Number Of Subthemes Research Articles

Symposium 4: Early researchers’ experience of a networked learning forum

International conferences and fora bringing together a diverse group of researchers, scholars and practitioners are claimed to be sites of learning and networking. This paper reports on the findings of an explorative study investigating the experience of early researchers participating in the Networked Learning Forum 2021 which was specifically planned to support their learning and development. These qualitative findings are part of the encompassing evaluation study of the event more generally. This part study implemented thematic analysis on transcript data of a focus-group interview held with participating early researchers soon after the end of the event. In this paper, we share the thematic description of the early researcher’s experience as emerged from this group interview. This description generally confirms the preliminary survey findings showing up the Networked Learning Forum 2021 as a site of learning and development. But distinctively, in this part of the study, the event surfaced as a site of early researcher challenges. ‘Learning experience’ came to the fore as a strong core theme configured by 4 primary, constituent themes; ‘event organisation’, ‘interactions’, ‘means of acquisition’ and ‘researcher challenges’. Each of these 4 primary themes was structured by a number of subthemes. This thematic description of the Networked Learning Forum 2021 experience from the perspective of participating early researchers, highlights the event as a compelling, participatory event bearing substantial academic advantage for learning and development. Distinctively, the academic advantage emerges as closely linked to what are identified as researcher challenges. This thematic picture, based on a single case, is very limited in scope. Further research is needed to verify claims. But meanwhile it is reasonable to listen to the recommendations made by the early researchers of this study encouraging similar events. Such events make it easier for beginning researchers to connect with experts and international peers. They facilitate beginning researchers to present their research to an international audience within a relatively less intimidating environment compared to typical international conferences which are much larger. They provide a space for beginning researchers to be challenged in developing research related competences and emotionally grow as researchers.

Immigrant Consumption Behaviors: A Systematic Integrative Review and Future Research Agenda

This article explores the concept of “immigrant consumption behavior (ICB)” in the context of its holistic surroundings. The study investigated the current dynamics and scientometrics of the research field regarding immigrant consumption behaviors. Using an integrative approach employing bibliometric and content analysis, it scrutinized a collection of 224 studies from the Web of Science and Scopus databases to detect the field evolution, disciplinary distribution thematic map, and emerging trends in the ICB literature, as well as to forecast research directions. The results showed that ICB is a multi- and inter-disciplinary research area that experienced three phases of growth between 1989 and 2023: initiation (1989–2006), development (2007–2012), and consolidation (2013–now). The thematic analysis revealed five current trends, i.e., (1) the immigrant consumption behavior domain, (2) the demographic sub-groups of immigrants and related consuming products, (3) country-, region-, and cultural-focused studies, (4) the effects of culture and the acculturation process, and (5) the impact of urbanization. Each theme contains a number of sub-themes. Based on the current thematic evolution and keyword burst analysis, this paper suggests a number of critical research directions, comprising (1) observatory studies including remittances, China, ethnic minorities, lifestyle, inequality, urbanization, and food consumption; (2) context-based studies focused on socioeconomic, cultural, legal, and environmental factors; (3) studies based on compensatory and compromissory consumption behavior; (4) studies focused on sustainable and green consumption behaviors; and (5) studies regarding the behavior of specific demographic co-ethnic communities. The results have great implications for developing interventions and programs that can support immigrant populations in making appropriate consumption patterns and adapting to new cultural environments. The paper pushes forward the ICB investigation from individual empirical studies to synthesis-based research, which (1) provides an ample overview of the ICB literature, (2) identifies research priorities, emerging trends, and gaps, (3) proposes new research avenues for investigation, and (4) outlines expected contributions. The research contributes to a variety of disciplines through the provision of new knowledge, since ICB studies are multidisciplinary in nature. It also has numerous implications for policymakers and practitioners.

Patient and clinician perceptions of blunt chest trauma management and recovery: a qualitative study

Purpose To explore patient and clinician perceptions of blunt chest trauma management and recovery, when discharged directly home from the Emergency Department (ED). Methods This was a qualitative study, completed in a trauma unit in Wales. Blunt chest trauma was defined as an isolated blunt injury to the chest wall, resulting in bruising or rib fractures. Data collection involved semi-structured telephone interviews and focus groups with patients and clinicians respectively. Data analysis was completed using reflexive thematic coding. Results Twelve patient interviews and three focus groups (23 clinicians) were conducted. In the interviews, seven males and five females participated, with a mean age of 54 years (range 28–74). Clinicians included nurses, doctors, and therapists. Two main themes emerged; 1) the ED experience and 2) recovery once home; each with a number of sub-themes. Results highlighted the significant impact of pain on recovery, and that there is a disjuncture between organisational perspectives of clinicians, and the individual personal perspective of patients. Discussion Recovery from blunt chest trauma for patients discharged directly home from the ED is a challenging and complex process. Protocol-driven care does not always lead to good patient experience, as it focuses primarily on hospital services and resources.

The cognitive processes employed by undergraduate nursing OSCE assessors: A qualitative research study

ObjectivesThe Objective Structured Clinical Examination (OSCE) is an assessment format commonly used to assess undergraduate nursing students. However, in spite of its prominence, relatively little research has been conducted into how OSCE assessors form judgements about student performances, and whether divergent processes of judgement formation have the potential to negatively impact the inter-rater reliability (IRR) of awarded scores. This qualitative study aimed to uncover the cognitive processes which assessors employ when assessing OSCE performances. Design, setting, participantsIn order to investigate this, a convenience, purposive sample of 12 assessors watched four videos of students completing single-station OSCEs: two videos of blood pressure measurement, and two of naso-gastric tube insertion. MethodsAssessors were asked to “think aloud” while watching the videos, and also participated in a semi-structured interview about their assessment practices. ResultsThematic analysis of the qualitative data revealed three themes: observation, processing, and integration. Within each theme, a number of sub-themes were identified, which explain the cognitive mechanisms used by assessors when watching, judging and grading student performances. ConclusionsNotably, the presence of these mechanisms was not uniform across the sample, indicating that assessors utilise different approaches when viewing and interpreting the same performances. This has the potential to threaten the IRR of awarded scores, and thus the validity of decisions made on the basis of those scores.

Facilitators of posttraumatic growth in family members of persons with experiences of psychosis: a thematic synthesis

ABSTRACT Aims Posttraumatic growth (PTG) refers to positive psychological changes that can occur from the struggle with traumatic experiences. Literature suggests the caregiving experience in psychosis is one which can be highly traumatic. Yet, more recently, a small but growing body of research suggests that positive aspects to caring as well as growth narratives can also result from this experience. The aim of this review was to identify facilitators of PTG in family members caring for an individual with psychosis. Methods The review utilised thematic synthesis to analyse the included qualitative studies. A search of nine electronic databases was performed (Academic Search Complete, CINAHL, MEDLINE, PILOTS, ProQuest Central, PsycARTICLES, PsycINFO, Scopus, and Web of Science). Qualitative studies were included if any domains of PTG were reported. Results A total of twelve papers, including 156 participants met inclusion criteria and were analysed in the review. Thematic synthesis yielded four overarching themes, along with a number of subthemes: Unbreakable Family Bond, Meaning Making through Suffering, Strength through Solidarity and Accepting the Journey. Discussion Findings of this review suggest that caregivers can and do experience PTG when certain facilitators are present. Professionals can play a vital role in supporting caregivers to adjust to and progress along their journey in developing posttraumatic growth.

272 PHYSIOTHERAPISTS' EXPERIENCES OF WORKING IN RESIDENTIAL CARE IN THE REPUBLIC OF IRELAND DURING COVID-19

Abstract Background COVID-19 was officially declared a pandemic in March 2020. Social distancing and visiting restrictions were introduced in Irish residential care units in March 2020. The impact of COVID-19 and associated restrictions on physiotherapists working in residential care in the Republic of Ireland (ROI) is unknown. This study aimed to explore the experience of physiotherapists working in residential care units in the ROI during the COVID-19 pandemic. Methods A qualitative phenomenological study design was used. Physiotherapists working in residential care units were invited to participate in one-to-one semi-structured interviews from December 2021 to March 2022. Participants were recruited via purposive and snowball sampling. Data were analysed using reflexive thematic analysis by two independent reviewers. Results Seven one-to-one semi-structured interviews were conducted among five female and two male physiotherapists. Four major themes emerged: (i) service adaptation (ii) communication (iii) physical and emotional impact of COVID-19 pandemic on staff and (iv) physical and emotional impact of COVID-19 pandemic on residents. A number of subthemes were identified under each theme. Participants experienced changes in service delivery including redeployment, reduced resident contact and social distancing. These changes resulted in innovation, mainly through telehealth. Participants felt communication from managers could be improved through clarity regarding protocol changes. The pandemic stimulated enhanced inter-professional communication among physiotherapists. Some participants contracted COVID-19 resulting in residual physical impairments. Participants were affected emotionally through the increased stress experienced due to COVID-19 restrictions. Residents experienced isolation due to visiting restrictions. Due to reduced physiotherapy input participants observed reduced physical functioning among residents. Conclusion COVID-19 and its associated restrictions had a profound impact on physiotherapists working in residential care units as well as on residents. The extent of this impact is only beginning to emerge. Planning for future pandemics should consider the long-term physical and emotional consequences of restrictions on both physiotherapists and residents.

Approaches Mainline Protestant Pastors Use to Work with LGB People and Their Families: Implications for Family Therapists

ABSTRACT When a loved one comes out as lesbian, gay, or bisexual (LGB), families often seek the assistance of a trusted professional. For many families that involves seeking the consultation of a religious leader. This queer theory informed qualitative study sought to explore how Christian pastors work with LGB individuals and their families. Additionally, this study explored how pastors’ approaches to working with LGB individuals and their families varied based on the degree to which families were accepting or rejecting of their LGB family members. Twenty-one mainline Protestant Christian pastors were interviewed. Thematic analysis identified three themes and a number of subthemes that provide new insights for family therapists by highlighting that pastors engaged in theological conversations with families to encourage acceptance, walked with families in their journey of navigating external discrimination, and provided resources such as connection to community services and referrals to family therapy.

'The key to this is not so much the technology. It's the individual who is using the technology': Perspectives on telehealth delivery for autistic adults during the COVID-19 pandemic.

The COVID-19 pandemic meant that a lot of healthcare services had to move online, such as to video-calls, or to telephone. However, not many studies have looked at how autistic adults feel about this kind of service delivery. It is important to know this, as autistic people may have poorer health than non-autistic people, and they may also struggle to access services more than non-autistic people. This study asked 11 autistic adults (aged 27-67 years), seven family members/carers (aged 44-75) reporting about autistic adults and six service providers about their experiences of accessing or providing a telehealth service. These experiences were collected through interviews, which were then analysed through thematic analysis. Two main themes were: technology aids communication and access - except when it doesn't, and in/flexibility. The themes pointed out some positive aspects of telehealth delivery, including improved communication and decreased stress. The themes also pointed out negative aspects of telehealth, such as increased rigidity of the healthcare system, amplifying pre-existing barriers. Because autistic people have many barriers to accessing healthcare, this study encourages researchers and healthcare providers to think about how such barriers could be addressed through telehealth, and about the possible limitations of telehealth for some autistic people.

Interviewing Women with Hidradenitis Suppurativa—Thematic and Content Analysis

Hidradenitis suppurativa (HS) is a chronic autoinflammatory skin disease with a higher prevalence in women. The disease results in a low quality of life as well as physical and psychological comorbidities. The authors sought to determine the effects of HS on women's self-perception and life experiences. Semistructured interviews were conducted with 22 women of varying age and family status. The content was transcribed and subjected to both thematic and content analyses. Five themes and a number of subthemes were revealed, involving physical, emotional, coping, and functional aspects. Somatic features, especially pain, were the most troubling issues, along with the emotional burden of shame and loss of femininity and intimacy. However, women also revealed strength and expressed optimism. These findings reveal the inner world of women coping with HS, addressing multiple dilemmas, problems, and concerns. Healthcare providers should pay special attention to the specific needs of these patients. Additional research is needed to further shed light on the impact of HS on women.

Teaching in Tough Times: Examining EFL Teachers’ Perceptions of Online Learning Challenges in the Context of Higher Education in Saudi Arabia

The global spread of online learning is noticeable and has further expanded due to the COVID-19 pandemic. Although this mode of learning is effective, several concerns have been raised by teachers. This qualitative study aimed to explore English as a Foreign Language (EFL) teachers’ perceptions of the online learning environment in order to uncover the challenges they face while teaching online. To achieve this objective, semi-structured interviews were conducted with 25 EFL teachers from the Preparatory Year Program (PYP) at King Abdulaziz University (KAU) in Jeddah, Saudi Arabia to examine their perceptions of online teaching. The transcribed interviews were coded using NVivo®, after which a thematic analysis was employed to reveal the emerging themes. The results showed challenges related to four main themes: students; institution; teachers; and the system, as well as a number of sub-themes. This study found that the most significant challenge that EFL teachers faced in an online learning environment was related to students, specifically their participation, motivation, tendency to cheat during online exams, and not taking responsibility for their learning. Another major challenge was the result of copying face-to-face learning to the online learning environment without making suitable adjustments. This research also shed light on some of the negative consequences of online learning for EFL teachers; its findings could help institutions and policymakers to modify content and support teachers by training them to develop their online teaching skills.

Distinguishing Characteristics Between High and Low Adherence Patients Following Anterior Cruciate Ligament Reconstruction: A Qualitative Examination

The purpose of this study was to identify factors that distinguished between injured athletes who displayed high compared with low levels of rehabilitation adherence following anterior cruciate ligament reconstructive surgery. In order to gain an in-depth understanding of these factors, semistructured qualitative interviews were conducted with six high adherers, six matched low adherers and for each injured athlete, a significant other. Thematic analysis was used to identify the themes that distinguished between high and low adherers. Three themes were generated based on the findings: (a) preparation for postoperative rehabilitation, (b) an active versus passive approach to rehabilitation, and (c) the threat of a poor outcome. Each theme comprised a number of subthemes that further elucidated the participants’ rehabilitation experiences and adherence behaviors. The findings have important implications for medical professionals, sport psychology consultants, coaches, and athletes with a vested interest in expediting recovery following anterior cruciate ligament reconstructive surgery.

A criminologically informed examination of looting behaviour during natural disaster incidents

PurposeThe purpose of this study is to examine looting behaviour during natural disaster incidents. As a consequence, this study considers looting in the context of two case studies: a Tsunami and a Bushfire. The study offers an exploration into the types of and motivations for looting, as well as reflecting on prevention measures.Design/methodology/approachThe methodological approach of a rapid evidence assessment (REA) is used to examine looting behaviour within the context of two natural disaster incidents, drawing on a thematic analysis, as outlined by Braun and Clarke (2006) to support the presentation of findings.FindingsThe findings of the REA yield three themes. The first theme, Theme 1, focuses on the types of offenders – looters, while Theme 2 focuses on the motivations for offending behaviour – looting. The final theme, Theme 3, presents crime prevention responses: looters and looting. Each theme is further illustrated through a number of sub-themes, and while the two case studies centre on two distinct natural disaster incidents, there are similarities that exist between them offering insights for why looting occurs and consequently how to respond to looting.Research limitations/implicationsPrevious research has recognised how incidents such as bushfires enable and create opportunity for looting behaviour. Yet, arguably, little has been achieved in successfully preventing such behaviour. This study offers evidence for why looting occurs during natural disaster incidents and considers the prevention measures that can lead to a reduction in this offending into the future. The need for more detailed and primary research into looting during natural disaster incidents is a research implication engendered by the current study.Practical implicationsThis study considers crime prevention approaches in the form of situational crime prevention and social development crime prevention that have direct relevance on crime prevention policy and practice. The practical implications are worthy of attention from law enforcement agencies and other first/emergency responders.Social implicationsThis study seeks to offer evidence for policy and practice initiatives that can increase public safety and reduce further threats to community safety during natural disaster incidents.Originality/valueAfter the terrorist attacks of 9/11, a concerted effort for swifter and more effective responses to emergency management incidents has occurred. However, the focus of such responses has typically overlooked looting during natural disaster incidents. This study goes some way in addressing that gap in the literature and connects the current scientific knowledge to prevention strategies, informing future policy and practice responses to addressing looting during such incidents. This study provides a stimuli for further research into looters, looting and natural disaster incidents.

The development of congruence: a thematic analysis of person-centered counselors’ perspectives

ABSTRACT According to the person-centered theory of therapy, the therapist’s congruence is one of the necessary and sufficient conditions for therapeutic personality change. However, the development of therapists’ congruence has received limited research attention. This study was designed to explore the ways in which eight experienced person-centered therapists fostered their congruence. Data was collected through semi-structured interviews. Analysis of the data was based on the qualitative method of thematic analysis. The research findings yielded four main themes, along with a number of sub-themes, which reflected the ways in which these person-centered therapists enhanced, and continue to enhance, their congruence. These are: a life-lasting ongoing process, the importance of constant care, the role of relationships, and being in contact. The findings suggest that the development of congruence is a gradual process closely related to the lifelong personal and professional growth of therapists and that it needs active and constant care on multiple levels. The findings highlight the importance of personal and professional relationships in nurturing congruence and point to the necessity of a person-centered therapist being in contact with his or her self and the client. This study has important implications in the literature, training, and practice of person-centered therapists.

“ We live in the moment ”—Experiences of people with Intellectual Disabilities and Clinicians of Computer‐Assisted Mindfulness and Relaxation

This paper evaluates the user experience of a newly developed mindfulness and relaxation game designed to teach mindfulness skills to people with intellectual disabilities. Computer-assisted mindfulness programs have gained considerable attention among researchers in both adult and child populations. However, less is known about the experiences of people with intellectual disabilities who engage in computerised mindfulness programs. The present study aimed to explore the experiences of adults with intellectual disabilities and clinicians in using a computerised mindfulness and relaxation game. Twelve adults (with a mild or moderate intellectual disability) and sixteen clinicians were individually interviewed. Thematic analysis was used to analyse and generate themes within the data. Three main themes with a number of subthemes were generated for people with intellectual disabilities including the following: (1) The Process of Mindful Island; (2) Fostering Relationships Through the Computer; and (3) The Impact of the Game. Three themes from clinician interviews were also generated including the following: (1) A Good Concept but More to Do; (2) Uncertainties Around Players’ Understanding of Mindfulness; and (3) The Computer as a Tool to Build Relationships. The findings indicated that participants found the game an enjoyable experience and saw a number of benefits to engaging in it including perceived improved confidence and perceived reduction of worries. Mindfulness can be adapted to computer-assisted technology for use among people with intellectual disabilities and may foster a number of benefits. The data that support the findings of this study are available on request from the corresponding author. The data are not publicly available due to privacy or ethical restrictions.

\u201cIt\u2019s a Little Bit Tricky\u201d: Results from the POLYamorous Childbearing and Birth Experiences Study (POLYBABES)

The number of polyamorous people in Canada is growing steadily, and many polyamorous people are of childbearing age and report living with children. Experiences of polyamorous families, particularly those related to pregnancy and childbirth, have thus far been underrepresented in the literature. The POLYamorous Childbearing and Birth Experiences Study (POLYBABES) sought to explore the pregnancy and birth experiences of polyamorous people. Having previously reported findings relating to experiences with the health system and healthcare providers, this article specifically focuses on the social aspects of polyamorous families’ experiences. We explored the impact of polyamory on one’s self identity, relationship structures, and experiences navigating the social world. Anyone who self-identified as polyamorous during pregnancy and birth, gave birth in Canada within 5 years, and received some prenatal care was eligible to participate in this study. Participants were recruited through social media and interviewed online or in person. Twenty-four participants were interviewed (11 birthing people and 13 of their partners). Thematic analysis was used to explore the data, and four primary themes were identified: deliberately planning families, more is more, presenting polyamory, and living in a mononormative world. Each theme was further broken down into a number of sub-themes. We also collaborated with research participants to create a glossary of terms. By exploring the pregnancy and birth experiences of polyamorous families and focusing on participant voices, this research adds to the limited research on polyamorous families and contributes to the process of breaking down stigma associated with alternative family structures. Further, by creating an accessible glossary of terms, researchers and lay persons alike have been given access to a meaningful resource.

A disability‐based exploration of psychosocial barriers and enablers to accessing dental services for people with clinically severe obesity: A qualitative study

This qualitative study aimed to explore psychosocial barriers and enablers to accessing dental services for people with clinically severe obesity (PwCSO). Eight focus groups were conducted by one researcher with 40 adult participants at the Adult Healthy Weight Clinic within a hospital-based obesity service. Thematic analysis of focus group transcripts was performed to reveal insights relating to how PwCSO experience dental care and view oral health. A total of 11 participants were male, 29 female, all between the ages of 23 to 74 (mean age of 50). The body mass index of participants ranged from 31.6 to 84.6 kg/m2 . The results highlighted four key themes, including "disempowerment to act to improve oral health", "weight-related stigma and discrimination", "unpredictability of the dental environment" and a "lack of tailored services for PwCSO". A number of subthemes were identified, which reflect the six categories of barriers to access from the disability literature: availability, affordability, acceptability, accommodation, accessibility and appropriateness. These were explored to further appreciate the unique psychosocial considerations for this group. This study concluded that PwCSO face significant barriers to accessing dental services across all six categories highlighted in the disability literature. The study findings provide valuable patient-based information regarding the psychosocial barriers to accessing dental services, which are relevant for all healthcare professionals. The study reflected an increased need for promotion of the dentist's role in obesity management and obesity-related dental training, including familiarization with the biopsychosocial domains of obesity to reduce weight related stigma and discrimination, as an area for further study. The findings also guide the design of Specialized Bariatric Dental Services in the future, with a focus on enablers to access.

Exploring Self-Management of Adults Living with HIV on Antiretroviral Therapy in North-West Ethiopia: Qualitative Study.

BackgroundThe changing nature of HIV from an acute to chronic illness requires adults living with HIV to self-manage. Self-management enables individuals with HIV to maintain physical health, medication adherence and live with HIV-related conditions. This study aimed to explore self-management experiences of adults living with HIV on antiretroviral therapy in Ethiopia.MethodsA qualitative descriptive study framed by the Individual and Family Self-Management Theory was carried out to explore the self-management experience of adults living with HIV in Northwest Ethiopia. Eleven semi-structured, in-depth interviews were conducted. The recruitment involved participants who volunteered to be contacted during a preceding quantitative study. The interview data were coded inductively and subject to thematic analysis.ResultsThe main themes identified, each with a number of sub-themes, related to perceptions and experience of self-management, barriers and facilitators of self-management. Factors influencing self-management behaviour were inter-connected and particularly influenced by spiritual practices, low levels of income and experiences of stigma and discrimination.ConclusionThe study highlights barriers to self-management among individuals living with HIV on antiretroviral therapy in a resource-constrained country. Interventions to address modifiable barriers and build on identified facilitators of self-management include working with the broader community to minimise HIV-related stigma and discrimination and engaging with religious leaders to tackle the observed conflict between spiritual practice and effective self-management behaviour.

Exploration of retail design in integrated bricks & clicks environment

The purpose of this paper is to explore the emerging themes within the discipline of retail design. The advent of multiple channels within the physical retail channel (showrooms, kiosks) and digital retail (mobile applications, e-commerce marketplace) pose challenges in the form of consistency of communication of brand identity and values. The research is a combination of thematic maps and qualitative interview techniques. Purposive sampling was considered for the selection of participants. In total 45 interviews have been taken of the various stakeholders – retailers, retail designers, communication designers and customers. Three broad themes emerged from the analysis- Technology, Design Elements and Communication, each having a number of sub-themes. 1. The themes that have emerged are based on views of minor representative of each category 2. Interviews from the social media and ecommerce marketplaces could have been taken. This can be the future research area. 1. The effects of deployment of AR/VR, 3D on the consumer decision-making is still not fully realized by the designers. 2. The consistency in brand imagery across channels can act as market differentiator. 3. The marketing communication managers should seek to enhance brand salience 4. The integration of customer data across various touchpoints (Big data) will be a distinguishing feature in near future. 5. Not all social media platforms are equal in creating and sustaining brandstorm and e-wom (word of mouth). This study is an attempt to make contribution in the area of retail design in the multichannel retail ecosystem. The themes that emerge out of the study are expected to assist in developing the framework wherein the brand image can be communicated consistently across channels.

A qualitative exploration of cardiovascular disease patients' views and experiences with an eHealth cardiac rehabilitation intervention: The PATHway Project.

The aim of this study is to explore participants' views and experiences of an eHealth phase 3 cardiac rehabilitation (CR) intervention: Physical Activity Towards Health (PATHway). Sixty participants took part in the PATHway intervention. Debriefs were conducted after the six-month intervention. All interviews were audio recorded and transcribed verbatim. Transcripts were analysed with Braun and Clarke's thematic analysis. Forty-four (71%) debriefs were conducted (n = 34 male, mean (SD) age 61 (10) years). Five key themes were identified: (1) Feedback on the components of the PATHway system, (2) Motivation, (3) Barriers to using PATHway, (4) Enablers to using PATHway, and (5) Post programme reflection. There were a number of subthemes within each theme, for example motivation explores participants motivation to take part in PATHway and participants motivation to sustain engagement with PATHway throughout the intervention period. Participant engagement with the components of the PATHway system was variable. Future research should focus on optimising participant familiarisation with eHealth systems and employ an iterative approach to development and evaluation.

Dental Students' Perceptions before and after Attending a Centre for Children with Special Needs: A Qualitative Study on Situated Learning.

Objectives: To develop an in-depth understanding of the perceptions and experiences of senior dental students before and after fieldwork visits to a centre for children with special needs. Methods: A qualitative study utilised open-ended questions and involved 39 fifth-year dental students. A thematic analysis of the collected responses was undertaken, and a hierarchy of themes and subthemes were developed. Results: Analysis of the pre-visit responses revealed three main themes and a number of subthemes: ‘negative expectations’, ‘positive expectations’, and ‘pain expectations’. Similarly, four main themes with a number of subthemes emerged from the post-visit responses: ‘positive perceptions’, ‘negative perceptions’, ‘oral problems observed’, and ‘recommendations’. Conclusions: Within the study limits, different perspectives were extracted. Prior to the fieldwork visit, students expressed their lack of self-confidence and inadequate preparation. Following the situated learning visit experience, students’ perceptions of managing special needs children was positively influenced. Students were happy to be exposed to such an experience, but hoped for better organisation and specialised supervision in the future.