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The COVID-19 pandemic significantly disrupted the lives of the deaf community, and the implementation of restrictions on face-to-face meetings resulted in the trial introduction of video remote interpreting (VRI) in a secure psychiatric setting. This study aims to use a qualitative research paradigm to explore user experiences to inform potential future technological developments in this area.

Twelve deaf patients and three interpreters took part in structured face-to-face interviews and discussed their experiences of the use of VRI, with the results being assessed using thematic analysis.

Seven main themes were identified: resource availability, ease of use, technical issues, misunderstandings, medium secure-specific issues, preferences and human factors. All participants agreed that they did not like the VRI technology in the health-care environment in its current format, and their main concern was the difficulty in understanding the information being communicated. It was considered that this had the potential to incur potentially serious medico-legal and safety implications for both staff and patients alike.

This study has provided detailed users’ feedback about the potential future use in this communication tool and can help guide service developers to review the technology design to tailor it towards the users’ needs. While the existing technology is not currently suitable for this deaf population, particularly because of the potential for error, there is potential scope for further research in this area.

The COVID-19 pandemic provided a unique opportunity to explore the potential use of VRI for a deaf patient population within a secure psychiatric setting, where such technology is unlikely to have otherwise been used.

The aim of the research was to identify factors related to the increased cost of providing health services to clients from a non‐English speaking background (NESB), using a cross‐sectional analysis of the administrative records of clients using community health services in the Northern Metropolitan region of Melbourne for the 2001/2002 financial year. The higher cost of providing services to NESB clients was influenced by four factors: increased consultation time, group attendance to an appointment, increased interpreting cost and the type of service provider. Family members and multilingual staff play a significant role in providing informal interpreting services or low‐cost support for NESB consultations, and these activities should receive appropriate support. Additional funding is needed to support interpreting requirements when dealing with the health needs of NESB clients. Vertical funding equity would provide a better solution than the current horizontal equalisation funding.

Despite the significance of tour guiding and interpreting in the tourism system, relevant research is lacking in both depth and breadth. Current scholarly work tends to ignore tour guides’ self-expectations and assumes they are altruistic mediators who carry out their tasks without question. Considering tourism intermediaries are rational individuals who attempt to maximize their own benefits, the purpose of this paper is to situate tour guiding and interpreting practices in a larger political and social context, to explore the external and intrapersonal factors that might influence the content and approaches of interpreting Chinese communist heritage.

Considering tourism intermediaries are rational individuals who attempt to maximize their own benefits, this study situates tour guiding and interpreting practices in a larger political and social context, to explore the external and intrapersonal factors that might influence the content and approaches of interpreting Chinese communist heritage.

The study reveals that institutional arrangements, environmental settings, characteristics of tourists and tourist-intermediary onsite interactions can have salient repercussions on intermediaries’ job skills, career attitudes and orientation, and self-perceived roles, and further shape their way of interpreting the past. Several managerial implications regarding enhancing the effectiveness of tour guiding and interpreting are also discussed.

It is mentioned above. The Chinese government has invested enormously in red tourism to achieve a political end. In reality, however, there are always gaps between official narratives and actual interpretation. To lessen such deviation, efforts are needed to understand the dynamics of tour guiding practices. Anchoring interpretation and guiding practices in a broader political, social, and economic context, this paper attempts to improve the static research by comparing two major types of intermediaries, site interpreter and tour guide, with regard to the content of, and approach to their interpretation of red heritage. It provides an in-depth insight into the meaning-making process of the communist heritage tourism in China.

Underpinned by the consumer-based model of authenticity (CBA), this study aims to investigate whether leisure involvement, object-based and existential authenticity, host sincerity and engagement stimulate positive memorable visitor experiences in a distinctive commercial hospitality setting: a living history site.

Quantitative data were gathered from living history site visitors (n = 1,004), with partial least squares structural equation modeling used to test the hypothesized relationships.

The results confirm the inclusion of the hypothesized relationships between leisure involvement, sincerity and authenticity, relative to engagement and subsequent memorability. The findings suggest that engagement can be a predictor of a positive memorable experience, contingent on CBA constructs (sincerity; object-based authenticity; existential authenticity). The significant association between object-based authenticity and memorable experience identified herein differs from some published studies, while other results are broadly consistent with extant research. Results also reveal significant differences for visitors who purchased souvenirs when compared to those who did not.

The research extends the CBA by positing sincere hospitality as a relationship-based encounter between host and guest that influences social interaction, engagement and memorability within the novel living history site context. Further, the ability to differentiate visitors based on their purchases at the site is illustrated.

Given the ubiquity of engagement and authenticity as precursors to memorable experiences within contemporary commercial hospitality and heritage discourses, the findings apply to hospitality experiences beyond the living history site context examined herein.

The purpose of this paper is to describe Burmese migrant women’s perceptions of health and well-being during pregnancy, their health promoting practices and their experiences with the Thai antenatal services.

The study used an ethnographic design. Observations were conducted in two antenatal clinics in southern Thailand. Ten Burmese migrant women and three Burmese interpreters participated in interviews. Data were analysed using thematic analysis.

The Burmese women wanted to take care of themselves and their baby to the best of their ability. This included following traditional practices and attending the antenatal clinic if able. Negotiating the demands of earning an income, and protecting their unborn baby, sometimes led to unhealthy practices such as consuming energy drinks and herbal tonics to improve performance. Accessing antenatal care was a positive health seeking behaviour noted in this community, however, it was not available to all.

This is a small ethnographic study conducted in one Province in Thailand and all Burmese participants were legal migrants. Further research is required to understand the needs of pregnant women not able to access maternity services because of their status as an illegal migrant.

Community-based health promotion initiatives need to focus on the nutrition of pregnant women who are migrants living in southern Thailand. New models of care may increase migrant women’s use of antenatal services.

Most studies of the health of migrant women are conducted in high-income countries. This study demonstrates the difficulties experienced by women migrating from a low to middle-income country.

The purpose of this paper is to examine the omission of Indigenous narratives in battlefields and sites of conflicts while also highlighting how certain battlefields and sites of conflicts have attempted to address dissonant heritage by diversifying interpretation strategies and implementing elements of collaborative management approaches, thereby addressing Indigenous erasure.

The study uses a content analysis, field studies and case studies to examine dissonant heritage in warfare tourism sites involving Indigenous peoples in Australia and North America.

The content analysis reveals that aboriginal erasure is still prevalent within the literature on warfare and battlefield tourism. However, the case studies suggest that dissonant heritage in warfare tourism is being addressed through collaborative management strategies and culturally sensitive interpretation strategies.

The content analysis is limited to tourism journals. The case studies highlight sites that are using adaptive management and integrating Indigenous peoples.

The study of dissonant heritage and warfare tourism, while relatively young, is beginning to address aboriginal erasure and cultural dissonance; this study is a contribution to this area of research.

Addressing the impacts of aboriginal erasure and heritage dissonance in colonial settings heals the hurts of the past, while empowering communities. It also provides Indigenous communities with opportunities to diversify current tourism products.

This is a collaborative international paper involving Indigenous and non‐Indigenous scholars from Australia, Canada, and the USA.

We explored how clinicians assisting low-income US Latino patients with diabetes and limited English proficiency (LEP) made sense of language-discordant care in the context of the social determination of health.

We interviewed 14 physicians in an urban teaching hospital, recorded and transcribed the interviews, and read transcripts to identify themes and interpret meanings. We used a mixed qualitative approach and drew from the Marxian tradition that illuminates how the dynamic of the clinical encounter tends to reproduce the social order by excluding its critical appraisal.

Participants believed that language barriers undermine the quality of the clinical encounter and diabetes outcomes, were eager to serve disadvantaged patients, and were well schooled in the social determination of health and its role in diabetes inequalities. However, they appeared unable to conceptualize macro-level changes that may achieve greater health equity.

The structure of medical discourse appears to limit the ability of individual clinicians to conceptualize and engage in social change on behalf patients. Recent debates in primary care indicate that this limitation is currently being challenged. Health services for persons with diabetes and limited English proficiency in the United States and elsewhere require significant improvements in interpreter services. At a broader level, clinicians should consider stepping beyond the limited, traditional role of medical/behavioral advisor to engage in political action toward greater social equity, which would result in better health.

Research in the various dimensions of language discordance is largely quantitative thus the need for qualitative studies to inform practice and policy.

Purpose: For deaf people who use American Sign Language (ASL), including cancer survivors, there are documented reports of difficulties in accessing and understanding health information. More than five years ago, a local breast cancer knowledge study with deaf signers found that only 23% of this sample cited the Internet as a source of health information. More research is needed to understand the current trends of a nationwide adult sample of deaf people’s experience with seeking and understanding health information across technology-mediated platforms.

Methodology/Approach: The Health Information National Trends Survey in American Sign Language survey included sections on health status, Internet use, and social media. We used several approaches to recruit deaf people across the USA, including Hawaii, Alaska, and Puerto Rico. The survey was administered online, in person, or through videophone. Following data cleaning, we conducted multiple logistic regression analyses, controlling for demographic factors associated with eHealth-seeking behaviors. The outcome variables of interest were Internet use and sharing health information on social media.

Findings: A total of 713 deaf people in USA (M = 49 years old; SD = 19) provided informed consent and took the survey. Half of the participants had a college degree. Twenty percent of the sample included those who self-identified as lesbian, gay, or bisexual and 38% who were people of color. White, educated, or younger deaf adults were more likely to cite the Internet as the first source of health information. Although all sub-groups were comparable in using social media, younger or ASL/English bilingual deaf adults were more likely to actively share health information through social media. While perceived trust in health information on the Internet did not differ across subgroups within the deaf sample, frustration in finding and understanding information was strongly linked to increasing age as well as those who prefer using ASL only. Users of YouTube for health-related information were likely to be younger or female.

Conclusions: Deaf users of eHealth information are diverse in terms of language usage, which affects their perception of accessing and using health information across technology-mediated platforms. While using YouTube for health appears to be accessible to deaf people, further improvements are needed to make health information sharing through social media inclusive of people who prefer ASL only. The addition of multimodal delivery features (text, audio, and video) in social networking sites has the strong potential to improve health information access and inclusion for all groups, including deaf ASL users. To make online health information inclusive of all groups, materials need to be accessible and easy to understand by all groups.

Purpose: This chapter is exploring opportunities out of the coronavirus crisis and investigating how to turn the crisis into a stepping stone for enhancing heritage tourism in Egypt.

Design: A qualitative approach is adopted and thirteen semi-structured interviews were conducted with key stakeholders about cultural heritage activities before, during, and after COVID-19.

Findings: Main findings of the chapter are divided into management-related (cultural sites carrying capacity, interpretation of cultural heritage attractions, site accessibility, hygiene, and safety) and marketing-related (the limited number of exhibited destinations, using technology and promoting heritage tourism locally) challenges.

Research Limitations/Implications: This study is limited to the Egyptian context. Future research could investigate the challenges and opportunities for heritage tourism in more developed countries. Besides, the use of qualitative methods can be altered to surveys in future research to enrich the body of knowledge in this area.

Practical Implications: The study is suggesting practical steps to tourism authorities related to management and marketing aspects of heritage tourism.

Originality/Value: This study is based on original research that produces new knowledge by using the study approach in collecting data, reports and interprets the findings and discusses possible implications.

This paper aims to provide an exploratory investigation into contemporary interpretation methods used in historic gardens and their fundamental role in enhancing the visitor experience and sense of a place.

A series of semi-structured interviews (n = 65) with Wrest Park visitors – who had the opportunity to experience new interpretation methods provided on-site – have been carried out in an attempt to explore their sense of place through interpretation.

The research suggests that interpretation has a fundamental role to play in “telling the story” of historic gardens, with 92.5 per cent of the sample understanding elements of the place’s history, significance and evolution. The findings further suggest the presence of two distinct visitor typologies – history explorers and leisure seekers.

The study provides implications for theory and practice and recommendations for historic garden practitioners.

The importance of conceptualising and operationalising interpretation in historic gardens has received relatively little attention across the extant body of heritage interpretation literature. English Heritage’s Wrest Park, which is amongst England’s most prominent historic gardens, is used as a case study.