International Journal of Qualitative Studies on Health and Well-Being最新文献

{"title":"Health and health management among motorcycle-based food delivery workers in South Korea: a qualitative interview study.","authors":"Sookyung Kim, Min Soo Woo, Soyun Hong","doi":"10.1080/17482631.2026.2613971","DOIUrl":"10.1080/17482631.2026.2613971","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to qualitatively examine the daily lives of motorcycle-based food delivery workers, focusing on how they experience, perceive, and interpret their health-related issues.</p><p><strong>Methods: </strong>Semi-structured in-depth interviews were conducted with nine MFDWs in South Korea between July and September 2024 to explore their perceptions of health. Participants were recruited through purposive and snowball sampling, and data were analyzed using thematic analysis.</p><p><strong>Results: </strong>Thematic analysis revealed the following key findings: MFDWs' challenging working conditions posed physical and emotional stressors, which contributed to negligent driving and unhealthy habits. Although they recognized traffic accidents as the most critical health risk, they exhibited a tendency toward risky driving behaviors. Unhealthy lifestyles were linked to further health deterioration. While the majority showed a passive attitude toward health management, a few adopted individual strategies to maintain their health.</p><p><strong>Conclusions: </strong>The findings suggest the need for policy-level attention to mitigate traffic accident risk factors among MFDWs. Larger and more diverse studies are required to confirm these findings and to provide a stronger evidence base for policy recommendations. In addition, delivery applications could be further refined to help reduce occupational risks, and the development of tailored health promotion interventions may support their health and well-being.</p>","PeriodicalId":51468,"journal":{"name":"International Journal of Qualitative Studies on Health and Well-Being","volume":"21 1","pages":"2613971"},"PeriodicalIF":2.4,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12794690/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145953891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Balancing hope and uncertainty: family perspectives on lung transplantation in cystic fibrosis - a qualitative study.","authors":"Ulrika Skogeland, Isabelle de Monestrol, Tove Godskesen","doi":"10.1080/17482631.2026.2620417","DOIUrl":"10.1080/17482631.2026.2620417","url":null,"abstract":"<p><strong>Purpose: </strong>Cystic fibrosis (CF) is a genetic disease primarily affecting the lungs and digestive system. Individuals with advanced CF lung disease may require transplantation to survive. Family members often take on significant caregiving roles, facing both emotional and practical challenges throughout the transplantation process. This study explores the experiences of such family members to inform and improve supportive care practices.</p><p><strong>Method: </strong>Employing a naturalistic, exploratory design, this qualitative study used purposive sampling to recruit 19 family members of lung transplant recipients with CF. Data were collected through semi-structured interviews and analysed using reflexive thematic analysis.</p><p><strong>Results: </strong>The analysis identified three main themes and eight subthemes: (I) balancing hope and despair on the waiting list, (II) navigating challenges and finding relief after the transplantation, and (III) unmet support and informational needs before and after transplantation.</p><p><strong>Conclusion: </strong>This study highlights the emotional burden and caregiving responsibilities shouldered by family members of individuals with CF who have undergone lung transplantation. The findings emphasise the importance of person- and family-centred interventions, including support for palliative care discussions. A more structured and inclusive framework is essential to address the often-overlooked needs of families throughout the transplantation process.</p>","PeriodicalId":51468,"journal":{"name":"International Journal of Qualitative Studies on Health and Well-Being","volume":"21 1","pages":"2620417"},"PeriodicalIF":2.4,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12833888/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146042144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Confronting fear and uncertainty: adults' experiences of undergoing a food challenge test for food allergy.","authors":"Melina Makatsori, Anne Miles","doi":"10.1080/17482631.2026.2626841","DOIUrl":"10.1080/17482631.2026.2626841","url":null,"abstract":"<p><strong>Background: </strong>Oral food challenges are indicated when food allergies cannot be confirmed by clinical history or investigations, such as blood or skin-prick tests. However, few studies have examined adults' experiences of oral food challenges.</p><p><strong>Methods: </strong>Semi-structured, individual interviews were conducted with 18 adults who had undergone an oral food challenge at a UK hospital.</p><p><strong>Results: </strong>Three main themes were identified using thematic analysis, describing experiences before, during, and after testing: \"A limited and scared life,\" \"facing fear and uncertainty in a safe environment,\" and \"living with revised boundaries.\" Prior to the test, participants described a life characterized by fear of reactions, hypervigilance, planning and restrictive diets, limiting social participation. During testing, participants experienced an emotional rollercoaster, confronting something previously avoided, which could potentially cause a severe reaction. After testing, participants reported reduced fear and uncertainty following clarification of their allergies, leading to greater freedom, and for those who tested negative, a return to viewing food as a source of pleasure, rather than fear.</p><p><strong>Conclusions: </strong>Oral food challenges reduce fear and uncertainty surrounding allergies, providing clarity about which foods trigger reactions. Greater availability of oral food challenges would enable adults with suspected allergies to live less restricted and more enjoyable lives.</p>","PeriodicalId":51468,"journal":{"name":"International Journal of Qualitative Studies on Health and Well-Being","volume":"21 1","pages":"2626841"},"PeriodicalIF":2.4,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12884989/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146133047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"Temporal meaning-making of women's emotional experiences during the infertility treatment process: a qualitative study\".","authors":"Nevra Karaca Biçakçi, Ayşe Çalmaz, Birsen Altay","doi":"10.1080/17482631.2026.2672214","DOIUrl":"10.1080/17482631.2026.2672214","url":null,"abstract":"<p><strong>Purpose: </strong>This study examines women's emotional experiences during infertility treatment through the perspective of temporality, focusing on pre-diagnosis meanings, treatment experiences, and future expectations.</p><p><strong>Method: </strong>Using a descriptive phenomenological approach, semi-structured in-depth interviews were conducted with 19 women undergoing infertility treatment. Data were analyzed using Giorgi's method.</p><p><strong>Results: </strong>Infertility represents a 'biographical disruption' deeply affecting self-perception and social identity. Pre-diagnosis meanings attributed to motherhood deepen the trauma at diagnosis. The treatment process is an 'extended present' oscillating between hope and uncertainty, involving bodily objectification and intense social pressure.</p><p><strong>Conclusion: </strong>Infertility is a multi-layered traumatic process. Health professionals should adopt a supportive care approach prioritizing women's temporal integrity and psychosocial well-being alongside medical outcomes.</p>","PeriodicalId":51468,"journal":{"name":"International Journal of Qualitative Studies on Health and Well-Being","volume":"21 1","pages":"2672214"},"PeriodicalIF":2.4,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13173580/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147935231","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychosocial empowerment following orthognathic surgery for patients born with cleft lip and/or palate.","authors":"Joakim Lundberg, Mats Sjöström, Jenny Molin","doi":"10.1080/17482631.2026.2674347","DOIUrl":"10.1080/17482631.2026.2674347","url":null,"abstract":"<p><strong>Background: </strong>Individuals born with cleft lip and/or palate (CLP) may experience functional, esthetic and psychosocial challenges. While orthognathic surgery is performed to correct jaw discrepancies, knowledge about patients' experiences of this treatment remains limited, as previous research has largely relied on quantitative quality-of-life measures.</p><p><strong>Objective: </strong>This study aimed to illuminate the experiences of individuals with CLP undergoing orthognathic surgery.</p><p><strong>Methods: </strong>An inductive qualitative design was used. Individual semi-structured interviews were conducted with 16 adults treated with orthognathic surgery. Data were analyzed using qualitative content analysis.</p><p><strong>Results: </strong>One overarching theme, <i>Emerging empowered through a life-changing challenge,</i> described surgery as, for many, a transformative process extending beyond functional and esthetic correction. Three themes described participants' experiences: being highly motivated for change, overcoming tough setbacks through a stable backing system, and enhancing self-confidence. While many participants described increased confidence and social ease over time, empowerment was neither universal nor immediate, with some reported neutral or context-dependent psychosocial outcomes.</p><p><strong>Conclusions: </strong>Orthognathic surgery may be experienced as a transformative process within a lifelong CLP trajectory, with potential to foster psychosocial empowerment and renewed self-confidence. These findings highlight both the transformative possibilities and the contextual variability of surgical outcomes in person-centered cleft care.</p>","PeriodicalId":51468,"journal":{"name":"International Journal of Qualitative Studies on Health and Well-Being","volume":"21 1","pages":"2674347"},"PeriodicalIF":2.4,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13182144/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147950299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"There's no place like home, but…\": dependent older adults' narratives on the health and well-being limits of ageing in place.","authors":"Sandra Escapa, Albert Julià, Marga Marí-Klose, Maria Cursach, Pedro Gallo","doi":"10.1080/17482631.2026.2647084","DOIUrl":"10.1080/17482631.2026.2647084","url":null,"abstract":"<p><strong>Background: </strong>In ageing societies, understanding the lived experiences of dependent older adults is essential for designing care policies that support health, dignity, and well-being. While ageing in place is widely promoted, less is known about how dependent older adults themselves define its limits.</p><p><strong>Aim: </strong>This study examines how dependent older adults describe the conditions under which ageing in place supports-or undermines- their dignity and quality of life.</p><p><strong>Methods: </strong>We conducted 30 in-depth interviews with individuals aged 65 and older in Barcelona, Spain, all officially recognized as having some degree of dependency. Interviews were analysed using a thematic approach, according to environmental gerontology and person-environment fit frameworks.</p><p><strong>Results: </strong>Ageing in place emerged not as a fixed preference but as a fragile and continuously negotiated process of the person-place relationship. Remaining at home is sustained by symbolic autonomy and attachment to familiar environments, supporting control over daily routines and a sense of dignity. At the same time, participants described a state of care liminality, continuously reassessing their ability to remain at home in light of anticipated health decline. Three interconnected boundaries emerged: deteriorating health, perceived burden on family members, and loneliness.</p><p><strong>Conclusions: </strong>Ageing in place among dependent older adults should be understood as a conditional and relational process rather than a universal ideal. Recognising older adults' own definitions of its limits is essential for designing responsive care policies.</p>","PeriodicalId":51468,"journal":{"name":"International Journal of Qualitative Studies on Health and Well-Being","volume":"21 1","pages":"2647084"},"PeriodicalIF":2.4,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13007409/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147488426","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"Courtesy stigma\": associative stigma experienced by Indonesian mental health nurses working in a psychiatric setting: a qualitative study.","authors":"Muhammad Arsyad Subu, Henny Suzana Mediani, Janisha Kavumpurath, Alounoud Mohamed Salman Al Marzouqi, Jacqueline Maria Dias, Mini Sara Abraham, Vidya Seshan, Heba Khalil, Sawsan Abuhammad, Heba Hijazi, Fatma Refaat Ahmed, Nabeel Al-Yateem","doi":"10.1080/17482631.2026.2646245","DOIUrl":"10.1080/17482631.2026.2646245","url":null,"abstract":"<p><strong>Background: </strong>Mental health is crucial for emotional and personal well-being, healthy relationships, and effective community contribution. The stigma associated with mental illness often diminishes the therapeutic alliances between those with mental illness and healthcare practitioners. Courtesy stigma refers to the social disapproval people encounter due to their association with individuals from a stigmatized group. This study aimed to explore the associative stigma experienced by psychiatric nurses working with individuals with mental illnesses in an Indonesian psychiatric setting.</p><p><strong>Methods: </strong>This is a qualitative descriptive approach. We recruited 25 nurses from a psychiatric hospital in Makassar, Indonesia. We conducted semi-structured interviews, and the data were analyzed using a thematic analysis approach.</p><p><strong>Results: </strong>We identified four themes: 1) perspectives of working in a psychiatric hospital; 2) barriers to working in the psychiatric hospital; 3) elements of courtesy stigma; and 4) the reasons for courtesy stigma.</p><p><strong>Conclusions: </strong>This study found that nurses working in mental health hospitals experienced stigma by association with patients with mental illness. Public education and the expansion of community mental healthcare are essential measures to reduce the effects of associative stigma. Further research is necessary to identify the factors contributing to the preponderance of associations among mental health nurses employed in Indonesian mental health settings.</p>","PeriodicalId":51468,"journal":{"name":"International Journal of Qualitative Studies on Health and Well-Being","volume":"21 1","pages":"2646245"},"PeriodicalIF":2.4,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13021015/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147516577","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Midwives' lived experiences of obstetric violence: a hermeneutic phenomenological study.","authors":"Irene Antúnez-Calvente, Juana María Vázquez-Lara, Luciano Rodríguez-Díaz, Azahara Ruger-Navarrete, Beatriz Mérida-Yáñez, Juan Gómez-Salgado, María Dolores Vázquez-Lara, Francisco Javier Riesco-González, Francisco Javier Fernández-Carrasco","doi":"10.1080/17482631.2026.2673288","DOIUrl":"10.1080/17482631.2026.2673288","url":null,"abstract":"<p><strong>Background: </strong>Obstetric violence encompasses harmful practices and care dynamics during pregnancy, childbirth, and postpartum that undermine women's dignity, autonomy, and rights, and is associated with structural, gender, and organisational factors in maternity care.</p><p><strong>Objectives: </strong>To explore how midwives understand, experience, and interpret obstetric violence in delivery room settings, including its perceived causes and contextual conditions.</p><p><strong>Methods: </strong>A qualitative study based on Gadamerian hermeneutic phenomenology was conducted with ten hospital midwives from two public hospitals in Andalusia and Catalonia. Semi-structured interviews (November 2024-April 2025) were audio-recorded, transcribed verbatim, and analysed iteratively using ATLAS.ti, with researcher triangulation and participant validation.</p><p><strong>Results: </strong>Midwives described obstetric violence as a multifactorial phenomenon influenced by women's vulnerability, communication, professional practices, and healthcare system conditions. Woman-centred care, communication, and professional autonomy were identified as protective factors, while workload and institutional constraints hindered individualised care. This study contributes an underexplored midwifery perspective to a field mainly focused on women's experiences.</p><p><strong>Conclusions: </strong>Preventing obstetric violence requires strengthening communication, informed consent, women's participation, professional education, and organisational conditions that support respectful, woman-centred maternity care. Obstetric violence should be interpreted not only in relation to individual intent, but also in relation to its relational, structural, and experiential dimensions.</p>","PeriodicalId":51468,"journal":{"name":"International Journal of Qualitative Studies on Health and Well-Being","volume":"21 1","pages":"2673288"},"PeriodicalIF":2.4,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13178038/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147943705","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Deterioration in mental health: towards a conceptualization based on patients' perspectives.","authors":"Janne Låver, Andrew Athan McAleavey, Irene Valaker, Janne-Merete Torset Øien, Christian Moltu","doi":"10.1080/17482631.2026.2644587","DOIUrl":"10.1080/17482631.2026.2644587","url":null,"abstract":"<p><strong>Purpose: </strong>This study explores the concept of deterioration from the perspective of patients with mental-health problems, aiming to increase our understanding of this complex phenomenon.</p><p><strong>Method: </strong>Participants were 15 patients in an outpatient public mental health setting. Transcribed interviews were analyzed using thematic analysis.</p><p><strong>Results: </strong>An overarching theme and four subthemes were identified. The main theme (an overwhelming sense of depletion from being in constant vigilance) encompasses experiences with deterioration as an ever-present potential participants had to plan for, and protect themselves from. In subtheme 1 (losing or having one's perspective changed), participants described increased symptoms, relational problems, and avoidance. In subtheme 2 (being in a state of negative emotional reactivity), participants described feeling brittle and easily negatively affected by life events. Subtheme 3 (experiencing physical and psychological pain), encompasses experiences with increased or newly emerged pain, related to psychological distress. Subtheme 4 (becoming less authentic with oneself and others), details how participants intentionally or unintentionally hide their symptoms and difficulties.</p><p><strong>Conclusion: </strong>Mental health deterioration is a multifaceted concept that includes, but is not limited to symptomatic increases. Patients' overall life functioning and the fact that patients may choose to hide their symptoms must also be taken into account.</p>","PeriodicalId":51468,"journal":{"name":"International Journal of Qualitative Studies on Health and Well-Being","volume":"21 1","pages":"2644587"},"PeriodicalIF":2.4,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12997359/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147470209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Postural health education in schools: teachers' perspectives on well-being, inequities, and institutional constraints.","authors":"Marco A García-Luna, António Camilo Cunha, Carmen Manchado, Juan M Cortell-Tormo","doi":"10.1080/17482631.2026.2674331","DOIUrl":"10.1080/17482631.2026.2674331","url":null,"abstract":"<p><strong>Purpose: </strong>Postural health remains an underexamined dimension of school-based health education, despite its relevance for students' wellbeing and long-term musculoskeletal health. This study explores how Physical Education teachers conceptualise and implement postural health education, and which factors shape its enactment.</p><p><strong>Methods: </strong>A qualitative descriptive-interpretive design was adopted. Semi-structured interviews were conducted with 30 Physical Education teachers from primary and secondary schools in Spain. Data were audio-recorded, transcribed verbatim, and analysed using reflexive thematic analysis within a constructivist framework.</p><p><strong>Results: </strong>Five interrelated themes captured a tension between teachers' strong valuation of postural health and its marginal curricular status. These themes reflected (i) its recognised but limited curricular integration; (ii) fragmented conceptualisations and uneven pedagogical content knowledge; (iii) predominantly sporadic and unstructured implementation; (iv) insufficiently practice-oriented training; and (v) a strong demand for practical and institutional support. Conceptualisations ranged from hygiene-oriented approaches to more integrative understandings linked to motor control and physical literacy. Implementation was shaped by limited training, scarce resources, and low institutional prioritisation.</p><p><strong>Conclusions: </strong>Findings reveal a gap between the perceived importance of postural health and the structures supporting its implementation. Addressing this gap requires context-sensitive approaches that strengthen pedagogical support and curricular alignment.</p>","PeriodicalId":51468,"journal":{"name":"International Journal of Qualitative Studies on Health and Well-Being","volume":"21 1","pages":"2674331"},"PeriodicalIF":2.4,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13178034/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147943711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}