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Search Results (188)

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Keywords = public emotional involvement

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23 pages, 3427 KiB  
Article
Visual Narratives and Digital Engagement: Decoding Seoul and Tokyo’s Tourism Identity Through Instagram Analytics
by Seung Chul Yoo and Seung Mi Kang
Tour. Hosp. 2025, 6(3), 149; https://doi.org/10.3390/tourhosp6030149 - 1 Aug 2025
Viewed by 255
Abstract
Social media platforms like Instagram significantly shape destination images and influence tourist behavior. Understanding how different cities are represented and perceived on these platforms is crucial for effective tourism marketing. This study provides a comparative analysis of Instagram content and engagement patterns in [...] Read more.
Social media platforms like Instagram significantly shape destination images and influence tourist behavior. Understanding how different cities are represented and perceived on these platforms is crucial for effective tourism marketing. This study provides a comparative analysis of Instagram content and engagement patterns in Seoul and Tokyo, two major Asian metropolises, to derive actionable marketing insights. We collected and analyzed 59,944 public Instagram posts geotagged or location-tagged within Seoul (n = 29,985) and Tokyo (n = 29,959). We employed a mixed-methods approach involving content categorization using a fine-tuned convolutional neural network (CNN) model, engagement metric analysis (likes, comments), Valence Aware Dictionary and sEntiment Reasoner (VADER) sentiment analysis and thematic classification of comments, geospatial analysis (Kernel Density Estimation [KDE], Moran’s I), and predictive modeling (Gradient Boosting with SHapley Additive exPlanations [SHAP] value analysis). A validation analysis using balanced samples (n = 2000 each) was conducted to address Tokyo’s lower geotagged data proportion. While both cities showed ‘Person’ as the dominant content category, notable differences emerged. Tokyo exhibited higher like-based engagement across categories, particularly for ‘Animal’ and ‘Food’ content, while Seoul generated slightly more comments, often expressing stronger sentiment. Qualitative comment analysis revealed Seoul comments focused more on emotional reactions, whereas Tokyo comments were often shorter, appreciative remarks. Geospatial analysis identified distinct hotspots. The validation analysis confirmed these spatial patterns despite Tokyo’s data limitations. Predictive modeling highlighted hashtag counts as the key engagement driver in Seoul and the presence of people in Tokyo. Seoul and Tokyo project distinct visual narratives and elicit different engagement patterns on Instagram. These findings offer practical implications for destination marketers, suggesting tailored content strategies and location-based campaigns targeting identified hotspots and specific content themes. This study underscores the value of integrating quantitative and qualitative analyses of social media data for nuanced destination marketing insights. Full article
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18 pages, 616 KiB  
Review
Reinforcing Gaps? A Rapid Review of Innovation in Borderline Personality Disorder (BPD) Treatment
by Lionel Cailhol, Samuel St-Amour, Marie Désilets, Nadine Larivière, Jillian Mills and Rémy Klein
Brain Sci. 2025, 15(8), 827; https://doi.org/10.3390/brainsci15080827 - 31 Jul 2025
Viewed by 317
Abstract
Background/Objectives: Borderline Personality Disorder (BPD) involves emotional dysregulation, interpersonal instability and impulsivity. Although treatments have advanced, evaluating the latest innovations remains essential. This rapid review aimed to (1) identify and classify recent therapeutic innovations for BPD, (2) assess their effects on clinical [...] Read more.
Background/Objectives: Borderline Personality Disorder (BPD) involves emotional dysregulation, interpersonal instability and impulsivity. Although treatments have advanced, evaluating the latest innovations remains essential. This rapid review aimed to (1) identify and classify recent therapeutic innovations for BPD, (2) assess their effects on clinical and functional outcomes, and (3) highlight research gaps to inform future priorities. Methods: Employing a rapid review design, we searched PubMed/MEDLINE, PsycINFO, and Embase for publications from 1 January 2019 to 28 March 2025. Eligible studies addressed adult or adolescent BPD populations and novel interventions—psychotherapies, pharmacological agents, digital tools, and neuromodulation. Two independent reviewers conducted screening, full-text review, and data extraction using a standardised form. Results: Sixty-nine studies—predominantly from Europe and North America—were included. Psychotherapeutic programmes dominated, ranging from entirely novel models to adaptations of established treatments (for example, extended or modified Dialectical Behavior Therapy). Pharmacological research offered fresh insights, particularly into ketamine, while holistic approaches such as adventure therapy and digital interventions also emerged. Most investigations centred on symptom reduction; far fewer examined psychosocial functioning, mortality, or social inclusion. Conclusions: Recent innovations show promise in BPD treatment but underserve the needs of mortality and societal-level outcomes. Future research should adopt inclusive, equity-focused agendas that align with patient-centred and recovery-oriented goals, supported by a coordinated, integrated research strategy. Full article
(This article belongs to the Section Neuropsychiatry)
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17 pages, 225 KiB  
Article
Exploring Emotional Safety and Harm Among Hospitalized Patients: A Qualitative Study of Patients’ and Providers’ Perspectives
by Afsha Khan, Dildar Muhammad, Najma Naz, Sabiha Khanum and Awal Khan
Healthcare 2025, 13(15), 1842; https://doi.org/10.3390/healthcare13151842 - 29 Jul 2025
Viewed by 205
Abstract
Background: Emotional safety is increasingly recognized as crucial for high-quality patient care, encompassing a patient’s sense of security, courteous treatment, being heard, and a peaceful environment. Purpose: The purpose of this study was to explore the perceptions of patients and providers (doctors and [...] Read more.
Background: Emotional safety is increasingly recognized as crucial for high-quality patient care, encompassing a patient’s sense of security, courteous treatment, being heard, and a peaceful environment. Purpose: The purpose of this study was to explore the perceptions of patients and providers (doctors and nurses) regarding emotional harm and safety in relation to hospitalized patients. Methods: We conducted a qualitative study in public-sector teaching hospitals in Peshawar, Pakistan. Data were collected after we obtained informed consent using individual interviews with 15 providers, namely, doctors (n = 7) and nurses (n = 8), and five focus group discussions (FGDs) with 25 hospitalized patients. Data from both the interviews and FGDs were analyzed using Braun and Clarke’s six-phase approach to thematic analysis. Results: The key themes revealed by the providers’ perspectives were factors contributing to emotional harm, staff-related factors, coping mechanisms and solutions, and the impact of prior experiences and involvement. The main themes that emerged from the patients’ perspectives were anxiety upon admission, the impact of communication, emotional stress due to treatment delays, systemic/bureaucratic challenges, financial burden, a lack of emotional support, and post-hospitalization concerns. The consistent perspectives shared by both patients and providers included the impact of systemic factors, communication issues, the role of staff attitude/behavior, financial concerns, and the influence of prior experiences. Conclusions: This study highlights the complex interplay of systemic, staff-related, and patient-specific factors. It suggests a need to improve communication, staff support, administrative processes, financial counseling, emotional support integration, and discharge planning to minimize harm and create a patient-centered environment. Full article
(This article belongs to the Section Healthcare Quality and Patient Safety)
19 pages, 2871 KiB  
Article
Strategic Information Patterns in Advertising: A Computational Analysis of Industry-Specific Message Strategies Using the FCB Grid Framework
by Seung Chul Yoo
Information 2025, 16(8), 642; https://doi.org/10.3390/info16080642 - 28 Jul 2025
Viewed by 226
Abstract
This study presents a computational analysis of industry-specific advertising message strategies through the theoretical lens of the FCB (Foote, Cone & Belding) grid framework. Leveraging the AiSAC (AI Analysis System for Ad Creation) system developed by the Korea Broadcast Advertising Corporation (KOBACO), we [...] Read more.
This study presents a computational analysis of industry-specific advertising message strategies through the theoretical lens of the FCB (Foote, Cone & Belding) grid framework. Leveraging the AiSAC (AI Analysis System for Ad Creation) system developed by the Korea Broadcast Advertising Corporation (KOBACO), we analyzed 27,000 Korean advertisements across five major industries using advanced machine learning techniques. Through Latent Dirichlet Allocation topic modeling with a coherence score of 0.78, we identified five distinct message strategies: emotional appeal, product features, visual techniques, setting and objects, and entertainment and promotion. Our computational analysis revealed that each industry exhibits a unique “message strategy fingerprint” that significantly discriminates between categories, with discriminant analysis achieving 62.7% classification accuracy. Time-series analysis using recurrent neural networks demonstrated a significant evolution in strategy preferences, with emotional appeal increasing by 44.3% over the study period (2015–2024). By mapping these empirical findings onto the FCB grid, the present study validated that industry positioning within the grid’s quadrants aligns with theoretical expectations: high-involvement/think (IT and Telecom), high-involvement/feel (Public Institutions), low-involvement/think (Food and Household Goods), and low-involvement/feel (Services). This study contributes to media science by demonstrating how computational methods can empirically validate the established theoretical frameworks in advertising, providing a data-driven approach to understanding message strategy patterns across industries. Full article
(This article belongs to the Special Issue AI Tools for Business and Economics)
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28 pages, 1012 KiB  
Review
The Relationship Between Self-Efficacy and Job Satisfaction: A Meta-Analysis from the Perspective of Teacher Mental Health
by Yu Xiao and Li Zheng
Healthcare 2025, 13(14), 1715; https://doi.org/10.3390/healthcare13141715 - 16 Jul 2025
Viewed by 598
Abstract
Teacher mental health is a growing concern in educational and public health systems worldwide. This meta-analysis systematically examines the relationship between teacher self-efficacy—a core construct in social cognitive theory—and job satisfaction, both considered crucial indicators of occupational well-being. A total of 39 studies [...] Read more.
Teacher mental health is a growing concern in educational and public health systems worldwide. This meta-analysis systematically examines the relationship between teacher self-efficacy—a core construct in social cognitive theory—and job satisfaction, both considered crucial indicators of occupational well-being. A total of 39 studies involving teachers across 18 countries were analyzed, yielding a significant positive correlation between self-efficacy and job satisfaction (r = 0.41, p < 0.001), with notable heterogeneity (I2 = 97%). Subgroup analyses revealed that the relationship was significantly stronger among teachers in high school and post-secondary contexts, and in studies conducted in Southern Hemisphere countries, highlighting the role of contextual and systemic moderators such as educational level and geographic inequality. The findings underscore the need for school- and policy-level interventions that bolster teachers’ self-efficacy through professional development, emotional support, and improved working conditions. Such interventions are essential not only for enhancing job satisfaction and reducing attrition but also for promoting the psychological resilience and well-being of the global teaching workforce. The study provides evidence-based insights into education and health policymakers aiming to support teacher retention and mental health through scalable, targeted initiatives. Full article
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18 pages, 4253 KiB  
Article
The Emotional Landscape of Technological Innovation: A Data-Driven Case Study of ChatGPT’s Launch
by Lowri Williams and Pete Burnap
Informatics 2025, 12(3), 58; https://doi.org/10.3390/informatics12030058 - 22 Jun 2025
Viewed by 728
Abstract
The rapid development and deployment of artificial intelligence (AI) technologies have sparked intense public interest and debate. While these innovations promise to revolutionise various aspects of human life, it is crucial to understand the complex emotional responses they elicit from potential adopters and [...] Read more.
The rapid development and deployment of artificial intelligence (AI) technologies have sparked intense public interest and debate. While these innovations promise to revolutionise various aspects of human life, it is crucial to understand the complex emotional responses they elicit from potential adopters and users. Such findings can offer crucial guidance for stakeholders involved in the development, implementation, and governance of AI technologies like OpenAI’s ChatGPT, a large language model (LLM) that garnered significant attention upon its release, enabling more informed decision-making regarding potential challenges and opportunities. While previous studies have employed data-driven approaches towards investigating public reactions to emerging technologies, they often relied on sentiment polarity analysis, which categorises responses as positive or negative. However, this binary approach fails to capture the nuanced emotional landscape surrounding technological adoption. This paper overcomes this limitation by presenting a comprehensive analysis for investigating the emotional landscape surrounding technology adoption by using the launch of ChatGPT as a case study. In particular, a large corpus of social media texts containing references to ChatGPT was compiled. Text mining techniques were applied to extract emotions, capturing a more nuanced and multifaceted representation of public reactions. This approach allows the identification of specific emotions such as excitement, fear, surprise, and frustration, providing deeper insights into user acceptance, integration, and potential adoption of the technology. By analysing this emotional landscape, we aim to provide a more comprehensive understanding of the factors influencing ChatGPT’s reception and potential long-term impact. Furthermore, we employ topic modelling to identify and extract the common themes discussed across the dataset. This additional layer of analysis allows us to understand the specific aspects of ChatGPT driving different emotional responses. By linking emotions to particular topics, we gain a more contextual understanding of public reaction, which can inform decision-making processes in the development, deployment, and regulation of AI technologies. Full article
(This article belongs to the Section Big Data Mining and Analytics)
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35 pages, 1343 KiB  
Article
Predicting Sustainable Consumption Behavior from HEXACO Traits and Climate Worry: A Bayesian Modelling Approach
by Stefanos Balaskas and Kyriakos Komis
Psychol. Int. 2025, 7(2), 55; https://doi.org/10.3390/psycholint7020055 - 18 Jun 2025
Cited by 1 | Viewed by 402
Abstract
Addressing climate change requires deeper insight into the psychological drivers of pro-environmental behavior. This study investigates how personality traits, climate-related emotions, and demographic factors can predict sustainable consumption and climate action participation using a Bayesian regression approach. Drawing from the HEXACO personality model [...] Read more.
Addressing climate change requires deeper insight into the psychological drivers of pro-environmental behavior. This study investigates how personality traits, climate-related emotions, and demographic factors can predict sustainable consumption and climate action participation using a Bayesian regression approach. Drawing from the HEXACO personality model and key emotional predictors—Climate Change Worry (CCW) and environmental empathy (EE)—we analyzed data from 604 adults in Greece to assess both private and public climate-related behaviors. This research is novel in its integrative approach, combining dispositional traits and affective states within a Bayesian analytical framework to simultaneously predict both sustainable consumption and climate action. Bayesian model testing highlighted education as the most powerful and reliable predictor of sustainable consumption, with increasing levels—namely Doctoral education—linked to more environmentally responsible action. CCW produced small but reliable effects, supporting hypotheses that moderate emotional concern will lead to sustainable behavior when linked to efficacy belief. The majority of HEXACO traits, e.g., Honesty–Humility and Conscientiousness, produced limited predictive power. This indicates in this case that structural and emotional considerations were stronger than dispositional personality traits. For climate action involvement, Bayesian logistic models found no considerable evidence of any predictor, corroborating the perspective that public participation in high effort action is most likely to rely on contextual enablers instead of internal sentiments or attributes. A significant interaction effect between education and gender also indicated that the sustainability effect of education is moderated by sociocultural identity. Methodologically, this research demonstrates the strengths of Bayesian analysis in sustainability science to make sensitive inference and model comparison possible. The results highlight the importance of affect-related structural variables in behavioral models and have applied implications for theory-informed and targeted climate education and communication interventions to enable different populations to act sustainably. Full article
(This article belongs to the Section Psychometrics and Educational Measurement)
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20 pages, 318 KiB  
Article
Participant Perceptions and Destination Image: Cognitive and Affective Dimensions in Local Sports Contexts
by Christina Avloniti, Georgia Yfantidou, Alkistis Papaioannou, Charilaos Kouthouris and George Costa
Tour. Hosp. 2025, 6(2), 120; https://doi.org/10.3390/tourhosp6020120 - 18 Jun 2025
Viewed by 1406
Abstract
Exploring the cognitive and affective image dimensions involved in the formation of attractive sports destinations is essential to understand how sports activities influence participants’ experiences. This study explores how municipal sports programs and small-scale events shape both the cognitive and affective image of [...] Read more.
Exploring the cognitive and affective image dimensions involved in the formation of attractive sports destinations is essential to understand how sports activities influence participants’ experiences. This study explores how municipal sports programs and small-scale events shape both the cognitive and affective image of a destination. The research was conducted among 456 adult participants engaged in public sports events and recreation programs in various municipalities across Attica, Greece. Participation was voluntary and based on an open public call. The questionnaire was adapted from (a) scale, which examines the influence of a sports event image on a destination image—it included 17 items measuring the cognitive image destination grouped into four factors: (1) environment, (2) experiences, (3) attractions, and (4) entertainment–infrastructure, as well as 5 items assessing one factor of affective image destination—and (b) a scale for the intention to participate in sports events and exercise programs. The findings provide insights into how community-level sports initiatives contribute to form a favorable destination image, not only through tangible elements like facilities and environment but also through emotional engagement and social connectivity. These results can inform the development of more targeted and impactful local sports programs that enhance participant’s satisfaction and foster long-term community involvement. Full article
20 pages, 1278 KiB  
Review
Global Diseases Deserve Global Solutions: Alzheimer’s Disease
by Emma Twiss, Carley McPherson and Donald F. Weaver
Neurol. Int. 2025, 17(6), 92; https://doi.org/10.3390/neurolint17060092 - 14 Jun 2025
Cited by 1 | Viewed by 734
Abstract
Alzheimer’s Disease (AD) is a global issue, with increasing incidence and prevalence as the world’s population ages and life expectancy increases. Projections indicate that by 2050, over 150 million individuals worldwide will be personally living with AD, an impending crisis made worse by [...] Read more.
Alzheimer’s Disease (AD) is a global issue, with increasing incidence and prevalence as the world’s population ages and life expectancy increases. Projections indicate that by 2050, over 150 million individuals worldwide will be personally living with AD, an impending crisis made worse by the absence of cure therapies. Moreover, the risk factor relationship of dementia with rising global temperatures and air pollution further necessitates the urgency of a coordinated international response. With an extensive economic and emotional burden, AD is no longer just a disease; it is a worldwide societal crisis. This review presents five calls to action to address the AD global health emergency. First, AD research must be approached as an internationally performed activity, involving standardized data sharing, collaborative innovation, and improved access to pharmaceutical studies in low- and middle-income countries (LMICs), alongside increased diversity, inclusion, and equity in research. Second, there must be a commitment to develop universally accessible, affordable, and non-invasive diagnostic tools for AD. Third, advancements in AD therapeutics should prioritize the development of affordable agents, allowing for widespread geographic distribution. Fourth, we identify focus areas for global dementia risk reduction: sleep, head injury prevention, exercise, learning, and diet (SHIELD risk reduction strategy). Fifth, improving care for individuals with AD requires eliminating stigma through educational programs for both the public and caregivers. The escalating AD crisis demands an unprecedented global coalition in research, diagnostics, therapeutics, prevention, and education to avoid a future where the disease becomes the defining crisis of our era. Full article
(This article belongs to the Collection Brain Health Initiative: Advocacy in Global Neurology)
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16 pages, 527 KiB  
Article
Awareness of Eating Disorders, Nutritional Knowledge, and Emotionally Driven Eating Among Polish Adolescents Aged 15–17—A Pilot Study
by Marlena Zięba, Marta Jaskuła and Sabina Lachowicz-Wiśniewska
Nutrients 2025, 17(12), 1994; https://doi.org/10.3390/nu17121994 - 13 Jun 2025
Viewed by 826
Abstract
Background/Objectives: Despite the growing awareness of nutrition and the popularity of healthy lifestyles among adolescents, disordered eating behaviors—such as anorexia nervosa, bulimia nervosa, binge eating disorder (BED), and avoidant/restrictive food intake disorder (ARFID)—remain significant public health concerns. ARFID, officially recognized only in 2013, [...] Read more.
Background/Objectives: Despite the growing awareness of nutrition and the popularity of healthy lifestyles among adolescents, disordered eating behaviors—such as anorexia nervosa, bulimia nervosa, binge eating disorder (BED), and avoidant/restrictive food intake disorder (ARFID)—remain significant public health concerns. ARFID, officially recognized only in 2013, is still poorly understood among youth. This study aimed to assess the relationship between adolescents’ nutritional knowledge, emotional regulation, media influence, and eating behaviors. Methods: A cross-sectional study was conducted in 2024 among 120 students aged 15–17 attending W. Reymont Secondary School No. II in Ostrów Wielkopolski, Poland. Participants completed a custom-designed, paper-based questionnaire consisting of 30 single-choice questions and demographic items. The instrument assessed knowledge of eating disorders, body satisfaction, social media impact, and the emotional determinants of food choices. The tool was developed with expert input but has not undergone formal psychometric validation. While many adolescents demonstrated basic nutritional knowledge—such as awareness of BMI norms and food group distribution—they often failed to apply this knowledge to their dietary behaviors. Results: Significant gender differences were observed: girls were more likely to restrict food intake, report emotional eating, and engage in slimming behaviors, while boys were less emotionally reactive and less influenced by social media. Most participants reported eating one meal daily with family but rarely discussed nutrition at home. Emotional involvement in eating, particularly among girls, emerged as a key factor, more influential than social media in shaping dietary behaviors. Conclusions: The findings highlight a clear gap between nutritional knowledge and actual behavior among adolescents, driven in part by emotional dysregulation and body image concerns. School-based interventions should incorporate not only nutritional education but also emotional regulation strategies and media literacy to effectively support healthy eating behaviors in youth. Full article
(This article belongs to the Special Issue Lifestyle Factors, Nutrition and Mental Health in Adolescents)
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12 pages, 6111 KiB  
Case Report
Health Education: The “Education Box” of the Fondazione Policlinico Universitario Campus Bio-Medico
by Claudio Pensieri, Veronica Rossi and Rossana Alloni
Standards 2025, 5(2), 15; https://doi.org/10.3390/standards5020015 - 9 Jun 2025
Viewed by 322
Abstract
Clinical education, traditionally linked to university training in health care, has found a new declination at the Fondazione Policlinico Universitario Campus Bio-Medico (FPUCBM) through a free public service aimed at patients, family members, and caregivers. This innovative approach aims to improve health self-management, [...] Read more.
Clinical education, traditionally linked to university training in health care, has found a new declination at the Fondazione Policlinico Universitario Campus Bio-Medico (FPUCBM) through a free public service aimed at patients, family members, and caregivers. This innovative approach aims to improve health self-management, promote empowerment, and foster the active involvement of patients in their own care pathway. Based on high-quality and safety certified standards (by the Joint Commission International), FPUCBM has launched structured initiatives such as “education box” events to provide clear and accessible information, addressing patients’ educational and emotional needs. The “health education service” integrates several activities, including single-topic educational events, the creation of information materials (brochures and video tutorials), and collaboration with patient associations. Since its launch in 2023, the service has reached more than 400 participants in 22 events, covering topics such as chronic disease management and prevention and the proper use of home devices. In total, 95 information brochures and 9 video tutorials have been produced to expand the available resources. Benefits include improved health awareness, increased confidence in care pathways, and a positive impact on the hospital’s reputation. In conclusion, it represents a replicable model of person-centered health care that combines human care and educational support to promote more effective and informed disease management while improving the overall patient experience. Full article
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17 pages, 249 KiB  
Article
Understanding the Roles of over 65-Year-Old Male and Female Carers: A Comparative Analysis of Informal Caregiving
by Purificación Ballester, Clara Pérez-Esteve, Alicia Sánchez-García, Eva Gil-Hernández, Mercedes Guilabert and José Joaquín Mira
Geriatrics 2025, 10(3), 75; https://doi.org/10.3390/geriatrics10030075 - 29 May 2025
Viewed by 928
Abstract
Background/Objectives: This study aims to explore how gender influences the role of informal caregivers aged 65 years, considering the increasing involvement of men in caregiving due to longer life expectancy and societal norms. Methods: A two-year cross-sectional study was conducted in [...] Read more.
Background/Objectives: This study aims to explore how gender influences the role of informal caregivers aged 65 years, considering the increasing involvement of men in caregiving due to longer life expectancy and societal norms. Methods: A two-year cross-sectional study was conducted in the Valencian Community, Spain, involving informal caregivers of 65 years of age and older who provided home-based care for dependent individuals with chronic conditions. The participants were recruited through public health schools, carers’ associations, and clinical consultations. The caregivers completed a comprehensive semi-structured interview, which included items from the Zarit Brief Scale (seven items) to assess caregiver burden and questions about their caregiving responsibilities, training, and experience, as well as the self-perceived frequency of medication errors. Results: A sample of 80 caregivers over 65 years old was analyzed, including 23 men (28.8%) and 57 women (71.2%). Male caregivers were significantly less experienced (mean = 3.1 years, SD = 5.9) compared to female caregivers (mean = 10.1 years, SD = 13.0; p = 0.004). Men reported lower emotional and physical burdens than women (p-value = 0.003), as reflected in the Zarit scores. Caregiving performance, measured by self-reported errors, was comparable between genders. Conclusions: This study explores the growing role of older male caregivers, highlighting their lower experience and training compared to those of women but similar caregiving performance and lower burden. Additionally, trained caregivers demonstrated significantly lower odds of experiencing burden, underscoring the importance of training as a modifiable factor. The findings emphasize the need for gender-sensitive support and tailored training programs to address disparities, reduce caregiver burden, and enhance caregiving quality and equity. Full article
17 pages, 252 KiB  
Article
The Risk of Not Knowing—How Information Sharing Affects Parents’ Ability to Maintain and Develop Family Ties After a Child’s Removal from Parental Care
by Tina Gerdts-Andresen and Anette Ødegård Eriksen
Soc. Sci. 2025, 14(6), 334; https://doi.org/10.3390/socsci14060334 - 27 May 2025
Viewed by 478
Abstract
The ability of parents to maintain and develop family ties after a child is placed in public care is a fundamental yet challenging aspect of child welfare. While legal frameworks emphasize the preservation of parent–child relationships, limited research has explored how access to [...] Read more.
The ability of parents to maintain and develop family ties after a child is placed in public care is a fundamental yet challenging aspect of child welfare. While legal frameworks emphasize the preservation of parent–child relationships, limited research has explored how access to information affects parental involvement over time. This study draws on qualitative semi-structured interviews with 31 parents whose children were placed in public care to explore how parents experience information-sharing structures within child welfare services and how these experiences influence their ability to maintain and develop family ties with their children. A thematic analysis identifies three key themes: (1) lack of information, (2) conflicting and inconsistent information, and (3) bureaucratic barriers and systemic obstacles to information. Findings indicate that restricted and unpredictable access to updates fosters uncertainty, emotional distress, and a weakening sense of parental identity. Moreover, discretionary decision-making and institutional constraints contribute to inconsistencies in communication, further reinforcing parental exclusion. These findings highlight the role of information sharing as more than an administrative function; it is a structuring mechanism that facilitates or hinders ongoing parent–child relationships. The study highlights the importance of establishing clearer and more consistent communication structures to ensure that parents remain informed and can maintain a relationship with their child in public care. Full article
(This article belongs to the Special Issue Contact between Parents and Children in Child Welfare Care)
24 pages, 307 KiB  
Article
“Get Well Enough to Make the Right Decision for Themselves”—Experiences and Perspectives of Clinicians Working with People with Serious Mental Illness and Their Substitute Decision Makers
by Samuel Law, Vicky Stergiopoulos, Juveria Zaheer and Arash Nakhost
Behav. Sci. 2025, 15(5), 704; https://doi.org/10.3390/bs15050704 - 20 May 2025
Viewed by 508
Abstract
In the current clinical psychiatric practice in most of the world, treatment decisions are based on a person’s capacity to make these decisions. When a person lacks the capacity to understand and appreciate treatment decisions, in many jurisdictions a third-party substitute decision maker [...] Read more.
In the current clinical psychiatric practice in most of the world, treatment decisions are based on a person’s capacity to make these decisions. When a person lacks the capacity to understand and appreciate treatment decisions, in many jurisdictions a third-party substitute decision maker (SDM) is appointed on his or her behalf in order to promote safety and optimal clinical outcome. In Ontario, Canada, for example, family members (typically) or public guardians are appointed as SDMs, and they form an integral part of the medical–legal system in psychiatric care. Clinicians working with both patients and their SDMs in these circumstances encounter unique challenges and deliver care in specialized ways, though little research has focused on their experiences and reflections. Based on focus group data, this qualitative study uses a descriptive and interpretative phenomenological approach through thematic analysis to examine these aspects from clinicians working in both inpatient and outpatient settings of an urban teaching hospital’s psychiatric services in Toronto, Canada. Seven key themes emerged: Clinicians (1) appreciate hardships and challenges in lives of SDMs and patients—including the challenging emotions and experiences on both sides, and the risks and relational changes from being an SDM; (2) have an understanding of the patient’s situation and respect for patient autonomy and wishes—they are promoter of autonomy and mindful of patients’ prior wishes amidst patients’ fluctuating capacity, facilitating communication, keeping patients informed and promoting transitioning from SDM to self-determination; (3) have a special working relationship with family SDMs—including supporting SDMs, avoiding harm from delayed or denied treatment, and educating and collaborating with SDMs while maintaining professional boundaries; (4) at times find it difficult working with SDMs—stemming from working with over-involved or uninterested family SDMs, coping with perceived poor SDM decisions, and they sometimes ponder if SDMs are necessary; (5) delineate differences between family and Public Guardian and Trustee (PGT) SDMs—they see PGT as closely aligned with medical decision makers, while family SDMs are more intimately involved and more likely to disagree with a physician’s recommendation; (6) recognize the importance of the SDM role in various contexts—through seeing social values in having SDMs, and acknowledging that having SDMS help them to feel better about their actions as they work to protect the patients; and (7) express ideas on how to improve the current system—at public, societal, and family SDM levels. We conclude that clinicians have unique mediating roles, with privilege and responsibility in understanding the different roles and challenges patients and SDMs face, and have opportunities to improve patient and SDM experiences, clinical outcomes, carry out education, and advocate for ethically just decisions. These clinical roles also come with frustration, discomfort, moral distress and at times vicarious trauma. Clinicians’ unique understanding of this complex and nuanced intersection of patient care provides insight into the core issues of autonomy, duty to care and protect, advocacy, and emotional dynamics involved in this sector as a larger philosophical and social movement to abolish SDMs, as advocated by the Convention on the Rights of Persons with Disability (CRPD), is taking place. We briefly discuss the role of supported decision making as an alternative as. Full article
16 pages, 242 KiB  
Article
Regulating Phone Contact and Digital Communication Between Children in Public Care and Their Parents
by Tina Gerdts-Andresen
Soc. Sci. 2025, 14(5), 290; https://doi.org/10.3390/socsci14050290 - 9 May 2025
Viewed by 332
Abstract
This study examines how the Norwegian Child Welfare Tribunal justifies regulating telephone and digital communication between children in public care and their parents. The regulation of such contact represents a distinct form of state interference in family life and must adhere to principles [...] Read more.
This study examines how the Norwegian Child Welfare Tribunal justifies regulating telephone and digital communication between children in public care and their parents. The regulation of such contact represents a distinct form of state interference in family life and must adhere to principles of necessity, proportionality, and respect for children’s rights. Using a thematic analysis of 34 Tribunal decisions involving 44 children, the study identifies four central themes: ensuring stability and emotional security, addressing parental behavior, balancing proportionality and necessity, and considering the child’s view. The Tribunal’s reasoning often reflects a cautious, preventive approach, prioritizing emotional stability. However, the lack of transparent assessments of necessity and inconsistent inclusion of children’s perspectives raises concerns about proportionality and children’s autonomy. Additionally, the limited involvement of children in these decisions risks making restrictions difficult to implement in practice, as children may not understand or agree with them and instead seek unregulated contact. The findings underline the need for clearer justifications and more consistent consideration of a child’s view to ensure that decisions align with their best interests and remain feasible in practice. Full article
(This article belongs to the Special Issue Contact between Parents and Children in Child Welfare Care)
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