Experiences Of Participants Research Articles

The Context of the Emergency Department as a Location for a Smoking Cessation Intervention-Process Evaluation Findings From the Cessation of Smoking Trial in the Emergency Department Trial.

Hospital emergency departments (ED) offer an opportunity to engage with large numbers of people who smoke to prompt cessation, although the acceptability of opportunistic intervention in this context has been questioned. This process evaluation study was embedded into the Cessation of Smoking Trial in the Emergency Department (COSTED) randomized controlled trial and sought to explore the context of intervention delivery within the ED. Qualitative interviews were conducted with participants and staff across six EDs participating in the COSTED randomized controlled trial. Interview data were thematically analyzed specifically exploring contextual influences. Data were triangulated with ethnographic observations. In participant interviews (N = 34), it was acceptable overall to receive a brief opportunistic smoking cessation intervention in the ED. Contextual factors are impacted at a range of levels. At the micro level participant views and experiences combined with staff tailoring were important. Being given an e-cigarette starter kit by a "credible source" helped to legitimize vaping for smoking cessation and gave confidence in personal ability to switch away from tobacco. At the meso level, adaptations to intervention delivery were made in response to the context of the ED. Stop smoking advisors (N = 11) had to adapt and deliver the intervention flexibly depending on space and clinical need. At the macro level, hospital policies supportive of vaping legitimized the approach. Smoking cessation outcomes reported in the main trial across sites were very similar because of the high credibility, acceptability, and flexible approach to delivering the COSTED intervention in the ED. Attending a hospital ED is the right time and place to receive smoking cessation intervention, even for those not motivated to quit. People are willing to receive intervention, and clinical staff are willing to support intervention delivery. Despite challenges, overall the context is helpful in supporting people to switch away from tobacco. The intervention, with flexible and tailored implementation, is adaptable to different ED contexts. This suggests that wider implementation across NHS Trusts of the effective COSTED intervention is feasible and will ultimately support smoking cessation for people attending EDs, who may not otherwise have sought support.

Education as initiation into social practices – the case of democracy

ABSTRACT In this essay I scrutinize the challenge Paul Hirst set to educational philosophers in rejecting rational autonomy as the central aim of education and proposing initiation into social practices instead. Although I disagree with some dimensions of Hirst’s argument, I find his main idea of utmost importance in answering some burning challenges of contemporary democratic education. Contrary to Hirst’s thinking, I argue that this theoretical development can be best done within the framework of philosophical pragmatism, on which appropriate interpretations of the concepts of democracy, social practices and habits can be based. In this framework, it is also possible to preserve as educational ideals the pragmatist interpretations of the notions of rationality and autonomy. Based on my theoretical development relying both on early pragmatist and contemporary thinkers, I argue that education for democracy should start from the aim of providing children with emotionally rewarding experiences of participation, membership and belonging.

Mental Health Literacy in the Middle School English Language Arts Classroom: Perspectives from Teachers and Social Support Staff

ABSTRACT Background The prevalence of mental health challenges among adolescents warrants innovative school-based approaches that support students’ mental health literacy (MHL). Purpose In this qualitative case study, we interrogated the experiences of three eighth-grade English Language Arts (ELA) teachers and two of their school’s social support staff as they conceptualized, developed, and delivered a novel MHL unit of study within their existing curricular framework. In doing so, we sought to better understand the experiences of these school professionals to inform future iterations of the unit. Methods We explicated focus group data to identify themes that emerged regarding participant goals, experiences, and outcomes as they related to unit planning, delivery, and recommendations. Results Generally, practitioners advocated for increased collaboration with each other to overcome professional apprehension and streamline efforts, a need for such a curriculum to enhance student wellbeing, and having access to more school-provided resources. Discussion Themes are contextualized within the current landscape of school MHL programming, and suggestions are highlighted to advance this ELA curriculum-based work. Translation to Health Education Practice Health Educators’ expertise can supplement the ELA curriculum with targeted MHL lessons for students, alleviating teacher role confusion and advancing the goals of the unit by providing psychoeducation.

Applying an osteopathic intervention to improve mild to moderate mental health symptoms: a mixed-methods feasibility randomised trial.

The increasing prevalence of mental health disorders in the United Kingdom necessitates the exploration of novel treatment modalities. This study aimed to assess the feasibility and acceptability of conducting a randomised controlled trial (RCT) evaluating the efficacy of four osteopathic interventions on psychophysiological and mental health outcomes. A mixed-methods feasibility study with an explanatory sequential design was implemented. The quantitative phase involved randomising 42 participants into four intervention groups: (1) high-velocity and articulation techniques (HVAT), (2) soft-tissue massage (STM), (3) craniosacral therapy (CST), and (4) a combination approach. Primary outcome measures encompassed recruitment rate, assessment duration, questionnaire completion, intervention attrition, and adverse events. Secondary outcomes included validated assessments of depression, anxiety, stress, psychological flexibility, heart rate variability (HRV), and interoception, administered pre- and post-intervention. Analysis of variance (ANOVA) was employed to evaluate pre-post intervention changes. The qualitative phase comprised semi-structured interviews analysed using thematic analysis. The study achieved a recruitment rate of 21 eligible participants per month, with 54.8% of respondents meeting eligibility criteria. All 33 participants who completed the study underwent interventions and assessments within the allocated one-hour timeframe, with full questionnaire completion. The attrition rate was 21%. No adverse events were reported. Qualitative analysis revealed positive participant experiences, with themes highlighting good practitioner communication, intervention accessibility, and increased bodily awareness. Some participants found the questionnaire battery burdensome. Exploratory quantitative analyses showed variations in effects across interventions for heart rate variability, interoceptive accuracy, and mental health measures, but these results should be interpreted cautiously due to the small sample size. This study provides evidence supporting the feasibility and acceptability of a larger-scale RCT investigating osteopathic interventions for individuals presenting with mild psychological symptoms. The preliminary findings suggest potential efficacy in improving mental health outcomes, warranting further investigation. Trial registration NCT05674071, registered 06/01/2023.

The American Headache Society First Contact-Headache in Primary Care program: Current metrics, knowledge assessments, and direction for future initiatives.

This study examines the American Headache Society First Contact-Headache in Primary Care program metrics to date in order to assess the program's reach and provide direction for future initiatives. Approximately 4 million primary care office visits annually are headache-specific encounters. Therefore, it is important that primary care providers are knowledgeable about headache management. Recognizing the need, the American Headache Society First Contact designed the comprehensive First Contact-Headache in Primary Care program with input from an advisory board comprised of a diverse group of physicians and advanced practice providers with backgrounds in family and internal medicine, pediatrics, obstetrics and gynecology, and neurology. This is the first study to assess the reach of the program and critically examine how to best meet the needs of clinicians and patients going forward. We report descriptive statistics for the First Contact website metrics from October 2020 to June 2023 and grand rounds program data from May 2020 to December 2023. We also conducted a cross-sectional analysis of survey data from presentations conducted at two large national family medicine symposia, as well as a thematic analysis of the question: "Please indicate what areas of your practice could be enhanced or improved with additional education?" The First Contact program homepage was the second most visited page on the American Headache Society website (>100,000 views). A total of 20 podcast episodes were created for the program (>3500 plays). The First Contact program held 99 events (72 institutional grand rounds, 22 State-level meetings, and five national meetings), reaching >7000 clinicians. The institutional grand rounds and state-level meetings were held across 27 States and Washington D.C. Only 31.9% (30/94) of First Contact program events (excluding national meetings) occurred in the West census region, which has the fewest headache subspecialists and lowest headache subspecialist density in the United States. When examining survey data of participants who attended the two virtual national family medicine symposia (39.3% response rate, N = 636/1620), 85.7% (544/635) reported being "completely confident" or "veryconfident" in their ability to recognize and accurately diagnose patients presenting with a primary complaint of headache and 81.5% (517/634) reported being "completely confident" or "very confident" in their ability to develop evidence-based treatment plans that are tailored to the needs of individual patients. The use of diagnostic tools to recognize patients with migraine (60.4%, 384/636) and translating standards of care to the practice setting (42.5%, 270/636) were the most reported intended changes by participants. Most participants reported that program content was of clinical relevance and would improve their patients' outcomes (90.5% [571/631] and 90.6% [572/631], respectively). Over three-quarters (77.8%, 495/636) of participants reported areas of their practice that can be improved by additional education specifically regarding workflow, diagnosis, and management. This study evaluates one of the first national initiatives for primary care education. Data from the two First Contact Family Medicine national symposia indicate the program is generally well received with most participants reporting improved confidence and intention to implement key changes in practice to improve care for patients with headache; however, there remain areas of exploration for education that could further enhance participant experience and expand the reach of the initiatives. Areas for future programming include continued education on multifactorial approaches to headache treatment and suggestions for addressing cost, insurance, and time constraints. Also, future work may examine where the First Contact program might focus initiatives based on specific areas of need in headache care, such as geographic "desert" areas, racial and ethnic disparities, and uninsured/underinsured populations.

Do we need a guideline for all: a qualitative study on the experiences of male athletes following anterior cruciate ligament reconstruction

BackgroundConsidering the low rate of qualitative studies on athletes with anterior cruciate ligament reconstruction (ACLR), aiming to access in-depth data, we thought that the utilization of the qualitative method would allow us to collect the appropriate and sufficient data to yield novel findings and achieve sound conclusions. The study’s aim was to investigate anterior cruciate ligament (ACL) injury experience processes in athletes who had undergone isolated ACLR, reveal the clinically related milestones, and highlight the necessary gaps.MethodsSemi-structured interview techniques, in-depth follow-up questions, and thematic analysis were used to explore the experiences of participants with isolated ACL injuries 1–3 years after surgical treatment. The study was conducted in the Orthopaedics and Traumatology outpatient clinic of the Adana City Training and Research Hospital and included 14 male athletes who had undergone isolated primary ACLR. The study group’s demographic and qualitative data were collected in the first week of September 2023. The member checking process was completed in the third following week. A thematic analysis checklist was used to ensure the reliability of the thematic analysis. The Consolidated Criteria for Reporting of Qualitative Research (COREQ) guidelines were followed.ResultsThe experiences of 14 patients (22.78 ± 3.76 years, all males) were summarized into four themes that emerged from the data analysis process: ‘The Distinctions in the Participants’ Experiences Regarding the Moment of Injury,’ ‘Gathering Information about the ACL Injury,’ ‘Factors That Facilitate The Treatment Process and Reinforce Positive Experiences,’ and ‘Desperate Plight: Main Points of Patients’ Negative Experiences.’ Based on the main themes, there were 14 subthemes.ConclusionsOur study revealed that varying perceptions of ACL injury presented by the participants, which were caused by all stakeholders, including themselves, the professional environment, family members, social network, and the healthcare staff, showed that the physical and psychological impacts of the injury were observed in different severity levels at each stage of the process. We believe that an extensive guide for athletes with ACL injuries that includes all components of well-being and displays the required details for the sports club/coach, family/companion, and physician.

Effects of the Vitality Acupunch Exercise Program on Older Adults With Probable Sarcopenia: A Mixed Methods Pilot Study.

Purpose: Age-related loss of muscle mass and strength is a highly prevalent condition in older adults in long-term care (LTC) facilities. This pilot study aimed to test the effects of a vitality acupunch (VA) exercise program on muscle mass, muscle strength, muscle endurance, functional fitness, activities of daily living, quality of life, and sleep quality of older adults in LTC facilities with probable sarcopenia in the United States and understand the experiences of residents who participated in the VA program. Design: A mixed-methods experimental design was used for this study. Methods: The quantitative phase included a sample of 27 participants randomly assigned to the control (n = 13) or VA (n = 14) condition. The VA condition consisted of three weekly 40-minute instructor-led seated exercise sessions over 24 weeks. Measures were obtained at baseline, three, and sixmonth intervals. Semi-structured interviews were conducted to explore participant's experiences of the program. Findings: Statistical comparison revealed significantly higher handgrip strength for the VA group (p = .008). Narrative analysis revealed that the program had a positive impact on participant's daily lives. Conclusions: The VA program offers a holistic, evidence-based exercise program for older adults with probable sarcopenia living in LTC facilities.

The paths to subjective and eudaimonic well-being: which aspects of leisure matter?

ABSTRACT Despite the increased recognition of leisure’s significance, there remains a general lack of understanding about which aspects or types of leisure contribute to higher levels of subjective and eudaimonic wellbeing. The purpose of this study was to examine how diverse aspects of leisure, such as free time availability, leisure activity participation, and subjective experiences, are associated with both subjective wellbeing (SWB; e.g. positive affect, negative affect, happiness, and life satisfaction) and eudaimonic wellbeing (EWB; ikigai). Ikigai is a Japanese concept that approximates ‘life worth living’, whereupon we explored leisure’s relevance to a non-Western well-being concept. We analyzed online survey data from 674 Japanese university students through hierarchical regressions to investigate the potential influence of leisure-related variables on SWB and EWB. The outcomes revealed that SWB was associated with free time availability, leisure activity participation, and subjective experiences, whereas EWB was primarily linked to leisure activity participation and subjective experiences.

A qualitative exploration of participants' perspectives and experiences of novel digital health infrastructure to enhance patient care in remote communities within the Home Health Project.

The Home Health Project, set on Clare Island, five kilometres off the Irish Atlantic coast, is a pilot exploration of ways in which various forms of technology can be utilised to improve healthcare for individuals living in isolated communities. The integration of digital health technologies presents enormous potential to revolutionise the accessibility of healthcare systems for those living in remote communities, allowing patient care to function outside of traditional healthcare settings. This study aims to explore the personal experiences and perspectives of participants who are using digital technologies in the delivery of their healthcare as part of the Home Health Project. Individual semi-structured interviews were conducted with nine members of the Clare Island community participating in the Home Health Project. Interviews took place in-person, in June 2023. Interviews were audio-recorded and transcribed verbatim. The data were analysed inductively using reflexive thematic analysis. To identify determinants of engagement with the Home Health Project, the data was then deductively coded to the Theoretical Domains Framework (TDF) and organised into themes. Seven of the possible 14 TDF domains were supported by the interview data as influences on engagement with the Project: Knowledge, Beliefs about capabilities, Optimism, Intentions, Environmental context and resources, Social influences and Emotion. Overall, participants evaluated the Home Health Project as being of high quality which contributed to self-reported increases in health literacy, autonomy, and feeling well supported in having their health concerns addressed. There was some apprehension related to data protection, coupled with a desire for extended training to address aspects of digital illiteracy. Future iterations can capitalise on the findings of this study by refining the technologies to reflect tailored health information, personalised to the individual user.

Сучасні аспекти формування збірних команд у баскетболі

The main factor in the development of team game sports, including basketball, is the presence of globalization, professionalization and commercialization processes, which significantly affects the performance of national teams in the most important international starts. Changes in the system of competitive basketball activities have led to a significant expansion of the system of international competitions, which requires from coaches a reasonable approach to the formation of national teams as a basis for successful performance in the Games of the Olympics and World Championships. Material and Methods. The study analyzed the competitive performance of 21 men's and 19 women's national basketball teams that participated in the Olympic Games and World Championships from 1936 to 2020. In order to determine the peculiarities of the formation of national teams in basketball, we analyzed the data of 264 players (men and women) who became medalists of the Olympic Games in the period from 1976 to 2024. Results. The results of the study indicate that the main leaders in modern basketball are the USA men's and women's national teams with the highest percentage of winning medals in the Olympics (31.7% and 30.5%) and World Championships (21.0% and 24.6%). The main focus of the formation of the USA national teams for participation in the Olympic Games coaches - the availability of experience in international competitions (the number of Olympic cycles that the athlete spent as a member of the national team) and the age of athletes. Based on the performance of the men's and women's teams, a trend of increasing number of athletes over the age of 32 is identified, where the maximum value for men (5 players) is observed in 2024 and for women (4) in 2016. Conclusions. The analysis of basketball development shows that the use of modern international experience in the rational formation of national teams allowed to establish that the integral component is the age of players, professional experience of participation in international competitions as part of the national team, as well as the universalization of player training. At this stage of basketball development, there is a tendency to increase the age of female athletes who are members of national teams, which provides an effective rotation over several Olympic cycles

Exploring the potential of Self-Management and Recovery Training (SMART Recovery) mutual-help groups for supporting people who use methamphetamine: A qualitative study examining participant experience of initiation and engagement

Exploring the potential of Self-Management and Recovery Training (SMART Recovery) mutual-help groups for supporting people who use methamphetamine: A qualitative study examining participant experience of initiation and engagement

Repurposing prescribed hydromorphone: Alternative uses of safer supply and tablet-injectable opioid agonist treatment to meet unaddressed health needs

BackgroundIn response to the ongoing overdose crisis in Canada, a number of opioid agonist treatment and safer supply programs provide people at high overdose risk with daily-dispensed tablet hydromorphone, with some requiring witnessed ingestion and others providing take-away doses. While these programs are intended to reduce overdose events by limiting people's use of the contaminated drug supply, the experiences of people receiving hydromorphone vary. In this article we explore the ways people repurpose hydromorphone to address unmet needs. MethodsThis article draws on in-depth qualitative interviews from two studies evaluating hydromorphone tablet distribution programs in British Columbia, Canada. We used thematic analysis to identify themes related to repurposing hydromorphone. We compared themes across the two studies to identify any similarities or differences in relation to the ways study participants discussed repurposing hydromorphone tablets. We utilize vignettes – snapshots of participant experiences – to analyse and represent the data. ResultsFour vignettes demonstrate how hydromorphone tablets are often being used to address and resolve unmet needs of people who use drugs. While most participants reported reducing their use of illicit drugs, a variety of instrumental uses of tablet hydromorphone were also discussed, including reducing anxiety, addressing sleep issues, withdrawal management, and managing chronic pain. ConclusionOur findings demonstrate how people who use drugs are maximizing the benefits of tablet hydromorphone distribution to address unmet needs. Hydromorphone distribution programs represent a public health and harm reduction intervention that is usefully addressing experiences related to structural vulnerabilities (such as inadequate pain management), which are often overlooked amongst stigmatized groups.

Patient-reported observations on medical procedure timeliness (PROMPT) in breast cancer: a qualitative study.

Timeliness of care is an important healthcare outcome measure. The objective of this study was to explore patient perspectives on the timeliness of breast cancer diagnosis and treatment at accredited breast cancer centers. In this qualitative study, 1hour virtual interviews were conducted with participants 18-75years old who were diagnosed and treated for stage 0-III breast cancer at a National Accreditation Program for Breast Centers facility from 2018 to 2022. Thematic analysis was used to identify key themes of participant experiences. Twenty-eight participants were interviewed. Two thematic domains were identified: etiologies of expedited or delayed care and the impact of delayed or expedited care on patients. Within these domains, multiple themes emerged. For etiologies of expedited or delayed care, participants discussed (1) the effect of scheduling appointments, (2) the COVID-19 pandemic, (3) dissatisfaction with the timeline for various parts of the diagnostic workup, and (4) delays related to patient factors, including socioeconomic status. For the impact of expedited or delayed care, patients discussed (1) the emotional and mental impact of waiting, (2) the importance of communication and clear expectations, and (3) the impact of electronic health portals. Patients desired each care interval (e.g., the time from mammogram to breast biopsy) to be approximately 7days, with longer intervals sometimes preferred prior to surgery. These patient interviews identify areas of delay and provide patient-centered, actionable items to improve the timeliness of breast cancer care.

Agents for curriculum change: the role of Learning Development

Learning Development (LD) can rightly see a role as positive institutional change agents. However, this perception can often be frustrated by external interpretations about the value of study skills (Richards and Pilcher, 2023), which could go some way to perpetuating something of an identity disconnect, where others may often continue to perceive LD as remedial (Bishop et al., 2009). This session aimed to inspire a sense of where opportunities may lie for challenging perceptions with LD as change agents, using our institutional experience of having made some significant headway in influencing wholesale curriculum change. The workshop was an opportunity for exploratory discussions, with participants sharing their experiences of participation in curriculum change initiatives or challenges faced in trying to engineer this role. It considered ways to seize and make the most of other opportunities, such as student guidance on Artificial Intelligence, to be similarly influential. Based on our experience of a new curriculum framework, discussions explored challenges the LD team faced in seeking, in the first instance, to have a significant role in the process, achieving this and the inherent frustrations nevertheless. With participants, we discovered how LD can seize opportunities through recognising the role LD can play, such as defining pedagogical concepts of resourcefulness and resilience, which was inherent in the curriculum design. Group activities explored the challenges in trying to influence curriculum change, shared successes and considered whether this is an effective use of LD time. Group investigations also looked at the importance of collaborating with academic developers, and how this can help address and evolve perceptions of LD as change agents, given that staff educational development can be assumed to be the more natural agent for progressing institutional curriculum change and why an LD presence can bring a unique perspective.

More Knowledgeable Other(s)

Vygotsky’s (1934; 1980) sociocultural theories of learning posit that learning is a socially negotiated activity. Learners can sustain this activity, and specifically how they engage in literacy practices, through participatory experiences with experts, known in sociocultural theory as a more knowledgeable other (MKO). However, hierarchies in academia can make these possibilities for collaboration scarce or difficult to break through for doctoral students, sustaining traditional hierarchies and bureaucracies of education. Digital platforms, though, can afford the possibility of subverting these divisions of social order in the academy and make room for different interlocutors to not only better access these MKOs but to also become an analogous MKO. In socially-mediated spaces such as Twitter, otherwise known as X, an acceptance of ontological and epistemological plurality can occur in virtual communities of practice. Through three examples with the American Educational Research Association’s (AERA) Writing and Literacies monthly Twitter chats, the authors showcase how Vygotsky’s concept of the MKO can appear in digital spaces, demonstrate the participatory nature of online writing communities, present the possibilities in providing opportunities for online collaborative experiences, and highlight the importance of a plurality of knowledge in public scholarship.

Unveiling layers of inclusion in political spaces

This study explores the intricate dimensions of inclusion within political spaces in Zimbabwe. It examines representation and intersectionality to explore how diverse perspectives among different interest groups in society contribute to a more comprehensive and equitable political landscape in Zimbabwe. Additionally, it investigates the role of digital inclusion, and community empowerment in fostering genuine participation. The study dissects the layers of inclusion required for a strong democratic system with an emphasis on youth involvement and the value of civic education. Through emphasising transparency, accountability, and a global perspective, this research article provides a holistic understanding of how political spaces can evolve to embrace diversity and ensure the active engagement of all citizens. The study is informed by the theory of intersectionality and offers a deep understanding of how multiple dimensions of identity, such as race, gender, class, and sexuality, intersect to influence individuals' experiences of political representation and participation. Through applying the intersectionality theory, the study examines how individuals with intersecting identities face unique barriers and challenges when it comes to accessing and engaging with political spaces. It reveals how privilege and power systems interact and function within political frameworks, influencing the opportunities and experiences that various groups have. To achieve the main goal, the study employs a qualitative approach to examine the dimensions of inclusion within political spaces in Zimbabwe. The qualitative constituent involved in-depth interviews and focus groups with diverse stakeholders, including politicians, community leaders, and purported relegated groups, to gather insights into their experiences and perceptions of inclusion. Additionally, a survey was conducted among a representative sample of the population to gather data on their attitudes toward political inclusion and their level of engagement in political processes. This enabled a broader understanding of the overall landscape of inclusivity.

Cultural Collaborative Ways of Knowing, Doing, Valuing and Becoming: A ‘Pandheri Guff’ Inquiry of Nepali Women Scholars

In Nepal, women are facing challenges in academia due to gender biases and limited opportunities. This article explores the experiences of Nepali women scholars who are redefining traditional knowledge, which is typically confined to textbooks, notes, and lectures. These critical issues are often ignored in academic settings. However, women academicians can overcome these barriers by collaborating, reflecting on their experiences, and seeking innovative solutions. To this end, the authors introduce Pandheri Guff, a traditional Nepali method for discussing and addressing such issues. Subscribing Pandheri Guff as a method, the authors engaged in a cultural Nepali collaborative inquiry, combining their narratives to create meaning. Their virtual weekly meetings, which began during the COVID-19 pandemic, focused on reflections about class participation, assignments, and learning experiences over two months by documenting their insights in Google Docs. The analysis is categorized into four themes: believing, meditative, doubting, and dismantling ways of knowing. This method fosters a judgment-free environment for sharing experiences, enhancing their learning, and empowering them to transform themselves. This article argued that this cultural approach advances understanding of women’s knowledge acquisition and enhances higher education learning by providing a collaborative and reflective space to overcome gender biases and improve learning experiences

The Impact of AI Techniques on Human-AI Interaction Quality in Project Management: A Mixed-Methods Study

Artificial intelligence (AI) is changing how organizations work through its integration with project management. This study looks at how AI approaches affect the quality of human-AI interaction in project management settings. The main research issue focuses on figuring out how various AI approaches affect the quality of interactions. A mixed-methods approach was used in the study, integrating qualitative case studies with quantitative questionnaires. Forty-five (45) respondents, comprising project managers and developers from various organizations in Lagos State, Nigeria, were among the participants. While qualitative interviews probed participant experiences, quantitative data offered numerical insights. It was revealed that image-based AI increases engagement by providing visual signals, while speech-based AI improves social presence and trust. Additionally, performance, communication, and trust are all related. This implies that open communication promotes trust, which influences the project's success. By being transparent and adapting AI implementation to the specifics of each project, project managers and AI engineers can foster confidence and regularly assess the efficacy of AI.

Fundamental problems in the peer‐review process and stakeholders' perceptions of potential suggestions for improvement

AbstractAcademic papers are essential for researchers to communicate their work to their peers and industry experts. Quality research is published in prestigious scientific journals, and is considered as part of the hiring and promotion criteria at leading universities. Scientific journals conduct impartial and anonymous peer reviews of submitted manuscripts; however, individuals involved in this process may encounter issues related to the duration, impartiality, and transparency of these reviews. To explore these concerns, we created a questionnaire based on a comprehensive review of related literature and expert opinions, which was distributed to all stakeholders (authors, reviewers, and editors) who participated in the peer‐review process from a variety of countries and disciplines. Their opinions on the primary issues during the process and suggestions for improvement were collected. The data were then analysed based on various groups, such as gender, country of residence, and contribution type, using appropriate multivariate statistical techniques to determine the perceptions and experiences of participants in the peer‐review process. The results showed that unethical behaviour was not uncommon and that editors and experienced reviewers encountered it more frequently. Women and academics from Türkiye were more likely to experience ethical violations and perceived them as more ethically severe. Incentives and stakeholder involvement were seen as ways to enhance the quality and impartiality of peer review. The scale developed can serve as a useful tool for addressing difficulties in the peer‐review process and improving its effectiveness and performance.

Parental participation in newborn care in the view of health care providers in Uganda: a qualitative study

BackgroundEvidence suggests that family-centered care for sick newborns, where parents are co-caregivers in newborn care units, can result in increased breastfeeding frequency, higher weight gain, earlier discharge, and reduced parental anxiety. This study explored healthcare providers' perceptions and experiences of parental participation in care for sick newborns in the newborn care units in two high-volume maternity units in Uganda, with the aim of informing interventions that promote family-centered care for newborns.MethodsAn exploratory qualitative study was conducted between August and December 2023. Sixteen in-depth interviews were held at a regional and general hospital in the rural eastern region of Uganda. The interviews were audio-recorded and then transcribed, followed by a reflexive thematic analysis approach to generate themes.FindingsWe identified four key themes: (1) creating order to ensure the safety of newborns in the newborn care unit; (2) parental participation as a tool for overcoming workload in the Newborn care unit; (3) redirecting parental involvement to focus on medically endorsed newborn care practices; and (4) stress management targeting mothers to ensure newborn survival.ConclusionHealthcare providers encourage parents to participate in caring for their newborns in the newborn care units, mainly to reduce their workload. However, our study highlights the imbalanced nature of parental involvement, where HCPs control the tasks parents can or cannot perform, essentially deploying them as "assistants" rather than equal partners, contrary to the ideals of family-centered care. Transforming the current "healthcare provider-centered" model of caring for sick newborns to one that is family-centered will require training providers on the benefits of family-centered care and developing guidelines for its structured implementation within a resource-limited setting.