Snowball Sampling Research Articles

Women entrepreneurs in emerging Saudi Arabia: exploring the impact of innovation, risk and perseverance

PurposeSaudi Vision 2030 is centred around innovation, entrepreneurship and women’s empowerment to foster economic growth and bring about social change. In this context, this study examines the impact of product innovation on the success of women entrepreneurs in Saudi Arabia, who constitute around 42% of the population and experience empowerment through recent reforms. Additionally, the study explores the moderating effect of risk-taking behaviour and the mediating role of perseverance.Design/methodology/approachEmploying a quantitative design, this study collected data from 256 Saudi women entrepreneurs from five major cities using a snowball sampling technique. The data were gathered through a survey questionnaire and analysed in SmartPLS 4.FindingsThe results revealed that product innovation positively impacts both entrepreneurial perseverance and women’s entrepreneurial success. Furthermore, the moderating role of risk-taking behaviour and the mediating role of perseverance were found to be statistically significant in the relationship between product innovation and women’s entrepreneurial success.Practical implicationsThe research findings help policymakers to focus on important factors that can harness women’s entrepreneurship. The Saudi government and society should offer increased financial, regulatory and moral support to women entrepreneurs to achieve the National Vision 2030.Originality/valueThis research provides empirical evidence on the crucial topic of women’s entrepreneurship in the context of Saudi Arabia, specifically from the perspective of product innovation, risk-taking behaviour and perseverance. The findings provide important practical, social and regulatory implications for various stakeholders.

Unveiling the Role of Emotional Intelligence in the Relationship between Work-Life Balance and Performance. Insights from SMEs’ Smart Workers

The rise of smartworking has profoundly reshaped employees’ workflows by delineating the opportunity for a better work-life balance. Nevertheless, scholars underlined the risk for remote workers to experience stress and burnout due to the blurring of boundaries between work and personal life. In this context, relying on a manager able to understand and motivate is relevant for enhancing employees’ individual performance and contributing to a business’ survival. This is particularly crucial in small and medium-sized firms (SMEs), where employees’ performance can significantly impact business stability. Therefore, this study explores the role of emotional intelligence in SMEs by investigating its moderating effect between work-life balance and individual performance. A quantitative methodology was adopted, and a Partial Least Square-Structural Equation Modeling was performed. A convenience sampling together with a snowball sampling technique was employed to collect data among employees. A total of 114 valid surveys from Italian SMEs were collected through an online questionnaire. The results confirm that smartworking affects work-life balance and work-life balance positively impacts individual performance. More interestingly, it emerges a positive and significant moderating effect of emotional intelligent leadership. This can open up to the valorization of emotional intelligence within firms as a strategic skill, both in public and private organizations, for handling employees’ emotions, thereby fostering their individual performance.

Cognitive Development in the Age of AI how AI Tools Influence Problem Solving and Creativity in Psychological Terms

This study focuses on the effects of AI tools on cognitive development, problem-solving, creativity, and psychological well-being among tech professionals, creative professionals, students, and entrepreneurs in Punjab, Pakistan. The quantitative research design was used with a sample size of 350 respondents selected through snowball sampling. Data were gathered using a self-report questionnaire, which measured the main variables concerning cognitive abilities and mental health. Data analysis: The interactions between AI tool use and various cognitive and psychological outcomes were explored using regression analysis, correlation analysis, and ANOVA. It was observed that AI tools positively affected problem-solving, creativity, and mental well-being significantly with significant differences across professional categories. Regression analysis revealed strong predictive relationships, whereas correlations revealed that there are significant relationships between AI use and cognitive functions. ANOVA testing revealed that there was a significant difference in cognitive flexibility and stress levels between groups. These findings underscore the role of AI tools in enhancing cognitive abilities and mental health.

Views from Journalists: Social Media Practice in Malaysian Newsrooms

Social media has transformed the world of journalism and opened up channels for greater communication between journalists and news organisations with the public. This research aims to identify the perception of Malaysian journalists on the use of social media in the newsrooms. In addition, the research discusses the use of social media in the journalistic practice of Malaysian newsrooms. Snowball sampling was adopted for in-depth interviews with journalists from various Malaysian news organisations. Findings suggest that the majority of Malaysian journalists view the adoption of social media positively as a medium to engage with the audience of the news organisation. While social media algorithm has their benefits, journalists expressed concerns over its technology that could lead to an invasion of privacy and confirmation bias. Finally, findings suggest that though social media adoption in newsrooms is seen as beneficial in many aspects of journalistic work, journalists are cautious about adopting its technology due to ethical concerns. This signifies the awareness of media literacy among journalists interviewed. This study addresses the lack of non-Western literature on social media newsroom practices. It contributes to the literature on newsroom practice in Malaysia and social media practice among journalists in nations of the South.

Investigating Stress, Burnout, and Organizational Factors Contributing to Psychological Well-being at Work

This research investigates the inter-relationships between work stress, organizational variables, and employee well-being through a quantitative approach. A sample of 350 employees from diverse industries, corporate, healthcare, education, and services, was chosen via snowball sampling. Self-administered questionnaires with closed-ended Likert scale items were used to collect the data, measuring workplace stress, burnout, leadership style, workplace culture, and psychological well-being. Pearson's correlation, multiple regression, and post-hoc analysis (ANOVA/MANOVA) were used in this study to identify relationships among the variables. Significant negative correlations between employee well-being and work stress (r = -0.65, p = 0.001) were observed, whereas organizational variables, including leadership style and workplace culture, predicted employee stress and burnout. The results give an overview of organizational factors and mental health approaches that can help mitigate employee resilience.

Ethnobiological survey on medicinal plants used by gaddi and gujjar tribes of riparian region of Beas River of Himachal Pradesh in North Western Himalayas, India

Himachal Pradesh is one of the most species-rich regions in the world and a key center for the origin and diversity of numerous plant species. Ethnobotanical research is essential for exploring these diverse biological resources for medicinal uses. This study aimed to record the traditional knowledge of the tribal communities in Himachal Pradesh concerning the use of medicinal plants for treating diseases in humans and livestock. Despite this richness, there is a lack of detailed documentation about the use of therapeutic plants in this area. The indigenous communities in this region rely on traditional knowledge of medicinal plants, making it a valuable resource for further pharmacological and phytochemical research. The ethnobotanical surveys were conducted from August 2022 to July 2023, and our fieldwork took place in four districts (Kullu (1279 m), Mandi (760 m), Hamirpur (780 m) and Kangra (1200–1300 m) under various villages. The ethnobiological data was gathered through field surveys, open interviews, discussions, and semi-structured questionnaires conducted with 193 tribal participants aged 40 to 80 years. Informants were chosen using the randomized household interview and snowball sampling methods. The study documented 64 plants from 39 families, among which 58 species are angiosperms, 5 species are pteridophytes and one species is bryophyte utilized for therapeutic purposes. Rosaceae, Lamiaceae, and Ranunculaceae were the most used medicinal herb families. Rubus ellipticus (0.75) and Trillium govanianum (0.74) demonstrated the highest UV (Use value) values. The ICF (Informant Consensus factor) value revealed that nervous system disorders-related ailments were the most treated. This study explored the ethnobiological information of therapeutic flora from riparian vegetation within tribal communities while also assessing the present state of research and the practical application of their medicinal information. It underscores the potential for additional research to delve deeper into the indigenous properties of their therapeutic floras and emphasizes the importance of preserving their traditional medicinal wisdom.

Cardiopulmonary resuscitation practices amid COVID-19 in four Gauteng public hospitals

Background: The coronavirus disease 2019 (COVID-19) pandemic challenged healthcare systems worldwide. Owing to the transmission with aerosol-generating procedures, cardiopulmonary resuscitation (CPR) practices were changed. Little is known about the adherence and/or uptake of these guidelines by healthcare workers (HCWs) in lower-middle income countries. This study seeks to describe the CPR practices among HCWs in South Africa.Methods: This descriptive cross-sectional study used purposeful and snowball sampling to recruit 131 participants. Data were collected using a self-administered questionnaire and analysed using descriptive statistics.Results: A total of 131 responses were received. Of the respondents, 72.9% reported performing CPR on COVID-19-positive patients. Frequent breaches in personal protective equipment (PPE) (p 0.001) and reuse of PPE (p 0.001) were reported. Most respondents reported being aware of specific guidelines for CPR in COVID-19. Among the 53.4% of respondents who had tested positive for COVID-19, 79.7% reported occupational exposure. Of these respondents, 47.3% reported symptom onset within 5 days of performing CPR on a COVID-19-positive patient.Conclusion: HCWs often put the needs of patients above their own. The study found that despite respondents being aware of guidelines for CPR in COVID-19, compliance with guidelines was reported to be poor. Of particular concern is that a high number of respondents who tested positive for COVID-19 reported symptom onset within 5 days of performing CPR on COVID-19-positive patients.Contribution: This research will assist in the training of HCWs on appropriate CPR practices to prevent transmission of respiratory infections transmitted via droplet and airborne routes.

What Makes a Youth Study Travel Product Popular in China? An Enquiry from the Perspective of Industry Suppliers

ABSTRACT This study aims to explore the features of an attractive and popular youth study travel product in China by using an interpretive qualitative approach. Through purposive and snowball sampling, 17 thematic interviews were conducted with industry suppliers of different levels and locations in China. Thematic analysis indicates that an ideal youth study travel product in China should have features including engaging learning content, attractive learning mode, growth opportunities, professional study travel facilitators, trustworthy study travel providers, and sound travel arrangements, in addition to the product’s alignment with schools’ requirements. The study is one of the first to examine what constitutes popular youth study travel products from the industry practitioners’ perspective. Results provide important implications to study travel providers on designing and marketing their products in future.

Research motivation as a mediating variable between system intelligence, academic grit, and academic achievement among postgraduate students, faculty of education, Zagazig University

BackgroundRecent years have witnessed a revolutionary transformation in information technology, characterized by the proliferation of electronic information platforms, with the Egyptian Knowledge Bank being a notable example. Understanding how to effectively navigate these complex systems requires investigation into key factors, particularly system intelligence.ObjectivesThis study aimed to examine the mediating role of research motivation in the relationship between system intelligence, Academic Grit, and Academic Achievement.MethodUsing a correlational design, the study surveyed 600 post-graduate students aged 25–55 years (M = 33.22, SD = 8.09) through online snowball sampling. Data were collected using the Research Motivation Scale, System Intelligence Scale, Academic Grit Scale, and Grade Point Average (GPA). Statistical analyses were conducted using IBM Amos, Spss 23.ResultsPath analysis revealed that system intelligence had an indirect effect on Academic Grit through research motivation. Additionally, direct effects were observed from system intelligence to research motivation, system intelligence to Academic Grit, and Academic Grit to Academic Achievement.ConclusionsThis study highlights research motivation as a crucial mediator in the relationship between system intelligence, academic grit, and academic achievement. The findings suggest potential interventions to enhance academic achievement by fostering system intelligence and academic grit through the development of research motivation.

Coming Out as LGBTQ+: A Qualitative Study on the Mental Health Impact of Religious Responses to Disclosure

ABSTRACT Lesbian, Gay, Bisexual, Transgender, or Queer (LGBTQ+) individuals may experience judgment, exclusion, and rejection by religious environments. This mixed methods study focused on the impact of religion on sexual orientation disclosure/coming out. Through purposeful snowball sampling we had 429 participants. Three major themes were identified: influence of religion on mental well-being religious separation, and religious affirmation. The impact of religion was a factor in 254 (59.2%) participants in suppressing their sexual orientation. Participants expressed fear, shame, and rejection from religious organizations and their personal exit from religion/church. To improve the mental well-being of LGBTQ+ individuals, religious organizations can employ strategies to educate clergy leaders and communities to become welcoming and affirming.

Socio-environmental changes and the local ecological knowledge of fishermen of the São Francisco River after the construction of the Sobradinho Hydroelectric Plant, BA

Between the 1950s and 1970s, the construction of hydroelectric plants in Brazil, such as the Sobradinho Hydroelectric Plant, aimed to accelerate economic growth but caused serious social and environmental impacts. The relocation of around 72,000 people resulted in issues such as lack of compensation and poor infrastructure. Environmentally, there was deforestation and soil erosion, affecting biodiversity and soil quality, which are essential for local subsistence. The ichthyofauna of the São Francisco River basin also deteriorated, with a drastic reduction in fish species, impacting artisanal fishing, which is essential for riverside communities. In response, associations and fishing colonies emerged to claim rights and improvements in living conditions. This work aims to analyze the ichthyofauna of the Sobradinho Dam lake and the socio-environmental impacts of this construction from the perspectives of local fishermen. Data were collected through participatory tools and individual interviews, using snowball sampling focused on experts from the Z-026 Fishermen’s Colony and the Association of Riverside Residents. The "Timeline" tool was used to recover the oral history of the residents. The interviews followed semi-structured scripts, addressing socioeconomic and socio-environmental aspects and using photo elicitation. The analysis of the ichthyofauna included interviews with fishermen and a species catalog, utilizing methods such as Chao 2 and Jackknife 1 for richness estimates. Multiple linear regression models were applied to evaluate the relationship between the number of recognized species and variables such as age and fishing time. The results showed that fishermen identified 94 out of the 104 cataloged species, reflecting a good understanding of the local ichthyofauna. The time of association with the Fishermen’s Colonies and the duration of fishing activity were influential in species identification, indicating that these associations can assist in the conservation of the ichthyofauna.

Exploring Meta-Cognitive Resilience and Psycho-Social Well-Being Among Bangladeshi University Students During COVID-19: A Mixed-Methods Primary Study of Adaptive Cognitive Strategies

Introduction The COVID-19 pandemic disrupted the academic and social lives of university students, leading to heightened stress, anxiety, and isolation. This study investigates the meta-cognitive resilience of Bangladeshi university students and its role in promoting psycho-social well-being during this crisis. Strategies such as reflective writing, adaptive thinking, and mindfulness were analyzed for their effectiveness in helping students cope. A mixed-methods approach was employed, incorporating quantitative surveys (n=450) and qualitative in-depth interviews (n=50) with a stratified random sample to explore adaptive mechanisms and the influence of cultural and systemic factors. Methods A stratified random sampling strategy was used to ensure proportional representation across public and private universities, with a total sample size of 500 students. Quantitative data was collected via structured online surveys using validated Likert-scale measures to assess anxiety, stress, and resilience. Qualitative data was gathered through purposive and snowball sampling to identify participants for semi-structured interviews, providing deeper insights into lived experiences. Data were analyzed using SPSS and R software for statistical measures (ANOVA, regression, O.R, CI) and NVivo for thematic analysis. Ethical approval was granted by the School Research Ethics Panel (SREP), Anglia Ruskin University, Cambridge, UK. Results and Discussion Findings revealed that 82% of students experienced moderate to severe anxiety (mean = 4.2, SD = 0.8), and 69% reported emotional isolation. Reflective writing increased effective coping likelihood (OR = 3.8, 95% CI: 2.7–5.2, p < 0.001), and adaptive thinking positively correlated with resilience (R² = 0.31, p < 0.05). Cultural and familial support emerged as key resilience factors, though rural students faced barriers due to the digital divide. Conclusion This study highlights the importance of meta-cognitive strategies in enhancing resilience and managing psycho-social well-being during crises. Recommendations include integrating resilience-building practices into curricula and addressing systemic inequities like the digital divide to support students’ mental health during future disruptions.

From instructional leadership to instructional quality: the critical role of teacher academic optimism

ABSTRACT Extensive research evidence confirms the importance of principal instructional leadership in fostering teacher professional learning, yet few studies have explored its effect on teacher instructional quality, a critical indicator of teacher effectiveness and a proximal predictor of student achievement. This study aims to examine the effect of instructional leadership on different aspects of teacher instructional quality and to investigate the mediation of teacher academic optimism in this effect. Using snowball sampling, 755 primary school teachers in China participated in an online survey. The results of structure equation modelling and bootstrapping analysis revealed that instructional leadership significantly influenced teacher instructional quality via teacher academic optimism. Specifically, academic emphasis mediated the effect of instructional leadership on cognitive activation and learning support, trust in parents and students only mediated its effect on classroom management, and teacher efficacy mediated its effect on all three dimensions of instructional quality. The practical implications are also discussed.

Identifying Research Priorities for Cognition in CKD: A Delphi Study.

Cognition is a research priority for people living with chronic kidney disease (CKD), but identification of critical research questions is lacking. This study aimed to determine which cognition-related research questions are most important to CKD stakeholders. A modified Delphi technique with 3 survey rounds was used. The study sample included 3 panels (People with lived CKD experience, Researchers, and Clinicians) recruited through international patient and kidney research networks, kidney societies, and snowball sampling with email invitations. Survey rounds were distributed electronically through REDCap. In Round 1 (October 2021-May 2022), respondents contributed three important research questions regarding cognition in CKD (free text). After deduplication and qualitative synthesis, respondents ranked the importance of these questions on a nine-point Likert scale in Round 2 (Feb-April 2023). Questions with mean and median ratings of >7 by at least two respondent panels or rated critically important by the 'lived experience' panel were re-ranked in Round 3 ( Aug-Sept 2023) and assessed for consensus to identify the final list of priority research questions. Respondents (n=152) identified 125 and 44 discrete questions after Rounds 1 and 2, respectively. The final shortlist included 27 questions in 8 categories. The most critical research question identified was "What factors prevent cognitive impairment in people receiving dialysis?" Overall, respondents prioritized questions focusing on prevention and treatment of cognitive impairment. Scores between the panels were significantly different for 16 questions. Those with lived CKD experience prioritized quality of life, researchers emphasized developing interventions to mitigate cognitive impairment, and clinicians prioritized the effect of CKD treatment on cognitive impairment. Through an established consensus methodology involving key stakeholder groups, we identified 27 critical research questions about cognition in CKD. These questions should guide future study design and outcome selection.

The relationship between night eating behavior, gastrointestinal symptoms, and psychological well-being: insights from a cross-sectional study in Türkiye

BackgroundThis cross-sectional study aimed to address the gap in understanding how night eating behavior impacts gastrointestinal health and psychological well-being in adult populations.MethodThis descriptive and cross-sectional study was conducted with 1372 adults aged 19–65 between September 2023 and November 2023. The research data were collected with the help of a web-based survey form (Google form) created by the researchers using the snowball sampling method. The demographic characteristics (sex, age, education level, marital status, income status), eating behaviors (number of main meals and snacks), and anthropometric measurements (body weight and height). Gastrointestinal symptoms observed in individuals were evaluated with the Gastrointestinal Symptom Rating Scale. The Night Eating Questionnaire (NEQ) was used to quantify the severity of night eating syndrome, and The Psychological Well-Being Scale was used to measure psychological well-being. All analyses were performed using the Statistical Package for the Social Sciences (version 27.0) software.ResultsA statistically significant negative correlation was found between the Psychological Well-Being Scale total score and Gastrointestinal Symptom Rating Scale subdimensions (r=-0.067, r=-0.067, r=-0.109, r=-0.068, r=-0.129, respectively). Also, a statistically significant negative correlation was found between the Psychological Well-Being Scale total score and the Night Eating Questionnaire total score (r=-0.287) (p < 0.05).ConclusionThis study found a relationship between night eating syndrome, psychological well-being, and gastrointestinal symptoms. Nutritional strategies for night eating syndrome, an eating disorder, may have important consequences on the psychological well-being of individuals with night eating. Our study highlights the significant relationships between night eating behavior, gastrointestinal symptoms, and psychological well-being, suggesting that night eating may contribute to both physical and mental health challenges.

Exploring healthcare workers’ immunisation behaviour towards COVID-19 vaccines through psychological patterns

Background: The psychological approach can provide valuable insights into vaccination behaviour, especially in high-risk contexts. It offers new perspectives for effective interventions to improve vaccination behaviour.Aim: To investigate key factors influencing stress related to vaccination in emergency situations among healthcare professionals.Setting: Eastern region of Morocco.Methods: We conducted a descriptive and analytical cross-sectional study involving 221 healthcare professionals in the Eastern region of Morocco. A snowball sampling method was used to select the participants who were administered a questionnaire. Logistic regression analysis was performed with p 0.05 being the level of statistical significance.Results: The participants had a median age of 25.5 years (30–34.5) and were predominantly females (68.3%). Vaccination coverage stood at 84.6%, with a positive perception of 77.8%. The analysis of the Perceived Stress Scale (PSS) revealed that 51.6% (n = 114) of healthcare professionals experienced stress towards vaccination. Females were almost two times more susceptible to experiencing vaccination stress (p = 0.03). Furthermore, the analysis showed that vaccination profile (p = 0.02), accepting the vaccine for any reason other than its accessibility (p = 0.03) and having a previous coronavirus disease 2019 infection (p = 0.03), were significantly associated with stress. In contrast, healthcare professionals based at the university hospital had a significantly lower stress level (p = 0.01).Conclusion: Moroccan healthcare professionals exhibited high vaccine acceptance and positive perceptions, particularly among vaccinated individuals despite notable stress around immunisation.Contribution: These insights can guide governments and policymakers in developing strategies to enhance healthcare workers’ awareness and understanding of vaccination.

Relationships between online social interaction, social exclusion, and self-esteem: moderating role of familiarity

PurposeSocial interaction is an essential determinant of self-esteem. However, studies have rarely examined the psychological mechanisms underlying social interaction and self-esteem or variations in the relationship between these factors under different levels of familiarity between interactants. Therefore, the present study filled this research gap by investigating the relationships between online social interaction, social exclusion, self-esteem, and familiarity as well as the mediating effect of social exclusion and the moderation effect of familiarity on the relationship between social interaction and self-esteem.Design/methodology/approachWe employed snowball sampling for conveniently and efficiently sampling a broad range of social media users to investigate how online social interaction affected their self-esteem through the mediating effect of social exclusion and the moderation effect of familiarity.FindingsAn analysis of 390 valid questionnaires indicated that online social interaction was positively related to self-esteem. Moreover, the results indicated that this relationship was mediated by social exclusion and moderated by familiarity.Originality/valueWe recommend that social media developers avoid including a “read” mark in their applications because such a mark can result in negative emotions, negative behaviors, and social problems in users.

Factors Associated with HIV Risk Perception Among Cisgender Female Sex Workers in Brazil.

This study evaluated the association between HIV risk perception and sociodemographic and behavioral characteristics among cisgender female sex workers in the five regions of Brazil. A cross-sectional, multicenter study using respondent-driven sampling was used. Sex workers over 18years of age and who reported commercial sex in the past fourmonths were included. All participants completed a questionnaire with sociodemographic and behavioral factors. In addition, the participants were offered a rapid HIV antibody test. Unweighted bivariate analyses and multivariable logistic regression models were used to evaluate the association of sociodemographic and behavioral factors. Overall, 794 HIV-negative participants were included (mean age = 34.44years [SD = 6.49]). Most participants were brown/pardo (59.47%), from social class D-E (82.24%), and with medium education (57.12%). Most women perceived themselves to be at low to moderate risk (68.26%), 7.56% at no risk, and 24.18% at high risk for HIV infection. Those who frequently or always had sexual intercourse under the influence of alcohol had a 2.36 times higher probability of having a high HIV risk perception compared to those who never had sexual intercourse under the influence of alcohol. The data from this study aid in a better understanding of HIV risk perception and its impact on sexual behaviors among female sex workers. Although the majority considered themselves to be at low to moderate risk for HIV, some higher vulnerability behaviors were prevalent.

Analysıng the Perceptıons of Secondary School Relıgıous Culture and Ethıcs (DKAB) Teachers About Measurement and Evaluatıon Process: Izmır Case

The course on Religious Culture and Ethics (DKAB) is a significant subject in Turkey's education system, aiming to help students understand religious culture and internalize moral values. DKAB lessons are designed to support students' abilities to conduct research, solve problems, and make sense of life while considering individual differences. The curriculum prioritizes meaningful learning over superficial memorization, based on the constructivist learning model. A unique approach tailored to DKAB has been adopted in the measurement and evaluation process. The Ministry of National Education recommends incorporating alternative and student-centered measurement and evaluation techniques instead of standardized methods in DKAB classes, promoting diversity and flexibility in the process. The use of methods such as performance tasks, open-ended questions, student portfolios, and projects is encouraged, enabling students to demonstrate their knowledge and skills. This study examines the perceptions of DKAB teachers regarding measurement and evaluation processes in public schools in İzmir. Data were collected from 115 teachers through snowball sampling. The study considers participants' gender, age, seniority, education level, and whether they have received training in measurement and evaluation. The findings reveal that teachers' perceptions vary based on factors such as gender, age, seniority, education level, and training status. In particular, younger and less experienced teachers were found to have more positive perceptions, while the diversity of perceptions decreased with increased seniority. These findings highlight the importance of planning professional development programs for teachers and improving measurement and evaluation processes.

P0774 Key elements of high quality and sustainable IBD care: the common eye from an inter-, and intra stakeholder perspective

Abstract Background In the Netherlands, the growing burden of IBD, driven by a rising prevalence, a shift to new expensive treatments, and lifelong tight monitoring of mucosal inflammation, necessitates redesigning care processes to ensure accessible and high quality care in the future. Successful innovation requires engagement from all stakeholders within the healthcare system. In this study, we aimed to identify key elements of IBD care from an inter-, and intra-stakeholder perspective in the Dutch setting, exploring shared and unique elements to inform future healthcare improvements. Methods This study included all stakeholders involved in Dutch IBD care: 1) patients, 2) informal caregivers (ICs), 3) healthcare professionals (HCPs), 4) managers of gastroenterology departments, and 5) national stakeholders, e.g. pharmaceutical companies, healthcare insurers, eHealth providers, and the IBD patient organization. Participants were recruited from outpatient clinics and through networks, using purposive, convenience, and snowball sampling. In Phase 1, key elements of IBD care were identified through semi-structured interviews. These elements were prioritized within each group in Phase 2 and Phase 3 convened all stakeholders to discuss shared values, differences, and future implications (Figure 1). Results A total of 78 participants contributed to the study; 21 patients, 10 ICs, 27 HCPs, 8 managers and 12 national stakeholders. Key elements for each stakeholder group (Phase 1) and their rankings (Phase 2) are shown in Figure 2. Patients and ICs mainly identified micro-level elements of IBD care, while managers and national stakeholders focused on meso- and macro-level elements. HCPs addressed elements across all levels. Key elements prioritized across groups for the group discussion (Phase 3) included: accessible and affordable IBD care, adequate information and support, regular follow-up, holistic care with sufficient time and attention, achieving remission, patient autonomy and self-management, shared decision-making, remote monitoring, IBD care at home, easy access to HCPs, HCP’s expertise, scientific research, and a trustful relationship between HCPs, patients and ICs. In Phase 3, stakeholders acknowledged the importance of the identified elements, but revealed differing interpretations of shared concepts, like remote monitoring. Preserving personalized care and a trusting relationship between patients and HCPs were emphasized as key priorities in this. Conclusion Our study shows shared values but also significant differences between stakeholders in IBD care. Shared values can be priorities in redesigning care processes, but innovators should be aware of the elements valued by specific stakeholders based on their unique perspectives.