scholarly journals Using the Socio-Ecological Model to Frame the Influence of Stakeholders on Cocoa Farmers’ Pesticide Safety in Nigeria: Findings from a Qualitative Study

2021 ◽  
Vol Volume 14 ◽  
pp. 2357-2368
Author(s):  
Oluseye O Oludoye ◽  
Mark G Robson ◽  
Wattasit Siriwong
Keyword(s):  
Qualitative Study ◽  
Ecological Model ◽  
Pesticide Safety ◽  
Cocoa Farmers

scholarly journals In-depth examination of issues surrounding the reasons for child marriage in Kelantan, Malaysia: a qualitative study

BMJ Open ◽  
2019 ◽  
Vol 9 (9) ◽  
pp. e027377 ◽  
Author(s):  
Ayako Kohno ◽  
Maznah Dahlui ◽  
Nik Daliana Nik Farid ◽  
Siti Hawa Ali ◽  
Takeo Nakayama
Keyword(s):  
Qualitative Study ◽  
Ecological Model ◽  
Social Ecological Model ◽  
Reproductive Age ◽  
Community Leader ◽  
Health Clinic ◽  
Child Marriage ◽  
Negative Consequences ◽  
Key Informants ◽  
Social Ecological

ObjectiveTo examine individual, familial, community and societal issues surrounding the reasons for child marriage in Kelantan, Malaysia.DesignQualitative study by means of semistructured interviews with women and key informants, using social-ecological model as a conceptual framework.SettingInterviews were conducted in Kota Bharu district, Kelantan, a northeast state in Peninsular Malaysia.ParticipantsEighteen women of reproductive age (18 to 44 years old) that experienced their first marriage below the age of 18, as well as five key informants, consisting of a government officer, a community leader, an officer from religious department and two mothers. The women were recruited from a reproductive health clinic. The key informants who had specialised knowledge related to child marriage were selectively chosen.ResultsThree themes emerged that aligned with the social-ecological model: immaturity in decision-making, family poverty and religious and cultural norms.ConclusionsThe findings imply that sex education and awareness-building activities regarding the consequences of child marriage must be implemented to eradicate child marriage in Malaysia. Such implementation must be coordinated as a team-based approach involving experts in such fields as law, religion, psychology, social-welfare and public health. In order to increase the awareness of child marriage consequences, the target for awareness must extend not only to the adolescent girls and their families, but also to the community and society at large by clearly communicating the negative consequences of and addressing the drivers for child marriage.

scholarly journals Evaluation of a sitting light volleyball intervention to adults with physical disabilities: Qualitative study using social–ecological approach

2020 ◽  
Author(s):  
Ka Man Leung ◽  
Pak-Kwong Chung ◽  
William Chu
Keyword(s):  
Qualitative Study ◽  
Psychological Health ◽  
Ecological Model ◽  
Physical Disabilities ◽  
Structured Interviews ◽  
Intervention Programme ◽  
Social Ecological ◽  
Physical And Psychological Health ◽  
The Government ◽  
Community Facilities

Abstract Background: This study was part of a 15-week sitting light volleyball (SLVB) intervention programme which examined the effectiveness of the intervention on physical and psychological attributes of adults with physical disabilities (PWPD) in Hong Kong. SLVB was a new sport, combing Paralympic volleyball and light volleyball. Gaining an in-depth understanding of the perceptions and experiences of PWPD in the SLVB intervention is critical to further develop SLVB as a PA intervention and sport. Using a social–ecological model (SEM), (a) the participants’ experiences regarding the intervention were assessed and (b) the suitability and feasibility of the SLVB intervention to PWPD were qualitatively examined. Methods: Twenty participants (mean age = 53.52 years standard deviation (SD = 9.02), 60% female participants; 25% had at least a college degree) attended our semi-structured interviews. Results: Using content analysis, their experiences at the individual or intrapersonal level (physical and psychological health, enjoyment, novelty, competence autonomy); interpersonal levels (socialization, teamwork, social support); organizational and community levels (perceived sport venue environment, venue accessibility, safety, dissemination of information, and community facilities); and policy level (resources allocation by the government) were obtained. The participants also commented on the suitability and feasibility of the SLVB intervention for PWPD, contents and coaching, modified rules, duration of session and scheduling, and number of participants and coaches. Conclusion: This qualitative study identified several themes for engaging PWPD in SLVB, and demonstrated that adopting a multilevel approach to intervention in SLVB has positive outcomes to participants. In general, SLVB is suitable and feasible to PWPD. The study contributes to an in-depth understanding of the experiences among PWPD in the SLVB intervention, which is very critical to the further development of SLVB in terms of a PA intervention and sport.

Masculinity in Nontraditional Occupations: Ecological Constructions

2009 ◽  
Vol 5 (1) ◽  
pp. 18-29 ◽  
Author(s):  
David S. Shen-Miller ◽  
Deborah Olson ◽  
Timothy Boling
Keyword(s):  
Qualitative Study ◽  
Ecological Model ◽  
Comparison Method ◽  
Support Staff ◽  
Elementary Educators ◽  
Hiring Decisions ◽  
Medical Support ◽  
Nontraditional Occupations ◽  
Interpersonal Influences ◽  
Job Tasks

The authors present Bronfenbrenner’s ecological model as a conceptual framework to explore interlocking systemic and interpersonal influences on the development and perpetuation of men’s gender role—related distress. To demonstrate the utility of this model, the authors present results from an exploratory qualitative study of men in nontraditional occupations. Using the constant comparison method, the authors’ analysis of multiple interviews with elementary educators and medical support staff unearthed interwoven themes among the effects of cultural notions of masculinity on relationships, job tasks, and perceptions of themselves as men. Expectations about men (e.g., that men confront danger, remain calm in chaotic situations, and/or are predators) affected hiring decisions and interactions with colleagues, limited the scope of the men’s work, and provided opportunities to reinforce traditional notions of masculinity and affirm the value of masculinity in their occupations. These different experiences all interacted to inform participants’ senses of themselves as men.

Proximal and Distal Influences on Dietary Change Among a Diverse Group with Prediabetes Participating in a Pragmatic, Primary Care Nurse-Led Intervention: a Qualitative Study

2021 ◽  
pp. 1-28
Author(s):  
Sally L. Abel ◽  
Lisa C. Whitehead ◽  
David C. Tipene-Leach ◽  
Kirsten J. Coppell
Keyword(s):  
Primary Care ◽  
Qualitative Study ◽  
Dietary Intervention ◽  
Ecological Model ◽  
Dietary Change ◽  
Dietary Interventions ◽  
Care Nurse ◽  
Socioeconomic Environment ◽  
Primary Care Nurse ◽  
Stratified Sample

Abstract Objective: To understand motivators, facilitators and challenges to dietary change amongst a diverse sample of New Zealanders with prediabetes participating in a primary care nurse-led individualised dietary intervention. Design: A qualitative study involving semi-structured, face-to-face interviews with a stratified sample of adults with prediabetes and body mass index ≥25kg/m2, purposefully selected from a larger 2-year primary care-based prediabetes dietary intervention study. Thematic analysis was undertaken. A socio-ecological model guided interpretation. Setting: Hawke’s Bay, Aotearoa/New Zealand, April 2018-March 2020. Participants: Fifty-eight people aged 28-69 years, with similar numbers of men and women, indigenous Māori and non-Māori, and those who had and had not regressed to normoglycaemia at 6-months. Results: Motivators for wanting to make dietary changes were determination not to progress to diabetes; wanting to be healthy and contribute to others; and encouragement by others. Facilitators for adopting and maintaining changes were a strong desire to be healthy; personal determination; and feeling supported. Challenges were compromised control over life and environmental factors; feeling unsupported by others; social occasions; financial constraints; and living with other health conditions. Developing their own strategies to overcome challenges was empowering, enabling a sense of control. These factors were similar across demographic and glycaemic outcome groups. Conclusions: Influences on dietary change involved personal, interpersonal, organisational, environmental, and policy factors. Although findings appeared similar across groups, dietary interventions need to address the specific ways motivators, facilitators and challenges manifest for individuals and social groups, and be tailored accordingly within the context of the wider obesogenic and socioeconomic environment.

scholarly journals Use of the socio-ecological model to explore factors that influence the implementation of a diabetes structured education programme (EXTEND project) inLilongwe, Malawi and Maputo, Mozambique: a qualitative study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
C. Bamuya ◽  
J. C. Correia ◽  
E. M. Brady ◽  
D. Beran ◽  
D. Harrington ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Diabetes Management ◽  
Ecological Model ◽  
Education Programme ◽  
Healthcare Systems ◽  
Sub Saharan Africa ◽  
Structured Education ◽  
Culturally Adapted ◽  
Sub Saharan

Abstract Background Diabetes Self-Management Education and Support (DSMES) programmes are vital for type 2 diabetes mellitus (T2DM) management. However, they are limited in Sub-Saharan Africa (SSA). To address this gap, a DSMES, namedEXTEND was developed in Lilongwe (Malawi) and Maputo (Mozambique). This qualitative study aimed to explore factors that influence the implementation of DSMES in these settings. Methods The Socio-ecological model was applied to explore factors influencing the implementation of DSMES in SSA. Data was analysed using the Framework method and constant comparative techniques. Sixty-six people participated in the study: people with T2DM who participated in the EXTEND programme; healthcare professionals (HCPs), EXTEND educators, EXTEND trainers, and stakeholders. Results Our findings indicate that there is a need to develop an integrated and dedicated diabetes services in SSA healthcare systems, incorporating culturally adapted DSMES and tailored diabetes training to all professions involved in diabetes management. Traditional media and the involvement of community leaders were proposed as important elements to help engage and promote DSMES programmes in local communities. During the design and implementation of DSMES, it is important to consider individual and societal barriers to self-care. Conclusion Findings from this study suggest that multi-faceted factors play a significant role to the implementation of DSMES programmes in LICs. In the future, EXTEND could be incorporated in the development of diabetes training and dedicated diabetes services in SSA healthcare systems, acting as an educational tool for both people with T2DM and HCPs. This project was supported by the Medical Research Council GCRF NCDs Foundation Awards 2016 Development Pathway Funding.

scholarly journals Barriers and Facilitators to Modern Contraception Among Married Women in Conflict Affected Town of Mogadishu, Somalia

2021 ◽  
Author(s):  
Abdi Gele ◽  
Mary Shrestha ◽  
Fathia Khalif ◽  
Samera Qureshi
Keyword(s):  
Public Health ◽  
Qualitative Study ◽  
Ecological Model ◽  
Maternal Mortality Ratio ◽  
Married Women ◽  
Barriers And Facilitators ◽  
Health Providers ◽  
Modern Contraception ◽  
Contraception Use ◽  
Somali Women

Abstract Background - With a maternal mortality ratio of 692 per 100,000 live births and modern contraception prevalence of 1%, understanding factors hindering Somali women from using modern contraception is key to developing and implementing locally adopted public health responses. The purpose of this qualitative study is to explore barriers and facilitators to the use of modern contraception among married women in Mogadishu. Methods - We conducted a qualitative study using semi-structured, in-depth interviews with 21 married women aged >18 years, living in different neighborhoods in Mogadishu between July—December 2018. We recruited the participants using a convenience sampling method. We used thematic analysis and adapted ecological model as a framework for the synthesis.Results – The findings show that systemic, individual and socio-cultural barriers hinder women’s ability to access modern contraception. Barriers identified by this study include: Health communication messages and contraceptive information provided by health providers, prevalent religious fallacies among women and fear of permanent infertility upon modern contraception. Conclusion - Training health providers in the principles of modern contraception, in addition to the medical ethics that govern their responsibility to provide correct and relevant information to their patients, is vital for increasing modern contraception use among Somali women. The findings of this study may be used for designing public health interventions that promote acceptance and the use of modern contraception among both women and men in Somalia.

scholarly journals Evaluation of a sitting light volleyball intervention: a social-ecological approach

2019 ◽  
Author(s):  
Ka Man Leung ◽  
Pak-Kwong Chung ◽  
William Chu
Keyword(s):  
Qualitative Study ◽  
Ecological Model ◽  
Self Regulation ◽  
Community Setting ◽  
Well Being ◽  
Organizational Level ◽  
Structured Interviews ◽  
Intervention Programme ◽  
Social Ecological ◽  
The Government

Abstract Background This study was part of a 15-week sitting light volleyball (SLVB) intervention programme which examined the effectiveness of the intervention on physical and psychological attributes of people with physical disabilities (PWPD) in Hong Kong. Gaining an in-depth understanding of the perceptions and experiences of PWPD in the SLVB intervention is critical to further develop SLVB as a PA intervention and sport. This qualitative study explored and examined the association between the SLVB intervention elements and outcomes. Methods Using a social–ecological model (SEM), the participants’ experiences regarding the intervention were assessed and the suitability and feasibility of the SLVB intervention elements were examined. Twenty participants (mean age = 53.52 years standard deviation (SD = 9.02), 60% female participants; 25% had at least a college degree) attended our semi-structured interviews. Results Using thematic analysis, their experiences at the individual or intrapersonal level (improved health and well-being, enjoyment, novelty, competence autonomy, and self-regulation when playing SLVB); relationship or interpersonal levels (teamwork, social support, socialization, and communication); perceived environment level (comfort, privacy, spaciousness, and accessibility concerns); community or organizational level (safety, dissemination of information, and community facilities); and policy level (resources allocation by the government) were obtained. The participants also commented on the suitability of the SLVB intervention for PWPD, contents and coaching, modified rules, duration of session and scheduling, and number of participants and coaches. Conclusion This qualitative study identified several primary drivers and barriers for engaging PWPD in SLVB, and demonstrated that adopting a multilevel approach to our SLVB intervention has positive outcomes. Our results can facilitate the development of the experiential aspects of SLVB and indicate the suitability and feasibility of organizing SLVB-related activities in a community setting in the future.

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