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25 pages, 663 KiB  
Systematic Review
IoT Devices and Their Impact on Learning: A Systematic Review of Technological and Educational Affordances
by Dimitris Tsipianitis, Anastasia Misirli, Konstantinos Lavidas and Vassilis Komis
IoT 2025, 6(3), 45; https://doi.org/10.3390/iot6030045 (registering DOI) - 7 Aug 2025
Abstract
A principal factor of the fourth Industrial Revolution is the Internet of Things (IoT), a network of “smart” objects that communicate by exchanging helpful information about themselves and their environment. Our research aims to address the gaps in the existing literature regarding the [...] Read more.
A principal factor of the fourth Industrial Revolution is the Internet of Things (IoT), a network of “smart” objects that communicate by exchanging helpful information about themselves and their environment. Our research aims to address the gaps in the existing literature regarding the educational and technological affordances of IoT applications in learning environments in secondary education. Our systematic review using the PRISMA method allowed us to extract 25 empirical studies from the last 10 years. We present the categorization of educational and technological affordances, as well as the devices used in these environments. Moreover, our findings indicate widespread adoption of organized educational activities and design-based learning, often incorporating tangible interfaces, smart objects, and IoT applications, which enhance student engagement and interaction. Additionally, we identify the impact of IoT-based learning on knowledge building, autonomous learning, student attitude, and motivation. The results suggest that the IoT can facilitate personalized and experiential learning, fostering a more immersive and adaptive educational experience. Based on these findings, we discuss key recommendations for educators, policymakers, and researchers, while also addressing this study’s limitations and potential directions for future research. Full article
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24 pages, 3311 KiB  
Review
Investigating Smart Knee Implants
by Supriya Wakale and Tarun Goswami
Designs 2025, 9(4), 93; https://doi.org/10.3390/designs9040093 (registering DOI) - 7 Aug 2025
Abstract
Total knee replacement (TKR) is a common procedure for pain relief and restoration of the mobility of the knee joint in patients with severe knee joint problems. Despite this, some patients still suffer from stiffness, instability, or pain caused by soft tissue imbalance, [...] Read more.
Total knee replacement (TKR) is a common procedure for pain relief and restoration of the mobility of the knee joint in patients with severe knee joint problems. Despite this, some patients still suffer from stiffness, instability, or pain caused by soft tissue imbalance, malalignment, or implant-related issues. Previously, surgeons have had to use their experience and visual judgment to balance the knee, which has resulted in variability of outcomes. Smart knee implants are addressing these issues by using sensor technology to provide real-time feedback on joint motion, pressure distribution, and loading forces. This enables more accurate intra-operative adjustment, enhancing implant positioning and soft tissue balance and eliminating post-operative adjustment. These implants also enable post-operative monitoring, simplifying the ability to have more effective individualized rehabilitation programs directed at optimizing patient mobility and minimizing complications. While the patient pool for smart knee implantation remains not commonly documented, it was found in a study that 83.6% of the patients would opt to have the monitoring device implemented, and nearly 90% find reassurance in monitoring their healing indicators. As the number of knee replacements is likely to rise due to aging populations and the rising prevalence of joint disease, smart implants are a welcome development in orthopedics, optimizing long-term success and patient satisfaction. Smart knee implants are built with embedded sensors such as force, motion, temperature, and pressure detectors placed within the implant structure. These sensors provide real-time data during surgery and recovery, allowing earlier detection of complications and supporting tailored rehabilitation. The design aims to improve outcomes through better monitoring and personalized care. Full article
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20 pages, 1265 KiB  
Article
Validation of the Player Personality and Dynamics Scale
by Ayose Lomba Perez, Juan Carlos Martín-Quintana, Jesus B. Alonso-Hernandez and Iván Martín-Rodríguez
Appl. Sci. 2025, 15(15), 8714; https://doi.org/10.3390/app15158714 (registering DOI) - 6 Aug 2025
Abstract
This study presents the validation of the Player Personality and Dynamics Scale (PPDS), designed to identify player profiles in educational gamification contexts with narrative elements. Through a sample of 635 participants, a questionnaire was developed and applied, covering sociodemographic data, lifestyle habits, gaming [...] Read more.
This study presents the validation of the Player Personality and Dynamics Scale (PPDS), designed to identify player profiles in educational gamification contexts with narrative elements. Through a sample of 635 participants, a questionnaire was developed and applied, covering sociodemographic data, lifestyle habits, gaming practices, and a classification system of 40 items on a six-point Likert scale. The results of the factorial analysis confirm a structure of five factors: Toxic Profile, Joker Profile, Tryhard Profile, Aesthetic Profile, and Coacher Profile, with high fit and reliability indices (RMSEA = 0.06; CFI = 0.95; TLI = 0.91). The resulting classification enables the design of personalized gamified experiences that enhance learning and interaction in the classroom, highlighting the importance of understanding players’ motivations to better adapt educational dynamics. Applying this scale fosters meaningful learning through the creation of narratives tailored to students’ individual preferences. Full article
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19 pages, 451 KiB  
Article
Examining the Structure of Directed Motivational Currents (DMCs) Among Secondary and Tertiary English as a Second Language Learners
by Chuanwei Huo, Lawrence Jun Zhang and Jason M. Stephens
Behav. Sci. 2025, 15(8), 1066; https://doi.org/10.3390/bs15081066 - 6 Aug 2025
Abstract
Motivation remains a central concern in second language (L2) and English as a foreign language (EFL) education, yet its underlying mechanisms are insufficiently understood. This study employs the theory of Directed Motivational Currents (DMCs) to explore periods of intense, sustained L2 motivation among [...] Read more.
Motivation remains a central concern in second language (L2) and English as a foreign language (EFL) education, yet its underlying mechanisms are insufficiently understood. This study employs the theory of Directed Motivational Currents (DMCs) to explore periods of intense, sustained L2 motivation among Chinese adolescent EFL learners across secondary and tertiary levels. Through in-depth interviews with ten participants, this research identified the conditions (e.g., collaborative peer dynamics, vivid goal visualization) that triggered their DMC experiences. The data also highlighted how facilitative elements—such as clear starting points, personalized goal alignment, behavioral routines, and timely feedback—played a crucial role in initiating and sustaining these motivational currents. These findings contribute to DMC theory by revealing how intrinsic and extrinsic factors jointly foster and maintain high levels of motivation over time, offering valuable insights for designing targeted interventions to enhance EFL motivation and learning among Chinese adolescents. Full article
(This article belongs to the Section Educational Psychology)
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22 pages, 518 KiB  
Article
Staying or Leaving a Shrinking City: Migration Intentions of Creative Youth in Erzurum, Eastern Türkiye
by Defne Dursun and Doğan Dursun
Sustainability 2025, 17(15), 7109; https://doi.org/10.3390/su17157109 - 6 Aug 2025
Abstract
This study explores the migration intentions of university students—representing the potential creative class—in Erzurum, a medium-sized city in eastern Turkey experiencing shrinkage. Within the theoretical framework of shrinking cities, it investigates how economic, social, physical, and personal factors influence students’ post-graduation stay or [...] Read more.
This study explores the migration intentions of university students—representing the potential creative class—in Erzurum, a medium-sized city in eastern Turkey experiencing shrinkage. Within the theoretical framework of shrinking cities, it investigates how economic, social, physical, and personal factors influence students’ post-graduation stay or leave decisions. Survey data from 742 Architecture and Fine Arts students at Atatürk University were analyzed using factor analysis, logistic regression, and correlation to identify key migration drivers. Findings reveal that, in addition to economic concerns such as limited job opportunities and low income, personal development opportunities and social engagement also play a decisive role. In particular, the perception of limited chances for skill enhancement and the belief that Erzurum is not a good place to meet people emerged as the strongest predictors of migration intentions. These results suggest that members of the creative class are influenced not only by economic incentives but also by broader urban experiences related to self-growth and social connectivity. This study highlights spatial inequalities in access to cultural, educational, and social infrastructure, raising important questions about spatial justice in shrinking urban contexts. This paper contributes to the literature on shrinking cities by highlighting creative youth in mid-sized Global South cities. It suggests smart shrinkage strategies focused on creative sector development, improved quality of life, and inclusive planning to retain young talent and support sustainable urban revitalization. Full article
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18 pages, 1974 KiB  
Article
GoSS-Rec: Group-Oriented Segment Sequence Recommendation
by Marco Aguirre, Lorena Recalde and Edison Loza-Aguirre
Information 2025, 16(8), 668; https://doi.org/10.3390/info16080668 - 6 Aug 2025
Abstract
In recent years, the advancement of various applications, data mining, technologies, and socio-technical systems has led to the development of interactive platforms that enhance user experiences through personalization. In the sports domain, users can access training plans, routes and healthy habits, all in [...] Read more.
In recent years, the advancement of various applications, data mining, technologies, and socio-technical systems has led to the development of interactive platforms that enhance user experiences through personalization. In the sports domain, users can access training plans, routes and healthy habits, all in a personalized way thanks to sports recommender systems. These recommendation engines are fueled by rich datasets that are collected through continuous monitoring of users’ activities. However, their potential to address user profiling is limited to single users and not to the dynamics of groups of sportsmen. This paper introduces GoSS-Rec, a Group-oriented Segment Sequence Recommender System, which is designed for groups of cyclists who participate in fitness activities. The system analyzes collective preferences and activity records to provide personalized route recommendations that encourage exploration of diverse cycling paths and also enhance group activities. Our experiments show that GoSS-Rec, which is based on Prod2vec, consistently outperforms other models on diversity and novelty, regardless of the group size. This indicates the potential of our model to provide unique and customized suggestions, making GoSS-Rec a remarkable innovation in the field of sports recommender systems. It also expands the possibilities of personalized experiences beyond traditional areas. Full article
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18 pages, 1588 KiB  
Article
EEG-Based Attention Classification for Enhanced Learning Experience
by Madiha Khalid Syed, Hong Wang, Awais Ahmad Siddiqi, Shahnawaz Qureshi and Mohamed Amin Gouda
Appl. Sci. 2025, 15(15), 8668; https://doi.org/10.3390/app15158668 (registering DOI) - 5 Aug 2025
Abstract
This paper presents a novel EEG-based learning system designed to enhance the efficiency and effectiveness of studying by dynamically adjusting the difficulty level of learning materials based on real-time attention levels. In the training phase, EEG signals corresponding to high and low concentration [...] Read more.
This paper presents a novel EEG-based learning system designed to enhance the efficiency and effectiveness of studying by dynamically adjusting the difficulty level of learning materials based on real-time attention levels. In the training phase, EEG signals corresponding to high and low concentration levels are recorded while participants engage in quizzes to learn and memorize Chinese characters. The attention levels are determined based on performance metrics derived from the quiz results. Following extensive preprocessing, the EEG data undergoes several feature extraction steps: removal of artifacts due to eye blinks and facial movements, segregation of waves based on their frequencies, similarity indexing with respect to delay, binary thresholding, and (PCA). These extracted features are then fed into a k-NN classifier, which accurately distinguishes between high and low attention brain wave patterns, with the labels derived from the quiz performance indicating high or low attention. During the implementation phase, the system continuously monitors the user’s EEG signals while studying. When low attention levels are detected, the system increases the repetition frequency and reduces the difficulty of the flashcards to refocus the user’s attention. Conversely, when high concentration levels are identified, the system escalates the difficulty level of the flashcards to maximize the learning challenge. This adaptive approach ensures a more effective learning experience by maintaining optimal cognitive engagement, resulting in improved learning rates, reduced stress, and increased overall learning efficiency. Our results indicate that this EEG-based adaptive learning system holds significant potential for personalized education, fostering better retention and understanding of Chinese characters. Full article
(This article belongs to the Special Issue EEG Horizons: Exploring Neural Dynamics and Neurocognitive Processes)
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19 pages, 3596 KiB  
Article
Radon Exposure to the General Population of the Fernald Community Cohort
by John F. Reichard, Swade Barned, Angelico Mendy and Susan M. Pinney
Atmosphere 2025, 16(8), 939; https://doi.org/10.3390/atmos16080939 (registering DOI) - 5 Aug 2025
Abstract
The Fernald Feed Materials Production Center (FMPC), located in Fernald, Ohio, USA, released radon (Rn) as a byproduct of the processing of uranium materials during the years from 1951 to 1989. Rn is a colorless, odorless gas that emits charged alpha radiation that [...] Read more.
The Fernald Feed Materials Production Center (FMPC), located in Fernald, Ohio, USA, released radon (Rn) as a byproduct of the processing of uranium materials during the years from 1951 to 1989. Rn is a colorless, odorless gas that emits charged alpha radiation that interacts with cells in the lung and trachea-bronchial tree, leading to DNA damage, mutations, and tumor initiation. The purpose of this project was to use evidence collected by the Fernald Dosimetry Reconstruction Project and other sources to estimate the outdoor Rn exposure to individuals in the community immediately surrounding the FMPC during the years of plant operation. Using previously tabulated source terms, diffusion and meteorological data, and self-reported detailed residential histories, we estimated radon exposure for approximately 9300 persons who lived at more than 14,000 addresses. The results indicated that a portion of the population cohort experiences mean annual Rn exposure exceeding the U.S. Environmental Protection Agency (EPA) action limit of 4 pCiL−1. These exposure estimates support the analysis of the incidence of lung cancer in the Fernald Community Cohort (FCC). Full article
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22 pages, 1254 KiB  
Systematic Review
How Do the Psychological Functions of Eating Disorder Behaviours Compare with Self-Harm? A Systematic Qualitative Evidence Synthesis
by Faye Ambler, Andrew J. Hill, Thomas A. Willis, Benjamin Gregory, Samia Mujahid, Daniel Romeu and Cathy Brennan
Healthcare 2025, 13(15), 1914; https://doi.org/10.3390/healthcare13151914 - 5 Aug 2025
Abstract
Background: Eating disorders (EDs) and self-harm (SH) are both associated with distress, poor psychosocial functioning, and increased risk of mortality. Much of the literature discusses the complex interplay between SH and ED behaviours where co-occurrence is common. The onset of both is typically [...] Read more.
Background: Eating disorders (EDs) and self-harm (SH) are both associated with distress, poor psychosocial functioning, and increased risk of mortality. Much of the literature discusses the complex interplay between SH and ED behaviours where co-occurrence is common. The onset of both is typically seen during teenage years into early adulthood. A better understanding of the functions of these behaviours is needed to guide effective prevention and treatment, particularly during the crucial developmental years. An earlier review has explored the functions of self-harm, but an equivalent review for eating disorder behaviours does not appear to have been completed. Objectives: This evidence synthesis had two objectives. First, to identify and synthesise published first-hand accounts of the reasons why people engage in eating disorder behaviours with the view to develop a broad theoretical framework of functions. Second, to draw comparisons between the functions of eating disorder behaviours and self-harm. Methods: A qualitative evidence synthesis reporting first-hand accounts of the reasons for engaging in eating disorder behaviours. A ‘best fit’ framework synthesis, using the a priori framework from the review of self-harm functions, was undertaken with thematic analysis to categorise responses. Results: Following a systematic search and rigorous screening process, 144 studies were included in the final review. The most commonly reported functions of eating disorder behaviours were distress management (affect regulation) and interpersonal influence. This review identified significant overlap in functions between self-harm and eating disorder behaviours. Gender identity, responding to food insecurity, to delay growing up and responding to weight, shape, and body ideals were identified as functions more salient to eating disorder behaviours. Similarly, some self-harm functions were not identified in the eating disorder literature. These were experimenting, averting suicide, personal language, and exploring/maintaining boundaries. Conclusions: This evidence synthesis identified a prominent overlap between psychological functions of eating disorder behaviours and self-harm, specifically in relation to distress management (affect regulation). Despite clear overlap in certain areas, some functions were found to be distinct to each behaviour. The implications for delivering and adapting targeted interventions are discussed. Full article
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18 pages, 1305 KiB  
Article
Curriculum–Vacancy–Course Recommendation Model Based on Knowledge Graphs, Sentence Transformers, and Graph Neural Networks
by Valiya Ramazanova, Madina Sambetbayeva, Sandugash Serikbayeva, Aigerim Yerimbetova, Zhanar Lamasheva, Zhanna Sadirmekova and Gulzhamal Kalman
Technologies 2025, 13(8), 340; https://doi.org/10.3390/technologies13080340 - 5 Aug 2025
Abstract
This article addresses the task of building personalized educational recommendations based on a heterogeneous knowledge graph that integrates data from university curricula, job vacancies, and online courses. To solve the problem of course recommendations by their relevance to a user’s competencies, a graph [...] Read more.
This article addresses the task of building personalized educational recommendations based on a heterogeneous knowledge graph that integrates data from university curricula, job vacancies, and online courses. To solve the problem of course recommendations by their relevance to a user’s competencies, a graph neural network (GNN)-based approach is proposed, specifically utilizing and comparing the Heterogeneous Graph Transformer (HGT) architecture, Graph Sample and Aggregate network (GraphSAGE), and Heterogeneous Graph Attention Network (HAN). Experiments were conducted on a heterogeneous graph comprising various node and relation types. The models were evaluated using regression and ranking metrics. The results demonstrated the superiority of the HGT-based recommendation model as a link regression task, especially in terms of ranking metrics, confirming its suitability for generating accurate and interpretable recommendations in educational systems. The proposed approach can be useful for developing adaptive learning recommendations aligned with users’ career goals. Full article
(This article belongs to the Section Information and Communication Technologies)
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23 pages, 344 KiB  
Article
Hot-Hand Belief and Loss Aversion in Individual Portfolio Decisions: Evidence from a Financial Experiment
by Marcleiton Ribeiro Morais, José Guilherme de Lara Resende and Benjamin Miranda Tabak
J. Risk Financial Manag. 2025, 18(8), 433; https://doi.org/10.3390/jrfm18080433 - 5 Aug 2025
Viewed by 69
Abstract
We investigate whether a belief in trend continuation, often associated with the so-called “hot-hand effect,” can be endogenously triggered by personal performance feedback in a controlled financial experiment. Participants allocated funds across assets with randomly generated prices, under conditions of known probabilities and [...] Read more.
We investigate whether a belief in trend continuation, often associated with the so-called “hot-hand effect,” can be endogenously triggered by personal performance feedback in a controlled financial experiment. Participants allocated funds across assets with randomly generated prices, under conditions of known probabilities and varying levels of risk. In a two-stage setup, participants were first exposed to random price sequences to learn the task and potentially develop perceptions of personal success. They then faced additional price paths under incentivized conditions. Our findings show that participants initially increased purchases following gains—consistent with a feedback-driven belief in momentum—but this pattern faded over time. When facing sustained losses, loss aversion dominated decision-making, overriding early optimism. These results highlight how cognitive heuristics and emotional biases interact dynamically, suggesting that belief in trend continuation is context-sensitive and constrained by the reluctance to realize losses. Full article
(This article belongs to the Section Economics and Finance)
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30 pages, 825 KiB  
Review
Predictive Analytics in Human Resources Management: Evaluating AIHR’s Role in Talent Retention
by Ana Maria Căvescu and Nirvana Popescu
AppliedMath 2025, 5(3), 99; https://doi.org/10.3390/appliedmath5030099 (registering DOI) - 5 Aug 2025
Viewed by 114
Abstract
This study explores the role of artificial intelligence (AI) in human resource management (HRM), with a focus on recruitment, employee retention, and performance optimization. Through a PRISMA-based systematic literature review, the paper examines many machine learning algorithms including XGBoost, SVM, random forest, and [...] Read more.
This study explores the role of artificial intelligence (AI) in human resource management (HRM), with a focus on recruitment, employee retention, and performance optimization. Through a PRISMA-based systematic literature review, the paper examines many machine learning algorithms including XGBoost, SVM, random forest, and linear regression in decision-making related to employee-attrition prediction and talent management. The findings suggest that these technologies can automate HR processes, reduce bias, and personalize employee experiences. However, the implementation of AI in HRM also presents challenges, including data privacy concerns, algorithmic bias, and organizational resistance. To address these obstacles, the study highlights the importance of adopting ethical AI frameworks, ensuring transparency in decision-making, and developing effective integration strategies. Future research should focus on improving explainability, minimizing algorithmic bias, and promoting fairness in AI-driven HR practices. Full article
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36 pages, 3705 KiB  
Article
Personalized-Template-Guided Intelligent Evolutionary Algorithm
by Dongni Hu, Xuming Han, Minghan Gao, Yali Chu and Ting Zhou
Appl. Sci. 2025, 15(15), 8642; https://doi.org/10.3390/app15158642 (registering DOI) - 4 Aug 2025
Viewed by 218
Abstract
Existing heuristic algorithms are based on inspiration sources and have not yet done a good job of basing themselves on optimization principles to minimize and utilize historical information, which may lead to low efficiency, accuracy, and stability of the algorithm. To solve this [...] Read more.
Existing heuristic algorithms are based on inspiration sources and have not yet done a good job of basing themselves on optimization principles to minimize and utilize historical information, which may lead to low efficiency, accuracy, and stability of the algorithm. To solve this problem, a personalized-template-guided intelligent evolutionary algorithm named PTG is proposed. The core idea of PTG is to generate personalized templates to guide particle optimization. We also find that high-quality templates can be generated to guide the exploration and exploitation of particles by using the information of the population particles when the optimal value remains unchanged, the knowledge of population distribution changes, and the dimensional distribution properties of particles themselves. By conducting an ablation study and comparative experiments on the challenging CEC2022 test and CEC2005 test functions, we have validated the effectiveness of our method and concluded that the stability and accuracy of the solutions obtained by PTG are superior to other algorithms. Finally, we further verified the effectiveness of PTG through four engineering problems. Full article
(This article belongs to the Special Issue Novel Research and Applications on Optimization Algorithms)
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30 pages, 522 KiB  
Article
Enhancing Typhlo Music Therapy with Personalized Action Rules: A Data-Driven Approach
by Aileen Benedict, Zbigniew W. Ras, Pawel Cylulko and Joanna Gladyszewska-Cylulko
Information 2025, 16(8), 666; https://doi.org/10.3390/info16080666 - 4 Aug 2025
Viewed by 110
Abstract
In the context of typhlo music therapy, personalized interventions can significantly enhance the therapeutic experience for visually impaired children. Leveraging a data-driven approach, we incorporate action-rule discovery to provide insights into the factors of music that may benefit individual children. The system utilizes [...] Read more.
In the context of typhlo music therapy, personalized interventions can significantly enhance the therapeutic experience for visually impaired children. Leveraging a data-driven approach, we incorporate action-rule discovery to provide insights into the factors of music that may benefit individual children. The system utilizes a comprehensive dataset developed in collaboration with an experienced music therapist, special educator, and clinical psychologist, encompassing meta-decision attributes, decision attributes, and musical features such as tempo, rhythm, and pitch. By extracting and analyzing these features, our methodology identifies key factors that influence therapeutic outcomes. Some themes discovered through action-rule discovery include the effect of harmonic richness and loudness on expression and communication. The main findings demonstrate the system’s ability to offer personalized, impactful, and actionable insights, leading to improved therapeutic experiences for children undergoing typhlo music therapy. Our conclusions highlight the system’s potential to transform music therapy by providing therapists with precise and effective tools to support their patients’ developmental progress. This work shows the significance of integrating advanced data analysis techniques in therapeutic settings, paving the way for future enhancements in personalized music therapy interventions. Full article
(This article belongs to the Section Information Applications)
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16 pages, 506 KiB  
Article
The Transition to Caregiver in Advanced Alzheimer’s Disease: From Emotional Connection to Care Responsibility—A Grounded Theory Approach
by Federica Dellafiore, Orejeta Diamanti, Luca Guardamagna, Gloria Modena, Pierpaolo Servi, Donato Antonio Rotondo, Tiziana Nania, Andreina Saba and Giovanna Artioli
Nurs. Rep. 2025, 15(8), 284; https://doi.org/10.3390/nursrep15080284 - 4 Aug 2025
Viewed by 185
Abstract
Background: The progression of Alzheimer’s Disease (AD) deeply affects not only the diagnosed person but also their close relatives, who are often called to take on the role of informal caregivers. This transition is frequently unplanned and emotionally complex, yet poorly understood in [...] Read more.
Background: The progression of Alzheimer’s Disease (AD) deeply affects not only the diagnosed person but also their close relatives, who are often called to take on the role of informal caregivers. This transition is frequently unplanned and emotionally complex, yet poorly understood in its deeper processual dimensions. This study aims to explore and theorize the transition experienced by a family member becoming the primary informal caregiver for a person with advanced AD. Methods: A qualitative study based on the Constructivist Grounded Theory according to Charmaz’s approach (2006) was conducted. In-depth interviews were carried out with 10 participants who had become informal caregivers for a loved one with advanced AD. Data were analyzed using initial coding, focused coding, the constant comparative method, and theoretical coding. Results: Ten caregivers (mean age 39 years, range 35–54; nine females) of patients with advanced AD participated in the study. The analysis revealed a complex, emotionally intense caregiving experience marked by sacrifice, feelings of powerlessness, identity loss, and the necessity of sharing caregiving responsibilities. A core category emerged: A Silent and Certain Willingness to Care, representing the caregivers’ deep, often unconscious commitment to prioritize the care of their loved ones above their own needs. Four interconnected phases characterized the caregiving process: (1) The Changing Daily Life—involving significant sacrifices in personal and social life; (2) Feeling Powerless—confronting the inevitable decline without means to alter the course; (3) Losing Oneself—experiencing physical and psychological exhaustion and a sense of identity loss; and (4) Sharing with Others—seeking external support to sustain caregiving. These findings highlight the evolving nature of becoming a caregiver and the enduring dedication that sustains this role despite the challenges. Conclusions: The progression of AD deeply transforms the lives of caregivers, who become co-sufferers and active participants in the disease’s management. The results underscore the urgency of designing integrative care strategies—including psychological, social, and potentially technological support—that can enhance both patient outcomes and caregiver resilience. Grounded in real-world experiences, this study contributes to the broader neurodegeneration discourse by emphasizing caregiving as a critical factor in long-term disease management and therapeutic success. Full article
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