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Drawing on focus groups conducted with musicians based in England, we discuss how musicians with backgrounds in different genres evaluate the effects of a range of music-related digital platforms on musicians and music culture. Alongside criticisms, some of them familiar from recent public debate and academic research, we identify a number of more ambivalent and even positive perspectives on the platformisation of music. We analyse the divided responses of our focus group participants under three main headings: attitudes towards music streaming platforms and record labels; attitudes towards social media and short video platforms, in particular, their use as promotional and branding mechanisms; and attitudes towards the abundance of data available to musicians from these various kinds of digital platforms. In our concluding comments, we consider the possible objection that musicians’ ambivalent and sometimes positive appraisals might represent misguided or mistaken perspectives concerning the effects of platformisation.
Nut consumption is low, with concern regarding weight gain as a barrier to intake. However, evidence indicates no association between nut consumption and body weight. The metabolisable energy of nuts may partly explain this phenomenon. This study aims to qualitatively explore perceptions of presenting nut metabolisable energy on nutrition labels, and the potential influence this may have on consumption.
Design:
Semi-structured focus groups and interviews, with an inductive, reflexive approach to thematic analysis.
Setting:
Online (Australia).
Participants:
18 years or older, with either no formal nutrition education (consumer group) or formal training and working in nutrition/dietetics, public health, food industry, food regulation or nut growing (stakeholder group).
Results:
Four focus groups and nine interviews consisting of twenty participants (n 8 consumers, n 12 stakeholders) in total were conducted. Five major themes were generated: (i) knowledge of nuts varies, and the healthfulness of nuts is conditional on use and preparation, (ii) nuts are versatile in the diet; the intake is low, (iii) consumers perceive over-eating nuts leads to weight gain, while stakeholders consider the whole dietary pattern, (iv) nutrition labelling is confusing for consumers and needs to be transparent and positively framed, if used and (v) knowing nut metabolisable energy will have limited perceived impact on nut consumption and advice and is dependent on the individual and product.
Conclusions:
The findings suggest that perceptions of presenting nut metabolisable energy on labels are multi-layered, indicating this strategy may not be straightforward in resolving concerns about weight. Other strategies should be considered to promote nut consumption.
This chapter outlines practical ways emergency risk communicators can use evaluation throughout a health emergency to inform and improve emergency risk communication messaging strategies and activities. The chapter starts with a basic orientation on program evaluation and its relevance to emergency risk communication. Next, the chapter provides an in-depth look at 16 communication evaluation activities that emergency risk communications can use throughout a health emergency. Then the chapter describes how organizations learn after health emergencies and how organizational learning can inform community resilience and public education. Next, the chapter outlines current theoretical research approaches to evaluating emergency risk communication and practical ways to apply this research during a health emergency. The chapter highlights the ADKAR model for organizational change management, and a student case study uses the Crisis and Emergency Risk Communication framework to analyze how the Georgia Department of Health communicating during the e-cigarette or vaping product use-associated lung injury (EVALI) outbreak. End-of-chapter reflection questions are included.
People with severe mental illness (SMI) are at greater risk of obesity, cardiovascular disease and diabetes than the general population, due to a higher prevalence of health risk behaviours. Research is needed to inform tailored interventions to improve the health behaviours (diet, physical activity and sleep) of people with SMI in South Asia as these behaviours are closely linked to obesity. The study aimed to explore the barriers and facilitators to healthy diet, physical activity and good sleep among individuals with SMI. A qualitative design was employed using photovoice, semi-structured interviews and focus group discussions. Participants included 16 people with SMI, 16 caregivers and 17 health professionals in Bangladesh and Pakistan. Data were analysed thematically, informed by the socio-ecological framework. A complex interplay of individual, familial and societal factors influenced these health behaviours. Individual factors include knowledge, beliefs and mental health limitations. Caregivers play a crucial role in influencing behaviour. At the societal level, gender expectations, financial constraints and religious influences significantly impact these behaviours. The insights from this research can inform tailored interventions for this vulnerable group and highlight the need for integrated services, financial support and improved urban planning.
This article investigates how Black voters choose candidates in majority-Black congressional districts. Partisanship often drives Black vote choice, but the lack of competition in general elections reduces its relevance and highlights the importance of primary elections. Racial cues are also referenced in literature, but the electoral setting reduces the relevance of race. Majority-Black congressional districts are racially homogeneous, and all emerging candidates are Black. Race cannot be used to distinguish between candidates. Congressional primary elections are also considered low-information environments, and voters have limited knowledge about the emerging candidates. In these settings, Black voters turn to cues to choose candidates. Since partisan and racial cues are not viable options, I argue that Black voters seek cues that signal group consensus. I highlight the role of endorsements and public opinion data. I utilize a mixed methodological approach incorporating a randomized survey experiment and focus group discussions with Black primary voters. Results from both methods suggest consensus cues are essential. Experimental results found no significant difference between racial and partisan endorsements, but they found a positive and significant effect for high polling. Focus group respondents had sincere preferences but were willing to abandon them if they differed from the group consensus. They also pointed to the importance of the media. I conducted an exploratory analysis of my experimental results, and I found that those with higher levels of media attention are more likely to rely on consensus cues. These results provide important insight into Black vote choice in majority-Black congressional districts.
A recent report revealed that 21.7% of women in Spain who went on a Tinder date were raped. These findings suggest that the incidence of sexual violence on Tinder dates in Spain may be higher than in other social contexts. This study explores the experiences of Tinder users in Spain to understand the factors contributing to this phenomenon and to propose measures for enhancing user safety. We conducted four focus groups separated by sociodemographic characteristics that replicated the typical victims’ and perpetrators’ profile (age and gender). Male participants initially expressed disbelief and attributed the phenomenon to Tinder’s environment, pathological behavior, pornography, and women’s actions. In contrast, female participants accepted the statistic as reflective of real-world issues, dismissing pathological explanations and highlighting systemic victim-blaming, fear-induced paralysis, and the impact of pornography as key factors. The findings underscore a significant disparity in perceptions between genders, with males often minimizing or misattributing the problem, while females recognizing deeper systemic issues. These insights suggest a need for targeted interventions and policies that address both the behavioral and perceptual factors contributing to sexual violence on dating platforms.
The aim of this study was to explore and identify why young adults aged between 18 and 30 years in the UK and France do or do not consume dairy products. Several studies have associated dairy products with a healthy diet, and the production of soft dairy, i.e. milk, yoghurt, and soft cheese, as more environmentally friendly than some other animal-based products. Yet recent reports highlight that dairy intake is lower than recommended for health, especially among young adults. Using a qualitative methodology, forty-five participants aged 18–30 years (UK: n = 22; France: n = 23) were asked about their reasons for (non)consumption of a wide range of dairy products. Audio-recorded focus groups and individual interviews were conducted in English in the UK and in French in France, transcribed and coded. A thematic analysis found four themes and sixteen sub-themes (theme product-related: sub-themes sensory, non-sensory, composition; theme individual-related: sub-themes mode of consumption, preferences, personal reasons, knowledge, attitudes and concerns, needs or cravings; theme cultural aspects: sub-themes product categorization, social norms, use; theme market offering: sub-themes alternative, packaging, value for money, availability) to influence participants’ dairy (non)consumption in both countries. A seventeenth sub-theme (theme cultural aspects: sub-theme structure of the meal) was found to influence dairy consumption only in France. Further studies are needed to investigate these themes within larger samples, but these findings contribute to understanding dairy (non)consumption in young adults in the UK and France and may aid the development of strategies to improve young adults’ diets.
In responding to a Chemical, Biological, Radiological, and Nuclear explosive (CBRNe) disaster, clinical leaders have important decision-making responsibilities which include implementing hospital disaster protocols or incident command systems, managing staffing, and allocating resources. Despite emergency care clinical leaders’ integral role, there is minimal literature regarding the strategies they may use during CBRNe disasters. The aim of this study was to explore emergency care clinical leaders’ strategies related to managing patients following a CBRNe disaster.
Methods
Focus groups across 5 tertiary hospitals and 1 rural hospital in Queensland, Australia. Thirty-six hospital clinical leaders from the 6 study sites crucial to hospital disaster response participated in 6 focus groups undertaken between February and May 2021 that explored strategies and decision making to optimize patient care following a CBRNe disaster.
Results
Analysis revealed the use of rehearsals, adopting new models of care, enacting current surge management processes, and applying organization lessons were facilitating strategies. Barriers to management were identified, including resource constraints and sites operating over capacity.
Conclusions
Enhanced education and training of clinical leaders, flexible models of care, and existing established processes and tested frameworks could strengthen a hospital’s response when managing patients following a CBRNe disaster.
This chapter explores the theory underpinning qualitative methods, namely semi-structured interviews and focus groups, and issues of methodological coherence in adopting a digital approach. We offer an in-depth exploration of the practical considerations of adopting digital methods. This includes the challenges of building a rapport with the participant, familiarity with technology for both researcher and participant, scheduling, and data protection issues. We explore pertinent ethical considerations, including institutional approval, informed consent, confidentiality, and the ongoing ethical responsibilities of the researcher engaged in qualitative research. We draw upon our experiences of using synchronous online videoconferencing platforms to conduct semi-structured interviews and focus groups, integrating our reflections throughout. Whilst necessitated by the Covid-19 pandemic, the associated need for social distancing and the potential for further regional restrictions, we argue that digital methods transcend the current global situation, offering opportunities to facilitate qualitative research that may extend beyond geographical borders, attenuate fiscal limitations, and enable greater collaboration between researchers.
Advance consent could address many of the limitations traditional consenting methods pose to participation in acute stroke trials. We conducted a series of five focus groups with people with lived experience of stroke. Using an inductive thematic approach, two themes were developed: factors in favour of, and against, advance consent. Participants supported the idea of advance consent and highlighted trust, transparent communication and sufficient time as major factors that would positively affect their decision to provide advance consent. The results will be used to finalise a model of advance consent suitable for testing the feasibility in stroke prevention clinics.
Understanding why citizens are willing to finance public goods is central to development and state capacity. Taxation can contribute to the common good, yet particularly in developing contexts, citizens may not benefit – or contribute – equally from such resources or across their lifetimes. How do taxpayers link solidarity to the practice of paying taxes? Taxation makes solidarity visible, but taxation practices also produce and shape solidarity. To enable further scrutiny of the perceived linkages between taxation, ideas around redistribution, and solidarity we develop a framework of imagined solidarity, which differentiates between affective and calculative solidarity on the one hand, and personal and generalised solidarity on the other hand. Using data from focus groups with formal sector workers in Namibia, we illustrate how taxpayers link solidarity to the practice of paying taxes along these dimensions; demonstrating the usefulness of this framework for the further study of fiscal interconnectedness, also beyond Namibia.
Understanding the views of those working along the value chain reliant on livestock is an important step in supporting the transition towards more sustainable farming systems. We recruited 31 delegates attending the Pig Welfare Symposium held in the United States to participate in one of six focus group discussions on the future of pig farming. Each of these six group discussions was subjected to a thematic analysis that identified four themes: (1) technical changes on the farm; (2) farm and industry culture; (3) the farm-public interface; and (4) sustainability. The results of this study illustrate the complexity and diversity of views of those working along the associated value chain within the swine industry. Participants spent the majority of their time discussing current challenges, including technical challenges on the farm and public perception of pig farms. Participants were more hesitant to discuss future issues, but did engage on the broader issue of sustainability, focusing upon economic and environmental aspects.
The present study aimed to identify the factors that prohibit or enable breast cancer survivors from adopting a healthy lifestyle, as well as to record patients’ suggestions towards developing a weight-loss lifestyle intervention. Twenty-three breast cancer survivors participated in four online, semi-structured focus groups in Greece. All discussions were video-recorded and transcribed verbatim. Participants were 50⋅5 ± 7⋅4 years old with a current mean BMI of 29⋅1 ± 3⋅4 kg/m2. Four main themes emerged from thematic analysis: (1) dietary and lifestyle practices, (2) the effects of cancer on body weight, (3) the impact of cancer on psychology, and (4) the effect of the environment on body weight. Lack of information from healthcare professionals and lack of time were the main barriers to body weight management, whereas the main facilitators were support from their social environment, along with a comfortable physical environment, and the facility of technology. Participants suggested that an effective weight-loss lifestyle intervention should include psychological and social support, guidance and education, collaboration, flexible recommendations, personalised goals, and a follow-up plan. The needs of breast cancer survivors need to be considered when designing weight-loss lifestyle interventions. A personalised approach may prove more effective in promoting a healthy lifestyle and improving patients’ care.
In recent years, various crises such as the financial crisis, Brexit, and the Covid-19 pandemic have shed light on citizens’ (dis)satisfaction with international organisations (IOs). Yet, despite their crucial importance for the support of IOs, individual citizens’ connection to these organisations remains understudied. This article contributes to the literature on emotion research in International Relations (IR) by exploring the everyday emotions of ordinary individuals about IOs and their repercussions on world politics, moving beyond the state or community level to examine how citizens actually experience international politics. It does so by (i) theorising individuals’ emotional attachments to IOs and demonstrating how they shape perceptions and preferences that impact the future of organisations, and (ii) advocating for the use of focus groups as a research method to study emotions in IR. Contributing to the ‘everyday turn’ in emotion research in IR, it uses the European Union as a case study and analyses 21 focus groups with individuals from four different countries (Belgium, France, Italy, and Portugal). The article’s insights provide a deeper understanding of the micro-political foundation that enables and legitimises government action, and against whose background international relations are conducted.
Many countries are reconfiguring their emergency care systems to improve quality and efficiency of care, and this often includes the concentration of emergency departments (EDs). This trend is evident in the Netherlands, but the best approach is the subject of debate among stakeholders. We (i) examined the views of stakeholders on the concentration of EDs in the Netherlands and (ii) identified the main conflicting interests and trade-offs that are relevant for health policy. To do this, we organised focus groups and semi-structured interviews with emergency care professionals, hospital executives and selected external stakeholders. First, the participants saw both advantages and disadvantages to concentration, but these were also contested and debated. Second, we found that – sometimes conflicting – public health care goals (i.e. quality, accessibility and affordability) and narrower interests (e.g. the interests of specific hospitals, insurers, medical specialists and local administrators) were both pointed out. Third, there was no clear preferred approach to the future organisation of EDs, although most stakeholders mentioned some form of centralised decision-making at the national level, combined with regional customisation. Our findings will facilitate health policy decision-making around the reconfiguration of emergency care with the long-term goal of achieving efficient and high-quality emergency care.
Recent developments in health technology assessment (HTA), including the promotion of a new and internationally accepted definition of HTA, have highlighted the need to go beyond clinical and cost-effectiveness to fully understand the potential value of health technologies. Multidisciplinary efforts to generate patient-focused evidence relevant to HTA, using both quantitative and qualitative approaches, are needed. Although it has been more than 20 years since opportunities for qualitative methods to inform HTA were first discussed, their use remains infrequent. The goal of this article is to resurrect the debate about the value of qualitative research in HTA. Drawing on examples from published literature, we propose five key areas where qualitative methods can contribute to HTA, complementary to studies of clinical and cost-effectiveness: (i) assessing acceptability and subjective value; (ii) understanding perspectives and providing context; (iii) reaching the groups other methods cannot reach; (iv) laying the groundwork for subsequent quantitative exercises; and (v) contributing to economic model development.
The chapter maps conversations around Lava Jato in Brazil and Peru using focus groups, especially whether voters associate Lava Jato with the problem of corruption or its solution. Peruvians focus mainly on the crimes, the “cockroaches.” Brazilians are divided, with some seeing “superheroes.” This leads Peruvians to voice negative emotions and cynicism. Attitudes in Brazil are more mixed. Analysis of newspapers as well as survey data suggest these differences could be due to contrasting media environments and baseline attitudes towards judicial institutions. The chapter then explores fairness and effectiveness evaluations. The debate is more intense in Brazil due to partisan polarisation. Supporters of the Workers’ Party feel victimised; their rivals passionately defend Lava Jato. This separates those who find reasons for hope from those who derive no satisfaction from the crusade. By contrast, in Peru participants do not see prosecutorial efforts through partisan lenses. They cannot, however, get past their cynicism, and remain deeply sceptical. A citizenry that is hopelessly cynical is prone to stick to its priors about the irredeemably crass nature of politics.
Farm animal welfare has become an important issue for the European public, especially in the last two decades when a number of crises (eg Bovine Spongiform Encephalopathy and Avian Influenza) have affected farm animal populations. Public concern about this issue led the European Union to fund the Welfare Quality® project. This project aimed to develop a protocol for assessing animal welfare on farms and at slaughter plants, to identify the main animal welfare problems, and to address possible welfare improvement strategies. In fulfilling these aims, the Welfare Quality® project incorporated inputs from both science and society. This was crucial, as the public perception of what constitutes ‘animal welfare’ sometimes differs from animal science-based definitions. Furthermore, these differences are often interwoven with broader variations in ethical- and value-based understandings about human/non-human animal relationships. This paper presents the steps that we adopted to establish a dialogue between science and society during the construction of the Welfare Quality® assessment protocols. This dialogue involved numerous interactions between animal scientists, social scientists and members of the public. These interactions took several forms, including: meetings, conferences, workshops, websites, newsletters, interviews, focus groups, and citizen and farmers juries. Here, we address four key moments within this dialogue: the development of the initial list of twelve welfare criteria; the consumer focus groups; the development of the Welfare Quality® scoring system; and the citizen juries. In particular, we focus on the results of the focus groups and citizen juries. The focus groups were conducted in France, Italy, Sweden, The Netherlands, the United Kingdom, Norway, and Hungary and the citizen juries were carried out in Italy, the United Kingdom, and Norway. Drawing on this research, we highlight the similarities and differences between societal understandings of farm animal welfare and the views of scientific experts. Furthermore, and crucially, we outline how the animal scientists took account of societal opinion when developing their farm animal welfare assessment tools.
What is the impact on symbolic representation of female leaders who are seen as failures? Do women from political dynasties elicit symbolic representation? I answer these questions by analyzing how Park Geun-hye’s election as the first woman president of South Korea and her subsequent impeachment shaped voters’ perceptions of women’s potential and contribution as political leaders. Utilizing an original survey and focus groups, I argue that South Korean voters overall did not recognize Park’s election as the country’s first female president as a symbol of women’s political empowerment because of her dynastic background and her failure to promote women-friendly policies. Although she received credit for being the historic first, women across the political spectrum were concerned that the epic failure of the first female president would reinforce voters’ reluctance to vote for women. This study emphasizes the importance of adopting an intersectional approach in studying symbolic representation.
It is widely acknowledged that co-occurring symptoms in patients with a psychosocial and spiritual aspects should also be considered. However, this multidimensional approach is difficult to integrate into daily practice, especially for generalist clinicians not specialized in palliative care. We aimed to identify the barriers and facilitators to multidimensional symptom management.
Methods
Focus group meetings were conducted with the following stakeholders: (1) patient representatives, (2) generalist community nurses, (3) generalist hospital nurses, (4) general practitioners, (5) generalist hospital physicians, and (6) palliative care specialists. Audiotapes were transcribed verbatim and thematically analyzed.
Results
Fifty-one participants (6–12 per group) reported barriers and facilitators with 3 main themes: multidimensional symptom assessment, initiating management of nonphysical problems, and multidisciplinary collaboration. As barriers, generalist clinicians and palliative care specialists reported that generalist clinicians often lack the communication skills to address nonphysical problems and are unaware of available resources for multidimensional symptom management. Palliative care specialists felt that generalist clinicians may be unaware that assessing nonphysical problems is important and focus on pharmacological interventions. Generalist nurses and palliative care specialists indicated that hierarchical difficulties between them and generalist physicians are barriers to multidisciplinary collaboration. Reported facilitators included using symptom assessment scales and standardized questions on nonphysical problems.
Significance of results
Generalist clinicians can be supported by improving their communication skills, increasing their awareness of available resources for multidimensional symptom management, and by using a standardized approach to assess all 4 dimensions of palliative care.