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This paper reports on research conducted within the frame of an international online cooperation between Germany and Israel (CoGI). Diverse, multilingual student groups co-construct multilingual websites on educational initiatives. The aim is to raise prospective teachers' language awareness (LA) and cultural awareness (CA) for cooperation in international contexts. 75 students and five instructors from four different campuses in Germany and Israel took part in the project in 2019. Individual and cooperative learning was combined with online and face-to-face as well as student conference learning. A mixed-method approach was used to investigate the effects of the 10-week cooperation with respect to the emergence of LA and CA as well as perceived language proficiency. The results show a significant increase in participants' perceived English language proficiency and CA. The qualitative analyses give evidence of co-constructive group cooperation which revealed LA and CA in the process of negotiating shared understanding. The study highlights the importance of international online cooperation in teacher education. Dieser Beitrag berichtet über ein Forschungsprojekt, das im Rahmen einer internationalen Online-Kooperation zwischen Universitäten in Deutschland und Israel (Cooperation Germany Israel: CoGI) durchgeführt wurde. Kulturell und sprachlich diversifiziert zusammengesetzte Studierendengruppen ko-konstruieren mehrsprachige Websites zu einem von ihnen selbst gewählten Thema im Rahmen einer zwingend notwendigen Bildungsinitiative. Ziel ist es, Language Awareness, LA, und Cultural Awareness, CA, bei den zukünftigen Lehrkräften im Rahmen einer internationalen Kooperation zu fördern. 75 Studierende und fünf Lehrende von vier verschiedenen Hochschulen in Deutschland und Israel nahmen 2019 an dem Projekt teil. Individuelles und kooperatives Lernen wurde mit Online- und Face-to-Face-Lernen sowie mit Studierendenkonferenzen kombiniert. Mit einem Mixed-Method-Ansatz wurden quantitative und qualitative Daten erhoben, um mögliche Wirkungen der zehnwöchigen Zusammenarbeit in Bezug auf die Entstehung von Language Awareness und Cultural Awareness sowie eine mögliche Änderung der subjektiv wahrgenommenen Sprachkompetenz zu untersuchen. Die Ergebnisse belegen einen signifikanten Anstieg der von den Teilnehmenden subjektiv wahrgenommenen englischen Sprachkenntnisse und von Cultural Awareness. Die qualitativen Analysen belegen die Entstehung ko-konstruktiver Gruppenkooperation, in welcher bei der Aushandlung eines gemeinsamen Verständnisses Language Awareness und Cultural Awareness eine tragende Rolle zukommt. Die Studie unterstreicht die Bedeutung internationaler Online-Kooperationen in der Lehrkräfteausbildung. [ABSTRACT FROM AUTHOR]

This paper draws on my experiences as a doctoral student undertaking a project to examine the professional adaptation of Asian immigrant teachers in Australia. Using a reflexive narrative approach, I examine how my position influenced my access to participants, the understanding of their contexts, and the nature of my relationship and interaction with the participants. The paper discusses the tensions that resulted from my insider-outsider positions and how they shaped my qualitative study's research process and outcomes. I conclude with recommendations for researchers to carefully consider the possible influence of their positionality in any research setting and its implications for informing future research. [ABSTRACT FROM AUTHOR]

Underlying thematic analysis are a few fundamental human cognitive processes, such as categorizing, prototyping and metaphorical mapping. By unpacking these basic processes of human cognition, this paper hopes to provide a cognitive basis for thematic analysis as a foundational method in data analysis for qualitative research. In particular, it hopes to address the gap between qualitative methodologists' assumption of thematic analysis as a subjective, creative and flexible process and editors/reviewers' expectation that thematic analysis shall be objective, reliable and rigorous. By consciously and purposefully applying these cognitive processes, thematic analysis can be subjective and yet disciplined, creative and yet rigorous, flexible and yet reliable. The ultimate goal of this paper is to demystify, delineate and further demarcate the thematic analysis process for young and novice qualitative researchers. [ABSTRACT FROM AUTHOR]

Due to the global COVID-19 pandemic, in-person data collection methods have been considerably hampered by requirements for social distancing and safety. Consequently, academic inquiry has shifted largely to virtual means, leading to the considerable growth of virtual qualitative research. Conducting virtual research in post-conflict contexts, such as Sri Lanka, with increased state surveillance, security concerns, and censorship presents researchers with additional tensions, particularly during a pandemic. Limited literature, however, has grappled with these unique situations. This paper addresses this gap by reflecting on the process of conducting virtual qualitative research through a case study of faculty members in peace education instruction at Sri Lankan universities. The study drew on semi-structured interviews (n = 32), documentary evidence, and memos created during the data collection and analysis stages. This paper discusses the challenges and complexities of conducting virtual research within the intersections of peace education, post-conflict legacies, ethical dimensions, and positionality dimensions, which are interwoven, adding several layers of considerations in this context. Furthermore, the paper chronicles the key tensions faced: surveillance and consent, residual embodiments, and the choices made in response to navigate them. This paper concludes with a discussion around these tensions and aims to expand the literary discourse beyond the technological aspects of conducting virtual research. The study highlights the need for future research into residual embodiments, ethical and micro-ethical issues, and practical challenges in virtual research in conflict-affected contexts, suggesting that institutions should provide researchers with training to address these complexities and support robust knowledge co-creation. [ABSTRACT FROM AUTHOR]

The aim of this paper is to throw light on the use of oral history as a methodological approach in food studies. Oral history is a field of study and a method(odology) in historiographic research that organizes collections of living peoples’ statements about their own lives and experiences. In this paper we present a method to potentially democratize knowledge production, using food studies as an example. This includes an original way to recognize new data sources and collect them through the principles of oral history. We will involve two projects on food that will enable us to open toward a reflection about possibilities and limits linked to oral history in food studies. First, we will present oral history as a relevant method for food studies. We will then introduce the projects “Food and I” and “Food2gather” that constitute our empirical references. We will discuss the experimental way of democratizing knowledge production and reflect upon the legitimacy of actively engaging lay people as both interviewers and narrators. In a fourth part we will reflect on the researchers’ possibilities of using oral history to gain insight into how people relate to each other through food consumption, and sharing of skills and knowledge. [ABSTRACT FROM AUTHOR]

Chronic low back pain is a leading cause of disability worldwide. A clinical model for its cause is lacking. Defining a cause based clinical model and a framework of understanding back pain in terms of peripheral structural and central functional pain is essential for optimal management. We describe the results of the largest published audit of 41 chronic low back pain patients, receiving outpatient sublingual ketamine therapy for defined central functional pain along with conventional peripheral structural pain management. Our clinical model assigns Movement Dysfunction as the primary cause for low back pain symptoms and restores it with Movement Therapy focused rehabilitation which is also defined. Patients were derived from a tertiary single neurosurgical specialist practice in Brisbane Australia over a three year period. Severe pain and disability measurements more than halved and only 13% of patients ceased ketamine prematurely due to predominantly non-sinister side effects common to all pharmaceutical therapies. All other surveyed metrics of utility were highly favourable in this challenging cohort of chronic back pain patients biased to poor outcomes. Outpatient ketamine maintains high efficacy and safety used in conjunction with a unique clinical model that describes chronic low back pain. This paper builds on our previous publications that describe the disease of movement dysfunction as an integral factor to the development of a cause based clinical model for the condition of chronic low back pain symptoms. Our clinical application of this model, applying the necessary dual approach of controlling symptoms arising from peripheral structural pain and central functional pain in conjunction with elimination of root causation has shown favourable outcomes in patients with high levels of pain and disability based on their tertiary referral origin and high Oswestry Disability Scores. Removing chronic low back pain from its position as one of the world's leading causes of pain and disability is more likely if the rehabilitation industry can replicate and test treatment algorithms based around established clinical models of disease which is the important subject of this paper. [ABSTRACT FROM AUTHOR]

Experiencing spinal cord injury (SCI) can be life-changing for individuals and their families. Previous reviews have focused on coping and psychological adjustment, sexual function and sexuality, or factors facilitating or impeding interpersonal relationships after SCI. However, there is a very little synthesis of research focusing on changes to adult attachment and emotional intimacy post-SCI. This review aims to examine the mechanisms of change in adult attachment and intimacy in romantic relationships following SCI. Four online databases (Psycinfo, Medline, CINAHL, and Scopus) were searched for qualitative papers concerning romantic relationships, attachments, and intimacy post-SCI. Sixteen of the 692 papers met the inclusion criteria. These were quality assessed and analysed using meta-ethnography. Three main themes emerged from the analysis: (a) strengthening and maintaining adult attachment; (b) changes in roles; and (c) changing views of intimacy. Many couples face significant changes to adult attachment and intimacy following SCI. Systematic ethnographic analysis of their negotiations enabled the identification of underlying relational processes and adaptation strategies associated with changes to inter-dependence, communication, role revision, and re-definition of intimacy. The findings indicate that healthcare providers should assess and respond to challenges faced by couples post-SCI using evidence consistent with adult attachment theory. Professionals should support both partners to develop strategies to try to cope with spinal cord injury (SCI) and its associated stressors following injury. Information and support regarding both the physical and emotional impact of the injury on coupledom and romantic relationships should be provided after SCI. Support should be tailored to reflect an individual with SCI and their partner's cultural and societal background and needs. [ABSTRACT FROM AUTHOR]

Inadequate sleep is an on-going risk to the health and mission readiness of U.S. Armed Forces, with estimates of sleep problems high above U.S. civilian populations. Intervening early in the career of active duty Air Force personnel (or "Airmen") with education and the establishment of healthy behaviors may prevent short and long term-detriments of sleep problems. This paper describes the results of a qualitative study seeking to understand the facilitators and barriers to achieving good sleep in a technical training school during the first year of entry into the United States Air Force. Using the social ecological framework and content analysis, three focus groups with Airmen were conducted to explore themes at the individual, social, environmental, and organizational/policy level. Overall, results indicated a cohort motivated to achieve good sleep, and also struggling with a number of barriers across each level. This paper highlights opportunities for population health interventions during technical training aimed at supporting Airmen in developing healthy sleep behaviors early in the course of their career. [ABSTRACT FROM AUTHOR]

This paper examines a new first-year EAP course in a Hong Kong university. It utilizes teacher and student reflections to understand the course's strengths and weaknesses, aiming to enhance its design and delivery. The study employed a qualitative approach whereby textual analysis was used to interpret the data collected in the form of written teacher reflections, written student reflections, and notes of teacher reflective dialogue. The thematic categories for coding the data were established based on the course's main learning outcomes: Effective Learning, Spoken Language, and Written Language. Findings reveal that teachers were more critical of the course compared to learners. Teachers expressed dissatisfaction with the pedagogical approach to Effective Learning unit, insufficient time provided in the course to teach solo speaking, and the inability to cover too many organizational and linguistic features in the writing unit. Students, however, did not have much to reflect on about Effective Learning, had mixed views about Spoken Language with some worried about reading from notes, and wrote extremely positively about their learning of Written Language. Nonetheless, their views provide valuable insights for course improvement. Consequently, the paper advocates for a reflective pedagogy approach to EAP that considers both teacher and student reflections to enhance teaching and learning outcomes. [ABSTRACT FROM AUTHOR]

This paper presents an overview of approaches and proposals to improve the integration of migrant children in schools in Spain and it is linked to the European research project Migrant Children and Communities in a Transforming Europe (MiCREATE). It focuses on a part of the research in which stakeholders were interviewed. Based on the needs of migrant children and practices already implemented in Spain, experts from different fields problematised and proposed improvements in current policies and practices in education. The main conclusions indicate that a more holistic and transversal approach to the inclusion of migrants is needed, as well as better coordination between institutions in different contexts and areas of action. This implies rethinking inclusive practices and involving children's families and taking their environment into consideration, as well as supporting educational practices that foster a sense of belonging among migrant children and their families in schools, the community, and society. Finally, the paper highlights the importance of gathering data from stakeholders in different fields of expertise and areas of action in order to obtain a more complex and insightful overview of the phenomenon under study. [ABSTRACT FROM AUTHOR]

Government implemented education access policies occupy a prominent place in the discourse on access to education. Education access issues have, thus, been examined almost exclusively from macro-level structural perspective. The micro-politics that take place behind the scenes after structural access issues have been resolved is minimally broached. Drawing on qualitative data from first generation educated women in Ghana and their mothers, this paper addresses the dark underbelly of girls' access to education, and the resistance activities undertaken by women to ensure that girls who become causalities of non-enrolment decisions are enrolled. Thus, the paper is guided by two questions. How do girls who become casualties of non-enrolment decisions go to school? How does the resistance activities women take against such non-enrolment decisions enable access for girls? In presenting the roles played by different actors such as mothers and kins, this paper makes an argument that, through women's resistance activities such as subverting the norms, covert diplomacy, and infractions of gendered rules in decision-making, women resist structural distribution of norms that exclude them from decision-making before girls can go to school unimpeded. [ABSTRACT FROM AUTHOR]

While on paper Zimbabwe has a comprehensive child protection legal framework, the occurrence of child sexual abuse (CSA) is high. Drawing from findings of a qualitative study, a case study design, and a research population consisting of a forum of organizations providing CSA interventions: the Victim Friendly System, this paper presents how some cultural myths, cultural practices, cultural rites, and religious practices may contribute to CSA in Zimbabwe. Purposive sampling was used to select 38 professional working in the VFS, 4 key informants, 17 VFS monthly meeting minutes, and 300 court files of tried and sentenced CSA cases from Harare and Gokwe. CSA is a gross child and human rights violation that places some religions, myths, beliefs, and cultural practices at crossroads with social work principles. Various social work interventions are suggested as ways to navigate the paradox: shaped by cultural, traditional, religious, and mythical factors contributing to CSA and legal frameworks to address CSA. [ABSTRACT FROM AUTHOR]

This research paper explores the nuanced perspectives of South Asian nations, primarily India and Pakistan, on the global efforts toward nuclear disarmament. Against a complex regional security landscape, historical conflicts, and evolving nuclear doctrines, this study employs a qualitative research design, drawing on document analysis and existing literature. The findings reveal divergent views between India and Pakistan, often shaped by intricate factors of security considerations, regional dynamics, and domestic political influences. The paper discusses the implications of South Asian stances on global disarmament efforts. It proposes potential pathways for fostering dialogue and cooperation in pursuing nuclear disarmament in the region. Through an in-depth examination of South Asian perspectives, this research contributes valuable insights to the broader discourse on nuclear disarmament. [ABSTRACT FROM AUTHOR]

Interactive screen use (ISU) for leisure is becoming increasingly popular amongst early adolescents in western societies. ISU adds complexity to family relationships as mothers are required to navigate positive relationships and caregiving in a technological landscape which balances risk-management with the promotion of autonomy. This is made more difficult as early adolescents tend to be less open to their mother's guidance during this developmental period. There is currently no existing literature which explores mother's lived experience of navigating and making sense of their early adolescent's ISU and this paper offers an original contribution to knowledge in this area. Qualitative data were collected from individual, semi-structured interviews with seven mothers of early adolescent children and analysed using Interpretative Phenomenological Analysis. Three master themes were identified: (1) Mother's concerns around the impact ISU on their children, (2) ISU impacting on the mother–child relationship and (3) the changing role of the mother when parenting their early adolescent children in a digital world. The paper concludes with a discussion of the findings of this study and suggestions for future research directions. [ABSTRACT FROM AUTHOR]

Historically, disability studies have ignored the experiences of people who migrate, while migration studies frequently excluded disabled people. This is a surprising omission from both fields of study given that many disabled people are migrants, and many migrants are disabled people. There is a clear lack of knowledge about disabled people among migrant populations. Most, if not all, studies in this area focus on disabled people among forced migrant populations; this paper focuses on voluntary migrants from the EU living in the UK during the Brexit transition period. We report findings that are part of a larger qualitative study conducted in 2018–2019 in the north of England. This paper is based on four in-depth interviews with disabled EU migrants and three key informant interviews with representatives from organisations that work with migrant and disabled people. The research findings indicate that disabled EU migrants in the context of Brexit represent some of the most invisible and vulnerable people in the contemporary UK. The contradicting stereotypical perceptions of cheap physical migrant labour (highly classed issue) and disability linked to economic unproductivity, lead to the invisibility of disabled migrants in theory and practice. [ABSTRACT FROM AUTHOR]

This storied paper reflects my awakening to the notion of interbeing, a core concept of Engaged Buddhism posed by the Vietnamese Zen Buddhist Thich Nhat Hanh. My awareness was heightened in writing about a young Vietnamese child, Dylan, with whom I engaged in an early childhood study in Aotearoa New Zealand. Underpinned by Chen's Asia as Method, interbeing is considered a research orientation for decolonization, an alternative way of knowing and thinking in mutuality and relatedness. In the light of interbeing, the writing is a process of living my lives and the others' lives as well as transforming myself to see with the child. The paper conveys critical moments in my writing path with the potential to integrate non-Western philosophy into qualitative research with young children. [ABSTRACT FROM AUTHOR]

While innovation is known to catalyse solutions to global sustainable development challenges, lack of engagement from stakeholders during conceptualisation and development may influence the degree of success of implementation. This paper presents a complete and novel engagement methodology, developed from value led business modelling approaches, for working with multi-sector stakeholders. The methodology can be used to determine barriers and facilitators to clinical practice innovations or translational research, within a country-specific context. The approach has then been applied in the Cambodian prosthetics and orthotics sector to provide a practice-based exemplar application of the framework. This approach seeks to ensure the suitability and sustainability of clinical practice and research programmes being implemented within a complex ecosystem. A theoretical basis, drawn from academic and business innovation sectors, has been consolidated and adapted for practical application to design, direct, and inform initiatives in low resource settings. The methods presented provide a way to both develop and articulate the mission, vision, and goals of any proposed change, and to effectively communicate these with stakeholders in a way that engages the personal and professional values that exist in their ecosystem. It provides a structured process through which meaningful conversations can happen, and a basis for relationship management with key stakeholders; intrinsic to enable a sustained legacy from research and development. The engagement from stakeholders during conceptualisation and throughout development can determine the success, or not, of any implementation and scale of innovation. This paper presents a conceptual stakeholder-led engagement methodology, developed from value led business modelling approaches, for determining barriers and facilitators to translational global healthcare research in a country-specific context, in this case the Cambodian prosthetics and orthotics sector. Subsequent research and development work in this area needs to carefully manage and negotiate influencing factors identified through the application of the described methodology, to ensure initiatives (whether research or wider national development work) are sustainable and successful. [ABSTRACT FROM AUTHOR]

In this paper, we suggest that in most cases there is no need for a lengthy description of methodological procedures in qualitative higher education journal articles. Doing so often adds no real value beyond creating a scientific façade, and the space this requires as a proportion of the total paper word limit could be better utilized for crafting a more critical contribution for the field. With the relatively short word limits allowed for articles, there is always a trade-off between what can be covered and what might be needed. However, our preference would be to have journals and authors use the space to develop a deeper conceptual or theoretical engagement with the topic of interest, rather than writing about interview protocols and how codes and themes were identified. [ABSTRACT FROM AUTHOR]

This paper explores the process of gaining consent from the perspectives of people living with dementia, their relatives/carers, and service providers. This is developed based on new primary qualitative research and addresses a gap in critical reflection on the practice and ethical process of research consent. A qualitative approach was used to conduct this research through the implementation of four focus groups run with people living with dementia (n = 12), two focus groups with family members (n = 6), two focus groups with service staff (n = 5). Data was analysed thematically, to identify two core themes: consent as a journey and the flexible consent approach. These identified concerns with autonomy, decision making and placing people living with dementia at the centre of the consent process. The journey of consent emerged as central to supporting participation and enhancing the consent process. The paper presents new evidence about the lived experience of research consent in the field of dementia, presenting the process of collecting consent in research as a flexible process that is best supported through a growing knowledge of participants and participation sites. [ABSTRACT FROM AUTHOR]

Black Alaskans face serious barriers to health care. This paper reports on qualitative results of a health needs assessment to understand the health challenges facing Black Alaskans. Utilizing exploratory thematic analysis, the findings indicate that Black Alaskans experience barriers such as high cost of care, underinsurance, lack of information and education, a shortage of BIPOC health providers, stigma, negative perceptions by health-care providers, and racism both in the community and in the health-care system. The paper concludes by discussing emerging health equity initiatives to advance responsive care for Black Alaskans. [ABSTRACT FROM AUTHOR]

Drawing on higher education regionalism, this paper explores international branch campus (IBC) initiatives undertaken by one of the largest Russian IBC-exporting institutions, the Lomonosov Moscow State University (LMSU). To date, very little is known about higher education (HE) export-import between the post-Soviet countries. This qualitative inquiry critically examines the Soviet legacy of LMSU IBCs to understand their origins, purposes, and utility as a form of HE export. This paper sheds light on (1) the similarities and differences between six LMSU IBCs and (2) discourses used to rationalise the establishment of LMSU branch campuses. The findings from this paper suggest that LMSU IBCs are established (a) to promote the Russian HE model, (b) to strengthen political and cultural ties with neighbouring countries, and (c) to bolster LMSU's image and brand appeal in the region. [ABSTRACT FROM AUTHOR]

Educational reform in China has brought about many Western educational approaches for teachers to consider as part of their pedagogy. An example of this is the theory of multiple intelligences (MI theory). This paper presents how a theory grounded in a Western context is locally reconceptualised by kindergarten teachers who grew up in a different context. A qualitative case study was selected to investigate seven kindergarten teachers' understandings of MI theory in China. Three methods were employed to gather data; semi-structured interviews, field observations and documentation. Evidence from the three sources were analysed using a thematic approach. This paper reports contextual factors that had an influence on the teachers' understandings of MI theory and thus its implementation, and argues that the introduction of new educational theories or approaches should be grounded in the local context in which the teaching will be embedded. [ABSTRACT FROM AUTHOR]

There have been growing concerns that social distancing and stay-at-home mandates have exacerbated loneliness for older people. Empirical evidence about older people's experiences of loneliness and COVID-19 have quantified this phenomena without considering how older people themselves define and understand loneliness. This paper explores how older New Zealanders conceptualized and experienced loneliness under 'lockdown' stay-at-home measures. This multi-methods qualitative study combines data from letters (n = 870) and interviews (n = 44) collected from 914 people aged over 60 and living in Aotearoa, New Zealand during the COVID-19 pandemic. We conducted a reflexive thematic analysis to conceptualise this data. We identify three interconnected ways in which older people conceptualised and experienced loneliness: (1) feeling disconnected relating to lack of emotional closeness to another often resulting from being physically separated from others and not being able to touch; (2) feeling imprisoned relating to separation from preferred identities and activities and was frequently associated with boredom and frustration; and (3) feeling neglected which often related to feeling let down by generalised and idealised forms of support, such as one's neighbourhood and health care system. Older New Zealanders experienced lockdown loneliness in three interconnected ways rather than as a stable and homogenous experience. Māori, Pacific, Asian and New Zealand European older people often discussed loneliness in different ways; attesting to loneliness being a culturally-mediated concept shaped by expectations around desirable social interaction. We conclude the paper with implications for research and policy. [ABSTRACT FROM AUTHOR]

One central aim of disability studies is to shift understandings of disability, such that disability comes to be understood as about the social disadvantage/oppression that people face when society does not cater to impairment of body/mind. Nevertheless, there remains a need for more practical tools for disability advocacy, through which to transmit disability studies' ideas of disability to the general community. Drawing on a qualitative study of the perspectives of 23 people with physical and sensory impairments, this paper proposes virtual reality as an advocacy tool to communicate the principles and beliefs of disability studies. The findings highlight that, due to the nature of the technology, participants feel virtual reality has clear potential as a disability advocacy tool that can facilitate empathy, perspective-taking and positive social change, with a particular focus on how it is the environmental barriers and social attitudes around people that disables them. More practical advocacy or informal education tools are needed that align with the principles of disability studies. This research conducted in-depth interviews with 23 people with physical and sensory impairments. The research finds that virtual reality has clear potential as a disability advocacy tool. The participants reported that virtual reality can facilitate empathy, perspective-taking and positive social change. The research finds that virtual reality focuses on how environmental barriers and social attitudes around people with disability disable them, rather than focusing on impairment experiences. [ABSTRACT FROM AUTHOR]

This small-scale qualitative research project is located within post-compulsory education in England and explores some of the strategies and responses employed by three initial teacher educators to carry out their professional role while responding to the COVID-19 pandemic. The central argument is that teacher identity was significant as a pedagogical tool to respond to the pandemic. Therefore, more consideration should be given to the interconnectedness of who I am, what I do and why I do it, when pedagogical responses are needed to address emergent issues. The first part of the paper paints a picture of the available literature related to learning during covid-19, followed by an articulation of the research design. The second part discusses the relationship between identity and pedagogy, which is the central theme constructed from the data gathered from the research participants. It closes with a reflection about how educators as a collective have shown resilience and creative ways to deal with challenges, thus adding new layers of their identity, and this can be pedagogically powerful. [ABSTRACT FROM AUTHOR]

Nonprofit organizations operating in civil society have become the main channel for social service provision in most neoliberal welfare economies. Social service nonprofits (SSNs) deliver essential services mainly to vulnerable and marginalized populations. Since the outbreak of COVID-19, SSNs have been at the frontline of dealing with its socioeconomic consequences. This paper focuses on the activities and responses to the crisis of SSNs in Israel. Interviews with SSN directors (N = 17) show that they dealt with growing demands for services due to the social implications of the pandemic, along with operational difficulties, such as deterioration in clients' condition, disruption in service continuity, and reduced funding and staff. Next to these difficulties, the findings highlighted the social innovations adopted by SSNs to maintain service provision, such as implementing remote service technologies, forming collaborations, and recruiting volunteers. Implications for the social services and policies are presented and discussed. [ABSTRACT FROM AUTHOR]

Older adult education is still under-researched, with many terminological ambiguities, clichés, and prejudices. Older adult teacher education and older adult English as a foreign language (EFL) teacher education is rare. Many factors can influence EFL teachers of older adults' teaching performance and its perception. Pre-service (presumably inexperienced U3A EFL teachers) and in-service teachers (experienced U3A EFL) were teaching EFL to selected older adults (aged from 64 to 75 years) at the Karkonosze University of Applied Sciences in Jelenia Góra, Poland, U3A. Their teaching Older adult education is still under-researched, with many terminological ambiguities, clichés, and prejudices. Older adult teacher education and older adult English as a foreign language (EFL) teacher education is rare. Many facting performance factors list. By utilizing a critical foreign language geragogy and a strengths-based approach inspired by positive psychology, the research emphasized the role of general teaching experience and/or age-targeted teaching experience. And it led to validating the desirable teaching performance factors as factors that defined U3A EFL teaching performance as successful and positively evaluated by given older adult learners, i.e. on a small scale. Based on a qualitative comparative exploratory study, the paper analyses how to approach teaching EFL to older adult learners at a University of the Third Age(U3A). It aimed to design a desirable U3A EFL teaching performance and to validate it on a small scale. It focused mainly on what role teaching experience and official educational study path play. A comparison is made between pre-service (presumably non-experienced U3A EFL teachers) and in-service teachers' (experienced U3A EFL teachers) teaching performance at one selected U3A EFL course and its attendees (aged 64 to 75 years). The study revealed that positively perceived (and successful) teaching performance needs to involve, among others, the following factors: establishing a friendly atmosphere, adjusting materials to the target group and the tempo, becoming partners with learners, and being sensitive to their limitations and barriers and respectful to their wishes and needs. However, within researched countries, pre-service teachers are not being prepared to teach older adults in their formal education path. The teachers' experience plays high role in the ability to adapt and adjust, however the foreign language enjoyment perceived by older adults is universal. It was perceived at both variants, i.e. at pre- as well as in-service teachers' teaching performance. [ABSTRACT FROM AUTHOR]

Background: Counseling is a part of the scope of practice for speech-language pathologists (SLPs), however training has been inconsistent across programs. Students, clinical fellows, and practicing SLPs alike report feeling under-prepared to address the counseling needs of clients and their families. Research evidence about counseling training and practices specific to addressing the psychological well-being of individuals with aphasia and their families is even more limited. While practicing SLPs feel confident and prepared to address communication-specific interventions for aphasia, they feel ill prepared to address the counseling needs that arise on a regular basis. Aims: The present investigation was part of a two-part investigation that included an online survey to practicing SLPs throughout the United States (US) and follow-up interviews with a subgroup of those participants. This paper addresses the counseling practice interview portion and addresses two research questions: How confident do SLPs feel using counseling with individuals with aphasia? To what extent are SLPs implementing counseling in practice with individuals with aphasia and their family members? Methods & Procedures: Eight practicing SLPs who participated in the part 1 counseling practices survey agreed to participate in the part 2 counseling practices intervention. They varied by years of practice, region of practice, and practice setting (acute, subacute, and chronic). Participants engaged in the Counseling Practices Interview (CPI) via the BlueJeans video conferencing application. Interviews were transcribed and coded qualitatively using open and axial coding methods. Multiple rounds of iterative coding were conducted to ensure rigor and coding stability. Outcomes & Results: Multiple rounds of coding resulted in the following overarching themes: confidence in aphasia-specific skills/ techniques, SLPs encounter emotional and psychosocial discussions regularly, confidence with educational counseling, not prepared for psychosocial adjustment counseling, taking the perspective of individuals with aphasia and their family, referrals/ interprofessional practices and scope of practice issues, and SLP self-care. SLPs reported a clear difference between knowledge and skills for which they feel prepared and confident, versus addressing psychological well-being of individuals with aphasia and understanding practice boundaries. Conclusions: SLPs recognize the importance of counseling skills for working with individuals with aphasia because counseling moments arise regularly. They use a variety of techniques but lack intentionality and specialised training. Academic training was deemed to be inadequate in scope and instructional methods. Postacademic training was identified as hard to access but useful. SLPs reported a lack of clarify on scope of practice, practice boundaries, and referrals. [ABSTRACT FROM AUTHOR]

This empirical paper provides an experiential account of learning from self-help books by the teachers of the management stream from the Indian context. The current environment is posing new and unprecedented challenges to academicians, management teachers being one of them. Self-help books have for centuries helped readers to deal with such challenges. Hence, this exploratory study, using the narration method, has inquired through qualitative interviews with management teachers about their personal experiences of reading self-help books. The findings provided a broad understanding of how they learn, get inspiration, get the guidance, get healed and thus cope with the challenges in their life as a result of reading self-help books which may be extended to Poetry Therapy or unstructured Bibliotherapy in some ways. [ABSTRACT FROM AUTHOR]

Children who use augmentative and alternative communication (AAC) are multimodal communicators. However, in classroom interactions involving children and staff, achieving mutual understanding and accomplishing task-oriented goals by attending to the child's unaided AAC can be challenging. This study draws on excerpts of video recordings of interactions in a classroom for 6–9-year-old children who used AAC to explore how three child participants used the range of multimodal resources available to them – vocal, movement-based, and gestural, technological, temporal – to shape (and to some degree, co-control) classroom interactions. Our research was concerned with examining achievements and problems in establishing a sense of common ground and the realization of child agency. Through detailed multimodal analysis, this paper renders visible different types of practices rejecting a request for clarification, drawing new parties into a conversation, disrupting whole-class teacher talk-through which the children in the study voiced themselves in persuasive ways. It concludes by suggesting that multimodal accounts paint a more nuanced picture of children's resourcefulness and conversational asymmetry that highlights children's agency amidst material, semiotic, and institutional constraints. [ABSTRACT FROM AUTHOR]

This paper focuses on children's perspective on their outdoor play environment. The research took place in settings with designated disadvantaged status—in the backyards of Przedmieście Oławskie—a small district of a large city of Wrocław, Poland. The research aimed to reveal dimensions of children's perception and understanding of studied backyards. Multimethod qualitative research procedure was used: the ethnographic research strategy with elements of mosaic approach were combined. Around 70 children aged 3–10 years were observed in their natural play environment and 23 of them were engaged in guided-tours and meetings in backyards. The results of this research show multidimensionality of children's experiences of their play environment. The study underlines the importance of considering children's experience as competent social agents while planning outdoor play environments. [ABSTRACT FROM AUTHOR]

This paper provides a detailed account of the development of an instrument to investigate the emerging concept of presence in teaching (PiT) on a larger scale, explaining how the transition from data and findings from qualitative studies to a survey instrument was accomplished. In order to ensure relevance for teachers, the instrument needed to do justice to the unique and varied character of the qualitative data and be closely related to educational practice. Therefore, we adopted an interpretivist approach and a procedure involving different types of interactions: between outsiders (researchers, experts) and the instrument, between insiders (teachers) and the instrument, and between outsiders and insiders. Often, instruments are developed from an outsider perspective, in which respondents serve as informants for the researchers. Our development process occurred in a dialectical relationship between the 'scientific' concept and the 'everyday' concept (in the intuitive understanding of teachers) of PiT, which allowed us to capture PiT within a survey by means of narrative vignettes using the language and classroom practices of teachers. Reflections on the quality criteria and methods used, the challenges encountered and solutions found, may serve educational researchers planning to investigate emerging concepts such as PiT on a large scale. [ABSTRACT FROM AUTHOR]

A growing number of researchers are trying to provide explanations for continuity and change in drug policy in different contexts. Such research predominantly falls in the pluralist realm of public policy where various actors compete to have their policy proposals accepted. Using a critical framework called Policy Constellations (PC), developed by Stevens and Zampini, this paper attempts to explain reactions of the British Government to Novel Psychoactive Substances (NPS) between 2008 – 2016. Qualitative data comes from in-depth interviews with stakeholders (N = 15), including NGO workers, a former Home Secretary, drugs ministers, governmental advisors, a former senior police officer, former Deputy Drug Coordinator, and a former Advisory Council for the Misuse of Drugs (ACMD) member. Two 'constellations' competed in British NPS policy setting. The PC framework illustrates power imbalances between these competing stakeholders. Abstinence orientated actors (the conservative constellation) enjoyed strategic advantages and media power which allowed them to create a favourable policy setting. These advantages were not enjoyed by the liberal constellation who struggled to access the policy setting and influence policy developments. The prohibitive nature of the policy used to counter NPS can be explained with the domination of actors whose values align with the conservative constellation. [ABSTRACT FROM AUTHOR]

This paper examines the development of indicators measuring attacks on education through a case study of the Global Coalition to Protect Education from Attack (GCPEA). As GCPEA and its partners have brought the problem of attacks on education to the attention of global civil society, they have engaged in contestation to define attacks on education and construct indicators to track the relevant violations. These debates are significant in that indicators are a tool of global governance that shape policymaking and resource allocation. The discussion draws on the author's decade of experience working among groups focused on the protection of education, including direct involvement developing indicators on attacks on education, and on three sets of qualitative interviews. It analyses how resource limitations, organisational agendas, challenges of measurement and verification, and global power dynamics exert pressure towards a more narrow understanding of attacks on education. This limits the transformative potential of the protecting education agenda. The discussion illustrates that EiE actors must consider the ways that they measure their work in ongoing conversations about creating a decolonial and more equitable field of practice. [ABSTRACT FROM AUTHOR]

In 2018, the Association of European Qualitative Researchers in Psychology (EQuiP) was founded – a society that aims to create bridges among qualitative researchers in psychology across Europe – between researchers from different European countries but also between different traditions of qualitative inquiry in psychology, and bridges between academics and practitioners. In this paper, we will present the work of EQuiP in order to make it known do a wider audience. We will start by providing an overview of the history of EQuiP and the aims it pursues. We will also present an update on past and present activities and events of the association, including an outlook on the upcoming international conference in 2024 in Milano. We invite scholars to join us in our endeavour not only to strengthen qualitative research in psychology across Europe but also to highlight the plurality and heterogeneity that are inherent to this kind of research. [ABSTRACT FROM AUTHOR]

Foreign language teachers face challenges in teaching foreign languages to deaf students because they often do not have specific qualifications to teach these students. This paper considers Türkiye as a case and examines foreign language teachers’ ideologies of deafness and teaching practices that these teachers use in teaching deaf students at the K-12 level in the country. The study applies a qualitative approach and uses semi-structured interviews as a data source. In analysing data, the study considers ideology, linguistic human rights, and forms of capital as theoretical concepts for theoretical triangulation. The analysis of interviews with eight hearing foreign language teachers teaching deaf students shows contradictions between teachers’ ideologies of deafness as a disability and their effort in teaching deaf students by adapting instructional practices to teach these students. The results of the study suggest integrating an ideology of deafness as a culture in education policies and preparing foreign language teacher training programs to help foreign language teachers understand deafness as a different culture and teach foreign languages to deaf students accordingly. [ABSTRACT FROM AUTHOR]

In the last ten years the use of the internet as a health resource has transformed, and while patients increasingly consult online resources for health decision-making, less is known about how healthcare professionals (HCPs) currently discuss decision-making with internet informed patients (IIPs). In this paper we examine how HCPs perceive IIPs and specifically how bringing online information into appointments can prompt different communicative strategies around decision-making. Ten HCPs with experience working across different healthcare roles, took part in semi-structured interviews and discussed their interactions with IIPs around decision-making. Vignettes based on descriptions of real patients bringing online health information to their HCPs were used to prompt further discussion. The analysis identified two themes in relation to communication: (i) being honest about information sources and (ii) from compliance to coconstruction: improving communication around decision-making. HCPs were overwhelmingly positive toward IIPs and encouraged patients to be transparent about their online searching to understand their motivations, priorities, and concerns. Although compliance remains part of the narrative, HCPs recognized practical ways in which discussing online health information could improve HCP-patient communication around shared decision-making. We discuss the findings in relation to early work on communicative strategies between HCP’s and patients bringing resources to their consultations. We argue that for HCPs the concept of the internet as a provider of health information is no longer seen as inherently damaging or risky. There is growing acceptance of pre-consultation internet searching with the caveat that any information sourced online should inform rather than dictate decision-making with HCPs. [ABSTRACT FROM AUTHOR]

People with disabilities have an inviolable right to equitable access and participation in tertiary education and support systems are known to be indispensable in making this right a reality. This article presents the voices of students with disabilities regarding aspects that influence their successful access and participation in tertiary education in Ghana. A qualitative approach was adopted for the study with data collected through interviews with 12 students with disabilities in three public universities. From the perspective of these students, successful inclusion of people with disabilities in tertiary education in Ghana is influenced by enrolment practices, the built environment, teaching and learning approaches, and assessment provisions. The context influenced provisions and support provided. Attitudes of the university community and lack of knowledge of inclusive practices such as Universal Design play a role in students' access and participation. Comprehensive awareness-raising on disability and inclusive practices is recommended to address this issue. This paper explores inclusion practices in three Ghanaian public universities focussing on the combined voices of students with disabilities. The context of the three universities influences the provisions and support available for people with disabilities. The students with disabilities involved in the study reported that access to the university environment and support for academic engagement impact their university experience. The attitude of the university community is a factor in ensuring access, participation and success of people with disabilities in higher education. Creating awareness of disability issues within the university community is pivotal in building and sustaining inclusive culture. The application of universal design principles is essential to improving access and participation of people with disabilities in higher education institutions. [ABSTRACT FROM AUTHOR]

This study explores the usability, usefulness and user experience of the Forward with Dementia website for people with dementia and family carers, and identifies strategies to improve web design for this population. The website was iteratively user-tested by 12 participants (five people with dementia, seven carers) using the Zoom platform. Data collection involved observations, semi-structured interviews and questionnaires. Integrative mixed-method data analysis was used, informed by inductive thematic qualitative analysis. Users of Version 1 of the website experienced web functionality, navigation and legibility issues. Strategies for desirable web design were identified as simplifying functions, streamlining navigation and decluttering page layouts. Implementation of strategies produced improvements in usability, user experience and usefulness in Version 2, with mean System Usability Scale scores improving from 15 to 84, and mean task completion improving from 55% to 89%. The user journey for people with dementia and carers overlapped, but each group had their own unique needs in the context of web design. The interplay between a website's content, functionality, navigation and legibility can profoundly influence user perceptions of a website. Dementia-related websites play an important role in informing audiences of management strategies, service availability and planning for the progression of dementia. Findings of this study may assist in guiding future web development targeting this population. People with cognitive impairment can provide useful feedback on design and accessibility of websites, and their input should be obtained when developing digital applications for this group. This paper provides practical suggestions for website design features to improve function, legibility and navigation of websites for older people and people living with dementia. [ABSTRACT FROM AUTHOR]

People with physical disabilities often require lifetime support and experience challenges to maintain or (re)define their level of independence. Assistive living technologies (ALT) are promising to increase independent living and execution of activities of daily living (ADL). This paper provides a systematic literature review that aims to analyse the present state of the literature about the impact of ALT on perceived independence of people with a physical disability receiving long-term care. Databases Embase, Medline, and Web of Science were searched for eligible studies from 2010 or later. Nine studies were included, of which seven qualitative, one quantitative, and one mixed methods. Quality was generally high. ALT enabled participants to execute ADL. We found six themes for the impact of ALT on perceived independence: feeling enabled, choice and control, feeling secure, time alone, feeling less needy, and participation. ALT appears to impact perceived independence in many ways, exceeding merely the executional aspect of independence. Existing research is limited and quite one-sided. More large-scale studies are needed in order to inform care organisations how to implement ALT, especially considering societal developments and challenges impacting long-term care. People with a physical disability receiving long-term care experience that assistive living technology impacted their independence. Their independence is increased by making them feel enabled, secure, and less needy and increasing their choice and control, time alone, and participation. Most studies focused on the use of environmental control systems by people with spinal cord injury. More research is needed to evaluate long-term effects of diverse assistive living technologies used by people with a physical disability receiving long-term care. [ABSTRACT FROM AUTHOR]

Persuasive gamified systems are effective tools for motivating behaviour change using various persuasive strategies. In line with the reinforcement theory, some persuasive gamified systems employ reward and punishment in their design to achieve the intended behavioural outcome. Research has argued both in favour and against using these strategies in behaviour change applications due to mixed results with respect to their effectiveness. However, there is a lack knowledge about how interventions using these strategies could motivate or demotivate behaviours. Therefore, this paper explores the mechanism through which Reward and Punishment motivate or demotivate behaviours with respect to their strengths and weaknesses. The results of large-scale exploratory studies (N = 1768) uncover important strengths and weaknesses that could facilitate or hinder the effectiveness of Reward and Punishment at motivating behaviour change. These include their ability to engage users and make behaviour fun, reinforce commitments to goals, and reveal some consequences of bad behaviour. We also compared the perceived effectiveness of reward and punishment quantitatively. [ABSTRACT FROM AUTHOR]

Despite a sound policy framework, the right of learners with disabilities in South Africa to inclusive and equitable quality education is not being met. A key reason hindering the realisation of this right is that there are very few teacher education programs focused on supporting learners with disabilities. Acknowledging the urgency of teacher education, in this paper we draw on qualitative data from 109 teacher participants and 39 course facilitators of a series of disability inclusion-focused teacher education short courses in the Western Cape province of South Africa. Based on their experience of the courses, we consider how teachers can be empowered to meet the diverse needs of their learners within an inclusive framework. Findings highlight that professional and personal growth facilitated a more empathic understanding of learners and the opportunity to collaborate with others, enabling teachers to find creative ways of solving problems faced in their workplaces. To support teachers in meeting the needs of their learners, teacher training should facilitate active reflection on the role they play in shaping the lives of their learners, and prepare teachers to respond to challenges strategically, taking advantage of the resources available to them within and beyond their school environment. [ABSTRACT FROM AUTHOR]

Under multiple public administration reforms since the 1980s, public bureaucracies' activities range from connecting with markets to inviting the participation of service users, citizens, and networks of organizations in policy development, decision-making, and implementation. Despite this broadening of stakeholder participation, certain organizations are at risk of being overlooked, despite their direct involvement in efforts to engage communities and address persistent social problems. We contend that one reason for this exclusion is that these organizations are not recognized as their own organizational type. This paper identifies Relational, Emergent, Transformative, and Change-Oriented Organizations (RETCOs) as a discrete organizational type, and argues that they should be represented in the model cases that are used to educate public administrators, recognized as worthy of public funding and support, and included in public administration research. Recognizing RETCOs as legitimate stakeholders can correct some of the ethical problems of under-representation of important voices and perspectives in government-citizen interfaces. RETCOs are most appropriately studied through qualitative research methods that are sensitive to what make RETCOs a uniquely responsive organizational type, including their prioritizing of relationships within organizations, emergent rather than fixed organizational forms, goals of transformation, and commitments to liberatory social and economic change. [ABSTRACT FROM AUTHOR]

Novel forms of social media created 'by-and-for' women offer potentially new ways of communicating and constructing sex education. In this paper, we consider how Instagram is being used by sex educators to deploy discourses of resistance and erotics to educate about sex. Our method consisted of a combined critical discourse (CDA) and content analysis of Instagram posts (n = 200) from a small sample of influential feminist/queer sex education accounts that use informative text and illustration-based posts. Framed by Carmody's concept of ethical erotics, we identify four discursive categories in such Instagram content: pleasure positivity; communication and dynamic consent; sex as an experience not a performance; and challenging heteronormative constructions of sex. We argue that the affordances of Instagram provide a platform for the promotion of sex education that centres pleasure and ethical erotics to rectify limited and harmful heteronormative representations of sexuality. [ABSTRACT FROM AUTHOR]

The need for professionals to become educated in fetal alcohol spectrum disorder (FASD) has emerged as a critical topic in child and family settings. FASD is sometimes described as being entirely preventable implying blame toward mothers and negative attitudes toward people with FASD. Without preservice education to address stigma associated with FASD, social workers are at risk of exacerbating deficit-based models of FASD care. Guided by an Australian study with health professionals who have skills in FASD assessment and care, this paper advances an agenda for social work curriculum capable of challenging FASD-related stigma to promote strengths-based family engagement. [ABSTRACT FROM AUTHOR]

What can public attitudes towards the integration of co-ethnic migrants teach us about social integration in newly diverse societies? Research finds that South Koreans prefer co-ethnic migrants from culturally similar or desirable origins, but it says little about the integration of migrant groups. Existing data and qualitative studies suggest considerable barriers to fully incorporating otherwise preferred migrants. Focusing on integrating North Korean migrants in South Korea – a relatively privileged migrant group that enjoys substantial resettlement support but encounters barriers to full integration – this paper addresses the research gap by testing competing explanations of migrant incorporation. Informed by Intergroup Threat Theory (ITT), the study examines how threats defined as realistic or symbolic shape native attitudes toward these migrants. Using a conjoint survey experiment to measure preferences for economic, political, and social integration, we find South Koreans favor North Korean migrants with extended residence in South Korea, which is a marker for diminishing realistic and symbolic intergroup threats. Conversely, migrants signaling stronger affiliations to North Korea or lacking diverse social ties in South Korea fail to alleviate intergroup threat concerns and consequently face discrimination. Our findings offer insights into integration policy and contribute to the migration and citizenship literature and contemporary Korean Studies. [ABSTRACT FROM AUTHOR]

Chronic pain is a common feature of hypermobile Ehlers–Danlos Syndrome (hEDS), yet how patients assess and communicate their pain remains poorly understood. The objective of the present study was to explore the use of numeric pain assessment in individuals with hEDS, from a patient-centered perspective. Our analysis is based on in-depth qualitative interviews. The interviews were conducted over the phone. Our participants were patients living with hEDS (N = 35). Interviews were recorded, transcribed, and analyzed to identify factors related to their use of these pain assessment instruments. Three primary themes emerged from these data, namely, (1) confusion around the quantification of multidimensional pain, (2) the subjectivity of pain experience, and (3) a strategic use of assessments for practical purposes beyond the accurate representation of pain. These results demonstrate the need for caution in relying exclusively on numeric pain assessment instruments. We conclude with a brief proposal for a clinical communication strategy that may help to address the limitations of numeric pain assessment that were identified in our interviews. Chronic pain is a common feature of hypermobile Ehlers–Danlos Syndrome (hEDS), yet how patients assess and communicate their pain remains poorly understood. Clinicians should be aware that patients have difficulties with the Numeric Rating Scale (NRS) for at least three reasons: (1) confusion around the quantification of multidimensional pain, (2) the subjectivity of pain experience, and (3) a strategic use of assessments for practical purposes beyond the accurate representation of pain. Clinicians should use caution in relying exclusively on NRS instruments. Clinicians may benefit from using clinical communication strategies outlined in our paper, which may help to address the limitations of the NRS that were identified in our interviews. [ABSTRACT FROM AUTHOR]

Purpose: Aboriginal and Torres Strait Islander People with a disability continue to experience barriers to service engagement such as mistrust of government services, lack of culturally appropriate support, marginalisation and disempowerment. This meta-synthesis reviews current literature regarding these experiences to explain why services are underutilised. Methods: The meta-synthesis was conducted using a meta-ethnographic approach to synthesise existing studies into new interpretive knowledge. The approach was supported by a search using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Results: Ten original research papers utilising a qualitative methodology were extracted. Synthesis of the articles revealed four concepts that were developed into a conceptual model. These include:1) History Matters; 2) Cultural Understanding of Disability Care; 3) Limitations to Current Service Provision; and 4) Delivery of Effective Services. Conclusions: Disability services do not adequately consider the cultural needs of Aboriginal and Torres Strait Islander People or communicate in a culturally appropriate manner. There are expectations that Aboriginal and Torres Strait Islander People acknowledge their disability in alignment with western definitions of disability in order to access services. More work is needed to align disability services with culturally appropriate support to provide better health outcomes. Aboriginal and Torres Strait Islander people with a disability continue to experience barriers to service engagement which must be addressed. An essential gap that must be filled in providing disability services to Aboriginal and Torres Strait Islander people is the acknowledgment of culture as a resolute influence on all client interactions with providers. A cultural model of disability may better align with the experiences of Aboriginal and Torres Strait Islander people than current medical and social models used in healthcare. Disability services need to align better with culturally appropriate support to provide better health outcomes for Aboriginal and Torres Strait Islander people. [ABSTRACT FROM AUTHOR]

Abstract\nIMPLICATIONS FOR REHABILITATIONPurpose: Eye-gaze technology offers professionals a range of feedback tools, but it is not well understood how these are used to support decision-making or how professionals understand their purpose and function. This paper explores how professionals use a variety of feedback tools and provides commentary on their current use and ideas for future tool development.Methods and Materials: The study adopted a focus group methodology with two groups of professional participants: those involved in the assessment and provision of eye-gaze technology (n = 6) and those who interact with individuals using eye-gaze technology on an ongoing basis (n = 5). Template analysis was used to provide qualitative insight into the research questions.Results: Professionals highlighted several issues with existing tools and gave suggestions on how these could be made better. It is generally felt that existing tools highlight the existence of problems but offer little in the way of solutions or suggestions. Some differences of opinion related to professional perspective were highlighted. Questions about automating certain processes were raised by both groups.Conclusions: Discussion highlighted the need for different levels of feedback for users and professionals. Professionals agreed that current tools are useful to identify problems but do not offer insight into potential solutions. Some tools are being used to draw inferences about vision and cognition which are not supported by existing literature. New tools may be needed to better meet the needs of professionals and an increased understanding of how existing tools function may support such development. Professionals sometimes make use of feedback tools to infer the cognitive and/or visual abilities of users, although the tools are not designed or validated for these purposes, and the existing literature does not support this.Some eye-gaze feedback tools are perceived as a “black box”, leaving professionals uncertain as to how to usefully interpret and apply the outputs.There is an opportunity to improve tools that provide feedback on how well an eye-gaze system is working or how effectively a user can interact with this technology.Professionals identified that tools could be better at offering potential solutions, rather than simply identifying the existence of problems.Professionals sometimes make use of feedback tools to infer the cognitive and/or visual abilities of users, although the tools are not designed or validated for these purposes, and the existing literature does not support this.Some eye-gaze feedback tools are perceived as a “black box”, leaving professionals uncertain as to how to usefully interpret and apply the outputs.There is an opportunity to improve tools that provide feedback on how well an eye-gaze system is working or how effectively a user can interact with this technology.Professionals identified that tools could be better at offering potential solutions, rather than simply identifying the existence of problems. [ABSTRACT FROM AUTHOR]

Over the last decade, the return of results (ROR) in precision medicine research (PMR) has become increasingly routine. Calls for individual rights to research results have extended the "duty to report" from clinically useful genetic information to traits and ancestry results. ROR has thus been reframed as inherently beneficial to research participants, without a needed focus on who benefits and how. This paper addresses this gap, particularly in the context of PMR aimed at increasing participant diversity, by providing investigator and researcher perspectives on and questions about the assumed value of ROR in PMR. Semi-structured interviews with a purposive sample of investigators and researchers across federally funded PMR studies in three national consortia, as well as observations of study activities, focused on how PM researchers conceptualize diversity and implement inclusive practices across research stages, including navigating ROR. Interviewees (1) validated the value of ROR as a benefit of PMR, while others (2) questioned the benefit of clinically actionable results to individuals in the absence of sufficient resources for translating findings into health care for diverse and disadvantaged populations; (3) expressed uncertainties in applying the presumed value of ROR as a benefit for non-clinical results; and (4) and debated when the promise of the value of ROR may undermine trust in PMR, and divert efforts to return value beyond ROR. Conceptualizations of diversity and inclusion among PM researchers and investigators raise unique ethical questions where unexamined assumptions of the value of ROR inform study recruitment efforts to enroll minoritized and under-represented populations. A lack of consideration for resources and infrastructure necessary to translate ROR into actionable information may hinder trustworthy community-research relationships. Thus, we argue for a more intentional interrogation of ROR practices as an offer of benefit and for whom. [ABSTRACT FROM AUTHOR]