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Social isolation can have a negative impact on well-being, yet important strengths can emerge in adversity. Our aim was to explore how pre-university students in Singapore responded to the social isolation caused by the COVID-19 pandemic. We conducted a thematic analysis of in-depth semi-structured interviews with six pre-university students (three males and three females). Singaporean pre-university students found a "lack of face-to-face contact" (Theme 1) with friends challenging. However, they utilised "acceptance" (Theme 2), and "adaptability and resilience" (Theme 3) to cope with the changes associated with the COVID-19 restrictions. Educators, counsellors, parents and researchers may better support pre-university students' well-being by discussing how to enhance the students' strengths, rather than solely attempting to alleviate negative mental health outcomes. [ABSTRACT FROM AUTHOR]

Although career construction theory is relevant to today's vocational climate, empirical research into it is scarce. Accordingly, we explored this theory by investigating the concepts, structures and processes that UK-based millennial career changers use to construct narratives allowing for continuity of plot and discontinuity of career direction. Interpretative phenomenological analysis on semi-structured interviews (N = 6) identified four themes: dissatisfaction, realisation, sacrifice and return. The Hero's Journey was identified as an overarching structure for meaning making in career change. Participants assimilated instability and discontinuity into a broader framework of continuity, through narrating a quest for closer alignment between their work and personality. This study provides useful insights into career construction theory and suggests further utility of The Hero's Journey in career counselling/guidance. [ABSTRACT FROM AUTHOR]

Background: Parents of children with medical complexity (CMC) have extra child‐raising responsibilities because of the time commitments necessary for care, and their social participation is often compromised. Experiencing leisure excursions with such children may be a solution to some of these problems but the first‐hand experience of excursions in regard to their psychological impact on the caregivers of CMC remains to be appraised. Methods: Semi‐structured interviews were conducted, via video conference, with eight informal and eight formal caregivers of CMC who attended an excursion to Tokyo Disney Land (TDL). We investigated the psychological changes that they had experienced through the excursion, performing inductive thematic analysis. Results: Three themes were identified among parents and five were identified among medical professionals. Themes reported by the parents were: Increased trust in the public and society (Theme 1); confidence for other challenges (Theme 2), and connection with other parents in the non‐medical settings (Theme 3). Themes reported by medical professionals were: Expanding the initiative to other CMC (Theme 1); feeling bonded with other caregivers within the working group (Theme 2); information exchange across different working groups (Theme 3), positive responses from CMC (Theme 4); families' confidence to go out (Theme 5). Conclusions: This study showed that the excursion to TDL led to positive psychological changes in both medical professionals and parents of CMC, enhancing trust, connection, and confidence. The promising results of this study suggest a need for further research about the impact of an excursion on caregivers of CMC. [ABSTRACT FROM AUTHOR]

This qualitative research aimed at exploring personal dance experience and influence of dancing on the evolution of embodied self-awareness and well-being. Semi-structured interviews were conducted with three participants (one female, two males), and the data were evaluated using Interpretative Phenomenological Analysis. Six themes were identified: (a) freedom of expression through dance, (b) perceptions of fun and partner dance vs. dancing alone, (c) flow in dance, (d) sensations and sexuality in dance, (e) music and rhythm in dance, and (f) impact of dance on life and the self. Participants reported that dance led to higher embodied self-awareness and creative self-expression and was deemed to improve health and well-being. Our findings help increase the utility of dance as a well-being approach, stress coping intervention and countermeasure to depression and loneliness. They make aware of the use of dance as a creative tool in inducing positive transformations on individual and societal levels. [ABSTRACT FROM AUTHOR]

Although parents of triplets experience substantial mental distress, research about this increasing population has primarily focused on physical health risks of triplets and mothers, failing to capture the subjective wellbeing of parents. Accordingly, this study aimed to understand first-hand experience of parents of triplets, using thematic analysis of semi-structured interviews participated by eight parents (four couples: Age M = 48.63, SD = 10.61 years). Six themes were identified: (1) Negative and (2) Positive experiences of raising triplets prenatally and postnatally, (3) Social, psychological, and material support, (4) Experiences and challenges specific to mothers and (5) fathers, and (6) Advice for future parents. These themes suggest that being reassured and accepting support from others are particularly essential in reducing stress and anxiety. Self-compassion interventions were recommended to support the wellbeing of parents of triplets. Our findings will help parents of triplets, their social circles, and healthcare workers to develop effective approaches to reduce the mental health difficulties that this under-researched population experiences. Highlights: Parents of triplets experience increased anxiety and stress related to triplets' and mothers' health and financial concerns. Parents' positive experiences included a sense of having a big family and of feeling magical to encounter the unusual phenomena. Mothers' challenges were internal (health-related), while fathers' were external (stability of job and finances). Being reassured and accepting support from others are particularly essential for reducing stress and anxiety in this population. [ABSTRACT FROM AUTHOR]

Although the application of neuro-linguistic programming (NLP) has been reported worldwide, its scientific investigation is limited. Career consulting is one of the fields where NLP has been increasingly applied in Japan. This study explored why career consultants undertake NLP training, and what they find most useful to their practice. Thematic analysis of semi-structured interviews with six career consultants, who had attended NLP certification training, revealed that they wanted to learn action-oriented NLP-based coaching skills in addition to their active-listening-based counselling skills. NLP provided frameworks to lead their clients’ thoughts efficiently, deepened their understanding of the human mind, and developed their attitude to understand others and themselves. The NLP skills found most useful were reframing and the Disney strategy. [ABSTRACT FROM PUBLISHER]

Background: With advances in medical technology, the number of children with medical complexity (CMC) has increased. Excursions with such children encourage their social participation and have been shown to have a positive impact on their caregivers. However, the first‐hand experience of the excursions has not yet been evaluated regarding the difficulties faced by CMC and their caregivers during preparation, transportation, and in the local area. Methods: Semi‐structured interviews were conducted with eight informal and eight formal caregivers of CMC who attended an excursion to Tokyo Disney Land (TDL) via video conference. We investigated challenges that they had experienced through the excursion, performing inductive thematic analysis. Results: Three themes were identified: the preparation stage (Theme 1), problems encountered while traveling to the theme park (Theme 2), and problems at the theme park (Theme 3). In the preparation stage, three subthemes, i.e. preparation for the trip, cooperation with related parties, and researching about the theme park and asking for help, are reported. Theme 2 includes four subthemes: activities of daily living, respiratory care, luggage, and weather changes. Theme 3 has three subthemes: activities of daily living, physical condition management, and issues for the theme parks. Conclusions: We found that securing the power supply, location, and time for daily procedures are challenges in realizing excursions for CMC, but with sufficient preparation, it is possible in Japan without major difficulty. [ABSTRACT FROM AUTHOR]

Background: Afghanistan, a low-income landlocked country, is continuously suffering from domestic war and conflicts; the country struggles to provide quality healthcare services, including affordable medicinal products in the required quantity. Moreover, the quality standards of domestic pharmaceutical companies have not been established yet. One of the internationally recognized guidelines for monitoring manufacturing processes in pharmaceutical companies is Good Manufacturing Practice (GMP), recommended by World Health Organization (WHO). Therefore, this study aimed to assess whether a pharmaceutical company in Kabul, Afghanistan adheres to the GMP standards established by WHO. Method: A descriptive cross-sectional study was conducted to assess the WHO-delineated GMP compliance of 25 pharmaceutical companies in Kabul, Afghanistan. The inspection checklist was developed by Afghanistan's National Medicine and Healthcare Products Regulatory Authority (NMHRA) using the WHO-delineated GMP guidelines. In addition, direct observation, interviews with respective delegates, and documentation reviews were conducted to collect research data. Result: Only 38.33% (1.14 ± 1.08) of GMP contents were complied. Personnel 66.67% (2 ± 1.15) and materials 58.67% (1.76 ± 1.11) were the most commonly complied components, whereas the product recall 12.98% (0.39 ± 0.85), quality assurance 16.44% (0.49 ± 0.81) and quality control laboratory 28.35% (0.85 ± 1.12) were the least complied ones. Conclusion: None of the GMP components was fully adhered to by the pharmaceutical companies in Kabul, Afghanistan. Quality control and assurance should be implemented immediately, including validation and qualification practices. [ABSTRACT FROM AUTHOR]