Interpersonal Reasons Research Articles

Experiences of maternal healthcare delivery in South Africa: Perinatal women's viewpoints.

Becoming a mother should be an exciting experience in woman's life. No mother should have to endure adverse encounters. while seeking healthcare in any maternal services facility. this is a phenomenon occurring globally. Delivery of these maternal healthcare services has a bearing on the obstetrical outcomes of mothers from preconception until six weeks after delivery. The study aims to understand the experiences of perinatal women regarding maternal healthcare services in the public hospitals of Gauteng province in South Africa. This study followed an exploratory and descriptive qualitative approach using a purposive sampling method. The study was conducted in three selected public hospitals representing different levels of care namely, district, tertiary provincial, and academic in the Gauteng province. A total of forty-six perinatal women were selected to take part in six focus groups. Data were thematically analysed following the six steps given by Braun and Clarke (2013). Three themes emerged as follows: 1) individual 2) interpersonal reasons and 3) impact of poor complaints procedure on maternal healthcare. The study showed that maternity services rendered to perinatal women in the three selected public hospitals are affected by several factors, such as midwives' attitudes, knowledge and skills, professional ethics, communication, and delayed maternal healthcare. These findings demonstrate an urgent need for practice and policy interventions that go beyond just a routine service but quality and organised maternal healthcare services provided in public hospitals, for improved healthcare outcomes at the point of service.

TikTok Too Much? A Qualitative Investigation of Adolescent TikTok Use, Motivation, and Consequences

TikTok use has grown rapidly since the COVID-19 pandemic, especially among adolescents. The goal of this study is to understand how and why teenagers use TikTok and how teenagers perceive these behaviors and motivations as contributing to their mental well-being. This qualitative, descriptive study involved interviewing teenagers one-on-one via Zoom regarding their TikTok use and how they perceived TikTok as influencing their well-being ( N = 31; Mage = 15.83). Thematic results revealed that teenagers mostly used TikTok to scroll, watch videos, create and send content, and meet friends. Participants primarily used TikTok for interpersonal reasons (such as entertainment) and for relational reasons (such as to communicate with others). When TikTok was used as a distraction or if they scrolled through depressing or adverse content, their mood declined, but if viewing entertaining content or connecting with others, participants perceived benefits for their well-being.

To Break or Not to Break?: Understanding the Motivations and Consequences of Taking Breaks in Romantic Relationships

Studies have been performed on how individuals experience romantic breakups and consequences of breakups, but there is a gap regarding temporary breakups, referred to as “taking a break.” Therefore, the goal of this study is to examine how and why individuals take breaks (i.e., temporary breakups) in romantic relationships and the consequences of doing so. This qualitative study involved participants (N = 69; 81.6% female) completing individual interviews. Two primary investigators conducted reflexive thematic analyses following Braun & Clarke’s (2002) six step approach. There were four themes for how people take breaks, including communication with partner during the break, whether or not they discussed boundaries, interpersonal behaviors, and whether the decision was mutual. People took breaks due to time issues, stress, issues with partner, interpersonal reasons, relationship issues, and a desire to breakup. Participants reported positive and negative changes as a result of the temporary breakup, while also determining if they should stay together. Results reveal similarities to breakup experiences, but are different due to the hope of improving the relationship after the break.

Better to Have Played Than Not Played? Childhood Sport Participation, Dropout Frequencies and Reasons, and Mental Health in Adulthood

This study considers the long-term mental health implications of organized youth sport participation, informed by an accumulation model of health, the Sport Commitment Model, and a life course perspective. Using data from the National Sports and Society Survey (N = 3,931) and multiple regression analyses, results indicate that adults who continually played organized youth sport had fewer depressive and anxiety symptoms compared with those who played and dropped out and those who never played. Dropouts had worse mental health than those who never played. Furthermore, among dropouts, reported interpersonal reasons for dropping out of organized sport were consistently associated with subsequent mental health but some structural factors also mattered. These findings point to a need to improve the interpersonal and structural environments of organized youth sport.

Exploring the Relationship between Tourist Perception and Motivation at a Museum Attraction

Tourism activity represents one of the most dynamic and defining activities for today’s society. In this context, knowing the perception and motivation of potential tourists visiting a museum attraction represents an essential approach with implications for the sustainable development of tourist destinations. The research methodology used in the present study involved the complementary use of survey methods for data acquisition and multicriteria analysis to identify and establish relationships between perception and motivation. The results obtained from the present study show a synthetic picture regarding the perception and motivation of the tourists who visited the Crișului Land Museum from Oradea, Romania, on the one hand, and the relationships that were established between perception and motivation, on the other hand, thus confirming the research hypothesis that perception influences motivation. The perception of tourists after visiting the Crișului Land Museum in Oradea is determined by personal and interpersonal reasons, as well as by the way they perceive the visited site. The study originality consists in the use of mixed-method approaches to collect and analyze data, as a means to complement different data sources.

Conversations on echolalia: A qualitative inquiry into autistic adults’ views on echolalia, language, and music

ABSTRACT Introduction Considering the growing influence of the Neurodiversity movement on the literature on autism, we attempted to shed a new light on autistic echolalia in music therapy by exploring the topic from an identity-first viewpoint. We interviewed autistic adults and studied this phenomenon from their perspective. Method Five adults on the autism spectrum were interviewed. For the data collection phase, Reductive Phenomenology was used. The participants were asked to reflect on the need to echo as they understand it and discuss possible reasons that may lead autistic clients to echo during music therapy. They were also asked about musical aspects that echolalia may have. For the analysis of the data, the guidelines of Interpretative Phenomenological Analysis were followed to extract themes and categories from the data. Results The interviewees pointed at two main reasons for echolalia in their opinion: (a) intra-personal reasons that mainly function to self-regulate the echoing person; and the much less frequently mentioned (b) inter-personal reasons that relate to interactions with others. They also pointed at several connections between music and echolalia, for example, the heightened awareness to the prosody of words rather than their content and the use of songs as echolalia. Discussion The information provided by the interviewees is compared to descriptions of echolalia in the literature. Enabling the participants to share their autistic experience, we believe, is an opportunity to hold back preconceived assumptions about echolalia made by non-autistic music therapists and other professionals, and to help them improve their clinical understanding of echolalia.

Conflicts of interest among patients: do they exist and can they bias patient-reported outcome measures? A survey of shoulder and elbow patients.

Potential conflicts of interest (COIs) are common among physicians and may bias physician-reported outcome assessment in orthopedic research. It is unclear whether patients have COIs and whether these COIs could affect patient-reported outcome measures (PROMs). The purposes of this study were to investigate (1) the existence of COIs among patients and (2) the potential of these COIs to bias PROMs with a pseudonymized survey among consecutive shoulder and elbow patients. Between February and May 2021, 144 shoulder and elbow patients who underwent consultation at our outpatient clinic were included in the survey study. Of these patients, 79.2% (n=114) completed the 11-item questionnaire. Variables including sex, existence of chronic diseases, level of education, and economic status were also assessed to investigate any association between these variables and patients' perceptions of COIs. Whereas 33.3% of respondents (n=38) believe that COIs exist among patients and 28.1% (n=32) believe that COIs could bias PROMs in general, fewer patients admit to personal COIs (24.6%, n=28) and COIs biasing their self-assessment (23.7%, n=27). Patients more frequently suggest COIs in their personal environment, such as among family members or friends (27.2%, n=31), than in their own medical treatment. Financial factors such as sick pay (34.2%, n=39) are thought to be the most likely reason for having COIs, followed by interpersonal reasons such as maintaining medical affection or bonds (29.8%, n=34). Of respondents, 42.1% (n=48) believe that sole usage of PROMs poses risks in treatment evaluation and only 21% (n=24) consider PROMs reliable. In addition, 43% of respondents (n=49) believe that patients should disclose COIs routinely in medical treatment. Multinomial logistic regression analysis revealed that wealthier patients are more likely to believe COIs could bias PROMs (odds ratio for poor vs. middle class, 0.23 [95% confidence interval, 0.053-0.963]; odds ratio for lower-middle class vs. middle class, 0.19 [95% confidence interval, 0.052-0.677]). Although the majority of shoulder and elbow patients deny having self-experienced COIs and deny biased PROMs due to COIs in their own medical treatment, a considerable number of patients admit to having experienced both. Further studies might be justified to investigate the actual clinical relevance of patients' COIs and their impact on value-based health care.

Readiness to change among justice-involved young adults in an alternative sentencing program who screened positive for alcohol or drug risk

IntroductionReadiness to change is a key component of substance use behavioral change; yet little is known about readiness to change among justice-involved young adults. This study 1) describes readiness to change alcohol and drug use and 2) examines predictors of readiness to change alcohol and drug use among justice-involved young adults. MethodJustice-involved young adults (18–24 years; n = 137) who were positive on a validated alcohol and/or drug screening tool completed an interview assessing substance use, readiness to change, and reasons to quit. A multivariable linear regression model examined whether reasons to change and substance use severity, and interactions between these, predicted readiness. ResultsMore than half of participants were contemplating or had decided to quit/cut down substance use. Personal reasons to quit were positively related to readiness to change; interpersonal reasons were negatively associated. ConclusionsThis study contributes information needed to design motivational interventions for substance use among justice-involved young adults. Personal reasons to quit using drugs are a potential intervention target.

Analyzing Changes in Sport Activity Patterns Caused by the COVID-19 Pandemic: Focusing on the Sport Role of Sustainable Development Goals Related to Health and Well-being

PURPOSE The United Nations (UN) has proposed 17 Sustainable Development Goals and has been extending its efforts to achieve them. Sport can be linked closely to the third goal, which is related to health and well-being. Therefore, this study aimed to explore and to analyze individual's changed sport activities during the COVID-19 pandemic, focusing on ways to achieve health and well-being related goals through sport.METHODS A qualitative research method was employed, and in-depth interview methods were used for data collection. For data analysis, categorization and itemization were used along with content analysis.RESULTS Looking at the derived results, in the context of an infectious disease such COVID-19, sport activity patterns have changed due to reasons such as stadiums or facilities, interpersonal reasons, fear, inconvenience, staying healthy, increase in leisure time, and individual preferences.CONCLUSIONS Due to the COVID-19 pandemic, the indicators of health and well-being related SDGs are exhibiting a downward trend. At this point, it is necessary to find a way to achieve the goal through sport that can participate voluntarily for the purpose of pursuing pleasure.

Maltreatment history and reasons for self-injurious behavior among adolescents engaged in non-suicidal self-injury versus adolescents who attempted suicide.

Self-injurious behavior (SIB) is a significant public health concern in the United States, especially among adolescents with histories of maltreatment. This study compared maltreatment characteristics and reasons for SIB between three homogenous samples of adolescents with either: (1) non-suicidal self-injury (NSSI); (2) suicide attempt/s (SA), and (3) typically developing controls (TDC). Participants (N=124) aged 13-17 years completed questionnaires about their maltreatment and SIB histories. Maltreatment rates were as follows: 90% NSSI group, 76% SA group, and 40% TDC group. Adolescents in the NSSI group reported significantly higher rates of emotional neglect compared to the SA group. Maltreated adolescents in the NSSI and SA groups reported the same top three SIB reasons: (1) get rid of bad feelings, (2) mental state at the time, and (3) problems with family. However, maltreated NSSI participants were significantly more likely to engage in SIB for emotion regulation reasons than maltreated SA participants, who were more likely to engage in SIB for interpersonal reasons. Physical neglect and physical abuse also arose as significant predictors of specific SIB reasons. Our findings help elucidate the maltreatment profiles and reasons for SIB among adolescents engaged in NSSI or SA. Specific maltreatment experiences may also influence the reasons why adolescents engaged in SIB.

HPV vaccine delay and refusal among unvaccinated Mexican American young adult women: a qualitative investigation of Mexican-born and US-born HPV vaccine decision narratives.

Low HPV vaccination rates among Latina young adults perpetuate HPV-associated cancer disparities. Using qualitative methods, this study explored individual, interpersonal, and community factors that influence HPV vaccine delay and refusal among Mexican- and U.S.-born Mexican American young adult women. Participants (N = 30) between 18 and 26 years old were purposively sampled from two federally qualified health centers in Orange County, California. The National Institute on Minority Health and Health Disparities research framework and narrative engagement theory guided semi-structured phone interviews coded inductively and deductively. Participants primarily attributed vaccine status to individual and interpersonal reasons. Emerging themes included low HPV vaccine knowledge, insufficient provider communication, negative perceptions about HPV and the vaccine, motherhood responsibilities, mother’s communication about HPV, cultural family norms, health care access, and misinformation. Compared to U.S.-born Latinas, Mexican-born participants more frequently expressed avoiding health care discussions with family. HPV vaccine recommendations for young Mexican American women should include socioculturally tailored messages that may improve HPV vaccination acceptance and uptake.

Using L2 interactional-pragmatic resources in CMC: A case of Japanese orthography and emoji

Increasingly prevalent use of technologies such as instant messaging and online chat has transformed our traditional ways of learning and teaching pragmatics. This study presents an example of such transformation by demonstrating how computer-mediated communication (CMC) may be employed as a tool to provide second language (L2) learners opportunities to use interactional resources specific to the context of CMC, namely unique orthography and emoji. For the study, we introduced four university-level learners of Japanese to a language exchange messaging application and recorded their online text-based chat interactions with native Japanese speakers over a period of 12 weeks. We followed up the chat data with weekly stimulated verbal recalls (SVR) to investigate L2 learners’ intentions and perceptions surrounding their own and others’ use of unique orthography and emoji (48 SVR sessions total; average 30 minutes per session). Coding and thematic analysis of the chat data revealed learners’ agentive use of orthography and emoji as resources for communication. In addition, the SVR data revealed a variety of personal and interpersonal reasons behind their use, including learners’ concerns over self-presentation, interpersonal relationships, identity, and discourse management. The findings not only demonstrate how CMC can afford learners a unique environment for experimenting with a range of context-appropriate interactional resources to convey pragmatic meaning, but also shed light on the various, sometimes competing, considerations and complex processes underlying learners’ pragmatic choices in CMC.

Black Americans report greater resilience to suicide unless its interpersonally motivated and are more accepting of others right to die

PurposeSuicide is a public health crisis that differentially affects racial and ethnic groups. Suicide is a public health crisis that differentially affects racial and ethnic groups. American Indians had the highest per capita suicide rates (11.1 for females and 33.4 for males) followed by White Americans (8.0 for females and 29.8 for males; Centers for Disease Control, 2019). There is an emerging focus on racial/ethnic disparities in suicide prevention research. Prior studies suggest that more accepting attitudes toward suicide are associated with elevated suicide risk status. As such, this study aims to examine the association between racial/ethnic identity and three attitude domains: the right to die, interpersonal gestures and resilience.Design/methodology/approachGeneral linear models were used to compare racial/ethnic groups in right to die, interpersonal gestures and resilience attitudes.FindingsParticipants who identified as Native American or Black were more likely than participants who identified as White, Bi/Multi-racial and Hispanic to hold attitudes supporting interpersonal motivations for suicide. Participants who identified as Black were more likely than participants who identified as White to hold right to die attitudes. Participants who identified as Black were more likely than White participants to report not viewing suicide as an option. These results suggest that racial/ethnic identity impacts attitudes toward suicide. People who identify as Native American or Black may be more likely to see suicide as acceptable for interpersonal reasons despite those who identify as Black being less likely to see suicide as an option. This study has implications for suicide prevention programs and interventions within racial/ethnic communities. Focusing interventions on attitudes supporting interpersonal motivations for suicide may increase effectiveness within Native American and Black communities.Originality/valueThis study aimed to fill a gap in suicide prevention research by examining associations between racial/ethnic identity and responses to a multidimensional attitude toward suicide measure. No prior study has compared attitudes across multiple domains and racial/ethnic groups.

Reasons for choosing an exercise and sport science degree: Attractors to exercise and sport science

Despite recent growth and increasing popularity, there is limited knowledge of course choice and career intentions in exercise and sport science. Students in exercise and sport science degrees completed a questionnaire to measure their career intentions and reasons for course choice. Immediate career intentions were most frequently further study, with five year career intentions most often in physiotherapy or sport science areas. The main reasons for course choice were sport association and continuation reasons (love of sport and remaining involved) and interpersonal reasons and means to an end (wanting to work with and help others and to provide career options).

Investigating the utilisation of the Micro-Functions of Bahasa Melayu by English Teachers

The controversy over the use of first language (L1) in the second language (L2) classroom has been discussed extensively by numerous scholars in which they either advocate or reject the utilisation of L1 in the target language (TL) classroom. Although the proponents of the monolingual approach argued that there are many disadvantages of utilising the L1, they have yet to present empirical findings to demonstrate that L1 could ultimately hinder the L2 learning. In most L2 classrooms, teachers and students often share similar experiences of L1 utilisation, including in English language classroom in Malaysia. Therefore, it is common for teachers to feel the inclination to use L1 when the other options have failed to explain something during the lessons. A considerable number of local and international studies have pointed out on the wide range of L1 use by L2 teachers. Thus, this study intended to investigate the specific utilisation of micro-functions of L1 (Bahasa Melayu) by English (L2) teachers. A total of 899 English teachers from Pahang were randomly selected to respond to a survey questionnaire which consists of 43 items that represent a myriad functions of Bahasa Melayu (BM). The findings of the study showed that the majority of the respondents utilised a significant number of micro-functions of BM to teach English particularly to assist them in delivering the content of the lessons while its usage was so significant for classroom management and social and interpersonal reasons. The study proposes a need for proper guidelines on how and when teachers should use L1 in L2 teaching. Keywords: First Language; Second language; Bahasa Melayu; English Teachers

Physical Activity and Factors Affecting Its Maintenance Among Patients With Coronary Heart Disease Not Undergoing Cardiac Rehabilitation in China.

BackgroundThe level of physical activity (PA) among patients with coronary heart disease (CHD) living in Chinese communities who do not participate in cardiac rehabilitation programs and the factors contributing to patient maintenance of PA are unclear.ObjectiveThis cross-sectional study, guided by the Transtheoretical Model, evaluated (1) the maintenance of PA in Chinese patients with CHD 12 months after hospital discharge and (2) the demographic, clinical, and psychological characteristics associated with maintenance of PA.MethodsA total of 1162 patients completed 6 questionnaires at 12 months posthospitalization to assess their maintenance of PA, stage of change, symptoms of depression and anxiety, and health-related quality of life and sleep.ResultsOnly 40% of patients with CHD maintained regular PA 12 months after hospital discharge. Walking was their primary PA. Thirty-seven percent of patients reported no intention of having regular PA. Male sex (odds ratio [OR], 1.69), awareness of PA's cardiac benefit (OR, 4.12), a history of regular PA before the cardiac event (OR, 6.08), history of chronic disease (OR, 1.43), mild depressive symptoms (OR, 1.40), moderate and severe depressive symptoms (OR, 0.41), smoking (OR, 0.54), and years of CHD (OR, 0.96) were related to maintenance of regular PA. Patients with CHD who maintained regular PA had better quality of life and sleep (P < .001) and fewer unplanned clinic visits (P = .001) and cardiac cause readmissions (P = .012) and reported fewer declines in PA capacity (P < .001).ConclusionsWalking is the most common form of PA 12 months posthospitalization among patients with CHD in China. Patient education and counseling about the cardiac benefits of PA, taking into account stage of change, are important considerations to improve maintenance of PA.

Factors causing stress in midwifery students

Stress is an emotional and physical strain caused by our response to pressure from the outside world. It is a specific response by the body to a stimulus that disturbs normal functioning. Students are subjected to different kinds of stressors such as the pressure of academics with an obligation to succeed. Students also face social, emotional, physical and family problems. Stress results from the interaction between stressors. Nursing students are likely to experience more stress than their friends and colleagues enrolled in other programmes. This study was conducted among the midwifery students enrolled in the diploma nursing and BSc nursing courses. A self-administered stress questionnaire prepared by the investigator was used to assess the factor causing stress among midwifery students. The study revealed that majority of midwifery students of both diploma and BSc nursing reported high stress related to clinical experience and interpersonal reasons.

Mainline Churches: Networks of Belonging in Postindependence Kenya and Tanzania

AbstractChristian churches are not abstract or ethereal institutions; they impact people’s daily decisions, weekly rhythms, and major life choices. This paper explores the continued importance of Lutheran, Presbyterian, and Anglican church membership for East African women. While much recent scholarship on Christianity in Africa has emphasized the rising prominence of Pentecostalism, I argue that historic, mission-founded churches continue to represent important sources of community formation and support for congregations. Using oral interviews with rural and urban women in Nairobi and northern Tanzania, I explore the ways churches can connect disparate populations through resource (re)distribution and shared religious aesthetic experiences. Moving below the level of church institutions, I focus on the lived experiences and motivations of everyday congregants who invest in religious communities for a range of material, interpersonal, and emotional reasons that, taken together, help us understand the ongoing importance of mainline churches in East Africa.

Reasons for dropout from cardiac rehabilitation programs in women: A qualitative study.

BackgroundEmpirical evidence has shown that cardiac rehabilitation programs are effective in reducing morbidity and mortality, improving quality of life in patients with cardiovascular disease. Despite the benefits, women have a high cardiac rehabilitation dropout rate. Our aim was to explore women’s perceptions about the reasons they faced for dropout from these programs.MethodsSemi-structured interviews were conducted with women (n = 10) after dropping out from three different cardiac rehabilitation centers in Spain. In addition, a focus group and a semi-structured interview with cardiovascular professionals were conducted. From a grounded theory perspective, thematic analysis was used to derive themes from interview transcripts.ResultsThe women were between 41 and 70 years. We identified five general themes that illustrated reasons for cardiac rehabilitation dropout: intrapersonal reasons (self-reported health, self-reported mental health, health beliefs); interpersonal reasons (family caregiver role, work conflicts); logistical reasons (transport, distance); cardiac rehabilitation program characteristics (perception of the objective of cardiac rehabilitation, exercise component, inconvenient timing, cardiac rehabilitation equipment); and health system reasons (financial assistance for transport, long waiting list). The cardiovascular professionals found barriers to cardiac rehabilitation completion similar to those found by the women.ConclusionsIn order to prevent cardiac rehabilitation dropout in women, modular and flexible programs are needed. In addition, the inclusion of primary care centers or community resources could improve cardiac rehabilitation completion in women. Psychological assessment and counseling during cardiac rehabilitation should be included as an essential part of the programs and recommended for those women with depressive symptoms. Finally, improved financial assistance for transport from the health system is essential.

Parental Absence and Non-Suicidal Self-Injury: Social Support, Social Constraints and Sense-Making

Given the rise of non-suicidal self-injury (NSSI) in youth, it is imperative to address understudied correlates that may contribute to NSSI. The primary purpose of the present study was to investigate NSSI in college students (N = 1703) with or without a history of parental absence. We also examined the relationships between parental absence, interpersonal (i.e., support and social constraint) factors, intrapersonal (i.e., sense-making) factors, and NSSI in our sample of primarily Caucasian/White, heterosexual, single, traditional-aged, female college students. Logistic regression indicated that the odds of reporting NSSI were 5 times higher for participants who had experienced permanent parental absence (e.g., death) compared to those who had not experienced absence. The odds of reporting NSSI were 8.5 and 7.5 times higher for those respondents who had experienced non-permanent parental absence (e.g., parental travel) and both types of parental absence, respectively, when compared to those who experienced permanent parental absence. Social support, social constraint, and sense-making made significant but small contributions to the prediction of NSSI endorsement. Participants who reported experiencing both permanent and non-permanent absence exhibited the highest level (p < .001, η2 = .09) of interpersonal reasons (e.g., to hurt someone) for engaging in NSSI. These findings can serve as a catalyst for future NSSI research (e.g., the potential importance of including parental absence as a background variable). Moreover, the results suggest the possible benefit of continued examination of: (a) the relationship between experiencing both types of parental absence and engagement in NSSI for interpersonal reasons; and (b) social support, sense-making, and social constraint as contributing factors of NSSI endorsement.