Search Results (99)

Background: Although menstrual cycle-based training has attracted increasing attention in endurance sports, research has predominantly focused on ergometric parameters. However, the subjective perspectives and lived realities of athletes remain relatively underexamined. Accordingly, this study aimed to explore performance perceptions and self-regulatory experiences of female endurance athletes within real-life training and competitive contexts. Methods: Qualitative semi-structured interviews were conducted with twelve female endurance athletes (ages 18–42) across triathlon, running, swimming, cycling, and skiing. Data were analysed inductively using descriptive thematic analysis in MaxQDA. Results: Six themes emerged related to menstrual cycle experiences: body awareness and cycle-related perceptions; the influence of expectations and self-efficacy on perceived performance; heterogeneous approaches to cycle-based training; training and recovery adjustments; the ambivalent role of digital tracking tools; and communication openness and barriers. Overall, cycle-based training was applied inconsistently and served more as a framework for interpreting physical symptoms than as a means of optimising performance. Conclusions: In this sample of endurance athletes, cycle-related effects on performance and symptom perceptions were primarily shaped by biopsychosocial factors rather than physiological considerations alone. The menstrual cycle supported self-regulation, but rigid interpretations may risk reinforcing negative expectancies. These insights extend existing work by foregrounding athlete-centred, flexible approaches over deterministic training models. Full article

Background/Objectives: Parkinson’s disease (PD) is a progressive neurodegenerative disorder that affects both motor and non-motor functioning, leading to increasing dependency and long-term psychosocial consequences. As the disease progresses, partners often assume caregiving roles, resulting in shifts in responsibilities, communication patterns, and emotional dynamics within marital relationships. The aim of this study was therefore to explore the impact of Parkinson’s disease on marital relationships. Methods: A qualitative interview study with a retrospective design was conducted. Six couples were recruited through a movement disorders clinic and a lay organization in Sweden. Semi-structured, face-to-face interviews were conducted separately with each partner. Interviews were transcribed verbatim and analyzed using conventional content analysis with an inductive design. Results: Four main themes emerged: managing the disease together in partnership, nurturing the relationship, facing marital hardship, and planning an uncertain future. Couples who adopted a positive and pragmatic outlook, shared responsibilities, and maintained open communication seemed to be better able to manage the disease. Engaging in joint activities and reciprocal communication strengthened emotional closeness. In contrast, changes in roles, emotional distress, loss of intimacy, and communication avoidance challenged relationships. Thinking about the future evoked feelings of ambivalence, as couples balanced uncertainty with a need for security. Conclusions: Parkinson’s disease affects marital relationships, reshaping roles, emotional bonds, and future perspectives. The ability of nurses to address both partners’ needs and promote communication and shared coping strategies is essential to strengthening couples’ well-being. Full article

Wheelchair provision remains an essential component of rehabilitation and participation support for children with disabilities, yet there is limited evidence on how wheelchairs are incorporated into daily activities and schooling decisions in rural low-resource contexts where environmental, social, and service constraints are substantial. This study employed a strictly exploratory multiple case study design involving two children with disabilities. Two home visits were conducted for each case, and a qualitative, descriptive cross-case analysis was conducted by integrating semi-structured interview data with WeeFIM scores and ICF Environmental Factors ratings. Wheelchair provision supported short-distance mobility and engagement in household and community activities and reduced some caregiving demands. Positive experiences during outdoor mobility and community interactions contributed to enjoyment and confidence. However, inaccessible housing, limited transportation, and family concerns about safety and readiness continued to inhibit broader independence and school enrollment. Both children remained outside formal schooling, while activities offered by Special Education Centers provided meaningful but limited opportunities for social interaction and development. The findings highlight not only practical implications but also the conceptual importance of environmental constraints and the ambivalent role of family support in shaping participation in rural settings. Full article

Objective: This metasynthesis analyzes the current evidence on the perceptions of sexism among video game players (men and women) and the video game industry. Methods: The databases Scopus and ProQuest were used to select 15 qualitative studies in a final analysis. The analysis used the reciprocal translation technique to analyze and interpret the data. Results: Three primary themes emerged: normalized violence in gamer environments (n = 13), strategies to confront sexism/gender harassment (n = 10), and internal ambivalence and tension (n = 10). The results show that female videogame players experience daily hostility due to the fact of being women in an environment of male dominance. This leads to recurring confrontations, which can result in female video game players being questioned in terms of identity and behavior by both themselves and the community. Conclusions: This metasynthesis suggests that sexism in online video game environments is not an isolated phenomenon and directly affects the experience of female video game players. Furthermore, it highlights the importance of further exploring the perceptions and experiences of different groups within gamer communities, in order to make progress towards a more egalitarian and diverse culture. Full article

Experiential and transformative travel are increasingly central in tourism scholarship and “life-changing” marketing, yet the proliferation of these labels has produced conceptual drift and persistent accountability gaps. This paper presents a narrated critical integrative review that distinguishes experiential travel from transformative travel and synthesizes how value, meaning-making, impact and methods are theorized across stakeholders and time. Searches of Scopus and the Web of Science Core Collection, supplemented by citation chasing, yielded 1284 records; screening produced 168 tourism-focused and 103 foundational sources (271 total). Iterative coding indicates that experiential research commonly foregrounds experience design and short-horizon valuation, whereas transformative research emphasizes change-over-time yet often relies on tourist self-narratives. Across both streams, valuation expands from transactional utility to affective, existential and ethical registers but remains frequently tourist-centred; meaning-making is patterned by narrative scripts and platform mediation; and impacts are distributed and ambivalent across tourists, hosts/communities, environments and institutions. Methodologically, claims about durability and justice are often unsupported by designs that assess persistence, comparison and distribution. This state-of-the-art review paper contributes working definitions and boundary conditions, an integrative framework linking antecedents, encounter mechanisms, valuation and multi-stakeholder impacts, and a method-specified research agenda with minimum reporting standards to support accountable research and practice. Full article

Background: This study examined how patients and caregivers perceive and experience AI-based care technologies through text mining analysis. The goal was to identify major themes, sentiments, and value-oriented interpretations embedded in their narratives and to understand how these perceptions align with key dimensions of patient-centered care. Methods: A corpus of publicly available narratives describing experiences with AI-based care was compiled from online communities. Natural language processing techniques were applied, including descriptive term analysis, topic modeling using Latent Dirichlet Allocation, and sentiment profiling based on a Korean lexicon. Emergent topics and emotional patterns were mapped onto domains of patient-centered care such as information quality, emotional support, autonomy, and continuity. Results: The analysis revealed a three-phase evolution of care values over time. In the early phase of AI-mediated care, patient narratives emphasized disruption of relational care, with negative themes such as reduced human connection, privacy concerns, safety uncertainties, and usability challenges, accompanied by emotions of fear and frustration. During the transitional phase, positive themes including convenience, improved access, and reassurance from diagnostic accuracy emerged alongside persistent emotional ambivalence, reflecting uncertainty regarding responsibility and control. In the final phase, care values were restored and strengthened, with sentiment patterns shifting toward trust and relief as AI functions became supportive of clinical care, while concerns related to depersonalization and surveillance diminished. Conclusions: Patients and caregivers experience AI-based care as both beneficial and unsettling. Perceptions improve when AI enhances efficiency and information flow without compromising relational aspects of care. Ensuring transparency, explainability, opportunities for human contact, and strong data protections is essential for aligning AI with principles of patient-centered care. Based on a small-scale qualitative dataset of patient narratives, this study offers an exploratory, value-oriented interpretation of how relational care evolves in AI-mediated healthcare contexts. In this study, care-ethics values are used as an analytical lens to operationalize key principles of patient-centered care within AI-mediated healthcare contexts. Full article

Spirituality and religion are underrecognized components of mental health and substance use (MHSU) care for youth of African descent. This study explores the dual role of spirituality and religion in influencing the help-seeking behaviors, recovery journeys, and care outcomes of youth of African descent aged 18 to 25 residing in Nova Scotia, Canada. Drawing on findings from a Canadian Institutes of Health Research (CIHR) funded community-based study using mixed methods, including interviews, focus groups, and arts-based approaches, the research highlights both the supportive and ambivalent roles spirituality plays in MHSU care. Participants shared themes such as spiritual reflection as a turning point, the assurance of a higher power, the culturally responsive support of faith-informed providers, and the significance of meditation and unseen connection as healing tools. While the narratives of research participants attested to the role of spiritual and religious practices in offering a sense of belonging, hope, and culturally aligned care, they may also reinforce stigma or act as a barrier to accessing formal MHSU services. These themes were derived from qualitative analysis of in-depth interviews with 60 youth participants. Through the lens of Ubuntu and Afrocentric paradigms, this paper calls for a more holistic and culturally inclusive approach to care, one that respects or honors the spiritual and communal lives of youth of African descent. It also reinforces the importance of training MHSU care providers to recognize, respect, and integrate spirituality as a legitimate component of wellness and recovery for help-seeking youth of African descent. Full article

Therapy farms are increasingly recognized as social innovations that respond to exclusion, mental health challenges, and youth disconnection, particularly in rural areas. While often praised for their inclusive and rehabilitative potential, their broader impact on structural social transformation remains under-examined. This study explores the House of Educational Experiences, a therapeutic farm in rural Lithuania, to critically assess how such initiatives function as both agents of inclusion and stabilizers of existing socio-economic arrangements. Drawing on a qualitative case study approach, the research analyses in-depth interview data through the lens of the social innovation cycle, focusing on novelty, process, heterogeneity, impact, scalability, and transformative potential. Our findings reveal that the therapeutic farm generates significant individual and community benefits, particularly in psychosocial well-being, social skills, and pathways back into education and employment. However, the initiative also operates within institutional constraints, relying on project-based funding and reproducing aspects of conventional care systems. As such, its transformative capacity appears limited by structural dependencies and policy fragmentation. The study concludes that therapy farms represent an ambivalent form of social innovation: capable of creating inclusive, localized change, but often constrained in their ability to catalyze systemic transformation. Policy recommendations emphasize the need for long-term funding, institutional integration, and cross-sector collaboration. Full article

Heritage tourism is increasingly positioned as a strategy for revitalising rural communities, particularly in areas where structural transformations have changed traditional ways of life. However, its outcomes reveal a paradox. The same processes that preserve cultural landscapes often commodify them, converting living traditions into marketable symbols. This paper investigates this heritage paradox through a complex study of Viscri, a UNESCO-listed village in Transylvania, Romania. Combining demographic and occupational data (2002–2022) with 51 questionnaires, 7 semi-structured interviews, field observations, and local records, the study examines how tourism-driven heritage valorisation reshapes socio-economic structures and identity narratives. The results show a profound restructuring of livelihoods, with a marked decline in subsistence agriculture and the emergence of micro-entrepreneurial activities related to accommodation, crafts, and gastronomy. These changes, while improving local incomes and infrastructures, have also increased external ownership and redefined authenticity as a performative resource negotiated among residents, entrepreneurs, and visitors. Local voices oscillate between pride and fatigue, between preservation and loss. By conceptualising the heritage paradox as a dynamic interplay between conservation and commodification, this study contributes to global debates on authenticity, sustainable rural transformation, and community resilience, offering an empirically grounded model of heritage tourism’s ambivalent consequences through an original analytical lens for post-socialist rural contexts. Full article

Ageism remains a pervasive yet under-addressed form of workplace discrimination, affecting employees across age groups. This study, conducted within the framework of the EU-funded project SNAW–Say No to Ageism in the Workplace, presents findings from a cross-national survey in Germany, Romania, Ireland, Portugal, and Greece, with 511 participants including employees and employers. The survey examined five dimensions of workplace ageism (cognitive, emotional, behavioural, institutional, and outcome-related) through questions on stereotypes, experiences, organisational practices, and perceived impacts. Results indicate that age-based stereotypes are widely recognised, especially in Germany, Ireland, and Greece. Older workers were often portrayed as resistant to change or technologically outdated, while younger workers were described as inexperienced or unreliable. Despite some positive perceptions, these ambivalent views contribute to exclusionary dynamics. Employees consistently reported higher levels of ageism than employers, revealing a “perception gap”. Institutional responses were uneven: awareness of policies or initiatives promoting age diversity was low, and their effectiveness remained uncertain. Across countries, respondents linked ageism to reduced job satisfaction and productivity, though the perceived severity varied. The findings highlight ageism as a multifaceted challenge that undermines well-being and organisational performance. Counteracting it requires raising awareness, transparent communication, inclusive policies, and leadership engagement across Europe. Full article

Purpose: This study explored the lived experiences of Korean women with polycystic ovary syndrome (PCOS) and examined how cultural expectations surrounding femininity and reproductive roles shaped their illness experiences. Methods: In-depth interviews were conducted with fifteen women diagnosed with PCOS at a women’s hospital in South Korea. Data were analyzed using qualitative content analysis. Results: Eight themes emerged: (1) A Disease That Doesn’t Feel Like a Disease: Ambiguity and Reinterpretation; (2) Isolation of Body and Mind Amid Stigma and Misunderstanding; (3) Daily Life Limitations Caused by Visible Symptoms; (4) Ambivalent Feelings Surrounding Pregnancy; (5) Difficulties in Self-Management Due to Lack of Information; (6) Psychological Exhaustion From Chronicity and Lack of Control; (7) Awareness and Practices for Living With the Condition; and (8) Moving Toward a Patient-Centered Healthcare Environment. Participants experienced emotional distress related to unpredictable menstrual cycles, infertility fears, appearance concerns, and social misunderstanding. They also reported insufficient communication during clinical encounters. Cultural norms rooted in Confucian values regarding appearance and reproductive responsibility significantly exacerbated these challenges, influencing emotional distress, coping strategies, and healthcare interactions. Conclusions: Women with PCOS experience complex psychological, social, and practical challenges that extend beyond physical symptoms. Culturally sensitive, patient-centered approaches—along with improved information delivery and public awareness—are essential to support their well-being, self-efficacy, and long-term disease management. Full article

Background: Pediatric oncological diagnoses and treatments pose complex biopsychosocial challenges for both patients and their families. These experiences can significantly disrupt daily life, evoke intense emotional responses, and raise concerns about the future, often leading to long-term psychological implications. Objective: This study aimed to assess the emotional functioning of children undergoing cancer treatment and to explore the lasting psychological effects reported by young adult survivors of pediatric cancer. Methods: A mixed-methods approach was employed. In total, 52 minors and their caregivers were recruited from two pediatric oncology units in Italy (Turin and Bari), while 18 young adults diagnosed during childhood were recruited from clinical and community settings in Ancona and Bari. Standardized instruments were used to evaluate emotional symptoms and broader psychological functioning in the pediatric sample, while self-report measures assessed psychological well-being and quality of life in the young adult group. To complement these data, semi-structured interviews were conducted with the young adult survivors to investigate the long-term psychosocial and psychological impacts of pediatric cancer. Results: The quantitative results indicate generally low levels of psychological distress in both groups. However, the qualitative findings reveal the complexity of post-cancer identity, highlighting experiences of resilience, emotional ambivalence, and redefinition of self. Conclusions: These results underscore the importance of addressing the psychological well-being of pediatric oncology patients and young adult survivors beyond the medical treatment phase, with a focus on long-term psychosocial support and individualized care. Full article

This article examines how Slovenia’s post-communist approach to diversity management marginalizes minorities from the former Yugoslav republics. The constitution grants cultural rights and parliamentary representation to Italian and Hungarian minorities, but communities from Bosnia, Serbia, North Macedonia, Kosovo, and Croatia are excluded from these protections. Recognised mainly by religious affiliation, these groups have limited access to formal minority rights. Their fight for recognition is fragmented, lacking unified political representation, and the 1992 “erasure”—the removal of thousands from the permanent resident registry after independence—still undermines their sense of belonging. Drawing on theories of racialized citizenship, belonging, multiculturalism, and social mobility, the article examines how exclusionary legal frameworks create hierarchies of belonging that hinder mobility for these unrecognised minorities. The qualitative interviews with descendants of Bosnian migrants reveal intergenerational struggles with recognition, ambivalent experiences of citizenship, and discrimination. Set in the post-communist Eastern European context, the study argues that even under the pressures of EU integration, citizenship regimes remain divided along ethnic lines. This division maintains structural inequalities and marginalizes certain groups despite their long-term residence and formal citizenship. The study contributes to debates on ethnicised citizenship and diversity management by showing how legal exclusion, historical legacies, and fragmented minority politics limit belonging and mobility in post-communist societies. Full article

Literature on community resilience has argued that it is (re)produced through sustained collective practices, and cautioned against neoliberal ‘resiliences’ which serve to justify state withdrawal and disinvestment. A critical and progressive understanding of resilience accounts for this by politicizing everyday practices and foregrounding community agency. More research is needed to show how these concerns are spatialized in different social, political, and economic contexts. This paper investigates the self-managed ‘buurthuiskamer’ (neighborhood living room) as a site of everyday practices of community resilience in the Netherlands. These spaces represent a historical form of social infrastructure being reinterpreted in the post-welfare-state, post-austerity urban context. Drawing on ethnographic fieldwork and interviews in four such spaces, we use buurthuiskamers to illustrate a critical and plural understanding of community resilience based on cultivating agency. We show how communities ‘survive’ by defending and enhancing everyday urban livability in the present; how they move beyond mere survival towards communal ‘thriving’; and how participants are empowered to take collective action and decisions to ‘transform’ towards more just and inclusive futures. Finally, we highlight the structural precarity underpinning these spaces; the tension between the roles of meeting spaces as neutral social infrastructure and as spaces of belonging and appropriation; and the ambivalent mediating position they occupy between neoliberal local government and local communities. Full article

The interconnection between health and environment is increasingly recognised, as is the role of healthcare professionals in raising awareness among patients and healthcare policymakers. To explore the relevance of enhancing patients’ awareness of the links between health and environment in ambulatory care, we conducted a qualitative study on General Practitioner (GP) practices in Switzerland. Using a co-benefit approach, we designed materials on meat consumption and active mobility, which were displayed in the waiting rooms. We conducted observations in five practices and interviewed five patients and five GPs to examine patients’ understanding of the messages and assess the acceptability of discussing them during medical encounters. Patients and GPs were receptive to the co-benefit approach. However, barriers were identified in promoting co-benefits during clinical encounters, including time constraints and lack of knowledge. Patients showed reactance to the messages and questioned the reliability of messages related to climate change. GPs were reluctant to compromise relationships with patients and were ambivalent, viewing environmental discussions as political. Positive message display and community promotion were identified as facilitators. This study highlights the need to develop clear educational materials to support GPs, to adapt messages to patients’ backgrounds, and to address the dichotomy between GPs’ political and scientific perspectives. Full article