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Sport psychology practitioners are increasingly operating in the esport domain. Yet it remains unclear how practitioners who have exclusively been trained in traditional sport develop a contextually grounded understanding of their practice in esport. This study, framed from an ontological relativism and epistemological interpretivism approach, involved semistructured interviews with 10 qualified practitioners (three female, seven male) who transitioned from traditional sport to esport. Data were analyzed using reflexive thematic analysis and presented via three composite vignettes: (a) My wish was to feel a part of the team, but there's no team; (b) To be honest, did I have assumptions going into esport? Absolutely!; and (c) Esport is the wild, wild west. Our findings offer insights on the hurdles associated with transitioning from traditional sport to esport, thus highlighting the important role that esport organizations, training routes, and educational institutions have in supporting practitioners to ethically and effectively work in this domain. [ABSTRACT FROM AUTHOR]

This study adopts the athletic career transition model to explore the experiences of Korean dual-career (DC) judokas during their junior-to-senior transition using a longitudinal approach. We recruited 12 Korean elite judokas, all of whom were in their first year of university during their initial interview. Participants were organized into three focus groups, with three rounds of interviews conducted over approximately 2 years, totaling nine focus-group sessions. Thematic analysis was applied, which led to the identification of three key themes: (a) multifaceted challenges, (b) coping strategies, and (c) perceived needs of DC athletes prioritizing sport over study. The results indicate that Korean DC judokas share some common challenges (e.g., increased training demands, balancing their studies with training demands) with their European counterparts, but they also face unique challenges (e.g., managing weight control, laundry duties, and relationships with senior judokas) specific to the Korean judokas. Their coping strategies include both internal resources (e.g., focusing on performance target, utilizing resilience) and external ones (e.g., seeking social support), emphasizing the critical role of psychological support during their junior-to-senior transition. Proactive psychological support is recommended through a specialized system tailored to this group. Given that Korean DC judokas significantly prioritize sport over education, this system should also address balancing both sport and education. [ABSTRACT FROM AUTHOR]

Several institutional aspects within the U.S. public school system impede the delivery of adapted physical education (APE) services to disabled children, including a lack of understanding and prioritization of these services by the special education team and a lack of qualified APE professionals to deliver these services. Thus, we conducted a qualitative inquiry grounded in a critical-ableism perspective to explore special education gatekeepers' experiences and perspectives of APE. Gatekeepers included parents, physical educators, and school administrators. Using a reflexive thematic analysis, we developed four interrelated themes: (a) disregard, negative, and charity mindsets toward disability; (b) systemic challenges in valuing and prioritizing APE; (c) presence as inclusion: (un)intentional marginalization in physical education; and (d) physical education for my child was a nightmare. These findings illustrate the complexities around the provision of physical education and APE to disabled children. [ABSTRACT FROM AUTHOR]

This study sought to understand the lived experiences of wheelchair basketball athletes from low- and middle-income countries of recent or current armed conflict and the meaning that they ascribed to their participation. Wheelchair basketball athletes (N = 108) from eight national teams participated in semistructured focus-group interviews. Study data were analyzed thematically using an interpretive descriptive approach. Three themes were developed: "I can do anything I want; not only basketball," self-concept changes through sport participation; "Now they see me as a respectable person," societal belonging through sport; and "I have motivated other disabled people," influence on nonparticipating disabled persons. The findings indicated that participation in wheelchair sports may help disabled persons see themselves as capable individuals on the court and in aspects of daily living, perhaps even peer role models for other disabled persons in their communities and countries. [ABSTRACT FROM AUTHOR]

The aim of the current study was to explore elite athletes' experiences of the COVID-19 pandemic and its impact on both growth and well-being. Informed by two complementary theoretical models, this research focused on elite athletes' potential to experience growth. Five elite athletes completed the Stress-Related Growth Scale–Revised and underwent semistructured interviews to develop a narrative of their experiences. Through a thematic analysis, we articulated elite athletes' experiences of both illusory and real adversarial growth following the COVID-19 pandemic. Four themes illustrated their experiences: the COVID-19 experience, searching for positives, self-transformation, and the social impact. A fifth theme, well-being, was integral throughout, involving the continued protection and development of athlete well-being. Future research recommendations and implications include further exploration of adversarial growth experiences after the pandemic and long-term effects of the pandemic on elite athletes, the creation of an adversarial growth measure, and engagement with this research to inform support measures to decrease the impact of adversity on elite athletes' well-being. [ABSTRACT FROM AUTHOR]

This study explored the classification experiences and views of Para Alpine skiers with visual impairment. Data from 11 interviews were analyzed using reflexive thematic analysis to generate three themes: Suitability—The skiers questioned the suitability of the visual measurements, testing environment, and the information they received regarding classification; Exclusivity—Skiers felt certain aspects of the system remain exclusive due to the restrictions of sport classes and lack of the athlete voice; and (Dis)trust—Skiers felt distrust in those implementing the system and in other athletes due to intentional misrepresentation. Speculation surrounding this resulted in the skiers' feeling doubt in their own classification. While there is not a "one size fits all" approach to classification, understanding skiers' experiences can be a vital first step and will help to guide future research into the evolution of this sport's classification. [ABSTRACT FROM AUTHOR]

In this paper, we analyze the subjective inclusion experiences of visually impaired (VI) adult tennis players from an ableism-critical perspective. The primary focus of this research is the inclusive potential of blind tennis from the perspective of VI individuals. Episodic interviews were conducted to capture subjective perspectives. A qualitative text analysis revealed that the interviewees were confronted with multiple ability assumptions by sighted people in their everyday lives. Deficit notions on the performance of VI people included sports, work, and general activities. Participation in blind tennis helped the interviewees build a "competent identity" and acquire various skills useful for their everyday lives as participation in blind tennis was a pathway for competence in sports. Further research is needed to identify exclusion experiences from the perspective of disabled people to recognize the potential of different sports in reducing barriers to participation. [ABSTRACT FROM AUTHOR]

The purpose of this study was to explore the ways in which in-service physical education teachers construct their self-efficacy beliefs toward teaching students with disabilities in general physical education classes. Using a qualitative descriptive approach situated within self-efficacy theory, data were collected via semistructured audio-recorded interviews with 16 in-service physical educators. Three interrelated themes were constructed: (a) The more I do it, the better I feel: the importance of professional experiences; (b) I've learned from others: the influence of colleagues; and (c) Being in the general educational setting is a challenge: the impact of contextual factors. Findings supported the influence of the four sources of self-efficacy (i.e., mastery experience, vicarious experience, social persuasion, and affective and physiological state), in addition to potential contextual factors (i.e., class sizes and availability of hands-on support), impacting participants' self-efficacy to teach students with disabilities in general physical education classes. [ABSTRACT FROM AUTHOR]

In response to recent calls for promoting the contextual intelligence of sport psychology practitioners, the aim of the current study was to obtain the first-person competitive experiences of kendo fighters (i.e., kenshi). Existential phenomenological interviews were conducted with eight competitive Japanese-American kenshi residing in the United States. The findings of thematic analysis indicated that the participants possessed a strong commitment to earning ippon (i.e., a valid point), which was achieved by a subjective synchronization of mind, sword, and body in the execution of a strike against an opponent. They considered this to be a transformative experience, which elevated them perceptually out of the sporting context to a momentary sense of "cutting" the opponent with a real sword. The current findings also offer sport psychology consultants possible context-specific insights (e.g., importance of seme) and strategies (e.g., management of attentional focus, self-regulation techniques) for assisting kenshi in preparing for competitive situations. [ABSTRACT FROM AUTHOR]

Coping with the COVID-19 pandemic had implications for athletes' mental well-being. This mixed-methods study examined the influence of self-compassion on athletes' coping during the pandemic through the mediator of cognitive appraisal. The prospective design involved 90 athletes completing two online surveys 1 week apart measuring self-compassion, cognitive appraisal, and coping strategies. The PROCESS macro was used for the mediation analysis. A qualitative thematic analysis was used to explore athletes' responses to the pandemic during the second survey. Self-compassion had an indirect negative effect on avoidance-focused coping by appraising the pandemic as less of a threat (95% confidence interval [−0.20, −0.001]) and had a total effect on emotion-focused coping (95% confidence interval [0.02, 0.40]). Based on the thematic analysis, athletes described many raw emotions and a variety of coping strategies during the pandemic. Self-compassion demonstrated promising benefits to athletes who dealt with the challenging situation of the pandemic. [ABSTRACT FROM AUTHOR]

Organizational culture in sports affects well-being, performance, and overall success. Although team culture has been explored within able-bodied teams, little is known about culture development within parasport. Using a descriptive case study approach, our study examined the culture development and experiences of an elite parasport team. Two semistructured individual telephone interviews were conducted with nine participants (athletes and staff), and one athlete-participant completed one interview. An inductive thematic analysis revealed two themes: approach to culture development and team culture components. Culture development was linked with facilitative leadership and important resources. This supported the team to create their shared values and mechanisms, including a behavioral framework, other artifacts (e.g., shared language and team motto), and a relaxed environment. These helped to maintain their agreed culture and benefited their well-being, progress, and team cohesion. Our results offer a starting point regarding research into the culture of elite parasport and have practical implications for managers, coaches, and psychologists. [ABSTRACT FROM AUTHOR]

The aim of this study was to identify contextual factors that negatively affect activity and participation among powerchair football (PF) players. Thirty-seven semistructured interviews were conducted with PF players (Mage = 27.9 ± 8.2 years) in France (n = 18) and the United States (n = 19). Participants reported acute back and neck pain as the primary morbidities resulting from PF participation, with sustained atypical posture in the sport chair as the primary cause. Competition-related physical and mental stress were also identified as participation outcomes. Accompanying the many benefits of PF, participants recognized negative impacts of discomfort, physical fatigue, and mental fatigue. Interventions such as seating modifications, thermotherapy to combat pain, napping to combat acute physical stress, and mental preparation to manage state anxiety were all identified as prospective interventions. [ABSTRACT FROM AUTHOR]

Children with autism engage in active play in different ways than children who are neurotypical, but their active play behaviors are not well understood. Research with twins and triplets with autism offers a unique opportunity to gain a clear picture of the play behaviors of children with autism because twins and triplets share many similarities (age, access to toys, etc.). Through semistructured interviews, this descriptive phenomenological study aimed to describe the active play behaviors of 19 twins and triplets with autism from the perspective of their parents (N = 9). The interviews revealed two main themes: (a) parents' descriptions of active play and (b) parents' descriptions of social play. The results reveal the diverse active and social play behaviors of twins and triplets with autism; parents described their children's play behavior when engaging in sensory, indoor, outdoor, and organized play. These results suggest that children with autism may be meeting the definition of active play in nontraditional ways. [ABSTRACT FROM AUTHOR]

Objective: The purpose of the study was to understand how people with multiple sclerosis experience dual-tasking situations in their everyday lives. Methods: Focus groups involving a total of 11 individuals with multiple sclerosis (eight females and three males) participated in this qualitative inquiry. Participants were asked open-ended questions focused on the nature of and consequences around dual tasking when standing or walking. Reflexive thematic analysis was employed to examine the data. Results: Three themes were generated from the data: (a) Life Is a Dual Task, (b) The Social Divide, and (c) Sacrifices for Stability. Conclusions: This study highlights the significance and impact of dual tasking on the lived experience of adults with multiple sclerosis, furthering the need to more fully examine this phenomenon and potentially improve fall-prevention interventions and facilitate community participation. [ABSTRACT FROM AUTHOR]

Parents of children and youth with disabilities (CYD) have expressed unique physical activity (PA) information needs. Community-based organizations (CBOs) require assistance to meet these needs. Guided by the Appraisal of Guidelines, Research and Evaluation II, this project established evidence-informed recommendations for developing PA information targeting families of CYD. This process involved a systematic scoping review to inform draft recommendations (k = 23), which were revised via a consensus meeting with researchers, knowledge users from CBOs, and families of CYD. Broader consultation with CBO knowledge users informed the final recommendations (k = 5) that fit within the following categories: (a) language and definitions, (b) program information, (c) benefits of PA, (d) barriers to PA, and (e) PA ideas and self-regulation tools. CBOs are encouraged to consider these recommendations when developing PA information for families of CYD. Future research will focus on the development of knowledge products to disseminate the recommendations to CBOs and support implementation. [ABSTRACT FROM AUTHOR]

This study provides insight into an inclusive program between Special Olympics (SO) and academy football (soccer) players in the United Kingdom from the perspectives of players and facilitators. Qualitative focus groups were conducted across 30 participants (six facilitators, 14 Premier League academy players, and 10 SO players). Focus groups compared stakeholders' experiences of participating in a season-long inclusive football program. Three overarching higher order themes were generated, which highlighted positive outcomes from taking part. SO players provided endorsement for developing friendships and improving football skills, whereas academy players cited the positive impact that SO players had on their mood and motivation. Facilitators reflected on positive player outcomes and subsequent accomplishments. Overall, the findings indicated that this shared experience had psychosocial and football-specific benefits for everyone who participated. Facilitators indicated that these benefits could transition into everyday life but noted that there needs to be further considerations for future programs. [ABSTRACT FROM AUTHOR]

School sports programs intentionally created for students with and without disabilities may increase social participation of students with intellectual disabilities (IDs). Special Olympics Unified Sports is one program where students with and without ID participate on one team. Guided by a critical realist paradigm, this study explored the perceptions of students with and without ID and coaches of in-school Unified Sports. Interviews were conducted with 21 youths (12 with ID) and 14 coaches. Thematic analysis resulted in four developed themes (identified is outdated language): Inclusion—Is it a "we" or a "they?"Roles and Responsibilities, Educational Context for Inclusion, and Buy-In. Findings suggest students with and without ID and coaches value the inclusive nature of Unified Sports. Future research should explore training for coaches on inclusive practices (e.g., language), and optimal methods for consistent training (e.g., use of training manuals) to foster the philosophy of inclusion within school sports. [ABSTRACT FROM AUTHOR]

Objective: This study aimed to understand how family caregivers of people with dementia managed changes caused by COVID-19 restrictions and how they adjusted to the lifting of restrictions. A particular focus of the study was on understanding the impact of social isolation, a reduction of social interactions, and reduced access to healthcare services. Methods and measures: Fourteen voluntary caregivers (nine women) were interviewed using a semi-structured interview schedule. Results: Five themes were identified based on reflexive thematic analysis: (i) Outlets to cope with lockdown; (ii) 'Not all doom and gloom': A silver lining amid COVID-19; (iii) Optimism helps provide resilience; (iv) The challenges and joys of reopening; and (v) Caregiving toward a new normality. Conclusion: The research highlighted difficulties reported by family caregivers and people with dementia during COVID-19, while also showing how such carers coped. Interviews also identified ways that family caregivers often used optimism to help navigate through lockdown and to tackle the reopening stage. Family caregivers in this study reported coping well overall, but welcomed the lifting of restrictions. [ABSTRACT FROM AUTHOR]

Abstract\nIMPLICATIONS FOR REHABILITATIONWelfare technology (WT), defined as digital technology enabling individuals to live securely, actively and independently at home, is often viewed as a solution to care resource shortages. This solution discourse has increasingly been problematised, and ethical issues specifically connected to WT have emerged, e.g., regarding quality of care. The existing array of WT is developed with limited user involvement; primary user perspectives are thus inadequately voiced in research. This study aimed to disentangle how older adults and their homecare staff experience and influence WT use in homecare situations. The qualitative approach encompassed individual semi-structured interviews with homecare staff (n = 26) and older adults (n = 26) receiving homecare as well as utilising WT. Interviews were conducted in five Swedish municipalities, transcribed verbatim and analysed using thematic analysis. Three main themes were developed: (1) Lack of agency in WT obtainment, in which a lack of influence in the receiving of WT is illustrated. (2) Contradictory user perspectives regarding WT and agency, in which staffs’ perceptions of specific WT are contrasted to older adults’, highlighting how WT perceived positively by staff often detract from older adults’ agency. (3) Agency and WT use inextricably linked with time, in which it is illustrated how influence over time is intricately connected to experienced agency in WT use. Our findings demonstrate a problematic lack of agency in WT use. Further improvements to current WT, aided by stronger user involvement, as well as certain municipal routines, are necessary if user agency is to be strengthened in relation to WT use.As current WT are largely developed and implemented with limited or even wholly without user involvement, there is a risk of mismatch between what WT are available and what WT the users’ need and find relevant to use.This study provides crucial information about the importance of taking human agency into account when designing WT. At the very least, WT and the municipal routines regarding these technologies should not hinder user agency, as that would be counterproductive to person-centred approaches important in care and rehabilitation.WT additionally do not currently seem to match their purpose of increasing independence and participation, and again that is problematic for rehabilitation purposes.As current WT are largely developed and implemented with limited or even wholly without user involvement, there is a risk of mismatch between what WT are available and what WT the users’ need and find relevant to use.This study provides crucial information about the importance of taking human agency into account when designing WT. At the very least, WT and the municipal routines regarding these technologies should not hinder user agency, as that would be counterproductive to person-centred approaches important in care and rehabilitation.WT additionally do not currently seem to match their purpose of increasing independence and participation, and again that is problematic for rehabilitation purposes. [ABSTRACT FROM AUTHOR]

Drawing on the metaphor of "care convoys," this study explores the experiences and strategies of family caregivers of older adults with dementia in rural areas of Northern Norway. The study is part of a broader project that investigates how these older adults and their caregivers use or do not use municipal health and care services. We conducted qualitative in‐depth interviews with 11 family caregivers in rural municipalities. The thematic analysis of the interview data yielded three main themes: Delaying the transition to long‐term care amid evolving needs, facilitating knowledge transition, and navigating divergent expectations about involvement. In addition, a fourth theme, caregiving in the rural Arctic, was identified as cross‐cutting, reflecting the unique rural Arctic context that was a backdrop across all themes. In navigating the caregiving journey, family caregivers assume various roles within care convoys. They may act as solitary vessels, as an integral part of a larger care convoy, or as the main ship guiding the convoy. At times, family caregivers serve as vessels called upon by the convoy when needed. Difficulties in assembling an adequate or robust care convoy were exacerbated by the context of the Artic North, which represents treacherous waters for the convoy to navigate, primarily due to two factors: first, many of the smaller ships (other family members) were not present or had to travel great distances to join the convoy and second, the lengthy journeys (long travel distances), and particularly in the winter time, made the convoys susceptible to loosing ships along the way. [ABSTRACT FROM AUTHOR]

ObjectiveMethodResultsConclusions\nKey PointsTherapist self-care supports their well-being and ability to support clients, making a culture of self-care driven by peak bodies of paramount importance. Limited research has examined how the issue of therapist self-care and well-being is depicted within these peak bodies. This study explored representations of therapist well-being and self-care in media articles from professional peak bodies to better understand how the issue is discussed.Drawing on Social Representation Theory, 53 media articles were selected from the websites of six peak bodies – the organisations providing professional guidance and advocacy for therapists – representing therapists (counsellors, psychotherapists, and psychologists) across Australia and Aotearoa, New Zealand, and were analysed using reflexive thematic analysis.Three themes were generated. Therapists in Exceptional Circumstances reflected well-being within broader systemic and environmental issues. Adversity as Commonplace revealed the prevalence of burnout depiction with overwhelming job demands. Client and Therapist Mutually Impacted highlighted the moral distress experienced by therapists reducing client contact as a form of self-care.The impact of the COVID-19 pandemic on the therapy professions shows the need for positive representations of therapist well-being within peak body media. Open dialogues should address therapists’ moral distress while managing self-care, and peak bodies must take a more active role in promoting a culture of self-care.What is already known about this topic: Therapist self-care is essential to providing optimal care to clients.Therapists can struggle to manage self-care.Online spaces can help to provide resources for and represent self-care.Therapist self-care is essential to providing optimal care to clients.Therapists can struggle to manage self-care.Online spaces can help to provide resources for and represent self-care.What this topic adds: Insight into how online peak body media articles might represent self-care and well-being.How social representations assist in the construction of therapist well-being.Public portrayal of therapists may influence their capacity to manage self-care.Insight into how online peak body media articles might represent self-care and well-being.How social representations assist in the construction of therapist well-being.Public portrayal of therapists may influence their capacity to manage self-care. [ABSTRACT FROM AUTHOR]

Introduction: Adolescents face unique challenges in accessing appropriate information and services regarding sexuality and reproductive health (SRH). This poor access can lead to sexual behaviours that could put them at risk of unintended pregnancies and sexually transmitted infections. Adolescents living with HIV (ALHIV) have specific SRH needs that remain unmet. We explored the SRH knowledge, practices and needs of ALHIV in Abidjan, Côte d'Ivoire. Methods: Between April and September 2023, a qualitative study using semi-structured individual interviews was conducted with nine male and nine female ALHIV without previous pregnancies, and eight ALHIV who became pregnant. All consented and were ALHIV acquired perinatally, aged 15–19 years, informed of their HIV status, and followed in three paediatric HIV care centres in Abidjan. participating in the paediatric IeDEA West African Cohort and enrolled in the ANRS12390 OPTIMISE-AO project aimed at improving HIV disclosure process and adherence to antiretroviral treatment. A focus group discussion was conducted with five peer-educators, aged 23–31 years, participating in the OPTIMISE-AO project to gather their perspectives on adolescent SRH. Interviews were conducted in French, and a thematic analysis was performed. Results: All participants expressed difficulty in talking about SRH with their parents or health professionals and turned to their friends for advice. All feared transmitting HIV. One-third of female participants reported having experienced non-consensual sex and sexual violence. Participants reported low levels of condom use, despite having good knowledge of its purpose. Reasons for not using condoms included difficulties in negotiating for girls, as well as having an undetectable viral load, which was seen by adolescents as a condition for waiving condom use. As hormonal contraceptives were subject to many negative beliefs justifying their non-use, alternative methods, such as emergency contraceptive pills or traditional plants, were used to prevent pregnancy. Conclusion: ALHIV reported unmet SRH needs, particularly in terms of accessing reliable information and appropriate support. Integrating SRH care into paediatric HIV care, organising SRH discussion groups led by peer-educators, and improving access to a range of contraceptives may address these needs to enhance SRH outcomes for ALHIV. Summary: Adolescents lack access to appropriate information and services on sexuality and reproductive health (SRH), which could lead to unintended pregnancies and the spread of sexually transmitted infections. In this study, we aimed to explore the SRH knowledge, practices and needs of adolescents living with HIV (ALHIV) living in Abidjan, Côte d'Ivoire. Between April and September 2023, we conducted qualitative interviews with adolescents (9 males, 9 females, and 8 females who experienced pregnancy) aged 15–19 years. All were born with HIV and were informed of their HIV status. A group discussion was also conducted with five peer-educators, aged 23–31 years, to gather their perspectives. All participants expressed difficulty talking about SRH with their parents and health professionals and turned to their friends. A third of girls reported having experienced sexual violence. Despite having good knowledge of how and why to use a condom, most participants reported poor condom use. The main reasons were difficulties negotiating with their partner for girls, and having an undetectable viral load (being undetectable means that the virus is at such low concentrations in the blood that it cannot be transmitted). Many negative beliefs around hormonal contraception were reported. Alternative methods, such as emergency contraceptive pills, or traditional plants were used instead to prevent pregnancy. To summarize, ALHIV reported difficulties in accessing reliable information and appropriate support on SRH. Better integration of SRH care into paediatric HIV care, and better access to contraceptives, with the support of peer-educators, are urgently needed for ALHIV. [ABSTRACT FROM AUTHOR]

Background: Patients' hopes and expectations for low back pain treatment influence their consultation experiences and treatment outcomes. These hopes and expectations may evolve over time, potentially leading to a shift in what patients consider important before and after a consultation. Understanding the distinction between hopes and expectations, and how they evolve is important for improving patient care. This study explored patients' hopes and expectations prior to LBP consultations and examined how these were reflected in their post-consultation experiences. Methods: We employed a qualitative design consisting of individual semi-structured pre- and post-consultation interviews with patients seeking care for low back pain from general practitioners, physiotherapists, and chiropractors in Denmark. A convenience sample of 18 patients (10 females and 8 males) aged between 28 and 79 years were interviewed about their hopes and expectations before a consultation and their experiences immediately following the consultation. Data were analysed employing Braun and Clarke's thematic analysis. Results: Two themes with five subthemes were developed: (1) "Something needs to be done," which included subthemes related to life disruption, expectations of clinical assessment, and the clinicians as experts; and (2) "Experiences and emotional responses to the interaction with the clinician", highlighting the importance of trust and the personal attributes of clinicians. Patients initially sought urgent help and clarity regarding their condition but shifted their focus post-consultation to the relational dynamics and emotional engagement experienced during interactions with clinicians. Conclusions: This study contributes to the understanding of how patients' hopes and expectations regarding low back pain consultations evolve, shifting from a focus on clinical actions and outcomes to valuing interpersonal relationships and emotional support from clinicians. Recognising these shifts can enhance clinician-patient interactions and improve overall patient satisfaction and treatment outcomes. Clinical trial number: Not applicable. [ABSTRACT FROM AUTHOR]

AbstractThis study explored the lived experiences of family caregivers for stroke survivors with memory impairments in Metro Cebu, Philippines, using a qualitative design. In-depth semi-structured interviews with six caregivers were analyzed using Yin’s five-phase thematic analysis. Three key themes emerged: (1) Nurturing Patient Well-Being, highlighting the emotional and physical demands of caregiving; (2) Navigating the Trials of Caregiving, detailing the emotional, psychological, and financial challenges caregivers face; and (3) Altered Life Course, illustrating the lifestyle changes and coping mechanisms employed. The findings emphasize the need for structured support systems and tailored caregiving guidelines for occupational therapists to assist caregivers. [ABSTRACT FROM AUTHOR]

Background: The prevalence of patients with prostate cancer is increasing, and the first year after treatment is a vulnerable period for patients as they experience symptoms and unmet needs. Although electronic patient-reported outcomes that focus on patient self-management have demonstrated benefits, evidence is sparse regarding patients with prostate cancer in primary care settings and the role of nurses as a supportive resource. The significant role of primary care in future cancer care is on the agenda. This study aims to test the feasibility of a complex intervention that includes electronic patient-reported outcomes and self-management advice in an app, combined with nurse-led support, in primary care settings during the first year after curative intended prostate cancer treatment. Methods: The intervention lasted four weeks and was a single-arm study. Feasibility was assessed by examining the recruitment process, retention rate, adherence to the reporting of symptoms in the app, and acceptability of the intervention. Data was collected through (1) logged data from the app that included patient-reported outcomes and self-management advice, (2) field notes by the nurse, and (3) semi-structured interviews with patients. Descriptive statistics were applied to logged data. The interviews and the field notes were analysed using qualitative content analysis. Results: The recruitment rate was 55%, yielding 11 patients with high retention as all completed the intervention. Adherence to reporting was 100%, and all functions in the app were used. Individual variation in how patients used the app was found, which was attributed to patients' current needs. In total, 36 health dialogues with the nurse (virtual, face-to-face, telephone) were performed; all first dialogues lasted longer, while follow-ups were shorter. Patients described that the health dialogues covered relevant subjects and that the combination of using the app and health dialogues was tailored and provided supplementary support. No adverse events occurred; however, a few technical difficulties interfered with the intervention, and the patients gave valuable suggestions for improvement. Furthermore, patients suggested that the intervention should start immediately after treatment. Conclusion: As the patients adhered to and accepted the intervention, it was considered feasible. Findings suggest intervention should start directly after treatment ends. [ABSTRACT FROM AUTHOR]

Background: All children should have the possibility to be healthy during childhood, according to the Convention on the Rights of the Child. In Sweden, the Child Health Services (CHS) support all parents and children from birth until the age of six to promote children's health and development. Some Swedish regions have introduced an extended home-visit programme, with CHS nurses and social workers visiting first-time parents together to provide parental support in collaboration. The programme aims to expand the task of promoting the child's health and increase the possibilities of discovering risk factors in families earlier. The aim of the present study is to describe the professionals' experiences of collaboration when introducing the extended home-visit programme to a broader population within the frame of a family centre. Methods: The study used a reflexive thematic qualitative approach with focus group interviews. All staff at the family centre were invited to participate: CHS nurses, social workers, and managers who worked with the extended home-visit programme. Data were collected through focus group interviews with each profession separately and analysed through reflexive thematic analysis. Results: One overarching theme emerged: A key to facilitating early support. Three connected themes – Ease for everyone on the family's terms, From working alone to becoming a team, and A matter of supporting structures – illuminated the participants' experiences. Their driving force was early detection of risk factors or needs in the family, to be able to provide support. The collaboration was enhanced by the different professional competencies complementing each other. That all were located at the family centre together was also important to facilitate collaboration. Conclusions: The extended home-visits were appreciated and experienced as useful by all participants. That a family centre organization already existed was one of the facilitators, functioning as a meeting point to expand the collaboration. The managers' support was essential, and it was experienced as positive that the organization invested resources to allow employees to participate in the development of the extended home-visit programmes. This way of working has the potential to add value for the children and families, and the CHS would benefit from using the extended home-visit programme further. [ABSTRACT FROM AUTHOR]

After a brief presentation of the primary qualitative analysis methods in psychological research, this paper proposes a new model for qualitative analysis, the "Contextual Narrative Interpretation" (CNI) model and demonstrates its application. The authors' primary objectives are to demonstrate the practicality and relevance of the CNI in psychological sciences qualitative research and to assist researchers considering the adoption of this method by offering concrete case studies illustrating its utilization. The CNI emphasizes using both text and context to reveal new aspects of the narrative and represent these cases visually, in three dimensional geometric forms. This in turn aids in the structured identification of themes. The demonstration of the CNI uses data collected from "first-generation" Israeli college students through detailed case studies of their experiences. The authors guide the reader through the steps of the CNI, providing insights into how the narrative was interpreted and offering a reflective discourse on the method's usage. Our CNI model accommodates multiple dimensions, each corresponding to a distinct aspect of text and context. The three-dimensional representations encapsulate the complexity of the narrative's interpretation and deepen our understanding of the narrative. Hence, this article serves as an introduction to and a practical illustration of the CNI within the domain of psychological sciences, and suggest broad methodological applications. [ABSTRACT FROM AUTHOR]

Aims: This study aimed to excavate the entry advices and suggestions for new‐graduate nurses. Background: Research based on social media analysis for advices to new‐graduate nurses is rare. We conducted a detailed analysis and modularization of the relevant contents based on social media. Design: A grounded theory study based on social media content. Methods: The answers to questions such like "What's your advices and suggestions for new‐graduate nurses?" on a famous social media platform in China were searched, collected, coded, and analyzed until September 2023. Results: Four core category modules including professional knowledge module, professional ability module, socialization and interpersonal communication module, and personal trait module were established. The theoretical framework of 21 main categories was also established. Conclusion: Social media contents provide valuable and experienced advices and suggestions for new‐graduate nurses in an efficient and convenient way. The analysis of these contents is helpful for new‐graduate nurse education and management. [ABSTRACT FROM AUTHOR]

Background: Pastoralists' sedentarisation and agriculturalisation might increase their vulnerability to climate change impacts, but few studies have investigated if this is the case in mountain areas. In Uganda, little is known about how Sebei pastoralists have perceived and adapted to such changes. This study sought to establish perspectives of Sebei pastoralists on climate change in terms of its occurrence and impacts as well as access to livelihood assets and or opportunities to withstand such challenges. Method: This study was conducted in Mount Elgon areas of Uganda. A cross-sectional study design was employed using qualitative approaches. Data were collected using focus-group discussions with men and women village elders to assess their perceptions regarding climatic changes, impacts and adaption strategies used. Data were analysed using thematic and content analysis approaches. All analyses were done using NVivo version 14. Results: Respondents reported changes in the amount and distribution of rainfall, fog and temperatures, with negative impacts on fodder availability, milk production and pests and diseases. Study participants mentioned using several adaptation strategies with regard to animal rearing, crop farming and livelihood diversification. Among others, participants reduced herd size, migrated longer distances, stored wild grass, used crop residues as feed and increased 'self-medication' of their cattle. Conclusions: Access to funds, markets and technical advice were the main barriers to adaptation identified. Institutional support—now only focused on improved breeds—should consider the multiple strategies used by pastoralists, and the constraints they highlighted, including the need for mutual learning space. [ABSTRACT FROM AUTHOR]

Previous research has examined the types of circumstances that lead students to request assessment adjustments such as extensions and has acknowledged that the number of requests for adjustments has increased and reached epidemic proportions. The nature of requests for adjustments may also be changing due to current trends in higher education. The aim of the current study was therefore to explore staff views of and experiences with personal extenuating circumstances processes in a university in the UK. The participants were 41 members of staff who were familiar with personal extenuating circumstances processes. Participants completed an online survey comprised of open-ended questions, and responses were analysed using thematic analysis. The results showed that participants recognised the necessity of having processes to allow adjustments based on personal extenuating circumstances. However, participants raised concerns about misuse of the system, the changing nature of reasons for adjustment requests, and whether processes are preparing students for life after university. They also noted the workload placed on staff by the growing use of personal extenuating circumstances processes. The findings are discussed in terms of the changing landscape of higher education, and implications for higher education institutions. It is recommended that institutions review their policies and processes surrounding adjustment requests, the messaging about what constitutes personal extenuating circumstances, and ensure that support is provided for staff who administer these processes. [ABSTRACT FROM AUTHOR]

ABSTRACT Introduction Method Results Conclusion This article explores the use of clinical vicarious learning dialogue videos as a learning resource for a written summative assessment.A prescribed list of 42 clinical vicarious learning dialogue videos was disseminated to students, and they were informed that these would form the scope of a prosthodontics question in their final year summative exam. The videos captured the learning dialogue between a teacher and student during diagnosis, problem‐solving or clinical decision‐making in relation to prosthodontic patient interactions. Exam questions were created from screen capture images from the videos based on and around the video content. After the exam, video analytics was captured, and students were invited for an interview using a question guide which was recorded and transcribed and a thematic analysis was performed using a deductive inductive approach.Fourteen students were interviewed, and from these three domains and 10 key themes were identified: learning: learning strategy, learning new skills and knowledge, learning clinical skills, application of learnt skills and engagement; assessment: exam scope and stress, clinical relevance, motivation, generalisable; and video as a learning medium: enjoyable, affordance. Students reported that using these videos facilitated and supported their exam preparations, stimulated learning new content as well as higher‐order thinking skills. Students reported they had applied skills learnt from the videos and broadened their cognitive skills and practical experience. The format of the assessment was described as enjoyable and reduced stress. All students reported they watched ‘all’ the videos which appeared to be supported by the analytics.Clinical vicarious learning dialogue videos were found to help learning, assessment literacy, clinical cognitive skills, stress and motivation for learning. [ABSTRACT FROM AUTHOR]

Background Methods Results Conclusion Major renal surgery describes a spectrum of operations with varying complexity and perioperative risk. This study aims to identify preventable issues contributing to perioperative mortality in patients undergoing major renal surgery.Data was extracted from independent peer‐reviewed first‐ and second‐line assessments of perioperative mortality in the Australian and New Zealand Audits of Surgical Mortality (ANZASM) database from 2005 to 2015. A data‐driven thematic classification was performed by two independent senior assessors on Clinical Management Issues (CMIs) raised in ANZASM assessments. This was used to identify recurrent areas of vulnerability in patient management and means for risk reduction.Eighty‐nine cases of perioperative mortality were included and 68 CMIs identified. Thirty CMIs pertained to pre‐operative issues, most relating to the decision to operate (10/30) or adequacy of pre‐operative assessment and optimization (9/30). Twenty‐three CMIs related to post‐operative concerns, mostly bleeding (7/23), though delayed complication recognition (3/23) and communication issues (5/23) were also noted. Intra‐operative CMIs were less common (15/68), but more directly causal to deaths. Most intra‐operative CMIs related to major vascular injury (5/15) or delayed conversion (4/15).Several preventable clinical management issues were identified contributing to perioperative mortality. Most commonly, they concerned pre‐operative patient assessment and optimization for anaemia and cardiovascular disease. The most harmful CMIs, however, pertained to delayed conversion and vascular injury in laparoscopic major renal surgery. This article highlights several actionable changes to reduce peri‐operative mortality in major renal surgery. [ABSTRACT FROM AUTHOR]

Being trans is stigmatized and can make it difficult to fit into the job market in South Korean society. This study explored trans individuals' job-seeking experience and the impact of gender identity on their career choices and development using a qualitative approach. In-depth interviews were conducted with 20 trans adults with job-seeking experiences who were recruited through purposive and snowball sampling in South Korea. Ten subthemes were identified in three overarching themes: (a) limiting myself in job search; (b) challenges in the job application and interview process; and (c) having a desire to build a meaningful career. Participants limited their choices for employment in favor of gender-neutral jobs or trans-inclusive work environments. In the job-seeking process, they faced challenges due to society's rigid binary gender roles and the negative stereotypes about trans identities. Despite stress and identity-related conflict, participants expressed a desire to overcome challenges, build a meaningful career, and flourish at work without compromising their gender identity. This study highlights the experiences of trans individuals in their job-seeking journey. Psychosocial interventions and career support services could help trans individuals in the job-seeking process by identifying their unique challenges to employment and providing assistance to cope with stigma and oppression. [ABSTRACT FROM AUTHOR]

This article focuses on Israeli single gay fathers' reproductive choices. Thematic analysis of 13 in-depth semi-structured interviews with Israeli single gay fathers yielded two themes related to their reproductive choice. The first theme pertains to their decision to become single fathers. Three dimensions were prominent in the participants' decision to pursue lone parenthood: the choice to fulfill parenthood as gay men; the choice to separate parenthood from couplehood; and the view of single parenthood as empowerment. The second theme pertained to the fathers' decision to use surrogacy, which was influenced by three key factors: the desire to parent a biological child, the desire for exclusive fatherhood, and the perceived advantages of surrogacy for single fathers. The findings indicate that the fathers narrated their reproductive experiences in terms of choice and autonomy, while negotiating with dominant concepts of parenthood as a two-parent, heteronormative and biogenetic phenomenon. These men referred to the challenge they posed to some of these concepts and the social barriers they encountered as factors that facilitated their coping skills in lone parenthood, thereby enhancing their agency. These findings highlight the contextual, multidimensional and relational nature of the reproductive choices of men from minority groups like single gay fathers. [ABSTRACT FROM AUTHOR]

Fatherhood is rooted in various cultural, societal, and even religious belief systems. In the South African context, where fathers are often perceived to be absent or uninvolved, fathers' parental identity development might be hindered. This study focused on fathers' commitment, exploration, and reconsideration in the process of forming a parental identity within the South African sociocultural context. Eight emerging and early adult black South African fathers were interviewed. Through reflexive thematic analysis, a nuanced visage of fatherhood that carries both the old ideologies of material provision and the newfound valuing of nurturing care was constructed. The complexities of balancing ideas of fatherhood, manhood, and personhood were evident in how participants struggled to align their aspirations of being physically present and emotionally engaged fathers with the reality of being providers in a financially strenuous context. Participants embraced the idea of a family unit as a foundation and also appreciated the value of communal notions of child-rearing. While the challenging nature of fatherhood was often met with reconsideration, a firm commitment was evident. This qualitative inquiry into the experiences of fatherhood addresses the personal, socio-economic, and cultural aspects embedded in the formation of parental identity among black South African men. [ABSTRACT FROM AUTHOR]

This qualitative study explores the impact of life‐design counseling (LDC) on mid‐career professionals facing career plateauing. Seven mid‐career professionals underwent counselling sessions focused on overcoming barriers, evaluating career beliefs, and exploring options. Thematic analysis delves into their experiences, attitudes, and unresolved mid‐career dilemmas. Results indicate a shift from problem‐focused to solution‐based thinking. A two‐wave longitudinal study spanning 4 years confirms counseling's effectiveness in assisting individuals in making crucial career decisions, guiding positive career redirection amidst mid‐career plateauing. Our study specifically explored and analyzed the practical application of LDC intervention in the real‐world counseling scenario for overcoming career plateauing. [ABSTRACT FROM AUTHOR]

Scalable light-touch programs that align with the Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) approach is becoming an established intervention model for refugee youth with symptoms of post-traumatic stress. Teaching Recovery Techniques (TRT) is one example and, as TF-CBT guidelines state, parent sessions are included as the model relies on parents to provide support and instigate the techniques. In addition to traumatic stress, refugee families are often subjected to acculturative, isolation and resettlement stress. This study sought to understand how refugee parental involvement in TRT functions in practice and how it is perceived by participating youth, parents, and facilitators in Sweden. Thirty semi-structured interviews (11 youth, 8 parents, and 11 TRT facilitators) were conducted by phone or videoconference, transcribed, and analyzed using Thematic Network Analysis. A global theme 'Parental engagement in trauma recovery requires dedicated attention' emerged. Three organizing themes sat within this global theme: (i) Shifting roles when adapting differently to a new context; (ii) Tendency to keep parents at a distance; and (iii) Parent sessions don't just happen. Whilst the potential for refugee parent involvement was recognized, a number of factors preventing their participation were identified. Cultural adaptations within TRT facilitators' training are recommended, including: raising awareness about contextual factors and changes in family dynamics with regard to trauma and migration; adopting culturally responsive ways to present parental involvement to youth and parents; adding positive parenting skills; addressing parental mental health and readiness; and preparing facilitators to redirect parents to adequate services, when needed. Highlights: In order to successfully engage refugee parents in trauma recovery intervention, the facilitators need to strive for cultural humility, be aware of stressors in the refugee context, changes in family dynamics and support the youth in disclosing participation to parents in a culturally responsive way. Enhancing parental sessions with positive parenting skills in addition to psychoeducation and trauma recovery techniques, may increase youths' motivation to involve parents. Facilitators need to be aware of and direct parents to other services in order to support parents to be ready to participate. Time and resources to establish relationships and trust are important for successful involvement. [ABSTRACT FROM AUTHOR]

Most mothers recognize potential risks associated with social media and make decisions to promote their family's safety. Mothers who have experienced intimate partner violence (IPV) face unique challenges in maternal decision-making (MDM) about social media, as content can be weaponized by abusive partners to extend abuse and coercive control. While the risk of IPV persists beyond separation from an abusive partner, there is a dearth of literature exploring MDM about social media in post-separation contexts. Accordingly, this study aimed to explore how mothers make decisions about social media after separating from an abusive partner. This exploratory, descriptive case study originated from the broader ACTION project, which investigated IPV and MDM related to partner separation among a sample of Ontario-based mothers. This sub-study involved semi-structured interviews with five mothers. Thorne's interpretive description was used, revealing three themes: uninhibited social media use, inhibited social media use, and maternal risk mitigation strategies. Most mothers described inhibited social media use post-separation to protect themselves and their children from perceived safety risks; violations of privacy were a commonly described risk. Mothers used various strategies, including active and restrictive mediation, to mitigate risks. This study provides novel, valuable insights into the complexities of MDM about social media after separation from an abusive partner and maternal lived experiences. Future research should aim to identify effective risk mitigation strategies for mothers using social media after separating from an abusive partner, as this knowledge could help social services to develop tailored online safety resources. Highlights: Most mothers consider previous experiences of abuse when making decisions about social media. Most mothers inhibited their social media use after separating from an abusive partner. Mothers perceived violations of privacy as a primary risk of social media use. Mothers of children who were social media users preferred open communication as a risk mitigation strategy. Mothers used active and restrictive mediation to mitigate risks associated with their child(ren)'s social media use. [ABSTRACT FROM AUTHOR]

There is a lack of research on the motivations of fosterers in countries that have traditionally used residential childcare institutions and are now shifting their policies towards family-based foster care. Understanding fosterers' motives is important for developing an effective and long-term foster care system. The aim of this article is to understand the motivations of fosterers in a society that is undergoing deinstitutionalization process. Semi-structured interviews were conducted with 16 active fosterers in Estonia (11 fosterers were from the Estonian majority and 5 from the Russian-speaking minority). The results show that new fosterers enter the foster care system with the desire to create a family and achieve a permanent arrangement. More experienced fosterers, who have fostered children for years, have done so largely because of the poor conditions in residential childcare institutions in the past. Although the foster care system has undergone significant positive changes, the improvements have not been enough to remove or lessen potential fosterers' fears about the permanence and predictability of their fostering experience. These fears may lead to a foster care system that is inclined towards an arrangement similar to adoption where people prefer long-term care with fewer and younger children, leaving children who do not correspond to these criteria to remain in residential childcare institutions. Highlights: A difference in motivations appeared between beginning and experienced fosterers and fosterers from different regions in Estonia. The differing values of Estonian (majority) and Russian (minority) ethnicities may impact the decision to start fostering. The Estonian foster care system has undergone extensive policy and structural changes; however, these have not been enough to lessen the many fears of potential fosterers. There are barriers to the creation of a family-based system for short-term foster care and foster care for older children. [ABSTRACT FROM AUTHOR]

Little is known about the sources of parenting stress and the coping strategies adopted by parents of children with attention deficit hyperactivity disorder (ADHD) in China. The current study aimed to explore the stress and coping strategies adopted by Chinese parents using stress-coping theories. A qualitative study was conducted on fifteen parents whose children, aged between 7 and 11 years (from primary school grades one to five), had received a formal diagnosis of ADHD. The findings revealed that Chinese parents use individual, family and school coping strategies to cope with their stress. The themes that emerged from the data included five types of stressors and eight coping strategies. The choice of the strategy adopted by the parents was influenced by cultural and environmental factors; in particular, family coping strategies required the availability of a supportive spouse and a supportive family culture. Similarly, school coping strategies required the availability of school involvement opportunities and school support resources. Since the support offered by teachers and mental health professionals such as school counsellors and social workers can be strengthened, this study recommends ways to strengthen the support provided to parents of children with ADHD. Highlights: This study examined the coping methods adopted by Chinese parents whose children have ADHD within the Chinese cultural, social and educational context. The results revealed that the children's symptoms, parents' personality traits and perception, extra family burden and additional family conflict as the primary sources of the parental stress. Whereas parents employed individual, family and school coping strategies in reacting to the stressors. Chinese parents were more self-critical in a collectivist culture and they engaged in self-reflection, self-criticism and self-regulation as a stress coping process. Chinese parents felt the lack of social and school support, especially the pressure from teachers' criticism and the lack of empathy for their children. They expect to get some social resources to help them. [ABSTRACT FROM AUTHOR]

Background It is well established that catastrophic thinking about pain modulates clinical pain severity, but it may also relate to interindividual differences in the pain experience during procedures. This mixed-methods study investigated the relationship between ratings of situational pain catastrophizing and reported pain sensitivity in the context of receiving a nerve block without sedation, and explored participants' experiences. Methods Healthy volunteers (n  = 42) completed baseline psychosocial questionnaires, underwent quantitative sensory testing, and received a lower extremity nerve block, followed by further psychosocial assessment and interviews. Associations of catastrophizing scores with pain sensitivity and procedural site pain were assessed using Spearman correlations. Interviews were reviewed using an immersion/crystallization approach to identify emergent themes. Results Greater situational catastrophizing scores were associated with higher pain sensitivity, measured as lower pain threshold and tolerance. Although females exhibited greater pain sensitivity generally, moderation analysis revealed a significant association between situational catastrophizing scores and pain sensitivity only among male participants. Qualitative interviews revealed the importance of participants' emotional responses to pain, and a mismatch of expectation and experience with procedural pain. Males also reported more negative comments about procedural pain. Conclusions Examination of the variable subjective experience while receiving a nerve block in this experimental lab-based study revealed an important relationship between situational pain catastrophizing scores and pain sensitivity, which was more prominent among male participants. These findings reinforce how insight into individual expectations, emotions, and thought processes may impact pain sensitivity during procedures, and may inform strategies to personalize care, improving patient satisfaction and procedural acceptance. [ABSTRACT FROM AUTHOR]

Background and Objectives End-of-life (EOL) doulas (EOLD) are an emerging role providing nonmedical support and advocacy for the dying and their families. Research about EOLD is new and currently highlights a need for more clarity in role definition and application. This review aims to comprehensively analyze existing knowledge regarding EOLD and their role in EOL care. Research Design and Methods A systematic and comprehensive search of 9 bibliographic databases identified all published academic articles related to EOLD (as named, self-identified, and/or trained) research from inception to June 2023. This review utilized an integrative approach and textual narrative synthesis to summarize the existing body of research findings related to EOLD. Results 25 articles were identified, representing multiple disciplines including health and medicine, public health, social/behavioral sciences, and humanities. Research on EOLD has rapidly increased in recent years and is showing signs of maturation. The review focuses specifically on summarizing the breadth and depth of identified research on EOLD and critically analyzes emergent themes from the review: Application, Perception, Identity, and Future Research Directions. Discussion and Implications This review provides the most comprehensive review of the research literature on EOLD to date. Thematic findings for future research directions have provided the basis of a redirected research agenda to guide the field going forward. There is still a need to clarify who EOLD are and how they are being conceptualized by multiple stakeholders. Future research must address these missing voices to fully grasp the value and unique role that EOLD contribute to EOL care. [ABSTRACT FROM AUTHOR]

Background and Objectives In conversations about expanding age-friendly ecosystems, the concept of "age-friendliness" has not been explored in relation to residential settings. Research Design and Methods This multiple-case study compared four residents' perspectives on the age-friendliness of a retirement and assisted living community, combining individual semi-structured interviews with observational data and organizational document analyses in a contextualist thematic examination. Results Three themes depict (A) existing experiences of the setting as "age-friendly" and the tension of the built design vs. identity; (B) resident-to-resident microaggressions, delineated into 4 subthemes including identity-related, intergenerational, condition-related microaggressions, and their influence on social isolation; and (C) desired experiences of the setting as "age-friendly" reflecting the social design. In cases of visibly perceptible diversity (white cane, darker skin tone), residents fared worse in experiencing microaggressions stemming from ableism, racism, and age differences. Conversely, in cases of visibly imperceptible diversity, residents had more positive or entirely positive experiences. Although the setting met many environmental and healthcare needs, it lacked design factors prioritizing meaningful social relationships among residents, affecting social isolation. Discussion and Implications Resident-to-resident social relationships were key in the experience of a retirement and assisted living community as age-friendly. Resident-to-resident microaggressions undermined perceptions of the community as age-friendly, and influenced social isolation. We reflect on the organizational role in mitigating against negative social relationships and social isolation to maximize dignity. [ABSTRACT FROM AUTHOR]

Introduction: Retinoblastoma treatment and follow-up is complex and varies between patients. Pathways of care can enhance the quality of care, patient outcomes, safety, satisfaction, and resource optimization. Developing a pathway of care for retinoblastoma was identified as a top research priority by the retinoblastoma community. This study aimed to co-design and pilot a pathway of care called the "Retinoblastoma Journey Map" tailored for caregivers of newly diagnosed children with retinoblastoma. Methods: A working group of patients, health professionals and researchers used human-centered design to ideate, prototype and refine the Retinoblastoma Journey Map. Caregivers of affected children were recruited to use and evaluate the Map. Mixed-methods data was collected on feasibility, acceptability, usability and perceived impact on communication, self-efficacy, anxiety, depression, and the quality of physician-patient interaction. Results: The Retinoblastoma Journey Map consisted of an illustrated roadmap with 25 child-friendly stickers covering clinical treatment, medical education and milestones. Quantitative analysis revealed that the Map was feasible, acceptable, and useable; however, no significant effect on communication, self-efficacy, anxiety, depression or quality of physician-patient interaction was observed. Qualitative analysis identified 6 themes: Primary Use; Challenges; Impact; Limitations; Feasibility, Acceptability, and Usability; and Unmet Needs. Conclusion: A pathway of care for retinoblastoma, co-designed by researchers, health professionals, and patients, was useable, acceptable, and feasible by caregivers of children with retinoblastoma. While significant effects on communication and physician-patient interaction were not observed, "legacy building" – documentation of the pathway of care by families for later education of their child – emerged as an unanticipated yet important use of the Retinoblastoma Journey Map. Plain Language Summary: Background: Retinoblastoma is a childhood eye cancer. Treatment is complex and differs for each child. Some families have found that treatment is easier to follow when they have a plan. This study describes the process of co-designing and testing a plan called the "Retinoblastoma Journey Map". Families helped design the Retinoblastoma Journey Map and it was tested by a group of caregivers of newly diagnosed children. What We Did: Working together with patients, families, researchers and health professionals, a plan of care was created for the retinoblastoma journey. The Retinoblastoma Journey Map consists of an image of a roadmap and child-friendly stickers. The stickers showed retinoblastoma treatments and other important events. Parents of children newly diagnosed with retinoblastoma were asked to use the Retinoblastoma Journey Map as they received treatment. We studied how the families liked the Retinoblastoma Journey Map and if it changed how they talked and interacted with their child's doctors. What We Found: The Retinoblastoma Journey Map was found to be easy to use and helped caregivers teach children about the treatment they received. However, it did not change how parents talked with their child's doctors. Why This Is Important: Being in active treatment can be hard to cope with and families do not always keep track of each step. But families and children found it useful to have this type of record. Each patient has a unique retinoblastoma journey, and the Retinoblastoma Journey Map helps kids map out their own experience. [ABSTRACT FROM AUTHOR]

Given the multifaceted character of depression and its related symptoms, an adolescent living with it is at increased risk for a wide range of adverse events. This research aimed to understand and characterize the psychosocial rehabilitation experiences of depressed teenage participants in the Greater Accra Region of Ghana. A cross-sectional semi-structured interview design influenced by an interpretive phenomenological analysis (IPA) technique was adopted. We employed a nonprobability, purposeful sampling approach to recruit twenty-one adolescents (6 males, 15 females) diagnosed with depression from the community after one month of discharge from admission and undergoing psychosocial rehabilitation. Using separate interviews, we gathered and analyzed data using interpretive phenomenological analysis to produce themes and sub-themes. These were presented with the participants' direct quotations. We discovered that the perspectives of adolescents' psychosocial rehabilitation experience include hopelessness and suicide ideation, coping difficulties, undesirable attitudes from support networks, challenges related to school, and isolation. Participants suggested appropriate therapeutic environments, encouraging support systems, and the media's role in preventing and treating depression among young people as rehabilitation approaches that could assist adolescents to remain lucid for longer intervals. These results shed light on the tragic realities faced by depressed adolescents. There is an urgent need to put well-defined structures in place to aid their rehabilitation and develop coping strategies for a better life. [ABSTRACT FROM AUTHOR]

Mental health of migrant adolescents is a topic that has been widely studied in the past decades. Emotional and behavioural problems are amongst the most explored areas; however, little attention has been paid to the relational sphere, which represents another key aspect of mental health and is paramount during adolescence. This systematic review analysed the available evidence on emotional and relational problems comparing adolescents with and without a migrant background in Europe between 2010 and 2021. The search was conducted in four databases using a common search strategy composed of terms addressing adolescence, migrant population, and emotional and relational problems. Three rounds of screening produced 36 eligible studies. Factors affecting both types of problems were identified and categorised using thematic synthesis, dividing them into factors affecting both types of problems jointly or separately and analysing them according to three systemic levels affecting the adolescents' lives (intrapersonal, interpersonal and external). Critical analysis of the results pointed to mixed findings, with a mild tendency in migrant-background adolescents to portray more emotional problems than their native peers and a stronger tendency for relational problems in the same direction. Several limitations were identified and, along with the conclusions, point to suggestions for future research focusing on studying relational problems as a key component of mental health and its link to emotional problems. Further suggestions entail designing studies that target adolescents with different migrant-background profiles and cultural origins to establish differences between them and identify additional factors affecting emotional and relational problems during the pre-migration and transit phases of the migratory journey to help prevent the onset of these problems. [ABSTRACT FROM AUTHOR]

The article discusses a qualitative descriptive analysis of moral resilience and moral injury of nurse leaders during crisis situations. The study measures moral resilience of nurse leaders including their response to moral adversity, personal integrity, relational integrity and moral efficacy. It analyzed their experiences and perceptions on expression of nurses' opinions, expectations about availability, time off and fair labor, as well as leadership capacity and finances over patients.

This study aimed to evaluate how the adolescent and young adult (AYA) cancer community utilized Twitter to discuss the financial challenges of oncofertility care and to advocate for change. Tweets related to oncofertility and finances (n = 166), collected over a 12-week time period encompassing AYA Cancer Awareness Week, were thematically analyzed. Conversations highlighted how the high cost of care contributed to already high emotional and social distress. Proposed actions included providing timely information more equitably, improving access to financial support, and continued advocacy of policy changes to improve access to oncofertility care. Future research can explore the potential impact on policy change and clinical care. [ABSTRACT FROM AUTHOR]