Reflexivity and Practice in COVID-19: Qualitative Analysis of Student Responses to Improvisation in Their Research Methods Course

The improvisations needed to adapt to COVID-19 teaching and learning conditions affected students and faculty alike. This study uses chaos theory and improvisation to examine an undergraduate communication research methods course that was initially delivered synchronously/face-to-face and then transitioned to asynchronous/online in March 2020. Reflective writings were collected at the end of the semester with the 25 students enrolled in the course and follow-up interviews conducted with six students. Thematic analysis revealed that available and attentive student-participant, student-student, and student-instructor communication complemented learner-centered and person-centered goals, but unavailable or inattentive communication, especially with participants and students in the research team, contributed to negative perceptions of learner-centered goals. Implications explore how communication research methods pedagogy may achieve greater available, attentive, and learner/person-oriented goals through modeling, resourcing, reflexivity, and appreciation in online and offline course delivery to enhance shifts in communication pedagogy, whether voluntarily or involuntarily initiated by faculty.

What counts, safety and security or hygiene? Suggestions on the reopening of major events under pandemic conditions in Germany

PurposeBetween 2020 and spring 2022, health safety was the new pressing concern among the risks at major events. It seemed that it – respectively hygiene as part of infection control – was as important as event safety if an event in Germany was to be approved. Problems aroused in terms of an equal implementation in practice. This article therefore addresses how safety and hygiene aspects interacted during event planning and implementation phases.Design/methodology/approachThe authors draw on qualitative data from a German research project. They use results from eleven semi-structured expert interviews and four field observations at major events. One guiding assumption in the content analysis is that there are major interrelations between event and health safety concepts, which become visible during planning and the implementation of event-related technical, organisational and personal measures.FindingsThe empirical data shows that hygiene is not perceived as an integral part of event safety, but rather as a disconnected pillar beside the "classical” event safety. This is reflected in an imbalanced attention as well as in separate, disintegrated concepts. This disconnectedness leaves room for unwanted interplays between event and health safety as well as potential legitimacy facades.Originality/valueMost studies to date focus on the effectiveness of hygiene concepts and impacts of COVID-19 on the event sector in general without taking a closer look at interactions between event safety and health safety.

Interpretive methods as a window into individual experiences and the pandemic

This chapter aligns with an interpretive qualitative research project. It discusses the development of this project, the site, the participants, the researchers, the data collection, and the data analysis. The chapter offers researchers and practitioners the opportunity to further conceptualize the importance of individuals' lived experiences, especially during tumultuous times. It demonstrates throughout the findings that the contextual variables are important in understanding how students, staff, and faculty experienced the organizational and societal changes that occurred during the COVID-19 pandemic. In March of 2020, as a result of the COVID-19 pandemic, the University of Utah elected to close campus to all non-essential personnel and move all classes online when students returned from spring break. It acknowledges the mental health toll associated with conducting research during a pandemic. Members of the research team were forced to confront their own feelings about the pandemic while interpreting those of others. The researchers tries to understand the impact of the COVID-19 pandemic on the people in higher education, and as people in higher education who are impacted by the pandemic. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

The Use of Qualitative Methods to Guide the Development of the Border Resilience Scale in a Participatory Research Study.

U.S.-Mexico border residents experience pervasive social and ecological stressors that contribute to a high burden of chronic disease. However, the border region is primarily composed of high-density Mexican-origin neighborhoods, a characteristic that is most commonly health-promoting. Understanding factors that contribute to border stress and resilience is essential to informing the effective design of community-level health promotion strategies. La Vida en La Frontera is a mixed-methods, participatory study designed to understand factors that may contribute to border resilience in San Luis, Arizona. The study's initial qualitative phase included interviews with 30 Mexican-origin adults exploring community perceptions of the border environment, cross-border ties, and health-related concepts. Border residents described the border as a Mexican enclave characterized by individuals with a common language and shared cultural values and perspectives. Positive characteristics related to living in proximity to Mexico included close extended family relationships, access to Mexican food and products, and access to more affordable health care and other services. Based on these findings, we co-designed the 9-item Border Resilience Scale that measures agreement with the psychosocial benefits of these border attributes. Pilot data with 60 residents suggest there are positive sociocultural attributes associated with living in border communities. Further research should test if they mitigate environmental stressors and contribute to a health-promoting environment for residents.

"We do it ourselves": strengths and opportunities for improving the practice of harm reduction.

BACKGROUND: Unprecedented increases in substance-related overdose fatalities have been observed in Texas and the U.S. since the onset of the COVID-19 pandemic and have made clear there is considerable need to reduce harms associated with drug use. At the federal level, initiatives have called for widespread dissemination and implementation of evidence-based harm reduction practices to reduce overdose deaths. Implementation of harm reduction strategies is challenging in Texas. There is a paucity of literature on understanding current harm reduction practices in Texas. As such, this qualitative study aims to understand harm reduction practices among people who use drugs (PWUD), harm reductionists, and emergency responders across four counties in Texas. This work would inform future efforts to scale and spread harm reduction in Texas. METHODS: Semi-structured qualitative interviews were conducted with N = 69 key stakeholders (25 harm reductionists; 24 PWUD; 20 emergency responders). Interviews were transcribed verbatim, coded for emergent themes, and analyzed using Applied Thematic Analysis with Nvivo 12. A community advisory board defined the research questions, reviewed the emergent themes, and assisted with interpretation of the data. RESULTS: Emergent themes highlighted barriers to harm reduction at micro and macro levels, from the individual experience of PWUD and harm reductionists to systemic issues in healthcare and the emergency medical response system. Specifically, (1) Texas has existing strengths in overdose prevention and response efforts on which to build, (2) PWUD are fearful of interacting with healthcare and 911 systems, (3) harm reductionists are in increasing need of support for reaching all PWUD communities, and (4) state-level policies may hinder widespread implementation and adoption of evidence-based harm reduction practices. CONCLUSIONS: Perspectives from harm reduction stakeholders highlighted existing strengths, avenues for improvement, and specific barriers that currently exist to harm reduction practices in Texas.

Do cognition and emotion matter? A study of COVID-19 vaccination decision-making in college students.

The unparalleled speed of COVID-19 vaccine development has necessitated an expansion of existing knowledge on vaccination decision-making. The current study explored (1) how cognitions and emotions shaped college students' COVID-19 vaccination decisions, and (2) where vaccination-inclined and vaccination-hesitant students converged and diverged in their decision-making process. Seventy-seven students participated in 26 focus groups to discuss their complex thoughts and feelings regarding COVID-19 vaccination, offering a more nuanced understanding of COVID-19 vaccination decision-making that has not been fully captured by quantitative studies. Thematic analysis found that vaccination-inclined participants and their hesitant counterparts reported differential patterns of positive and negative emotions, systematic appraisals, and heuristics in decision-making. Future research should investigate the roles of hope and relief, non-health-related benefits of vaccination, social trust, and interpersonal influence in vaccination decision-making.

Evaluation of the rapid implementation of telehealth during the COVID-19 pandemic: a qualitative study among adolescents and their parents.

The Coronavirus Disease 2019 (COVID-19) pandemic catalysed an abrupt explosion in the use telepsychiatry for the delivery of mental health services. We aimed to explore the experience of telemedicine use during this period among adolescent outpatients and inpatients and their parents. This qualitative study took place in a French adolescent medicine and psychiatry department during the first lockdown. Data collection by purposive sampling continued until we reached theoretical sufficiency. The interviews were analysed by applying Interpretative Phenomenological Analysis which is based on an iterative, inductive process. It included 20 participants: 10 adolescents and 10 parents. The analysis showed three themes: (1) facilitators of a switch from face-to-face to tele-consultation: (a) the context of health emergency, (b) the integration of parents in the treatment, (c) the choice between telephone or video consultation; (2) distance from the therapist's gaze and its consequences: (a) an obstacle to decrypting clinical nonverbal communication, (b) effectiveness depends on the severity of the adolescent's symptoms, (c) and on the previous quality of the therapeutic relationship; (3) awareness of the value of the face-to-face therapeutic space. In the post-COVID era, practitioners would benefit from combining both approaches, face-to-face and remote, based on the quality of the therapeutic alliance, the pathology, the parents' availability for in-person participation, and the patient's age. Future quantitative research will also be necessary to establish the extent to which the experiences described by the participants in this study reflect those of a broader population.

Primary Care Team Perspectives on the Suitability of Telehealth Modality (Phone vs Video) at the Veterans Health Administration.

INTRODUCTION: Telehealth has the potential to improve access and timeliness of care, enabling primary care teams to deliver hybrid (virtual/in-person) services that will likely extend beyond the COVID-19 pandemic. To optimize its use and sustainability, it is imperative to understand how primary care teams perceive the suitability of telehealth services, including appropriate choice of mode (telephone or video). However, there is limited research on providers' decision-making processes surrounding telehealth use in primary care, including whether to use telephone or video, which this VA-focused study addresses. We examined how primary care (PC) team members determine whether to use telehealth and the mode of delivery, in the care of patients. METHODS: Qualitative case study that included 15 semi-structured interviews with employees who provided or supported telehealth care at primary care clinics at the Veterans Health Administration. We used a team-based rapid analysis approach to identify experiences using telehealth soon after COVID-19's emergence, consisting of the creation of structured summaries of each transcribed interview. The lead author then identified and compiled themes and sub-themes related to the suitability of telehealth in primary care, as well as associated quotes from transcripts. Resulting themes and quotes were reviewed and validated by 2 members of the project team. RESULTS: Primary care team members considered several factors when assessing both the suitability of telehealth for appointments, and mode of use. They were largely guided by patient-related factors including patient preferences, specific health issues, and access to technology. Additional considerations centered on team members' personal preferences and factors that supported the wellbeing of the team, such as the flexibility to work from home (work-life balance) and protection from infection. Generally, participants viewed the option of both telephone and video telehealth modalities as useful tools in the care of patients although a few respondents emphasized its inferiority to in-person care. CONCLUSIONS: Determining the suitability of telehealth services, including appropriate choice of mode is complex. Its suitability is tied to a variety of factors related to multilevel resources, preferences, and timing. When appropriate, telehealth should be considered a useful tool in the care of patients and for employee well-being.

Co-Designing Together through Crisis: Development of a Virtual Care Guidance Document to Support Providers, Older Adults, and Caregivers.

COVID-19 has had a disproportionate and devastating impact on older adults. As health care resources suddenly shifted to emergency response planning, many health and community support services were cancelled, postponed, or shifted to virtual care. This rapid transformation of geriatric care resulted in an immediate need for practical guidance on decision making, planning and delivery of virtual care for older adults and caregivers. This article outlines the rapid co-design process that supported the development of a guidance document intended to support health and community support services providers. Data were collected through consultation sessions, surveys, and a rapid literature review, and analyzed using appropriate qualitative and quantitative methods. Although this work took place within the context of the COVID-19 pandemic, the resulting resources and lessons learned related to collective impact, co-design, population-based planning, and digital technologies can be applied more broadly.

THEATRE WITHOUT THEATRES: INVESTIGATING ACCESS BARRIERS TO MEDIATIZED THEATRE AND DIGITAL LIVENESS DURING THE COVID-19 PANDEMIC.

In each stage of the Covid-19 pandemic, we have witnessed initiatives that, through digital technologies, have attempted to ensure the presence of theatre and to nurture the relationship with audiences. Our research asks which entry barriers to the artistic field have been strengthened or weakened by implementing theatre initiatives for online audiences and how these initiatives have affected the regional performing arts scene. The study consists of three parts. In the first part, analysis of Italian calls for digital performance projects was carried out to investigate the institutional construction of beneficiaries and imagined audiences. In the second part, we analysed the case of the digital-theatre season MPA - Marche Palcoscenico Aperto. The MPA project provided funding for artists from the Marche region in Italy to realize online performances between February and May 2021. Eleven focus groups were conducted with 41 of the 60 participating companies. In the third phase, four in-depth interviews were conducted with the project's organisers. Findings show how the increased dependence of theatre artists on the artistic system imposed by Covid has simultaneously produced an increase in the collective awareness of the artistic class, but also a stronger distinction between professionalism and amateurism.

"I Can Sense When My Hands Need Washing": A Qualitative Study and Thematic Analysis of Factors Affecting Young Adults' Hand Hygiene.

Handwashing is one of the most effective and low-cost public health measures. However, it is often not practiced frequently enough or correctly by the public. Young adults in particular have poorer intentions to wash their hands, frequency of handwashing, and sanitizer use compared to other age groups. Therefore, there is a need to identify barriers and facilitators affecting hand hygiene within this group. The objective of this qualitative study was to apply the Theoretical Domains Framework to explore factors which influence hand hygiene among young adults aged 18 to 25 years old. An online questionnaire (n = 37) and thematic analysis were used to generate 3 overarching themes. The main findings indicated internal factors such as knowledge and intentions; interpersonal factors such as social norms; and environmental factors such as reminders, cues, accessibility, and cleanliness of handwashing facilities determined the level of hand hygiene practiced among young adults. The findings suggest that behavior change techniques such as social comparisons and tailored messaging to suit the needs of young adults may be more effective at increasing hand hygiene.

Perceptions of 10 Special Education Administrators on Professional Development for Educators Working with Students with ASD

Students with autism spectrum disorder (ASD) have complex and unique needs that can impact their success. Evidence-based practices (EBPs) have been identified that are effective with this population, yet educators may not be adequately prepared to implement such EBPs. Special education administrators are frequently responsible for developing and implementing professional development experiences to improve teacher performance for students with ASD, including implementing EBPs. This study focused on the experiences of 10 special education administrators who plan and implement professional development experiences for educators working with students with ASD. The implementation science model was used to provide a framework for the phenomenon. This article is the first of two reporting specifically on the competency drivers described in the implementation science model. Five themes were found from the interview data including a deep commitment to coaching;participant-centered training;systematic barriers to effective training;the gap of administrator knowledge and application;and the COVID-19 impact. Findings and implications are discussed.

Anti-Asian Racism and COVID-19 Impact on Older Adults: The Voices of Social Workers.

Heightened anti-Asian racism and hate crimes during the COVID-19 pandemic impacted older adults and the social workers who supported them. Yet, the experiences of Asian and Asian American (AAA) social workers are unknown. This study aimed to explore the perspectives and experiences of social workers focusing on the aging population during the anti-Asian racism climate and the COVID-19 pandemic. Guided by a qualitative approach, seventeen AAA social workers participated in semi-structured interviews. Based on thematic analysis, the following themes were identified: concerns about safety and discrimination, perceived service and support needs for older adults, and perceived generational gaps in advocacy. Social work practice, policy, and research implications are discussed.

COVID-19 Vaccination Experiences of Family Caregivers of Persons Living with Dementia in Rural Appalachia.

The study investigated COVID-19 vaccine acceptance, hesitancy, and barriers among family caregivers of rural community-dwelling persons living with dementia (PLwD). Three waves of telephone interviews with 26 family caregivers (96% White, 81% Female, Mage = 63 ± 12 years) were analyzed using thematic content analysis. At Wave 3, although all dyads were eligible, only 10 dyads had received their first dose of the vaccine. In 10 dyads, neither person had received the vaccine; in2 dyads, the caregivers did but the PLwD did not; and in 4 dyads, the caregiver did not but the PLwD did. Perceived direct and indirect health risks, cues from trusted allies, and ability to overcome vaccination barriers affected COVID-19 vaccination acceptance. Vaccine refusals were motivated by a low perceived risk of COVID-19, vaccine fear, and personal beliefs. Findings have implications for administration of preventative care practices for dementia family caregivers living in remote locations during a public health emergency.

"It's better than nothing, but I do not find it to be ideal": Older adults' experience of TeleRehab during the first COVID-19 lockdown.

This qualitative study used descriptive thematic analysis to explore the experiences of 16 older adults (age: 71 ± 6.4) who transitioned from an in-person to telerehabilitation (TeleRehab) group intervention in March 2020. We found the following themes: (1A) Technology Use, describing challenges and need for support; and (1B) Technology Self-Efficacy, describing how technological ability was attributed to past-experience and/or age. Four themes described the intervention experience. First, "Not The Same, But Better Than Nothing" (2A), reflected a preference for in-person intervention. Specifically, in-person training provided a better social experience (theme 2B), and stronger accountability, although the content was well delivered in both modalities (theme 2C). Contextual factors (theme 2D) that played a role were ease of commute, especially important during the winter, and the context of the lockdown, that positioned the TeleRehab intervention as a meaningful social activity. However, sensory impairments, and/or distractions in the home diminished the TeleRehab experience.

Understanding Challenges and Coping Strategies Experienced by Chinese American Family Caregivers of Persons with Dementia.

The purpose of this study was to explore the caregiving experience of Chinese American family caregivers of persons with dementia with a focus on challenges and coping strategies. Using a qualitative study design, we conducted semi-structured interviews with 26 Chinese American family caregivers and analyzed the data using thematic analysis. We also identified their caregiving experience specific to the COVID-19 pandemic. First, four themes were discovered: (1) filial obligations, (2) preference for utilizing home- and community-based supports, (3) relying on primary care doctors, and (4) helping behaviors. Two additional COVID-19-related themes were identified: (1) social isolation and (2) perceived discrimination. We suggested interventions at the individual, community, and societal level not only to support various challenges experienced by this ethnic group but also to promote their coping strategies.

Conducting cross-cultural qualitative interviews with mainland Chinese participants during COVID: Lessons from the field

The COVID-19 global pandemic has had a significant impact on researchers as the normal and expected difficulties of research are exacerbated as education and our way of life has drastically changed. This research note is a reflective narrative of the author's experience transitioning from face-to-face to online interviews in light of social distancing and global travel restrictions. Through a descriptive analysis, this article details the numerous ethical, logistical, practical, and cultural issues the author confronted in preparation for qualitative cross-cultural online interview research through personal reflections, current events, and existing literature. The aim of this article is to highlight personal experience to better inform future research and encourage flexibility and reflexivity in research. It is hoped that this article can be of use to further develop cross-cultural qualitative methodology and expand upon the emerging field of literature surrounding videoconferencing qualitative research. (PsycInfo Database Record (c) 2022 APA, all rights reserved)

The self-society duality in volunteer tourism: An analytical framework for the (post-)pandemic era

Volunteer tourism straddles the intersection of two seemingly conflicting nonwork activities: traveling, with largely self-serving aspects, and volunteering, with society-serving aspects. This self–society duality is a defining feature of the practice, which carries moral ambiguities and may undermine the volunteer's moral self-worth. However, little is known about how volunteers account for this duality and maintain their moral self-worth. Exploring volunteers' perceptions of this duality is more important than ever in "the new present” under COVID-19, where a personal quest for pleasure runs counter to public health and the common good, and the self–society duality in volunteer tourism may be intensified. Drawing on pragmatic sociology and in-depth interviews with volunteer tourists, this article shows that volunteer tourists comprise narratives that intertwine the self-serving aspects of volunteering and multiple beliefs about the common good. Through these narratives, interviewees move between self-serving and society-serving aspects, overcome moral ambiguity, and deem themselves as living up to moral standards. The different elements that comprise the interviewees' narratives reveal a narrative form about moral good particular to tourism. Highlighting these elements, this article proposes an analytical framework through which volunteer tourists' moral views and the relation between self-serving and society-serving in volunteer tourism can be explored. © 2023 The Authors

"I'm able to function better when I know there's a beginning and an end time”: Autistic adolescents' experiences of lockdowns during the COVID-19 pandemic

Background and Aims: Survey research indicates that autistic children and young people experienced high levels of anxiety and isolation during lockdowns in response to the coronavirus disease 2019 (COVID-19) pandemic. Meanwhile, qualitative studies suggest that there may have been some benefits in the switch to home learning for this population. However, the majority of evidence to date comes from parent reports;the current study aimed to triangulate the perspectives of autistic youth and their parents in order to more fully understand the impact of periods of lockdown on education, relationships, and wellbeing. Methods: Thirteen semistructured interviews were conducted (six with adolescents, seven with parents) to explore the experiences of a group of autistic youth aged 13–14 years (Year 9 of mainstream education in England) during a period of intermittent lockdown. Data were analysed using reflexive thematic analysis. Results: Two broad themes capturing commonality and diversity in the adolescents' experiences of lockdown were developed. (1) "Different stress, not less stress” encapsulates the finding that, despite the enforced removal from the school environment providing short-term relief, new stressors contributed to consistently high levels of anxiety for the young people throughout lockdown periods. Stressors included managing home-school within the family unit, navigating time without boundaries, and anxiety about the virus. (2) "A shrunken world” reflects the heightened impact of losing access to meaningful social relationships, extracurricular pursuits, and health-promoting activities for autistic youth. Discussion: The early stages of the global response to the COVID-19 pandemic caused serious disruption to education for many children and young people globally,;our findings provide further evidence that the impact was particularly salient for autistic youth in terms of social isolation, lost learning, and heightened anxiety. Implications: These findings underscore the necessity of long-term support for the education, social needs, and mental health of autistic young people in the aftermath of lockdowns in response to COVID-19. © The Author(s) 2023.

Applying the framework method to qualitative psychological research: Methodological overview and worked example

This article is presented in two parts. First, an overview of the Framework Method is given, a contemporary method of qualitative analysis for psychological research. The method's background, distinguishing features, seven steps of data analysis, and suitability to psychological research are discussed. Second, to demonstrate how the method can be applied to a psychological study, a worked example of the analytical steps is detailed. This article aims to (a) demonstrate the utility and appropriateness of the Framework Method for qualitative research in the psychological sciences and (b) support researchers who might consider using this method by providing a worked example to illustrate how this method can be utilized in psychological research. The Framework Method has been widely used in social and public policy-based research, and more recently, health research, but rarely in psychology. It differs from other qualitative approaches due to its emphasis on matrix-based data summary and display, which supports the systematic generation of themes. The Framework Method will be applied to data collected from participants in Australia. The study described in the worked example explored the impact of COVID-19 on parent-adolescent relationships. Across seven steps, the authors explain how data were analyzed, which are followed by a reflective discussion on the use of the method, including strengths and limitations. This article will provide a methodological overview and worked example of the Framework Method for the psychological sciences. It will support psychological researchers to better understand and consider adopting this method in their qualitative research. (PsycInfo Database Record (c) 2023 APA, all rights reserved)