Patient co-creation activities in healthcare service delivery at the micro level : The influence of online access to healthcare information

The healthcare sector has undergone a number of transformations in recent years, partly due to recent advances in technology. This triggered our study to examine patients’ desire to seek health information largely driven by increased access via the Internet and the cumulative impacts on value co-creation. We employed a sequential exploratory design involving a phenomenological approach in the qualitative phase, followed by a quantitative survey design to further our understanding of the influence of technology in co-creating value in healthcare at the micro level. Advances in technology have empowered patients to be informed, which enabled them to play an active role in clinical encounters with the doctor. The findings suggest pre-encounter information search impacts positively on improved service engagement and commitment to compliance with medical instructions. It does this by shaping the nature of interactions; enhancing provider-patient orientation; and increasing their involvement in a shared decision-making process. From a theoretical perspective, our study integrates multiple research perspectives (e.g., access to information, online information seeking and knowledge creation, healthcare consultation models, etc.) and extends research on patient integration, participation, and co-creation of value. The conceptualization of value co-creation activities in this study suggests a need for service providers to adopt delivery approaches that would effectively integrate patient resources to co-create value

Project:Filter - using applied games to engage secondary schoolchildren with public policy

Applied games present a twenty-first-century method of consuming information for a specific purpose beyond pure entertainment. Objectives such as awareness and engagement are often used as intended outcomes of applied games in alignment with strategic, organizational, or commercial purposes. Applied games were highlighted as an engagement-based outcome to explore noPILLS, a pan-European policy research project which presented policy pointers and suggested methods of interventions for reducing micropollution within the wastewater treatment process. This paper provides an assessment of a video game which was developed for the purpose of public engagement with policy-based research. The video game, Project:Filter, was developed as a means of communicating noPILLS to secondary school children in Scotland as part of a classroom-based activity. Knowledge development and engagement were identified using Interpretative Phenomenological Analysis to evidence topical awareness, depth of understanding, and suggested methods of intervention. Analysis of observations also provided insights into challenges surrounding logistics, pedagogy, social interactions, learning, and gender as contributing factors to the schoolchildren’s experiences of Project:Filter. The intention of this paper is two-fold: firstly, to provide an example of developing video games from policy-based research; and secondly, to suggest methods of phenomenological assessment for identifying play-based engagement

Hermeneutic resonance in animats and art

One major criticism of direct or active perception (and other forms of embodied action) from the perspective of cognitive psycology is that, according to common sense, there are some actions that require strictly symbolic information - for example, to stop a car in response to a red traffic light - which fall outside the realm of a perception-action cycle. Although such cognitive responses are not necessarily a goal of artificial life, they must necessarily be included within the embodied paradigm if it is to encompass the cognisant individual, the self-aware individual, or, potentially, the conscious individual. This paper will address the question, 'can an animat appreciate art?' Although this may seem very different to the example of a prosaic response to a traffic light, it will be argued that a common framework for establishing the meaning of an object is needed. It will also be argued that clarification to previous philosophical models of artistic engagement is required: in particular that the process of understanding is not a dialogue between an autopoietic artwork and animat, but that there is either a unity of object (artwork-animat) which becomes self-maintaining, or a more classical Gibsonian interpretation as a fixed set of affordances offered by an object to the subject, both of which lead to the conclusion that the process of understanding becomes a resonance in the unity or animat

Textiles as Material Gestalt: Cloth as a Catalyst in the Co-designing Process

Textiles is the common language within Emotional Fit, a collaborative research project investigating a person-centred, sustainable approach to fashion for an ageing female demographic (55+). Through the co-designing of a collection of research tools, textiles have acted as a material gestalt for exploring our research participants' identities by tracing their embodied knowledge of fashionable dress. The methodology merges Interpretative Phenomenological Analysis, co-design and a simultaneous approach to textile and garment design. Based on an enhanced understanding of our participants textile preferences, particular fabric qualities have catalysed silhouettes, through live draping and geometric pattern cutting to accommodate multiple body shapes and customisation. Printedtextiles have also been digitally crafted in response to the contours of the garment and body and personal narratives of wear. Sensorial and tactile interactions have informed the engineering and scaling of patterns within zero-waste volumes. The article considers the functional and aesthetic role of textiles

Quantum Gravity and Taoist Cosmology: Exploring the Ancient Origins of Phenomenological String Theory

In the author’s previous contribution to this journal (Rosen 2015), a phenomenological string theory was proposed based on qualitative topology and hypercomplex numbers. The current paper takes this further by delving into the ancient Chinese origin of phenomenological string theory. First, we discover a connection between the Klein bottle, which is crucial to the theory, and the Ho-t’u, a Chinese number archetype central to Taoist cosmology. The two structures are seen to mirror each other in expressing the psychophysical (phenomenological) action pattern at the heart of microphysics. But tackling the question of quantum gravity requires that a whole family of topological dimensions be brought into play. What we find in engaging with these structures is a closely related family of Taoist forebears that, in concert with their successors, provide a blueprint for cosmic evolution. Whereas conventional string theory accounts for the generation of nature’s fundamental forces via a notion of symmetry breaking that is essentially static and thus unable to explain cosmogony successfully, phenomenological/Taoist string theory entails the dialectical interplay of symmetry and asymmetry inherent in the principle of synsymmetry. This dynamic concept of cosmic change is elaborated on in the three concluding sections of the paper. Here, a detailed analysis of cosmogony is offered, first in terms of the theory of dimensional development and its Taoist (yin-yang) counterpart, then in terms of the evolution of the elemental force particles through cycles of expansion and contraction in a spiraling universe. The paper closes by considering the role of the analyst per se in the further evolution of the cosmos

A First-Person Theory of Documentation

Purpose To first articulate and then illustrate a descriptive theoretical model of documentation (i.e., document creation) suitable for analysis of the experiential, first-person perspective. Design/methodology/approach Three models of documentation in the literature are presented and synthesized into a new model. This model is then used to understand the findings from a phenomenology-of-practice study of the work of seven visual artists as they each created a self-portrait, understood here as a form of documentation. Findings A number of themes are found to express the first-person experience of art-making in these examples, including communicating, memories, reference materials, taking breaks and stepping back. The themes are discussed with an eye toward articulating what is shared and unique in these experiences. Finally, the themes are mapped successfully to the theoretical model. Research limitations/implications The study involved artists creating self-portraits, and further research will be required to determine if the thematic findings are unique to self-portraiture or apply as well to art-making, to documentation generally, etc. Still, the theoretical model developed here seems useful for analyzing documentation experiences. Practical implications As many activities and tasks in contemporary life can be conceptualized as documentation, this model provides a valuable analytical tool for better understanding those experiences. This can ground education and management decisions for those involved. Originality/value This paper makes conceptual and empirical contributions to document theory and the study of the information behavior of artists, particularly furthering discussions of information and document experience

Spectators’ aesthetic experiences of sound and movement in dance performance

In this paper we present a study of spectators’ aesthetic experiences of sound and movement in live dance performance. A multidisciplinary team comprising a choreographer, neuroscientists and qualitative researchers investigated the effects of different sound scores on dance spectators. What would be the impact of auditory stimulation on kinesthetic experience and/or aesthetic appreciation of the dance? What would be the effect of removing music altogether, so that spectators watched dance while hearing only the performers’ breathing and footfalls? We investigated audience experience through qualitative research, using post-performance focus groups, while a separately conducted functional brain imaging (fMRI) study measured the synchrony in brain activity across spectators when they watched dance with sound or breathing only. When audiences watched dance accompanied by music the fMRI data revealed evidence of greater intersubject synchronisation in a brain region consistent with complex auditory processing. The audience research found that some spectators derived pleasure from finding convergences between two complex stimuli (dance and music). The removal of music and the resulting audibility of the performers’ breathing had a significant impact on spectators’ aesthetic experience. The fMRI analysis showed increased synchronisation among observers, suggesting greater influence of the body when interpreting the dance stimuli. The audience research found evidence of similar corporeally focused experience. The paper discusses possible connections between the findings of our different approaches, and considers the implications of this study for interdisciplinary research collaborations between arts and sciences

On the existence and implications of nonbelieved memories

In this article, we review the state of knowledge about a previously-assumed-to-be-rare memory phenomenon called nonbelieved memories. Nonbelieved memories are a counterintuitive phenomenon in which vivid autobiographical memories are no longer believed to have happened even though vivid recollective features remain present. Such memories stand in contrast to the more typical situation that when events are recollected they are also believed to have genuinely occurred. We review data on the frequency, characteristics, and factors that contribute to the development of naturally occurring and laboratory-induced nonbelieved memories and discuss the relationships of nonbelieved memories with theories of autobiographical remembering and the study of remembering in applied domains

Microscopic derivation of the Jaynes-Cummings model with cavity losses

In this paper we provide a microscopic derivation of the master equation for the Jaynes-Cummings model with cavity losses. We single out both the differences with the phenomenological master equation used in the literature and the approximations under which the phenomenological model correctly describes the dynamics of the atom-cavity system. Some examples wherein the phenomenological and the microscopic master equations give rise to different predictions are discussed in detail.Comment: 9 pages, 3 figures New version with minor correction Accepted for publication on Physical Review

Self as social practice: rewriting the feminine in qualitative organizational research

This paper offers a reflexive discussion of the paradox of researching others and offering to represent multiple voices whilst suppressing the voice of the researcher. Martin’s (2002) injunction to repair research accounts by ‘letting the “I” back in’ is problematised by identifying four typically unacknowledged discursive subject positions which constitute the multiple nature of the “I” in such texts: the empirical ‘eye”, the analytical I, the authorial I and the I as semiotic shifter. It is argued that this shifting multiplicity is stabilised by the relationship between self and research text being corporeally grounded and gendered. From this discussion, three possible approaches to gender are considered: the discursive/textual approach (as developed inter alia by Foucault); the performance/social practice approach (as developed inter alia by Judith Butler) and the corporeal multiplicity approach (as developed inter alia by Elizabeth Grosz and Dorothea Olkowski). The paper concludes by suggesting a tripartite approach to writing self-multiplicity in research which extends the possibilities opened up by the social practice approach: re-citing (redeploying discursive resources in intertextuality); re-siting (changing the positioning of the self in power relations by reinscribing); and re-sighting (opening up new, virtual visions of possibility)