scholarly journals Engaging the Canadian Diaspora: Youth social identities in a Canadian border city1

2010 ◽  
Vol 44 (3) ◽  
pp. 405-433 ◽  
Author(s):  
S. Nombuso Dlamini ◽  
Barat Wolfe ◽  
Uzo Anucha ◽  
Miu Chung Yan
Keyword(s):  
African Descent ◽  
Qualitative Interviews ◽  
Immigrant Youth ◽  
Social Identities ◽  
Barriers And Facilitators ◽  
Important Resource ◽  
Final Settlement

Abstract This paper is based on qualitative interviews undertaken with immigrant youth of African descent in Windsor, Ontario; it describes their sojourner lives across geographic borders and their final settlement in Windsor. The paper also offers narrations of the activities that enabled them to formulate friendships and the barriers and facilitators to the development of friendships across races. Critical findings reported in this paper reveal the ways that youth use resources in their travels to construct and negotiate their identities and to formulate new friendships. An important resource used by the majority of the youth was that of an imagined homeland, which consequently impacted on how they viewed and acted on the racial boundary critical in the formation of friendships in the Diaspora.

scholarly journals Stopping to Listen: Using Qualitative Methods to Inform a Web-Based Platform for Adults With Neurofibromatosis

2021 ◽  
Vol 8 ◽  
pp. 237437352110496
Author(s):  
Ethan G. Lester ◽  
Paula J. Popok ◽  
Victoria A. Grunberg ◽  
Alejandro Baez ◽  
Farahdeba Herrawi ◽  
...  
Keyword(s):  
Psychosocial Support ◽  
Qualitative Interviews ◽  
Psychosocial Care ◽  
Barriers And Facilitators ◽  
Web Based ◽  
Positive Attitudes ◽  
Efficient Access ◽  
Semistructured Interviews ◽  
Life Context ◽  
Specific Factors

Introduction: Psychosocial care for people with neurofibromatosis (NF) is challenging to access. Therefore, we sought to develop a self-guided web-based treatment platform for people with NF based on the live video relaxation response resiliency program for NF (3RP-NF). Here we report on qualitative interviews with adult patients who participated in the 3RP-NF to: (a) understand participant perceptions of the 3RP-NF program and (b) gather feedback for a self-guided web-based treatment platform (i.e., NF-Web). Methods: We conducted individual semistructured interviews ( N = 23; videoconferencing). We utilized both the Framework method and a hybrid deductive and inductive approach to analyze qualitative data. Results: We examined findings within the following themes for both 3RP-NF and NF-Web: (a) general attitudes, (b) barriers and facilitators, and (c) program-specific factors. Participants endorsed positive attitudes towards the 3RP-NF and NF-Web and described unique barriers and facilitators to each and provided suggestions regarding technology, NF-specific needs, and ways to promote social support virtually. Conclusions: This study highlights the importance of gathering participant feedback when designing novel, illness-specific interventions. In future studies, we aim to provide people with NF effective and efficient access to psychosocial support that matches their needs and life context. Results are informing NF-Web development.

scholarly journals Shotguns Vs Lasers: Identifying Barriers and Facilitators to Scaling-Up Plant Molecular Farming for High-Value Health Products

2019 ◽  
Author(s):  
Jonathan Menary ◽  
Matthew Hobbs ◽  
Sara Mesquita de Albuqurque ◽  
Agata Pacho ◽  
Pascal M. W. Drake ◽  
...  
Keyword(s):  
Social Acceptance ◽  
Molecular Farming ◽  
Qualitative Interviews ◽  
Crop Improvement ◽  
Cost Effective ◽  
Scaling Up ◽  
Barriers And Facilitators ◽  
Horizon 2020 ◽  
Plant Molecular Farming ◽  
Health Products

Plant molecular farming (PMF) is a convenient and cost-effective way to produce high-value recombinant proteins that can be used in the production of a range of health products, from pharmaceutical therapeutics to cosmetic products. New plant breeding techniques (NPBTs) provide a means to enhance PMF systems more quickly and with greater precision than ever before, and have the potential to produce health and health-related products that are superior to current mammalian systems. However, the feasibility, regulatory standing and social acceptability of both PMF and NPBTs are in question. This paper qualitatively explores the perceptions of key stakeholders on two European Union (EU) Horizon 2020 programmes – Pharma-Factory and Newcotiana – towards the barriers and facilitators of PMF and NPBTs in Europe. One-on-one qualitative interviews were undertaken with N=20 individuals involved in one or both of the two projects at 16 institutions in seven countries (Belgium, France, Germany, Italy, Israel, Spain and the UK). The findings indicate that the current EU regulatory environment and the perception of the public towards biotechnology are seen as the main barriers to scaling-up PMF and NPBTs. Competition from existing systems and the lack of plant-specific regulations likewise present challenges for PMF developing beyond its current niche. However, respondents felt that the communication of the benefits and purpose of NPBT PMF could provide a platform for improving the social acceptance of genetic modification. The importance of the media in this process was highlighted. This article explores the justifications used by scientists for the use of NPBTs for crop improvement and suggests that the multi-level perspective framework is a useful tool for understanding the systemic factors that have shaped the development of PMF up until today.

scholarly journals Finding the Balance Between Collaboration and Autonomy Among School Nurses in Interactions With Schools

2020 ◽  
pp. 105984052091892
Author(s):  
Arnfinn Helleve ◽  
Unni Vere Midthassel ◽  
Roger Andre Federici
Keyword(s):  
Qualitative Interviews ◽  
School Nurses ◽  
Barriers And Facilitators ◽  
Personal Relationships ◽  
School Staff ◽  
National Guidelines ◽  
Personnel Recruitment ◽  
Personal Relations ◽  
Negative Impacts ◽  
Over Time

In Norway, new national guidelines for school service emphasize the importance of establishing structured collaboration with schools. Nevertheless, few studies have explored the characteristics of such collaboration. The purpose of the present study is to explore how principals, teachers, and school nurses collaborate and to identify barriers and facilitators of structured collaboration. The study is based on 46 qualitative interviews conducted in five Norwegian municipalities in 2018 and 2019. The results reveal that school nurses are highly valued among the school staff but collaborations between teachers and school nurses varied both within and between schools, often for arbitrary reasons such as personal relations and office locations at schools. Personal relationships built over time as well as regular meetings, seemed to foster stronger collaboration, while discontinuity in personnel, recruitment difficulties, and sick and maternity leaves were frequently reported factors that seemed to have negative impacts on collaboration.

scholarly journals Implementing health technology assessment in Kuwait: a qualitative study of perceived barriers and facilitators

2019 ◽  
Vol 35 (6) ◽  
pp. 422-426 ◽  
Author(s):  
Basshar Darawsheh ◽  
Evi Germeni
Keyword(s):  
Developing Countries ◽  
Health Technology Assessment ◽  
Technology Assessment ◽  
Qualitative Interviews ◽  
Healthcare Providers ◽  
Health Technology ◽  
Barriers And Facilitators ◽  
Policy Makers ◽  
Face To Face ◽  
Key Stakeholders

AbstractObjectivesThis study sought to explore main barriers and facilitators to implementing health technology assessment (HTA) in Kuwait from the perspective of key stakeholders.MethodsSemi-structured qualitative interviews were conducted with ten key stakeholders: seven healthcare providers working at various departments of the Kuwaiti Ministry of Health (MOH), and three academics with substantial experience in teaching HTA or related fields. Interviews were conducted face-to-face, audio-recorded, and transcribed verbatim. Data were analyzed using an inductive thematic approach.ResultsParticipating stakeholders reported several factors that might act as a barrier to building HTA in Kuwait: minimal awareness of HTA, lack of institutional and human capacity, a fragmented healthcare system, poor communication between researchers and policy makers, the country's wealth, politics, as well as data quality, availability, and sharing. Institutionalizing HTA as a politically empowered body, enforcing its recommendation by law, and benefiting from neighboring countries' experiences were suggested as possible ways to move forward.ConclusionStudies exploring the unique challenges that high-income developing countries may face in implementing HTA are still scarce. The results of this study are consistent with evidence coming from other developing countries, while also suggesting that the abundance of financial resources in the country is a double-edged sword; it has the potential to facilitate the development of HTA capacity, but also hinders recognizing the need for it.

scholarly journals Insurance- and medical provider-related barriers and facilitators to staying on PrEP: results from a qualitative study

2020 ◽  
Author(s):  
Alexa B D’Angelo ◽  
Javier Lopez-Rios ◽  
Anthony W P Flynn ◽  
Ian W Holloway ◽  
David W Pantalone ◽  
...  
Keyword(s):  
Qualitative Interviews ◽  
Insurance Coverage ◽  
Gay And Bisexual Men ◽  
Barriers And Facilitators ◽  
Health Clinic ◽  
Bisexual Men ◽  
Medical Provider ◽  
Prep Implementation ◽  
And Bisexual ◽  
Hiv Acquisition

Abstract Pre-exposure prophylaxis (PrEP) is a highly effective biobehavioral strategy for preventing HIV acquisition. Although PrEP uptake has increased steadily, discontinuation rates are high among members of key populations like gay and bisexual men (GBM). Understanding the challenges that arise for PrEP users is key to better PrEP implementation and sustained use over time. We report on barriers that arose for PrEP-using GBM, as well as facilitating factors that aided PrEP persistence, with the goal of informing PrEP implementation efforts. In 2015–2016, 103 PrEP-using GBM in NYC completed qualitative interviews about their engagement with PrEP, including their experiences navigating PrEP-related medical care. Interviews were transcribed verbatim, coded, and analyzed thematically. Over half of participants (53%) received their PrEP-related care from their primary care provider (PCP), one-third (33%) from a community-based health clinic, and 13% from multiple medical providers. Emergent themes regarding the barriers and facilitators to PrEP persistence fell into two categories: insurance- and medical appointment-related barriers and facilitators to continued PrEP use. The experiences of PrEP-using GBM can provide useful insights for providers, program developers, and policymakers aiming to improve the implementation of PrEP. To support PrEP persistence, reliable insurance coverage, cost-assistance, and easy appointment scheduling are key to maintenance. Removing insurance- and appointment-related barriers to persistence may prove essential for sustaining use among GBM.

Medication Adherence Changes in Blacks with Diabetes: A Mixed Methods Study

2020 ◽  
Vol 44 (2) ◽  
pp. 257-270 ◽  
Author(s):  
Deepika Rao ◽  
Martha Maurer ◽  
Jodi Meyer ◽  
Jiaying Zhang ◽  
Olayinka O. Shiyanbola
Keyword(s):  
Mixed Methods ◽  
Medication Adherence ◽  
Illness Perceptions ◽  
Qualitative Interviews ◽  
Barriers And Facilitators ◽  
Interpersonal Factors ◽  
Sequential Mixed Methods ◽  
Over Time

Objectives: In this study, we conducted a longitudinal evaluation of changes in medication adherence and the role of psychosocial and interpersonal factors in these changes among Blacks with type 2 diabetes mellitus (T2DM), and determined barriers and facilitators of T2DM medication adherence. Methods: We used an explanatory sequential mixed methods design for a sample of 287 black adult patients with T2DM in Wisconsin. Two surveys quantitatively evaluated changes in medication adherence, psychosocial factors, and interpersonal factors over time. We conducted 10 semi-structured qualitative interviews to explore participants' perceptions of these changes. Data integration of the quantitative and qualitative findings elucidated barriers and facilitators of medication adherence. Results: Increased adherence was significantly correlated with less concerns about medicines (r = -0.31), higher self-efficacy (r = 0.47), lesser depressive symptoms (r = -0.26), and lesser negative illness perceptions (r = -0.26) at both baseline and follow-up. Patient perceptions of adherence changes included adherence motivators, social support, and complex medication regimens. Integration showed that barriers and facilitators both existed in individuals who had an increase or a decrease in adherence over time. Conclusions: Specific beliefs of Blacks towards T2DM medications must be addressed to improve their adherence. Interventions must be tailored using interpersonal factors.

scholarly journals Barriers and Facilitators to Seeking Sleep Solutions for Children With Cerebral Palsy: A Qualitative Study

2021 ◽  
Vol 12 ◽  
Author(s):  
Sacha Petersen ◽  
Dinah S. Reddihough ◽  
Sally Lima ◽  
Adrienne Harvey ◽  
Fiona Newall
Keyword(s):  
Cerebral Palsy ◽  
Qualitative Study ◽  
Sleep Disturbance ◽  
Thematic Analysis ◽  
Sleep Problems ◽  
Qualitative Interviews ◽  
Barriers And Facilitators ◽  
School Aged Children ◽  
Published Evidence ◽  
Children With Cerebral Palsy

Background: Published evidence to date suggests that sleep problems are common in children with cerebral palsy (CP). This qualitative study is a follow up to a previously published quantitative phase on the experience and impact of sleep problems in this population.Aims: The aim of this study was to explore the experience and impact of sleep disturbance and seeking of sleep solutions for parents of school aged children with CP.Materials and Methods: Semi-structured 19 qualitative interviews were conducted with parents of children with CP aged 6–12 years. Interview data were transcribed verbatim and the thematic analysis techniques by Braun and Clarke was used to identify themes.Results: Thematic analysis identified 7 themes: (1) My Child Doesn't Fit into the Box, (2) A Mother's Ears are Always On, (3) Sleep Disturbance is like Water Torture, (4) Sleep is One of Many Spot Fires, I Put it on the Backburner, (5) Luck, Money or Jumping Up and Down, (6) There is Never One Silver Bullet and (7) Help: The Earlier the Better. The key finding was that parents of children with CP often described their child's needs being distinct from what is provided by systems and services.Conclusion: Parents face significant challenges sourcing effective sleep solutions for their child with CP. Sleep is often not a priority for either the parent or the clinician as other health problems take precedence. Parents reflected that early sleep intervention for their child was or would have been helpful. The barriers and facilitators to sleep care identified in this study should be used to inform clinical change in care for children with CP. Sleep needs to be prioritized in healthcare for children.

Examining Barriers and Facilitators to Delivering SNAP-Ed Direct Nutrition Education in Rural Communities

2019 ◽  
Vol 33 (5) ◽  
pp. 736-744 ◽  
Author(s):  
Lindsey Haynes-Maslow ◽  
Isabel Osborne ◽  
Stephanie Jilcott Pitts
Keyword(s):  
Rural Communities ◽  
Nutrition Education ◽  
Rural Areas ◽  
Text Messaging ◽  
Qualitative Interviews ◽  
Barriers And Facilitators ◽  
Change Initiatives ◽  
Assistance Program ◽  
Nutrition Assistance ◽  
Local Leaders

Purpose: To better understand the barriers to implementing Supplemental Nutrition Assistance Program Education (SNAP-Ed) direct education programming in rural communities, as well as strategies to overcome these barriers. This includes (1) barriers to implementing direct education in rural communities, and (2) facilitators to overcoming direct-education barriers in rural communities. Design: This was a qualitative study that included in-depth interviews. Setting: Fifteen states across all 7 SNAP-Ed regions. Participants: Participants were eligible if they (1) were SNAP-Ed staff who were involved with implementing programs; (2) implemented at least 50% of their programming in rural communities, and (3) worked in their role for at least 12 months. Twenty-seven (n = 27) staff participated in interviews. Measures: Online surveys ascertained if participants were interested in participating in a 60-minute interview about implementing SNAP-Ed in rural communities. Interviews were semistructured and focused on the barriers and facilitators to implementing SNAP-Ed direct-education nutrition programming in rural areas. Analysis: Qualitative interviews were analyzed using content analysis in Atlas.ti. Results: Barriers to implementing direct education in rural communities included lack of healthy food and physical activity infrastructure to reinforce messages taught in class, funding restrictions, transportation for SNAP-Ed staff and the perception that this was also a problem for participants, and SNAP-Ed staff being seen as “outsiders” (not from the community). Facilitators included partnering with other organizations to increase recruitment and retention of SNAP-Ed participants, buy-in from local leaders, and SNAP-Ed staff being from the community. Conclusion: Partnerships between SNAP-Ed programs and non-SNAP-Ed organizations were essential in helping to recruit and retain participants. The SNAP-Ed staff should get buy-in from local leaders before starting direct-education programming. The SNAP-Ed programs should explore innovative delivery modalities including online and text messaging due to transportation issues in widespread rural geographies. Lastly, more work should be done to complement SNAP-Ed direct education with policy, systems, and environmental change initiatives.

“The Little Stairway under the Bell”

2019 ◽  
pp. 106-132
Author(s):  
Marcus Alan Watson
Keyword(s):  
New York ◽  
Built Environment ◽  
Identity Formation ◽  
York City ◽  
African Descent ◽  
Social Identities ◽  
Underground Railroad ◽  
Antebellum America ◽  
The People ◽  
The Family

The Lott House in Brooklyn, one of the few remaining Dutch colonial farmhouses in New York City, was a place of multiple and transforming identities in encounters between persons of Dutch, English, and African descent. At one time the family was among the largest slaveholders in Brooklyn, yet they may have become abolitionists and used their house as part of the Underground Railroad. This chapter looks at the Lott family in the first half of the nineteenth century and how they fashioned and adapted their identities within the changing environment of antebellum America, particularly in relation to the people of African descent whom they owned, employed, or otherwise encountered. Making use of the built environment and archival evidence, the author argues that identity formation for the Lotts was a troubled endeavor, made difficult by the contradictory and sometimes clashing facets of their ethnic, religious, and social identities.

Implementing telemedicine services in northern Norway: Barriers and facilitators

2003 ◽  
Vol 9 (1_suppl) ◽  
pp. 17-18 ◽  
Author(s):  
F Larsen ◽  
E Gjerdrum ◽  
A Obstfelder ◽  
L Lundvoll
Keyword(s):  
General Practitioners ◽  
New Technology ◽  
Qualitative Interviews ◽  
Barriers And Facilitators ◽  
Northern Norway

summary Telemedicine is not simply a technology – it also involves processes. The use of telemedicine is influenced by many factors. Our intention was to examine what conditions promote the use of telemedicine between general practitioners (GPs) and hospitals. Qualitative interviews were undertaken with 16 GPs in northern Norway. The extent to which GPs were using the services was limited, although some used them fairly frequently. The most widely used service was teledermatology. The GPs saw advantages of the services in general and saw clear benefits for their patients. The services were considered to be time-consuming, and the lack of adequate government remuneration for the time involved in teleconsultations was seen as a barrier to their use. The GPs focused on their own ability to handle new technology and expressed a need to practise more.

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