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Co-design workshops to inform an at-home rehabilitation intervention for people with dementia: a qualitative analysis
BACKGROUND: At-home rehabilitation programs for people with dementia require essential components that are both person-centred and goal-directed. While several interventions have been evaluated in Australia, they often require significant resources and time to deliver. This research investigates end-user priorities for developing a cost-effective and accessible home-based dementia rehabilitation program, for people unable to participate in group settings in the Australian Capital Territory. METHOD: A co-design working group was established to ensure the views of all stakeholders contributed to the intervention design, which has funding allocated for six home visits per participant. An occupational therapist and physiotherapist will design and monitor the intervention which will be delivered by an allied health assistant. Four two-hour co-design workshops were held over a period of six months. Sixteen experts were recruited, comprising three dyads, and ten healthcare professionals with a minimum of three years cumulative experience working with people with dementia. Workshops were recorded and transcribed, and iterative thematic analysis was applied. RESULT: Four overarching themes and seven subthemes were identified. Themes: 1) Awareness, acceptance and access; 2) Person-centred care: Understanding unique needs, preferences, and goals, with two subthemes: a) Respect and dignity, b) Flexibility and adaptability; 3) Empowerment through community engagement & continuous support, with three subthemes: a) Building confidence & self-efficacy. b) A gateway to engaging with other services c) Preventing information overload & overwhelm; and 4) Multidisciplinary coordinated care, with two subthemes: a) creating a raft and b) ensuring robust handover processes. CONCLUSION: Engaging relevant stakeholders in the co-design process helped to identify key components deemed feasible and valuable for an at-home intervention for people with dementia. Findings demonstrate confidence from participants that the program would be feasible and valuable to people with dementia living at home. Assessing the feasibility and effectiveness of the at-home rehabilitation program is necessary to determine whether it should be implemented in the public health system in the Australian Capital Territory.</p
Navigating the transition: an in-depth case study of the adoption and implementation of IFRS and FVA in Bhutan, an emerging economy
‘Opening the black box’ in Australian sport: Understanding athlete attrition in the high-performance pathway system, a complex systems approach
Leadership styles adopted in the precision-engineering sector of small and medium-sized enterprises in Singapore
@Fesshole and the discourse of confession on X: A study of online sharing and community building
As a centuries-old discursive practice, confessional acts that are typically understood as an acceptance of one's guilt or shame regarding a particular action or thought, have been observed and studied in various contexts including religion, law and crime, and medicine. However, the nature and practice of confessions have been increasingly reconfigured within newer, evolving digital media contexts. Social media platforms, such as X (formerly Twitter), have afforded users diverse ways to interact and engage in self-presentation online. The growing need to build and be part of communities, as well as reconceptualised notions of trust, intimacy and authenticity online, facilitated by mechanics of social media platforms and user anonymity have altered conventional notions of confession and absolution. This paper explores the reconfiguration of confessional acts by analysing a corpus of posts submitted to the X account @fesshole, which solicits confessions from its community of followers in a non-institutional, public online context. We analyse the posts by borrowing from van Dijk's (2015) socio-cognitive model for analysis of discourse, which focuses on the micro and macro levels on which cognition mediates in terms of socially shared norms and ideologies within and across discursive communities. The results of the analysis suggest that X users establish rapport through confessions of an intra- and interpersonal nature about topics of varying degrees of seriousness and in ways that give the ambient online audience something to relate to and connect with. In doing so, confessors seek to bond in place of absolution, and they offer inspiration or commonality in place of guilt.</p
The influence of mobile augmented reality on consumer behavior: Insights into affective, cognitive, and behavioral responses
Despite the growing application of Mobile Augmented Reality (MAR) in retail, research lacks empirical focus on how MAR influences the consumer decision-making process through affective, cognitive, and behavioral responses. This study investigates the effects of interactivity, system quality, perceived informativeness, and reality congruence on consumers' emotional and behavioral responses. A preliminary survey identified the product and platform for experiment, and an experimental study tested MAR's effects on 125 female participants. Results highlight that the AR-enabled condition exerts a stronger effect on consumer purchase and continuance intentions. The findings offer practical insights for retailers on leveraging MAR to optimize customer satisfaction and purchasing behavior
The Effects of CrossFit®:Practice on Physical Fitness and Overall Quality of Life
We have examined the impact of CrossFit ® workout sessions on physical fitness, comparing the obtained outcomes with the recommendations of the American College of Sports Medicine. In addition, we provide suggestions to improve training monitoring, as well as practical applications for researchers, coaches and practitioners. CrossFit ® imposes high cardiorespiratory and metabolic demands, promoting improvements in circulatory capacity, oxidative metabolism and muscular endurance. Sustained elevations in heart rate contribute to cardiovascular conditioning, while a post-exercise hypotensive effect may help to reduce cardiovascular risks. Structured CrossFit ® programs have led to improvements in maximal strength and muscular endurance, with substantial increases in squat performance observed in both untrained and recreationally active individuals. In addition, CrossFit ® improves mental health through its motivating community. However, the high metabolic demands, increased creatine kinase levels and reduced performance in the countermovement jump reveal that muscle damage and neuromuscular fatigue can persist for up to 48 h. Balancing these intense sessions with adequate recovery is crucial, as improper management may lead to overtraining and compromise fitness gains. Future research should explore long-term cardiovascular adaptations, differences in gains and recovery between males and females and the application of real-time biomarker and artificial intelligence technologies to improve the training efficiency and safety. Machine learning algorithms could further personalize feedback, adapting to each individual's biomechanics and physiological responses over time. </p