Service Attendance Research Articles

Revisiting Passengers’ Perceptions of Airline Service Quality: A Theory-Driven Machine Learning Approach Using Big Data

ABSTRACT Understanding the discrepancy between passenger expectations and airline offerings is critical for improving service quality and customer satisfaction. This study expands the current knowledge regarding airline service quality dimensions by investigating actual passenger experiences. Analyzing 1,389,689 online reviews from TripAdvisor.com, structural topic modeling identified 29 airline service quality factors. Drawing upon AIRQUAL and SERVQUAL as theoretical frameworks, five unique dimensions emerged: flight attendance service, flight schedule, in-flight entertainment, in-flight meal, and baggage. Moreover, regression analysis highlights the significance of flight attendant services and hidden critical factors, such as attention to child passengers and special requests, in enhancing customer satisfaction. This study provides theoretical implications by uncovering airline service quality factors recognized by passengers and suggesting five potential service quality dimensions suitable for the airline context. Practically, the current study guides airline managers in understanding a passenger viewpoint and avoiding the service gap by combining machine learning, econometric approaches, and existing theories.

Exploring Facets of Trust and Religiosity in Organ Donation for Black and White Americans.

This study examines how Black and White Americans perceive two facets of trust (trust in medical doctor and trust in medical care for racial group) and two facets of religiosity (religious service attendance and religious norms regarding organ donation) in relation to the topic of organ donation. Two hundred and one participants (N= 201)were surveyed across the United States using the Qualtrics survey company. Bivariate analyses found donor status was not related to religious service attendance (r = - .001, p > .05) or religious norms (r = .09, p > .05). Donor status was significantly related to trust in doctors, (r = - .25, p < .001) and trust in medical care for racial group, r = - .239, p < .001). Independent samples t-tests revealed Black Americans had significantly lower levels of trust in medical care for racial group than White Americans (t = - 5.14, p < .001) but did not differ in levels of trust in doctor (t = - 1.73, p > .05). The implications of these findings for future research and campaigns are discussed.

An Exploratory Study of the Moderating Effect of Religious Service Attendance on the Relationship Between Discrimination and Suicidal Behaviors in an Immigrant Sample

This cross-sectional study explored the moderating effect of religious service attendance on the relationship between discrimination and suicidal behaviors in a community sample of immigrants. A convenience sample of 348 individuals with immigrant experience to the U.S. completed a survey in either English, Portuguese or Spanish. The relationship between discrimination and suicidal behaviors was moderated by religious service attendance, equipping help from religious communities (RCs) and not having experienced discrimination in RCs. Other protections included being born outside the U.S. First-generation immigrants also reported less discrimination, which was a risk factor for suicidal behaviors. Other risk factors were refugee status, higher acculturation, discrimination in RCs, and certain types of help from RCs. Help that equipped them to navigate the U.S. system was associated with lower suicide risk. Community partners and RCs can help immigrants by collaborating to promote immigrant mental health because of the high religious affiliation of immigrants.

Religious service attendance and consumer financial outcomes: Evidence from a longitudinal survey

Previous literature has pointed to strong links between religion and economic outcomes. However, little is known about how individual consumers ’ religiosity is related to their financial management outcomes. Using longitudinal data from a national representative survey of households in Poland (more than 90% of believers declaring Roman Catholic religious denomination), we examine the associations between religious service attendance (RSA) and three subsequent consumer financial outcomes: savings, debt, and financial satisfaction. Social contacts, general trust, and risk tolerance have been tested to mediate these associations. The results indicate that RSA is prospectively associated with all three consumer financial outcomes: savings (positive), debt (negative), and financial satisfaction (positive). Only one mediation effect was found: the association between RSA and savings is mediated by social contacts. This implies that religiosity, as measured by RSA, is prospectively associated with financial outcomes, and socialcontacts have some potential to mediate the process.

Exploring what influences the uptake of cancer rehabilitation services: a realist informed mixed-methods study

ObjectivesTo investigate how uptake of cancer rehabilitation services is affected by information provision and whether it is influenced by people’s perception and attitudes towards rehabilitation interventions and therapies.DesignThis study followed...

Factors influencing the uptake of antenatal care in Uganda: a mixed methods systematic review

BackgroundIn 2016, the World Health Organization (WHO) recommended increasing antenatal care (ANC) visits from four to eight to reduce maternal morbidity and mortality. However, many low-middle income countries (LMICs), including Uganda, struggle to achieve even the basic four ANC visits. To further improve ANC attendance, understanding the perceptions and beliefs of end users is crucial. This systematic review explores the perceptions, experiences, and behavior of pregnant or previously pregnant women, their families and healthcare workers on ANC attendance in Uganda.MethodsThe review includes qualitative and quantitative studies published from January 2012 to September 2022. Outcomes include early initiation of ANC visits and any attendance or utilization of routine ANC services. The Critical Appraisal Skills Programme (CASP) checklist was used to assess the quality of included studies.ResultsWe searched 7 databases, identified 725 references and assessed 107 in full text for eligibility based on selected inclusion criteria. Forty-seven studies were eligible and are included in this review. Quantitative findings highlight socioeconomic factors like occupation, wealth index, and marital status as key determinants of ANC uptake and timely uptake of care, favoring higher wealth, younger age, marriage, and media access. Qualitative evidence reveals challenges to ANC attendance including financial constraints, cultural beliefs, gendered decision-making, and geographical distance from healthcare facilities. Potential solutions involve financially empowering women, providing reliable ANC equipment and medication, and community engagement and education.ConclusionsThis review offers valuable insights for policymakers and healthcare providers seeking to tailor interventions that address the unique needs and challenges faced by pregnant women, their families, and healthcare workers in Uganda. By doing so, it may enhance ANC accessibility and quality, ultimately aligning with the WHO’s recommendation of eight ANC contacts (ANC8) and contributing to reducing maternal morbidity and mortality rates.

The causal effects of religious service attendance on prosocial behaviours in New Zealand: A national longitudinal study

We investigate the causal effects of religious service attendance on prosocial behaviours using longitudinal data from a nationally representative sample of 33,198 New Zealanders collected between 2018 and 2021. Our study innovates in three ways: (1) we use longitudinal rather than cross-sectional data; (2) we incorporate measures of help received alongside self-reported giving; and (3) our statistical models are designed to address causal questions, rather than simply to describe change over time. We model causal contrasts for three hypothetical interventions – increasing, decreasing, or maintaining religious service attendance – and assess their effects on eight distinct prosocial domains. Study 1 focuses on self-reported charitable donations and volunteering. Studies 2 and 3 examine receiving help – both personal and financial – from family, friends, and the wider community. Across all analyses, we find that the causal effects of religious service attendance are notably smaller than cross-sectional correlations suggest. However, even modest increases in regular attendance would result in charitable donations equivalent to approximately 4% of the New Zealand Government’s annual spending – a considerable public benefit. By applying robust methods for causal inference to national-scale panel data, our study provides insights that can inform public policy about the social functions of religious participation and advances a methodological framework for investigating the social consequences of cultural practices.

Association between Jewish religious observance and mental health among Israeli adults: Findings from the Global Flourishing Study.

This study investigates the association between Jewish religious observance and several indicators of mental health and psychological well-being among Jewish Israeli adults. Data are from adult (18+) Jewish respondents in the Israeli sample (N = 2958) of the first wave of the Global Flourishing Study (GFS), a 22-nation population survey which will eventually consist of five annual waves of panel data. The GFS Israeli data were collected via a randomized, stratified, probability-based sampling design, and contained dozens of indicators of sociodemographic, socioeconomic, political, religious, health-related, and other constructs. Measures of Jewish religious observance, including religious service attendance, prayer, scripture reading, belief in God, and importance of Judaism, are statistically significant predictors of several single-item indicators of mental health (overall mental health, depression, anxiety) and psychological well-being (suffering, happiness, life satisfaction). Greater religious observance is associated with a higher self-rating of overall mental health, less depression and anxiety, less suffering, and greater happiness and life satisfaction. Nearly all results withstood adjusting for effects of several sociodemographic covariates. These results offer confirmation of prior studies using smaller samples or non-population-based designs and with fewer mental health and religious indicators. They suggest that evidence for a salutary association between religious observance and mental health or psychological well-being among Israeli Jewish adults is consistent with findings in this literature for adherents to other faith traditions throughout the world.

Busy Ethic: A Validation of a Popular Concept.

The busy ethic for retirement, as proposed by Ekerdt (1986), is a prescriptive norm that esteems an occupied, active lifestyle. This research is a first attempt to measure the busy ethic in a standardized way and apply it to a population-based sample. Objectives are: to examine whether a busy ethic is affirmed by retirees; to test busy ethic endorsement by different segments of the retired population; and to examine whether endorsement is associated with selected activities. We developed a scale measuring the busy ethic for a survey among 1,143 Dutch retirees. We tested two sets of hypotheses about social factors that might explain subscription to a busy norm: a hypothesis about modernization (i.e., individual autonomy from social control) that would reduce busy ethic endorsement and a hypothesis about differential exposure to expectations. Greater consent to the busy ethic was associated with circumstances that enable active lifestyles (perceived income adequacy, self-reported health), that raise one's social value (education), and that entail more social connectedness (religious service attendance). Busy ethic agreement was positively associated with engagement in paid work, productive social activities, and group recreation. We found substantial endorsement of the importance of activity for oneself and others. The idealization of a busy retirement as a good retirement may be a seeming way for retirees to defer old age. At the same time, a prescriptive norm of activation may put strain on older adults who are less capable of conforming.

Navigating faith transitions: A 4-year longitudinal examination of religious deidentification among LGBTQ+ latter-day saints.

Many lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ+) individuals raised in conservative religious traditions present to therapy with questions about how to navigate tension between their sexual/gender and religious identities. For therapists, having accurate information about (a) the typical process of religious deidentification, (b) its antecedents, and (c) its outcomes is critical to empowering these clients to make the decisions that are best for them. We present data from a preregistered 4-year longitudinal study of 164 LGBTQ+ people who were active members of the Church of Jesus Christ of Latter-day Saints (CJCLDS) at baseline to examine the phenomenology, antecedents, and outcomes of religious change. Across the 4 years of our study, we found that two thirds of our sample religiously deidentified to some degree. On average, participants shifted their attendance at the worship services from weekly to a few times a year, and 40% of participants disaffiliated with the CJCLDS. Longitudinal multilevel models suggested that age predicted deidentification with younger participants deidentifying more quickly than older participants. Religious deidentification was positively related to engagement with LGBTQ+ communities, and follow-up cross-lagged panel analyses suggested that engagement with LGBTQ+ communities was predictive of subsequent decreases in service attendance rather than vice versa. No relationships were observed between religious deidentification and mental health or well-being. These data suggest that religious deidentification is normative and developmental for LGBTQ+ Latter-day Saints, this process is most active among younger individuals, and connecting with other LGBTQ+ people is a key facilitator for this process. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

The benefits and barriers of accessing cancer support services

IntroductionCancer is a substantial cause of morbidity and mortality worldwide. In Ireland, rising cancer incidence means that the burden on society will continue to increase. Recent recognition of the large impact of psychological distress on patients with cancer has led to suggestions to use support centres to mitigate this distress. Thus, the benefits of participation and barriers to attendance must be explored. Aims &amp; ObjectivesTo systematically review scientific literature and determine the: (i) Sociodemographic composition of cancer support centres. (ii) Benefits of support services to patients with cancer. (iii) Barriers/facilitators to support centre attendance. MethodsElectronic searches were carried out PubMed and the Cumulative Indexto Nursing and Allied Health Literature (CINHAL) databases using key words addressing the research question. Ten articles were selected and critically appraised. ResultsA summary of article results showed that while various groups remain underrepresented in support centres, new evidence suggests this may be changing. Increased support service attendance was linked to greater benefits. No change in anxiety or depression with attendance were seen. Barriers to attendance were identified. ConclusionsThe literature showed benefits to support services, but long term benefits must be further investigated. Future research quantitatively assessing benefits of support services, using validated assessment instruments are necessary. Psychological benefits of participation are still unclear. Validated questionnaires to assess the barriers to attendance must be developed. Lastly, there is a lack of studies on the benefits of and barriers to support services participation in the Irish population.

Secular socialization vs. religious reactivity: effects of ethnic composition and discrimination on changing religiosity among Muslim youth

ABSTRACT Based on three waves of the Children of Immigrants Longitudinal Survey in Four European Countries (2010-2013), we test hypotheses of religious decline and religious reactivity among Muslim youth in England, Germany, the Netherlands, and Sweden. The religious decline hypotheses predict that the proportion of natives in schools and neighborhoods has a negative impact on the religiosity of Muslim youth. The religious reactivity hypothesis states that Muslim youth increase their religiosity when they experience discrimination in the host country. We assess three dimensions of religiosity – service attendance, frequency of prayer, and subjective importance of religion – using linear growth models. Our findings partially support the religious decline hypotheses, particularly regarding prayer frequency. Additionally, we find that perceived discrimination is not related to prayer frequency or subjective importance of religion and, at best, predicts a decrease in service attendance rather than an increase, contradicting the religious reactivity hypothesis.

Addressing disruptive medical staff behavior: a 3-year experience.

Menezes et al. describe their experience with the diagnosis and management of disruptive medical staff behavior in a private hospital between 2020 and 2022. Surgical medical specialties were found to demonstrate the highest prevalence of such behavior, and continual education of physicians regarding appropriate workplace behavior was found to be the most important management strategy to prevent unsafe work environments and strengthen an appropriate culture of safety. ■ Disruptive medical staff behavior potentially affects patient care. ■ Surgical specialties have the highest incidence of disruptive medical staff behavior. ■ Proper diagnosis and management is key to the mitigating disruptive medical staff behavior. To describe the 3-year long experience of addressing disruptive events by medical staff in a private hospital. The cross-sectional study that was conducted between 2020 and 2022, involved collection, analysis, and management of suspected cases of disruptive behavior by medical staff. Relevant information was collected from reports issued by health care leaders (69%), anonymous reports accessed from the health institution's intranet tool "SINAPSE" (19%), the compliance center (5%), customer attendance service (3.7%), the hospital board (2.3%), and the medical practice department (1%). Surgical specialties were responsible for 70.3% of the disruptive incidents, and the average time to outcome was 24.5 days, with most solutions involving guided education of physicians (92.7%). Management of disruptive behavior by medical staff is essential for the prevention of unsafe work environments and strengthening a culture of safety.

Healthcare Resource Utilization and Associated Costs in Patients With Chronic Graft-Versus-Host Disease Post-Allogeneic Hematopoietic Stem Cell Transplantation in England

Limited evidence suggests chronic graft-versus-host disease (cGvHD) following allogeneic hematopoietic stem cell transplantation (allo-HSCT) increases healthcare resource utilization (HCRU) and costs. However, this burden has not been well characterized in England. This study assesses secondary care HCRU and costs for patients following allo HSCT in England with cGvHD and patients who did not develop graft-versus-host disease (GvHD). Further stratification was performed among patients who did or did not subsequently receive high-cost therapies for the treatment of cGvHD. This descriptive, retrospective cohort study used Hospital Episode Statistics (HES) data from April 2017 to March 2022. HES data captures information on reimbursed diagnoses and procedures from all National Health Service (NHS) secondary care admissions and attendances in England. High-cost drugs as defined by NHS England are recorded in HES, these drugs and other procedures including plasma exchange, were used to identify patients with cGvHD who were in receipt of high-cost therapies. HCRU and costs were described for patients with cGvHD following allo-HSCT (n = 721) and were matched with patients with no evidence of GvHD following allo-HSCT (n = 718). HCRU and costs were also described for the subset of patients with cGvHD (n = 198) following receipt of high-cost therapies and patients with cGvHD prior to or without such therapies (n = 523). A higher proportion of patients with cGvHD had at least one inpatient or intensive care unit (ICU) admission or emergency care attendance than patients without GvHD (inpatient: 74.6% versus 66.6%; emergency care: 39.3% versus 30.5%; ICU: 7.4% versus 4.7%; respectively); whilst the proportion of patients with an outpatient attendance were similar for both groups (outpatient: 80.3% versus 84.1%; respectively). The cost across all secondary care settings was higher for patients with cGvHD than patients without GvHD, with a mean cost of inpatient admissions of £17,339 ppy for those with cGvHD versus £8548 ppy in patients without GvHD. A higher proportion of patients who received high-cost therapies for the treatment of cGvHD had at least one secondary care admission or attendance, than patients who did not (inpatient: 85.4% versus 66.4%; ICU: 7.1% versus 5.4%; outpatient: 87.9% versus 76.7%; emergency care: 44.4% versus 36.5%; respectively). Patients who were treated with high-cost therapies for the treatment of cGvHD had a greater mean number (14.6 versus 8.2 ppy, respectively) for all-cause inpatient admissions after treatment than patients who did not. In all secondary care settings, the total cost ppy was higher for patients who received high-cost therapies for the treatment of cGvHD, than for those who did not. Patients who were treated with high-cost therapies for the treatment of cGvHD had a greater mean cost (£21,137 versus £15,956 ppy, respectively) for all-cause inpatient admissions than patients who did not. This study demonstrates that cGvHD and the use of associated high-cost therapies impacts healthcare activity and costs across various secondary care settings in England more than patients without GvHD and patients with cGvHD who received no high-cost therapies.

Association between maternal religious service attendance and pregnancy loss in the United States: a secondary analysis of the Future Families & Child Wellbeing Study.

Accumulating evidence suggests that spirituality and religiosity may be associated with improved health outcomes. However, few studies have examined maternal religiosity as a protective factor for perinatal outcomes. We explored the association between maternal religious attendance and pregnancy loss. Data were drawn from the Future Families & Child Wellbeing Study's first and second waves and medical records (n=1874). Religious attendance was a self-reported response to the question "About how often do you attend religious services?" Pregnancy loss was measured from responses to the second wave survey question, "Since focal child's birth, have you had any miscarriages/abortions/stillbirths?" Logistic regression estimated odds ratios (OR) and 95% confidence intervals (CI) for the association between maternal religious attendance frequency and pregnancy loss, overall and by race. Models were adjusted for sampling weights, religious preference, socioeconomic and behavioral factors. 8% (n=164) of mothers reported having a pregnancy loss. Of those with a pregnancy loss, 28% (n=46) attended services hardly ever and 20% (n=20) attended services once a week or more. Women who attended services more frequently had 58% increased odds of not experiencing a pregnancy loss (OR:1.58;95%CI:1.01,2.48) after adjusting for potential confounding. A post hoc analysis found no difference in pregnancy loss type or subsequent reproductive history based on attendance level. Results suggest that higher maternal religious attendance frequency may be a protective factor for pregnancy loss. Further research is needed to understand the association between maternal religious attendance and mechanisms for pregnancy loss.

Psychiatric follow-up and repeated hospital presentation of DSH: A national study on young adults

IntroductionPsychiatric care following discharge from general hospital treatment of deliberate self-harm (DSH) is important to reduce patients´ risk of relapse. Whether such follow-up is associated with DSH repetition in young adults is not sufficiently understood. This study examined the association between psychiatric service attendance within seven days of discharge and repeated hospital-presented DSH within 3, 6, and 12 months in patients aged 18–35 years. MethodsIncident episodes of hospital-presented DSH from 2010 to 2017 were identified from the Norwegian Patient Register. Those already psychiatrically admitted or who died during the general hospital or in the seven days after discharge were excluded. Psychiatric service attendance was categorized as ‘no attendance’, ‘outpatient attendance’, and ‘inpatient admissions.’ The association between psychiatric service attendance and subsequent DSH repetition was examined with an Inverse Probability of Treatment Weighted logistic regression model. ResultsOf the 11,308 patients identified, 17.3 % had a psychiatric outpatient attendance, and 19.9 % had an inpatient admission. Outpatient attendance was not associated with a reduced risk of repeated DSH and inpatient admissions were associated with an increased risk in certain subgroups, notably patients: aged 18–24 years; without a recorded mood disorder diagnosis; or no history of hospital-treated DSH. LimitationsOur data did not contain all relevant confounders. Unmeasured confounding is therefore likely to influence the results. ConclusionAlthough no conclusions regarding treatment effectiveness can be drawn from these findings, the study highlights that patients with the most severe psychiatric symptoms and at the highest risk of DSH relapse received follow-up.

Religiosity in adolescence and body satisfaction and disordered eating in adolescence and young adulthood: cross-sectional and longitudinal findings from project EAT

PurposeThis research identified whether adolescent religiosity was associated with body satisfaction and disordered eating in adolescence and early adulthood and explored gender/sex differences in these associations.MethodsProject EAT (Eating and Activity in Teens and Young Adults) is a longitudinal cohort study following participants from adolescence into young adulthood. For this analysis (N = 1620), religiosity (importance of religion and frequency of religious service participation) during adolescence was examined as a correlate of body satisfaction and disordered eating (binge eating, maladaptive behaviors intended to lose or maintain weight, eating to cope, and dieting) at the same life stage (EAT-II, 2003–2004, Mage = 19.4 years) and during young adulthood (EAT-IV, 2015–2016, Mage = 31.5 years). Analyses used linear and logistic regression models adjusted for demographics and adolescent body mass index.ResultsDuring adolescence, females who placed greater importance on religion had higher body satisfaction, 22% higher odds of binge eating, and 19% greater odds of dieting in the past year, while more frequent attendance of religious services was associated with higher body satisfaction and 37% greater odds of dieting past year. Among males, only frequent attendance of religious services was associated with higher adolescent body satisfaction. Longitudinally, among females, only frequent attendance of religious services in adolescence predicted higher levels of body satisfaction in young adulthood. No significant longitudinal associations were observed among males.ConclusionsOur findings contribute to understanding the complex interplay between religiosity, gender, and body satisfaction. Further research should explore cultural factors influencing these associations and qualitative aspects of religious experiences to inform nuanced interventions.Level of evidence: Level III, cohort study.

Prelingual Deafness and the Manualist/Oralist Controversy in the Dutch Republic

This essay discusses the life and career of the prelingually deaf painter Jan Jansz. de Stomme (1615-1658) in the context of early modern debates on deafness, oral speech, and gestural communication. A son of a Franeker burgomaster, Jan moved to Groningen in 1643, where he became known for his portraits of Frisian aristocracy, got married twice, and lived in wealth in a prestigious neighbourhood. The theologian Samuel Maresius and scholar Anton Deusing described Jan’s devout attendance of services in the Reformed Church, which defended his right to participate in Holy Communion. A similar account was given in a family chronicle written by Jan’s grandnephew, who further specified that Jan joined the church as a communicant member expressing his understanding of the doctrine through gestures. By examining these various sources, I argue that church membership played an important role in bolstering Jan’s social status and undermining the alleged intellectual and mental inferiority of prelingually deaf people. I further show that despite the belief that oral speech was a sign of intelligence necessary to perform functions deemed normative, Jan established a successful career communicating only through gestures.

Et «makedonsk kall»

A “Macedonian Call”: Clerical perspectives on declining church attendance within the ecclesiological dynamic between folk church and community of faith" The Sunday worship service, in Lutheran ecclesiology, is the place where the Word is proclaimed, and the sacraments are administered. It is the main assembly of the congregation, according to the liturgical ordinance of the Evangelical-Lutheran Church of Norway. Over the last decades, however, worship service attendance has continuously declined. This article examines the pastors’ perspectives on lower attendance by presenting new empirical material from four group interviews with a total of 16 pastors. The data is viewed theoretically by considering ecclesiological perspectives. The analysis shows that the pastors use the well-known categories of folk church and faith community. While also problematizing these concepts, they experience that normative and descriptive ecclesiologies are somewhat contradictory. The pastors point to fellowship and new relationship-building initiatives as central to congregational life but question whether the Sunday worship service is capable of including such dimensions. Our study emphasizes the necessity of developing strategies that identify and meet local needs for the church’s presence.

Religious service attendance is protective against the diseases of despair: evidence from regression, sibling fixed effects and instrumental variables analyses.

Religious service attendance is protective against the diseases of despair: evidence from regression, sibling fixed effects and instrumental variables analyses.