130 research outputs found

    Imagine being off-the-grid: Millennials' Perceptions of Digital-Free Travel

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    The blurred boundaries between home and away facilitated by the ubiquitous connectivity have resulted in restlessness in private life, even on holiday. Disconnecting from technology on holiday could potentially contribute to travellers’ psychological sustainability. This article aims to theorise the perceptions of millennials towards digital-free travel (DFT). We interviewed 17 millennials and applied the Unified Theory of Acceptance and Use of Technology (UTAUT) qualitatively to uncover deep insights into their perceptions. Millennials in the research believe that DFT is beneficial for their well-being, but also have concerns regarding social expectations, technology dependence and environmental support. This article firstly contributes towards the psychological sustainability from the perspective of digital well-being in tourism. Second, the qualitative use of UTAUT in a technology disconnection setting is novel. Finally, the study contributes to the empirical understanding of DFT from the aspect of millennials’ perceptions. The study proposes that mental “away” should be aligned with physical “away” by reducing technology use to achieve psychological sustainability on holiday

    Psychosocial and treatment correlates of opiate free success in a clinical review of a naltrexone implant program

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    Background: There is on-going controversy in relation to the efficacy of naltrexone used for the treatment of heroin addiction, and the important covariates of that success. We were also interested to review our experience with two depot forms of implantable naltrexone. Methods: A retrospective review of patients' charts was undertaken, patients were recalled by telephone and by letter, and urine drug screen samples were collected. Opiate free success (OFS) was the parameter of interest. Three groups were defined. The first two were treated in the previous 12 months and comprised "implant" and "tablet" patients. A third group was "historical" comprising those treated orally in the preceding 12 months. Results: There were 102, 113 and 161 patients in each group respectively. Groups were matched for age, sex, and dose of heroin used, but not financial status or social support. The overall follow-up rate was 82%. The Kaplan Meier 12 month OFS were 82%, 58% and 52% respectively. 12 post-treatment variables were independently associated with treatment retention. In a Cox proportional hazard multivariate model social support, the number of detoxification episodes, post-treatment employment, the use of multiple implant episodes and spiritual belief were significantly related to OFS. Conclusion: Consistent with the voluminous international literature clinically useful retention rates can be achieved with naltrexone, which may be improved by implants and particularly serial implants, repeat detoxification, meticulous clinical follow-up, and social support. As depot formulations of naltrexone become increasingly available such results can guide their clinical deployment, improve treatment outcomes, and enlarge the policy options for an exciting non-addictive pharmacotherapy for opiate addiction
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