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Based on an analysis of qualitative research papers published between 2019 and 2021 in four top-tier management journals, we outline three interrelated silences that play a role in the objectification of qualitative research: silencing of noninterview data, silencing the researcher, and silencing context. Our analysis unpacks six silencing moves: creating a hierarchy of data, marginalizing noninterview data, downplaying researcher subjectivity, weakening the value of researcher interpretation, thin description, and backgrounding context. We suggest how researchers might resist the objectification of qualitative research and regain its original promise in developing more impactful and interesting theories: noninterview data can be unsilenced by democratizing data sources and utilizing nonverbal data, the researcher can be unsilenced by leveraging engagement and crafting interpretations, and finally, context can be unsilenced by foregrounding context as an interpretative lens and contextualizing the researcher, the researched, and the research project. Overall, we contribute to current understandings of the objectification of qualitative research by both unpacking particular moves that play a role in it and delineating specific practices that help researchers embrace subjectivity and engage in inspired theorizing. [ABSTRACT FROM AUTHOR]

Natural disasters have a lasting impact on the mental health of the children. The effects on children's mental health included posttraumatic stress symptoms, behavioral problems (e.g., disruptive behaviors), depression, and anxiety. Overall, parents have been an important factor in the lasting effects of natural disasters on children's mental health. Although most research has examined overall parental mental health outcomes on childhood outcomes, little research has concentrated on specific parental behaviors that might help children deal with natural disasters. One of those behaviors may be the level of parental accommodations. Considering parental accommodations are often used when a child is upset or distressed, it seems feasible that parental accommodations may also be associated with childhood outcomes after a natural disaster. This study examines the use of parental accommodations in the context of Hurricane Harvey and the associated effects on child outcomes. Participants (N = 129) who were parents, completed an online survey answering questions on their Hurricane Harvey experiences as well as shared about their parenting practices and their perception of their children's outcomes both during and after this time. Overall, parental accommodations were associated with more negative mental health outcomes for children, after a natural disaster. Given these results, it is important that professionals help parents understand how to be supportive of their children during or immediately following a natural disaster, without being overly accommodating to their child's anxiety. [ABSTRACT FROM AUTHOR]

Our qualitative study delves into the life history of a mother‐worker caring for two neurodiverse children, surfacing how the intensive mental load of balancing domestic and professional responsibilities permeates and shapes her identity. Employing narrative analysis and photovoice methods, we investigate how she navigates the logistical and emotional complexities in both roles across three distinct storytelling events: storying (mis)diagnoses, storying care needs and work negotiations, and storying coping. Our primary contribution lies in introducing the concept of the surrendered self, signaling the amplified and prolonged embodiment of one's provisional identity (mother) based on socio‐cultural expectations of who she thinks she ought to be, leading to the eclipse of other possible identities (woman, wife, worker). [ABSTRACT FROM AUTHOR]

Introduction: Social media, a pervasive platform for real-time communication, harbours both the potential for rapid information dissemination and the risk of spreading misinformation. While it has become an indispensable platform for global communication, concerns arise regarding its role in disseminating healthcare information. This study examines the impact of healthcare-related information on social media, particularly focusing on influential surgical accounts. It investigates the quality of content shared by these accounts and compares it with current scientific evidence. Materials and methods: A retrospective study was conducted to evaluate the accuracy of information presented on platforms of influential surgical accounts on social media, including YouTube, TikTok, and Instagram. A sample of surgical influencers, encompassing general surgery and subspecialties, was examined. Their content was retrospectively compared against current scientific evidence related to their respective surgical topics. Results: The evaluation reveals a diverse landscape regarding the accuracy of healthcare information shared by surgical influencers on social media. While some content aligns with evidence-based practices, there is a notable presence of misinformation and inaccuracies. This highlights the potential consequences of social media on healthcare information dissemination, emphasizing the importance of accurate and evidence-based content. Conclusion: The study acknowledges the significant influence of these accounts, especially among young people, and underscores the need for responsible information sharing in the medical field due to the potential impact of inaccurate content on healthcare decision-making. Surgical influencers often neglect to provide references of evidence-based information and instead rely on personal experience, posing risks of misinformation and ethical concerns on social media platforms. Resumen: Introducción: Las redes sociales, plataformas necesarias para la comunicación en tiempo real, albergan tanto el potencial para la rápida difusión de información como el riesgo de propagar desinformación. Aunque son indispensables para la comunicación global, surgen preocupaciones sobre su papel en la difusión de información del área de la salud. Este estudio examina el impacto de la información relacionada con la salud en las redes sociales, centrándose particularmente en cuentas de influencers con contenido quirúrgico, y analiza la calidad del contenido compartido por estas cuentas. Materiales y Métodos: Se llevó a cabo un estudio retrospectivo para evaluar la precisión de la información presentada en las plataformas de influencers con cuentas de contenido quirúrgico, incluyendo YouTube, TikTok e Instagram. Se examina una muestra de influencers quirúrgicos, abarcando cirugía general y subespecialidades. Su contenido se compara retrospectivamente con la evidencia científica actual relacionada con sus respectivos temas quirúrgicos. Resultados: Se encontró un panorama diverso en las cuentas quirúrgicas en las redes sociales evaluadas. Si bien algunos contenidos se alinean con prácticas basadas en evidencia, existe una notable presencia de desinformación e inexactitudes. Esto destaca las posibles consecuencias de las redes sociales en la difusión de información sanitaria, enfatizando la importancia de un contenido preciso y basado en evidencia. Conclusión: Hay una influencia significativa de estas cuentas, especialmente entre los jóvenes, lo que implica la necesidad de compartir información responsable en el campo médico debido al potencial impacto de un contenido inexacto en la toma de decisiones sanitarias. Los influencers quirúrgicos a menudo descuidan proporcionar referencias de información basada en evidencia y prefieren utilizar experiencias personales, lo que plantea riesgos de desinformación y preocupaciones éticas en las plataformas de redes sociales.

Background: Patellofemoral pain (PFP) is a common knee condition in young and active individuals that is managed with highly variable treatment strategies., Objective: To determine whether the length, number of visits, and content of physical therapy care for patients with PFP differ between a Clinical Practice Guidelines (CPG) adherent program and usual care. Additionally, the percentage of patients reporting clinically important improvements in patient-reported outcomes in each group was evaluated as an exploratory aim., Design: Retrospective analysis of clinical data., Setting: Military outpatient physical therapy clinics., Patients: Thirty-two patients who received CPG-adherent care and 46 patients who received usual care., Interventions: Patients in the CPG-adherent group were classified into overuse/overload, movement coordination deficits, muscle performance deficits, or mobility impairments subcategories based on CPG-recommended examination procedures and received the CPG-recommended interventions. Patients in the usual care group received interventions based on clinical expertise and organizational practice standards., Main Outcomes Measures: Length of care, number of visits, and intervention content were used as primary outcomes. The Anterior Knee Pain Scale (AKPS), Defense and Veterans Pain Rating Scale (DVPRS), and Global Rating of Change (GROC) scores were used as secondary outcomes. These scores were extracted from routinely collected health data available in medical records; as a result, not all patients completed these outcomes during the follow-up time points because they were optional., Results: The number of physical therapy visits and percentage of patients receiving knee-targeted exercises, soft tissue mobility interventions, neuromuscular reeducation, patient education, patellar taping, and foot orthoses were greater in the CPG-adherent group compared to usual care (p < .05). Additionally, most patients in the CPG-adherent group reported clinically meaningful improvements in secondary outcomes: AKPS (1 month: 13/23; 3 months: 11/16), DVPRS (1 month: 11/20; 3 months: 8/14), and GROC (1 month: 14/22; 3 months: 11/16). In contrast, fewer than half of the patients in the usual care group reached clinically meaningful thresholds: AKPS (1 month: 1/17; 3 months: 3/8), DVPRS (1 month: 3/15; 3 months: 3/7), and GROC (1 month: 2/12; 3 months: 2/7)., Conclusion: The content of the CPG-adherent care was significantly different versus usual care and associated with meaningful changes in outcomes. Several CPG-recommended interventions appeared to be underused in usual care, underscoring the value of further CPG adoption., (© 2025 American Academy of Physical Medicine and Rehabilitation.)

We propose two novel one-sample Mendelian randomization (MR) approaches to causal inference from count-type health outcomes, tailored to both equidispersion and overdispersion conditions. Selecting valid single-nucleotide polymorphisms (SNPs) as instrumental variables (IVs) poses a key challenge for MR approaches, as it requires meeting the necessary IV assumptions. To bolster the proposed approaches by addressing violations of IV assumptions, we incorporate a process for removing invalid SNPs that violate the assumptions. In simulations, our proposed approaches demonstrate robustness to the violations, delivering valid estimates, and interpretable type-I errors and statistical power. This increases the practical applicability of the models. We applied the proposed approaches to evaluate the causal effect of fetal hemoglobin (HbF) on the vaso-occlusive crisis and acute chest syndrome (ACS) events in patients with sickle cell disease (SCD) and revealed the causal relation between HbF and ACS events in these patients. We also developed a user-friendly Shiny web application to facilitate researchers' exploration of causal relations., (© 2024 Wiley Periodicals LLC.)