Marie Munch, Signe Hjelen Stige, Steinunn Adólfsdóttir, Lin Sørensen, Berge Osnes
{"title":"\"They are just as different as the rest of us\" - a focus group study of primary teachers' perceptions of children with ADHD who struggle socially.","authors":"Marie Munch, Signe Hjelen Stige, Steinunn Adólfsdóttir, Lin Sørensen, Berge Osnes","doi":"10.1080/17482631.2025.2465215","DOIUrl":"https://doi.org/10.1080/17482631.2025.2465215","url":null,"abstract":"<p><strong>Purpose: </strong>Difficulties in peer interactions are common among children with ADHD and associated with severe consequences. Prevailing interventions have been criticized for not accounting for the significance of context and for limited effect on important social outcomes. Given the importance of the school environment and the teacher for children's social development, we wanted to explore how teachers perceive their own role and responsibilities when children are struggling socially, and how they intervene in their daily practice.</p><p><strong>Methods: </strong>We conducted semi-structured interviews in five focus groups of primary school teachers in Bergen, Norway and analysed the data through reflexive thematic analysis.</p><p><strong>Results: </strong>We discerned two overarching themes, each with several subthemes. The first theme, \"Monitoring and Attending to Individual Needs in a Context\", represents teachers' perceptions of their role and responsibilities. The second theme, \"Tailoring Interventions Through Continuous Assessments\", represents the teachers' strive to fulfil this role in their everyday practice.</p><p><strong>Conclusion: </strong>Our findings reflect a complex, contextual understanding of social difficulties, acknowledging the uniqueness of each child, regardless of diagnosis. The teachers' practice was characterized by continuous tailoring to accommodate the specific, contextualized needs of each child, both \"behind the scenes\" and trough participating in children's everyday social interactions.</p>","PeriodicalId":51468,"journal":{"name":"International Journal of Qualitative Studies on Health and Well-Being","volume":"20 1","pages":"2465215"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Communication needs and support for children and adolescents with complex communication needs requiring hospitalization in Hong Kong: an explorative study.","authors":"Lucia Tsang, Lorinda Lam, Elaine Siu, Catherine Lam, Cynthia Leung","doi":"10.1080/17482631.2024.2446025","DOIUrl":"https://doi.org/10.1080/17482631.2024.2446025","url":null,"abstract":"<p><strong>Purpose: </strong>Children with complex communication needs face particular challenges during hospitalization. This study aimed to understand the situation for hospitalized Hong Kong Chinese children with complex communication needs.</p><p><strong>Methods: </strong>Six group interviews were conducted with 23 participants, including nurses, doctors, adolescents with acquired brain injury, parents of children with acquired brain injury or cerebral palsy, and community-based therapists.</p><p><strong>Results: </strong>Parents and children reported unmet physical and emotional needs due to lack of communication. Healthcare providers felt that direct communication with children was not essential, expecting that parents serve as proxy in conveying needs. The passive interaction mode of Chinese parents, and their increased vigilance in protecting their children, further reduced opportunities for direct child-healthcare provider interaction. Limited patient communication protocols were reported, while tight hospital space discouraged bedside communication activities and tools. Community therapists who knew these children were not involved in pre-admission handover.</p><p><strong>Conclusion: </strong>To address the communication barriers, changes in the healthcare, education, and community systems are proposed. Empowerment of the children and parents to promote direct patient-healthcare provider communication, dissemination of simple protocols and bedside communication tools, time allowance for staff to interact with the children, pre-/in-service staff training, and collaboration with community healthcare providers are recommended.</p>","PeriodicalId":51468,"journal":{"name":"International Journal of Qualitative Studies on Health and Well-Being","volume":"20 1","pages":"2446025"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142886422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Silje Nord-Baade, Ottar Ness, Michael Rowe, Camilla Bergsve Jensen, Anne Landheim
{"title":"\"I've always felt like I'm on the outside\": identity and social inclusion among young adults with mental illness and complex needs - a qualitative study.","authors":"Silje Nord-Baade, Ottar Ness, Michael Rowe, Camilla Bergsve Jensen, Anne Landheim","doi":"10.1080/17482631.2024.2433320","DOIUrl":"10.1080/17482631.2024.2433320","url":null,"abstract":"<p><strong>Purpose: </strong>Addressing social inclusion often involves objective measures and means related to work, education, housing and economy. However, important subjective factors, such as the relationship between identity on social inclusion among young adults with mental illness and complex needs, are understudied. The study objective is to explore how young adults with mental illness and complex needs experience their identity in relation to social inclusion.</p><p><strong>Materials and methods: </strong>The study adopted a qualitative, explorative, and participatory design. Seven young adults (three males/four females, aged 22-29) were recruited though Flexible Assertive Community Treatment (FACT) Teams, and semi-structured interviews were conducted. Reflexive thematic analysis was employed in the analysis.</p><p><strong>Results: </strong>The analysis resulted in two main themes. Theme one, \"Who they are\", included three subthemes: \"A lifelong sense of being someone on the outside\", \"Feeling different from others\", and \"Someone who is worthless and doesn't matter\". Theme two, \"Who they want to be\", included two subthemes \"Wanting to be someone else\", and \"The need to redefine oneself\".</p><p><strong>Conclusions: </strong>This study underlines the importance of working systematically on subjective aspects such as identity, in addition to objective measures, to address social exclusion in a vulnerable and marginalized group. Future directions for research and the development of a more tangible and holistic approach to promote social inclusion are suggested.</p>","PeriodicalId":51468,"journal":{"name":"International Journal of Qualitative Studies on Health and Well-Being","volume":"20 1","pages":"2433320"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11632936/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142796433","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":"\"<i>Living their best life</i>\": PhotoVoice insights on well-being, inclusion, and access to public spaces among adolescent refugee girls in urban resettlement.","authors":"Alli Gillespie, Zahyyeh Abu-Rubieh, Lily Coll, Manar Matti, Carine Allaf, Ilana Seff, Lindsay Stark","doi":"10.1080/17482631.2024.2431183","DOIUrl":"10.1080/17482631.2024.2431183","url":null,"abstract":"<p><strong>Purpose: </strong>Newcomer adolescent girls from the Middle East and North Africa region face intersectional challenges and opportunities upon resettlement. This study employs PhotoVoice participatory research methodology to explore perspectives on well-being and belonging shared by six students who resettled to Chicago from Iraq and Syria.</p><p><strong>Methods: </strong>Two programme sessions consisted of participants reflecting on their photographic responses to four prompts in focus group discussions. The subsequent four sessions included qualitative analysis skill building, participant-led generation of thematic codes and diagrams using their data, and the creation of action plan posters to share back with the community. The research team then analysed all data using a grounded theory approach with constant comparative analysis.</p><p><strong>Results: </strong>Four major themes emerged: 1) public spaces served as a vehicle for exploring well-being and belonging; 2) intersectional inclusion in public spaces was deemed a vital priority; 3) schools held an important role in facilitating belonging and access to public spaces; and 4) language was a critical barrier and facilitator to access and inclusion.</p><p><strong>Conclusions: </strong>Findings highlight the need for holistic approaches to support refugee youth in urban contexts and emphasize the role of schools in facilitating inclusive access to public spaces to strengthen newcomer students' well-being and belonging.</p>","PeriodicalId":51468,"journal":{"name":"International Journal of Qualitative Studies on Health and Well-Being","volume":"20 1","pages":"2431183"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11632926/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142796430","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}
Francis Sichimba, Kalunga Cindy Nakazwe, Lena Halawi, Atika Khalaf
{"title":"Exploring exclusive breastfeeding readiness: experiences of first-time mothers in Lusaka, Zambia.","authors":"Francis Sichimba, Kalunga Cindy Nakazwe, Lena Halawi, Atika Khalaf","doi":"10.1080/17482631.2025.2463159","DOIUrl":"10.1080/17482631.2025.2463159","url":null,"abstract":"<p><strong>Background: </strong>The World Health Organization recommends exclusive breastfeeding for the first six months of a baby's life. While many studies have provided insight into exclusive breastfeeding in Zambia, few have looked at the experiences of first-time mothers and exclusive breastfeeding readiness.</p><p><strong>Objective: </strong>To explore exclusive breastfeeding readiness and experiences of first-time mothers in Zambia.</p><p><strong>Methods: </strong>A qualitative descriptive study employing a phenomenological design was conducted with 17 mothers. Data was collected using a semi-structured face-to-face interview guide. Thematic analysis was used to analyse the interview transcripts.</p><p><strong>Results: </strong>The analysis resulted in an overarching theme: <i>Breastfeeding Readiness-A Multifaceted Approach</i> with four categories: Exclusive Breastfeeding Readiness and Motivation, Support Networks in the Breastfeeding Journey, Navigating the Exclusive Breastfeeding Journey, and Perceived Resources to Support Exclusive Breastfeeding Readiness.</p><p><strong>Conclusions: </strong>Based on the findings, it is evident that although first-time mothers have knowledge on exclusive breastfeeding, mentally and practically, they are not ready to do so successfully. The study recommends improved prenatal and postnatal care provided to new mothers, with a focus on mental health readiness, breastfeeding instruction, and skills development.</p>","PeriodicalId":51468,"journal":{"name":"International Journal of Qualitative Studies on Health and Well-Being","volume":"20 1","pages":"2463159"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143384017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Manmeet Kaur, Abhishek Sharma, P P Vijin, Rupinder Kaur, Rajbir Kaur, G Anupama, Prabhjot Singh, V K Bansal, Nidhi Sharma, Mona Sahni, Jyoti Gupta, Pvm Lakshmi, Rajesh Kumar
{"title":"Exploring the complexities of slum vulnerability in Haryana, India: a qualitative research journey into economic, social, physical, and health dimensions.","authors":"Manmeet Kaur, Abhishek Sharma, P P Vijin, Rupinder Kaur, Rajbir Kaur, G Anupama, Prabhjot Singh, V K Bansal, Nidhi Sharma, Mona Sahni, Jyoti Gupta, Pvm Lakshmi, Rajesh Kumar","doi":"10.1080/17482631.2024.2432692","DOIUrl":"10.1080/17482631.2024.2432692","url":null,"abstract":"<p><strong>Purpose: </strong>The study explores the conditions contributing to slum dweller's vulnerability to poor health and examines interplay between economic, physical/infrastructural, and social factors affecting health status to inform policy and programme.</p><p><strong>Methods: </strong>The methodology deployed for data analysis was mixed deductive-inductive. A deductive framework was adapted for categorizing the data into four broad themes: Economic, Physical/Infrastructure, Social, and Health. Using Braun and Clarke's principle, we also mapped sub themes based on researchers' insights with the experiences shared by the slum populations. The study was conducted across 13 districts in slum areas to gather information from vulnerable groups based on the 40 focus group discussions.</p><p><strong>Findings: </strong>Poverty serves as a primary driver of domestic/internal migration from rural to urban areas, aggravating issues such as illiteracy, unemployment, and inadequate living conditions, which predispose slum dwellers to various health problems. Limited access to food, poor water quality, and improper waste disposal further compound health risks. People living in slums face economic, social, and physical vulnerabilities leading to health vulnerability and outcome.</p><p><strong>Conclusions: </strong>Enhancing the health and well-being of slum dwellers requires adopting an integrated and comprehensive approach of policy intervention, community mobilization, and multisectoral intervention.</p>","PeriodicalId":51468,"journal":{"name":"International Journal of Qualitative Studies on Health and Well-Being","volume":"20 1","pages":"2432692"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11650438/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830822","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}
Geir Tarje Bruaset, Jennifer Drummond Johansen, Tine K Grimholt
{"title":"The tip of an iceberg? Adult children's experiences with parental suicidal behaviour in childhood.","authors":"Geir Tarje Bruaset, Jennifer Drummond Johansen, Tine K Grimholt","doi":"10.1080/17482631.2025.2459299","DOIUrl":"10.1080/17482631.2025.2459299","url":null,"abstract":"<p><strong>Purpose: </strong>This study examined how children exposed to parental suicidal behaviour experienced their parents' suicide attempts, their relationship with their parents, and family life from childhood to adult life.</p><p><strong>Methods: </strong>This qualitative, exploratory study conducted semi-structured interviews with 11 participants recruited from next-of-kin organizations and social media. Open-ended interviews addressed childhood experiences, perceived difficulties, and helpful aspects. Interviews lasted approximately 70 minutes and were recorded and transcribed. Thematic analysis was utilized to analyse the data.</p><p><strong>Results: </strong>We identified two main themes: an unstable, unpredictable upbringing environment and a lifelong responsibility. Participants did not regard their parent's suicide attempt as the most traumatic event of their childhood. Instead, they identified parental instability due to serious mental illness and/or substance abuse as the most stressful factor. This instability imposed significant emotional and practical responsibilities on the children, forcing them to sacrifice their own development and sense of security. Responsibility was characterized as a life lasting burden.</p><p><strong>Conclusions: </strong>Adult children of parents with suicidal behaviour reported that their parent's mental illness was the most burdensome aspect of their upbringing, leading to an unstable home with significant responsibilities. These individuals require professional follow-up and should be offered individual counselling sessions as a clinical intervention.</p>","PeriodicalId":51468,"journal":{"name":"International Journal of Qualitative Studies on Health and Well-Being","volume":"20 1","pages":"2459299"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11789215/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069454","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":"Cultural differences in diagnosis and treatment perceptions: Turkish collectivistic representations of common mental disorders.","authors":"Iclal Yildiz, Els Rommes, Enny Das","doi":"10.1080/17482631.2025.2459353","DOIUrl":"10.1080/17482631.2025.2459353","url":null,"abstract":"<p><strong>Purpose: </strong>Attention-deficit/hyperactivity disorder (ADHD) is less diagnosed among Turkish children, and Turkish clients drop out more often from depression treatments than Dutch clients. This article proposes that cultural differences in collectivistic versus individualistic perceptions of getting an ADHD diagnosis and being treated for depression might explain these ethnic disparities, which have been explored in this study.</p><p><strong>Methods: </strong>Nine focus group discussions with Turkish individuals and 18 interviews with primary mental health practitioners were conducted.</p><p><strong>Results: </strong>Findings show that Turkish participants do not view ADHD symptoms as problematic. Parents generally do not want children to be labelled as such and get professional help because they fear this will cause interpersonal problems. Depression is seen as problematic, as it disturbs social relationships and communities. However, Turkish participants prefer mediation to cognitive behavioural therapy, since the latter does not solve interpersonal problems.</p><p><strong>Conclusions: </strong>Our findings highlight a dissonance between individualistic/biomedical and collectivistic/socioecological views on health and wellbeing, in which the focus is on the individual for the Dutch versus the social group for the Turkish. To match Turkish clients' needs, mental health professionals should tread carefully in ADHD labelling. With depression, professionals might consider interventions such as mediation in interpersonal conflicts to improve treatment adherence and outcomes.</p>","PeriodicalId":51468,"journal":{"name":"International Journal of Qualitative Studies on Health and Well-Being","volume":"20 1","pages":"2459353"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11780694/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061323","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":"Parents' wellbeing: perceptions of happiness and challenges in parenthood in Latin America.","authors":"Angel Urbina-Garcia","doi":"10.1080/17482631.2025.2454518","DOIUrl":"10.1080/17482631.2025.2454518","url":null,"abstract":"<p><strong>Introduction: </strong>Traditional research on parenthood and wellbeing often employs a positivist perspective and focuses on non-LA samples -limiting our knowledge and understanding of the influence of cultural components such as Machismo and Marianismo, have in parents' wellbeing. This study explored how Latin American (LA) parents' wellbeing is influenced by parenthood in a culture strongly influenced by such gender-based perspectives.</p><p><strong>Methods: </strong>An interpretative perspective was employed to qualitatively explore fifteen LA parents' lived experiences and data were analysed via Thematic Analysis. The American Psychological Association's Journal Article Reporting Standards for Qualitative Research (JARS-Qual), was followed to compile this paper.</p><p><strong>Results: </strong>Results showed that socio-economic factors such as crime, violence, and economic inequality, negatively influence parents' wellbeing -emotions experienced and life satisfaction.</p><p><strong>Discussion: </strong>Parents find joy in sharing own personal experiences with their children and passing on gender-based models. However, parents perceive family pressure as a \"burden\" when expected to follow principles of Machismo/Marianismo. Similar to Asian, but unlike European parents, LA parents experience a mixture of positive and negative emotions whilst parenting -shaped by Machismo and Marianismo. This study makes a unique contribution by uncovering the unique influence of LA socio-economic challenges and cultural impositions and expectations and its influence on parental wellbeing.</p>","PeriodicalId":51468,"journal":{"name":"International Journal of Qualitative Studies on Health and Well-Being","volume":"20 1","pages":"2454518"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11753012/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015941","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":"'At the heart of the community' - a Somali woman's experience of 'alignment' of support to escape social isolation in pregnancy and early motherhood.","authors":"Tom Allport, Hannah Briggs, Fatumo Osman","doi":"10.1080/17482631.2024.2439467","DOIUrl":"10.1080/17482631.2024.2439467","url":null,"abstract":"<p><strong>Purpose: </strong>Stresses in pregnancy and early motherhood can affect women's health and wellbeing, and babies' development. Migrant women face compounding stressors from the intersection of gender, race, social class, migration, and language. We explored one Somali woman's experience of pregnancy and the transition to motherhood, following migration to an urban environment in the Global North, aiming to understand resilience in this specific socio-cultural context.</p><p><strong>Methods: </strong>This case study used interpretative phenomenological analysis of a single two-hour semi-structured interview with a Somali woman in the UK to explore how this experience may have relevance for communities and practitioners in the Global North.</p><p><strong>Results: </strong>We identified two overarching themes in this woman's experience: \"vicious\" and \"virtuous\" circles, attempting to make sense of her experience of isolation and lack of wellbeing, and subsequent confidence, engagement, and community-building.</p><p><strong>Conclusions: </strong>An experience of \"alignment\" in social relationships appeared to make possible the shift from \"vicious\" to \"virtuous\" circle, which enabled escape from social isolation. This account of transformation-from social isolation to community contribution-underlines the role of community organizations facilitating positive social networks and peer support during pregnancy and early motherhood.</p>","PeriodicalId":51468,"journal":{"name":"International Journal of Qualitative Studies on Health and Well-Being","volume":"20 1","pages":"2439467"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11656756/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848399","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}