Older Adults Using Technology for Meaningful Activities During COVID-19: An Analysis Through the Lens of Self-Determination Theory

Restrictions during the COVID-19 pandemic significantly affected people's opportunities to engage in activities that are meaningful to their lives. In response to these constraints, many people, including older adults, turned to digital technologies as alternative ways to pursue meaningful activities. These technology-mediated activities, however, presented new challenges for older adults' everyday use of technology. In this paper, we investigate how older adults used digital technologies for meaningful activities during COVID-19 restrictions. We conducted in-depth interviews with 40 older adults and analyzed the interview data through the lens of self-determination theory (SDT). Our analysis shows that using digital technologies for meaningful activities can both support and undermine older people's three basic psychological needs for autonomy, competence, and relatedness. We argue that future technologies should be designed to empower older adults' content creation, engagement in personal interests, exploration of technology, effortful communication, and participation in beneficent activities. © 2023 ACM.

Oral History as a Source for the Interpretation of UBH: The World War II Shelters in Naples Case Study

What can be the contribution of oral history to the interpretation of tangible cultural assets? Starting from this conceptual question, this article focuses on the case study of the experiences Second World War in Naples bomb shelters, recently included within the Underground Built Heritage (UBH) class. The hypothesis of the research is that bomb shelters are very significant elements in the subsoil of Naples but that, due to the lack of distinctive elements and dedicated storytelling, they are only partially exploited in the context of urban parks or generic itineraries Naples's subsoil. The thesis of the research is that the memories of those children that took refuge there during World War II (WWII), which were collected with the adoption of the oral history methodology, can integrate their value as elements of local cultural heritage and eventually support their interpretation for the benefit of the new generations. The methodology adopted was the collection, via structured and unstructured interviews, of the direct testimonies of those who took refuge in Naples' underground during the alarms. Twenty-three interviews were carried out, and all the issues introduced have been classified according to the various themes addressed during the narration in order to allow the reconstruction of dedicated storytelling in the future. The research was carried out immediately after the acute phase of the COVID-19 pandemic, an event that claimed many victims belonging to the generation of our witnesses, whose memories were at risk of being lost forever. © 2023 by the author.

‘You Took me Back to the sea:' Using Narrative to Explore and Inform the Practice of Social Work with Dying People

This article centres on a qualitative interview extract, the ‘Story of the Pebble', in which a West African Hospital Social Worker Ado, working in a UK context, and identifying as a Shaman, describes successfully trusting his instincts to create a symbol for a dying patient. Despite criticisms from colleagues, Ado's capacity to understand his patients needs are justified both before and after her death.The article discusses significant themes from the interview extract, including the meaning of professionalism, practice wisdom and cultural influences in a UK social work context, as well as through Ado's heritage and identification as a Shaman. The article considers holistic patient care in a medical context and suggests this has some useful lessons for social workers, particularly those involved with dying people. Although the extract, and wider research study from which it is drawn, pre-date the Covid 19 pandemic, this is referenced throughout, linking the interview extract to ways of helping practitioners and educators to consider people holistically at end of life. AD -, Chichester, UK ;, Chichester, UK

Stakeholder Analysis: Medicare Diabetes Prevention Program Awareness and Implementation

Study Design: We conducted a qualitative stakeholder analysis project with suppliers of the MDPP and health care providers. Am J Manag Care. 2023;29(6):In Press _____ Takeaway Points More than 5 years after CMS enacted coverage of the CDC-approved Medicare Diabetes Prevention Program (MDPP) in 2018, little is known about why MDPP uptake is so limited. * Findings of our stakeholder analysis with program suppliers and health care providers reinforced existing evidence on insufficient reimbursement and low awareness of the program. * Newer insights include recommendations about lagged payments, ongoing virtual delivery, and formally diagnosing prediabetes among MDPP participants. * Our findings on barriers and facilitators can inform policy to refine the MDPP and research on the MDPP, particularly within the field of implementation science. _____ Population-level strategies to prevent type 2 diabetes are urgently needed for the more than 24 million older adults with prediabetes in the United States.1 Evidence-based lifestyle interventions can prevent diabetes onset, per evidence from the landmark Diabetes Prevention Program trial.2 Thus, the CDC launched the National Diabetes Prevention Program (NDPP) in 2010.3 Significant reductions in weight and medical spending were observed among Medicare beneficiaries who participated in the NDPP,4 prompting CMS to fully cover the Medicare Diabetes Prevention Program (MDPP) starting in 2018.5 Despite unprecedented Medicare coverage for a disease prevention program, MDPP uptake is limited. Regarding awareness, national guidelines recommend referral to lifestyle intervention for adults aged 40 to 70 years with prediabetes.9 Yet less than 5% of adults eligible for a NDPP reported receiving a referral,10 which may stem from limited awareness among health care providers.11 Thus, we conducted a qualitative stakeholder analysis to learn about regional awareness of, referral to, facilitators of, and barriers to the MDPP. The 8 interviewees included 5 program directors (3 from YMCAs, 1 from a private organization, and 1 from a hospital system) and 3 health care providers (2 family physicians and 1 dietitian).

Exploring actor-network theory in a volunteer tourism context: A delicate balance disrupted by COVID-19

Drawing from ethnographic fieldwork and using Actor-Network Theory (ANT), the authors trace the interactions of a primary actor and other agents within the context of the volunteer tourist experience at a children's home in Phnom Penh, Cambodia. This paper has two key objectives;first to sketch the volunteer tourism reality as it is shaped by the actions of different actors, and second to showcase how this sensitively balanced ecosystem was significantly disrupted by the Covid-19 pandemic. Staying true to the ANT approach and ‘following the actor' (Latour, 1993), the authors demonstrate how the volunteer tourist setting is relationally reproduced through the incessant alignment of different human and non-human actors and their sometimes conflicting interests and actions. By taking this radical approach, we reveal the need to reconsider the narrative that views all children in orphanages in the global South as victims and pawns of the ‘orphan industrial complex' and how the children's home in the study offers much-needed support to children and people that have no safety net. The study shows that these actors sometimes unknowingly become part of the network and serve a good cause while acting in pursuit of their own interests.

Social insecurity and varieties of family resilience strategies during the COVID-19 pandemic

PurposeThis study is aimed at developing an understanding of the consequences of the pandemic on families' socioeconomic resilience, and the strategies adopted by the families in overcoming social vulnerabilities amid uncertainty.Design/methodology/approachThe materials for this study consist of semi-structured interviews with 21 families spread across the South Sumatra Province, Indonesia. Families in the study represent four different income levels, namely very high, high, middle and low, and who also work in the informal sector. Each family has at least 1 or more members who fall into the vulnerable category (children, the elderly, people with disabilities unemployed or having potential economic vulnerability).FindingsTwo main findings are outlined. Regardless of their socioeconomic status, many of the families analyzed adopted similar strategies to remain resilient. Among the strategies are classifying the urgency of purchasing consumer goods based on financial capacity rather than needs, leveraging digital economic opportunities as alternative sources of income, utilizing more extensive informal networks and going into debt. Another interesting finding shows that the pandemic, to some extent, has saved poor families from social insecurity. This is supported by evidence showing that social distancing measures during the pandemic have reduced the intensity of sociocultural activities, which require invited community members to contribute financially. The reduction of sociocultural activities in the community has provided more potential savings for the poor.Research limitations/implicationsIn this study, informants who provided information about their family conditions represent a major segment of the workforce and tend to be technologically savvy and younger, due to the use of Zoom as a platform for conducting interviews. Therefore, there may be a bias in the results. Another limitation is that since the interviewees were recommended by our social network in the fields, there is a risk of a distorted selection of participants.Originality/valueThis study offers insights that are critical in helping to analyze family patterns in developing countries in mitigating the risks and uncertainties caused by COVID-19. In addition, the literature on social policy and development could benefit from further research on COVID-19 as an alternative driver to identify mechanisms that could bring about change that would result in "security.” Critical questions and limitations of this study are presented at the end of the paper to be responded to as future research agenda.

Distance Learning in an Inclusive Preschool Focused on Autism During the COVID-19 Pandemic: A Mixed-Methods Multiple Case Study of Four Children

Despite the widespread use of distance learning during the coronavirus disease-2019 (COVID-19) pandemic, little is known about the developmental appropriateness of this instructional format for preschoolers, particularly when implemented in inclusive settings. The current research was implemented in a university-affiliated, state-funded inclusive preschool classroom focused on autism spectrum disorder (ASD) where parents were given the option to enroll in a full distance program (FDP) during the first 9 weeks of the 2020/21 school year. Parents of four children, including two children with ASD, selected the FDP option. Synchronous whole group, small group, and individual online sessions were recorded using screen capture and coded for children's maintained attention and directed communication. Further, parents and teachers completed exit interviews or a focus group, which were transcribed and analyzed using qualitative research methods. This is the first study to use observational methods to measure child engagement during preschool FDP sessions. Results from this mixed-method multiple case study paint a rich picture of both opportunities and limitations inherent in distance learning when implemented in inclusive preschool settings. General conclusions, future directions, and study limitations are discussed.

Building Resilient Supply Chains with Information Systems: Key Lessons from Médecins Sans Frontières Logistique During the COVID-19 Crisis

This research aims to analyze the resilience of humanitarian supply chains, with a focus on the role of information systems, through a case study of Médecins Sans Frontières Logistique during the COVID-19 pandemic. The empirical research methodology is based on a qualitative study, which includes semi-structured interviews with key actors and operators from the Médecins Sans Frontières Logistique during the COVID-19 crisis in 2020 and 2021. The paper highlights the crucial and inherent role of information systems on each of the four dimensions of humanitarian supply chain resilience: reorganization capacity, collaboration, flexibility, and humanitarian culture. Drawing on recent theoretical works on supply chain resilience as well as empirical results, the paper underscores the importance of information systems and proposes a conceptual model of the relationship between humanitarian supply chain resilience and the role of information systems. The value of this research is linked to its empirical and qualitative study of a Non-Governmental Organization logistics operation during an international crisis, which contributes not only to the literature on resilience, but also provides guidance for managers to target their actions responsively and proactively to enhance resilience over time.. Copyright © 2023 by SCITEPRESS - Science and Technology Publications, Lda. Under CC license (CC BY-NC-ND 4.0)

Comprensión, confianza y ética en las entrevistas con personas migrantes

Qualitative social research on the lives of migrants in Chile involves investigating the social suffering that arises from the "migratory condition" that is produced. The progressive recrudescence of migration policies both at national and international level since the end of the 20th century has further deepened the effects of the COVID 19 pandemic, generating a complex scenario for research in this area for two reasons: the online modality assumed by the interviewing exercise, and the increase of frictions in the relationship between Chileans and migrants. In this text we ask ourselves how to investigate someone who suffers, for which we stop, on the one hand, in the interview as an exercise that should be vigilant of the structural conditions in which it occurs and that can produce symbolic violence, while it should tend to the understanding of the social from the singularity of a life that the interview attends. This implies considering that the ethics of research runs through the very exercise of, in this case, the interview, so that it is not an external constraint to the method, but an integral part of its deployment. Informed consents play a fundamental role in the achievement of the above, however, they often turn out to be standardized protocols that fail to protect or inform the participating subjects, given their technical language and the little reflection on the social relationship they establish, with the result that Informed Consent ends up being installed in the distance between the researcher and the research participant. This is why it is necessary to stop and consider what is understood by ethics, in order to make the interview a fair institution that is built on the recognition of the other as part of the research exercise. Thus, ethics in qualitative social research must be recognized as both situated and, therefore, as reflexive and non-standardized. Thus, we conclude by arguing that in qualitative social research, understanding and ethics are imbricated in a single exercise.

Traditional capoeira street circles in Florianópolis (Southern Brazil): impacts of the covid-19 pandemic

Capoeira is a cultural manifestation of Afro-Brazilian origin, born during the slavery period in Brazil. Its practice developed historically on the street, on the margins of Brazilian society, giving new meaning to spaces almost always understood only as places of passage or transition. Capoeira has manifested itself in traditional capoeira street circles in Florianópolis (Southern Brazil) for over 30 years, representing possibilities of playful and leisure moments for practitioners, resistant to established historical inequalities. With the covid-19 pandemic and indications for social distancing, the configurations of social life needed to be reinvented. Thus, the current study aimed to investigate the impacts of the covid-19 pandemic on traditional capoeira street circles in Florianópolis. This is a descriptive, exploratory field research with a qualitative approach to the data. Semi-structured interviews were conducted with participants, whose contents were organised in NVivo-12 software and analysed using content analysis, considering the framework of leisure studies and Southern Epistemologies. This study confirmed the impossibility of carrying out the circles in person, resulting in difficulties faced by participants, with different reverberations in their lives. The research highlights the importance of turning to the manifestations and social actors made invisible throughout history, doubly disadvantaged during the current scenario. [ FROM AUTHOR] Copyright of Leisure Studies is the property of Routledge and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)

The "epidemic within the pandemic”: meeting the needs of racially minoritised women experiencing domestic abuse during the Covid-19 pandemic

PurposeIn March 2020, the UK entered its first lockdown responding to the Covid-19 pandemic. In the same month, the Domestic Abuse Bill had its first reading in Parliament. Charities and non-governmental organisations critiqued the Bill for failing to protect migrants from domestic abuse, and not complying with the Istanbul Convention. Drawing on interviews with staff from Southall Black Sisters, this paper aims to foreground the experiences of practitioners within the women's sector to explore the unique experiences and challenges migrant and racially minoritised women encountered when seeking support from domestic abuse during the Covid-19 pandemic. It highlights how the pandemic-related lockdowns created barriers to accessing support services and housing, creating an epidemic within the pandemic, and how minoritised women and the organisations that supported them had to overcome structural barriers and racism.Design/methodology/approachIn-depth semi-structured interviews were conducted with staff from a leading women's organisation that supports migrant and racially minoritised women. Four participants were asked questions within four themes: domestic abuse before and during the pandemic;accessing support from and reporting domestic abuse;accessibility of resources;and post-pandemic challenges. A phenomenological approach was used to analyse the transcribed interviews.FindingsParticipants consistently highlighted the unique threats and barriers migrant and racially minoritised women faced when seeking support. Barriers included racism, language barriers, cultural constraints, the triple threat of destitution, detention, deportation, and political resistance to protect migrant women from destitution/homelessness.Originality/valueThis paper provides a unique insight into the experiences of staff members within a specialist by and for women's support organisation in England and their perspectives on the barriers racially minoritised and migrant women experienced during the Covid-19 pandemic. It offers rare insights into how service users' needs changed during the lockdowns and how the pandemic affected their ability to operate.

"Trying to Find People to Fit the Tech…”: A Qualitative Exploration of the Lessons Learnt Introducing Artificial Intelligence-Based Technology into English Social Care

Digital technology is expected to improve care and address significant service pressures within the National Health Service and social care though evidence on how their implementation might be optimised is lacking. This study explores how one such example, home-based sensors with artificial intelligence capabilities, was implemented in English social care to identify changes in behaviour that indicate the onset of potentially more serious issues. Its focus was staff perspectives on decision-making processes and implementation, to inform recommendations for others exploring the potential of new and emerging technology. Qualitative data were collected from 18 semistructured interviews conducted across three sites delivering social care, with senior decision makers, operational leads, and care staff. We identified several issues with the selection process and implementation of AI-based technology in social care, including a lack of consensus around what success would look like, problems identifying and evaluating alternatives, and technical challenges to implementation, as well as obstacles to developing a longer-term, more preventative approach in a system experienced as focused on responding to acute needs. Ultimately, the research confirmed a number of recognised implementation challenges associated with training, resource, and acceptability to staff and patients. It added particular insights around the anxieties experienced by frontline staff and the cultural shift required of preventative interventions in a system geared to meeting acute crises. That many barriers are familiar suggests a particular need to focus on helping policymakers/local leaders avoid similar pitfalls in the future.

School Principals' Experiences and Learning from the Covid-19 Pandemic in Norway

This exploratory study present findings from semi-structured interviews with 15 Norwegian school principals elaborating on their experiences and learning from the school closures, transition to digital education, and educational leadership in the first six months of the pandemic. Three main themes emerged from the interviews: (1) "We took a quantum leap into the digital world” addressing how the school principals supported and experienced a rapid transformation to digital education;(2) "We tried to be close, even if we could not be” elaborating on worries regarding teachers and children with special needs;and (3) "We had to adjust” elaborating on the unpredictable and constantly changing nature of the situation. These themes are detailed and discussed in the context of research in crisis management, organizational change, role requirements, and leadership responsibilities. In closing, we discuss how the transformative experiences from the pandemic may have implications for educational leadership in future crisis situations.

Research in a Closed Political Context, COVID, and Across Languages: Methodological Lessons, Messages, and Ideas

This study offers a number of contemporary qualitative and mixed methods research lessons regarding cross-language research and research in closed social and political contexts such as post-Soviet countries, especially how such research may be adapted to disruptions like those posed by the COVID pandemic or other disasters. The lessons draw from a study of policy learning among government officials in Kazakhstan which illustrated several methodological strengths and weaknesses and generated a number of methodological recommendations. In particular, while the literature on best practices for research in closed contexts emphasizes deep interactions to develop trust, the COVID pandemic and other disruptions may force researchers to transition to online modalities and constrain options. We suggest strategies to overcome these limitations, including supplementing findings from interviews with content analysis or other multimethod approaches. Additionally, we argue that researchers in post-Soviet and post-colonial contexts must be particularly attuned to the challenges of cross-language research and the combination of local languages with the language of the colonial power. These lessons hold relevance for researchers working in a variety of contexts as they conduct research during times of disasters and geopolitical instability. [ FROM AUTHOR] Copyright of International Journal of Qualitative Methods is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)

Housing inequalities and resilience: the lived experience of COVID-19

COVID-19 policy responses have intensified the use of housing as a spatial and material defence against community spread of infection. In so doing, they have focussed attention upon pre-existing inequalities and the effects of socio-economic management of COVID-19. This paper draws upon individual households' accounts to explore these effects on housing inequalities, and then adapts a critical resilience framework from disaster response in order to examine the implications for policymaking. The empirical work centres upon a case study of lived experiences of COVID-19-constrained conditions, based on a longitudinal-style study combining semi-structured interviews with 40 households, photographs and household tours at two datapoints (before/during COVID-19) in Victoria, Australia. The study reveals how these households were impacted across four domains: (1) employment, finances, services, and mobilities;(2) homemaking including comfort and energy bills, food and provisioning, and home-schooling/working from home;(3) relationships, care and privacy, and;(4) social, physical and mental health. The interviews also indicate how households coped and experienced relief payments and other related support policies during COVID-19. Drawing upon literature on disaster response, we highlight the centrality of vulnerability and resilience in recognising household exposure and sensitivity to COVID-19, and capabilities in coping. From this analysis, gaps in COVID-19 housing and welfare policy are exposed and guide a discussion for future housing policy interventions and pandemic planning.

Accelerating Clinical Trial Design and Operations

Fully-integrated, component-based CDMS offers flexibility, customization, and efficiency Effective and efficient clinical data collection and management is one of the key factors affecting clinical trial success and is of heightened importance during the COVID-19 pandemic.1 Not only have the scope and complexity of clinical trials continued to increase over the past decade, but the volume and diversity of clinical study data grows ever larger. Researchers have accelerated the development of vaccines and therapeutics for COVID-19 as evidenced by the 4,846 trials found on clinicaltrials. gov.2 The COVID-19 pandemic presents a unique opportunity for understanding technologies that can enable trial data management and their effects on streamlining;and expediting clinical trial design and implementation. Specific measurements evaluated in this study were: database build efficiency, velocity of data collection, frequency of protocol amendments on the database, and the time impact of mid-study updates to the database. [...]the ability to execute mid-study updates or post-go live changes with minimal to no downtime (< one hour) allowed the users and sponsors to work in parallel rather than in serial fashion, speeding up trial start dates and implementation of protocol amendments, and accommodating adaptive COVID-19 trial design.

Navigating crisis, navigating ICTs: A study of Indian migrant workers during the pandemic

In this note, we present the preliminary findings from a qualitative interview-based study among migrant workers in India who went through much hardship in the wake of one of most strict pandemic-induced lockdown in 2020. Through this study, we narrate the four ways in which digital technologies enabled the relief and crisis mitigation efforts targeted to migrant workers and how that in turn shaped the workers' experience of the crisis and associated relief efforts. We argue that more flexible use of familiar digital tools and channels, collaboration across state and non-state actors and assistance from human intermediaries in navigating ICTs make for more effective and inclusive relief measures. © 2022 ACM.

Building Positively Affective Location-Based Advertising: A Study of Pokémon GO Players

With the expanding popularity of Location-Based Games and the rise of advertising therein, there exists a need to comprehend the impact of Location-Based Game Advertising (LGA). This paper seeks to identify what makes positively affective LGA, leveraging Pokémon GO as a probe. Researchers conducted twenty-seven (n=27) semi-structured interviews with Pokémon GO players to reveal lived experiences regarding LGA. Our findings highlight the following direct implications for LGA: (1) LGA act as a digital billboard, conveying qualitative alongside locative information, and (2) well-received LGA enhances the player's agency. We additionally identify findings that have auxiliary implications to LGA: (3) positive memorability occurs when points of interest match physical reality, and (4) ludic engagement is a mediating factor in the memorability of locations. This research demonstrates that LGA in Location-Based Games is surprisingly well-received. However, developers must provide extra consideration to the player's agency for such techniques to be effective. © 2023 ACM.

Importance of meaningful engagement: how and why older adults volunteer in uncertain times

PurposeMany older adults engage in volunteer activities, drawing meaning and purpose through such efforts. Social distancing restrictions, put in place during Covid-19 surges to reduce the risk of transmission, disrupted older adult volunteers' lives and volunteer experiences. Social distancing measures provide a unique opportunity to explore what happened when the choices around pausing or stopping volunteering were not entirely within the control of older adults. This paper aims to explore the experiences of older adult volunteers as they navigated uncertainties and made difficult decisions around balancing their safety and their desire to continue volunteering.Design/methodology/approachThe authors conducted interviews with 26 community-dwelling older adults, age 50+, who had engaged in volunteer activities for at least 1 h a week prior to the start of the pandemic. The interviews were conducted on the phone or via Zoom. The authors used thematic analysis to help us analyze the data and identify patterns from participants' experiences.FindingsDespite the risk presented by Covid-19, most participants volunteered during the pandemic. They continued some or all of their previous activities with safety-related adjustments, with some seeking new or different opportunities. Participants' discussions highlight the challenges of volunteering during the pandemic and the importance of engagement to their resiliency and subjective well-being.Originality/valueThis paper provides original contributions to understanding how and why older adults volunteered during the Covid-19 pandemic. The social distancing measures provide a novel opportunity to enrich our understanding of the meaningfulness and value of volunteerism to older adults' lives and subjective well-being.

Conducting Online Focus Group Interviews With Two Generations: Methodological Experiences and Reflections From the Pandemic Context

In the wake of the Covid-19 pandemic, many research projects were forced to adapt their design and conduct interviews online. This paper discusses the benefits and challenges of using online focus groups with participants representing different generations and cultural and social backgrounds. Based on the researchers' experiences and field notes from a three-country comparative project, aiming at analysing the extent to which previous experience of state surveillance impacted attitudes to commercial monitoring and tracking of online behaviour among two generational cohorts, the paper identifies seven aspects where the move from offline to online interviewing interfered with the original research design. The paper suggests that most of these interferences resulted in a need to adjust the methodology to better fit the online setting. We reflect critically upon the issues of technological preconditions and digital skills, recruitment, group size, degrees of previous acquaintance, the role of the interviewer, participants' household status and media environment, and ethical considerations concerning privacy and data management. Based on these methodological insights, we conclude that future online focus group research would benefit from using smaller groups and adjusted moderation, flexibility in interviewing tools and channels, and new, online-specific ethical considerations when planning, executing, and analysing interviews. The paper advocates the complementarity between in-person and online focus groups as two modalities of data collection and argues for the normalization of hybrid methods. [ FROM AUTHOR] Copyright of International Journal of Qualitative Methods is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)