scholarly journals A framework exploring the therapeutic alliance between elite athletes and physiotherapists: a qualitative study

2021 ◽  
Vol 13 (1) ◽  
Author(s):  
W. M. Charmant ◽  
P. J. van der Wees ◽  
J. B. Staal ◽  
R. van Cingel ◽  
J. M. Sieben ◽  
...  
Keyword(s):  
Therapeutic Alliance ◽  
Thematic Analysis ◽  
Elite Athlete ◽  
Time Pressure ◽  
Elite Athletes ◽  
External Environment ◽  
External Factors ◽  
Structured Interviews ◽  
Improve Treatment ◽  
Inductive Thematic Analysis

Abstract Background The therapeutic alliance (TA) is the bond between a patient and a physiotherapist during collaboration on recovery or training. Previous studies focused on the TA between physiotherapists and patients of the general population. Little information exists on whether this is similar in the demanding environment of elite athletes. The aim of this study was to investigate the components of TA between elite athletes and physiotherapists. Methods Ten elite athletes and ten physiotherapists were interviewed using one-on-one semi-structured interviews between June 2020 and October 2020. Athletes were included if they competed at national or international championships. Physiotherapists had to treat elite athletes on a regular basis. Interview questions were based on TA components of the general physiotherapy population. The interviews were transcribed and coded using inductive thematic analysis. Results The analysis resulted in an elite athlete TA framework which consists of nine themes and ten subthemes that could influence the TA. The nine themes are trust, communication, professional bond, social bond, elite athlete, physiotherapist, time, pressure and adversity, and external factors. This showed that the TA consists of bonds on different social levels, depends on the traits of both elite athletes and physiotherapists, and can be positively and negatively influenced by the external environment. The influences from the external environment seem to be more present in the elite athlete TA compared to the TA in the general physiotherapy setting. Multiple relations between themes were discovered. Trust is regarded as the main connecting theme. Conclusion This study provides a framework to better understand the complex reality of the TA between elite athletes and physiotherapists. Compared to the general physiotherapy setting, new themes emerged. The created framework can help elite athletes and physiotherapists to reflect and improve their TA and subsequently improve treatment outcomes.

scholarly journals Integrating sport and exercise medicine clinics into the National Health Service: a qualitative study

2020 ◽  
Vol 6 (1) ◽  
pp. e000888
Author(s):  
Dane Vishnubala ◽  
Katherine Rose Marino ◽  
Margaret Kathryn Pratten ◽  
Andy Pringle ◽  
Steffan Arthur Griffin ◽  
...  
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Thematic Analysis ◽  
Heavy Exercise ◽  
Structured Interviews ◽  
Ultrasound Education ◽  
Exercise Medicine ◽  
Sport And Exercise ◽  
Inductive Thematic Analysis

ObjectivesTo explore the services National Health Service (NHS)-based sport and exercise medicine (SEM) clinics can offer, and the barriers to creating and integrating SEM services into the NHS.MethodsSemi-structured interviews were undertaken to collect data from identified ‘stakeholders’. Stakeholders were identified as individuals who had experience and knowledge of the speciality of SEM and the NHS. An inductive thematic analysis approach was taken to analyse the data.ResultsN=15 stakeholder interviews. The management of musculoskeletal (MSK) injuries (both acute and chronic) and concussion were highlighted as the two key services that SEM clinics can offer that would most benefit the NHS. MSK ultrasound was also mentioned by all stakeholders as a critical service that SEM clinics should provide. While exercise medicine is an integral part of SEM, SEM clinics should perhaps not have a heavy exercise medicine focus. The key barriers to setting up SEM clinics were stated to be convincing NHS management, conflict with other specialities and a lack of awareness of the speciality.ConclusionThe management of acute MSK injuries and concussion should be the cornerstone of SEM services, ideally with the ability to provide MSK ultrasound. Education of others on the speciality of SEM, confirming consistent ‘unique selling points’ of SEM clinics and promoting how SEM can add value to the NHS is vital. If the successful integration of SEM into the NHS is not widely achieved, we risk the NHS not receiving all the benefits that SEM can provide to the healthcare system.

scholarly journals Telehealth sounds a bit challenging, but it has potential: participant and physiotherapist experiences of gym-based exercise intervention for Achilles tendinopathy monitored via telehealth

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
F. Hasani ◽  
P. Malliaras ◽  
T. Haines ◽  
S. E. Munteanu ◽  
J. White ◽  
...  
Keyword(s):  
Focus Group ◽  
Thematic Analysis ◽  
Exercise Intervention ◽  
Achilles Tendinopathy ◽  
Interpretive Description ◽  
Structured Interviews ◽  
Potential Participant ◽  
Delivery Of Care ◽  
Exercise Interventions ◽  
Inductive Thematic Analysis

Abstract Background Although telehealth is becoming more popular for delivery of care for individuals with musculoskeletal pain, to our knowledge telehealth has not been used to manage Achilles tendinopathy. This research aimed to explore the experience of participants and physiotherapists with gym-based exercise interventions for Achilles tendinopathy monitored via videoconference. Methods A qualitative, interpretive description design was performed using semi-structured interviews (8 participants) and a focus group (7 physiotherapists). Participants and physiotherapists were interviewed about their experiences of the use of telehealth during a gym-based exercise intervention incorporating different calf load parameters for Achilles tendinopathy. We employed an inductive thematic analysis approach to analyse the data. Results Three themes identified from both participants and physiotherapists included i) acceptability of telehealth; ii) enablers to adherence with telehealth; and iii) barriers to adherence with telehealth. Two extra themes arose from participants regarding adherence with gym-based exercise, including enablers to adherence with the exercise intervention, and barriers to adherence with the exercise intervention. Both participants and physiotherapists expressed overall satisfaction and acceptability of telehealth monitoring of gym-based exercise. Conclusion Gym-based exercise intervention for Achilles tendinopathy involving weekly telehealth monitoring was acceptable to both participants and physiotherapists. Potential enablers and barriers were identified that may improve adherence to this type of intervention.

scholarly journals Developing a Typology of HIV/STI Testing Patterns Among Gay, Bisexual, and Queer Men: A Framework to Guide Interventions

2019 ◽  
Vol 30 (4) ◽  
pp. 610-621 ◽  
Author(s):  
Rayner Kay Jin Tan ◽  
Nashwinder Kaur ◽  
Mark I-Cheng Chen ◽  
Chen Seong Wong
Keyword(s):  
Thematic Analysis ◽  
External Factors ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
Factors Associated ◽  
Sti Testing ◽  
Semistructured Interviews ◽  
Testing Patterns ◽  
Purposive Sample ◽  
Inductive Thematic Analysis

Although factors associated with HIV/sexually transmitted infection (STI) testing among gay, bisexual, and queer (GBQ) men are well-established in the literature, few studies have attempted to delineate the processes underlying different patterns of testing. We conducted a qualitative study involving 35 semistructured interviews with a purposive sample of GBQ men in Singapore from October 2017 to July 2018. Topics explored included formative sexual experiences, relationships, and experiences of HIV/STI testing. Interviews were audio-recorded, transcribed, coded, and analyzed through inductive thematic analysis. A typology comprising four distinct HIV/STI testing patterns was identified from the data, categorized based on the regularity of testing, relative to internal or external factors that motivate testing behaviors. These include triggered episodic testing, influenced episodic testing, institutionalized regular testing, and value-based regular testing. The typology highlights the preconditions that underlie different testing patterns and provides a framework for developing interventions that promote HIV/STI testing among GBQ men.

Refugee children’s resilience: A qualitative social ecological study of life in a camp

2020 ◽  
Author(s):  
Nilüfer Kuru ◽  
Michael Ungar
Keyword(s):  
Thematic Analysis ◽  
Ecological Study ◽  
Developmental Outcomes ◽  
Refugee Camp ◽  
Structured Interviews ◽  
Personal Traits ◽  
Social Ecological ◽  
Physical Wellbeing ◽  
Values And Beliefs ◽  
Inductive Thematic Analysis

Abstract A social ecological theory of resilience shows that the process of resilience not only depends on an individual child’s personal traits but also on the capacity of the child’s environment to provide the resources required for the child to use these traits to achieve psychological and physical wellbeing in contexts of adversity. The aim of this study is to investigate how refugee mothers influence their children’s developmental outcomes despite exposure to the large number of risk factors they experience living in a refugee camp. Ten Syrian mothers of children aged 5–7-years-old participated in both semi-structured interviews and focus groups conducted while they were living in a refugee camp in Turkey. Using an inductive thematic analysis, findings show that participants found unconventional ways to build their children’s social capital, provide an education and maintain culturally grounded values and beliefs when facing with multiple distal and proximal challenges. These findings highlight the importance of understanding resilience as a psychosocial and interactive process occurring at multiple systemic levels (in this case, child, mother, and camp). Improving the functioning of larger systems may be an efficacious way of creating stable and nurturing environments for children to experience greater resilience.

Influence of culture, religion and experience on the decision of Pakistani women in Lothian, Scotland to use postnatal contraception: a qualitative study

2020 ◽  
pp. bmjsrh-2019-200497
Author(s):  
Annette Gallimore ◽  
Tasneem Irshad ◽  
Michelle Cooper ◽  
Sharon Cameron
Keyword(s):  
Thematic Analysis ◽  
Quality Information ◽  
Structured Interviews ◽  
Translation Services ◽  
Tailored Approach ◽  
Pakistani Women ◽  
The Individual ◽  
First And Second Generation ◽  
Inductive Thematic Analysis ◽  
Experience Difficulty

IntroductionEvidence suggests that Pakistani women may experience difficulty accessing postnatal contraceptive (PNC) services. The study aimed to identify experience and decision-making around PNC provision for Pakistani women in Lothian, and to explore the views and experience of maternity staff who provide PNC counselling.MethodsQualitative research including focus groups and 1:1 semi-structured interviews with women and staff. Participants were first- and second-generation Pakistani women with a child/children aged up to 5 years, or pregnant; community and hospital midwives, obstetric doctors who counsel or provide PNC. Data were coded and categorised using QSR NVIVO10. Inductive thematic analysis was carried out.ResultsWomen were receptive to discussion of contraception, including antenatally, and welcomed translated information. Some said the decision on PNC was theirs or made jointly with their husband; however, they acknowledged that in some marriages the husband will take the decision. Women stated they may face family expectation to have a baby early in marriage. Language was identified as a challenge by maternity staff, who utilised translation services to ensure women received the information they needed on contraception.ConclusionsPakistani women value antenatal discussion about PNC. Maternity staff have an important role in providing quality information on contraception and should be supported with translated resources in a range of formats. Most importantly, staff should adopt a tailored approach to identify the individual woman’s needs and preferences.

‘We struggle and muddle.’ A qualitative study exploring community ABI therapists’ experiences of using, training in and implementing behaviour interventions

2020 ◽  
pp. 1-16
Author(s):  
Jai Jason Carmichael ◽  
Amelia J. Hicks ◽  
Kate Rachel Gould ◽  
Timothy J. Feeney ◽  
Penelope Analytis ◽  
...  
Keyword(s):  
Content Analysis ◽  
Thematic Analysis ◽  
Community Integration ◽  
Community Practice ◽  
Structured Interviews ◽  
Clinician Training ◽  
Australian Community ◽  
Challenging Behaviours ◽  
Inductive Thematic Analysis

Abstract Objectives: Individuals with acquired brain injury (ABI) may present with challenging behaviours (CB) that place themselves and others at risk of harm and impact their community integration. It is crucial for community ABI therapists to successfully train in and implement behaviour interventions. The current study aimed to investigate community ABI therapists’ experiences of using, training in and implementing behaviour interventions. An additional aim was to determine these therapists’ understanding of Positive Behaviour Support (PBS), one approach to addressing CB with a focus on improving quality of life. Methods: Semi-structured interviews were conducted with 24 Australian community ABI therapists about their experiences of using, training in and implementing behaviour interventions and understanding of PBS. Inductive thematic analysis and content analysis were performed on interview transcripts. Findings: The thematic analysis resulted in the generation of six themes which described the difficulties participants faced in training in and delivering behaviour interventions and identified their training and implementation needs. The content analysis resulted in 10 categories that characterised participants’ understanding of PBS, which centred around the absence of consequences, a focus on antecedents, person-centred practice and encouraging prosocial alternatives to CB. Conclusions: The findings highlight a need and desire for more practical and interactive clinician training in behaviour interventions for individuals with ABI. Moreover, the findings suggest a limited understanding of PBS amongst community ABI therapists. Important considerations for the development of clinician training in ABI behaviour interventions and subsequent implementation into community practice are discussed.

scholarly journals Exploring the Experiences and Well-Being of Australian Rio Olympians During the Post-Olympic Phase: A Qualitative Study

2021 ◽  
Vol 12 ◽  
Author(s):  
Andrew Bennie ◽  
Courtney C. Walton ◽  
Donna O’Connor ◽  
Lauren Fitzsimons ◽  
Thomas Hammond
Keyword(s):  
Qualitative Study ◽  
Return To Work ◽  
Performance Appraisal ◽  
Thematic Analysis ◽  
Elite Athlete ◽  
Olympic Games ◽  
Well Being ◽  
Structured Interviews ◽  
Olympic Athletes ◽  
The Olympic Games

Research about the Olympic Games has primarily focused on preparing athletes for competition. Less attention has been paid to the post-Olympic-phase (POP) and athlete well-being during this time. This study explored Australian Olympic athletes’ experiences following the conclusion of the 2016 Rio Olympic Games, including the factors that may have contributed to or challenged their well-being during this time. Eighteen athletes participated in semi-structured interviews and thematic analysis revealed that when Olympic performance appraisal met prior expectations, when athletes planned for a return to work or study, and when support from a variety of sources was readily available, this positively influenced athletes’ well-being during the POP. When these factors were not in place, more challenging post-Games experiences were present, and well-being was compromised. The findings contribute to the broader literature on elite athlete well-being and at an applied level, may be used to inform targeted programs that focus on supporting athletes after an Olympic campaign.

scholarly journals Exploring emoji as a viable cultural tool in WhatsApp communications among Malaysian undergraduates

2021 ◽  
Vol 7 (3D) ◽  
pp. 351-362
Author(s):  
Ahmad Fakrusy Syakirin Ahmad Sabri ◽  
Siti Zanariah Yusoff ◽  
Isyaku Hassan
Keyword(s):  
Social Relations ◽  
Thematic Analysis ◽  
Digital Communication ◽  
Qualitative Approach ◽  
Structured Interviews ◽  
Positive Attitudes ◽  
Communication Efficiency ◽  
Social Media Platforms ◽  
Almost All ◽  
Inductive Thematic Analysis

An emoji is a form of a symbol in communication available on almost all social media platforms. Its convenience brings potential implications for its usage in digital communication. This study aims to explore the effectiveness of emojis in WhatsApp communication and the influence of culture on emoji usage among undergraduates in Malaysia. The study employed a qualitative approach in which semi-structured interviews were conducted with eight undergraduates of Universiti Sultan Zainal Abidin (UniSZA). The data were analyzed using inductive thematic analysis. Overall, the findings revealed that emojis increase communication efficiency. The participants have positive attitudes towards emoji usage. They describe emojis as viable symbols that help them to maintain social relations and express feelings. Additionally, the findings showed that Malaysian culture influences emoji communication by promoting harmony and relationships as well as instilling high context values in emoji usage. This research concludes that emojis can influence WhatsApp Communication positively if utilized correctly.

Experience, impact and needs of informal parental caregivers around the communication of a diagnosis of schizophrenia

2022 ◽  
pp. 002076402110689
Author(s):  
Véra Forcheron ◽  
Elodie Sacareau ◽  
Jérôme Bourgeois ◽  
Arnaud Pouchon ◽  
Mircea Polosan ◽  
...  
Keyword(s):  
Access To Care ◽  
Family Caregivers ◽  
Thematic Analysis ◽  
Unmet Needs ◽  
Structured Interviews ◽  
Parental Caregivers ◽  
Information Giving ◽  
Starting Point ◽  
Support Programmes ◽  
Inductive Thematic Analysis

Aims: To qualitatively characterize the experience, impact and needs of informal family caregivers around the communication of a diagnosis of schizophrenia. Methods: In all, 13 informal family caregivers were recruited. All were parents. Semi-structured interviews were used to explore their experience of the diagnosis of schizophrenia, the impacts of the diagnosis and the needs related to the diagnosis around its communication. Interviews were recorded, transcribed, codes generated and mixed deductive–inductive thematic analysis undertaken. Results: Participants described receiving the diagnosis of schizophrenia for their relative as a devastating experience, although some nuanced the experience with a sense of relief of finally naming the disorder and getting access to care. Caregivers’ experience and representations prior to hearing the diagnosis played an important role in the way the ‘news’ was internalized. The communication of the diagnosis constituted a starting point for acceptance of the reality of the illness in participants. Numerous unmet needs around the communication of the diagnosis were reported by participants, including personnalized support, specific explanations about the disorder and guidance on their role as caregiver. Conclusion: A specific attention must be given to the communication of the diagnosis of schizophrenia to the informal family caregivers. Information giving must be early, comprehensive, personalized and embedded into tailored education and support programmes for caregivers to facilitate illness acceptance and adaptation.

scholarly journals ‘Stretched thin with little children’ – smoking perceptions and experiences of families seeking help with parenting

2020 ◽  
pp. 136749352096783
Author(s):  
Nicola Brown ◽  
Tim Luckett ◽  
Patricia M Davidson ◽  
Michelle DiGiacomo
Keyword(s):  
Smoking Cessation ◽  
Cigarette Smoking ◽  
Coping Strategy ◽  
Thematic Analysis ◽  
Pregnancy Outcomes ◽  
Early Years ◽  
Structured Interviews ◽  
Professional Help ◽  
Seeking Help ◽  
Inductive Thematic Analysis

Cigarette smoking is the leading preventable cause of poor pregnancy outcomes. Pregnancy is a trigger for smoking cessation yet, up to 50% of parents will relapse in the early years of their child’s life. This study explored the smoking-related perceptions and experiences of 11 parents seeking professional help with the care and parenting of babies and toddlers using semi-structured interviews. Inductive thematic analysis identified three themes: parenting as a change catalyst, smoking as a parenting challenge and smoking as a coping strategy. Becoming a parent is a catalyst to reduce the associated risks and stigma associated with smoking, but maintaining rules and boundaries can be perceived as a further burden for parents who are struggling to care for their infant. When faced with difficulties with parenting, parents may revert to smoking as a coping strategy. Based on these study findings, interventions targeting gender norms may be useful in addressing smoking cessation.

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