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This research aims to explore the existence of metacognition during the use of text-to-image generators in the design ideation stage. We recruited five participants with a design background to use Midjourney as an ideation tool and to produce three sketches at the end of their task. Through semi-structured interviews and retrospective verbalization, we collected data on their thought processes. The qualitative analysis revealed clear indications of metacognitive engagement, such as monitoring and evaluating, which opens the path for future research into the impact of AI on design cognition.
This chapter reports on the results of the coding scheme designed to assess collaborative learning activities during early elementary school described in Chapter 7. The scheme measures dialogic, activity-based, and nonverbal intersubjectivity and collaborative engagement. Three video-recorded, teacher-facilitated pedagogical activities are used for the analysis. These activities reflect findings from the play-based pedagogy literature in that they involve a mixture of teacher and child contributions. Teachers scaffold the engagement and understanding of a small group while following the children’s lead. Each activity includes open-ended exploration of a material by the children. The findings show that two different videos with the same teacher used similar forms of exploratory talk most often, whereas the other teacher used other forms of dialogue most often. In addition, intersubjectivity and collaborative engagement among all three groups peaked during active shared engagement with the materials. These periods coincided with less dialogue and occurred in the middle of the activity.
The UK Diabetes Remission Clinical Trial (DiRECT) demonstrated that a weight loss strategy consisting of: (1) 12 weeks total diet replacement; (2) 4 to 6 weeks food reintroduction; and (3) a longer period of weight loss maintenance, is effective in reducing body weight, improving glycaemic control, and facilitating type 2 diabetes remission(1). The DiRECT protocol is now funded for type 2 diabetes management in the UK(2). Type 2 diabetes is a growing problem in Aotearoa New Zealand(3), but the acceptability and feasibility of the DiRECT intervention in our diverse sociocultural context remains unclear. We conducted a randomised controlled trial of DiRECT within a Māori primary healthcare provider in O¯tepoti Dunedin. Forty participants with diabetes and obesity who wanted to lose weight were randomised to receive the DiRECT intervention or usual care. Both groups received the same level of individualised support from an in-house dietitian. We conducted individual, semi-structured interviews with 26 participants after 3 months. Questions explored perspectives and experiences, barriers and facilitators, and future expectations regarding dietary habits and weight loss. Interview transcripts were analysed using inductive thematic analysis(4). Participants struggled with weight management prior to the study. Advice from doctors, friends and whānau, and the internet was prolific, yet often impractical or unclear. The DiRECT intervention was mentally and physically challenging, but rapid weight loss and an improved sense of health and wellbeing enhanced motivation. Participants identified strategies which supported adaptation and adherence. Food reintroduction beyond 3 months was an exciting milestone, but the risk of reverting to previous habits was daunting. Participants feared weight regain and felt ongoing guidance was required for a successful transition to a real-food diet. Conversely, usual care participants described a gradual and ongoing process of health-focused dietary modification. While this approach did support behaviour change, a perceived slow rate of weight loss was often frustrating. Across both interventions, self-motivation and whānau support contributed to perceived success, whereas busy lifestyles, social and cultural norms, and financial concerns presented additional challenges. The role of individualised and non-judgemental dietetic support was a central theme across both groups. In addition to nutrition education and practical guidance, the in-house dietitian offered encouragement and promoted self-acceptance among participants. At 3 months, positive shifts in perspectives surrounding food, health, and sense of self were identified, which participants largely attributed to the level of nutrition support received: a new experience for many. The DiRECT protocol appears an acceptable weight loss approach among New Zealanders with diabetes and obesity, but tailored dietetic and behavioural support must be prioritised in its implementation. Future research should examine the broader health benefits associated with providing greater dietetic support and the cost-effectiveness of employing nutrition-trained health professionals within the primary care workforce.
This article explores Indigenous perspectives on archaeology in Canada and the United States and the role of archaeologists in engaging with Indigenous communities. As part of our study, we interviewed Indigenous community members about their experiences in archaeology and their thoughts on the discipline. We analyzed each interview thematically to identify patterns of meaning across the dataset and to develop common themes in the interview transcripts. Based on the results of our analysis, we identified six themes in the data: (1) Euro-colonialism damaged and interrupted Indigenous history, and archaeology offers Indigenous community members an opportunity to reconnect with their past; (2) archaeological practices restrict access of Indigenous community members to archaeological information and archaeological materials; (3) cultural resource management (CRM) is outpacing the capacity of Indigenous communities to engage meaningfully with archaeologists; (4) the codification of archaeology through standards, guidelines, and technical report writing limits the goals of the discipline; (5) archaeological methods are inconsistent and based on individual, or company-wide, funding and decision-making; and (6) archaeological software offers a new opportunity for Indigenous communities and archaeologists to collaborate on projects.
Prognosticating outcomes for traumatic brain injury (TBI) patients is challenging due to the required specialized skills and variability among clinicians. Recent attempts to standardize TBI prognosis have leveraged machine learning (ML) methodologies. This study evaluates the necessity and influence of ML-assisted TBI prognostication through healthcare professionals’ perspectives via focus group discussions.
Methods:
Two virtual focus groups included ten key TBI care stakeholders (one neurosurgeon, two emergency clinicians, one internist, two radiologists, one registered nurse, two researchers in ML and healthcare and one patient representative). They answered six open-ended questions about their perceptions and potential ML use in TBI prognostication. Transcribed focus group discussions were thematically analyzed using qualitative data analysis software.
Results:
The study captured diverse perceptions and interests in TBI prognostication across clinical specialties. Notably, certain clinicians who currently do not prognosticate expressed an interest in doing so independently provided they had access to ML support. Concerns included ML’s accuracy and the need for proficient ML researchers in clinical settings. The consensus suggested using ML as a secondary consultation tool and promoting collaboration with internal or external research resources. Participants believed ML prognostication could enhance disposition planning and standardize care regardless of clinician expertise or injury severity. There was no evidence of perceived bias or interference during the discussions.
Conclusion:
Our findings revealed an overall positive attitude toward ML-based prognostication. Despite raising multiple concerns, the focus group discussions were particularly valuable in underscoring the potential of ML in democratizing and standardizing TBI prognosis practices.
What qualifies as a political event is a core question for social and historical research. This article argues that the use of temporal structures in narratives of political and social developments contributes significantly to the making and unmaking of events. We show how arguments that draw upon history play a particularly important role in transforming the everyday unfolding of politics into discernable events with a clear time bracket. Through this lens, we investigate the 2016 Brexit referendum as an event that has triggered extensive debates about both Europe’s experiences of the past and political expectations for its future. Conflicting assessments of history are crucial for understanding how and when Brexit became an event of European significance and why it then ceased to be so. This case also enables us to distinguish more clearly between the agent-centered focus on the event itself, and the analytical ex-post assessment as a critical juncture. Methodologically, the article demonstrates the value of a multi-perspective approach for qualitative analyses with a focus on Brexit narratives articulated across several EU countries and the United Kingdom.
The present chapter provides qualitative analyses of ideologies and practices toward the assessment of advanced L2 Spanish based on descriptors produced by L2 professionals. As a supplement to the quantitative findings in Chapter 6, we generated more nuanced descriptions of beliefs and practices. We found that advancedness goes beyond the scope of mainstream conceptualizations. In addition, different foci of assessment were not merely limited to constructs of functional communication, linguistic structure, and sophistication, but also extended to L2 speaker identity. We concluded that institutionalized methods of assessing advanced language use should evolve, and that professionals’ values should be free of biases toward specific learner identities. Among such values are the emphasis on language proficiency, on sophisticated language use, and on the L2 speaker’s identity as an autonomous L2 learner developing agency in socio- and intercultural interaction, rather than one that strives to be “nativelike.” We suggest that future research consider the construct of L2 identity as an essential component of advancedness, and that language departments emphasize L2 identity construction.
The three case studies presented in this chapter demonstrate that the six of-binominals introduced in Chapters 3 and 4 form a grammaticalization path, starting at the N+PP and ending, in most cases, at the BI (cake is the exception). The chapter begins with a discussion about the differences between grammaticalization and lexicalization, since both processes are plausible in this case. Then, looking at the first nouns beast, cake and hell (an animate, inanimate, and abstract first noun respectively) and using a range of historical corpora, this chapter presents a qualitative diachronic analysis that looks at first attestations of and discusses the use of these first nouns in the six of-binominal constructions presented in Chapters 3 and 4. Ultimately this chapter substantiates the claim that first nouns progress from the N+PP to the head-classifier, in some cases pseudo-partitive, then the EBNP, the EM, and the BI. Furthermore, it argues that the process demonstrated is indeed grammaticalization rather than lexicalization.
This study explored experts’ views on the development of a proposed checklist for cost-of-illness (COI) studies. It also investigated experts’ perspectives on the use of COI studies and quality/critical appraisal tools used for COI studies as well as their experiences with the use of these tools.
Methods
Semi-structured, open-ended interviews were conducted with health economists and other experts working with COI studies and with experience of developing health economic guidelines or checklists. Participants were selected purposively using network and snowball sampling. A framework approach was applied for the thematic data analysis. Findings were reported narratively.
Results
Twenty-one experts from eleven different countries were interviewed. COI studies were found to be relevant to estimate the overall burden of a disease, to draw attention to disease areas, to understand different cost components, to explain cost variability, to inform decision making, and to provide input for full economic evaluations. Experts reported a lack of a standardized critical appraisal tool for COI studies. Their experience related predominantly to guidelines and checklists designed for full economic evaluations to review and assess COI studies. The following themes emerged when discussing the checklist: (i) the need for a critical appraisal tool, (ii) format and practicality, (iii) assessing the questions, (iv) addressing subjectivity, and (v) guidance requirements.
Conclusions
The interviews provided relevant input for the development of a checklist for COI studies that could be used as a minimum standard and for international application. The interviews confirmed the important need for a checklist for the critical appraisal of COI studies.
This chapter analyzes news discourses covering the peace talks between the Pakistan government and the TTP (Tehreek-e-Taliban Pakistan), the culmination of which resulted in a military operation known as Zarb e Azab. The data are news stories extracted from mainstream English-language newspapers in Pakistan – Dawn and The Nation. The aim is to examine the types of discourses constructed by the print media during the peace talks. To achieve this, a qualitative analysis is employed comprising a socio-cognitive approach to CDA that focuses on the use of language and the ideological construction of peace and war situations. The chapter also highlights the importance of responsible and ethical journalism and professional journalistic practices that may help to refine the ideological sensibilities of journalists.
Patients in their last year of life, as well as their relatives, often feel that existent care structures of the healthcare system do not adequately address their individual needs and challenges. This study analyzes unmet needs in terms of unsolved problems and unwanted decision-making in the health and social care of patients in their last year of life from the perspective of bereaved caregivers.
Methods
This qualitative study is based on free-text comments from informal caregivers of deceased patients collected as part of the Last-Year-of-Life-Study-Cologne (LYOL-C) using a postal survey. With qualitative content analysis, a category system with main and subcategories was developed in a multi-step process.
Results
Free-text commentaries and demographic data were collected from 240 bereaved caregivers. Particularly outside of hospice and palliative care services, study participants addressed the following unsolved problems: poor communication with medical and nursing staff, insufficient professional support for informal caregivers, inadequate psycho-social support for patients, and poor management of pain and other symptoms. Respondents often stated that their relative had to be cared for and die outside their own home, which the relative did not want.
Significance of results
Our findings suggest the necessity for greater awareness of patients’ and their relatives’ needs in the last year of life. Addressing individual needs, integrating palliative and hospice care in acute hospitals and other healthcare structures, and identifying patients in their last year of life and their caregivers could help to achieve more targeted interventions and optimization of care.
With disciplinary roots in legal studies and Black feminist scholarship in the United States, intersectionality provides a bird's-eye view of structural inequality and oppression. Yet, as the construct of intersectionality has moved across disciplines, alternate perspectives have come into view and new questions have been asked. Psychological perspectives on intersectionality have centered on questions (and tensions) about how to apply intersectionality in the study of identity – that is, whether intersectionality informs how individuals come to understand themselves and others, and how this may occur. Identity is an obvious link to intersectionality because the categories of difference/inequality that comprise intersectionality are also the identity groups that we study (e.g., racial identity and gender identity). At the same time, identity is (mostly conceived to be) a personal-level construct, which seems to stand in opposition to the structural lens that defines intersectionality. In this chapter, we use empirical data to consider what the study of identity reveals to us about intersectionality as a psychological process. We first define intersectionality and our developmental approach to identity drawing on Erikson’s (1968) psychosocial identity theory. Next, we discuss core challenges that identity researchers in psychology often face when integrating intersectionality: the emphasis on individual-level processes, discrete variables, and linear associations. We then present an analysis of Black and White adolescents’ race × gender identities to conceptualize identity and intersectionality as phenomena that can be measured at the personal, relational, and structural levels. We conclude that this multilevel analytical framework allows us to see intersectionality in identity development.
The ability for people to connect, learn, and communicate about science has been enhanced through the Internet, specifically through social media platforms. Facebook and Twitter are well-studied, while Instagram is understudied. This Element provides insight into using Instagram as a science education platform by pioneering a set of calculated metrics, using a paleontology-focused account as a case study. Framed by the theory of affinity spaces, the authors conducted year-long analyses of 455 posts and 139 stories that were created as part of an informal science learning project. They found that team activity updates and posts outside of their other categories perform better than their defined categories. For Instagram stories, the data show that fewer slides per story hold viewers' attention longer, and stories using the poll tool garnered the most interaction. This Element provides a baseline to assess the success of Instagram content for science communicators and natural science institutions.
Socio-relational aspects are essential for mental wellbeing (MWB), especially in the oldest old age. Our study aims to explore the socio-relational aspects related to MWB in accordance with the experiences of the oldest old of four European countries; and to examine how these differ between Mediterranean and Nordic people. A total of 117 participants aged 80+ years old were recruited, and 23 focus groups were performed. Qualitative content analysis identified five main themes. Family seemed to be the most important driver of the MWB of the oldest old, followed by relationships with close friends. Participants felt better when they had a sense of being needed, cared for, and connected. Loneliness and isolation negatively affected MWB, although solitude was appreciated. Differences appeared between Mediterranean and Nordic regions. Initiatives to promote positive interactions with family and friends, as well as social activities within the community, may contribute to strengthening MWB in the oldest old.
Protest is ubiquitous in contemporary societies, as is illustrated by any review of recent news headlines. Tarrow and Meyer (1998) refer to the proliferation of protest and its diffusion into everyday life as characteristics of "the social movement society." Social networks are integral to understanding social movement processes. This chapter provides a broad overview of the SNA methodological toolkit, with a focus on ego-networks, so that social movements scholars better understand how networks shape social movement recruitment and support, communication, and social-political influence. The chapter is structured as followed. First, we provide a contextual overview of research on networks, collective action and social movements that underlines the importance of SNA approaches to social movement research. Second, we introduce a set of standard ego-network approaches to social movements and discuss some of the attendant challenges of these approaches. Third, we discuss less well-established qualitative and mixed-methods network approaches to social movements research. Fourth, we describe and discuss some consideration relevant to conducting longitudinal social network analysis, and modeling network dynamics. Finally, we discuss virtual networks as sources of social movements data collection and analysis.
In a recent article, I argued that the Bayesian process tracing literature exhibits a persistent disconnect between principle and practice. In their response, Bennett, Fairfield, and Charman raise important points and interesting questions about the method and its merits. This letter breaks from the ongoing point-by-point format of the debate by asking one question: In the most straightforward case, does the literature equip a reasonable scholar with the tools to conduct a rigorous analysis? I answer this question by walking through a qualitative Bayesian analysis of the simplest example: analyzing evidence of a murder. Along the way, I catalogue every question, complication, and pitfall I run into. Notwithstanding some important clarifications, I demonstrate that aspiring practitioners are still facing a method without guidelines or guardrails.
Qualitative longitudinal research (QLR) has grown in prominence and popularity since the 2007 themed section on the subject in this journal. This new themed section reflects on how QLR has been mobilised and made sense of in recent times. This article showcases QLR’s distinctive way of knowing and understanding the social world and how it can illuminate the processes through which policy can enhance, or indeed inhibit, the well-being of individuals and groups within society. This state of the art article focuses on QLR as a valuable but tricky approach. It argues that QLR can enhance qualitative research in social policy by fostering sustained policy engagement and development, and that this is especially useful for policy-making in relation to socioeconomic disadvantage. It also explores cross-cutting methodological dimensions pertinent to QLR’s distinct approach, such as its enhanced ethical considerations, which are also integral to research with people at high risk of socioeconomic disadvantage. The article concludes with possible future directions and developments for QLR as a methodology.
Dignity therapy (DT) is a brief, individualized intervention, which provides terminally ill patients with an opportunity to convey memories, essential disclosures, and prepare a final generativity document. DT addresses psychosocial and existential issues, enhancing a sense of meaning and purpose. Several studies have considered the legacy topics most frequently discussed by patients near the end of life. To date, no Portuguese study has done that analysis.
Method
We conducted a qualitative analysis of 17 generativity documents derived from a randomized controlled trial (RCT). Inductive content analysis was used to identify emerging themes.
Results
From the 39 RCT participants receiving DT, 17 gave consent for their generativity document to undergo qualitative analysis. Nine patients were female; mean age of 65 years, with a range from 46 to 79 years. Seven themes emerged: “Significant people and things”; “Remarkable moments”; “Acknowledgments”; “Reflection on the course of life”; “Personal values”; “Messages left to others”; and “Requests and last wishes”.
Significance of results
Generativity document analysis provides useful information for patients nearing death, including their remarkable life moments and memories, core values, concerns, and wishes for their loved ones. Being conscious of these dominant themes may allow health providers to support humanized and personalized care to vulnerable patients and their families, enhancing how professionals perceive and respond to personhood within the clinical setting.
This book investigates how deference is structured in individual cases, and whether the treatment of deference differs by regime or over time. Adjudicative decisions thus form the focus of this study. This focus, however, necessarily entails treating adjudicative decisions as a meaningful source of data. Legal (doctrinal) and social sciences (empirical) research methods provide two competing methodologies through which such a study might be conducted. Chapter 3 introduces the theory and methodology underpinning the empirical study reported in Part II. It presents a theory of international adjudication and explains how an empirical study of adjudicative reasoning can remain ‘internal’ to the discipline of law despite borrowing methodological techniques and theories from ‘external’ disciplines. It explores the relative strengths and weaknesses of empirical and doctrinal approaches, and examines how adjudicative decisions can remain a meaningful source of legal data when analysed using an empirical methodology drawn from non-legal disciplines. It further outlines the methods used to identify deference in the private property decisions of the selected courts and tribunals.