No need for the needle. A qualitative analysis of the antivax movement in Romania

The antivax movement is now a constant phenomenon with increasing social implications. This study explores how the antivax movement is articulated in Romania on the basis of qualitative analysis applied to interviews. Our pilot study focuses on the opinions of 100 persons who oppose vaccination interviewed between 2017 and 2020. We conducted both face-to-face and online semistructured interviews to trace the factors determining attitudes against vaccination. To the best of the authors’ knowledge, this is the first such extended study to target individuals rather than groups or media discourse. We strive to provide a multifaceted view on how the antivax phenomenon is taking shape. Responses varied in style and length, so we needed to systematize the narratives. We filtered the answers using the interpretive net described by Entman (1993), thereby grouping the main narratives into four sections. We then reconstructed the implicit frames used by individuals in interpreting their position. We consider content quality analysis to be a relevant method to reveal the facets and depth of the antivax phenomenon, thereby enabling more complex explanations. We compare the results of this study with rationales stemming from similar investigations conducted around the world and then highlight opinions specific to the Romanian public.

A AUTOEXPOSIÇÃO DE PRATICANTES DE EXERCÍCIOS FÍSICOS COMUNICADA EM REDES SOCIAIS E SUA RELAÇÃO COM O CONSUMO

This research proposes to understand the relationship between the self-exposure of physical exercise practitioners on social media communication and consumption. To this end, we sought to identify the motivations for selfexposure of physical exercise practitioners on social media; identify the types of products consumed that are related to self-exposure on social media and verify the influence between self-exposure of physical exercise practitioners on social media and consumption. Qualitative research was applied, aided by semistructured interviews and by the projective autodriving technique. Twelve men who practice physical exercises in gyms were interviewed. Three categories emerged from the results: exhibitionism, encouraging healthy living and personal fulfillment as antecedents for the self-exposure of physical activity practitioners on social media, and the consumption of food, electronic, sports clothing, applications, and software products was identified, as a way to help the best image that will be exposed. Through the development of a framework, it was found that the self-exposure of the image influences both self-consumption and the consumption of followers. In addition, the concept of conspicuous consumption was broadened by relating the exposure of the conquest of the fitness body as an acquired good that provides social status.

Awareness for People With Alzheimer’s Disease: Profiles and Weekly Trajectories

Objective: To understand awareness and fluctuations of awareness in Alzheimer’s disease (AD), it is fruitful to consider the objects of awareness, e.g., cognitive functioning or recognition of the disease, as well as the mechanisms and modes of expression underlying awareness. With a holistic and discourse-centered approach, we aimed to identify different awareness profiles and test whether these profiles were stable or whether transitions from one profile to another occurred over short time intervals.Methods: Twenty-eight residents of nursing homes with a diagnosis of AD participated in four semistructured interviews at biweekly intervals. These interviews were cluster analyzed to determine profiles of awareness. A Markov chain was applied to model their fluctuation.Results: Five awareness profiles were observed that differed in terms of objects and underlying processes. Awareness proved to be quite stable for four of the five profiles. Interindividual variability in awareness was also observed through numerous different trajectories that were identified.Discussion: Self-awareness and disease awareness are characterized by profiles that vary subtly between individuals. Fluctuations in awareness underscore the need to employ assessment intervals that closely reflect daily life in institutions.

Community-Engaged Bidirectional Crisis and Emergency Risk Communication With Immigrant and Refugee Populations During the COVID-19 Pandemic

Objectives: This study was conducted to assess an intervention that was created by a community–academic partnership to address COVID-19 health inequities. We evaluated a community-engaged bidirectional pandemic crisis and emergency risk communication (CERC) framework with immigrant and refugee populations during the COVID-19 pandemic. Methods: A 17-year community-engaged research partnership adopted a CERC framework in March 2020 to address COVID-19 prevention, testing, and socioeconomic impacts with immigrant and refugee groups in southeast Minnesota. The partnership used bidirectional communication between communication leaders and their social networks to refine messages, leverage resources, and advise policy makers. We conducted a mixed-methods evaluation for intervention acceptability, feasibility, reach, adaptation, and sustainability through multisource data, including email communications, work group notes, semistructured interviews, and focus groups. Results: The intervention reached at least 39 000 people in 9 months. It was implemented as intended and perceived efficacy was high. Frequent communication between community and academic partners allowed the team to respond rapidly to concerns and facilitated connection of community members to resources. Framework implementation also led to systems and policy changes to meet the needs of immigrant and refugee populations. Conclusions: Community-engaged CERC is feasible and sustainable and can reduce COVID-19 disparities through shared creation and dissemination of public health messages, enhanced connection to existing resources, and incorporation of community perspectives in regional pandemic mitigation policies.

The Experiences and Views of Service Providers on the Mental Health and Well-Being Services for Syrian Refugees in Coventry and Warwickshire

Objectives: Previous literature demonstrated that, even when mental health and psychological support services are available for refugees, there may still be obstacles in accessing services. This is the first known study to explore the experiences of mental-health and well-being services for Syrian refugees in Coventry and Warwickshire, United Kingdom. The research investigates the views and perceptions of service providers on the current mental-health and well-being services provided for this population. Methods: Eight service providers participated in semistructured interviews and focus groups, and the data were analyzed using thematic analysis. Results: Three main themes emerged from an analysis of the data: “positive aspects of service delivery,” “service challenges,” and “recommendations for service improvements and quality.” Conclusion: The findings bring to the fore specific gaps in current provision and interpreting services. Recommendations for proposed improvements in service provision and policy as well as clinical implications are included in this article.

Residents’ Perceptions of Sustainable Tourism Destination Recovery: The Case of Northern Cyprus

As nations and tourism destinations are beginning to relax nonpharmaceutical measures for the prevention of the COVID-19 virus, a major quest of tourism stakeholders is to restart and restore the once viable and productive industry to its prior state. While the urge to restart and restore may necessitate a strategic plan and drastic measures, care must be taken not to undermine the sustainability of the destination. The current study seeks to understand the perceptions of residents of Northern Cyprus as key tourism stakeholders concerning the impacts of COVID-19 to the island’s tourism activities and recommendations for recovery post pandemic. To this end, the study used grounded theory and semistructured interviews to explore how residents perceive the contribution of focused advertisements and stakeholder engagement in the sustainable restoration of tourism activities post COVID-19 on the island. While divergent opinions were gathered, it can be inferred that stakeholders expect the implementation of strategic plans aided by focused advertisements to ensure the sustainability of their tourist destinations. Policy directions and academic contributions are also stated as requirements.

What is in the toolkit (and what are the tools)? How to approach the study of doctor–patient communication

Doctor–patient communication is important, but is challenging to study, in part because it is multifaceted. Communication can be considered in terms of both the aspects of the communication itself, and its measurable effects. These effects are themselves varied: they can be proximal or distal, and can focus on subjective measures (how patients feel about communication), or objective measures (exploring more concrete health outcomes or behaviours). The wide range of methodologies available has resulted in a heterogeneous literature which can be difficult to compare and analyse.Here, we provide a conceptual approach to studying doctor–patient communication, examining both variables which can controlled and different outcomes which can be measured. We present methodologies which can be used (questionnaires, semistructured interviews, vignette studies, simulated patient studies and observations of real interactions), with particular emphasis on their respective logistical advantages/disadvantages and scientific merits/limitations. To study doctor–patient communication more effectively, two or more different study designs could be used in combination.We have provided a concise and practically relevant review of the methodologies available to study doctor–patient communication to give researchers an objective view of the toolkit available to them: both to understand current research, and to conduct robust and relevant studies in the future.

Experience of Parents of Children with Genetically Determined Leukoencephalopathies Regarding the Adapted Health Care Services During the COVID-19 Pandemic

Parents of children with genetically determined leukoencephalopathies play a major role in their children's health care. Because of the COVID-19 pandemic, many health care services were suspended, delayed or delivered remotely with telemedicine. We sought to explore the experience of parents of children with genetically determined leukoencephalopathies during the pandemic given the adapted health care services. We conducted semistructured interviews with 13 parents of 13 affected children. Three main themes were identified using thematic analysis: perceived impact of COVID-19 on health care services, benefits and challenges of telemedicine, and expectations of health care after the pandemic. Parents perceived a loss/delay in health care services while having a positive response to telemedicine. Parents wished telemedicine would remain in their care after the pandemic. This is the first study assessing the impact of COVID-19 on health care services in this population. Our results suggest that parents experience a higher level of stress owing to the shortage of services and the children's vulnerability.

Cultural influences on physical activity and exercise beliefs in patients with chronic kidney disease: ‘The Culture-CKD Study’—a qualitative study

ObjectivesThis study used a mixed-method approach to explore cultural and ethnic influences on the perception of, and decision to engage with or not to engage with, physical activity and exercise therapy in patients with chronic kidney disease (CKD).DesignQualitative research was conducted through the use of semistructured interviews and focus groups. Self-reported physical activity levels were measured using the General Practice Physical Activity Questionnaire (GPPAQ), and self-efficacy for exercise with Bandura’s Self-Efficacy for Exercise Scale.SettingThis study was conducted in a non-clinical setting of a single National Health Service Hospital Trust between April 2018 and July 2019.ParticipantsParticipants >18 years of age with a diagnosis of CKD, from black African, black Caribbean, South Asian or white ethnicity were eligible for the study. 84 patients with a diagnosis of CKD (stages 2–5), aged 25–79 (mean age 57) were recruited. Semistructured interviews (n=20) and six single-sex, ethnic-specific focus group discussions were undertaken (n=36).OutcomesPrimary outcome was to explore the perceptions, attitudes and values about exercise and physical activity in different ethnic groups through qualitative interviews, analysed using an inductive thematic analysis approach. Questionnaires were analysed using Pearson correlation to determine if there was a significant relationship between the self-efficacy and GPPAQ levels.ResultsQualitative analysis provided four primary themes: I am who I am, Change of identity, Influences to physical activity and exercise and Support and education. Quantitative analysis using Pearson correlation revealed a significant correlation between GPPAQ levels of activity and self-efficacy to regulate exercise behaviour (r=−0.40, p=0.001).ConclusionUnderstanding the cultural, attitudes and beliefs of individuals with CKD from a variety of ethnic backgrounds is complex. Understanding of patients’ experiences, thoughts and beliefs may be of relevance to clinicians when designing CKD exercise services.Trial registration numberNCT03709212; Pre-results.

Medicinal Plants Used in Ethnoveterinary Practices in Adea Berga District, Oromia Region of Ethiopia

In Ethiopia, locally available materials, mainly medicinal plants, are commonly utilized to manage livestock diseases. However, this practice is currently being threatened by several factors including loss of traditional knowledge and depletion of plant resources. This calls for an urgent need to document the ethnoveterinary knowledge in the country and conserve the associated medicinal plants. The purpose of this study was, therefore, to document traditional knowledge on use of medicinal plants in the Adea Berga district, Oromia region of Ethiopia, to manage livestock ailments. Ethnobotanical data were collected largely through semistructured interviews conducted with purposively selected traditional healers of the district. The study identified 59 medicinal plants used in ethnoveterinary practices in the district. The great majority (90.4%) of the medicinal plants were used in fresh forms, which were mainly administered orally. The majority (65.4%) of the medicinal plants were gathered from the wild. Data revealed that yoke sore (wound) had the highest informant consensus factor (ICF) value (1.00), followed by leech infestation (0.92) and endoparasite infections (0.90). The highest fidelity level (FL) (100%) and rank order priority (ROP) (100%) values were obtained for the plants Nicotiana tabacum, Malva parviflora, and Calpurnia aurea that were used to treat leech infestation, retained placenta, and snake poisoning, respectively. Priority for further pharmacological and phytochemical investigations needs to be given to the aforementioned three plants with the highest FL and ROP values as such values may indicate their higher potency against the respective ailments.