12,271 research outputs found

    The developing maternal-infant relationship: a qualitative longitudinal study

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    Aim The study aimed to explore maternal perceptions and the use of knowledge relating to their infant’s mental health over time using qualitative longitudinal research. Background There has been a growing interest in infant mental health over recent years. Much of this interest is directed through the lens of infant determinism, through knowledge regarding neurological development resulting in biological determinism. Research and policy in this field are directed toward individual parenting behaviours, usually focused on the mother. Despite this, there is little attention given to maternal perspectives of infant mental health, indicating that a more innovative approach to methodology is required. Methods This study took a qualitative longitudinal approach, and interviews were undertaken with seven mothers from the third trimester of pregnancy and then throughout the first year of the infant’s life. Interviews were conducted at 34 weeks of pregnancy, and then when the infant was 6 and 12 weeks, 6, 9, and 12 months, alongside the collection of researcher field notes—a total of 41 interviews. Data were analysed by creating case profiles, memos, and summaries, and then cross-comparison of the emerging narratives. A psycho-socially informed approach was taken to the analysis of data. Findings Three interrelated themes emerged from the data: evolving maternal identity, growing a person, and creating a safe space. The theme of evolving maternal identity dominated the other themes of growing a person and creating a safe space in a way that met perceived socio-cultural requirements for mothering and childcare practices. Participants’ personal stories give voice to their perceptions of the developing maternal-infant relationship in the context of their socio-cultural setting, relationships with others, and experiences over time. Conclusions This study adds new knowledge by giving mothers a voice to express how the maternal-infant relationship develops over time. The findings demonstrate how the developing maternal-infant relationship grows in response to their mutual needs as the mother works to create and sustain identities for herself and the infant that will fit within their socio-cultural context and individual situations. Additionally, the findings illustrate the importance of temporal considerations, social networks, and intergenerational relationships to this evolving process. Recommendations for practice, policy, and education are made that reflect the unique relationship between mother and infant and the need to conceptualise this using an ecological approach

    TOWARDS AN UNDERSTANDING OF EFFORTFUL FUNDRAISING EXPERIENCES: USING INTERPRETATIVE PHENOMENOLOGICAL ANALYSIS IN FUNDRAISING RESEARCH

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    Physical-activity oriented community fundraising has experienced an exponential growth in popularity over the past 15 years. The aim of this study was to explore the value of effortful fundraising experiences, from the point of view of participants, and explore the impact that these experiences have on people’s lives. This study used an IPA approach to interview 23 individuals, recognising the role of participants as proxy (nonprofessional) fundraisers for charitable organisations, and the unique organisation donor dynamic that this creates. It also bought together relevant psychological theory related to physical activity fundraising experiences (through a narrative literature review) and used primary interview data to substantiate these. Effortful fundraising experiences are examined in detail to understand their significance to participants, and how such experiences influence their connection with a charity or cause. This was done with an idiographic focus at first, before examining convergences and divergences across the sample. This study found that effortful fundraising experiences can have a profound positive impact upon community fundraisers in both the short and the long term. Additionally, it found that these experiences can be opportunities for charitable organisations to create lasting meaningful relationships with participants, and foster mutually beneficial lifetime relationships with them. Further research is needed to test specific psychological theory in this context, including self-esteem theory, self determination theory, and the martyrdom effect (among others)

    Self-help/mutual aid groups in mental health : ideology, helping mechanisms and empowerment

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    In the last quarter of the twentieth century, self-help/mutual aid groups for mental health issues started to emerge in growing numbers, mainly in Western societies, offering and/or advocating for alternative non-traditional forms of support, and attracted the attention of many researchers and clinicians for their unique characteristics. Among the subjects of interest are typologies of groups, helping mechanisms and benefits from participation. However, there is lack of systematic research in the area and existing studies have been largely confined to the therapeutic value of these groups instead of acknowledging their socio-political meaning and subsequent psychosocial benefits for their members like personal empowerment. The present study was conducted during the transitional years from a Conservative to a newly elected Labour Government (1996 -1998), with subsequent policy shifts taking place in the welfare sector. The purpose of the study was to explore the potential of self-help groups as part of a broader new social movement, the service user movement, focussing on the English scene. It addressed this issue examining the relevance of a group typology based on political ideology and focus of change. To test the validity of this classification for members, a set of individual characteristics and group mechanisms as well as their change through time were examined. The sample consisted of fourteen mental health selfhelp/mutual aid groups from London and South East England, with a variety of structural and organisational features. The methodology used was a combination of both quantitative (self-completion questionnaires) and qualitative techniques (analysis of written material, participant observation and interviews). Measurements were repeated after a one-year interval (Time 1N=67, Time 2 N=56). Findings showed that, indeed, political ideology of self-help/mutual aid groups provided the basis of a meaningful typology and constitutes a comprehensive way of categorising them. Group ideology was related to specific helping mechanisms and aspects of personal empowerment. Specifically, conservative and combined group members reported more expressive group processes like sharing of feelings and self-disclosure, while radical group members were more empowered and optimistic. Group identification was also associated with specific helping activities and aspects of empowerment in the three group categories. The psychosocial character of group types and the beneficial outcomes for members remained stable through time. In general, prolonged participation was reflected in greater member identification with the group and resulted in improved mental wellbeing, increased social support, companionship and optimism for the future

    Seeing the wood and the trees? Lessons from applying ecosystem services in forest planning

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    In the UK and globally, forestry is experiencing an upsurge in interest as forests are anticipated to play a major role in addressing the twin crises of biodiversity loss and climate change that our society currently face. In the UK, forest management has traditionally focused on timber production yet forests provide many more ecosystem services (ES), including climate mitigation, slope stabilisation, and numerous wider ecological and social benefits. Forestry requires long-term planning, and so understanding the impacts of forest management is a critical part of predicting the future supply of these benefits, that can then inform decision-making. This thesis has taken a transdisciplinary approach to operationalise evidence of management impacts on ES to support planning and management decision-making for a public forest case study in Scotland. The research questions address three key areas: the link between management and the supply of ES; demand for ES from the public as a key stakeholder of the public forest estate; and the use of quantified ES information for supporting forest planning. There is a growing body of published research on forest ES; this was reviewed to synthesise the evidence of impacts of management on supply, and the trade-offs and synergies resulting from different management approaches. The review showed that maintaining the supply of ES at the forest scale will require a range of management approaches that build resilience in forests in the face of socio-economic and climate change uncertainty. A collaborative, case study approach was identified at the outset as critical to meet the thesis aims. The project was co-developed with a Forest Planning Manager (FM), and the activities undertaken formed five phases: Phase 1. Problem scoping and definition, to identify knowledge gaps and research questions, and select the case study forest. The chosen forest in northwest Scotland is a predominantly spruce plantation that is important for timber production, recreation and habitat for a protected species. Phase 2. Data collection for baseline ES supply, and current and future ES demand: to address one of the main knowledge gaps identified during Phase 1. Forest users and local communities were surveyed and the results showed general support for environmental, health and wellbeing outcomes, while timber production, climate mitigation and economic growth have lower priority. Phase 3. Baseline ES mapping: to test the usefulness of these data for operational decision-making. ES supply hotspots of timber, carbon storage, recreation and biodiversity benefits were mapped, which highlighted areas where there may be conflicts in achieving multiple benefits. Hotspot mapping methods were compared with the FM, who found that individual ES maps were most informative for operational decision-making. Phase 4. Scenario development and modelling: to explore how ES supply may change in future in response to management, including the impact of climate change. Forest development was simulated for 150 years to understand future ES supply under business as usual management using a dynamically coupled modelling approach. These results were then compared with alternative management scenarios developed with the FM. Phase 5. Data visualisation, feedback and reflection: to provide the modelling results in an interactive form that can support the forest planning process, and reflect on the research process to learn lessons for the future. A data visualisation dashboard was developed that the FM found useful for exploring the results, although there were unresolved challenges related to interpretation, particularly benchmarking and scaling issues. Overall, the main findings of the thesis showed that forest structure is more important than species for ES supply in this type of forest. In addition, forest management intensity decisions have more impact than climate in this region on future ES supply. The study showed that there are more trade-offs among ES under higher intensity management, and more synergies under lower intensity management. The simulation showed that time lags must be anticipated and accepted for delivering a wider suite of ES than timber. The ES framework provides a suitable method for delivering evidence that demonstrates how management influences the supply of benefits beyond the wood it supplies that can inform forest planning. It showed that there are time lags in ES responses to management, and that the scale at which ES are reported can have important consequences for measuring change. This is a challenge for using ES in planning. Co-developing the approach ensured the results were salient, as they resulted in direct instrumental changes to the new forest management plan that are intended to deliver wider environmental and social benefits in the future. There were also wider benefits from this project, such as improved awareness of the link between management and ES supply that the FM can apply in future planning decision-making

    The Influence of Quality on eWOM: A Digital Transformation in Hotel Management

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    612324There is no doubt that the use of Internet for purchasing products and services has constituted a crucial change in how people go about buying them. In the era of digital transformation, the possibility of accessing information provided by other users about their personal experiences has taken on more weight in the selection and buying processes. On these lines, traditional word-of-mouth (WOM) has given way to electronic word-of-mouth (eWOM), which constitutes a major social change. This behavior is particularly relevant in the services area, where potential users cannot in advance assess what is on offer. There is an abundant literature analyzing the effects of eWOM on different variables of interest in this sector. However, little is known about the factors that determine eWOM. Thus, the main objective of the present paper is to analyze the impact of two variables (objective quality and perceived quality) on eWOM. Both of them are crucial for potential customers in the process of finding hotel accommodations and they can motivate people to make such comments. The results demonstrate that these variables truly have a significant impact on whether or not users make comments on line. Moreover, it proved possible to observe certain differences according to the profile of the tourist involved and the destination where the hotel is located. In the current changing environment, this information is of great use for hotel managers in order to design strategies according to the type of guest they wish to attract.S

    Intervening on hypertension in Zambia: development of a culturally sensitized lifestyle programme to reduce disease incidence in urban areas

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    Background/purpose: Hypertension, like other non-communicable diseases, is becoming a major public health problem for Sub-Saharan Africa (SSA). Its increasing prevalence is driven by an epidemiological transition with more people leading unhealthy lifestyles, including poor diet and physical inactivity. This project aimed to explore the use of participatory methods with an urban community in Zambia in co-developing a culturally sensitized hypertension prevention intervention. Methods: The intervention development study was divided into four phases. I scoped and synthesized existing literature on risk factors (non-modifiable and modifiable) for hypertension in SSA in Phase One. The identified risk factors and their drivers informed Phase Two community members focus group discussions and stakeholder interviews to explore the local context in the study site to clarify the problem, identify which hypertension risk factors were malleable (potential factors to target), the mechanism of change, and how to deliver this. The findings informed the development of the causal pathway, the intervention theory of change and the Phase Three co-development of the intervention core components and small-scale evaluation. Five co-development workshops (four with local residents and one with local stakeholders) iteratively informed identification of priority risk factors, the delivery format and setting, and finalization of intervention core components. The pilot intervention was then tested with volunteer participants (N=34) to assess feasibility, acceptability and potential effectiveness in Phase four. Results: The scoping review identified the most common risk factors for hypertension in SSA. Residents FGDs and key stakeholder interviews, informed by the scoping review findings, identified a number of potentially malleable hypertension risk factors at individual and interpersonal levels, including high salt intake and other dietary factors, low physical activity, excess body weight, central obesity, high alcohol intake and smoking. From these, the workshops prioritised intervening on salt intake, other dietary factors, and physical inactivity. Using these suggestions, an 8-week group-based intervention (CHiPI) was codeveloped. Stakeholders proposed evaluation of the CHiPI on a small scale and delivery through churches: “nearly all residents belong to a church”. Stakeholders also identified community health workers and church leaders as delivery facilitators. The intervention core components were agreed and refined in close consultation with residents. These included linguistic and cultural adaptations of SMART goal setting and self-monitoring tools, which were iteratively tested and refined to reflect the local socio-cultural context. The small-scale evaluation of the intervention showed high acceptability, feasibility and potential effectiveness in improving health literacy, adoption of healthier diets (less salt added during cooking [p=0.014], reduction in added salt to the plate at mealtimes [p=0.001], increased fruit intake [p=0.001], reduced fried meals [p = 0.001]), increased physical activity [p=0.01] and reduced sedentary lifestyle [p = 0.001]. Reductions in body weight [p = 0.002], BMI [p = 0.001], WC [p = 0.001], SBP [-3mmHg, p=0.003] and DBP [-4mmHg, p = 0.001] were also observed. Conclusions and implications: Participatory methods succeeded in engaging local residents and stakeholders in the development of a potentially effective culturally sensitized, 8-week, group-based hypertension prevention lifestyle intervention for delivery through churches in Zambia. Having demonstrated high feasibility, acceptability and potential effectiveness, taking this intervention to a larger evaluation to obtain evidence of effectiveness can inform hypertension prevention intervention development in Zambia and other SSA countries

    ‘We the People: Supporting Food SMEs towards a Circular Food Economy’

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    This single Case Study locates SME (small and medium-size enterprise) hospitality and food services (HaFS) within a complex food waste system. It examines collaborative support for business change from linear resource wastage (‘take, use, dump), towards a circular food economy (CfE)- where ‘designing out’ food waste may reap savings. The objective is to support SME uptake of waste aversion practices so that they may thrive. The qualitative research centers on a London-based project promoting food waste valorization and healthy nutrition, in 15 boroughs. That project’s outreach for broad-based, collective impact included HaFS that are SMEs. Cross-sector liaison was the research focus for this Case Study which utilizes a hybrid philosophy and meta-framework, based on Critical Realism and Systemic Thinking. Some reference to Interpretivism highlights stewardship values for transforming individual behaviour. The Study also uses a multi-method design, borrowing soft systems from Management Science and Operational Research. Its blended approach includes: participant observation, mapping and rich picture techniques, semi-structured interviews and focus groups. The main research questions align concepts such as: circular economy, cross-sector collaboration and food waste management- with HaFS that are SMEs. A framework method and Leximancer software supported coding and qualitative thematic analysis. Primary findings include interesting categories of analytical, NGO and policy literature. Although conversations flagged up pivotal roles for our health and education sectors, the food SME element still seems peripheral in this transition to regenerative business. A ‘people vibe’ is enabling some HaFS’ kitchen waste action and food redistribution and, academia is a potential contributor to this information resource flow among stakeholders. The Study’s unique onto-epistemological framework enhances philosophical and theoretical knowledge about promoting SME resource stewardship. It spans Systemic Thinking (overt connections and acute complexities) and Critical Realism (deep mechanisms and institutional power differentials, impacting change). As an interpretive lens, the framework’s contribution to praxis was tested by shadowing the London TRiFOCAL project. This research could inform a business policy shift from traditional supply chain thinking, towards active UK food citizenship
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