):  
Steven M. Ortiz

Drawing from longitudinal qualitative research on the heteronormative sport marriage that primarily featured interviews with women married to male professional athletes, this article focuses on how women were affected by and managed their retired husbands’ physical and mental–emotional health issues. It explores the women’s continued use of self-management strategies they developed during their husband’s career as they offered increasingly challenging care work to their husbands and examines how long-held expectations about their caregiver role continued to contribute to post-career gender inequality in their marriages. It captures the women’s voices as they discovered that they were not sufficiently prepared for the emerging personal and relational complexities that emerged in retirement.


2019 ◽  
Vol 2 (1) ◽  
pp. 48-60
Author(s):  
Kudzayi Savious Tarisayi

Although there is a plethora of studies on poverty in schools, poverty in satellite schools in Zimbabwe remains a neglected phenomenon. Satellite schools are newly established temporary schools which are attached to a registered school. This paper derives from a study that focused on the social capital influences of communal farmers and land reform beneficiaries on satellite schools in the Masvingo district, Zimbabwe after the year 2000. The study drew on the capability approach by Sen (2000) and the poverty pyramid by Baulch (2011). The study was qualitative and it was positioned in the interpretive paradigm. The paper reports on one case study of communal farmers in the Masvingo district. Four semi-structured interviews and a focus group discussion with a purposive sample of ten participants were carried out in the Sambo community. Qualitative content analysis was utilized to analyse the findings and draw conclusions. The manifestations of poverty at Sambo satellite school were infrastructure challenges; physical resources allocation; a natural resource challenge; and learners’ participation in extra-curricular activities with other schools. Due to a multiplicity of manifestations of poverty, Sambo satellite school was clearly in distress. It is recommended that the Zimbabwean government provide additional funding to support satellite schools that are located in poor, environmentally challenging contexts.


2019 ◽  
Vol 31 (3) ◽  
pp. 206-223 ◽  
Author(s):  
Elan Lazuardi ◽  
Christy E. Newman ◽  
Irma Anintya Tasya ◽  
Emily Rowe ◽  
D. N. Wirawan ◽  
...  

The globally recognized test and treat approach underpins Indonesian national strategies to reduce and prevent HIV among key populations, including men who have sex with men. More comprehensive understanding of how engagement with HIV prevention is shaped by social and community practices will support these efforts. Between 2015 and 2016, focus groups and semi-structured interviews were conducted with 54 men who have sex with men in three urban settings in Indonesia to elicit their views on, and experiences of, HIV prevention and care. Focused on data relating to testing, findings documented the important influence of informal peer networks, community-based organizations and outreach workers. Some social dimensions of service access complicated this, particularly fear of stigma or lack of confidentiality in large service settings. The many differences between men challenges assumptions that a single set of HIV prevention strategies will work to engage all men who have sex with men living in Indonesia.


2018 ◽  
Vol 45 (1) ◽  
pp. 52-59 ◽  
Author(s):  
Bliss Cavanagh ◽  
Kirsti Haracz ◽  
Miranda Lawry ◽  
Carole James

Self-management strategies have been identified as having a key role in supporting mental health and preventing mental illness. Evidence suggests that spending time in nature, experiencing or viewing artwork and accessing sensory rooms all support self-management and positive mental health among varied clinical populations. This evidence informed the design of the sensory–art space (SAS), an artistically designed multisensory environment, which drew on themes and images of nature.The aim of this study was to explore the experiences and perceived benefits of the SAS among members of a university community.A maximum variation approach to sampling was used, and 18 participants were included in this qualitative study. Data were gathered via semi-structured interviews, which were audio-recorded and transcribed verbatim for thematic analysis.The findings presented six themes. The two core themes were: it’s like another world, and easy to focus and describe how the SAS produced the beneficial effects described in the four remaining themes of: emotionally nutritious, meditative effects, relaxation and therapeutic.Participants identified beneficial effects of the SAS that were consistent with the evidence for other self-management strategies. The identified benefits also aligned with existing theories suggesting that the SAS functioned as a restorative environment. This study is the first to explore the experience of art in a multisensory and multidimensional capacity, which further contributes to the growing field of receptive engagement with the arts for health outcomes.


2003 ◽  
Vol 9 (3) ◽  
pp. 61 ◽  
Author(s):  
Dorothy H Broom

Self-management is now positioned as essential to the optimal management of many chronic diseases. Health promoters and service providers often acknowledge that some forms of self-management are difficult and demanding, and that health education must be appropriately tailored in order to enhance ?compliance?. These discourses may recognise that part of a person?s response to diagnosis arises from the individual?s personality and their social circumstances. However, less attention is paid to the social and personal effects of the variety of strategies people deploy in order to manage an ongoing condition. Self-management affects more than symptoms or disease status; it also shapes the subjectivity of the person, so different management strategies may mould different selves. The self-management of diabetes entails numerous daily practices, and produces several distinct ways of constructing an embodied diabetic self. In this article, I describe how a sample of adults living with diabetes type 2 manage their diabetes from day to day, and how those activities both arise from, and contribute to, distinctive subject positions. Appreciating the daily and dynamic character of self-management may also help service providers to facilitate an improved quality of life for people with chronic conditions.


2020 ◽  
pp. 000765032090713
Author(s):  
Daniel Samosh

I examine the career advancement facilitators of organizational stakeholders who may be identified as simultaneously “core” and “fringe” in this article, via the insights of 21 leaders with disabilities. To navigate barriers and advance their careers, these leaders benefited from three categories of facilitators, including career self-management strategies, social networks, and organizational and societal factors. Facilitators are synthesized with a metaphor, the three-legged stool, which depicts three foundational pillars that underlie the leaders’ success. Focusing on an understudied element of the social networks pillar, I examine how leaders’ external networks (family, friends, acquaintances, and role models) facilitated their career advancement. Findings point to the role of strong and weak ties in developing leaders’ career self-management strategies as well as their access to core stakeholder positions. Last, contributions, implications, and limitations of this article are discussed.


2021 ◽  
Vol 47 ◽  
Author(s):  
Nelesh Dhanpat ◽  
Dorothy L. Danguru ◽  
Oyisa Fetile ◽  
Kholeka Kekana ◽  
Kholosa N. Mathetha ◽  
...  

Orientation: The hiring of graduates is valuable to organisations. It is necessary to understand the self-management behaviours they display and the behaviours required to keep them engaged.Research purpose: The purpose of this study was to explore how self-management strategies enhance work engagement of recent graduates who find themselves in a new environment of the world of work.Motivation for the study: Employee engagement is of both academic and practitioner interest. With organisations hiring graduates, it is valuable to understand the self-management behaviours needed to remain engaged.Research approach/design and method: A qualitative research approach was employed through an interpretivist research paradigm. A purposive sample of 12 graduate employees (median age = 24) in various fields of work were interviewed (women = 11, men = 1; black = 11, coloured = 1). The graduates participated in semi-structured interviews. A thematic analysis was conducted and five themes emerged.Main findings: Through an inductive approach, the five themes that emerged concerning self-management strategies used by graduates to enhance their work engagement are goal setting, self-cueing, self-observation, self-reward and self-punishment and work engagement practices.Practical/managerial implications: Self-management strategies help to sustain an engaged workforce. Organisations that make use of graduate recruitment will largely benefit from the findings.Contribution/value-add: There is limited research on the topic pertaining to graduate employees. Graduates remain relevant in the organisation, and hence, the study makes a contribution to theory and practice. A model is presented with recommendations for graduates and the organisation, which, when implemented, have the potential to enhance work engagement.


2020 ◽  
Vol 9 (1) ◽  
Author(s):  
Cristiane Froehlich

ResumoEste artigo tem como objetivo verificar as ações que contemplam o pilar social da sustentabilidade empresarial em uma indústria do segmento químico, localizada na Região do Vale do Rio dos Sinos, no Estado do Rio Grande do Sul. Essa pesquisa classifica-se como descritiva e com método de estudo de caso qualitativo. Os dados foram coletados por meio de cinco entrevistas semiestruturadas e documentos que foram analisados por meio da análise de conteúdo qualitativa. Os principais resultados mostram que a empresa investe em ações sociais que contribuem para a sustentabilidade empresarial. Essas ações são coordenadas por três áreas da organização: a) Fundação, foco no público interno e comunidades; b) Desenvolvimento Organizacional, foco no público interno; c) Tecnologia, foco no desenvolvimento de produtos denominados de ecossociais. AbstractThis article aims to verify the actions that contemplate the social pillar of business sustainability in an industry of the chemical segment, located in the Vale do Rio dos Sinos Region, in the State of Rio Grande do Sul. This research is classified in descriptive and study qualitative case. The data were collected through five semi-structured interviews and documents that were analyzed using qualitative content analysis. The main results show that the company invests in social actions that contribute to corporate sustainability. These actions are coordinated by three areas of the organization: a) Foundation, focus on the internal public and communities; b) Organizational Development, focusing on the internal public; c) Technology, focusing on the development of products called eco-socials.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Ulrike Junius-Walker ◽  
Tanja Schleef ◽  
Ulrike Vogelsang ◽  
Marie-Luise Dierks

Abstract Background Patients with multimorbidity often receive diverse treatments; they are subjected to polypharmacy and to a high treatment burden. Hence it is advocated that doctors set individual health and treatment priorities with their patients. In order to apply such a concept, doctors will need a good understanding of what causes patients to prioritise some of their problems over others. This qualitative study explores what underlying reasons patients have when they appraise their health problems as more or less important. Methods We undertook semi-structured interviews with a purposive sample of 34 patients (aged 70 years and over) in German general practices. Initially, patients received a comprehensive geriatric assessment, on the basis of which they rated the importance of their uncovered health problems. Subsequently, they were interviewed as to why they considered some of their problems important and others not. Transcripts were analysed using qualitative content analysis. Results Patients considered their health problems important, if they were severe, constant, uncontrolled, risky or if they restricted daily activities, autonomy and social inclusion. Important problems often correlated with negative feelings. Patients considered problems unimportant, if they were related to a bearable degree of suffering, less restrictions in activities, or psychological adjustment to diseases. Altogether different reasons occurred on the subject of preventive health issues. Conclusions Patients assess health problems as important if they interfere with what they want from life (life values and goals). Psychological adjustment, by contrast, facilitates a downgrading of the importance. Asking patients with multimorbidity, which health problems are important, may guide physicians to treatment priorities and health problems in need of empowerment.


Patient ergonomics focuses on how patients and their social networks engage in health management in home and community settings. To that end, we explored awareness of hypo- and hyperglycemic events from the perspective of adolescents with type 1 diabetes (T1D) and their parents in the context of their social environment. Semi-structured interviews were conducted with 16 participants (8 dyads) and analyzed using qualitative content analysis. Our analysis shows the different ways in which adolescents with T1D and their parents recognize glycemic events. These observations elucidate how the social environment affects this process and how connections influence the management of T1D. Additionally, these insights provided directions for ways in which patient education and information technology could be enhanced.


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