“I Like the Olympics, but I’m here not just for the Olympics”: Sex tourism, destination image and the dark side of mega-event tourism in Rio De Janeiro

The Olympic Games are a major tourism attraction and are used by host cities and destinations to try and positively affect destination image and drive tourism attractiveness. Olympic tourists travel to enjoy the sport and carnival of the event, but some also seek to engage in sex tourism. This study draws on interviews with 10 heterosexual male sex tourists during the 2016 Rio Olympics in order to investigate the relationships between the Olympic Games, destination image, and sex tourism. Findings reveal that the limonoid atmosphere of the event provides an appealing atmosphere for sex tourists to engage in sexual encounters with sex workers and local women. The image of Rio as a destination was important in this, as it was seen as a relaxed and fun destination and Brazilian women as beautiful and sexually available. Issues of power between the mainly white sex tourists from the Global North and more economically vulnerable local women in destinations in the Global South were identified and recommendations offered for how Olympic and host destination stakeholders can better protect those most vulnerable to sexual exploitation during mega-event hosting, such as working with other related organisations to educate tourists and protect local women

A ‘major breakthrough’, yet potentially ‘entirely ineffective’? Experts’ opinions about the ‘total ban’ on unhealthy food marketing online in the UK’s Health and Care Act (2022)

The UK’s Health and Care Act (2022; paused until 2025) includes a globally novel ban on paid-for online advertising of food and beverage products high in saturated fat, salt and sugar (HFSS), to address growing concerns about the scale of digital marketing and its impact in particular on children’s food and beverage preferences, purchases and consumption. This study aimed to understand the potential impact of the novel ban (as proposed in 2020) on specified forms of online HFSS advertising, through the lens of interdisciplinary expertise. We conducted semi-structured interviews via videoconference with eight purposively selected UK and global digital marketing, food and privacy experts. We identified deductive and inductive themes addressing the policy’s scope, design, implementation, monitoring and enforcement through iterative, consensual thematic analyses. Experts felt this novel ‘breakthrough’ policy has potential to substantially impact global marketing by establishing the principle of no HFSS advertising online to consumers of all ages, but they also identified substantive limitations that could potentially render it ‘entirely ineffective’, for example, the exclusion of common forms of digital marketing, especially brand marketing and marketing integrated within entertainment content; virtual/augmented reality, and ‘advertainment’ as particularly likely spaces for rapid growth of digital food marketing; and technical digital media issues that raise significant barriers to effective monitoring and compliance. Experts recommended well-defined regulations with strong enforcement mechanisms. These findings contribute insights for effective design and implementation of global initiatives to limit online HFSS food marketing, including the need for government regulations in place of voluntary industry restrictions

A Pilot Randomized Controlled Trial Testing the Feasibility and Acceptability of Helping Ease Anxiety and Depression after Stroke (HEADS: UP): An Online Mindfulness-Based Intervention for Stroke Survivors

Objectives The purpose of this study was to assess feasibility and acceptability of a stroke-specific mindfulness-based intervention called Helping Ease Anxiety and Depression after Stroke (HEADS: UP). Method This study was a mixed-methods pilot randomized controlled trial comparing HEADS: UP to treatment as usual (TAU). HEADS: UP is a 9-week mindfulness intervention for stroke survivors. UK (United Kingdon)-based stroke survivors were recruited and attended HEADS: UP Online. Psychological functioning outcomes measures and other data were collected online at pre-intervention (Week 0), post-intervention (Week 9), and follow-up (months 3 and 6). Participants were randomized 1:1 to either HEADS: UP or TAU. Results Sixty-two participants completed baseline questionnaires and were randomized to HEADS: UP (n = 30) or TAU (n = 32). Retention rates were as follows: HEADS: UP (n = 25, 83.30%) versus TAU (n = 25, 78.10%) at post-intervention, HEADS: UP (n = 24, 80%) versus TAU (n = 26, 81.30%) at 3-month follow-up, and HEADS: UP (n = 20, 66.70%) versus TAU (n = 25, 78.10%) at 6-month follow-up. The mean age for HEADS: UP was 56.0 years versus 56.80 for TAU. The HEADS: UP group was 30% male, while the TAU group was 56% male. Depression Anxiety Stress Scales (DASS)-21 total mean score for HEADS: UP improved in the direction of expected effect (baseline 46.20, SD (standard deviation) = 24.00; post-intervention 24.00, SD = 16.10) indicating recovery versus no reliable change for TAU (baseline 36.10, SD = 18.70; post-intervention 31.60, SD = 20.40). HEADS: UP and TAU scores continued to improve over time. Between-group effect sizes (Cohen’s d) at post-intervention were large for BAI (Beck Anxiety Inventory) (d = 0.91), DASS-21 total (d = 0.89), and BDI (Beck Depression Inventory)-II (d = 0.86), highlighting the potential of HEADS: UP for improving depression and anxiety symptoms. At the six-month follow-up, the attrition rate was higher in the HEADS: UP group (33.30%) compared with TAU (21.90%). Conclusions HEADS: UP is feasible and acceptable and has potential to improve depression and anxiety symptoms for stroke survivors. Preregistration ClinicalTrials.gov: NCT04985838

Application of the systemic lessons learned knowledge model to learning in complex projects: How project practitioners are shaping their learning

Learning in projects is frequently emphasized in practice and the literature for knowledge creation, yet there is limited research on how project practitioners articulate learning particularly in complex projects. This study applies the Systemic Lessons Learned Knowledge model to investigate how project practitioners conceptualize learning in complex projects. The research method consisted of narrative inquiry which is considered insightful and useful in acquiring data through storytelling. The research establishes how beyond the alignment of the people and system elements (learning, culture, social, technology, process, and infrastructure), an awareness of complex project attributes can positively influence project practitioners’ learning capability. This study also identifies and discusses the enablers and challenges of transferring lessons learned into knowledge

Coal to swole: A survey of anabolic steroid use and muscularity concerns in coalfield areas of Wales

BACKGROUND: Growing male anabolic steroid use is often framed as symptomatic of a post-industrial masculinity crisis, but little quantitative evidence exists for this account. We examine whether steroid use is associated with geographic exposure to industrial decline, namely historical coal mining, and whether any association is mediated by masculine norms. METHODS: We fielded a quota-sampled survey of 18-49 year-old men in Wales (N = 1425). Data were geo-linked to the extent of historic coal mining locally to respondents. Generalised linear mixed models were fitted to test our hypotheses. RESULTS: Steroid use (odds ratio = 1.99, 1.10-3.60), but not body image (B = 1.06, -2.02-4.13), was positively associated with mining extent. However, this was not mediated by conformity to masculine norms. DISCUSSION: While use of steroids is more common in former mining areas, this is not due to more prevalent body image issues nor mediated by masculine norms. Thus, accounts of a post-industrial 'thwarted masculinity' do not fit the data. Steroid use in post-industrial areas is an issue for public health and these communities may benefit from targeted interventions to reduce risk of harms

Cost-effectiveness of swab versus tissue sampling for infected diabetic foot ulcers from the CODIFI2 randomised controlled trial

This multi-centre, Phase III, prospective, unblinded, two-arm parallel group, randomised controlled trial compared clinical (reported elsewhere) and economic outcomes of swab versus tissue sampling over a 52–104 week period. Resource use was logged using case record forms and patient questionnaire at weeks 4, 12, 26, 39, 52 and 104, costed using laboratory and published sources from the UK NHS perspective, at 2021/2022 price-year. EQ-5D-3L questionnaires issued at these time points were used to derive quality-adjusted life-years (QALYs). To account for imbalances such as age, a regression-based approach was used to estimate survival, expected costs and QALYs between the sampling arms. Available case analysis (ACA) and multiple imputation methods were applied for self reported missing data, and ACA for researcher-collected data (survival, hospitalisations and antibiotic use). Probabilistic sensitivity analysis was used to assess the uncertainty of economic results. Results We recruited 149 participants (75 swab, 74 tissue) from 21 UK sites, between 07 May 2019 and 28 April 2022 (last follow-up 28 April 2023). Planned sample size was 730 participants, for 90% power to detect 12.5% difference in healing at 52 weeks, but the trial stopped early due to low recruitment. Expected QALYs in the swab-sampling arm were greater than in the tissue-sampling arm at weeks 26, 52 and 104. The cost of tissue sampling was greater than of swabbing when including antibiotics and hospitalisation. Swab sampling participants had higher QALYs and lower costs across weeks 26–52, reducing slightly by week 104. Conclusions Because of higher costs, lower QALYs and lack of evidence of benefit, potentially due to the trial being underpowered, tissue sampling was dominated by wound swabbing in the cost-effectiveness analysis

The Benefits of Assistive Technology for the Elderly and Disabled People: A Baseline Study

Purpose Housing adaptation enables the elderly and disabled people to live healthy, productive, independent, and dignified lives by making it easier to carry out everyday tasks in a safer environment. Assistive technology enables them to perform tasks that would otherwise be difficult or impossible to achieve independence. Therefore, the new guidance for local authorities in England on Disabled Facilities Grants (DFG) recommends assistive and smart technology as part of a DFG award package to maximise the benefits of home adaptations. Through a baseline study, this paper examines the disabled and elderly peoples’ level of digital engagement, the challenges and the impact of smart devices on their daily living and well-being. Design/methodology/approach A baseline study approach was used through the co-production of knowledge. The study relies on a questionnaire survey and the Most Significant Change (MSC) research technique through structured interviews. A percentage of the total approach is used in analysing the quantitative data by comparing the pre- and post-baseline results. Findings The major challenges the clients face are Wi-Fi connectivity, system compatibility issues, and skills in navigating different applications and operating systems. The pilot study demonstrates that assistive technology supports independent and healthy living and promotes a secure and safe environment. It also promotes social inclusion and improves the elderly and disabled people’s comfort and engagement. However, the results show that the overall impact is minimal; therefore, a longitudinal study is needed to understand the impacts over a long period. Practical implications The findings will help policymakers to understand the impacts of assistive technology on improving the elderly and disabled people’s quality of life. Originality/value A comparable baseline study was carried out to serve as a reference point for other similar future studies. The paper also highlights the challenges faced by the elderly and disabled people, their digital skill level and the impact of smart devices on their daily living and well-being

Banned for doping: Using composite vignettes to portray rugby players’ experiences of anti-doping rule violations

Objective: Understanding the lived experiences of athletes who have been sanctioned for violating anti-doping rules presents the opportunity to listen and learn. Yet, the academic field seldom draws on the voices of those affected when considering doping in sport. Our aim was to illuminate important aspects of sanctioned athletes’ experiences and highlight opportunities for prevention and rehabilitation. Design: A semi-structured interview research design was used, and data informed the development of composite vignettes, a form of creative non-fiction. Method: Semi-structured interviews were conducted with two elite rugby players sanctioned for violating the anti-doping rules within rugby league (n=1) and rugby union (n=1). Three composite vignettes were created illuminating player experiences before, during and after the violations. Findings: The vignettes highlight in participants’ own words the multiple impacts of sport demands and drug use: (1) Leading up to the violation: ‘You’re just treading water, you’re surviving’ (2) ‘There’s just this massive amount of social pressure in rugby, not just on the game, but on who you’re supposed to be’ (3) ‘It was like being hit by a train’. The ADRV aftermath. Conclusions: The role of social identity in the transitions experienced by a rugby player following a critical incident (e.g., serious injury) was a key influencing factor for doping. Alongside addressing the demands of the sport, the need for early intervention and evidence-based support for players experiencing critical incidents (e.g., injury) and transitions was evident to prevent doping violations

Making sense of metal in the United Kingdom and the future of metal music studies: A case study of Wytch Hazel and Arð

Heavy metal in the United Kingdom, as in many countries around the world, is thriving and has become a respectable form of popular culture, and its fans and musicians are seen everywhere. The same position of respectability has been gained by academics and the once-mocked subject field of metal music studies. In this article, I try to map metal in the United Kingdom today through a case study of Wytch Hazel and Arð, two bands located in the north of England. I will argue that metal in the United Kingdom is still a space for resistance to the commodification of the mainstream and the construction of imaginary, imagined communities. I will then argue that the future of metal music studies depends on whether metal itself continues to thrive as a place of polyvalent identities, as well as whether academics can negotiate their own epistemological and ontological uncertainties in the marketplace of higher education

Head Acceleration Event Exposure During Elite Men’s and Women’s Rugby Union Training

Objectives The aim of this study was to describe the incidence and magnitude of head acceleration events (HAEs) during elite men’s and women’s rugby union training for different contact training levels and drill types. Method Data were collected during the 2022–23 and 2023–24 seasons from 203 men and 125 women from 13 clubs using instrumented mouthguards (iMGs) during in-season training. One author reviewed the training videos to identify the contact level and drill type. HAE incidence was calculated per player minute. Results For men’s forwards and backs, only 4.7% and 5.8% of HAEs were ≥ 25 g and ≥ 1.5 Krad/s2, and 3.4% and 4.4% for women’s forwards and backs, respectively. The incidence of ≥ 5 g and ≥ 0.4 Krad/s2 was highest during full-contact training for men’s forwards (0.20/min) and backs (0.16/min) and women’s forwards (0.10/min). HAE incidence was 2–3 times higher during repetition-based compared with game-based training drills for men’s forwards (0.25/min vs 0.09/min) and backs (0.22/min vs 0.09/min) and women’s forwards (0.09/min vs 0.04/min) and backs (0.08/min vs 0.03/min). HAE incidences were halved when repetition-based training drills used pads compared with no pads for men’s forwards (0.21/min vs 0.44/min) and backs (0.17/min vs 0.30/min), and women’s forwards (0.06/min vs 0.14/min) and backs (0.06/min vs 0.10/min). Conclusion The average HAE incidence (~ 13–20% of weekly HAEs) and magnitude during an in-season training week is very low compared with matches. Opportunities to materially reduce HAE exposure in training are likely more limited than previously assumed. Future research on HAE load and injury, and understanding players’ specific weekly training exposure, may inform effective individual player management