Quality Of Experiences Research Articles

Participation and quality of life among Australian children with developmental coordination disorder

Purpose Children with Developmental Coordination Disorder (DCD) experience difficulty in the acquisition and performance of movement skills, threatening participation and quality of life. Environmental influences on participation and quality of life were investigated in children with DCD and their neurotypical peers. Materials and Methods Quality of life and participation data were collected from 30 parents of children with DCD and 19 parents of neurotypical children via the Pediatric Quality of Life Inventory and the Participation and Environment Measure for Children and Youth. The association between participation, environmental factors, and quality of life were investigated alongside group differences in home, school, and community settings. Results Children with DCD were less involved than their neurotypical peers in school and community activities. Across all settings, parents of children with DCD reported more barriers to participation, less helpful environments, a greater desire for change in participation, and lower overall environmental support. Children with DCD experienced poorer quality of life, which was predicted by overall community and school support. Conclusions Results have several implications for therapy. Individual (e.g., cognitive and physical demands) and environmental factors (e.g., additional school and community resources) should be considered in intervention development to promote participation frequency and involvement.

Experiential quality and satisfaction in marine tourism: a gendered analysis of post-visit behavior and frequency of visits in Lampung, Indonesia

Experiential quality and satisfaction in marine tourism: a gendered analysis of post-visit behavior and frequency of visits in Lampung, Indonesia

Exploring the Influence of Microtopography on the Spatial Genes of Urban Historical Streets and Alleys in Xuzhou

Spatial genes represent the fundamental interplay among the morphological characteristics of historical districts. Identifying and analyzing these morphological elements can enhance our understanding of urban spatial development, uncover spatial meanings, and provide informed recommendations for future development. This study focuses on the Xuzhou Huilongwo historical district, employing geographic information system, Global Mapper, and other digital technologies to determine the area’s microtopographic features. Qualitative methodologies extract the spatial genes of street segments, entry spaces, and node spaces. By summarizing the microtopography’s influence on street and alley characteristics, valuable spatial samples were selected and visually represented for analysis. This included examining the street segment interface, entry space sequences, and the planar morphology of node spaces. The findings reveal that Huilongwo architecture aligns with topographical features, exhibiting a multi-directional distribution. Height differences help establish street boundaries and enhance pathways’ experiential quality. Additionally, topography significantly influences street spaces, leading to undulating sequences in entry spaces. This study provides insights into the preservation and enhancement of streets and alleys within Xuzhou’s historical district.

Unboxing the links in understanding customer revisit intention: the role of customer love and experiential quality

Purpose This study aims to examine the factors influencing customer love (physical environment, food quality, customer-to-customer interaction and innovativeness) and revisits intention in the restaurant industry in Bangladesh. Design/methodology/approach This study applied a quantitative technique that exceedingly prescribed a methodological approach to positivism from a philosophical stance. Following the purposive sampling, 456 questionnaires were distributed, and 394 were received from the restaurant customer for analysis. Findings Using the partial least squares-structural equation modeling (PLS-SEM), the salient findings have shown that physical environment, food quality, customer-to-customer interaction and innovativeness have a positive and significant effect on customer love. Besides, customer love is fully mediated between the influencing factors of customer love and revisit intention. The findings also show that customer experience quality actively moderates the factors influencing customer love. Finally, customer love has a positive and significant effect on revisit intention. Originality/value Restaurant managers may benefit from the study’s findings. It can be an essential blueprint for theoretical and practical implications. The study also recommends increasing the restaurant’s performance and remaining experienced customers for future transactions.

Nemaline Myopathy Type 6 Caused by Variants in the KBTBD13 Gene: A Cross-Sectional Study of 24 Patients.

Nemaline myopathy type 6 (NEM6) is the most prevalent type of nemaline myopathy in the Netherlands. Because a detailed clinical characterization is not available yet, we here provide a detailed assessment of 24 patients. In this cross-sectional study, we performed a full clinical assessment (medical history and neurologic examination) in patients with NEM6. Patient demographics, causative variants in the KBTBD13 gene, creatine kinase levels, and the results of previous muscle biopsies were collected. We evaluated experienced health-related quality of life, fatigue severity, prevalence of falls, balance control (Mini-Balance Evaluation Systems Test [Mini-BESTest]), functional motor score (Motor Function Measure [MFM]), and 6-minute walk distance. We used transcranial magnetic stimulation to assess muscle relaxation kinetics. Twenty-four patients were included (19 women [19-76 years]; 5 men [25-57 years]). Key patient-reported symptoms since childhood were muscle weakness (n = 23; 96%), slowness of movements (n = 23; 96%), and difficulties with running (n = 20; 83%). Axial, proximal, and distal muscles showed mild weakness in most patients. Health-related quality of life was significantly lower, and there was a significantly increased fatigue severity compared with controls. Prospectively, in a period of 100 days, 8 patients (33%) fell at least 1 time, of whom 5 patients (21%) fell 2 times or more. The median total score on the Mini-BESTest was 24 (21.0-26.0 [interquartile range]) of 28 and the median total percentage on the MFM was 91% (83.5-95.3), both considered to be mildly abnormal. The 6-minute walk distance was below the lower limit of normal in 4 patients (17%). All patients with NEM6 showed a markedly reduced muscle relaxation rate with a median of 6.5 [4.9-8.1] s-1 (lower limit of normal is 10.1 s-1). This cross-sectional study in patients with NEM6 shows a relatively mild clinical phenotype and mildly abnormal functional tests. However, patients report an important impact on the daily activities, which is illustrated by functional difficulties, reduced quality of life, increased fatigue severity, and increased prevalence of falls. This might be related to delayed muscle relaxation. This study provides a comprehensive overview of the clinical presentation and functional limitations in patients with NEM6.

Neglected sleep quality problems in women with gestational diabetes mellitus: a multi-center cross-sectional study

BackgroundGestational diabetes mellitus (GDM) is the most common complication of pregnancy, affecting an estimated 16.7% of live births worldwide, which translates to approximately 21 million cases annually. Although poor sleep quality is a prevalent concern in this population, most existing studies predominantly focus on the impact of sleep disorders on GDM, rather than directly assessing sleep quality in women diagnosed with GDM. This study aimed to investigate sleep quality and its associated factors specifically among women with GDM.MethodsWe originally aimed to include 287 women with GDM; ultimately, 618 were invited, of whom 393 participated in the survey through a convenience sampling method at the obstetric clinics of four general tertiary hospitals in Chongqing, China, from June to August 2022. Data were collected utilizing sociodemographic characteristics, the Pittsburgh Sleep Quality Index (PSQI), the Sleep Hygiene Scale, and the Pregnancy-related Anxiety Scale (PrAS). We employed linear regression analysis to identify factors associated with sleep quality.ResultsThe PSQI score of participants was (5.83 ± 3.41). Notably, 43.77% of participants reported an actual sleep duration of less than 8 h per night, whereas 45.55% experienced poor sleep quality. Worrying during the day about your inability to fall asleep (β = 0.204, P < 0.01), body image concern (β = 0.159, P < 0.01), going to bed thirsty (β = 0.160, P < 0.01), educational attainment (β=-0.150, P < 0.01), avoidance (β = 0.124, P < 0.01), sleep disturbed by bed partner’s sleep (β = 0.126, P < 0.01), and worrying as you prepare for bed about your inability to fall asleep (β = 0.137, P < 0.05) significantly affected the sleep quality of participants.ConclusionsThe study revealed a high prevalence of insufficient sleep duration and poor sleep quality among women with GDM, which was significantly influenced by inadequate sleep hygiene habits and pregnancy-related anxiety. These findings enhance our understanding of the factors affecting sleep quality in this population and underscore the necessity for healthcare professionals to timely identify sleep disorders. Implementing appropriate interventions, such as the development of educational programs focused on sleep hygiene and body image acceptance through cognitive behavioral therapy, could enhance the quality of care for women with GDM.

Post-COVID-19 pneumonia: Long-term radiographic and spirometric outcomes

Objectives: This study aimed to evaluate the long-term radiographic and spirometric outcomes in patients who survived Coronavirus Disease 2019 (COVID-19) pneumonia in Brazzaville, with a focus on identifying the prevalence and contributing factors to persistent pulmonary sequelae. Materials and Methods: A cross-sectional study was conducted in multiple COVID-19 treatment centers in Brazzaville. A total of 52 patients, with a median age of 49.5 years, were assessed at least six months after recovery. Thoracic computed tomography (CT) scans were used to evaluate radiographic abnormalities, while spirometry assessed ventilatory function. Factors contributing to these abnormalities were analyzed, including age, comorbidities, and the severity of the acute illness. Results: Radiographic analysis revealed that 42.3% of patients had abnormal thoracic CT scans, with common findings including ground-glass opacities (52.2%), atelectasis (39.1%), and traction bronchiectasis (13%). Spirometric analysis revealed that 71.1% of patients had ventilatory disorders and predominantly restrictive patterns (51.4%). Advanced age, comorbidities (such as diabetes and hypertension), and the use of mechanical ventilation were significantly associated with radiographic abnormalities. Persistent respiratory symptoms, including chronic cough and dyspnea, were reported by 32.7% of patients, and 44.2% experienced impaired quality of life. Conclusion: These findings underscore the importance of long-term follow-up for COVID-19 pneumonia survivors, particularly those with persistent symptoms or comorbidities. Regular monitoring of respiratory function through spirometry and imaging is essential to managing long-term sequelae and improving patients’ quality of life.

Measuring service quality based on consumers’ evaluation of services in competitive markets

Previous research recommends using measurement models of service quality such as SERVQUAL and SERVPERF. However, these models may be insufficient for measuring service quality in competitive markets, as they do not account for comparisons between competitive services. This paper proposes a new model for measuring service quality based on two comparison processes that consumers use: internal and longitudinal comparison versus external and cross-sectional comparison. The former involves comparing the experienced quality to the expected quality of a focal firm, while the latter involves comparing the experienced quality of the focal firm and that of other firms. This paper shows that internal and longitudinal comparison significantly influences customer satisfaction through external and cross-sectional comparison. It also highlights the advantages of the new model and advocates for its use in competitive markets. By comparing these dual comparison processes, the proposed model offers a more comprehensive and nuanced understanding of service quality assessment in competitive market environments.

Quality of care through the eyes of residents with Huntington's disease living in a nursing home: A qualitative explorative study

Background: Moving to a nursing home is often unavoidable for late-stage patients with Huntington's disease (HD). Specialized care is needed, adjusted to the specific needs and characteristics of this usually young group within the nursing home. Despite this, there are no specific, validated methods for assessing the experienced quality of care (QoC) by HD nursing home residents. Objective: We used a qualitative, phenomenological approach to gain insight into the perspectives of HD residents and identify elements for assessing QoC in HD specialized nursing homes. Methods: Fifteen advanced-stage HD residents (Total Functional Capacity Scale 3–5), from three specialized HD nursing homes in the Netherlands, participated in semi-structured interviews from November 2022 to February 2023. Interviews were transcribed verbatim and analyzed using reflexive thematic analysis. Results: Residents emphasize the significance of care and daily living experiences, including meal satisfaction, support in daily activities, and a structured routine. Autonomy, well-being, and a positive living environment contribute to a sense of home. QoC is influenced by residents’ ability to express preferences, choose consciously for a specialized nursing home, and caregivers’ HD knowledge and competences. Positive QoC involves open, respectful conversations, family contact, and addressing topics like advance care planning. Interactions with fellow residents, including behavioural and communication challenges, also affect QoC. Conclusions: The experiences of nursing home residents with HD related to the QoC they receive are shaped by satisfaction with daily activities, autonomy, caregiver expertise, and fellow resident interaction. These factors are crucial for assessing QoC from the residents’ perspective.

A Scoping Review of Patient Health-Related Quality of Life Following Surgery or Molecular Testing for Individuals with Indeterminate Thyroid Nodules.

Molecular testing can reduce the need for diagnostic thyroidectomy in cytologically indeterminate thyroid nodules. However, the health-related quality of life in patients managed with molecular testing is not well studied. The objective of this scoping review was to identify and analyze the health-related quality of life outcomes in patients with indeterminate thyroid nodules who are expected to undergo or have undergone surgery or molecular testing. A comprehensive search was conducted on PubMed, Scopus, PsychINFO, and Embase to identify relevant studies. The search terms included "thyroid neoplasms" or "thyroid nodule" and "molecular testing" or "surgery" and "quality of life". The included articles were analyzed for their main study objective, study design, participant characteristics, and main results. Eight studies were included in this scoping review. Four evaluated the quality-adjusted life years for patients with indeterminate thyroid nodules. Three of these studies found that molecular testing slightly improved quality-adjusted life years compared to surgery, while one study found no difference. Two studies assessed surgical health-related quality of life outcomes and reported that patients with indeterminate thyroid nodules who were expected to undergo surgery favored surgical procedures, while those who underwent surgery experienced impaired health-related quality of life. Two studies evaluated molecular testing in patients with indeterminate thyroid nodules and found that the final molecular test result significantly impacted health-related quality of life outcomes. Patients with suspicious/positive molecular test results had worse symptoms of goiter, anxiety, and depression, while those with benign results had preserved health-related quality of life scores. Patients with benign results from molecular testing experience better health-related quality of life within the first year compared to those with benign surgical outcomes. This scoping review highlights the importance of considering health-related quality of life outcomes in the management of patients with indeterminate thyroid nodules. Benign molecular testing results yield better quality of life than benign surgical outcomes within the first year, suggesting molecular testing as a preferable option. Further research comparing the impact of surgery and molecular testing on health-related quality of life is needed to improve shared decision-making and patient outcomes.

The Sublime of Consciousness

Abstract The aesthetic tradition has identified as paradigmatically sublime such objects as imposing mountains and intense storms, as well as monumental art. But the tradition also acknowledges less paradigmatic cases, including sometimes mathematical structures or abstract concepts. In this paper, we argue that there is also a case for considering phenomenal consciousness—the experiential quality of subjective awareness—as a sublime phenomenon. One appreciates this, we argue, when one is struck by (fitting) awe upon contemplating (a) the perplexing existence of something like phenomenal consciousness in an otherwise completely material universe and (b) the role of consciousness in injecting meaning and value in an otherwise brutally factual reality.

Identification of interventions to improve patient experienced quality of care in transitions between healthcare settings: a scoping review

BackgroundTransitions in healthcare settings can be a challenge for patients and they express a need for guidance and support to cope with these transitions. The aim of this scoping review was to investigate if interventions can improve patients’ experiences when transitioning between healthcare settings.MethodsThis review was conducted following the Johanna Briggs Institute’s methods and reported according to the PRISMA-ScR Checklist. Included articles were published and peer-reviewed, and reported qualitative and quantitative findings on patient experiences with interventions when transitioning between healthcare settings. The search was conducted in May 2024 in Medline Ovid, Embase Ovid, and Cinahl.ResultsTwenty-three studies were included. Factors extracted from the studies were: author(s), year of publication, country of origin, study design, theoretical methods, population description, intervention, phenomena of interest(s), and key findings. There has been an increase in published studies on the subject in the last few years, and most of the included studies originated from Western countries. Most studies were quantitative, primarily RCTs, and the theoretical methods were thus mainly statistical analysis. The study populations were found to be heterogeneous. The interventions were categorized: care coordinator, program, integrated care, online communication platform, coaching, discharge care plan, and miscellaneous interventions.ConclusionsOverall, interventions were found to improve the patient experience. Centralization of healthcare has increased the number of transitions, and patients express that the coordination of healthcare transitions can be improved. This review’s findings should be used alongside other research on interventions’ effect on factors like hospital readmissions and mortality to determine the optimal intervention to implement.

Polymer Solution Preparation, Quality Control, and Produced Fluid Analysis at Milne Point

Summary This paper focuses on solution preparation and quality control activities associated with the Milne Point polymer flood on the North Slope of Alaska. This project uses 10 different polymer injection locations with a variety of skid types and configurations, which had a notable impact on polymer quality control and dissolution operations. Compared with bulk 500-kg to 750-kg polymer bags, silos greatly improved the storage capacity and increased the overall quality of the polymer solutions. Silos required less physical effort when transferring polymer. Polymer hydration skids that were made in-house by the polymer supplier were more reliable and experienced fewer polymer solution quality and startup issues than those that were outsourced. These in-house skids also used a uniform programming software that made it relatively easy to train the operators on new hydration skids. For pumping polymer mother solution, triplex pumps provided the best runtime and were most maintenance-friendly, compared with diaphragm or triple screw pumps. Because of the soluble iron present in the polymer makeup water, nitrogen blanketing was preferred to minimize corrosion and oxidative degradation. Inline static mixers were ineffective in mixing mother solution with dilution water when the mixing occurred close to the wellhead. Mixing the two streams too close to the wellhead led to substantial variations in wellhead viscosity measurements. Dedicating individual pumps for injection into a given well provided desirable flexibility in controlling rates and concentrations of polymer for the well. Monitoring produced salinity and polymer concentration provided useful insights about improved sweep and polymer retention associated with the polymer flood. The observed field behavior was consistent with laboratory studies, indicating a “tailing” phenomenon associated with polymer retention at Milne Point.

Effectiveness of Narrative Exposure Therapy for Treatment of PTSD Following Childhood Trauma: A Single-Case Series Design.

Narrative exposure therapy (NET) has shown promising outcomes for treating posttraumatic stress disorder (PTSD) in refugees and veterans. Its effectiveness in patients with PTSD following childhood trauma is, however, still unknown. We investigated whether NET is an effective treatment for patients with PTSD following childhood trauma. We studied treatment outcomes of nine adult patients in an outpatient setting. An AB single-case series design was used with a baseline of 4 weeks prior to treatment. Participants filled in weekly online questionnaires to assess their PTSD symptoms (using the Posttraumatic Diagnostic Scale [PDS]) and their experienced quality of life (using the Manchester Short Assessment of Quality of Life [MANSA]). Data were analysed visually and using a mixed-effect model. Results revealed no significant reduction of PTSD symptoms during NET treatment, nor an increase in quality of life, as compared to baseline. The results of our study do not underscore the effectiveness of NET treatment for patients with PTSD following childhood trauma. Further research is needed to study the effectiveness of NET in this population.

Implications of Water Quality Index and Multivariate Statistics for Improved Environmental Regulation in the Irtysh River Basin (Kazakhstan)

The selection of sites for permanent environmental monitoring of natural water bodies should rely on corresponding source apportionment studies. Tools like the water quality index (WQI) assessment may support this objective. This study aims to analyze a decade-long dataset of measurements of 26 chemical components at 26 observation points within the Irtysh River Basin, aiming to identify priority zones for stricter environmental regulations. It was achieved through the WQI tool integrated with geoinformation systems (GISs) and multivariate statistical techniques. The findings highlighted that both upstream sections of tributaries (Oba and Bukhtarma rivers) and the mainstream of the basin are generally in good condition, with slight fluctuations observed during flooding periods. Areas in the basin experiencing significant impacts from mining and domestic wastewater treatment activities were identified. The rivers Glubochanka (GL) and Krasnoyarka (KR) consistently experienced marginal water quality throughout the observation period. Various contaminant sources were found to influence water quality. The impact of domestic wastewater treatment facilities was represented by twofold elevated concentrations of chemical oxygen demand, reaching 22.6 and 27.1 mg/L for the KR and GL rivers, respectively. Natural factors were indicated by consistent slight exceedings of recommended calcium levels at the KR and GL rivers. These exceedances were most pronounced during the cold seasons, with an average value equal to 96 mg/L. Mining operations introduced extremal concentrations of trace elements like copper, reaching 0.046–0.051 mg/L, which is higher than the threshold by 12–13 times; zinc, which peaked at 1.57–2.96 mg/L, exceeding the set limit by almost 50–100 times; and cadmium, peaking at levels surpassing 1000 times the safe limit, reaching 0.8 mg/L. The adverse impact of mining activities was evident in the Tikhaya, Ulba, and Breksa rivers, showing similar trends in trace element concentrations. Seasonal effects were also investigated. Ice cover formation during cold seasons led to oxygen depletion and the exclusion of pollutants into the stream when ice melted, worsening water quality. Conversely, flooding events led to contaminant dilution, partially improving the WQI during flood seasons. Principal component analysis and hierarchical cluster analysis indicated that local natural processes, mining activities, and domestic wastewater discharge were the predominant influences on water quality within the study area. These findings can serve as a basis for enhanced environmental regulation in light of updated ecological legislation in Kazakhstan, advocating for the establishment of a comprehensive monitoring network and the reinforcement of requirements governing contaminating activities.

Use of drone in Indonesian sound art within the context of ‘Lawing’ put forward by Anugerah

Nursalim Yadi Anugerah is an Indonesian modern contemporary artist, who uses the drones of Kledik, an instrument from Kalimantan in his artwork called ‘Lawing’. Anugerah has engaged in addressing socioenvironmental concerns through an interdisciplinary approach. His unique approach towards drone and sound art makes him an appropriate choice for this research. The primary objective of this research is to inquire the use of drone in Indonesian Sound Art within the context of ‘Lawing’ put forward by Anugerah. The research methodology adopted for this study is Sound Ethnography. The data was collected through semi-structured interviews, observations, and literature review. Manual coding and triangulation were used to analyse and interpret the data. Various themes and subthemes were derived through the analysis of the interviews and observations. The researcher found relevant themes like aesthetic and experiential quality of drone, and innovation with drone. This study examines the aesthetics of lawing including tone, texture, resonance and noise within the context of drone. The concept of Lawing is the connection of humans and breathing at a personal level. Anugerah used an air compressor for his performance, which is an innovative way of approaching Kledik to create drone. Ambisonic sound systems and specialized microphones have been purpose-designed to craft such artworks, creating a unique spatial experience, and distinctive experiential dimension for the audience. The incorporation of technology with ethnic music in these artworks, emerges as a central driver of creativity and novelty. The study of ‘Lawing’ illustrates Anugerah’s innovative approach to transform the melodic rhythmic drone of the traditional Kledik into a continuous drone with various density in texture. Anugerah has been actively creating sound art, fusing philosophical and cultural underpinnings of Dayak’s with contemporary technology. ’Lawing’ not only presents the Dayak people’s belief, but also provoke listeners to understand the environmental issues faced in Kalimantan.

Changes in experienced quality of oncological cancer care during the COVID-19 pandemic based on patient reported outcomes - a cross-sectional study.

The study aims to investigate the impact of the COVID-19 pandemic on cancer patients' perceptions of the quality of their oncological treatment and care. The COVID-19 pandemic disrupted healthcare delivery and oncological resources were repurposed, potentially leading to prolonged treatment and reduced access to innovative therapies and clinical trials. Still, little is known about how patients perceived the quality of their treatment. A cross-sectional study was conducted in the spring of 2020 among cancer patients at the Department of Oncology, Aarhus University Hospital and Rigshospitalet, Denmark. Patients were invited to complete an online questionnaire on clinical, socioeconomic, emotional, behavioural, and quality-related aspects of oncological cancer care. Patients who experienced reduced treatment quality and those who reported no or slight reductions were compared using multiple logistic regression, exploring the associations with patient characteristics, behaviours, and fear of cancer progression or recurrence. A total of 2,040/5,372 patients experienced changes in their treatment plans during the pandemic, and 1,570/5,372 patients experienced reduced treatment quality, with 236 reporting a high degree of reduction. Patients with breast, head and neck, and upper gastrointestinal cancers were more likely to experience reduced treatment quality. Altered interactions with healthcare providers, along with isolation, lack of social support, and heightened fear of cancer progression, were significant risk factors for experiencing reduced cancer care quality. We identified subgroups of cancer patients needing targeted communication and care during health crises affecting cancer treatment. The findings underscore the importance of safeguarding the needs of vulnerable patient populations in future healthcare emergencies.

The Role of Experiential Quality in a Vegetarian Restaurant from an Eco-Friendly Perspective

Adopting strategies to reduce meat consumption can help overcome environmental problems associated with meat-based diets, including water scarcity and pollution, soil erosion, and global hunger. Increasing vegetarian diets can result in significant environmental benefits and has been focused on as a way to mitigate environmental changes. Therefore, this study aimed to identify the antecedents affecting customers’ storytelling and subjective well-being in vegetarian restaurants from an eco-friendly perspective. For the surveyed vegetarian restaurants, the four most frequently used by restaurant consumers were selected through a pilot test. Data collection was conducted online through a research company, and a sample of Koreans who responded that visiting at least one of the four selected vegetarian restaurants was selected. Among the 297 questionnaires, a total of 262 valid questionnaires were used for analysis. As a result of the verification, among the respondents, the proportion of women was higher, and the number of individuals in their 20s and 30s who responded was higher than that of people in their 40s and 50s. Affective quality showed the greatest positive influence on experiential quality, followed by physical environmental quality and interaction quality. However, the effects of the outcome quality on the experiential quality were not significant. Additionally, experiential quality was found to have a positive effect on experiential satisfaction, and experiential satisfaction was found to have a positive effect on storytelling and subjective well-being. These results provide useful insights for enhancing customers’ storytelling and subjective well-being in vegetarian restaurants. The design and results of this study contribute to the literature on eco-friendly vegetarian restaurants in the food service industry through theoretical and practical implications.

Bayesian Spatio-Temporal Multilevel Modelling of Patient-Reported Quality of Life following Prostate Cancer Surgery.

Globally, prostate cancer is the second leading cause of cancer deaths among males. It is the most commonly diagnosed cancer in Australia. The quality of life of prostate cancer patients is poorer when compared to the general population due to the disease itself and its related complications. However, there is limited research on the geographic pattern of quality of life and its risk factors in Victoria. Therefore, an examination of the spatio-temporal pattern and risk factors of poor quality of life, along with the impact of spatial weight matrices on estimates and model performance, was conducted. A retrospective study was undertaken based on the Prostate Cancer Outcome Registry-Victoria data. Patient data (n = 5238) were extracted from the Prostate Cancer Outcome Registry, a population-based clinical quality outcome assessment from 2015 to 2021. A Bayesian spatio-temporal multilevel model was fitted to identify risk factors for poor quality of life. This study also evaluated the impact of distance- and adjacency-based spatial weight matrices. Model convergence was assessed using Gelman-Rubin statistical plots, and model comparison was based on the Watanabe-Akaike Information Criterion. A total of 1906 (36.38%) prostate cancer patients who had undergone surgery experienced poor quality of life in our study. Belonging to the age group between 76 and 85 years (adjusted odds ratio (AOR) = 2.90, 95% credible interval (CrI): 1.39, 2.08), having a prostate-specific antigen level between 10.1 and 20.0 (AOR = 1.33, 95% CrI: 1.12, 1.58), and being treated in a public hospital (AOR = 1.35, 95% CrI: 1.17, 1.53) were significantly associated with higher odds of poor quality of life. Conversely, residing in highly accessible areas (AOR = 0.60, 95% CrI: 0.38, 0.94) was significantly associated with lower odds of poor prostate-specific antigen levels. Variations in estimates and model performance were observed depending on the choice of spatial weight matrices. Belonging to an older age group, having a high prostate-specific antigen level, receiving treatment in public hospitals, and remoteness were statistically significant factors linked to poor quality of life. Substantial spatio-temporal variations in poor quality of life were observed in Victoria across local government areas. The distance-based weight matrix performed better than the adjacency-based matrix. This research finding highlights the need to reduce geographical disparities in quality of life. The statistical methods developed in this study may also be useful to apply to other population-based clinical registry settings.

Optimizing Experiential Quality to Drive Positive Post-Consumption Behaviours in Kenyan Theme Parks

Experience quality has become increasingly important, particularly for the theme park sector. This is because visitors' post-consumption behaviours are influenced by experiential quality, and this has an impact on theme parks' overall success. There have been studies on the relationship between psychological outcomes such as perceived value, image, experiential satisfaction, and behavioural intentions in theme parks and experience quality; however, most of these studies have focused on the global north. In light of this, this study examines management' and guests' perceptions of experiencing quality, perceived value, and post-consumption behaviours (satisfaction and behavioural intentions) in what are thought to be Kenya's top theme parks. According to the research findings, improving experiential quality is critical for nurturing favourable post-consumption behaviours from both managerial and tourist perspectives. Furthermore, visitors place a premium on cost/affordability, outstanding service, and enjoyable and thrilling encounters as critical components of delivering visitor value and creating quality and memorable experiences. Both managers and guests reported high visitor satisfaction and positive behavioural intentions. The authors suggest that optimising the quality of visitor experiences at theme parks leads to beneficial post-consumption behaviours and overall park success