Experiences Of People Research Articles

Factors Influencing Domestic Human Trafficking in Africa: Protocol for a Scoping Review

Background Human trafficking is a human rights violation in every region of the world. The African continent is not spared. Every year, millions of people experience significant health and social consequences. International organizations and governments combating human trafficking are hindered by a lack of knowledge about what factors influence domestic (within-country) human trafficking. Objective This study aims to conduct a scoping review to collate and synthesize literature on factors influencing domestic trafficking in Africa. Methods We will follow Arksey and O’Malley’s framework to answer the question about reported influences on domestic human trafficking and their relative weight. The search strategy will explore PubMed, CINAHL, Web of Science, and Scopus. A total of 2 independent researchers will select quantitative, qualitative, or mixed methods studies that examine relationships influencing domestic human trafficking. We will document our results by following the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews) guidelines. We will extract a list of all reported relationships between identified factors influencing domestic human trafficking in each study. Based on a discourse analysis approach, we will weigh the strengths of the relationships based on how frequently they are reported across the included studies. We will summarize the findings as fuzzy cognitive maps depicting the relationships reported in the literature. The maps represent the influences between concepts (nodes) linked by arrows (edges) going from each cause to its outcomes. These maps are helpful visual summaries of the factors associated with domestic human trafficking, allowing a comparison with maps to be created by stakeholder groups. Results This project received financial support in March 2023. We expect to start the project in March 2024. We recruited 2 research staff members to conduct the scoping review and expect to publish the results in March 2025. Conclusions The review will provide a comprehensive understanding of factors influencing domestic human trafficking in Africa. The overlap of human trafficking with other forms of exploitation, the limited literature on domestic human trafficking, and the likely diversity of factors are challenges for the review. We propose strategies to address these challenges. International Registered Report Identifier (IRRID) PRR1-10.2196/56392

‘I can change my life’: perceptions and experiences of people who use drugs engaging in medically assisted therapy in Kiambu County, Kenya

‘I can change my life’: perceptions and experiences of people who use drugs engaging in medically assisted therapy in Kiambu County, Kenya

Relevance of Ramayana in our Daily Lives in the Context of the Present Situation

Rishi Valmiki was the first to forge the grand form of Itihasa and to create a unique prosodic pattern for the epic literary genre of the Ramayana. As time goes on, people experience stress, frustration, mental and physical illnesses, a lack of brotherhood, a lack of religious practice, a lack of love for the natural world and its creatures, and a lack of moral and ethical principles. Objectives: The study aims to determine how applicable the Ramayana is to modern society and how it affects our daily lives. Methods: This study has taken a qualitative approach and is descriptive, drawing on secondary data for its design. Results and Discussion: Several key takeaways from the Ramayana are examined, including how Dharma affects our lives. People acquire skills such as accountability, social duty, authenticity, and other related ones. Findings: The computerised lives of people in the modern era can be drastically changed by the timeless relevance of ancient epics such as the Mahabharata and the Ramayana. Conclusion: In actuality, the Ramayana offers insightful lessons that we can apply to to our day-to-day existence without any complicity. All situations—individual, familial, and broader aspects of social and professional ambiguities—can benefit from these solutions.

At risk but not adequately included: People with disabilities’ experience of COVID-19 in Zambia

Background: COVID-19 had an impact on all sections of society, including people with disabilities.Objectives: The authors aimed to explore the needs and experiences of people with disabilities in Zambia during the COVID-19 pandemic.Method: In this hermeneutic phenomenological study, we used a semi-structured interview guide to collect data from a purposive and snowball sample of 40 people with disabilities and their caregivers. The participants were from 11 districts in 6 provinces in Zambia. The in-depth interviews were done between July 2022 and November 2022. Data were managed in NVivo and analysed using reflexive thematic analysis.Results: The three themes included: (1) awareness and experience of public health measures on COVID-19 among people with disabilities; (2) experience of othering and stigmatisation as people with disability during the COVID-19 pandemic and (3) experience of COVID-19 symptoms and having COVID-19 among people with disabilities.Conclusion: Interventions were largely unresponsive to the needs of people with disabilities, exacerbating the risk of exposure to infection. In future, adaptations like emergency risk communication in braille, audio and sign language interpretation in adapted communication formats should be made. Further studies are needed to quantify the gaps in access to health, explore policies and strategies to improve health outcomes for people with disabilities in LMICs like Zambia.Contribution: The findings may contribute to the development and enhancement of policies and interventions responsive to the needs of people with disabilities in future pandemics in the Zambian context.

Exploring the perceptions and experiences of older people on the use of digital technologies during the COVID-19 pandemic: a qualitative study.

Physical inactivity is an ongoing problem throughout the lifespan. For older people, inactivity has a negative impact on wellbeing, which worsened during the COVID-19 pandemic. Digital technologies can be employed to encourage uptake of social and physical activity through remotely delivered interventions to improve wellbeing, however, we need to understand older people's perceptions and experiences of using digital technologies before implementing these interventions. To explore the perceptions and experiences of older people on the use of digital technologies during the COVID-19 pandemic. Qualitative semi-structured interviews were conducted with 16 community dwelling older people from Hertfordshire, United Kingdom who were all programme participants in a remotely delivered mind-body physical activity programme called Positive Movement. Interviews were conducted before programme participation. The audio recorded interviews were transcribed and analysed using thematic analysis. Four themes emerged from the data. The perceived impact of COVID-19 on social contact, perceived impact of COVID-19 on mental wellbeing, using digital platforms for health or exercise and using digital platforms for social contact. Participants reported reduced social contact due to COVID-19. Most participants reported using digital technologies for social inclusion rather than health reasons, and there were mixed views on the willingness to use digital technologies for physical activity. Digital technologies offered a lifeline during COVID-19 to maintain social contact and their use was found acceptable by older people. Digital platforms such as Zoom can be further employed to conduct remotely delivered interventions with the aim to increase uptake of social and physical activity interventions within this population.

Experiences of people with disability living in permanent supportive housing in the context of the National Disability Insurance Scheme

AbstractPeople with disabilities are more likely to be homeless than the general population and experience additional barriers to accessing housing. Despite this, there is limited research exploring the intersection of homelessness and disability, or the impact of responses such as permanent supportive housing (PSH) from the perspective of people with disabilities. This paper reports on research that explored the experiences of tenants with disabilities in a single site mixed tenancy PSH setting and the extent to which the housing and supports they received addressed psychosocial, welfare and health needs. The research also explored experiences of accessing Australia's National Disability Insurance Scheme (NDIS) as well as other community supports designed to promote inclusion. We found benefits included a sense of stability and ‘home’ whilst challenges related to the limits of congregate housing for this tenant cohort and workforce capacity to manage significant complexity and competing needs. The findings highlight the need for trauma‐informed practices and design, and commitment to workforce development and capacity consistent with tenant needs. We also identified significant challenges and barriers at the interface with the NDIS and other funded services with implications for more assertive in reach education, support and planning to promote community participation.

Older Aboriginal and Torres Strait Islander People's Experiences With Hearing Loss and Audiological Services: A Scoping Review.

In Australia, older Aboriginal and Torres Strait Islander people have the highest prevalence of hearing loss, for which dedicated audiological services are available. However, there is limited research on the experiences older Aboriginal and Torres Strait Islander people have with hearing loss and audiological services. Therefore, this study aimed to consolidate existing literature with a scoping review, specifically on the above to identify gaps and guide future research. Ten databases, including electronic journal databases and government databases, were systematically searched. Additional studies were sought from article reference lists, review articles, conference abstracts and Google Scholar. We identified 540 records and 22 of them met our inclusion criteria. Our inclusion criteria constituted research of any design on the experiences of older Aboriginal and Torres Strait Islander people (aged 45+ years) with hearing loss and audiological services. Seventeen studies reported on experiences with hearing loss, four studies reported on experiences with audiological services and one study reported on both experiences. Prevalence of hearing loss was estimated to be 20%-34% in older Aboriginal and Torres Strait Islander people; a discrepancy between self-reported and objective hearing difficulties was also identified. Audiological services currently available to older Aboriginal and Torres Strait Islander people were also underutilised. Future research on older Aboriginal and Torres Strait Islander people is required to uncover: (1) the reasons for underreported hearing loss; (2) types of hearing loss experienced; (3) barriers to accessing audiological services; and (4) best hearing-loss management and rehabilitation practices.

“That grey area where no one can help”: The experience of younger people avoiding or leaving residential aged care who are not NDIS participants

AbstractLiving in residential aged care (RAC) can have deleterious effects on the health, well‐being and social participation of younger people (<65 years of age). This research examined the barriers and enablers to leaving or avoiding RAC for Australian younger people who are not National Disability Insurance Scheme (NDIS) participants. It reports on the findings from semi‐structured interviews with 16 younger people living in, or at risk of entering RAC and 12 family members. The research revealed that most participants were opposed to younger people living in RAC, and many of those who were already living in RAC were dissatisfied with their lives. However, some in RAC reported feeling satisfied, and expressed fear that their needs would not be met elsewhere. The barriers and enablers to leaving or avoiding RAC related to funding to access services, help to navigate funding and services, and the availability of services in rural and regional areas. To best support younger people, there is a need for increased funding for the services required to live outside RAC, and assistance to navigate funding and services. Initiatives that address hesitancy to move from RAC, and to build capacity to help younger people imagine life outside RAC are required.

The perspectives of people living with dementia and their carers on the role of the general practice nurse in dementia care provision: a qualitative study.

Background Models that optimise the role of the general practice nurse have the potential to deliver cost-effective best-practice dementia care in the primary care setting. Patient experience is recognised as a vital contribution to the design, provision and evaluation of healthcare services. The aim of this study was to gain insights into the healthcare needs and experiences of people living with dementia and carers as relevant to the provision of dementia care by general practice nurses. Methods A qualitative design with semi-structured interviews was employed. Data were transcribed verbatim and thematically analysed. Six carers and five people living with dementia who received care from a general practice nurse in the previous 12months took part in the study. Results Five overarching themes were identified: (1) the general practice nurse and dementia care: a golden opportunity, (2) respectful communication: talk to me and hear what I am saying, (3) person-centred information: tell me what I want to know, (4) provide support: more than just information provision, and (5) include the carer: we are a team. Conclusion This study describes the experiences and healthcare needs of people living with dementia and their carer(s) with regard to the general practice nurse role. These findings can inform strategies to support the general practice nurse provision of dementia care that meet the healthcare needs of people living with dementia and carers.

The Lived Experience of People With Intellectual Disability in Community Settings: A Comparison of Self‐Reports and Staff Reports

ABSTRACTBackgroundThere is a need for more qualitative research focusing on the lived experiences of people with an intellectual disability and a better understanding of how these experiences align with other voices in their lives, such as family and support staff.MethodsIn this qualitative study, we asked people with an intellectual disability (N = 87) and their support workers (N = 120) similar questions about factors contributing positively and negatively to the lives of those with an intellectual disability. We conducted a thematic analysis combining data across respondents, while also identifying areas of similarities and divergence between self‐reports and staff reports. The setting was community‐supported living schemes and group homes in the UK.FindingsQualitative themes, representing key positive and negative factors in the lives of people with an intellectual disability, were (1) Positive impact of social relationships on well‐being, (2) positive impact of participation and roles on self‐determination and well‐being and (3) negative impacts of difficulties affecting day‐to‐day life. These three themes are all linked to a broader sense of identity, purpose and self‐determination. These were broadly consistent across self‐reports and staff reports, although there were some points of divergence, particularly in Theme 3.ConclusionsThese findings reveal areas that are key to maximising the quality of life of people with an intellectual disability and suggest that self‐reports and proxy reports can sometimes offer unique perspectives. Our findings can be used to ensure that the priorities of people with an intellectual disability are considered in their care.

How Managers Experience Downsizing: Navigating among Professional, Loyal, Empathic, and Critical Positions

ABSTRACT Downsizing, a significant organizational change, is often entrusted to middle managers. These agents play a crucial role in navigating the complexities of downsizing, yet we know little about their downsizing experiences. In this study, our research question was: how do managers who have to lay off people experience downsizing. We used discourse analysis to describe what we refer to as ‘discursive positions’ adopted by downsizing agents in our interviews. Our research material comprises 21 interviews in a large Finnish manufacturing company that underwent a downsizing process. We show how 12 downsizing agents navigated among different discursive positions while serving many conflicting interests. The rationalistic positions of Professional and Loyal target the shareholders, other business professionals, and the employer. The position of Empathic addresses subordinates, and the position of Critical is directed at top management and human resource professionals. We show how discursive positions are divided into rational and emotional spheres and examine the strong tensions between them. It appears that middle managers apply several often-contradictory discursive positions, struggle with satisfying conflicting expectations from top management and from their subordinates, and use several coping methods. MAD statement A common challenge for change managers is that they are brought in only after a downsizing decision has already been made. Sustainable change management requires ongoing preparation for change, regardless of whether downsizing or restructuring is imminent. This proactive approach helps all stakeholders to respond responsibly when an urgent situation arises. It also reduces the need for abrupt action and prevents reactive, high-speed learning that often accompanies such crises. We recommend that companies establish a cross-functional change team to develop long-term personnel reduction strategies. While constant change is often celebrated in management, we argue that many organizations would benefit from maintaining a reasonable degree of stability.

The Narrowing of Self as Perceived by People in the Early Stages of Dementia-The Second Report.

The purpose of this study is to shed light on the sense of self that occurs amongst those who have been diagnosed with the early stages of dementia, where the individual attempts narrowing their world. The research was conducted using qualitative induction research methods, and data were collected using semi-structured interview methods. The interviews were conducted between 2017 and 2019. The 15 participants were residents with families in a Japanese city of about 950,000 people. The diagnosis was Alzheimer's disease in all cases. Of the 15 participants, six were male and nine female. The average age was 69.9 years. The average score on the MMSE was 19.8 points. The average period since the first diagnosis was 2 years. The average interview time was 51 minutes. The narrowing self perceived by these people diagnosed with mild dementia was composed of the "neglected self" and "closed self." While living in a safe world in which they had given up on their own possibilities and experienced narrowing, they were unable to give up and harbored regret, anger, resentment, and feelings of absurdity. We believe that this study will help us understand the experiences of people in the early stages of dementia and contribute to providing nursing care that is more tailored to the individuals involved.

A decade of shaking in the Garden City: the dynamics of preparedness, perceptions, and beliefs in Canterbury, New Zealand, and implications for earthquake information

IntroductionThis study explored earthquake preparedness over time—before, during, and 10 years after the Canterbury Earthquake Sequence (CES) in New Zealand (NZ; known as Aotearoa in te ao Māori).MethodSurveys of Canterbury residents were conducted in 2009, 2013, and 2021, using variables derived from Community Engagement Theory (CET). The surveys measured earthquake perceptions and beliefs, participation and engagement, and preparedness actions. Results were compared across the three samples.ResultsFindings indicate that perceptions and beliefs (e.g., risk perception, outcome expectancy beliefs), and types of preparedness actions taken (e.g., collection of survival items, structural preparedness, community and/or agency relationships), differed over time, depending on people's experiences before, during, and after the CES. For example, during and after the CES, people were more likely to believe that preparing provided a benefit to daily life, but less likely to think it could reduce property damage, perhaps due to people's experiences of disruption and damage during the earthquakes.DiscussionAn understanding of such dynamics can assist with the provision and timing of risk and preparedness information. This study highlights the importance of providing applicable and actionable preparedness information, that is relevant to people's experiences, throughout an earthquake sequence. Such information might evolve and change in focus over time depending on risks and needs. Focus could also be given to information that builds peoples beliefs and capacities to undertake preparedness in evolving situations. Understanding preparedness in the context of different experiences and timeframes is useful in helping update models such as the CET, where the dynamics of time might be better incorporated.

A response to Jindra, Jindra, and DeGenero’s “Contrasts in Religion, Community, and Structure at Three Homeless Shelters: Changing Lives”

The book Contrasts in Religion, Community, and Structure at Three Homeless Shelters: Changing Lives seeks to explore the role of religion and personal transformation in people's experiences of homelessness. While the goals show promise, this response offers a critique of the claims provided by the authors. Here, I suggest that binary thinking around 'structural' and 'individual' causes of homelessness, methodological challenges, missing clarity on what amounts to 'success,’ and a lack of sensitivity to the narratives and experiences of people who are homeless does not advance the scholarship on homelessness. Instead, I point to concerns about how longstanding myths and stereotypes about homelessness may be reinforced through this form of analysis that individualizes and blames people for experiences that are ultimately driven by and mediated through structural barriers. The response also offers insight into where to take research of this nature, including an emphasis on how spirituality and caring for the whole person offers an opportunity to make a meaningful contribution to homelessness literature.

Neurodiversity Can Explain Differences in How People Experience Everyday Life

Neurodiversity means that all people’s brains process information differently from each other. In other words, people think and learn in a variety of ways. Being neurodivergent means that the way a person’s brain processes information might be quite distinctive, or even rare—and in some cases this difference might have a name, like ADHD, autism, or dyslexia. About one person in every five is neurodivergent: maybe you are neurodivergent yourself! In this article, we discuss the ways that neurodiversity can affect how people experience day-to-day life. We explain some of the research that has explored how neurodivergent people process information. We also share some on-going research that focuses on making places like schools and hospitals more comfortable for neurodivergent people. When we all understand what neurodiversity is, it is easier for everyone to be themselves, no matter how they think, feel and learn.

New Trends of Thought in Response to Post-Pandemic Work Precariousness Among Second-Generation Romanian Citizens in Spain

Drawing on 65 in-depth interviews with young Romanians between 22 and 33 years old, the contribution of this article is to offer an innovative analysis of the work experiences of second-generation young people who, having studied and completed their degrees in Spain during the pandemic, are developing their skills and creativity in a difficult labour market. I argue that unlike their parents’ generation, who in many cases have returned home or practice mobility, this generation wishes to remain in Spain. Consequently, the (im)mobility experienced by second-generation young people has become a fundamental post-pandemic trend. Three interlinked profiles were identified: (1) young graduates doing work for which they are overqualified, who want to find better jobs; (2) young people who have completed master’s or doctoral degrees and now have their own business, are applying for research funding or are unemployed; and (3) unemployed graduates who are making a living from self-employment or aspire to have their own business. The conclusions highlight new trends of thought among young Romanians educated and trained during the pandemic in terms of how to overcome work precariousness and live in Spain.

Outputs from a model of co-research with older care-experienced people in Sweden to advance eldercare services.

Within the contemporary policy turn towards co-production and co-research in Sweden, older people, practitioners and researchers alike have expressed uncertainty about how to undertake co-research. Moreover, scepticism persists about the merits and contributions of co-research and co-production to research and service development. In this paper, we aim to describe a co-research model developed with older care-experienced lay co-researchers and explore the utility of our model's outcomes to social care research and practice. In a Participatory Action Research project, we established a team of three co-researchers by professional experience and eight lay co-researchers by lived experience who were over age 75. Our team undertook a complete study cycle from inception and funding through to knowledge exchange and dissemination. Our process lasted one year and comprised three phases: the group alone establishing collective knowledge, testing knowledge in peer interviews with acquaintances, exchanging knowledge in events with multi-sector actors. We generated and analysed data concurrently in fortnightly workshops and round-table meetings using procedures inspired by framework analysis to produce themes illustrated by vignettes. We highlight our co-research model's utility to social research, policy and practice under three themes. Expressly, how our approach (1) reaches and engages older people who are isolated at home, (2) generates out-of-the box thinking and innovative solutions for service development and research, (3) recognizes and benefits from older people's authentic experience and knowledge. We critically reflect upon these three themes and the conditions that lead towards or away from the adoption of key co-research principles. Public services and research and development units working in the interests of older people can take inspiration from our co-research model when seeking to meet the challenges brought by new reforms towards closer community involvement. Despite messiness in the process, integrating and embedding principled co-research and co-production can bring clarity and structure to the issues that matter most to older people, and draw organisations closer to the communities they serve.

INNV-23. UNDERSTANDING THE BURDEN OF MIDH1/2 DIFFUSE GLIOMA AND THE COMPLEXITY OF NAVIGATING THE PATIENT PATHWAY: INSIGHTS FROM PATIENTS AND CAREGIVERS

Abstract Diffuse gliomas with mutations in isocitrate dehydrogenase 1 or 2 (mIDH1/2) are characterized by a slow-progressing yet life-limiting disease predominantly in young people. We report interim findings from a qualitative study to describe the mIDH1/2 diffuse glioma patient pathway, experience of the disease, and treatment approaches. Patients, caregivers, and patient-association group (PAG) representatives undertook individual interviews, with patients also completing standardized exercises as pre-work. Materials were developed in collaboration with the International Brain Tumour Alliance. Patients were aged ≥12 years with mIDH1/2 glioma and last resection ≥6 months before enrollment, either undergoing active observation or receiving chemotherapy/radiotherapy. Caregivers were living with the patient. PAG representatives were active members of a brain tumor PAG. From November 2023 to March 2024, 30 patients (Australia: n=10; China: n=6; France, UK: n=5 each; Canada, Japan: n=2 each), two caregivers (China, Australia: n=1 each) and one PAG (UK) participated. Median age of patients was 41.5 years, with 17 astrocytoma and 13 oligodendroglioma diagnoses. Presentation symptoms, circumstances of diagnosis and treatment, access to care, and navigation in the healthcare system differed per patient and within countries. Surgical resection was perceived as a crucial stage, both feared and desired. A second opinion was more often sought for surgery than for subsequent treatment approaches. Patients undergoing chemotherapy/radiotherapy (n=17) or active observation (n=13) expressed substantial physical, socioeconomic, financial, and psychological burden. Patients receiving active observation experienced strong and ongoing anxiety, as the uncertainty of tumor recurrence took a toll on their emotional wellbeing in the long term. The experience of people living with mIDH1/2 diffuse glioma is heterogeneous regarding their pathway and complexity navigating the healthcare system, with a substantial psychological and socioeconomic impact. Improved education, as well as facilitating early navigation and prioritizing shared decision-making along the disease pathway, will better support people living with mIDH1/2 diffuse glioma.

Utilizing Virtual Reality Tours in Language Learning

Virtual reality (VR) has been recognized as a revolutionary technology in education, providing a multitude of benefits that enhance learning experiences and outcomes. By immersing students in interactive and engaging environments, VR can make abstract concepts tangible, foster deeper understanding, and accommodate diverse learning styles. With VR, students can be fully engaged in dynamic and stimulating environments, which can transform abstract concepts into concrete experiences. This immersive approach can promote a deeper grasp of the subject matter. An example demonstrated how VR may engage students and foster interactive learning by enabling them to investigate intricate systems and surroundings that would be unfeasible or inconvenient (Freina & Ott, 2015). In addition, VR was shown to provide affordances that are believed to enhance learning, such as the first-person experience and the sense of being present in a particular location, also known as presence or spatial presence (Mikropoulos & Natsis, 2011). Although these advantages have been documented, the implementation of this technology has proven challenging or unfeasible for many teachers and learners due to financial constraints. VR photos and videos, which are commonly referred to as 360-degree media, have become readily available resources that can be utilized to create low-cost immersive experiences for people who are learning. Researchers have claimed that previous research has demonstrated the usefulness of these tools in boosting spatial presence and interest among participants in virtual reality tours that were conducted as part of one-off investigations (Petousi et al., 2023). However, these findings need to be supported by research over extended periods of time in a variety of educational settings to gain an understanding of the intricacies and limitations of this technology-based instructional approach. This poster describes two initiatives in which VR tours have been integrated into language learning settings. The first initiative employed a design-based research methodology to assess the efficacy of VR tours among online learners in France and Japan while the second initiative is an ongoing project that focuses on teaching the Filipino Language in a Japanese classroom using blended learning. This poster showcases the results of research conducted as part of the initiatives. The findings demonstrate the positive impact of virtual reality tours on student motivation and highlights the role of various factors, including instructional material, learners' personal traits, and the physical environment in which they engage in online learning, in addition to spatial presence and technological novelty. Moreover, this poster presents information regarding the process of improving the tours and lessons, as well as the platforms and technologies that were utilized to address concerns regarding usability and sustainability.

See it, hear it, feel it: an explorative virtual reality study to identify factors determining public acceptance of drones in different city environments

Abstract This paper reports an explorative approach to research factors influencing how people experience urban drone traffic. The study used a virtual reality environment to show people what future drone traffic could look like. A total of ten people took part in the survey. They experienced different types of drones with varying purposes in four urban areas: an industrial area, a city center, a residential area, and a park. Various types of data were collected in the study, focusing on qualitative data from interviews. The goal was to collect a rich and comprehensive data set that thoroughly understands acceptance factors related to drones, recommendations on how future research scenarios in high-fidelity simulation should be designed, and which factors should be included or need more investigation. The findings reveal that drone acceptance is determined by a complex interaction of numerous factors, which need more investigation and validation in future research.