Individual In-depth Interviews Research Articles

The reflexivity of innovators from Poland through the lens of critical realism

ABSTRACT Although the issue of innovation is widely recognized in many scientific disciplines, innovators themselves have received scant attention in research literature. The aim of this study is to explore the experience of innovators from the perspective of the social agency paradigm developed by Margaret Archer, which suggests that structural and cultural properties affect individual reflexivity through the accessibility of resources and the beliefs that agents endorse. Data was collected through individual in-depth interviews with Polish innovators, revealing that they function in an entrepreneurial culture with ease in establishing networking relations. However, institutions in the national innovation system continue to reflect post-Soviet hierarchies, creating a division between those who have access to resources and those who do not. The study supports the hypothesis that post-Soviet culture is a factor in determining the low innovation level in Poland.

The meaning and feasibility of engaging in physical activity while being employed in people with mild to moderate disability due to multiple sclerosis: a qualitative study

Purpose To understand the perceptions of the meaning and feasibility of physical activity (PA) while employed for people with multiple sclerosis (pwMS). Materials and methods A qualitative design, using individual in-depth interviews of 26 employed pwMS with mild to moderate disability. The interviews were analysed using systematic text condensation in a phenomenological hermeneutic framework informed by a pattern theory of self. A systematic and dynamic process was used to develop categories of the most salient content and meaning. Results Three categories were developed: (1) Meaningfulness of PA for work, (2) Balancing daily life, PA, and work when energy is low, and (3) Leisure PA during work hours is beneficial but challenging to implement. The findings highlight that PA can be perceived meaningful for health, function, life balance, identity, their perceived abilities, possibilities, and challenges in relation to work, all influencing self-perception. The participants perceived the feasibility of PA to be influenced by work, private life, and work-life balance, particularly highlighting physical function, organisational structures and arrangements, and social and normative practices to be important. An arrangement of implementing leisure PA during working hours was recognised as a beneficial work accommodation when it was perceived feasible and accepted. Conclusion Employed pwMS may perceive PA as meaningful for their health, function, and work, influencing self-perception and perceived work capabilities. Its feasibility may be influenced by individual, environmental, and/or social aspects. Thus, individualised work adjustments to facilitate PA, like accommodating for leisure PA during work hours, can ultimately facilitate both PA and employment.

Individual and relational dynamics perceived to influence the sexual behaviour of adolescents in Ethiopia: a qualitative study.

There are 1.2 billion adolescents in the world today, more than ever before, making up 16% of the world's population and nearly one-fourth of the total population in Sub-Saharan Africa. Adolescents are facing life-threatening health challenges attributed to sexual and reproductive health issues such as unwanted pregnancies, unsafe abortions, and sexually transmitted infections, including the human immunodeficiency virus, and acquired immunodeficiency syndrome. The aim of this research is to explore the individual and relational levels of factors that drive adolescents to engage in risky sexual behaviour. A qualitative phenomenological study design was used from February to June 2020. Adolescents and health professionals were selected purposefully. A total of 12 individual in-depth interviews, five focus group discussions with adolescents, and eight key informant interviews with health professionals were conducted using a semi-structured guide. Data analysis was performed using thematic analysis with ATLAS Ti version 7 software. Credibility, dependability, transferability, and confirmability were used to ensure the trustworthiness of the data. In this study, two themes were identified; individual level factors such as sexual desire and emotion driven sex, limited knowledge of sexual and reproductive health, and a permissive attitude towards sexual activities drive adolescents to engage in risky sexual behaviour; and relational level factors such as, limited family support and involvement, negative peer pressure and influence, male partner dominance during the partnership, and pressuring females to engage in sexual intercourse were perceived factors influencing adolescents to engage in risky sexual behaviour. Various individual-level and relational-level factors are influencing adolescents to engage in risky sexual behaviour. Socially and culturally acceptable, comprehensive sexual education should be provided for in-school and out-school adolescents to enhance their knowledge, attitude, and skill about sexual and reproductive health. Interventions at the peer and partner level should be considered to enhance the life skills that enable them to resist pressure from peers and their partners. Child-parent communication on sexual and reproductive health matters should be promoted.

Maternal experiences of women who had received salutary childbirth education: A descriptive qualitative study.

Childbirth education, underpinned by Salutogenesis, presents a paradigm shift in maternal care. There was no present information about the maternal experiences of women who had received Salutary childbirth education. The present study aimed to deeply explore women's pregnancy, birth and postnatal experiences who attended the 'Salutary Childbirth Education Program' and shed light on the mechanisms of Salutogenesis on maternal health promotion. A descriptive qualitative study was conducted with 15 mothers. The study was conducted during April-October 2023. Data were obtained through semi-structured, in-depth individual longitudinal interviews to cover all maternal periods. A thematic analysis was performed. Women stated that they 'acquired normality oriented perspective' which provides 'attribution of positive meanings to the period' and 'freedom from their risk focus concerns'. Women experienced the naturality of the process and were in the flow. They described that they became 'aware of their internal resources', and gained 'skills for the construction of resources' and 'ability to manage the period'. The 'emotional strength' and 'Investment ability for themselves' in addition to obtained autonomy provided them a feeling of strength to actively engage in their experience. This study explores the experiences of women who participated in the Salutary Childbirth Education Program and describes the mechanisms of the program's components on their experiences. By doing so, it aims to enhance understanding of how healthcare professionals can present effective childbirth education through the use of the Salutogenesis Model. The authors would like to acknowledge and thank the women who attended the education program and were willing to interview.

“Are you OK doctor?” An expanded health belief model exploration of doctors’ experiences and perspectives of on-shift health behaviour

ABSTRACT Purpose Understanding doctors’ health beliefs is essential for developing effective and competent healthcare practices that benefit doctors and their patients. This study aimed to qualitatively explore doctors’ perceptions of on-shift health-protective behaviours and their perceived effects on competence. Methods The research applied theoretically driven Expanded Health Belief Model (EHBM) enquiry methods to explore beliefs and experiences through an occupational context survey, 14 individual depth interviews, and two focus groups. Semantic and deductive themes associated with EHBM domains were examined, and an inductive thematic analysis of the interviews was conducted. Results Doctors’ beliefs were strongly imbued by their perceived identity within the systemic context; they expressed impaired self-efficacy in reacting to their health needs on shift, and several disclosed harm to themselves and patients. Dominant themes included the psychosocial effects of the systemic culture and the influence of the situational occupational context in impacting health-protective behavioural action. The context and implications of experiences during the COVID-19 pandemic are discussed. Conclusions This study presents key belief-oriented factors influencing doctors’ health-protective behaviour at work and its implications for competent practice. Further doctor-led guidance on focus points for evidence-based theoretically driven health improvement solutions is provided regarding operational practice, formulating policies, developing interventions and further research.

Discovering the meaning of contemporary urban squares for its users—a case study of Poznan, Poland

The study aims to identify the meanings of urban squares that operate in the minds of their users. Three research methods were used for the study: in-depth individual interviews with ten city square users, a survey using the Computer Assisted Web Interview (CAWI) technique, and an observational study. The qualitative material collected was transcribed and analyzed using NVivo software. The results of the survey were statistically analyzed using SPSS software. The survey results suggest that urban squares are considered in two categories: administrative (in terms of official names that function in documents) and mental (in terms of certain perceptions of squares). Factors that play a role in distinguishing a square from the urban structure are (1) its physical characteristics, (2) its location in the urban structure, and (3) the activities that can be carried out there. The study identified 11 meanings of urban squares. These meanings can co-occur in different configurations. They may also change over time due to spatial changes (temporary or permanent). For most survey participants, using urban squares is important or very important. However, responses in this regard vary significantly by age. The statements of the youngest respondents, between 18 and 39 years of age, are of particular concern. These people were most likely to state that the use of this type of space is unimportant or indifferent to them, which could be a harbinger of a crisis. It is necessary to conduct further research in this area and extend it to other types of urban public spaces.

Participation profiles in Chilean ECE professional associations and unions: assemblages of agency and professional field orientation

ABSTRACT This article explains how early childhood education (ECE) teachers in Chile participate in ECE teachers’ Professional Associations and Unions (ECEPAUs), building professionalism amid a constraining context composed of an entirely feminized workforce, and educational policies influenced by neoliberalism. Following the Constructivist-Grounded Theory (CGT) abductive approach, this is a single holistic case study with a sample of ECE teachers participating in ECEPAUs. Data collection drew on individual in-depth interviews and discussion groups; the analysis was developed through Constant Comparison coding. Findings show an assemblage of four ECE teachers’ participation profiles in ECEPAUs; each one is shaped by the crossing of two axes: “Agency” and “ECE field.” These profiles are termed Communalist, Representativist, Field-centered, and Child-centered. To conclude, we discuss how these profiles, despite having some trappings of the definitions of professionalism usually described in the literature, do not have a one-to-one correspondence with the latter. This implies that these four profiles show that ECE teachers’ participation in ECEPAUs is not tied to the monolithic approach toward professionalism imposed by standardization and accountability. Optimistically, this loose-connectedness of teachers’ participation among ECEPAUs assembles an alternative ecosystem to navigate the constraining context but also may reflect the fragility of professionalism in the ECE field caused by fragmentation.

From research reading and doing to research use: Tracking trajectories of becoming research-informed second language teachers

Despite the crucial role of teachers in connecting research to classroom practices, very little is known about the processes of research-informed practice through their reading, doing, and use of research. Also largely unknown is how the potential interconnections among these activities could influence teachers’ evaluations of research relevance and sustainability of their research-informed practice. This study, therefore, explores trajectories of teachers in adopting research-informed practice. Relying on an ecological theoretical lens through a narrative case study approach, we collected data from three in-service EFL teachers using in-depth individual interviews, multiple follow-ups, teacher-generated research logs, and researcher-made analytic memos. Data analysis revealed specific starting conditions (e.g., subject-matter explorations) for development of rudimentary familiarity, turning moments (e.g., developmental thresholds) giving rise to more sophisticated reception, and bottlenecks (e.g., disciplinary identity) for sustained involvement in research-informed-practice for teachers. Furthermore, on top of cyclical links among reading, doing, and use of research, we found perceived signature patterns of reading (i.e., empirical papers), doing (i.e., action research), or use (i.e., successful classroom application) for each teacher, as evidence for threshold crossing. Implications for theory and research, professional development, and policymaking, including key prerequisites that must be provisioned to prepare teachers for research-informed practice, are discussed.

Professional nurses’ experiences of managing epilepsy at limited resource rural facilities in Limpopo and Mpumalanga Provinces, South Africa

BackgroundEpilepsy is a neurological disorder affecting approximately 50 million individuals globally, contributing significantly to the global disease burden. Professional nurses play a crucial role in the care and treatment of people living with epilepsy, ensuring their safety and well-being. Professional nurses frequently encounter challenges, such as restricted access to drugs, specialised equipment, and epilepsy treatment training. Despite these obstacles, professional nurses are essential to providing high-quality care to patients with epilepsy in remote locations. MethodsA qualitative design using explorative, descriptive, and contextual design was employed to achieve the objectives of the study. The sample comprised 20 professional nurses working in selected rural communities in Limpopo and Mpumalanga. Data was collected through in-depth individual interviews and analysed using Tesch's eight steps of data analysis. ResultsFour themes emerged from the data: experiences of professional nurses during management of epilepsy; inadequate training in management of epilepsy; insufficient supply of antiepileptic drugs and late presentation to local clinics. ConclusionThe study found that professional nurses experienced several challenges hindering the effective management of epilepsy. Cultural beliefs in supernatural causes of epilepsy significantly influence treatment preferences, consequently delaying diagnosis and treatment. Despite limited resources and cultural barriers experienced by professional nurses, they strive to provide appropriate care to minimise seizures. Ongoing education and training on epilepsy management is vital to enable professional nurses to keep up-to-date with current methods and new developments.

Agile transformation in the energy sector: empowering autonomous teams

Purpose This study aims to explore how to structure an energy organization to be more agile in the context of digitalization and find the common success factors and challenges the organizations face to transform. Design/methodology/approach A qualitative multiple-case study of an energy company and an online market company, both from the Nordic countries, was conducted in 2023. Data were collected through in-depth individual interviews with 16 participants. Findings This research provides valuable insights into the challenges and critical success factors crucial for a successful digital transformation. The study illuminates the interplay between technological advancements and organizational shifts, the adoption of agile methodologies, the importance of inclusive leadership and the integration of autonomous teams in realizing digital transformation goals. The research emphasizes the profound impact of these factors on the transformational journey within organizations. In particular, the adoption of agile methodologies takes on heightened significance in the swiftly evolving business landscape of today, calling for a transition from project-centric approaches to more adaptive and sustainable product-centric models. Originality/value The study contributes to the practice and enhanced understanding of organizing business and technology teams in energy companies to achieve fast flow. The analysis and discussion of various empirical findings shed light on the success factors and challenges of digital transformation – issues that many organizations are currently or will likely soon be grappling with. The impact of different organizational structures on agility in an organization has yet to be thoroughly studied.

Development of the Hybrid Clinical Practicum Environment Scale for Nursing Students.

This study aimed to develop a Hybrid Clinical Practicum Environment Scale for Nursing Students (HCPES-NS) and verify its validity and reliability. The HCPES-NS was constructed following the DeVellis guidelines. The initial items were written based on a literature review and individual in-depth interviews. Content validity was verified through an expert panel review. To confirm the validity and reliability of the scale, a survey was conducted with 449 nursing students enrolled in 12 nursing colleges. Data were analyzed using item analysis, exploratory factor analysis, confirmatory factor analysis, concurrent validity, and reliability tests. Factor analysis showed that the HCPES-NS consists of 15 items on five subdomains: clinical site atmosphere, interpersonal relationship, alternative online practicum contents, provision of learning information, and clinical performance facilitation. A higher score indicated a more positive perception of the clinical practicum environment. The concurrent validity of the HCPES-NS was confirmed by its positive correlation with the Clinical Learning Environment Scale (r = .77). The Cronbach's α reliability of the HCPES-NS was .84. The HCPES-NS is both valid and reliable. This scale reflects the clinical practicum environment and includes an online practicum factor. It may be used effectively by faculty members and educators to evaluate nursing students' perceptions of clinical practicum environments.

An Exploratory Study on Non-Contact Nursing Experiences of Clinical Nurses during the COVID-19 Pandemic

This study aimed to understand the non-contact nursing experiences of clinical nurses during the COVID-19 pandemic. A qualitative research design applying thematic analysis was used. The participants were purposive sampled from three institutes: a tertiary hospital, a general hospital, and a residential treatment center in Seoul. Data were collected between December 2021 and January 2022 through individual in-depth interviews with 12 clinical nurses. The data were analyzed using Braun and Clarke's method to identify the meaning of the participants' experiences. During the COVID-19 pandemic, the fields where the participants performed non-contact nursing included intensive care units and isolation wards of hospitals, a residential treatment center, and home cares. Their tasks in non-contact nursing commonly involved remote monitoring using digital devices or equipment, consultation and education. From their experiences performing tasks in these fields, the four theme clusters and nine themes were derived. The four theme clusters are as follows: (1) Confusion of nursing role; (2) Conflict due to insufficient support system; (3) Concern about the quality of nursing; (4) Reflection on the establishment of nursing professionalism. This study highlights the necessity for institutionalizing professional nursing areas, nursing education, and practical support by clarifying the purpose and goals of non-contact nursing and developing nursing knowledge through frameworks.

What Do Breast Cancer Previvors Tell Us About Their Stories? To Know or Not to Know?

This study aimed to explore the (1) experiences of breast cancer previvor women during genetic testing; (2) perceptions of the impact of genetic testing on their personal, social, family, and professional lives; and (3) views on breast cancer prevention and follow-up processes. This study focused on the risk of breast cancer in persons with BRCA mutations. Data were collected through individual in-depth semistructured interviews. The data were analyzed using the MAXQDA program based on the method suggested by Graneheim and Lundman. This study was conducted in Istanbul, Turkey, and included 17 participants. Five themes emerged from the data analysis-Acquaintance with BRCA, Living with BRCA, Managing the Legacy, Maternalism, and We Are Here, including a total of 12 categories. The previvors had negative experiences during genetic testing, mainly owing to a lack of information, stigma, and women's roles in society. A structured and individualized process for genetic counseling was identified as the main requirement. National and international policies on breast cancer previvors should be developed to prevent breast cancer and reduce mortality. Adopting a multidisciplinary approach during genetic counseling will favorably contribute to previvors' medical and psychosocial well-being. Follow-up programs before and after genetic testing should be created. Society's cultural and genetic literacy levels should be evaluated, and activities should be planned to raise social awareness.

Inadvertent Hypothermia in the Perspective of Operating Room Nurses: A Phenomenological Qualitative Study

The aim of the study was to reveal the awareness and perceptions of operating room nurses concerning inadvertent hypothermia, as well as their experiences and recommendations for its prevention. The study employed a phenomenological qualitative approach. This study was conducted with 17 nurses working in the operating room of a university hospital in Konya, Turkey. Data were collected face to face between 15 August and 30 September 2022 using the in-depth individual interview method. The data were subjected to inductive content analysis. Written permission was obtained from the hospital, the ethics committee, and the participants to conduct the study. The mean age of the nurses was 28.4 years and the majority were female. The nurses were graduates of a four-year health vocational high school, a two-year nursing associate degree program, or a four-year nursing bachelors' degree program. Their operating room experience ranged from 1 to 22 years. All the nurses were aware of inadvertent hypothermia, and all but one encountered hypothermia and applied preventive measures. The data analysis revealed 263 codes, 12 categories, and 4 themes on the awareness and perceptions of operating room nurses about inadvertent hypothermia and their experiences and recommendations for its prevention. The findings showed that the majority of the participants were aware of inadvertent hypothermia and its risk factors, and frequently encountered inadvertent hypothermia despite implementing preventive measures.

Nurses’ Experiences in Raising Adolescent Children

Purpose: This study aimed to explore the adolescent child-rearing experiences of nurses and describe the meaning and structure of child-rearing experiences from their perspectives.Methods: A phenomenological methodology with a qualitative approach was used for the study design. The participants were 7 nurses with adolescent children. In-depth individual interviews were conducted from December 2023 to April 2024 and analyzed using the Giorgi phenomenological method.Results: Five constituents and 16 subconstituents were identified. The 5 constituents were “difficulties in balancing work and family,” “a supportive family,” “pride as a nurse,” “adolescent child who does not seem like my own,” and “changing parenting attitudes.”Conclusion: This study revealed the practical significance of nurses’ experiences in raising adolescent children. The results of this study provide basic data for nurses to implement various programs to raise adolescent children. This program enables nurses to better understand adolescent children and provide parenting assistance based on their changes.

A Narrative Inquiry into EFL Teachers’ Emotional Geographies in Online Grammar ‘Funtainment’ Assessment

In EFL classrooms, each teacher is expected to be able to act professionally in teaching and assessing the students through the ability to control emotions. However, studies that capture such phenomenon are lacking. This study investigated the narratives of Indonesian EFL teachers’ emotional geographies who conducted online assessments using 'Funtainment Assessment' in 'Grammar' classes. The study employed a narrative inquiry as the design by collecting individual in-depth interview data over four months. Findings unveiled five aspects that influenced changes in the participants' emotional geographies: physical, moral, sociocultural, professional, and political. Participants had a variety of attitudes in response to the emotions that arose when assessing the students' grammar competence online. Interestingly, the participants experienced continuous adaptation to the practice of negotiation to the emotional changes Thus, it did not distract the professional developments they had done through agentive actions. The study's empirical results also suggest that the 'emotional geography dimensions' contributed to future teachers' professional developme

Best practices in teaching reading: A phenomenological study

This study explored the lived experiences, strategies, best practices, and suggestions of reading teachers in teaching reading in the Montevista District, Davao de Oro. Utilizing a qualitative-phenomenological research method, data were collected through random sampling from eight reading teachers across four participating schools using individual in-depth interviews. The results revealed that reading teachers experienced difficulties in teaching reading, primarily due to the lack of early phonological awareness instruction in the lower grades. Additionally, the study identified several effective teaching strategies, including the use of individualized teaching methods, video materials, and the early introduction of phonological awareness. Based on these findings, it can be concluded that emphasizing phonological awareness at an earlier stage, regularly following up on learners' development, and involving parents in understanding their child’s reading skills and progress are crucial. The study recommends that the reading coordinator of Montevista District in Davao de Oro implement more diverse reading strategies, provide additional materials, and offer more training opportunities for teaching reading.

Insights from the EQUALS4COVID19 study on migrant mental health in Portugal: a cross-sectional mixed-methods approach

BackgroundThe COVID-19 pandemic and related disruptive consequences in the economic, health, and educational sectors have impacted people’s lives, contributing to a context of increased economic and social vulnerability. The pandemic has revealed and accentuated social inequalities and discrimination based on racial or ethnic origin. This study aimed to contribute to the promotion of the mental health and well-being of migrant populations living in Portugal via the definition of an analytical framework and recommendations emerging from the EQUALS4COVID19 project.MethodsTo gather information on the impact of the COVID-19 pandemic and resilience determinants among immigrants, a mixed-methods approach was implemented in 2022, combining a cross-sectional survey targeting immigrant adults in Portugal, focus groups with immigrants, focus groups with healthcare professionals, and in-depth individual interviews with stakeholders involved in the implementation of measures related to mental health and well-being during the pandemic. The analysis followed an integrated framework; quantitative data informed the script of qualitative data collection methods, and qualitative analysis informed the reinterpretation of quantitative data.ResultsThe survey with 604 Brazilian and Cape Verdean immigrants revealed that gender (being a woman) was associated with both psychological distress and depression-related symptomatology and that the perception of discrimination was a major risk factor for psychological suffering, while perceived social support and individuals’ resilience characteristics were protective factors. Qualitative data provided deeper insights into these findings, revealing the ways mental health is affected by social structures, such as gender and ethnic hierarchies. Migrants tend to work in precarious jobs requiring physical presence, which, together with dense housing conditions, puts them at higher risk of infection. The deterioration of the economic conditions of the general population has also increased the perception of ethnic-racial discrimination, which was found to be related to the increase in insecurity and anxiety-related symptomatology among the migrant population. Newly arrived migrants, with reduced support networks, experienced a greater sense of insecurity as well as concern and anguish regarding relatives who live far away, in their home country. Migrant women reported greater family-related distress, including work-life balance problems.ConclusionsProposals to address mental health inequalities should be considered in the context of the necessary global changes both at the societal level and in the delivery of mental health services. Additionally, they should be considered with the active involvement of migrants, families, and communities in the design and delivery of mental health promotion and care processes.

"Normal Means Blessing!" Awareness and Acceptance in Mothers of Children with Special Care Needs: A Qualitative Study

The objective of this study was to examine the acceptance and awareness of mothers with children with special needs regarding their children’s special situation. A qualitative exploratory approach was employed in this study. Between November 2023 and January 2024, in-depth individual interviews were conducted with 22 mothers of children with special needsFour primary themes emerged from the mothers included in the study regarding their acceptance and awareness of their children’s special situation: Challenges, Transformation, Adaptation, and Mistakes. The Challenges theme encompasses the child who deviates from expectations, lack of information, stigma, lack of support, burden of care, inadequacy, and guilt. The Transformation theme encompasses the concept of the special child, increased responsibilities, attitude toward the social environment, and normal means of blessing. The Adaptation theme encompasses the sub-themes of treatment and care, family dynamics, spirituality, and social. The Mistakes theme encompasses the sub-themes of dependency on the child, dependency of the child, and allowing secondary gain. The parents demonstrated a willingness to accept and be aware of their children’s special condition, which facilitated the process of transformation and adaptation. In order for parents to undergo the transformation process more expeditiously, it is necessary to enhance their acceptance and awareness.

Examining the educational experiences of Behvarzes from the insufficient participation of some people in preventive measures against the COVID-19 pandemic: a lesson for the future

BackgroundThis study aims to explore the experiences of Behvarzes regarding the reasons behind the insufficient participation of some individuals with the preventive protocols established during the COVID-19 pandemic.MethodsA qualitative study was conducted from July 2021 to December 2022 using the conventional content analysis method. Purposive sampling was employed to select 14 Behvarzes working in villages covered by Kashan University of Medical Sciences. Data were collected through semi-structured in-depth individual interviews and analyzed using conventional content analysis.ResultsThe study identified seven subcategories which were grouped into two main categories of reasons for inadequate compliance with health protocols by some individuals. These include: (1) Intentional non-compliance with preventive protocols, with the following subcategories: perceived obligation and adherence to social customs, denial of risk, belief in external health locus of control, and fear and distrust of prevention and treatment methods. (2) Unintentional non-compliance with preventive protocols, with the following subcategories: insufficient or contradictory information, negligence, and inevitability.ConclusionThe findings suggest that ensuring compliance with health guidelines is not a one-size-fits-all approach. providing empowerment and obstacle removal solutions to those forced to violate preventive protocols for various reasons are all critical components of successful interventions. Also, cultural familiarity can aid in the design of appropriate interventions to address these challenges.