ABSTRACT
This study systematically assess the paradigm shift in consumer behavior during Pre-COVID and COVID scenarios using social media (data collected from Facebook, Twitter, Pin Interest, YouTube, Reviews & Forums, and Google Plus) platforms. The study analyzed 523,764 and 1,054,794 social media responses in Pre-COVID and COVID eras respectively. Due to the large volume of the data, for Pre-COVID era, responses from August to December 2019 were considered. For COVID era, responses from January to June 2020 were taken into the account. The organic food categories, considered in the study were Snacks, Fruits, Vegetables, Beers & Alcohol, Meat, Flour, Dairy, Cereals & Savories, Health Drink, Noodles & Fast Food, Dessert and Pizza & Pasta. In the study three-stage filtering for Sentiment Analysis was performed (86.4% accuracy achieved) using Natural Language Processing, Manual analysis of sentiment and Bi-Directional Encoder Representations from Transforms based model. It was concluded that in Pre-COVID era, people were less aware about the health benefits of organic food but in COVID era, the awareness level of consumers rose exponentially about various organic food categories, especially about processed organic food categories and benefits of raw organic food categories. In Pre-COVID Era, consumers were mainly focused on fresh fruits and vegetables. In COVID Era, food categories like Dairy, Meat and Vegetables were at the top. Fruits, snacks, beer and alcohol were also in high demand. While analyzing the Pre-COVID and COVID scenarios, we observed a shift in consumer behaviour from raw organic food categories towards processed and semi-processed organic food categories. Organic noodles & fast food, dessert and health drinks still remained as the least preferred food categories. The study is unique since it provides a macro and micro view of shift in consumer behavior preferences in Pre-COVID and COVID eras using social media at various geographical locations worldwide. This research will help manufacturers of organic food to reshape their existing consumer behavior and market penetration strategies. It will also help in new product designing and increasing the consumer base both at the local and global levels. © 2023, The Author(s), under exclusive license to Springer Nature Switzerland AG.
ABSTRACT
Keywords: Stroke;Telerehabilitation;Systematic review Purpose: Despite the available evidence regarding effectiveness of stroke telerehabilitation, there has been little focus on factors influencing its delivery or translation from the research setting into practice. There are complex challenges to embedding telerehabilitation into stroke services and generating transferable knowledge about scaling up and routinising this service model. This review aimed to explore factors influencing the delivery of stroke telerehabilitation interventions, including platforms, technical requirements, training, support, access, cost, usability and acceptability. Methods: MEDLINE, EMBASE, CINAHL, Web of Science and Cochrane Library and Central Registry of Clinical Trials were searched to identify full-text articles of randomized controlled trials (RCTs) and protocols for RCTs published since a Cochrane review on stroke telerehabilitation services. A narrative synthesis was conducted, providing a comprehensive description of the factors influencing stroke telerehabilitation intervention delivery. Results: Thirty-one studies and ten protocols of ongoing studies were included. Interventions were categorized as synchronous telerehabilitation (n = 9), asynchronous telerehabilitation (n = 11) and tele-support (n = 11). Telephone and videoconference were the most frequently used modes of delivery. Usability and acceptability with telerehabilitation was high across all platforms, although access issues and technical challenges may be potential barriers to the use of telerehabilitation in service delivery. Costs of intervention delivery and training requirements were poorly reported. Conclusion(s): This review synthesizes the evidence relating to factors that may influence stroke telerehabilitation intervention delivery at a crucial timepoint given the rapid deployment of telerehabilitation in response to the COVID-19 pandemic. It recommends strategies, such as ensuring adequate training and technical infrastructure, shared learning and consistent reporting of cost and usability and acceptability outcomes, to overcome challenges in embedding and routinising this service model and priorities for research in this area. Impact: Given the rapid widespread adoption of telerehabilitation services, in response to the COVID-19 pandemic, this systematic review was necessary to allow for a deeper understanding of the factors influencing telerehabilitation delivery and its translation into stroke practice to ultimately improve patient experience and service quality. Funding acknowledgements: AS's time was co-funded by Royal College of Surgeons in Ireland (School of Physiotherapy) and the European Union's Horizon 2020 Research and Innovation Programme under grant agreement no. 687228, MAGIC PCP.