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Aim: To describe the perspectives of patients using digital services on the digital counselling competence of healthcare professionals. Design: A descriptive qualitative interview study. Methods: The analysed data were collected in Finland during the spring of 2023 via 11 individual, semi‐structured interviews from participants who had received video‐mediated counselling. The interviews were carried out online through Microsoft Teams and adhered to an interview guide using main and ancillary questions. The data were analysed using inductive content analysis. Results: The patients' perspectives of healthcare professionals' digital counselling competence were related to five categories: (1) competence in preparing for video‐mediated counselling, (2) digital competence in implementing the video‐mediated counselling, (3) competence in interacting with the patient during the video‐mediated counselling, (4) competence in supporting the patient's self‐management in video‐mediated counselling and (5) competence in self‐development as a digital counsellor. Conclusion: The results of this study indicate that healthcare professionals need to possess a wide range of digital counselling competencies when providing video‐mediated counselling. This study thus lays the groundwork for future studies of patients' perspectives of healthcare professionals' digital counselling competence. Implications for the Profession and/or Patient Care: The results of this study can be used to develop healthcare professionals' digital counselling competence and patient‐centered care. The presented insights can also be used to map further research topics. Reporting Method: The Consolidated criteria for reporting qualitative research (COREQ) checklist was used when reporting the results. Patient or Public Contribution: Patients who had experience in using digital services participated in the data collection of this study. Impact: What problem did the study address? Healthcare professionals may well need to develop new competencies as counselling is increasingly moving to digital environments.What were the main findings? The main areas of digital counselling competence that emerged from the patients' perspectives were competence in preparing for video‐mediated counselling, digital competence, competence in interacting with the patient, competence in supporting self‐management and competence in self‐development as a digital counsellor.Where and on whom will the research have an impact? The research can be used to build and develop healthcare professionals' digital counselling competence, as well as improve the delivery of patient‐centered care. [ABSTRACT FROM AUTHOR]

Objective: Given that eating disorders (EDs) are considered one of the deadliest mental illnesses, the development of appropriate assessment instruments is a necessity. Despite the extensive literature on assessing EDs, there has been a lack of focus on semi‐structured interviews. The purpose of this article is to provide a comprehensive review of psychometrically validated semi‐structured interviews for EDs. Methods: Included studies (N = 24) were required to present a semi‐structured interview for EDs that has been validated through a psychometric process. The APA PsycNet, MEDLINE, APA Psycinfo, Pubmed, and Health & Psychosocial Instruments databases were searched. The literature search included publications through May 2024, with no earliest year restriction. Results: A total of six instruments were identified and reviewed in terms of conceptual design, purpose and content, psychometric characteristics, and strengths and limitations. Three main findings were highlighted: (a) only half of the instruments are up to date; (b) the instruments are based on either a categorical or a mixed categorical‐dimensional approach; and (c) the predominance of the categorical approach. Conclusions: The results are discussed regarding the conceptual approaches of the instrument to provide clinical and research implications. Despite the many strengths of the instrument, additional psychometric research is needed. Highlight: The complexity of eating disorders (EDs) challenges traditional DSM‐5 categorisation. With more than 50% of individuals diagnosed in a residual category with limited treatment research, there is a critical need for accurate diagnosis through validated assessment tools based on alternative approaches.Of the six existing semi‐structured assessments of EDs, only three are up to date and can be used for both clinical and research applications.The electronic format and dual scoring (categorical and dimensional) of the instrument are promising features for providing a comprehensive and personalised assessment of EDs. [ABSTRACT FROM AUTHOR]

Digital twins (DTs) are often defined as a pairing of a physical entity and a corresponding virtual entity (VE), mimicking certain aspects of the former depending on the use-case. In recent years, this concept has facilitated numerous use-cases ranging from design to validation and predictive maintenance of large and small high-tech systems. Various heterogeneous cross-domain models are essential for such systems, and model-driven engineering plays a pivotal role in the design, development, and maintenance of these models. We believe models and model-driven engineering play a similarly crucial role in the context of a VE of a DT. Due to the rapidly growing popularity of DTs and their use in diverse domains and use-cases, the methodologies, tools, and practices for designing, developing, and maintaining the corresponding VEs differ vastly. To better understand these differences and similarities, we performed a semi-structured interview research with 19 professionals from industry and academia who are closely associated with different lifecycle stages of digital twins. In this paper, we present our analysis and findings from this study, which is based on seven research questions. In general, we identified an overall lack of uniformity in terms of the understanding of digital twins and used tools, techniques, and methodologies for the development and maintenance of the corresponding VEs. Furthermore, considering that digital twins are software intensive systems, we recognize a significant growth potential for adopting more software engineering practices, processes, and expertise in various stages of a digital twin's lifecycle. [ABSTRACT FROM AUTHOR]

Background: Endometriosis is a frequent disease in women of reproductive age in which the endometrium occurs outside the uterine cavity. Multimodal treatment approaches are necessary due to loss of quality of life and the chronic nature of the disease. Digital health applications (DiGa) are becoming increasingly important. This research project investigates how a healthcare app can influence the subjective experience of illness in patients with endometriosis. Methods: Empiric data were collected through semi-structured interviews. Data analysis was carried out using qualitative focussed interview analysis. Reliability was ensured by joint interdisciplinary and interprofessional evaluation of the interviews by experts and those affected. Results: Ten patients with endometriosis and the prescribed healthcare app Endo-App© were examined. Categories were defined from the superordinate categories "Factors influencing the experience of illness" and "Evaluation of the app". The app provided reliable information, promoted self-efficacy through exercises and strengthened the perception of the individuality of the illness. It helped to minimise nocebo effects from internet research and enabled a positive change of perspective. Patients criticised the time required for data input and had data protection concerns. The educational elements were often seen as redundant. Some patients only used the app briefly, or not at all. Conclusion: Once a DiGa has been prescribed, it may be useful to explain its use on an outpatient basis and validate regular use. Blind re-prescribing of DiGas should be avoided. Younger patients with a recent diagnosis or patients following rehabilitation may benefit more from prescribing. [ABSTRACT FROM AUTHOR]

With the booming development of rural tourism, the users of rural environments are gradually becoming more diverse. Both tourists and villagers are the main appreciators of rural landscapes, but the cognitive similarities and differences in rural landscape between the two have not yet been explored. Therefore, taking Wangshang Village, located in Shaanxi Province, China as a case study, this research used a combination of quantitative analysis (eye-tracking technology) and qualitative analysis (semi-structured interviews) to compare and analyze the cognitive similarities and differences of rural landscapes between tourists and villagers. The experimental results showed that the cognitive similarities and differences in rural landscapes between tourists and villagers are mainly reflected in their level of cognition, observation methods, and key elements of focus. The reasons for cognitive differences are due to the different living backgrounds of the two groups of subjects, as well as their varying levels of familiarity, novelty, and personal needs towards rural landscapes. In conclusion, studying the cognitive differences between the two groups of participants, tourists and villagers, can help address the homogenization problem faced by rural landscapes. Meanwhile, the results of this study also provide theoretical guidance and methodological support for rural landscape design. [ABSTRACT FROM AUTHOR]

Lab testing is a high-volume activity that is often overused, leading to wasted resources and inappropriate care. Improving test ordering practices in tertiary care involves deciding where to focus scarce intervention resources, but clear guidance on how to optimize these resources is lacking. We aimed to explore context-sensitive factors and processes that inform individual decisions about laboratory stewardship interventions by speaking to key interest holders in this area.We conducted semi-structured interviews with test-ordering intervention development experts and authors of test-ordering guidance documents to explore five broad topics: 1) processes used to prioritize tests for intervention; 2) factors considered when deciding which tests to target; 3) measurement of these factors; 4) interventions selected; 5) suggestions for a framework to support these decisions. Transcripts were double coded using directed-content and thematic analysis.We interviewed 14 intervention development experts. Experts noted they frequently consider test volume, test value, and patient care when deciding on a test to target. Experts indicated that quantifying many relevant factors was challenging. Processes to support these decisions often involved examining local data, obtaining buy-in, and relying on an existing guideline. Suggestions for building a framework emphasized the importance of collaboration, consideration of context and resources, and starting with “easy wins” to gain support and experience.Our study provides insight into the factors and processes experts consider when deciding which tests to target for intervention and can inform the development of a framework to guide the selection of tests for intervention and guideline development. [ABSTRACT FROM AUTHOR]

Introduction: Knee OA (KOA) can lead to pain, loss of muscle strength, and changes in gait. Knee stiffness is a classic feature of KOA that can increase the risk of falls but has been understudied. Objective: To evaluate the impact of knee stiffness, the factors influencing the severity of stiffness, and the repercussions on participation for patients with KOA. Methods: This qualitative study used an interpretive description approach. Purposeful sampling was used for patients with KOA over 45 years of age, fluent in English, diagnosed with KOA and reported KOA stiffness within the last 6 months. Participants were recruited through social media and Ontario clinics. Semi‐structured interviews were conducted over the phone or using zoom, recorded, and transcribed verbatim. Open, axial, and selective coding were used to identify clinically relevant themes. Results: Twelve participants (5F, 7M) with a mean age of 60 years were included. The five themes identified include elusive and variable perceptions of joint stiffness, inactivity or too much activity exacerbates stiffness, adapting to the ebb and flow of symptoms, risk experiences and safety fears leads to reduced participation, and KOA stiffness impairs quality of life. Conclusion: This study highlights characteristics of knee stiffness, consequences on participation, and quality of life for people with KOA. Monitoring knee stiffness for KOA is recommended for more appropriate treatment intensity, which could improve adherence to a home programme and potentially reduce the risk of falls. [ABSTRACT FROM AUTHOR]

Abstract Background Pharmacogenomics (PGx) constitutes an important part of personalized medicine and has several clinical applications. PGx role in clinical practice is known, however, it has not been widely adopted yet. In this study, we aim to investigate the perspectives of Greek physicians regarding the implementation of PGx testing in clinical practice and the key issues associated with it. Methods Fourteen interviews were conducted with physicians of various specialties for which PGx applications are available. A semi-structured interview guide was utilized based on the Consolidated Framework for Implementation Research (CFIR) context and the Diffusion of Innovation model. Transcripts were coded independently and compared by two members of the research team. Descriptive statistics were generated using Microsoft Excel. Results Six main themes emerged: awareness and use of PGx testing; source of information; key stakeholders of the PGx supply chain, their interactions and change agents; clinical benefit and significance of PGx testing; barriers and lack of reimbursement; and recommendations to boost the PGx adoption rate. Most respondents were aware of PGx applications, but only three had already recommended PGx testing. Peer-reviewed journals along with clinical guidelines were regarded as the most used source of information while stakeholders of the PGx supply chain were discussed. PGx was considered that promote patient-centered care, enhance medication clinical effectiveness, decrease the risk of side effects, and reduce healthcare costs. Lack of reimbursement, scarcity of resources, and high PGx cost were the foremost barriers affecting PGx adoption. Conclusions It was concluded that if case PGx testing is reimbursed and physicians’ training is reinforced, PGx implementation will be boosted and improved shortly.

Haruto Hayashi,1 Takehide Nogita,2,3 Hideki Maeda1,2 1Department of Regulatory Science, Faculty of Pharmacy, Meiji Pharmaceutical University, Tokyo, Japan; 2Department of Regulatory Science, Graduate School of Pharmaceutical Science, Meiji Pharmaceutical University, Tokyo, Japan; 3CMIC Co Ltd., Tokyo, JapanCorrespondence: Hideki Maeda, Department of Regulatory Science, Faculty of Pharmacy, Meiji Pharmaceutical University, 2-522-1, Noshio, Kiyose-city, Tokyo, 204-5255, Japan, Tel/Fax +81-42-495-8952, Email maeda@my-pharm.ac.jpPurpose: An expanded access clinical trials (EACTs) provides exceptional patient access to investigational new drugs for life-threatening diseases for which no effective treatment exists. Based on public information, we have studied EACTs since 2016, when the EACT system was launched in Japan. In this study, we investigated the reality of EACTs by interviewing pharmaceutical companies and clarifying how they view them.Patients and Methods: We conducted semi-structured interviews with 10 pharmaceutical companies developing new drugs. This study aims to clarify the status of EACTs, so we selected pharmaceutical companies that develop innovative drugs for which they may perform EACTs (however, experience in conducting EACTs was optional).Results: All those surveyed were aware of EACTs. Twelve access clinical trials were conducted, and the EACT implementation rate for pivotal clinical trials was 2.5%. The most common reason for implementing an EACT was “requests from physicians and medical institutions” (nine companies, 90.0%), and the most common reason for not implementing an EACT was “the applicability of the system” (five companies). Improvements to EACTs were identified by eight companies (80.0%); financial assistance by six companies (60.0%); reducing the scope of data to be collected and simplifying the procedure by six companies (60.0%). Seven companies (70.0%) responded that a Single Patient Investigational New Drug Application should be conducted, suggesting that the system should be revised.Conclusion: An interview survey of ten pharmaceutical companies developing new drugs in Japan regarding expanded access clinical trials indicated that there were issues with the system. Many wished to improve the system by establishing a single patient access system, supporting resources, and simplifying procedures. Based on our interviews with 10 Japanese pharmaceutical companies, it was found that the system needed to be improved by introducing a single patient access system, providing supporting resources, and simplifying procedures. In Japan, about eight years have passed since EACT was established, and it appears a revision of the EACT legislation is due.Keywords: clinical trials, investigational new drugs, patient access, semi-structured interview

Migraines are one of the most common and expensive neurological diseases worldwide. Non-pharmacological and digitally delivered treatment options have long been used in the treatment of migraines. For instance, migraine management tools, online migraine diagnosis or digitally networked patients have been used. Recently, applications of ChatGPT are used in fields of healthcare ranging from identifying potential research topics to assisting professionals in clinical diagnosis and helping patients in managing their health. Despite advances in migraine management, only a minority of patients are adequately informed and treated. It is important to provide these patients with information to help them manage the symptoms and their daily activities. The primary aim of this case study was to examine the appropriateness of ChatGPT to handle symptom descriptions responsibly, suggest supplementary assistance from credible sources, provide valuable perspectives on treatment options, and exhibit potential influences on daily life for patients with migraines. Using a deductive, qualitative study, ten interactions with ChatGPT on different migraine types were analyzed through semi-structured interviews. ChatGPT provided relevant information aligned with common scientific patient resources. Responses were generally intelligible and situationally appropriate, providing personalized insights despite occasional discrepancies in interaction. ChatGPT's empathetic tone and linguistic clarity encouraged user engagement. However, source citations were found to be inconsistent and, in some cases, not comprehensible, which affected the overall comprehensibility of the information. ChatGPT might be promising for patients seeking information on migraine conditions. Its user-specific responses demonstrate potential benefits over static web-based sources. However, reproducibility and accuracy issues highlight the need for digital health literacy. The findings underscore the necessity for continuously evaluating AI systems and their broader societal implications in health communication. [ABSTRACT FROM AUTHOR]

The transition from a linear to a circular economy is an increasingly popular solution to the dual problems of scarcity of virgin resources at the point of extraction and the exponential growth of waste at the point of disposal. The linear economy adheres to a model wherein natural resources are extracted, transformed into products, utilized, and ultimately discarded as waste. In contrast, the circular economy is designed to promote sustainability. This is achieved by reducing the use of raw materials, waste, reuse, recycling, and recovery of materials at the end of the useful life of products. The result is a closed and regenerative cycle that preserves natural resources and minimizes environmental impacts. The manner in which each country and company responds to this reality is markedly disparate. This research endeavors to ascertain the strategies employed by Portuguese SMEs in addressing this challenge. A review of the literature was conducted to ascertain what has been published on this subject. However, the results of this review indicate that the existing literature does not fully address the intended topic. The articles identified in the literature review only partially address this issue, focus on other geographical regions, or in some cases, are dedicated to specific business sectors. In light of the dearth of research on this topic, we turned to the Portuguese context, employing the Grounded Theory methodology to conduct semi-structured interviews with 34 SMEs. Upon analysis of the results, it became evident that the circular economy is not yet a prerequisite for consumer choice. Portuguese legislation does not facilitate the implementation of the circular economy, consumers are not yet engaged with the issue itself, companies face challenges in communicating their practices, and there is a perceived lack of credibility by consumers. Additionally, the cost–benefit ratio is not always favorable for such practices. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Selcuk University Social Sciences Institute / Selçuk Üniversitesi Sosyal Bilimler Enstitüsü Dergisi is the property of Journal of Selcuk University Social Sciences Institute and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The aim of this study is to investigate and evaluate the efficacy of scenario interviews compared to semi-structured interviews as a substitute data-gathering technique in inclusive education research. The scenario interview technique allows researchers to explore the complex and context-dependent nature of inclusive teaching practices. This study was designed using a phenomenological approach, and 17 trainee teachers volunteered to participate. Further, a semi-structured interview and inclusive education scenarios have been used. In this research, the analyses of the scenario interview and semistructured interview data show that there are differences between each other, even though the researcher asked similar questions in both techniques. Furthermore, the scenario interview provided more meaningful, detailed, and precise data to reach the research purpose. In these two data collection techniques, the participants talked about very general topics in the semi-structured interview, and it was not much possible to reach many details that will give us an idea about what the participants know and how they would deal with it. On the other hand, each participant expressed their own ideas according to each scenario and demonstrated their understanding of how to address and overcome the student's problem in special education. Therefore, the scenario interview data collection technique can be utilized in educational studies to gain insights into participants' perspectives, decision-making processes, interpretations of behaviour towards themselves or an organization, by using real or hypothetical events on specific topics. [ABSTRACT FROM AUTHOR]

Background: Pharmacogenomics (PGx) constitutes an important part of personalized medicine and has several clinical applications. PGx role in clinical practice is known, however, it has not been widely adopted yet. In this study, we aim to investigate the perspectives of Greek physicians regarding the implementation of PGx testing in clinical practice and the key issues associated with it. Methods: Fourteen interviews were conducted with physicians of various specialties for which PGx applications are available. A semi-structured interview guide was utilized based on the Consolidated Framework for Implementation Research (CFIR) context and the Diffusion of Innovation model. Transcripts were coded independently and compared by two members of the research team. Descriptive statistics were generated using Microsoft Excel. Results: Six main themes emerged: awareness and use of PGx testing; source of information; key stakeholders of the PGx supply chain, their interactions and change agents; clinical benefit and significance of PGx testing; barriers and lack of reimbursement; and recommendations to boost the PGx adoption rate. Most respondents were aware of PGx applications, but only three had already recommended PGx testing. Peer-reviewed journals along with clinical guidelines were regarded as the most used source of information while stakeholders of the PGx supply chain were discussed. PGx was considered that promote patient-centered care, enhance medication clinical effectiveness, decrease the risk of side effects, and reduce healthcare costs. Lack of reimbursement, scarcity of resources, and high PGx cost were the foremost barriers affecting PGx adoption. Conclusions: It was concluded that if case PGx testing is reimbursed and physicians' training is reinforced, PGx implementation will be boosted and improved shortly. [ABSTRACT FROM AUTHOR]

This study wants to determine whether government public relations have implemented communication collaboration in good shape, especially in conveying the advantages of the State Budget to the broader community. The study used a qualitative approach through semi-structured interviews with public relations in several government institutions in Indonesia, namely the Ministry of Defense, the Ministry of Health, the Ministry of Public Works and Public Housing, and the Ministry of Education, Culture, Research and Technology. The results of the interviews show that the four government institutions have built good communication and collaboration with other government institutions, including the Ministry of Finance. Four informants have also amplified government messages and policies regarding the advantages of the State Budget to the public. [ABSTRACT FROM AUTHOR]

Purpose: To explore cancer-related cognitive impairment (CRCI) in older adults with acute myeloid leukemia (AML) receiving venetoclax in combination with hypomethylating agents or low-dose cytarabine chemotherapy. Methods: This study is a longitudinal, qualitative descriptive study. Participants were recruited using purposive sampling. Semi-structured interviews were conducted among 11 older adults with AML at cycle 2, cycle 4, and cycle 7 of chemotherapy. An early end-of-study interview was conducted for those who changed treatment plans during the study follow-up. Results: A total of 22 transcripts were included for thematic analysis. Four themes emerged: (1) CRCI experiences, (2) impact of CRCI, (3) CRCI coping strategies, and (4) perceived CRCI-related factors. Older adults with AML experienced challenges in memory, language, and attention both intermittently and daily. These cognitive changes impacted their emotion, daily activities, social connection, and their caregivers’ responsibilities. Hence, these older adults with AML developed problem-solving and emotional coping strategies to cope with CRCI. Older adults with AML also identified demographic, physiology/clinical, psychological, and other factors that might contribute to CRCI. Conclusion: This study offers important insight for clinicians to understand how older adults with AML experience CRCI and how it impacts their daily routines. It indicates that clinicians should ask patients about their experience with cognitive changes at each encounter to provide support or coping strategies as needed to prevent CRCI from further hindering their quality of life. [ABSTRACT FROM AUTHOR]

Copyright of Hungarian Law Enforcement / Magyar Rendészet is the property of National University of Public Service and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Amidst the global momentum of behavioral insights (BI), there has been a shift from mostly nudge-based BI applications to systemic approaches. This is particularly pressing in public health, where interacting issues regularly produce unanticipated consequences. Regardless, little is known about adopting complex systems approaches in behavioral public policy. This study aims to capture current practices of international BI experts on the definition, application, drivers, and hindering factors in adopting complex systems approaches in public policy. Semi-structured individual expert interviews (n = 12) of international BI experts with extensive experience in educating, cooperating with, and/or advising public servants were analyzed with inductive content analysis. While the working definition of BI aligned with published definitions, experts varied in their descriptions of complex systems approaches and its significance for public policy, including socioecological aspects, systematic BI use across policy stages, recognizing intertwined behavior, and lack of ready-made solutions. They emphasized the importance of systems approaches, identifying drivers (e.g. need for a broader focus) and hindrances (e.g. pressure for quick results). Embracing complex systems in behavioral public policy provides a holistic perspective, extending beyond simple nudges, sometimes presumed as universally applicable. While complexity perspectives would align with policymakers' worldview, applications require more work to tailor to local situations and to evaluate. Recognizing that, given their distinct expertise content, BI expertise can be quite different from complex systems expertise. The field would benefit from clear descriptions and specialized training for effective integration and advocacy for these approaches. [ABSTRACT FROM AUTHOR]

Links between premorbid physical activity (PA) and disease onset/course in patients with anorexia nervosa (AN) remain unclear. The aim was to assess self-reported PA as a predictor of change in percent median BMI (%mBMI) and length of hospital stay (LOS). Five PA domains were assessed via semi-structured interview in adolescents with AN at hospitalization: premorbid PA in school grades 1-6 (PA1-6); PA before AN onset (PA-pre) and after AN onset (PA-post); new, pathological motivation for PA (PA-new); and high intensity PA (PA-high). Eating disorder psychopathology was measured via the Eating Disorder Examination Questionnaire (EDE-Q), and current PA (steps/day) with accelerometry. PA1-6 was also assessed in healthy controls (HCs). Using stepwise backward regression models, predictors of %mBMI change and LOS were examined. Compared with 22 HCs (age = 14.7 ± 1.3 years, %mBMI = 102.4 ± 12.1), 25 patients with AN (age = 15.1 ± 1.7 years, %mBMI = 74.8 ± 6.0) reported significantly higher PA1-6 (median, AN = 115 [interquartile range IQR = 75;200] min vs. HC = 68 [IQR = 29;105] min; p = 0.017). PA-post was 244 ± 323% higher than PA-pre. PA1-6 was directly associated with PA-pre (p = 0.001) but not with PA-post (p = 0.179) or change in PA-pre to PA-post (p = 0.735). Lower %mBMI gain was predicted by lower baseline %mBMI (p = 0.001) and more PA-high (p = 0.004; r2 = 0.604). Longer LOS was predicted by higher PA-pre (p = 0.003, r2 = 0.368). Self-reported PA may identify a subgroup of youth with AN at risk of less weight gain and prolonged LOS during inpatient treatment for AN. [ABSTRACT FROM AUTHOR]

Though the anthropause of Covid-19 was peculiarly human-centric, it also brought into sharp relief our more-than-human world. Canine-human companionship can support human mental and physical wellbeing in ‘normal’ times, but this article explores the pandemic as a unique context for animal/human relations. I interrogate the pandemic component of the Dog Talking and Walking Project online survey (n = 673), and subsequent interviews (n = 41). A novel two-step qualitative data analysis comprised, firstly, examining participants’ written qualitative survey accounts about how Covid catalysed canine companionship, and descriptions of how canine closeness attenuated losses. Secondly, I explore key interview themes: ‘closeness’ of canine companionship; dogs as ‘mediator’ in families; and dogs as ‘moderator’ of the impacts of the pandemic. The analysis offers an important counter to the speciesism and anthropocentrism embedded in our recollections of Covid times. Methodologically, I suggest that qualitative surveys alongside the traditional interview can yield richer understandings of more-than-human relationships. [ABSTRACT FROM AUTHOR]

This article investigates the conditions that cause a negative washback impact on English as language teaching (ELT) in Indonesian secondary schools. I interviewed eight English teachers to learn about the factors influencing their pedagogical choices for the test. This research draws on the literature of washback research and empirical evidence for the notion that contextual factors and external social cultural elements may have a significant role in defining the form of washback. Emphasizing the causal relationship concerning instruction and testing may be unduly simplified if it only covers its washback effect on the teachers and their teaching practices. High-stakes testing could impact several factors beyond learning and teaching activities. It may include elements in which teaching and testing are embedded. The findings of this study implied social and cultural factors influence the washback effect of the national examination, including social pressure, collectivism, curriculum alignment, and fairness. This study demonstrated how schools used test results as a source of promotion to provide stakeholders with the knowledge they needed to fully engage in the marketized educational system. The conclusions of this article have significant implications for school administrators and policymakers. [ABSTRACT FROM AUTHOR]

The article presents the results of the study, part of the research program under the project “Nowadays culture of poverty - dimensions and spread among young people”, within the SUMMIT project of Sofia University. The text discusses the main features of the culture of poverty presented in the scholarly tradition and in the current interpretation that examines the culture through cultural frameworks, repertoires and narratives. An analysis of the results of semistructured interviews conducted with young people aged 20-34 and of focus groups with teachers is presented. The results show that most of the interviewees have a vague vision and vague goals for the future, show the absence of autonomy and initiative, reject the importance of effort in education and work, show low levels of responsibility. The analysis of the results of the focus reveals early characteristics reflecting beliefs, attitudes, characteristic of the culture of poverty, which in the period of youth acquire stability. [ABSTRACT FROM AUTHOR]

Aim: To develop a comprehensive training course for training ICU nurses in prone positioning. Design: A mixed study combining semi‐structured interviews and two rounds of Delphi surveys. Methods: We constructed a questionnaire after collecting data through a literature review and semi‐structured interviews. We used the Delphi expert correspondence method to conduct two rounds of research among 17 experts in the field of critical illness. Data collection took place between May and August 2022. Results: The effective questionnaire recovery rate was 88.2%. The expert authority coefficient was 0.876; the Kendall coordination coefficient was 0.402; the average importance score for each index ranged from 4.00 to 4.93; and the coefficient of variation for each index ranged from 0.05 to 0.19. We established 13 second‐level indicators and 41 third‐level indicators on prone position ventilation training according to three aspects: training contents, training methods and training assessment. The training system of prone mechanical ventilation for ICU nurses established in this study will provide an effective framework for training and evaluating the practical ability of prone mechanical ventilation for ICU nurses. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Clinical Nursing in Practice is the property of Journal of Clinical Nursing in Practice (Editorial Board, Shanghai Jiao Tong University Press) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

This study investigates the effectiveness of the “Power of Camp Inclusion” program in enhancing social skills among children with autism spectrum disorder (ASD) in an integrated educational environment of a camp. Caregivers, who received pedagogical training on disability issues, evaluated the program. The study involved 22 individuals with ASD, aged 7–25 years (mean age: 14.82), and 22 companions, aged 20–56 years (mean age: 25.27). Caregivers received in vivo training on social skills to support their role in the program. The Autism Social Skills Profile (ASSP) was used to assess social skills, including Social Reciprocity, Social Participation, and Harmful Social Behaviors, as well as the overall index of social skills. In addition to ASSP, all participants underwent semi-structured interviews. Statistical analysis examined demographic data, internal consistency of variables, their correlation, and t-test analyses of a sample and paired observations. The results indicated that the implementation of the “Power of Camp Inclusion” program had positive effects on the development of social reciprocity, social participation, overall index of social skills, and reduction of harmful social behaviors among children with ASD. The findings of this study highlight the importance of educational programs that support the development of social skills for children with ASD and emphasize the need for such programs to be integrated into modern educational policies.

摘要： 目的 了解基于掌上天坛APP卒中患者延续性护理需求情况，为此类患者及家属提供有效的延续性护理服务。 方法 对使用过掌上天坛APP的8例卒中患者和4例家属进行半结构式访谈，通过质性研究现象学分析法对资料进行整理和分析，并提炼“互联网+”延续性护理需求及使用“掌上天坛APP卒中护理门诊”的感受与建议两方面的主题。 结果 受访者对“互联网+”延续性护理需求的主题分别为肢体康复指导、药物相关知识、了解报销流程等、视频健康教育、居家护理指导、控制危险因素及药物快递到家七大方面的需求；受访者对使用“掌上天坛APP卒中护理门诊”的感受与建议的主题分别为：愿意使用线上互联网护理门诊就诊、使用方便、应答及时、节省时间和专业性强。 结论 应优化基于掌上天坛APP的“互联网+”延续性护理门诊，健全针对卒中患者的延续性护理方案，提升卒中医疗质量。 Abstract: Objective To understand the continuous care needs of stroke patients based on the application (APP), and to provide effective continuous care services for such patients and their families. Methods Semi-structured interviews were conducted on 8 stroke patients and 4 family members who had used the APP. The data were sorted and analyzed by means of qualitative study phenomenological analysis. Also, the themes of “Internet +” continuous care needs and the feelings and suggestions of using the “stroke care clinic based on the APP” were extracted. Results The subjects of respondents’ needs for “Internet +” continuous care were: physical rehabilitation guidance, drug-related knowledge, understanding the reimbursement process, video health education, home care guidance, control of risk factors, and home delivery of drugs. The respondents’ feelings and suggestions about using “stroke care clinic based on the APP” were as follows: willing to use the Internet care clinic, easy to use, timely response, time-saving, and professional. Conclusions The “Internet +” continuous care clinic based on the APP should be optimized to improve the continuous care program for stroke patients and improve the medical quality of stroke.

Background Hypertension is a common chronic non-communicable disease affecting the health of the people in China. As an important gateway for hypertension management and control, the management ability of primary care directly affects the management effect. The current status and common rules of hypertension management in primary care in China need to be further explored. Objective To understand the current status of hypertension management in primary care in China, summarize the typical experience, and provide suggestions for the optimization of hypertension management in China. Methods From November to December 2021, semi-structured interviews were conducted with 29 hypertension management stakeholders in five provinces in China. Guided by the World Health Organization's health system, the interviews were analyzed from six dimensions of leadership and governance, service delivery, health workforce, health financing, access to medicines and equipment, and health information system. Results For leadership and governance, hypertension management in primary care mainly relies on contracted family doctor service, and requires the collaborative management of medical institutions and public health departments. In terms of service provision, general practice and specialty integration services should be provided to meet the individual medical needs of patients. For health workforce, community general practitioners are the main force of hypertension management in primary care, and their work motivation should be improved by performance appraisal and distribution according to their work. For health financing, hypertensive patients can obtain preferential policy support of medical insurance reimbursement at primary care. For medicine accessibility, basic medical equipment and essential hypertension drugs are available in primary care. For health information system, the regional medical and health information platform can realize health information sharing and service coordination among contracted patients. Conclusion Primary health care institutions are responsible for the long-term follow-up and management of hypertension patients. It is necessary to further enhance the capacity of primary health care comprehensive management and primary health service supply, strengthen the capacity building of primary health care personnel, improve the reimbursement and payment system of medical insurance, improve the drug and equipment conditions for hypertension treatment in primary care, and effectively empower hypertension management in primary care through informatization, which can effectively improve hypertension management in primary care.

Purpose: In recent decades, a significant number of information technology-based businesses have risen to the top of the world's leading companies list. Until the early years of the third millennium AD, large companies and owners of oil wells and mineral resources, along with industrial production complexes that are several decades and several hundred years old, have been the flagships of the list of the largest and most successful companies in the world. However, this leadership has been astonishingly challenged by IT-based start-ups in the last two decades. The value of the production of information technology businesses from the total production of the world increased by about 29% in approximately 5 years, between 2015 and 2020, reaching $24.615 trillion. The share of the digital economy in the total world economy reached about 25%. In other words, the digital economy has absorbed two and a half percent of the traditional economy in just 5 years. These instances underscore the importance of considering the position of information technology-based businesses. According to the 2018 report of the Ministry of Information Technology, the share of the digital economy in the total gross domestic product of the country is approximately six and a half percent, while the global average of this index is around fifteen percent. This fact highlights the need to focus more on the development of these businesses in the country, which is the rationale for conducting the present research. This research was carried out with the aim of identifying the various dimensions influencing the formation and growth of these businesses and how these factors are interconnected in the country. Method: The present research was conducted in two distinct stages, qualitative and quantitative. Initially, the problem was identified and defined, followed by a review of previous related studies to identify the main dimensions of the model. Subsequently, a total of 12 in-depth semi-structured interviews were conducted with managers, entrepreneurs, technology policy makers, and information technology experts. Additionally, archival sources were consulted. Through content analysis and the coding method, the research conceptual model was developed, comprising three main categories. In the quantitative phase, the model was refined to form the basis of the research questionnaire. After assessing the content validity, the questionnaire was distributed to three groups within the industry community: 1) managers and executives of relevant businesses, 2) entrepreneurs and business owners, and 3) academic and business experts. Data collected from these questionnaires were analyzed using various statistical tests, and the validity of the model and its structures were confirmed through structural equation modeling. Findings: After conducting the systematic steps of the research and analyzing the data from the experiences of the participants in the qualitative part of the research, three categories were identified as the main ones: internal organizational characteristics, environmental drivers and obstacles, and political factors. Based on the obtained results, policy factors in this model are an exogenous and independent variable that plays a key role in the development of these businesses. This finding confirms the necessity of the government's presence and adoption of policies to support the development of these businesses. According to the results of this research, another crucial dimension directly affected by government policies is environmental factors. The third category of factors indirectly influenced by government policies includes organizational factors. These factors encompass having the right project team and access to expert human resources, the appropriate business model, a focus on innovation and marketing power, and market penetration power. Conclusion: By identifying these factors, the path becomes clearer for the government and other policy-making institutions. The development of the digital economy in the country necessitates simultaneous attention to environmental and internal factors. The government, as a key policy maker, plays a crucial role in fostering digital businesses. Activists and entrepreneurs in this sector view financing as a significant bottleneck in business development. Therefore, it is imperative for relevant institutions to prioritize current policies that support these businesses and facilitate financing for them.

In this paper, drawing on semi-structured interviews with generalist teachers of year-one children in England and Sweden, we examine comparatively the influence of the intended curriculum (teachers in both countries work within mandated national curricula) and the received curriculum (the collectively assumed efficacious practices and goals handed down from one generation of teachers to the next) on teachers’ expressed number-related learning goals. Analyses, framed by a literature-derived and curriculum-independent set of eight forms of number-related competence each implicated in later mathematical learning, identified both similarities and differences in the two groups’ expressed goals. Key similarities concerned expectations that all children should become additively competent, supported by supplementary goals concerning systematic counting, number bonds, the number line and an appropriate mathematical terminology. Key differences concerned English teachers’ strongly-expressed emphasis on place value and a desire for children to learn to multiply. Overall, the strongly-framed English curriculum appears to influence teachers’ goals more than the weakly-framed Swedish, while Swedish teachers seem to draw on a received curriculum more closely aligned with the literature-derived developmental goals than the English. Finally, when set against the literature-derived and curriculum-independent developmental goals, the English curriculum, unlike the Swedish, expects year-one children to learn much age-inappropriate material. [ABSTRACT FROM AUTHOR]

Purpose: In recent decades, a significant number of information technology-based businesses have risen to the top of the world's leading companies list. Until the early years of the third millennium AD, large companies and owners of oil wells and mineral resources, along with industrial production complexes that are several decades and several hundred years old, have been the flagships of the list of the largest and most successful companies in the world. However, this leadership has been astonishingly challenged by IT-based start-ups in the last two decades. The value of the production of information technology businesses from the total production of the world increased by about 29% in approximately 5 years, between 2015 and 2020, reaching $24.615 trillion. The share of the digital economy in the total world economy reached about 25%. In other words, the digital economy has absorbed two and a half percent of the traditional economy in just 5 years. These instances underscore the importance of considering the position of information technology-based businesses. According to the 2018 report of the Ministry of Information Technology, the share of the digital economy in the total gross domestic product of the country is approximately six and a half percent, while the global average of this index is around fifteen percent. This fact highlights the need to focus more on the development of these businesses in the country, which is the rationale for conducting the present research. This research was carried out with the aim of identifying the various dimensions influencing the formation and growth of these businesses and how these factors are interconnected in the country. Method: The present research was conducted in two distinct stages, qualitative and quantitative. Initially, the problem was identified and defined, followed by a review of previous related studies to identify the main dimensions of the model. Subsequently, a total of 12 in-depth semi-structured interviews were conducted with managers, entrepreneurs, technology policy makers, and information technology experts. Additionally, archival sources were consulted. Through content analysis and the coding method, the research conceptual model was developed, comprising three main categories. In the quantitative phase, the model was refined to form the basis of the research questionnaire. After assessing the content validity, the questionnaire was distributed to three groups within the industry community: 1) managers and executives of relevant businesses, 2) entrepreneurs and business owners, and 3) academic and business experts. Data collected from these questionnaires were analyzed using various statistical tests, and the validity of the model and its structures were confirmed through structural equation modeling. Findings: After conducting the systematic steps of the research and analyzing the data from the experiences of the participants in the qualitative part of the research, three categories were identified as the main ones: internal organizational characteristics, environmental drivers and obstacles, and political factors. Based on the obtained results, policy factors in this model are an exogenous and independent variable that plays a key role in the development of these businesses. This finding confirms the necessity of the government's presence and adoption of policies to support the development of these businesses. According to the results of this research, another crucial dimension directly affected by government policies is environmental factors. The third category of factors indirectly influenced by government policies includes organizational factors. These factors encompass having the right project team and access to expert human resources, the appropriate business model, a focus on innovation and marketing power, and market penetration power. Conclusion: By identifying these factors, the path becomes clearer for the government and other policy-making institutions. The development of the digital economy in the country necessitates simultaneous attention to environmental and internal factors. The government, as a key policy maker, plays a crucial role in fostering digital businesses. Activists and entrepreneurs in this sector view financing as a significant bottleneck in business development. Therefore, it is imperative for relevant institutions to prioritize current policies that support these businesses and facilitate financing for them. [ABSTRACT FROM AUTHOR]

The interest of this study was focused on understanding the approach to interrelationships for developing social studies curricula, and building the foundations and guidelines on which the interrelationships between social studies and other sciences are based. The study followed the qualitative approach - the grounded theory method. The study members consisted of (12) faculty members specializing in social studies, and semi-structured interview questions were used, after ensuring the reliability and objectivity values of the tool. The results showed the reasons for the emergence of interrelationships between social studies and other sciences. These reasons are represented in the overlapping nature of knowledge in the humanities, in addition to the challenges facing humanity. The results revealed the problems of overlap between them, which are: the traditional structures of academic institutions, the lack of seriousness of some inter-relations, linguistic problems, and the scarcity of expert human cadres. The results highlighted the prospects for integration between them, as social studies are derived from all branches of social sciences that have a reciprocal relationship and study phenomena from the perspective of interaction between them and humans and the problems resulting from this interaction and its impact on human behavior. The results of the study showed the most prominent foundations and guidelines on which the relationship between soc ial studies and other sciences is based, by identifying the goals to be focused on according to the approach to interrelations. The study concluded by developing a vision for a theory that describes the context, conditions, and foundations of the approach to inte rrelations according to the integrative approach. The study recommended adopting this approach to develop Social Studies curricula. [ABSTRACT FROM AUTHOR]

Copyright of Chinese Journal of Stroke is the property of Chinese Journal of Stroke Editorial Office and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Marketing research has a very important role within any organization and with regard to any of the investigated markets. The present research belongs to the category of qualitative research, being exploratory research, carried out with the aim of allowing a deeper understanding of the specific problems of the television market. The obtained results are qualitative and cannot be extrapolated to the level of the researched population. The problem addressed is a special one of current interest, because the audiovisual in general, and television in particular, determine contradictory and vehement opinions. The current trends of the television market in Romania are quite uncertain in the context of increased digitization. The young respondents appreciate that the public's thirst for information and entertainment is satisfied, rather, by modern communication channels, in particular social networks and the Internet, in general. [ABSTRACT FROM AUTHOR]

Introduction: The goal of the Health Technology Assessment (HTA) Regulation 2021/2282 is to establish a more harmonized HTA framework, fostering member states cooperation and enabling equal patient access to innovative health technologies in Europe. This research aimed to assess the impact of the regulation on national HTAs, the strategic implications for health technology developers, and its influence on price and reimbursement negotiations. Methods: A scoping literature review encompassing peer-reviewed literature as well as grey literature was conducted. Between February and March 2023, semistructured interviews (n = 20) were performed with stakeholders from Belgian governmental institutions, European institutions, advanced therapy medicinal product developers, academics, and sickness funds. The interviews were analyzed using the framework analysis method. Results: Numerous steps, such as the development of implementing acts and procedural guidelines remain to be taken. At member state level, national/regional HTA bodies and payers must act to adopt the new concepts of Joint Scientific Consultations (JSC) and Joint Clinical Assessments (JCA) within their national legislation, as well as revise their timelines and prepare for interactions at a European level. Compiling a harmonized PICO (Population, Intervention, Comparator, and Outcome), adapting local procedures, and increasing capacity to actively take part in the JSC and JCA are seen as primary barriers by several stakeholders. Training and education will help HTA bodies, payers, and health technology developers to participate in the European processes. Conclusion: While practical and legal challenges were identified, recommendations (such as actively preparing for the upcoming changes and increasing capacity while providing training) were provided to adapt national and European procedures to the needs of the HTA Regulation 2021/2282. The importance of fostering collaborations and aligning local HTA procedures with the new way of working set out by the Regulation was demonstrated with this study. [ABSTRACT FROM AUTHOR]

Doctoral students in clinical, counseling, and school psychology programs often collaborate with faculty on research projects in their training as scientist-practitioners. Yet, the determination of publications' credit and order of authorship on resulting manuscripts continues to be a major concern and challenging process for professional psychologists and student collaborators. This article describes the use of case-based learning and semi-structured interview approaches to instruct first-year clinical psychology doctoral students in publication ethics during a research seminar. The instructor models ethical decision-making with 1) a discussion of four cases from his own professional experiences and 2) a description of the Authorship Eligibility Assessment form, which he developed for use with junior researchers. The authors advocate for more educational strategies to supplement the APA standards in teaching the ethics of the publication process. Implications in terms of graduate student development and research collaborations in the field of professional psychology were discussed. [ABSTRACT FROM AUTHOR]

The aim of this research was to study the aspect of Sexual Dysfunction in Pakistani Married Women with current episodes of Depression and Bipolar Disorder. STUDY DESIGN PLACE AND DURATION OF STUDY Psychology OPD of Dr Tahira Wellness Clinics in Karachi, from 17th August 2021 to 2nd February 2022 METHOD: A sample of 8 participants was selected with the help of purposive sampling. Participants with medical conditions like Diabetes Mellitus, Hypertension, Substance use disorders etc were excluded from the study. Each of these participants was diagnosed with current episode of depression and/or bipolar and was undergoing therapy for the same. A semi-structured interview was conducted with each of these participants to deduce information about their disorders and sexual dysfunction. Thematic analysis was employed as the qualitative analysis technique for the evaluation of results gathered from interviews. RESULTS: The analysis revealed two main themes: Past experiences and current relationships. In the theme, experiences sub themes of parental relationships and childhood experiences were observed. Whereas in the theme Current Relationships, subthemes of the current marital relationship and current sexual relationship were observed. CONCLUSION: The themes and sub-themes revealed that married Pakistani women who are facing Depression and Bipolar current episode depression, also go through sexual dysfunction. [ABSTRACT FROM AUTHOR]

The article reports on a pilot study designed to support a longitudinal study of the development of note-taking competence among second year master’s degree students in an interpreting training programme. The research reported in this article analysed note-taking units, while semi-structured interviews were also conducted with six interpreting students in order to determine the language and frequency of the different types of note-taking units they used. The results show that the students used a mixture of the source and target languages in their notes, they have predominantly used full words and that they were aware that there was still room for development in their note-taking techniques. The pilot study produced results that will be used to optimize further research: it was established that all participants should interpret the same text, that the experiment should be conducted outside of classroom interpreting sessions, that no feedback should be given to the students prior to the interviews, that the students’ interpretation should be audio-recorded, and that the category “full words” should be split into further subcategories.

Abstract Aim To develop a comprehensive training course for training ICU nurses in prone positioning. Design A mixed study combining semi‐structured interviews and two rounds of Delphi surveys. Methods We constructed a questionnaire after collecting data through a literature review and semi‐structured interviews. We used the Delphi expert correspondence method to conduct two rounds of research among 17 experts in the field of critical illness. Data collection took place between May and August 2022. Results The effective questionnaire recovery rate was 88.2%. The expert authority coefficient was 0.876; the Kendall coordination coefficient was 0.402; the average importance score for each index ranged from 4.00 to 4.93; and the coefficient of variation for each index ranged from 0.05 to 0.19. We established 13 second‐level indicators and 41 third‐level indicators on prone position ventilation training according to three aspects: training contents, training methods and training assessment. The training system of prone mechanical ventilation for ICU nurses established in this study will provide an effective framework for training and evaluating the practical ability of prone mechanical ventilation for ICU nurses.

Wafa Saeed Alahmari,1,2 Kholood Matouq Shalabi,1 Reem M Basuodan,1 Ahmed Saad Alhowimel,3 Mazyad Alotaibi3 1Department of Rehabilitation Sciences, College of Health and Rehabilitation Sciences, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia; 2Centre for Rehabilitation and Ageing Research, School of Medicine, University of Nottingham, Nottingham, UK; 3Physical Therapy and Rehabilitation Department, Prince Sattam Bin Abdulaziz University, Al-Kharj, Saudi ArabiaCorrespondence: Kholood Matouq Shalabi, Department of Rehabilitation Sciences, College of Health and Rehabilitation Sciences, Princess Nourah bint Abdulrahman University, PO Box 84428, Riyadh, Saudi Arabia, Email kmshalabi@pnu.edu.saPurpose: Post-stroke fatigue (PSF) is a debilitating condition that negatively impacts the quality of life of stroke survivors. The rehabilitation of stroke survivors is important for their quality of life, and rehabilitation programs that cater to the needs of these patients are required. However, there is very little published information on their needs, especially in the Middle East. Therefore, this study aimed to explore stroke survivors’ perceptions and experiences of PSF and its causes, its impact on their daily life, their coping strategies, and support from physicians and caregivers in the context of Saudi Arabia.Patients and Methods: This qualitative interview study was conducted with eight post-stroke survivors from two tertiary stroke centers in Saudi Arabia.Results: The responses in the interviews showed high heterogeneity. From the responses, five main themes and several subthemes were generated: (1) description of PSF as both a physical and psychological experience; (2) perceived causes of PSF (physical causes, psychological causes, and stroke-related causes); (3) impact of PSF on daily life (activities of daily living and social interactions); (4) coping strategies for PSF (pacing, self-motivation, and social participation); and (5) perspectives about support from caregivers and healthcare practitioners (lack of support, provision of information about PSF and its management, physiotherapy interventions, encouragement, and overprotectiveness).Conclusion: Stroke survivors have variable physical and psychological experiences of PSF and variable perceptions of its causes and impact. High heterogeneity was also noted in the perception of support provided by healthcare providers and families or caregivers—ranging from lack of support to overprotection. Similarly, patients’ perceptions of the role of physiotherapy and their attitude towards physiotherapy were also variable. Despite this, the findings do highlight the need for more individualized understanding of PSF and the development of treatment strategies that consider biological, psychological, and social factors.Keywords: cerebrovascular stroke, fatigue, inductive thematic analysis, patient perspective, Saudi Arabia, semi-structured interview

With the booming development of rural tourism, the users of rural environments are gradually becoming more diverse. Both tourists and villagers are the main appreciators of rural landscapes, but the cognitive similarities and differences in rural landscape between the two have not yet been explored. Therefore, taking Wangshang Village, located in Shaanxi Province, China as a case study, this research used a combination of quantitative analysis (eye-tracking technology) and qualitative analysis (semi-structured interviews) to compare and analyze the cognitive similarities and differences of rural landscapes between tourists and villagers. The experimental results showed that the cognitive similarities and differences in rural landscapes between tourists and villagers are mainly reflected in their level of cognition, observation methods, and key elements of focus. The reasons for cognitive differences are due to the different living backgrounds of the two groups of subjects, as well as their varying levels of familiarity, novelty, and personal needs towards rural landscapes. In conclusion, studying the cognitive differences between the two groups of participants, tourists and villagers, can help address the homogenization problem faced by rural landscapes. Meanwhile, the results of this study also provide theoretical guidance and methodological support for rural landscape design.

ObjectiveThis study assesses the concordance in migraine diagnosis between an online, self-administered, Computer-based, Diagnostic Engine (CDE) and semi-structured interview (SSI) by a headache specialist, both using International Classification of Headache Disorders, 3rd edition (ICHD-3) criteria.BackgroundDelay in accurate diagnosis is a major barrier to headache care. Accurate computer-based algorithms may help reduce the need for SSI-based encounters to arrive at correct ICHD-3 diagnosis.MethodsBetween March 2018 and August 2019, adult participants were recruited from three academic headache centers and the community via advertising to our cross-sectional study. Participants completed two evaluations: phone interview conducted by headache specialists using the SSI and a web-based expert questionnaire and analytics, CDE. Participants were randomly assigned to either the SSI followed by the web-based questionnaire or the web-based questionnaire followed by the SSI. Participants completed protocols a few minutes apart. The concordance in migraine/probable migraine (M/PM) diagnosis between SSI and CDE was measured using Cohen's kappa statistics. The diagnostic accuracy of CDE was assessed using the SSI as reference standard.ResultsOf the 276 participants consented, 212 completed both SSI and CDE (study completion rate = 77%; median age = 32 years [interquartile range: 28-40], female:male ratio = 3:1). Concordance in M/PM diagnosis between SSI and CDE was: κ = 0.83 (95% confidence interval [CI]: 0.75-0.91). CDE diagnostic accuracy: sensitivity = 90.1% (118/131), 95% CI: 83.6%-94.6%; specificity = 95.8% (68/71), 95% CI: 88.1%-99.1%. Positive and negative predictive values = 97.0% (95% CI: 91.3%-99.0%) and 86.6% (95% CI: 79.3%-91.5%), respectively, using identified migraine prevalence of 60%. Assuming a general migraine population prevalence of 10%, positive and negative predictive values were 70.3% (95% CI: 43.9%-87.8%) and 98.9% (95% CI: 98.1%-99.3%), respectively.ConclusionThe SSI and CDE have excellent concordance in diagnosing M/PM. Positive CDE helps rule in M/PM, through high specificity and positive likelihood ratio. A negative CDE helps rule out M/PM through high sensitivity and low negative likelihood ratio. CDE that mimics SSI logic is a valid tool for migraine diagnosis.