Group Discussions Research Articles

Utilizing fillers for addressing speaking challenges, improving self-confidence and motivation in EFL learning

This qualitative case study aimed to explore fillers usage to address speaking challenges related to the improvement of self-confidence and motivation in speaking practices done by two English foreign language (EFL) learners of the English department of one of the Islamic Universities in Malang, Indonesia. Data were collected through observations and in-depth interviews to two students employing filler strategies to address speaking challenges related to the improvement of self-confidence and motivation during their speaking exercises. The research revealed that both learners used fillers to address speaking challenges during the conversation due to their linguistic components’ shortage such as a limited mastery of vocabularies and having a little understanding on grammar. Fillers might bring them to have more self-confidence in speaking practices shown by not being afraid of making mistakes when they practice speaking with their speaking partners. Fillers might bring them to have more motivation in speaking shown by their enthusiasm to get involved in the discussion whether in group or class discussions. Thus, fillers usage is prominent due to its potential to address speaking challenges, enhance self-confidence and motivation, eventually contributing to an overall improvement in language proficiency particularly in speaking skill.

Existence of independent learning curriculum and portrait of ideal curriculum management in laboratory schools

Each schools have the autonomous right to manage and develop an independent curriculum according to its potential. However, the implementation of the independent learning curriculum is dependent on proper management at the school level, so there may be obstacles faced by schools in managing the independent learning curriculum. The purpose of this study is to investigate the concept and problems, as well as school strategies in managing an independent learning curriculum in laboratory schools. This research was studied qualitatively with a multi-site study design. Data collection was conducted through focus group discussions (FGDs) with semistructured interviews, observations, and documentation studies. Data validity was checked using source triangulation, discussion among fellow researchers, and adequacy of reference materials. Data analysis techniques used constant comparative analysis. The results show that learning activities in the independent curriculum emphasize character education and the achievement of students' happiness in learning, and schools implement differentiated learning and simplify the values contained in P5 through projects and fun learning. This research contributes theoretically and practically, by complementing previous literature and can be a guide for school managers in order to ideally manage an independent curriculum.

Investigating the assessability of speaking proficiency in a group discussion context

Investigating the assessability of speaking proficiency in a group discussion context

“Us versus Them”: is the voice of the community heard when planning communication screening programmes for preschoolers?

ObjectivesCommunity consultation is necessary to ensure the uptake and use of community-based screening intervention to detect early childhood disabilities, as its absence can result in poor service acceptance and usage. To document stakeholders' perspectives regarding planning a community-based communication disorder (an impairment in the ability to receive, send, process and comprehend concepts or verbal, non-verbal and graphic symbol systems) screening programmes for pre-schoolers. Study designThis qualitative research design used purposive and random sampling to recruit 46 participants from eThekwini Municipality, South Africa. These stakeholders consisted of caregivers/parents of children who underwent screening for communication disorders, People who are Deaf, their parents, early childhood development practitioners, health professionals and government officials involved with children with disabilities. All participants were adults aged between 19 and 79 years, with an average age of 39.7 years. MethodsData was collected through focus group discussions and individual interviews, which were thematically analysed. ResultsThe four emergent themes were screening approaches, methods, location and personnel. Service users expected greater access to screening and reliable tests to identify problems by trained personnel at sites within the community. Service providers preferred a targeted approach to screening with parental input. Task shifting and sharing were seen as a solution to address staff shortages and provide services at health facilities, as resource constraints made it challenging to provide outreach services. ConclusionStakeholder engagement revealed diverging views between service users and providers, with implications for programme provision and uptake. There is a need for ongoing, inclusive discussion to ensure consensus during the planning stage, in order to render services that address issues of equity and accessibility for people with disabilities in marginalised communities.

Addressing burnout among nurses of color: Key priorities and calls for action

BackgroundNursing burnout remains a public health crisis. However, few stakeholders have considered the disproportionate toll of burnout among nurses of color, including nurses identifying as Black, Hispanic/Latino, or Native American. PurposeWe convened a one-day conference, titled Solutions to Health Inequities and Nurses’ Emotional Exhaustion (SHINE), to begin identifying contributing factors and solutions to burnout amongst nurses of color. MethodSHINE convened nearly 40 expert stakeholders. The convening included plenaries, small group discussions, and breakout sessions. We employed a deliberative dialogue (DD) methodology to identify key takeaways and implications for research, practice, and policy. DiscussionHigh-priority solutions included: improving the work environment and nurse staffing, reducing stigma against nurses seeking mental healthcare, addressing workplace racism as a root cause of nurse burnout, and increasing support for nurses experiencing racism at work. ConclusionKey priorities identified through SHINE offer a roadmap for nurse leaders to address burnout through an equity-centered lens.

Toowoomba Healthy Towns: A Citizen Science Initiative on Active Transport in Regional South East Queensland, Australia.

Engaging in active transport will enable individuals across the life course to increase their habitual levels of physical activity. The aim of this study was to engage citizen scientists (CS) to identify factors that influence active transport in their community. The Our Voice citizen science methodology developed at Stanford University was employed. CS completed a "discovery walk," taking photos of things that help or hinder active transport. Three groups were recruited: children aged 10-12years (n = 11), adults (n = 12), and older adults >65years (n = 10). CS rated each photo and provided a narrative explaining their reason for taking the photo. Once all CS in a specific age group had completed the walk, they met for a group discussion. The CS worked together to analyze the data, arranging them into themes and identifying priority actions. Two CS representatives from each age group presented their findings to the local council decision makers. Children highlighted the need for safer crossings, especially from their school to the local park, and suggested zebra crossings as a solution. The adults highlighted that road signs prioritized vehicles, not pedestrians, and requested that this be reversed. Older adults noted that the poor condition of the pavements made it harder for people in wheelchairs to navigate. The CS recommendations have informed the council's walking and cycling network program. Engaging with citizen science provided the community with an opportunity to advocate for meaningful yet realistic improvements in the built environment that could promote neighborhood active transport and physical activity across the lifespan.

WASH recommendations for improving disaster preparedness and recovery in schools in Indonesia

Access to functional and clean toilets which maintain privacy and dignity and support girls’ Menstrual hygiene management (MHM) plays a crucial role to getting girls back to school post-disaster. This could also help in managing feelings of shame and disgust experienced when using toilets in schools in post disaster settings. In this paper, we report on our assessment of water, sanitation and hygiene (WASH) facilities in schools three-years post the 2018 multi-hazard event in Indonesia. We used a mixed-methods approach using visual observations, interviews with school principals, surveys with schoolgirls and focus group discussions with schoolgirls and teachers to understand the lived experiences of students using toilets at school. Our results highlight that across schools descriptive and injunctive social norms were supportive of littering, inadequate toilet facilities for girls to manage their menstruation and bullying and antisocial behaviour by opening toilet doors while the facilities were occupied. Based on these results, we developed two types of interventions, physical and behavioural, piloted in three schools to increase WASH and MHM awareness and the safety of sanitation facilities. Our interventions showed that approaches for WASH interventions in schools can only be designed if we understand the local barriers to carrying out interventions that integrate maintenance plans. We provide recommendations to support practitioners in mitigating risk and improving circumstances for girls in schools in Indonesia, which have the potential to address SDG 4 on inclusive and equitable education and SDG 5 on gender equality and girls’ empowerment.

The establishment, persistence, and scaling of marine community-based natural resource management in four coastal districts in Tanzania

Community-based natural resource management (CBNRM) is common in most types of ecosystems that are characterized by common property practices. However, the emergence and spread of CBNRM has varied across geographies and contexts. This study explores factors that have enabled the modern emergence, persistence, and spread of marine CBNRM in four coastal districts in Tanzania. It also investigates how CBNRM—particularly local ownership and management of marine resources —is implemented and developed. It draws on a document review of the grey and scientific literature, and in-depth qualitative field work carried out in four coastal districts on mainland Tanzania. The field work involved 15 key informant interviews, 12 focus groups discussion, and participant observation, documenting the perceptions of resource users. The findings indicate that marine CBNRM – operationalized largely through local organizations called Beach Management Units (BMUs) – have strong support from local communities, but emerged, persist, and scaled largely through government and donor led initiatives. The local communities' strong desire to safeguard fisheries resources and reduce overexploitation, caused by illegal harvesting practices, promoted the quick expansion of BMUs, which in turn ensured the continuation of CBNRM. The positive experience and lessons learned from BMUs established early in the process encouraged the spread and ultimately scaling out of CBNRM. Expanding and sustaining marine CBNRM beyond its current form, which relies heavily on external support, will require innovative approaches that foster collective action, identify sustainable financing mechanisms, provide clarity in roles and responsibilities, and identify cost-effective and scalable CBNRM approaches.

Exploring the Association Between Loneliness, Subjective Cognitive Decline, and Quality of Life Among Older Thai Adults: A Convergent Parallel Mixed-Method Study.

Examining the rising prevalence of subjective cognitive decline as an early indicator of dementia in adults, this study investigates its complex interaction with loneliness and quality of life in individuals with preclinical dementia. Using a convergent parallel mixed-method approach, we employed Structural Equation Modeling on a cohort of 149 older adults. Qualitative insights were derived from focused group discussions and in-depth semi-structured interviews with a cohort of 23 older adults. Loneliness emerges as a pivotal contributor, exerting a discernible partial indirect effect on quality of life through subjective cognitive decline (indirect effect = -0.145, p = .006). Noteworthy differentials surfaced, with the impact of subjective cognitive decline on quality of life heightened in those with chronic diseases (△χ2 = 6.139, p = .013). Loneliness, wielding a palpable impact, intricately interlaces with quality of life, the nexus of which is intricately mediated by subjective cognitive decline.

Change starts at home: summary of the 2023 inaugural Small Animal Antimicrobial Stewardship Workshop for US Veterinary Schools.

Small animal antimicrobial stewardship (AS) is emerging as a priority area in the global battle against antimicrobial resistance. Veterinary practices have limited support for implementation of AS programs, and even within veterinary schools, efforts are largely siloed and often limited in scope. Increased collaboration is needed to support and unify AS and infection prevention and control efforts, and to identify priorities for continued research. To address this, a 2-day in-person small animal AS workshop was held in August 2023. Delegates representing 23 US veterinary schools and 4 corporations/government agencies gathered for a series of lightning talks and focused group discussions in 3 domains: implementation of clinical AS programs, research opportunities and needs, and education. The workshop's goal was to identify and propose solutions for AS challenges. Meeting discussion identified a lack of resources and training as the greatest barriers to hospital AS program advancement and suggested creating standards for AS programs and a road map to support program development. Assessing antimicrobial treatment effects and performing studies to establish necessary treatment durations were considered the highest research priorities. Integrated educational practices were recommended to support unified messaging of AS concepts between preclinical and clinical training. The development of strategies to implement these suggestions was delegated to working groups with a goal to continue meeting biennially as a large group. Sharing news of these efforts is considered integral to heightening awareness and promoting implementation of AS practices moving forward in academic, specialty, and primary care settings.

Exploring the impact of project-based learning on critical thinking and soft skills development among Moroccan EFL students

This study examines the effects of Project-Based Learning (PBL) on the development of critical thinking and soft skills among 12th-grade Moroccan EFL students. The study used a qualitative research design and involved 24 students who participated in a PBL unit focused on addressing child marriage. Data collection methods included focus group discussions and reflections from the teacher-researcher. The findings show that PBL effectively enhances critical thinking by involving students in activities that require them to learn and apply various skills such as analysis, evaluation, and synthesis of information in real-life situations. Students also reported increased engagement and improvements in critical thinking skills as well as some soft skills, particularly in teamwork and communication. However, the study identified challenges related to time management and unequal participation in group tasks. The study emphasizes the potential of PBL to enhance students’ critical thinking and essential skills in educational settings, specifically in an EFL context. Recommendations of the study include implementing strategies to improve time management and establish clear group roles to maximize the benefits of PBL.

Hospitality in Healthcare: Leveraging Employee e-WOM

ABSTRACT Providing hospitality services to patients to enhance their overall healing process has gained importance in the healthcare industry. It is not only just about getting healed but also the experience involved. This entails quality hospitality services in addition to medical services. Given that a happy employee provides better services, the role of job satisfaction of employees providing these services thus becomes important. Drawing from service quality frameworks, this article aims to identify enablers and deterrents of job satisfaction and validate with practitioners pulling out latent aspects that need to be focused on integrating hospitality in healthcare. We explored these aspects using a three-pronged approach. Initially, we identified the key themes influencing job satisfaction by applying data mining techniques to 13,000 employee reviews from companies recognized as Great Place to Work, sourced from Glassdoor. 1 Second, we validated the identified theme from experts through 24 focused group discussions comprising HR practitioners, thereby gaining interesting insights about certain important overlooked aspects. Third, we include literature support for each of the identified themes, stating their importance to the healthcare sector. The study provides a rubric of enablers and deterrents to job satisfaction, which can help the sector enhance employee satisfaction.

Seasonal migration and youth social life in the Eastern Barienou district, Benin

This study investigated the relationship that exists between seasonal migration and social life of youth in the Eastern Barienou, Benin. Several young people from the Barienou district in the northern Benin leave their homes each year to work in Nigeria’s agricultural sector. Migration is a strategy employed to improve their standard of living. The objective of this study was to investigate the effect of seasonal migration on social life of youth in the Eastern Barienou. This study employed a mixed-method research design that combines a correlation survey and a phenomenological study. The population of the study included 450 people. The sampling frame included not only a list of youth in the Eastern Barienou district but also a list youth’s parents and youth’s leaders. A total of 196 participants were sampled using stratified sampling techniques. Data were collected using a questionnaire, an interview guide and a focus group discussion guide. A multivariate regression analysis was run to assess the association between seasonal migration and social life. Seasonal migration has a significant negative relationship with youth social life (β=.-39, p<.001). QDA miner lite V3.0.6 was used for qualitative data analysis, SPSS 21 for descriptive analysis, and SPSS AMOS 26 for multivariate regression analysis. The study recommended that the Benin government enhance farming sector in the Eastern Barienou district and collaborate with the Nigerian government to improve working conditions for seasonal migrants.

Factors restraining youth involvement in fish farming business: Case study of Kamuthanga Village, Kenya

Fish farming serves as one of the important strategies for reducing unemployment and improving the standard of living for many households. However, in many African countries, including Kenya, a large number of young people tend to pursue administrative and white-collar jobs, resulting in a noticeable lack of youth participation in the fish farming sector. This trend underscores the challenge of attracting youth to agricultural enterprises like fish farming, despite its promising opportunities. This study explored the factors limiting youth participation in the fish farming business, targeting some individuals aged 18-35 in Kamuthanga village. The research follows a qualitative case study approach, with twenty-six (26) individuals interviewed. The study is grounded in the anthropological entrepreneurship theory, utilizing triangulation to ensure a holistic understanding. In-depth interviews and key informant interviews were employed to capture perceptions regarding barriers to youth involvement. The data was gathered through focus group discussions and in-depth interviews and analyzed using Qualitative Data Analysis (QDA) Miner Lite software. Data organization, coding, and theme development were conducted systematically to align with the study’s objectives. The findings revealed several challenges hindering youth involvement in fish farming, including the semi-arid conditions of Kamuthanga village, which lead to water scarcity; limited access to capital; insufficient technical knowledge; inadequate support structures; and some cultural barriers. These findings shed light on the critical factors that must be addressed to foster greater youth involvement in fish farming and ultimately unlock its potential for economic development and unemployment reduction in Kamuthanga village.

Investigating EFL English-Majored Students’ Perceptions of Interactive Teaching Methods in Language Classes

This study investigates the perceptions of EFL English-major students at Nam Can Tho University regarding interactive teaching methods. Interactive methods, which include activities such as group work, discussions, role-playing, and peer feedback, are increasingly adopted in language education to enhance student engagement and learning outcomes. Grounded in Communicative Language Teaching (CLT) and sociocultural theory, the study explores both the benefits and challenges associated with these methods. A 20-item questionnaire, adapted from existing literature, was administered to 70 students to gather data on their experiences. The findings reveal that students recognize significant benefits of interactive methods, including increased motivation, improved language skills, and practical application of English. However, challenges such as difficulties in transitioning from traditional methods, staying focused due to distractions, managing group activities, addressing cultural influences, and ensuring equal participation were also identified. The study highlights the need for targeted support and professional development for educators, effective classroom management strategies, and culturally responsive teaching practices to enhance the effectiveness of interactive teaching methods. These insights contribute to the ongoing discourse on interactive teaching and offer practical recommendations for improving language instruction in EFL contexts.

AI-driven innovations for enhancing mental health care in Tanzania: opportunities and challenges

Purpose This study aims to explore how artificial intelligence (AI) can enhance mental health care in Tanzania, focusing on its potential to enhance mental health services and address challenges in a low-resource setting. Design/methodology/approach A qualitative case study approach was used, with data collected through semi-structured interviews and focus group discussions involving key stakeholders in mental health and AI, including policymakers, technical experts, health-care providers and patient advocacy groups. Thematic analysis was used to identify key themes related to the opportunities and barriers to AI integration in mental health care. Findings This study identified several benefits of AI in mental health care, including improved diagnostic accuracy, personalised treatment and the potential for real-time monitoring of patients. However, significant barriers to AI adoption remain, such as infrastructure limitations, data privacy concerns and the need for training and resources to effectively integrate AI into mental health services. Originality/value This study contributes to the growing literature on AI in health care by focusing on its application in mental health care in Tanzania, a low-resource setting. The research provides valuable insights into how AI can bridge gaps in mental health service delivery, particularly in underserved regions, while highlighting the challenges that must be addressed for successful implementation.

Gastrointestinal and respiratory morbidity when introducing eggs as complementary food: a randomised controlled trial in South African infants

We investigated the incidence and duration of morbidity symptoms among infants aged 6 to 9 months from a low socioeconomic community receiving one egg daily for 6 months. This was a secondary outcome of a randomised controlled trial (RCT) of 500 infants conducted in Jouberton, South Africa. The primary outcome was linear growth. Morbidity data were collected weekly using a symptoms diary and qualitative data with focus group discussions at the endpoint. Ethical approval was obtained from the North-West University Health Research Ethics Committee. The intervention group had a ~ 5% higher incidence of gastrointestinal morbidity (17.0%) compared to the control group (11.9%). Gastrointestinal morbidity without fever tended to be 1.4 times higher in the intervention group (OR: 1.43, 95% CI: 1.03, 1.93; P = 0.058) and tended to be 4 times higher with fever (OR: 4.07, 95% CI: 0.86, 19.23; P = 0.077). The duration of total gastrointestinal and respiratory morbidity was 1.5 days longer in the intervention group (β: 1.491; 95% CI 0.064, 2.918; P = 0.041). Complementary feeding with eggs may have contributed towards an increased risk for gastrointestinal morbidity.

Transdisciplinary teaching and learning in a master’s program in urban agriculture

Purpose This study aims to explore transdisciplinary teaching and learning in a transdisciplinary master’s course in an urban agriculture master’s program. Design/methodology/approach An action research approach was used, applying qualitative methods, such as reflection notes, classroom dialogues, focus group discussions and interviews. Findings The students expressed high-level inter- and intrapersonal competencies and provided thorough insights into how they developed ideas across disciplines. However, the potential for collaborating with partners outside the university (case owners) was not fully exploited and needs further development. Originality/value The study constitutes a detailed example of the benefits and challenges of transdisciplinary teaching and learning, suggesting an integral education. It adds to the knowledge of how to develop academia further to facilitate competence for sustainable development.

Engaging nursing home residents in clinical research: insights from a patient advisory board, a patient advocate, and a study team

BackgroundPatient and Public Involvement (PPI) is increasingly recognized as an essential aspect of clinical research, particularly for ensuring relevancy and impact of research to those most affected. This study addresses the gap in involving older patients, particularly nursing home residents, in the research process by exploring motivations, expectations, and experiences of nursing home residents in Bremen, Germany, involved in PPI for developing a clinical trial on polypharmacy.MethodsTwo Patient Advisory Boards (PABs) were established in nursing homes as part of the INVOLVE-Clin project. A Patient Advocate (PA) facilitated communication between nursing home residents and researchers. A qualitative case study approach was employed, involving semi-structured interviews and group discussions with nursing home residents and researchers. Data was analyzed using structured qualitative content analysis.ResultsThe study found varied motivations and expectations between nursing home residents and researchers. Nursing home residents valued the social interaction and the opportunity to voice their health concerns, while researchers aimed to incorporate patients’ perspectives into study design. The PA was considered crucial in facilitating communication between nursing home residents and researchers. Challenges included the complexity of the study topic and the need for methodological adjustments to suit nursing home residents´ cognitive abilities. Generally, PAB participation was experienced to provide mental stimulation and increased confidence among nursing home residents in discussing their medication management. The PAB’s influence led to the decision not to conduct a polypharmacy study.DiscussionThe findings underscore the importance of flexible approaches to PPI, particularly when involving older nursing home residents. Methodological adjustments, such as tailoring content and structure of PABs, and the inclusion of additional boards for diverse perspectives, are vital for effective involvement. The study also highlights the need for ongoing innovation in PPI methods to ensure meaningful engagement of older patients in clinical research.ConclusionThis study contributes essential insights into the practical implementation of PPI with nursing home residents, highlighting the need for patient-centric approaches that recognize their unique challenges and contributions. These findings are critical for shaping scientifically robust but also socially relevant and impactful research, especially in an aging society.

The feasibility of M-health for people with chronic low back pain in Shanghai, China: A qualitative study

Background: Mobile health (M-health) has emerged as a promising solution for enhancing the management of low back pain. However, the feasibility of M-health among the Chinese population and its influencing factors remain unclear. Objective: This study aimed to assess the acceptance of M-health among people with chronic low back pain (CLBP) and physiotherapists in Shanghai, China, and to explore the influencing factors of its utility in the treatment of CLBP. Methods: Semi-structured interviews and focus groups were conducted with 25 participants with CLBP and 20 physiotherapists, utilising a combination of group discussion and individual interview. Thematic analysis, supported by NVivo software, was employed to identify and examine the themes regarding the facilitators and barriers to the utility of M-health in Shanghai, China. Results: The focus group discussions revealed a broad spectrum of factors that drive or hinder participants’ acceptance of M-health. Three main themes related to the feasibility of M-health were identified from the interviews: (1) Reasons for embracing M-health; (2) Reasons for resisting M-health; (3) Recommendations to enhance the feasibility of M-health. In general, participants exhibited enthusiasm towards the prospect of offering M-health as a viable treatment. Conclusions: The findings of this study indicate that the feasibility of M-health depends on many factors in Shanghai, China. Efforts to promote the establishment of M-health policy or laws, rational integration of M-health and face-to-face model and improvement of the functions of M-health applications may increase its feasibility in Shanghai, China.