In-depth Interview Study Research Articles

Investigating the growth trends of LGBTQ Travelers in Thailand's Tourism Industry

This research identifies the growth trends of LGBTQ travelers in Thailand's tourism industry, trying to fill the important gap in the empirical knowledge about the impact this demographic and their preferences have. This study used an interpretive field study approach within a qualitative paradigm with interviews and participant observation in assessing motivations, behavior, and experiences of LGBTQ tourists within Thailand. This research answers some key questions about the scope of LGBTQ travel, growth patterns, how organizations are responding for inclusivity, and strategies to attract this market segment. Useful insights for stakeholders in the tourism sector will be sought from this study by analyzing the travel behavior and preferences, as well as emerging trends in tourism. These findings will contribute to the academic discourse on tourism inclusion but will also have real-life implications for the development of marketing strategies, improvement in destination management, and the development of a more tolerant society. This research, once and for all, is supposed to bring into focus a substantial opportunity lying in LGBTQ tourism in Thailand and is going to accentuate the pressing need for providing tailored inclusive travel experiences that would impress diverse desires and aspirations among LGBTQ people. Given that this exploration is necessary, it will foreground the economic, social, and cultural dimensions of LGBTQ tourism within the entire Thai tourism milieu. Conversely, by investigating the motivation for travel among the LGBTQ market segment, this research study will also highlight the unique experiences and viewpoints of LGBTQ tourists while adding to the increasingly complex understanding of this growing market segment. This study will also examine the barriers and challenges that LGBTQ visitors face while traveling in Thailand, and it will also investigate what can be done to make them feel welcome. Practical recommendations for effective targeting and catering to the vibrant market segment will be made by analyzing recent tourism trends and preferences of the LGBTQ traveler. Therefore, tourism by LGBTQ people can have economic impacts, cultural exchange, and tolerance of society. Additionally, extra insight into special needs and desires of tourists will be needed to complement fulfilling and inclusive experiences with which Thailand is establishing its reputation as an LGBTQ-friendly destination. This study will delve deep into the nuances and complexity of LGBTQ tourism in Thailand through an in-depth interview and participant observation study. A study of this nature would add to the growing body of knowledge in terms of the impact and preferences of this demographic and facilitate a more responsive and responsible tourism industry that would have great benefits for LGBTQ tourists and society in general.

Development of Family Empowerment Model in Diabetes Management Among Type 2 DM Patients

Background: Diabetes management has not been optimally implemented by patients, considering the high incidence of diabetes complications. Therefore, family empowerment is important for diabetes management. Objective: This study aims to determine factors related to diabetes management, inhibiting, and supporting factors for diabetes management to develop a family-based educational model in diabetes management through expert testing.Methods: This research used Mixed Methods design with an Explanatory Sequential Design approach. A cross-sectional approach to 207 people with DM selection using a multistage sampling technique. Data was collected by questionnaire, in-depth interview, and Delphi study. Data analysis using chi-square and logistic regression. The development of family empowerment model is based on the theory Ladder of Empowerment, Social Cohesion, and Family Support. Results: Research results showed that good knowledge of patients, good family empowerment, and absence of DM risk factors are related to diabetes management. Model development and expert testing (Delphi Study) of the model find that a family-based diabetes management module is needed. Conclusion: A good family-based diabetes management module includes aspects of Self-Instructional, Self-Contained, Stand Alone, Adaptive, and User-Friendly aspects. This module is expected to improve diabetes management for patients and their families so that diabetes complications can be prevented and the patient's quality of life increases.

What works? Researching participants’ experiences of a social policy RCT through qualitative interviews

Increasingly, evidence-based policymaking, in the form of randomized control trials (RCTs) in particular, are advocated as a means for studying the effects of planned social policy measures. Additionally, a Finnish basic income experiment was conducted in 2017–2018 as an RCT as a means of exploring alternative policy solutions, which gained widespread national and international political, media and scholarly attention. Despite the popularity of RCTs, there is a lack of studies of participants’ experiences of participation in social policy RCTs. In this article, we depart from the notion of ‘lived experiences’ when investigating a bottom-up participant perspective of the Finnish social policy experiment with the purpose of contributing to the understanding and future planning of ethically and methodologically sustainable policy experiments. Drawing on a qualitative, in-depth interview study of 81 Finnish basic income experiment participants, we examined their lived experiences and related views on the experiment. The analysis shows that although the idea of experimenting to demonstrate ‘what works’ in social policy was supported by participants in principle, various questions arose both concerning the tactical and political purposes of the experiment and the nature of scientific ‘evidence’. Furthermore, the results demonstrate that the impact of the media and political attention often surrounding more controversial policy experiments, like the Finnish one, can also challenge the RCT principles of ‘non-contamination’. Participants in highly politicized experiments also easily feel that they become objects of strong moral expectations and judgements, which in the Finnish basic income case clearly resulted in feelings of frustration and personal failure.

An intersectional life course approach to explore the narratives of ageing migrant women

This article aims to demonstrate a concrete example of how to apply an intersectional life course perspective into the study of ageing migrant women. The empirical material is based on a qualitative in-depth interview study conducted with 20 Turkish-born women who have migrated to Sweden in their early to mid-adulthood years. Despite increasing urgings from gerontologists to include intersectionality in studies on migrants, research often neglects how age, gender, and migration status interact, failing to recognise the diverse experiences of racialised older migrants. The analysis shows that the intersection of age, gender and migrancy generates racialised and gendered experiences of later life which renders the women in different positions of power. The analysis also reveals the importance of agential capacity through the mobilisation of resources, negotiation, and resistance. By cross-fertilising two perspectives, the study suggests that intersectional life course could shed light on the experiences of ageing migrant women, thus, sensitising gerontological research to diversity and heterogeneity.

Investigation on cognition for insomnia and preference for acupuncture in breast cancer survivors: a in-depth interview study

To understand the cognition for insomnia and preference for acupuncture in breast cancer survivors based on the in-depth interview. Thirty breast cancer survivors with insomnia symptoms were collected for in-depth interview. The interview questions included three aspects, i.e. sleep expectation, cognition for insomnia (discomfort caused by insomnia, and underlying inducing factors of insomnia) and the preference for acupuncture (treatment methods used in the past, the reasons for not choosing acupuncture, and the tendency of acupuncture treatment). Using Colaizzi content analysis method, the data was analyzed. Regarding sleep expectation, most breast cancer survivors with insomnia symptoms were able to maintain normal activity in daytime. Insomnia symptoms often led to fatigue, and the inducing factors of insomnia referred to the treatment with endocrine therapy, anticipatory anxiety and inadequate sleep hygiene. All of the patients had received pharmacotherapy. The use proportion of non-pharmacological therapies was relatively low, and acupuncture was not chosen due to "not familiar with" and "fear of pain". Concerning to the preference for acupuncture, patients preferred the therapeutic methods of acupuncture with mild pain sensation and gentle stimulation; and the treatment should be more acceptable if delivered 2 or 3 times a week. Breast cancer survivors have the expectations for sleep, and are willing to receive the treatment with medication for their sleep disorders. Because of lack of the knowledge for acupuncture effect on insomnia and fear of strong needling sensation, a part of patients are unwilling to be treated with acupuncture therapy, but they are expected to receive the treatment with acupuncture while feeling more comfortable.

Improving preparation in the emergency trauma room: the development and impact of real-time data transfer and dashboard visualization system.

This study examines, with clinical end users, the features of a visualization system in transmitting real-time patient data from the ambulance to the emergency trauma room (ETR) to determine if the real-time data provides the basis for more informed and timely interventions in the ETR before and after patient arrival. We conducted a qualitative in-depth interview study with 32 physicians in six German and Swiss hospitals. A visualization system was developed as prototype to display the transfer of patient data, and it serves as a basis for evaluation by the participating physicians. The prototype demonstrated the potential benefits of improving workflow within the ETR by providing critical patient information in real-time. Physicians highlighted the importance of features such as the ABCDE scheme and vital signs that directly impact patient care. Configurable and mobile versions of the prototype were suggested to meet the specific needs of each clinic or specialist, allowing for the transfer of only essential information. The results highlight on the one hand the potential need for adaptable interfaces in medical communication technologies that balance efficiency with minimizing additional workload for emergency medical services and show that the use of pre-notification systems in communication between ambulance and hospital can be supportive. Further research is recommended to assess practical application and support in clinical practice, including a re-evaluation of the enhanced prototype by professionals.

Being a dyslexic police officer in England and Wales: Identity, disability, and disclosure

This paper presents the research findings of a qualitative, in-depth interview study exploring the personal experiences and perceptions of a sample of 25 dyslexic police officers working in numerous police forces in England and Wales. Utilising the social model of disability, the present paper explores the impact of dyslexia on police officers when conducting different aspects of policing, including disclosure, recruitment, training, education, and well-being in the operational role. The findings highlight prevalent disabling attitudes, discriminatory behaviours, and a lack of reasonable adjustments within police services in England and Wales. The paper concludes with tentative suggestions for potential improvements and discusses future research directions.

Understanding the Experiences and Support Needs of Close Relatives in Psychiatric Euthanasia Trajectories: A Qualitative Exploration.

In Belgium, adults with psychiatric disorders can opt for euthanasia under strict conditions. The impact of these euthanasia trajectories on close relatives remains insufficiently studied. This research is the first in Belgium to explore the concrete experiences and support needs of relatives involved in psychiatric-based euthanasia trajectories by means of an in-depth interview study. The interviews with 18 relatives were conducted from March to May 2023 and analyzed using inductive thematic coding. The results reveal the complex and ambivalent emotional and cognitive experiences among relatives. Experiences with euthanasia trajectories varied from positive to negative, marked by shared feelings of surrealism and unreality. This included the farewell process that relatives go through, regardless of whether euthanasia was carried out. While the desired level of involvement varied, everyone sought some degree of recognition and understanding for their complex position during the euthanasia procedure, aiding in a better comprehension and contextualization of the request. The level of actual involvement and support depended on the stage of the euthanasia request, their social network, and the reasons behind the request. There was a demand for transparent communication, more emotional and practical support, and assistance in coping with the emotionally charged process. Specific attention is needed for the emotional and cognitive rollercoaster, even if euthanasia is not ultimately pursued. Future research should employ a longitudinal design to gain deeper insights into relatives' fluctuating experiences and support needs throughout euthanasia trajectories. Seeking greater context diversity and combining perspectives in cluster research can improve understanding of interconnected needs.

A study on perception of care and treatment in HIV positive patients at ART centre

Background: HIV-related stigma is a major social challenge for people living with HIV/AIDS (PLHA). It can forsake the programmes related to HIV due to compromise in early diagnosis & treatment. It is necessary to understand the perceptions of HIV about care and treatment in PLHA in order to work towards a more patient-centred care. Aim & Objective: To explore the perception of care & treatment along with the other life experiences in PLHA. Methodology: This is Qualitative exploratory study prepared by study of semi-structured in-depth interviews of different individuals through thematic analysis, at the Antiretroviral therapy (ART) centre of Nehru hospital, BRD medical college Gorakhpur. Result: Themes emerged are: 1)Negative reactions to HIV positive results; 2)Social support was highly valued by PLHA in improving their quality of life; 3)PLHA experiences various stigma throughout their life; 4)Health staff behaviour was good but they felt the need of better arrangements for their treatment; 5)Refusal by Private Hospitals to treat HIV cases. Conclusion: Awareness campaigns & regular counselling of the individual shall be effective for PLHA on a routine basis. A better & hustle-free medical infrastructure shall be very beneficial & it is necessary to sensitize the private hospitals to treat the HIV patients in a positive manner.

From rhymes to revelation:A qualitative study of listeners’ meaning-making of hip-hop music

Hip-Hop as a music genre is a popular music genre both in commercial success and global impact and there is a variety of academic studies on the origins, creation, effects, and uses of hip-hop. What remains understudied, yet fundamentally important, is a perspective that takes hip-hop consumers and the way they give meaning to hip-hop as a musical genre. The current in-depth interview study (N = 20) aimed to understand how hip-hop listeners came to give meaning to hip-hop music in their own words and from the perspective of their everyday lived experiences. Results outlined four themes that are relevant in the meanings constructed around hip-hop music, 1) how listeners define hip-hop, 2) how they experience listening to hip-hop, 3) how hip-hop is used as a source in identity-formational practices, and 4) how listeners employed a societal perspective in evaluating hip-hop as a musical genre. As such, the current study provides a balanced empirical perspective on hip-hop music and sheds light on the meaningful role it has in the lives of its listeners.

Shrinking futures: ecologically childfree as emotion management

As climate change intensifies, some people connect it to their decision to be childfree. This is largely predicated on how they imagine the future, not their current climate change realities. Examining this shows how climate change enters and affects the lifeworlds of the environmentally privileged. I ask what motivates environmentally privileged people to connect being childfree to climate change through an in-depth interview study of 15 ‘ecologically childfree’ adults, recruited through an online group, BirthStrike. I find two subsets of BirthStrikers, those who see being childfree as sacrificial and those with multiple motivations. I argue being ecologically childfree is a strategy of temporal emotion management and a way to legitimise ecological grief, a disenfranchised grief that goes unrecognised. Being childfree alters the intensity of BirthStrikers’ emotions and their temporal frames of engagement. For BirthStrikers with multiple motivations, I argue being childfree legitimises respondents’ ecological grief by demonstrating personal impact.

Makna Merokok bagi Wanita: Studi Fenomenologi pada Mahasiswi Perokok

Smoking activity is not only dominated by men. Female smoker is an existing phenomena that can be found in our daily life. Most of them are female college student. Even though they are threatened by some health risks and negative stigmas from society, female smokers keep doing their habit. This phenomena becomes interesting to explore that we may have deeper understanding about the meaning of smoking from the female smoker perspective. This study uses qualitative method with phenomenology approach. Data gain by: in-depth interview, observation, and literature study. The result shows that female smoker perceives smoking activity as: breathing exercise that bring calm and clarity of mind, an emotional reducer that helps relieve anger or sadness, a self-protection camouflage as a tough woman. Nevertheless informant also thinks that smoking could be harmful because of the health risk and stereotype from others. Based on analysis using Cognitive Dissonance Theory, the three meanings are the informant's efforts to minimize the dissonance between one cognitive element that she already knows about the risks of smoking for women and the cognitive element of the informant as an active smoker.

'There's never really been an opportunity': perspectives of those with long-term conditions on advance care planning, a qualitative interview study in primary care.

Advance care planning (ACP), the process of discussing and documenting people's wishes for future care, is increasingly researched within health and social care. However, it is sometimes assumed that ACP is only for those experiencing advanced cancer or those reaching the end of life. Little is known about how those living with other major conditions perceive ACP. To explore attitudes towards ACP in this population. In-depth interview study in general practice. adults living with major conditions other than cancer (diabetes, heart disease, chronic respiratory disease, and kidney disease). Interviews were conducted face-to-face, audio-recorded, and transcribed verbatim. Thematic analysis utilised a critical realist approach, underpinned by the COM-B Behaviour Change Model. NHS ethics approval (reference: 23/PR/0078). Eleven participants have been recruited (recruitment ongoing): aged 61-88 years, five males, and Rockwood Frailty Scores 1-5. Emergent COM-B themes relate to capability (wellbeing, organisational skills, and understanding); opportunity (setting, time, trust, involving others, and the 'right' moment); and motivation (motivating factors: helping loved ones, helping professionals, fearing undesirable outcomes, desiring a peaceful death, being organised, and valuing autonomy; and demotivating factors: trusting others with decisions, uncertainty regarding the future, distrusting health care, focusing on the present, and values-based objections). ACP is understood in three ways: as proactive planning, as anticipatory planning, and as acknowledgment of ill-health and mortality. Context influences understanding and understanding influences motivation. There is openness to discussing ACP as part of proactive care. Normalising ACP before ill-health may reduce distress. Public health campaigns and preventative healthcare consultations present opportunities for ACP signposting.

Human management control systems on construction firms amidst COVID-19

BACKGROUND: The COVID-19 pandemic continues to endure in the construction industry. While many businesses worldwide have adapted to working from home or home-based offices, this is impractical in this sector as building activity is conducted on-site, which creates difficulties for employees in adapting to the post-pandemic setting. OBJECTIVE: This article analyzes how the pandemic has changed and affected construction firms’ human management control systems dimensions. We addressed, amidst the pandemic, how work is being performed and its effects on employees and businesses. METHODS: In this analytical research, we used chain referral sampling to perform an in-depth interview study with top administrators of different construction firms in Colombia, and we used inferential statistics for our data analysis. RESULTS: Results showed potential sources of low efficiency and minimal control of resources, including lack of communication with employees, lack of recognition systems, centralized decision-making, and disconnection between business objectives and financial requirements. CONCLUSIONS: Construction firms must ensure workers understand the project goals adequately and be empowered to make on-site decisions provided a training program is offered. Organizations ought to connect their strategic business goals with financial requirements; these must be regularly updated and modified as the economic and labor force scenario evolves.

Experiences of youth growing up with anorectal malformation or Hirschsprung's disease: a multicenter qualitative in-depth interview study.

Patients with anorectal malformation (ARM) and Hirschsprung's disease (HD) live with long-term impact of these diseases even into adulthood. We aimed to explore the physical, social and emotional impact of these diseases in adolescents and young adults to develop best practices for transition care. We conducted one-on-one in-depth interviews with ARM and HD patients aged ≥ 11years who had undergone surgery at four tertiary referral centers. All interviews were audio-recorded and transcribed verbatim. We analyzed transcripts for recurring themes, and data were collected until data saturation was reached. Three researchers independently coded the transcripts for major themes using thematic analysis approach. We interviewed 16 participants (11 males) between October 2022 and April 2023. Ages ranged from 11 to 26years. Five major themes emerged: (1) personal impact (subthemes: physical, emotional and mental health, social, school), (2) impact on family, (3) perceptions of their future (subthemes: relationships, career, state of health), (4) sources of support (subthemes: family, peers, partner), and (5) transition care (subthemes: concerns, expectations).Only females expressed concerns regarding future fertility. This study highlights the evolving problems faced by adolescents and young adults with ARM and HD, especially gender-specific concerns. Our findings can inform efforts to provide individualized care.

Future-robust product design – validating influencing factors on upgradeable mechatronic systems

AbstractThis paper examines upgradability through modular product design, aiming to extend lifecycles and promote cross-generational use. It builds up on a preceding work, a systematic literature- review identifying four fields of action in future-robust product design. The paper itself contains an in-depth interview study with 17 experts from industry and research to validate and expand the literature-based fields of action. The results provide insights into the application and employment of future-robust product design, with a focus on adaptable product architectures.

Risk reduction through spatial plan: A case study from Surabaya, Indonesia

Spatial planning has a vital role in mitigating and reducing risks by discouraging settlements and other forms of development in hazard-prone areas. Integrating spatial planning and disaster risk reduction is crucial to achieving resilient cities. Selecting Surabaya City in Indonesia as a case study, this research uses a questionnaire, in-depth interview, and documentary study to evaluate the performance of Surabaya spatial planning documents on risk reduction. This paper aims to formulate substantial steps to integrate risk reduction in Indonesian spatial planning based on evaluation to Surabaya spatial plans. The result shows that the performance of Surabaya spatial plans on average is scored 2.26 out of 5, indicating that the integration of disaster risk reduction on the Surabaya spatial planning document is still low. In response to this performance gap, eight policy recommendations are formulated to improve the future Indonesian spatial plan. In conclusion, the policy recommendations for future Indonesian spatial planning in making resilient cities are; conducting comprehensive research on risk management, mainstreaming risk reduction in development policies, limiting urban development in hazard-prone areas, providing adequate risk reduction infrastructures and emergency infrastructures, considering both hazard and risk maps for land-use allocation, making a detailed land-use control based on varieties of relevant hazards, and enacting clear incentives and disincentives mechanism related to risk reduction.

Nursing home residents’ perspectives on oral health: An in-depth interview study

BackgroundOral health is associated with general health and care dependency, but is often neglected in nursing homes. Integration of oral care into general care is necessary, but is hampered by multiple barriers at different levels. This study is part of research into the implementation of the new Oral Health Section for use within the interRAI Long-Term Care Facilities instrument, which is used to assess care needs of nursing home residents. This new Oral Health Section evaluates nine aspects of oral health and results in two Collaborative Action Points. ObjectiveTo identify residents' perspectives on oral health, oral care, and on the assessment of their oral health using the new Oral Health Section DesignQualitative design using in-depth interviews. Setting(s)Three nursing homes ParticipantsResidents were selected using purposeful sampling in nursing homes participating in research evaluating the use of the new Oral Health Section. The selection was based on their oral status for maximum variation and on their cognitive performance score. Twenty-two residents from three Flemish nursing homes agreed to participate. MethodsResidents’ oral health was assessed using the new Oral Health Section and dental indices. In-depth interviews were conducted, including the validated short-form Oral Health Impact Profile to evaluate the impact of oral conditions on residents’ well-being. The interviews were coded and analysed by three researchers and mapped into a model to understand participants’ oral health behaviours. ResultsLow Oral Health Impact Profile scores indicated a low impact of oral health issues on participants’ lives. However, despite 77.3 % of the participants reporting satisfaction with their oral health, 86.4 % had poor oral hygiene and 68.2 % required referral to a dentist, suggesting a tendency to overestimate their oral health. Their oral health behaviour was determined by a lack of oral health knowledge (Capability), positive attitudes towards oral health and autonomy (Motivation), upbringing and social support (Opportunity). Participants considered assessments with the new Oral Health Section acceptable. ConclusionsThis study shows how older people perceive their oral health and oral healthcare. Understanding their wishes and needs will not only facilitate their involvement in their oral care, but is also likely to enable the improvement of their oral hygiene and the development of effective oral care strategies for the future. Policy makers and managers of care organisations may use these results to foster integration of oral care guidelines into care protocols within nursing homes, including collaboration with dentists and dental hygienists. Tweetable abstractOral health assessments with the new Oral Health Section for use within interRAI were positively perceived by nursing home residents.

Determinants influencing implementation of clinical risk management – Qualitative results of a national survey among clinical risk managers in Germany (KHaSiMiR21)

Background The improvement of patient safety requires management of clinical risks in hospitals. However, implementation status of clinical risk management (CRM) varies substantially across hospitals. Investigations into facilitators and barriers for effective implementation are thus necessary. Using an in-depth interview study with CRM experts in hospitals, this study aimed to investigate factors accountable for effective development and implementation status of CRM measures in Germany. Methods As part of a nationwide survey, we conducted semi-standardized interviews with n = 10 selected clinical risk managers from general hospitals. We used qualitative content analysis to identify barriers and facilitators to the implementation of CRM. Results A broad range of determinants influencing CRM implementation were identified. Determinants were categorized into five thematic categories: general knowledge of CRM, safety culture, availability of resources, multi-level engagement and organizational structures. Discussion While numerous barriers to CRM implementation were identified, interviewees reported only a few supporting factors in comparison. Results suggest further challenges in effective CRM implementation and inform future research and implementation efforts.

IGG in the trenches: Results of an in-depth interview study on the practice, politics, and future of investigative genetic genealogy

Investigative genetic genealogy (IGG) is a new technique for identifying criminal suspects and unidentified deceased and living persons that has sparked controversy. In a criminal case, the technique involves uploading genetic information left by a putative perpetrator at the crime scene to one or more direct-to-consumer genetic genealogy databases with the intention of identifying the perpetrator's genetic relatives and, eventually, locating the perpetrator on the family tree. In 2018, IGG helped to identify the Golden State Killer, and it has since been used in hundreds of investigations in the United States. Here, we report findings from in-depth interviews with 24 U.S.-based individuals involved in IGG that are relevant to the technique’s current practice and predicted future. Key findings include: an emphasis on restricting IGG as a conceptual and technical matter to lead generation; the rapid growth of a private and largely self-regulating industry to support IGG; general recognition of three categories of cases associated with distinct practical, ethical, and policy questions, as well as varying degrees of controversy; and the significant influence of perceived public opinion on IGG practice. The experiences and perspectives of individuals in the IGG trenches related to these and other issues are potentially useful inputs to ongoing efforts to regulate the technique.