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1 – 10 of 68Aristotelis Naniopoulos, Panagiotis Tsalis and Dimitrios Nalmpantis
The purpose of this paper is to develop accessible tourism in two areas of Greece and Turkey. The areas of Drama in Greece and Mersin in Turkey have cooperated in the frame of…
Abstract
Purpose
The purpose of this paper is to develop accessible tourism in two areas of Greece and Turkey. The areas of Drama in Greece and Mersin in Turkey have cooperated in the frame of MEDRA project to assess their potential and set up a plan for developing accessible tourism.
Design/methodology/approach
The choice of the two areas was not random. Mersin currently enjoys continuous development, as one of Turkey’s biggest ports and a free trade zone. Drama is a developing area in agricultural manufacturing and high-tech sectors with a rich physical environment which aspires to develop a healthy alternative tourism industry.
Findings
The findings include, amongst others, the identification of needs of tourists with disabilities, and the relevant historical evolution, legislative framework, international good practices, policy-improvement proposals, accessibility assessment in Mersin and Drama, and suggestions for developing accessible infrastructure together with the training of stakeholders.
Practical/implications
Greece although made a lot of progress regarding the issues of disability and accessibility still is not on the same level as many European countries, while Turkey has a lot to learn in order to deal with accessibility from a holistic point of view.
Social/implications
Both countries owe a large percentage of their national income, to the tourist industry and seek ways to gain advantages in this highly competitive sector.
Originality/value
The successful implementation of the MEDRA project constitutes an example worthy of a wider application in the development of accessible tourism, not only in the two countries but also to countries with similar characteristics.
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Orla Dolan, Joanne O’Halloran, Micheal O’Cuill, Atiqa Rafiq, Jennifer Edgeworth, Michael Hogan and Agnes Shiel
Dementia is a complex, progressively degenerative condition. It results in loss of cognitive and functional capabilities, along with a significant increase in the level of…
Abstract
Purpose
Dementia is a complex, progressively degenerative condition. It results in loss of cognitive and functional capabilities, along with a significant increase in the level of dependency. A reduction in the use of pharmacological interventions correlates with an increased in good quality non-pharmacological interventions in dementia care. The purpose of this study is to examine the impact of 14-session face-to-face cognitive stimulation therapy (CST) and Sonas group interventions on individuals living with dementia with moderate cognitive impairment, from pre-intervention to post-intervention in terms of their cognition, communication, neuropsychiatric symptoms, activities of daily living and quality of life.
Design/methodology/approach
A pilot single blind prospective controlled trial evaluated two group intervention approaches, cognitive stimulation therapy (CST) and Sonas, with 28 participants with moderate dementia. Pseudorandomisation and single blinding were implemented. CST has a solid evidence base. Sonas is a widely used multi-sensory intervention in Ireland with an emerging evidence base. Participants were recruited from a mental health service. Participants who had a formal diagnosis of dementia, moderate cognitive impairment and some ability to communicate and understand communication were included.
Findings
Results supported CST to a greater extent than Sonas. The CST group showed significant changes in cognition (p = 0.032) and communication (p = 0.006). Both groups had significant changes in carer quality of life (CST, p = 0.019; Sonas, p = 0.035). Results support the recommendations for a future definitive trial.
Research limitations/implications
Rehabilitation potential of individuals living with moderate dementia was demonstrated. This study suggests that group interventions like these impact on the trajectory of dementia.
Practical implications
Rehabilitation interventions impact on the trajectory of dementia. CST and Sonas have no impact on activities of daily living. Future studies with larger sample sizes, 16 weeks intervention period and control groups are required.
Social implications
This pilot study supports CST over Sonas interventions for individuals living with moderate dementia. Multiple outcome measures demonstrated trends towards significance for both interventions. Future definitive trials may detect a significant effect of both interventions.
Originality/value
A dementia diagnosis is devastating and generally creates negative perceptions and associations (Alvira, 2014). In contrast, the outcomes of this study are positive. This study provides evidence that occupational therapist intervention can impact on the trajectory of the condition with people with dementia demonstrating that they do have rehabilitation potential by responding to treatment and improving and maintaining their abilities as they progress through the condition.
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Liam Funnell, Isabel Garriock, Ben Shirley and Tracey Williamson
The purpose of this paper is to understand factors that affect viewing of television news programmes by people living with dementia, and to identify dementia-friendly design…
Abstract
Purpose
The purpose of this paper is to understand factors that affect viewing of television news programmes by people living with dementia, and to identify dementia-friendly design principles for television news programmes and factors for personalising object-based media broadcast.
Design/methodology/approach
Extensive public involvement comprising two discussion groups with people with dementia and family carers informed the study design and provided supplementary secondary data. Primary data collection comprised a focus group interview with people with dementia (n=4) and family carers (n=4). Past viewing experiences and perceived barriers and facilitators to viewing television were explored. Participants commented on an array of video clips comprising varying segments of fictional news programmes, plus control versions of each segment.
Findings
Four themes were identified: content (general comments, context, type of media and pace); presenter (body language, clothing and accent); background (location and studio appearance); and technical aspects (graphics, sound, colours, camera, transitions, general issues).
Research limitations/implications
Limitations included a modest sample size which is offset by exemplary public involvement in informing the study design.
Practical implications
Measures ensured research involvement and participation was made accessible to people living with dementia.
Social implications
Participants benefited from sharing views with peers and expressed enhanced wellbeing from knowing their participation could lead to improved television viewing, an important social occupation, for people with dementia in the future.
Originality/value
This study is the first to be published which focusses on dementia-friendly television news programmes.
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Chiara Tagliaro, Alessandra Migliore, Erica Isa Mosca and Stefano Capolongo
This paper aims to explore how the scientific literature and company reports have addressed inclusive workplace design and strategies to date.
Abstract
Purpose
This paper aims to explore how the scientific literature and company reports have addressed inclusive workplace design and strategies to date.
Design/methodology/approach
This paper adopts a scoping review to answer the following question: To what extent is inclusion present in workplace design and related strategies? An analysis of 27 scientific papers and 25 corporate social responsibility reports of the highest-ranked companies in the Great Place to Work global ranking disentangles the main aspects related to workplace design and strategies for promoting inclusion.
Findings
This paper opens avenues for four macro-categories of diversity (psycho-physical aspects; cultural aspects; socio-economic conditions; and ability, experience and strengths) to support the development of inclusive workplace design and strategy. Besides, multiple spatial scales emerged as material and immaterial elements of the workplace encountering inclusion and diversity.
Originality/value
Nowadays, the workforce is becoming more diverse. Although diversity, equity and inclusion (DE&I) has become key to many organizations, it remains unclear how DE&I principles are applied in workspace design and strategies. This scoping review provides a novel perspective on the topic by integrating scientific knowledge and practice-based approaches which still address this matter independently.
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Social prescribing is a model of integrated care, in which primary healthcare staff can link patients to the social care sector. However, social prescribing can occur in…
Abstract
Purpose
Social prescribing is a model of integrated care, in which primary healthcare staff can link patients to the social care sector. However, social prescribing can occur in different forms. To better understand the concept of social prescribing, this literature review examines the role of the link workers, activities and target groups.
Design/methodology/approach
A literature review was conducted. Studies before May 2020 were considered. In total, 1,700 studies were identified using the databases Pubmed, PsycInfo, Cinahl, Web of Science and Cochrane Library. After eligibility checks, 16 studies were included in the final analysis.
Findings
A few studies warned of a deeper engagement of the link worker due to service dependency, but most studies encouraged an active and supportive role of the link worker. Participants engaged in social, physical and counseling activities. The majority of studies emphasized the importance of linking group activities with personal preferences and identity needs. The main target groups were composed of individuals with psychosocial needs, but some studies also included patients with physical or mental illnesses.
Originality/value
Social prescribing is widely advocated as an innovative model of integrated care. However, few studies have looked into the complex system of social prescribing. This study analyzes the linking processes, activities and target groups in extant social prescribing programs.
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Patients with autism spectrum disorder (ASD) present with specific assessment, specific difficulties, needs and therapeutic issues and therefore are a challenging group for…
Abstract
Purpose
Patients with autism spectrum disorder (ASD) present with specific assessment, specific difficulties, needs and therapeutic issues and therefore are a challenging group for forensic services. Given the challenge that individuals with ASD present to forensic services, the suggested increase in the number of this group within this setting and the relatively little amount of research which suggests they face a number of difficulties within the prison environment, the purpose of this paper is to identify and review all the studies which have been carried out investigating any aspect of ASD in relation to secure hospital settings.
Design/methodology/approach
Seven internet-based bibliographic databases were used for the present review. The review followed the Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines.
Findings
A total of 12 studies were included in this review; 3 looked at the prevalence of ASD in secure psychiatric hospitals. One study evaluated the clinical utility of the AQ screening tool to assess self-reported autistic traits in secure psychiatric settings. Three explored any type of characteristics of patients with ASD detained in secure psychiatric hospitals. One study investigated the experiences or quality of life of patients with an ASD detained in secure psychiatric care. Two studies investigated awareness, knowledge and/or views regarding patients with ASD held by staff working within secure psychiatric hospitals. Lastly, three studies (one of which was also included in the prevalence category above) looked at the effectiveness of interventions or treatment of patients with ASD in secure psychiatric hospitals. Clinical recommendations and future research directions are discussed.
Originality/value
To the author’s knowledge, this is the first review to explore what research has been carried out looking specifically at patients with ASD in relation to secure forensic settings.
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Michela Cesarina Mason, Gioele Zamparo and Rubens Pauluzzo
Using retail banking as a setting and focusing specifically on elderly customers (i.e. individuals aged 60 or more), this study aims to deepen the current understanding of how the…
Abstract
Purpose
Using retail banking as a setting and focusing specifically on elderly customers (i.e. individuals aged 60 or more), this study aims to deepen the current understanding of how the physical context and the need for human interaction influence elderly customers' attitudes toward self-service technologies (SSTs) and their behavior.
Design/methodology/approach
Using face-to-face questionnaires, a sample of 505 elderly bank customers was collected. Data were analyzed using a multi-method approach, combining a moderated mediation analysis with a fuzzy-set qualitative comparative analysis.
Findings
The findings suggest that a pleasant retail space may result in a positive attitude toward SSTs, which increases their co-creation intention. It also highlights that need for interaction of elderly customers with employees has detrimental effects on their attitude toward SSTs.
Research limitations/implications
The current analysis was carried out among Italian elderly banks' customers. Thus, the results are highly dependent on the context of the analysis. In addition, it does not consider the different degrees of knowledge and experience the elderly may have with technology.
Practical implications
This study suggests that providing access and support for using technology may be essential for banks to facilitate SSTs adoption in elderly customers.
Originality/value
To the best of the authors' knowledge, this study represents the first attempt to examine the influence of the physical context on elderly customers' attitudes toward SSTs and their consequent behavioral intentions. Furthermore, it highlights the importance of the human touch for these particular customers.
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I. Martens, H. Verbeek, J. Aarts, W.P.H. Bosems, E. Felix and J. van Hoof
Over 8 per cent of the Dutch nursing home population is bedfast, and this number is slowly increasing. The quality of life (QoL) of this population is lower than that of residents…
Abstract
Purpose
Over 8 per cent of the Dutch nursing home population is bedfast, and this number is slowly increasing. The quality of life (QoL) of this population is lower than that of residents who are still mobile. Little research has been conducted on how to improve the QoL of this bedfast population, particularly through making technological adjustments to the bed and the direct surroundings. The purpose of this paper is to gain insight into the QoL of bedfast residents and how to improve this through technology.
Design/methodology/approach
A mixed-method multi-case study with thematic analysis was conducted in two nursing homes with seven participants based on semi-structured interviews and Short Form-12 questionnaire.
Findings
The major causes of the experienced low QoL were the limited opportunities for engaging in social contacts with others, and coping with the dependency on other people and having limited control. Participants suggested improvements of QoL through the application of modern communication technologies to engage in social contacts and to control the bed itself and environment around the bed.
Practical implications
The results may help improve the design of the bed and the direct environment in order to improve the QoL of bedfast nursing home residents.
Originality/value
The QoL of bedfast nursing home residents has not been studied before in relation to the bed itself and technological solutions that may help improve the QoL and level of control.
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Bijoylaxmi Sarmah, Shampy Kamboj and Ravi Chatterjee
The present study examines the antecedents of learned helplessness, i.e. intrinsic and environmental constraints and consequences, i.e. intention to travel and expectation in the…
Abstract
Purpose
The present study examines the antecedents of learned helplessness, i.e. intrinsic and environmental constraints and consequences, i.e. intention to travel and expectation in the context of people with disability (PwD) tourism context by applying the “Theory of Learned Helplessness”.
Design/methodology/approach
The survey method was used to gather data from 209 physically disabled people who had visited/traveled to any tourist destination in the past twelve months. Structural equation modeling technique was used to analyze data.
Findings
The findings reveal that intrinsic and environmental constraints positively influence learned helplessness. Consequently, learned helplessness negatively effects intention to travel and positively affects expectation of PWD tourist' toward a travel destination. Furthermore, learned helplessness contributed as a mediator between intrinsic constraints and intention to travel toward a tourist destination.
Originality/value
Even though the body of literature on associations studied pertaining the conceptual lens of learned helplessness is widely recognized, there is dearth of literature investigating the connections between travel constraints, learned helplessness, PwDs intention and their expectation in travel destination context.
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