Attitudes Of Members Research Articles

The Effect of Cultural Factors on the Consumption of Consumable Insects: Evidence from Rural Southwestern Uganda

Consumable insects are an important part of human food systems and their consumption across diverse cultures dates back into the pre-historical period. This study assessed the effect of cultural factors on the consumption of consumable insects in the Kiruhura district of southwestern Uganda. The study employed a post-positivism research paradigm (mixed methodology) in a cross-sectional survey. The survey was conducted across 134 households in the Kiruhura district of South-western Uganda between January and June 2021 using a self-administered questionnaire and interview guide. Results show that member attitude and perceptions, cultural beliefs, and values were significant drivers of eating insects, particularly grasshoppers in the Kiruhura district. The findings of the study imply that the eating of insects in the area could be enhanced by educating and raising awareness about the importance of utilizing insects as a source of food. More program support that integrates rearing of insects within the household farming system could increase availability and sustainable use of seasonal consumable insects as nutritious food presents great implications for policies targeting dietary interventions.

Community member attitudes and understanding of "serious mental illness": A mixed-method study.

"Serious mental illness" (SMI) is a priority population within mental health treatment and policy. However, there is no standard operational definition across research, clinical, and policy contexts. The use of the label has also not been evaluated regarding its association with stigma among the general public. This mixed-method study compared community members' stigma toward "SMI" with other psychiatric labels and examined community understanding and perceptions of the SMI label. Two hundred forty-six participants recruited via Prolific read randomly manipulated vignettes describing an individual diagnosed with depression, schizophrenia, or "SMI" and completed measures of stigma and qualitative questions regarding familiarity, understanding, and perceived utility of SMI. Quantitative analyses evaluated stigma across vignettes, and qualitative analyses identified common themes across responses. Stigma was relatively high across vignettes, with more negative views reported toward SMI and schizophrenia compared with depression. Quantitative differences in stigma by vignette were not significant after controlling for participants' age and gender. Qualitative responses were split regarding the perceived utility of the SMI term, with noted concerns including its broadness and potential for stigma. Most participants described functional impairment or disability as characteristic of "SMI," and approximately 70% associated schizophrenia and psychotic disorders with "SMI" compared with 45% for depression. Person-level factors were more strongly associated with stigma than psychiatric labels. However, our sample described concerns that the SMI term is vague and may exacerbate stigma. Community education and antistigma efforts should move beyond diagnostic labels in characterizing mental illness to facilitate change in attitudes. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Exploring Socio-Economic and Socio-Psychological Factors as A Predictor of Self-Help Groups Dynamics Effectiveness in Debre Birhan, Ethiopia

The study intended to address a knowledge gap by examining the group dynamics effectiveness of Self Help Groups in the Ethiopian context. A correlational design was applied and 372 Self Help Groups members were selected from 60 SHGs through simple random sampling. The main data analysis methods used were Pearson's product-moment correlation and multiple regression. The result indicated that the attitude (r=.667, p<001), extension contact (r=.534, p<001), socioeconomic profile (r=.593, p<001), and social participation (r=.400, p<001) of SHG members had a statistically significant positive relationship with the group’s performance. The model (attitude, social participation, socioeconomic profile, and extension contact) significantly predicted and explained 59.3% of the variance in self-help group dynamics effectiveness. Attitude was the strongest predictor (β = .512, p < .001) & uniquely explained 18.5% of the variance in group dynamics effectiveness, while the socioeconomic profile of self-help group members was the least predictor (β = .106, P < .005) with 0.5% of unique contribution in the explanation of group dynamics. The findings further revealed striking similarities with studies in Asia, suggesting that the potential universalities and the function of self-help group dynamics may transcend regional boundaries.

Long-term care staffs’ experience in facilitating the use of videoconferencing by cognitively impaired long-term care residents during the COVID-19 pandemic: a mixed-methods study

BackgroundDuring the COVID-19 pandemic, numerous long-term care (LTC) homes faced restrictions that prevented face-to-face visits. To address this challenge and maintain family connections, many LTC homes facilitated the use of electronic tablets to connect residents with their family caregivers. Our study sought to explore the acceptability of this practice among staff members and managers, focusing on their experiences with facilitating videoconferencing.MethodsA convergent mixed method research was performed. Qualitative and quantitative data collection through semi-structured interviews to assess the acceptability of videoconferencing in long-term care homes and to explore the characteristics of these settings. Quantitative data on the acceptability of the intervention were collected using a questionnaire developed as part of the project. The study included a convenience sample of 17 staff members and four managers.ResultsManagers described LTC homes’ characteristics, and the way videoconferencing was implemented within their institutions. Affective attitude, burden, ethicality, opportunity costs, perceived effectiveness, and self-efficacy are reported as per the constructs of the Theoretical Framework of Acceptability. The results suggest a favorable acceptability and a positive attitude of managers and staff members toward the use of videoconferencing in long-term care to preserve and promote contact between residents and their family caregivers. However, participants reported some challenges related to the burden and the costs regarding the invested time and staff shortage.ConclusionsLTC home staff reported a clear understanding of the acceptability and challenges regarding the facilitation of videoconferencing by residents to preserve their contact with family caregivers.

Relevansi Nilai-nilai Pendidikan Agama Islam dengan Program Kegiatan Pramuka di SMK Negeri 1 Kerinci

The lack of Islamic religious education lesson hours, which is only 3 lesson hours per week at the SMK/MAK level, plus Prakerind (Industrial Work Practice) for 2 semesters, is of course not enough for a PAI teacher to teach a very broad PAI material. This research aims to determine the relationship between the values of Islamic religious education and the scout activity program at SMK N 1 Kerinci. It is hoped that once the connection between PAI values and scout activities is known, students will be interested in taking part in scout activities to learn and implement PAI values outside of class hours. This research uses a qualitative method with a case study type of research, the object of this research is the scout members of SMK N 1 Kerinci. The data in this research was obtained from observation, interviews and documentation. In analyzing the data the author used source triangulation. The results of this research show that there is a connection between the values of Islamic religious education in several Scout activity programs at SMK N 1 Kerinci. In the scout activity program implemented there are two values of Islamic religious education, namely the value of worship, including: congregational prayer, du'a, natural tadabur, muhasabah, and mutual help. Then the moral values include: Discipline, Patience, Politeness, Independence, Leadership, Willing to help. The habit of worshiping and cultivating these character values can improve the religious attitudes of Scout members.

Abstract PO5-17-05: Recommendations of a panel of experts from the Brazilian Society of Mastology on breast and axilla clipping: when, how and for whom?

Abstract Background: The precise location of the tumor site is essential for obtaining free margins and success of surgical treatment, reducing the rates of reoperation and local recurrences. Neoadjuvant chemotherapy (NAC) is a challenge for preoperative tumor localization, due to the different patterns of locoregional response, limitations related to imaging methods, and the possibility of a pathological complete response (pCR). In addition, there are several divergent approaches regarding preoperative axillary evaluation, lymph node marking methods and approaches when facing cN1. Thus, the knowledge and attitudes of the affiliated members of the Brazilian Society of Mastology (SBM) regarding breast and axilla marking were evaluated and a consensus regarding management and treatment was reached. Methods: This is an online survey conducted between June and December 2022. All 1.742 active mastologists affiliated to SBM were anonymously invited to participate in the study. The online form contained 28 objective questions, of which 22 were formulated on a Likert scale. These questions addressed several relevant aspects related to breast and axilla marking in the neoadjuvant setting. Responses that reached 70% agreement were considered consensual. Statistical analysis was performed using the SPSS program. Post hoc analysis was performed when appropriate and, in all analyses, the significance level of p < 0.05 was adopted. Results: A total of 468 mastologists answered the questionnaire (26.8%), with a predominance of professionals aged between 40-49 years (32.1%), male (50.4%), and residents of state capitals (63.9%). Most professionals were board-certified (84,8%), 87.7% for more than five years. The indication of tumor marking in the breast prior to NAC was consensual (96.4%) and the metal clip was the preferred method (69.7%). If available, the US-visible clip is preferred (86.5%). With respect to the marking of the breast and axilla prior to NAC, 93.3% of the mastologists considered relevant issues related to the techniques and materials. There was no consensus regarding the indication of pre-NAC histologically positive lymph node marking (49.8% disagree and 42.8% agree), however there was consensus that the clinical and imaging evaluation is insufficient for staging the axilla as N1 (71.6 %). The contraindication of breast and node marking in T4b tumors (71.2%) was consensual. There was consensus on the indication of sentinel lymph node biopsy (SLNB) for initially cN1 (92.3%) or cN2 (72.7%) tumors that became cN0 after NAC, with 67.5% opting for dual staining with technetium and patent blue. There was also consensus on the indication of axillary lymphadenectomy (89%) after NAC when double marking with technetium and patent blue for SLNB is not available. In addition, 41.0% of mastologists perform axillary lymphadenectomy when less than three lymph nodes are found in the SLNB. Among the 28 questions, consensus was reached on only 11 (39.3%); with some consensus variations according to age group, sex, geographic location of residence, place of professional activity (public or private), and professional experience. Conclusion: The indication of pre-NAC breast marking is consensual among Brazilian mastologists, although axillary nodal marking is not. There is a great divergence of attitudes among Brazilian surgeons in relation to the many issues related to pre-NAC breast and axilla marking, indicating the need to establish continuing education programs on the subject. Citation Format: Henrique Couto, Augusto Hassan, Dalton Steinmacher, Eduardo Pessoa, Eduardo Millen, Felipe Zerwes, Francisco Pimentel Cavalcante, Giuliano Tosello, Gustavo Badan, José Francisco, Leonardo Soares, Lucas Budel, Luciano Chala, Raquel Fernandes, Ruffo Freitas-Junior, Vilmar Oliveira, Vinicius Budel, Andre Mattar. Recommendations of a panel of experts from the Brazilian Society of Mastology on breast and axilla clipping: when, how and for whom? [abstract]. In: Proceedings of the 2023 San Antonio Breast Cancer Symposium; 2023 Dec 5-9; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2024;84(9 Suppl):Abstract nr PO5-17-05.

Knowledge, attitude and practices regarding antimicrobial use and resistance among community members of Mtendere Township in Lusaka, Zambia: findings and implications on antimicrobial stewardship

Background: Antibiotic resistance is a public health problem affecting all countries and leads to an increase in morbidity and mortality rates. In Zambia, there is little information on the knowledge, attitude, and practices of community members about antibiotic use and resistance. This study assessed the knowledge, attitude and practices (KAP) regarding antimicrobial use (AMU) and antimicrobial resistance (AMR) among community members in Mtendere township of Lusaka Zambia. Methods: This was a cross-sectional study that was conducted from May 2020 to August 2020 using a structured questionnaire among 369 Mtendere residents. The data were analyzed using Statistical Package for Social Sciences (SPSS) version 22.0. Results: Of the 369 participants, 50.9% were male and 62.1% were aged between 18 and 29 years. Overall, this study found a poor KAP (38% good knowledge, 58% positive attitudes, and 52% good practices) regarding AMU and AMR. More than half of the participants 66.7% (246/369) had heard of antibiotics, 33.6% heard of AMR, and 23% heard of antimicrobial-resistant infections. Most of the participants 48.2% were not aware that AMR is a public health issue. A total of 52.8% (195/369) of the participants said they did not take antibiotics without consulting a doctor or pharmacist, translating into a prevalence of self-medication of 47.2%. Conclusions: This study showed that Mtendere residents had poor KAP towards antibiotic use and resistance. There is a need to implement community-based interventional campaigns including antimicrobial stewardship programmes address the gaps in KAP identified in this study.

Practices of active learning in public universities in Ethiopia: student and faculty perceptions

ABSTRACT As it encourages students to solve problems on their own and guides them throughout the process, the importance of active learning has gained popularity in a growing body of scholarly literature. However, there is a paucity of research on the practice and challenges of active learning in public universities in Ethiopia. This study seeks to examine the attitudes of faculty members and students toward the practices of active learning. Data for the study were collected from randomly selected 1597 participants (404 faculty members and 1193 undergraduate students) in eight public universities. The findings revealed that most of the respondents perceived active learning positively. However, the practice of active learning was found to be low where lecture was the most frequently reported method of instruction. Faculty participants have identified factors that hinder their use of active learning methods. The study has practical implications and contributes to the literature on practices and challenges of active learning strategies in public universities.

Exploring attitudes toward safety climate: a cross-sectional study among interventional radiology team members using the Safety Attitudes Questionnaire (SAQ)

BackgroundInterventional radiology (IR) has evolved into a well-established medical discipline known for its minimally invasive procedures. Establishing a culture of safety in IR settings is crucial to improve patient safety and quality of care. This study describes and compares attitudes about patient safety among professionals working with IR in Sweden. In addition, this study evaluates whether the WHO Safety Checklist for IR is routinely used for radiological interventions.MethodsThis cross-sectional survey uses an electronic questionnaire to collect data from 25 IR units. The attitudes of IR team members (radiographers, physicians, nurses, and assistant nurses) were assessed using the Swedish Safety Attitudes Questionnaire (SAQ), which was adapted for this context.ResultsThe two highest factor scores/percentages of positive responses from the IR team were found for job satisfaction (90/94%) and teamwork climate (85/92%), and stress recognition had the lowest values (54/25%). The attitudes were relatively consistent, with few significant differences between the professions (Factor scores: P = 0.039 for job satisfaction, and P = 0.050 for working conditions. Percentage of positive responses: P = 0.027 for perceptions of management). The radiographers tended to have slightly lower values compared to the other professions among these factors (P < 0.05). The WHO safety checklist for IR was not being used on a regular basis, but the respondents recognized its importance for patient safety.ConclusionsThis study shows high factor scores for the different safety climate factors, with job satisfaction having the highest values. Areas that need improvement are perceptions of management and stress recognition. Attitudes were consistent across professions in the IR team, but radiographers had slightly lower values in some aspects.

Financial Knowledge, Behavior, and Attitude on The Financial Well-Being of The Sustainable Livelihood Program Associations

Research Objective: This study evaluates and develop a predictive model on the financial well-being, financial knowledge, behavior, and attitudes of Sustainable Livelihood Program Association (SLPA) officers and members, a program of the Department of Social Welfare and Development (DSWD) under the Pantawid Pamilyang Pilipino Program (4Ps). Theoretical Framework: The study is grounded in the Sustainable Livelihood Program (SLP) Theory of Change, which seeks to understand how institutional initiatives such as policies, strategies, programs, or projects contribute to progressive and sustainable outcomes (Acosta &amp; Avalos, 2018). The financial competencies of Sustainable Livelihood Program Associations (SLPAs), particularly in spending, are strongly influenced by Modigliani and Brumberg's Life Cycle Theory of Consumption and Spending. Methodology: This is a quantitative study using descriptive- correlational design. There are 209 participants consisting of officers and members from selected SLPAs in Malaybalay City. Results: Findings revealed that SLPA officers and members have a moderate level of financial knowledge and attitude. However, financial well-being requires improvement, underscoring a discrepancy between current and desired financial conditions within the association. Moreover, significant relationships exist among financial well-being, financial knowledge, attitude, and behavior. Implications: The communicated findings to DSWD Region X contributes for the enhancement of the implementation of the SLPA. The results on the level of financial well-being will be enhanced when focused is made on the financial knowledge and attitude. The materials for financial education may be revised. Originality or Value: This study contributes to the literature on financial literacy and well-being of the government supported associations to ensure that upliftment on the financial well-being of members.

Experience of violence and attitudes of staff members towards coercion in psychiatric settings: observational study.

Among important dimensions related to the use of coercive measures, professionals' attitude towards coercion is of particular interest. Little is known about how experiences of violence in the workplace might influence these attitudes. The present study aimed to investigate potential correlates of attitudes towards coercion, especially experiences of violence in the workplace. Mental health professionals were contacted through an online survey to assess their attitudes towards coercion using the Staff Attitude to Coercion Scale (SACS). The three subscales of the SACS (critical, pragmatic and positive attitudes) were analysed in a multivariate multiple linear regression, using a set of covariates including experiences of violence in the workplace. We hypothesised that experience of violence in the workplace would correlate with less critical attitudes of staff members towards coercion. A total of 423 professionals were included in the regression analysis. Age, professional category, feeling of insecurity, having witnessed or used coercion, and the emotional burden associated with coercive measures had a joint significant effect on the three SACS subscales. A feeling of insecurity, but not the experience of violence, was associated with a less critical, more positive appraisal of coercive measures. The emotional burden related to the use of coercion was associated with a more critical attitude. The present results highlight the importance of considering staff members' training and well-being regarding their feelings of insecurity when addressing attitudes towards coercion. The experience of patients should be integrated into staff training and coercion reduction programmes.

IJCM_325A: A Study on Relationship of Working Status of Rural Adult Women with Their Mental Health in a Rural Block of West-Bengal

Background: Mental health is a major public health concern worldwide. Studies showed that women are impacted at a higher rate than men. There is definite scarcity of studies in public health domain, which reflect the mental health and its correlates among rural women specially in relation to their working status. Objectives: Present study envisages to assess and compare the mental health status of working and non-working adult rural women and find out the factors associated with the mental health status of the study participants. Methodology: A community based; cross-sectional study was done between August 2023 to November 2023 in a rural area of Hooghly district. The sample consists of 394 women (197 working women and 197 non-working women) were selected using Multistage random sampling from 3 villages. Using the predesigned, pretested interview schedule and self-reporting questionnaire, all relevant information was collected. The collected data was analysed using descriptive and inferential statistics using SPSS 16 version. Institutional Ethics Committee clearance was obtained. Results: The mean age of the study participants was 37 (± 10.09) years. Most of them belonged to socio-economic class IV. Majority of them were currently married. Around 22.33% of working women and 28.40% of non- working women had poor mental health. The factors associated with poor mental health among working women were work place atmosphere (p&lt;0.01), attitude of colleagues (p=0.01), attitude of family members (p=0.01), social support satisfaction (p&lt;0.01) and the factors associated with poor mental health among non-working women were satisfaction status of getting financial aid from family members (p=0.016), domestic violence (p&lt;0.01). Conclusion: Awareness program regarding various aspects of mental health for both working and non-working women at family level, community level as well as at workplace could be a useful strategy in reducing this public health problem.

Główna wartość oraz związane z nią zasady, cechy, postawy odzwierciedlone w Kodeksie etycznym Uniwersytetu Wiedeńskiego

This paper is an attempt to address the following research questions: What core value and its associated principles, qualities, and attitudes are reflected in the University of Vienna’s Code of Ethics? What perception of the university does this document reveal? The first part of this paper is a description of the essential historical facts pertaining to this university, its organizational structure and the formation of world elites. The second part explains the importance of the code of ethics as a means of helping to direct human conduct toward social, educational, and economic goals. The third part was focused on the main axiological quality (value), as well as the aretological (virtues/characteristics), normative (principles/norms) and behavioral qualities comprised in the content of the Code. The value marked most clearly in the Code of Ethics of the University of Vienna was responsibility. It is also a desirable attitude of university members that predisposes them to exhibit qualities such as honesty and loyalty. The principles of conduct specified in the Code included: legality, expediency, economy, openness, risk minimization, sustainable development, “face to face” communication in situations requiring confidentiality.

Organizational Member Attitudes According to Workplace Type of Dental Hygienist

Organizational Member Attitudes According to Workplace Type of Dental Hygienist

Different but Synergistic Effects of Union and Manager Leadership on Member Job Satisfaction.

Existing research has tended to overlook the diverse roles of union leadership in contributing to member attitudes. Drawing on the social information processing theory, this study examines how union leaders' (shop stewards) service-oriented leadership relates to member job satisfaction. To clarify the mechanism underlying this relationship, this study focuses on union instrumentality as a mediator. The research also examines managers' ethical leadership as a conditional factor in the relationship between union leaders' service-oriented leadership and member job satisfaction through union instrumentality. To test our hypothesis, this study analyzed the results of a survey of 603 respondents from two branches of the Korean Metal Workers' Union. The findings of this study indicate that union instrumentality is the link between service-oriented union leadership and member job satisfaction. Additionally, the strength of the mediated relationship between the aforementioned factors through union instrumentality is contingent on managerial ethical leadership. This study contributes to an integrated understanding of the way in which service-oriented union stewards and ethical managers influence member job satisfaction through their leadership.

The Relationship Between Occupational Health and Safety Awareness of Health Workers and Work Efficiency

This study focused on analyzing the knowledge and attitudes of the staff members concerning occupational health and safety in the settings where surgical operations are executed and investigating the effect on their productivity. &#x0D; The study was conducted in five public hospitals in Trabzon city center. The sample was calculated as 256 in 95% confidence interval by going through the total population including doctors, nurses and health technicians. Participation consent, institutional clearance, scientific research permit, and research ethics committee approval, which are necessary to conduct the study, were received from natural and legal entities accordingly. &#x0D; The study results revealed that the knowledge level of the study group about occupational health and safety was 38.3% (good, excellent). If there is an occurrence of an occupational accident at the workplace, the influence rates of the participants' productivity were as follows: 73.8% mostly and always affected, 55.5% mostly and always experienced a decrease in the quality of work, and 89.1% mostly and always affected, emphasizing on employee health. The study findings indicated that occupational health and safety-related practices influence employee productivity.

‘How can I do it?’ Inclusive faculty members make recommendations for carrying out inclusive teaching practices

Inclusive education at the university requires a commitment from staff and faculty to guide higher education towards equality and equity. The scientific literature suggests that the success of students with disability depends, to a large extent, on the attitude of faculty members and their willingness to make adjustments. Faculty who carry out inclusive practices are characterised by being accessible, making adjustments and adaptations and providing adapted materials and flexible assessment. Therefore, the learning context is basic to the educational inclusion of these students and depends largely on the role played by the faculty. The aim of this study was to provide recommendations made by 42 inclusive Education Science faculty members to other faculty members who have students with disability in their classrooms for the first time. A qualitative methodology was followed. Specifically, the biographical-narrative methodology was used, and the analysis of the data was defined by its narrative nature. The faculty recommended their colleagues to interact constantly with their students, adjust their teaching to respond to their needs, be interested in training, gather information about disability issues and learn about certain characteristics related to the teaching role that favour the educational and social inclusion of students with disability. This study allowed identifying several keys related to inclusive teaching practices in higher education.

Factors influencing interprofessional collaboration in general and during multidisciplinary team meetings in long-term care and geriatric rehabilitation: a qualitative study

BackgroundInterprofessional collaboration is essential to maintain high-quality care in long-term care and geriatric rehabilitation. However, little is known regarding perceived factors influencing interprofessional collaboration by people involved in care. This concerns both long-term care and geriatric rehabilitation. Moreover, knowledge of using patient outcome measures to enhance interprofessional collaboration during multidisciplinary team meetings is insufficient. This study examined the perceived facilitators of and barriers to interprofessional collaboration in general and during multidisciplinary team meetings, specifically according to healthcare professionals, patients, and informal caregivers. Differences between long-term care and geriatric rehabilitation were also investigated. Finally, it was examined which patient outcome measures were used in multidisciplinary team meetings.MethodsA constructivist qualitative study using 10 focus groups and 18 semi-structured interviews with 14 patients, 13 informal caregivers,10 managers, and 22 healthcare professionals from eight Dutch long-term care and geriatric rehabilitation facilities. A combined inductive and deductive approach to a thematic analysis was performed.ResultsThe perceived influencing factors of interprofessional collaboration were classified into two general themes: (1) ‘Involvement of patient, informal caregiver, and healthcare professional’, categorised into: ‘participation of patients and informal caregivers’, ‘behaviour and attitude of team members’, ‘expectations of team members towards each other’, and ‘exchange of information, knowledge, and reciprocity in communication’; and (2) ‘A systematic approach to providing care for older people’, consisting of: ‘coordination of team procedures’, and ‘coordination of organisational procedures’. Also, one theme for multidisciplinary team meetings was identified: ‘Organised participation of patient, informal caregiver, and healthcare professional in multidisciplinary team meeting, categorised into: ‘team procedures’, ‘working systematically’, and ‘participation in multidisciplinary team meetings. Standardised patient outcome measures were scarcely used in multidisciplinary team meetings.ConclusionPeople involved in long-term care and geriatric rehabilitation indicated that, apart from working systematically, being involved in care and multidisciplinary team meetings are essential factors for interprofessional collaboration. These factors must be taken into consideration to provide valuable, high-quality care to older people residing in long-term care and geriatric.Trial registrationNot applicable.

The enduring necessity of fitness centres in times of global uncertainty

ABSTRACT Rationale/purpose This study investigated how COVID-19 lockdowns and restrictions impacted member perception of the necessity of their fitness centre membership with a focus on drivers of this perception pre, during and post-COVID-19 lockdowns. Design/methodology/approach Three survey-based data collections were assessed (before COVID-19 lockdowns, in early-stage reopening, and in a “COVID-19 normal” environment). A correlation analysis and multiple regression analysis (OLS) explored the drivers of perceived necessity of fitness centre membership. Findings Results support a consistent perception of the necessity of fitness centre membership, despite drivers varying over the course of the study. Early-stage reopening saw determinants diverge from familiar drivers (such as member characteristics and exercise frequency) to include uncertainty regarding COVID-19. Findings support the enduring necessity of fitness centre membership and articulate a deviation and subsequent return to familiar drivers of member attitudes and perceptions. Practical implications Practically, understanding the drivers of perceived membership necessity can assist fitness centre managers to construct and deliver member communications, as well as services and support. Research contribution Theoretically, the findings add to the limited research that focuses on the impact of COVID-19 on individual leisure activity engagement and assists in assessing how drivers of engagement evolve under differing pandemic circumstances.

Exploring the understanding and experience of women with rheumatic diseases regarding fertility intention- a qualitative content analysis

BackgroundPatients with rheumatic diseases (RDs) have a lower desire to have children, fewer children, and a longer interval between their pregnancies, which can be due to the patient’s personal choice, the physician’s advice, changes in sexual activity, changes in fertility, and pregnancy failure. This study aimed to explore the understanding and experience of women with RDs regarding pregnancy intention.MethodIn Mashhad, Northeast Iran, between December 2022 and March 2023, this qualitative inquiry was carried out. Purposive sampling was used to select thirty women with RDs. Semi-structured interviews were used to collect the data. Graneheim and Lundman’s conventional content analysis method was used to analyze the data. The data organization was done using MAXQDA 12 software. Credibility, dependability, confirmability, and transferability have been considered as elements of trustworthiness.ResultsThe participants’ data analysis revealed the following main theme: “duality of desire and fear in childbearing”. Five main categories were identified, including “Individual health concerns following pregnancy”, “motherhood and womanhood perceptions”, “concerns about child harm”, “contradictory beliefs and attitudes of significant family members and clinicians about pregnancy”, and “lack of social support for fertility”.ConclusionIn order to improve the outcomes of pregnancy for women with RDs, the medical professionals who manage them must actively and frequently inquire about their intentions to childbearing and offer them individualized guidance on how to be in the best possible health at the time of conception. Rheumatologists, gynecologists, and reproductive health specialists can better address the sexual and reproductive health needs of this population by enhancing their collaboration in the care of women with RDs.