SSM. Qualitative research in health最新文献

{"title":"Non-epileptic attack disorder (NEAD): trauma and life events, context and meaning","authors":"Marian Peacock ,&nbsp;Paul Bissell ,&nbsp;Markus Reuber ,&nbsp;Cordelia Gray ,&nbsp;Richard Grünewald ,&nbsp;Jon M. Dickson","doi":"10.1016/j.ssmqr.2025.100578","DOIUrl":"10.1016/j.ssmqr.2025.100578","url":null,"abstract":"<div><div>This paper makes the case for a re-consideration of the role of trauma and life events – and crucially, their social and political context – in relation to non-epileptic attack disorder (NEAD). Trauma and adverse life events have well established links with many health conditions and whilst they are acknowledged to play a part in NEAD, more recent research suggests that such events are not ubiquitous. Currently, when events are seen as salient this is most commonly interpreted in relation to properties of the individual and their agency. Context – social and political factors - are seldom integrated or considered.</div><div>This paper presents findings from a study which examined how trauma and life events were understood by participants, how frequently trauma and life events were present in participants’ accounts and in what ways they may be salient as predisposing, precipitating or perpetuating factors in NEAD. Employing a validated a life history questionnaire to purposively sample participants with high and low levels of self-reported trauma, we deployed a narrative interview approach which elicited rich descriptions of life experiences.</div><div>We found that descriptions of trauma or adverse life events were present in all our participants and that these events were shaped by social contexts of their lives. We propose that the method used to collect trauma data is central to what is found and that a recognition of the social and political context, and their meanings, results in a more nuanced understanding of the place of trauma and life events.</div></div>","PeriodicalId":74862,"journal":{"name":"SSM. Qualitative research in health","volume":"8 ","pages":"Article 100578"},"PeriodicalIF":1.8,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144230594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of the COVID-19 pandemic on access to harm reduction and treatment services among people who inject drugs in Toronto, Canada: A qualitative investigation","authors":"Gillian Kolla ,&nbsp;Jeanette M. Bowles ,&nbsp;Katie Upham ,&nbsp;Hannah Ali ,&nbsp;Seff Pinch ,&nbsp;Hafza Majid ,&nbsp;Laila Bellony ,&nbsp;Dan Werb ,&nbsp;Sanjana Mitra","doi":"10.1016/j.ssmqr.2025.100569","DOIUrl":"10.1016/j.ssmqr.2025.100569","url":null,"abstract":"<div><div>The COVID-19 pandemic and related restrictions exacerbated Canada's ongoing drug toxicity overdose crisis. Opioid agonist therapy (OAT), safer opioid supply (SOS), and supervised consumption sites (SCS) are interventions that aim to reduce risk of morbidity and mortality from drug toxicity and were affected by COVID-19. Between September and October 2020, we conducted qualitative interviews with 24 people who inject drugs receiving services at community harm reduction programs in Toronto, Canada to examine the health and socioeconomic impacts of COVID-related service disruptions. Participants who were already receiving OAT and SOS prior to the start of pandemic reported high levels of continuity of care when pandemic measures were implemented, with medical appointments switching to telemedicine. Participants reported easy access to harm reduction supplies, but those accessing SCS reported increased wait times due to COVID-related capacity restrictions that reduced the number of injection spaces available due to physical distancing requirements. Participants reported extreme difficulty accessing shelter beds and food insecurity due to the closure of drop-in programs, food banks, and food distribution programs and noted the deep impacts these changes had on their health and socioeconomic well-being. Disruption in service delivery of shelters and food programs reveal the need for adaptation of strategies to ensure service continuity. Preparedness planning for future public health emergencies can benefit from analysis of lessons learned, as continuity of care was successfully ensured in OAT, SOS and harm reduction service delivery.</div></div>","PeriodicalId":74862,"journal":{"name":"SSM. Qualitative research in health","volume":"8 ","pages":"Article 100569"},"PeriodicalIF":1.8,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144242981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“You’ve got the door cracked enough that maybe they can’t quite get it closed again”: A qualitative study of trainers’ perceptions of the impacts of a two-day antiracism training","authors":"Dane Emmerling ,&nbsp;Deena Hayes-Greene ,&nbsp;Bay Love ,&nbsp;Alexandra F. Lightfoot ,&nbsp;Shelley Golden ,&nbsp;Derek M. Griffith ,&nbsp;Geni Eng","doi":"10.1016/j.ssmqr.2025.100571","DOIUrl":"10.1016/j.ssmqr.2025.100571","url":null,"abstract":"<div><h3>Objective</h3><div>Diversity training is commonly used by organizations, but evidence of positive impacts is mixed. Antiracism training, which focuses on structural racism, is largely unexamined in the diversity training literature. The Racial Equity Institute (REI) offers a widely implemented antiracism training called Phase 1 which has never been formally evaluated. As a part of larger community-based participatory research partnership, the research team interviewed REI trainers to understand their perceptions of the impacts of the REI training.</div></div><div><h3>Design</h3><div>We conducted qualitative in-depth interviews (n = 15) with 58 % of REI trainers who lead Phase 1 to understand their views on what participants gain from the workshop. We used thematic qualitative analysis to understand the changes in knowledge, attitudes, and behaviors at the individual and organizational level that trainers hope to achieve, including the factors that influence the impact.</div></div><div><h3>Results</h3><div>The interviews revealed that REI trainers expected the training to change participants’ knowledge of and attitudes toward structural racism. Trainers anticipated specific but limited individual and collective behaviors to result from the training. The most important anticipated outcome was that participants learn to connect racial disparities to structural root causes.</div></div><div><h3>Conclusions</h3><div>While the literature on diversity training suggests many possible individual, organization, and outcome-level impacts, REI trainers shared a more limited and consistent set of benefits for how individuals and organizations conceptualize and approach racial inequities. Investigating the perceptions of antiracism trainers is the first step in creating appropriate criteria for evaluating REI Phase 1 and building an evidence-base for antiracism training impacts.</div></div>","PeriodicalId":74862,"journal":{"name":"SSM. Qualitative research in health","volume":"8 ","pages":"Article 100571"},"PeriodicalIF":1.8,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144364547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Shouldering the labor of school desegregation: Stress and health implications for Black families","authors":"Linnea Evans ,&nbsp;Sienna Ruiz ,&nbsp;Akilah Collins-Anderson ,&nbsp;Darrell Hudson ,&nbsp;Odis Johnson Jr. ,&nbsp;Erin Linnenbringer","doi":"10.1016/j.ssmqr.2025.100573","DOIUrl":"10.1016/j.ssmqr.2025.100573","url":null,"abstract":"<div><div>Many U.S. Black students and their families seek quality educational opportunities by enrolling in schools far from their residence via school choice or school desegregation initiatives, a primary impetus to school choice programs. Using data drawn from in-depth interviews and surveys with caregivers of Black student participants (n = 22) who attended one of the few remaining U.S. school desegregation programs, we characterize families' day-to-day experiences with desegregation, including perceived benefits and costs, particularly to health. Study findings highlight added sacrifice and labor relevant to the erosion of health in Black families who seek social mobility through education. Additionally, over half of caregivers participated as children themselves in the St. Louis desegregation program, prompting reflections on their own experiences in relation to their children's experience. From this comparison, we find repetition in the surplus labor exerted by Black families to participate in school desegregation across a generation – evidence we are referring to as the ‘institutionalization of racialized equity labor and intergenerational stress.’ However, the potential health toll was often minimized in participant narratives. In discussing these findings, we consider how minimization is deployed to carry-on through adversity and the implications for education-health research.</div></div>","PeriodicalId":74862,"journal":{"name":"SSM. Qualitative research in health","volume":"8 ","pages":"Article 100573"},"PeriodicalIF":1.8,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144290587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How mothers manage the stressor of an adult son's incarceration: The role of coping resources","authors":"Kristin Turney,&nbsp;Rachel Bauman","doi":"10.1016/j.ssmqr.2025.100570","DOIUrl":"10.1016/j.ssmqr.2025.100570","url":null,"abstract":"<div><div>More than one fifth of U.S. older adults have endured the stressor of a child's incarceration. We use longitudinal in-depth interviews with 69 mothers of incarcerated adult sons to examine mothers' coping resources during and after their son's incarceration. First, mothers report coping with their son's incarceration via activating social support and using self-directed accessible resources (including prayer, distraction, and acceptance), which mitigate some of the deleterious mental health consequences of their son's incarceration. Second, mothers differentially report the salience of some coping resources during their son's confinement and reentry periods. Third, coping resources employed by mothers can occasionally both alleviate the burdens of a son's incarceration and generate new stressors. Aligned with the stress process perspective, with its attention to coping resources as buffering the mental health consequences of stressors, these findings demonstrate how the intergenerational consequences of criminal legal contact extend to mothers of the incarcerated.</div></div>","PeriodicalId":74862,"journal":{"name":"SSM. Qualitative research in health","volume":"8 ","pages":"Article 100570"},"PeriodicalIF":1.8,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144222917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dietary care and familialisation of children with Prader-Willi syndrome","authors":"Amandine Rochedy ,&nbsp;Marion Valette ,&nbsp;Maïthé Tauber ,&nbsp;Jean-Pierre Poulain","doi":"10.1016/j.ssmqr.2025.100574","DOIUrl":"10.1016/j.ssmqr.2025.100574","url":null,"abstract":"<div><div>Prader-Willi syndrome (PWS), a neurodevelopmental disorder, features the early onset of eating problems and their progression from anorexia to hyperphagia. This specific trajectory disrupts traditional nurturing patterns, requiring families and caregivers to adjust their approaches to manage these paradoxical behaviours. The interdisciplinarity literature (medical and social sciences) shows that knowledge of eating practices is based on a nutritional approach and focuses on managing hyperphagia.</div><div>An interdisciplinary research initiative broadens our comprehension of PWS by investigating the process of food socialisation within the interconnected contexts of the child and their family. The study, involving 13 families with children who have PWS, utilized a food ethnography approach in two phases. The first phase included individual interviews with 47 family members in their home environments, observing food preparation and meals. The second phase involved observing family mealtimes on a research platform and conducting interviews with all present family members.</div><div>The findings of this research highlight how the dynamics of this condition shape the necessity to anticipate and manage hyperphagia. The appearance of hyperphagic behaviour becomes a tipping point, both expected and feared by parents. It partially obscures the early stages of food socialisation. Thereafter, food control is achieved through rules applied on a daily basis, which are themselves determined by the narrower or broader physical and social contexts. These observations we identified four types of parental food control - Controlling, Transposing, Accommodating, and Innovating - corresponding to distinct physical and social contexts. The styles vary in terms of the intensity of control and family involvement, ranging from strict practices to more flexible and innovative approaches. Thus, the study shows how recommendations made by care teams are interpreted by families, how they are implemented on a daily basis surrounding food management, and the consequences for the food socialisation of children.</div></div>","PeriodicalId":74862,"journal":{"name":"SSM. Qualitative research in health","volume":"8 ","pages":"Article 100574"},"PeriodicalIF":1.8,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144213285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Close to home: Intersectionality of familiarity, emotions, and stigma of mental disorders among rural residents","authors":"Dowla Kuzmickus,&nbsp;Tamara Kang Balzarini","doi":"10.1016/j.ssmqr.2025.100572","DOIUrl":"10.1016/j.ssmqr.2025.100572","url":null,"abstract":"<div><div>Persons with a mental disorder are often stigmatized, which results in reluctance to seek treatment and self-stigma. These consequences are exacerbated in rural communities due to the limited healthcare infrastructures. Familiarity and emotions may be promising avenues for decreasing stigmatization of persons with a mental disorder. However, findings are mixed, and studies' often fail to use measures that capture the complexities of familiarity (e.g., level of contact intimacy, quality of contact). To complicate familiarity, emotions may serve as the operating mechanism through which familiarity impacts stigma. Thus, qualitative interviews were conducted with 50 rural residents to examine gradients of familiarity with a mental disorder (intimacy and quality of contact), emotions (fear, anger, sympathy), stigma, and desire for social distance. A thematic analysis revealed that first, regardless of familiarity, rural residents’ desire for social distance was grounded in their fear of unpredictable, disruptive or dangerous (violent) behaviors. Specific disorders were frequently categorized as dangerous while others evoked sympathy, sadness, and a desire to help. Second, controllability and the rural landscape fueled stigma for some, but reduced stigma for others. We discuss how the results inform strategies to decrease stigma by discouraging residents (with varied familiarity) from assuming all persons with a mental disorder match the violent stereotype (e.g., dimensionality, evoking sympathy, sadness, or empathy). Further, we conclude by discussing how to correct the violent stereotype attributed to the majority while supporting those with high familiarity (family, providers) who recounted lived experiences with the minority who do indeed become unpredictably violent.</div></div>","PeriodicalId":74862,"journal":{"name":"SSM. Qualitative research in health","volume":"7 ","pages":"Article 100572"},"PeriodicalIF":1.8,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144168089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Self-reported pathways through which illicitly manufactured fentanyl enters the stimulant supply: Novel insights from people incarcerated for drug manufacturing and distribution","authors":"Patrick J.A. Kelly ,&nbsp;Stephanie A. Vento ,&nbsp;Traci C. Green ,&nbsp;Josiah D. Rich ,&nbsp;Madeline Noh ,&nbsp;Joseph Silcox ,&nbsp;Jaclyn M.W. Hughto","doi":"10.1016/j.ssmqr.2025.100568","DOIUrl":"10.1016/j.ssmqr.2025.100568","url":null,"abstract":"<div><h3>Background</h3><div>The unintentional consumption of stimulants containing fentanyl among people who intend to only use stimulants contributes to overdose mortality in North America. Research exploring how fentanyl appears in the stimulant supply among people who manufacture and/or distribute drugs (PWDD) is critical to understanding supply-side factors that shape stimulant and opioid-involved overdose risk.</div></div><div><h3>Methods</h3><div>From April to July 2023, thirty PWDD incarcerated at the Rhode Island Department of Corrections completed an in-depth interview about stimulant and opioid-involved overdose. Data were thematically analyzed to explore speculated pathways through which fentanyl may appear in stimulants.</div></div><div><h3>Results</h3><div>Participants primarily endorsed unintentional fentanyl contamination pathways, including the accidental mix-up of drugs that look alike and cross-contamination via surfaces containing residual fentanyl where stimulant product is packaged. Congruent with historically contested beliefs about drug cutting and adulteration to induce dependence, some participants speculated that fentanyl may be intentionally added to stimulants to induce fentanyl dependence among people intending to only use stimulants to increase profits, though no participant reported firsthand knowledge of this. Participants extensively familiar with opioid and stimulant drug markets believed intentional contamination at high-level drug trafficking organizations was unlikely to occur as this would mix the drug markets, harming the profitability of maintaining distinct opioid and stimulant markets.</div></div><div><h3>Conclusion</h3><div>Our findings challenge beliefs about the intentional addition of fentanyl in stimulants, showing them to be unsubstantiated. Instead, participants with advanced knowledge of drug manufacturing and distribution reported that fentanyl primarily appears in the stimulant supply unintentionally underscoring the need for targeted strategies to reduce contamination.</div></div>","PeriodicalId":74862,"journal":{"name":"SSM. Qualitative research in health","volume":"7 ","pages":"Article 100568"},"PeriodicalIF":1.8,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144124991","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“Invalidated, dismissed, or minimized:” sex differences in workplace experiences and burnout among VHA mental health providers: A mixed methods study","authors":"Kara Zivin ,&nbsp;Molly Harrod ,&nbsp;Linda Takamine ,&nbsp;Brittany R. Porath ,&nbsp;Jennifer Burgess ,&nbsp;Hyungin Myra Kim ,&nbsp;Veronica Ortolan ,&nbsp;Kristen M. Abraham ,&nbsp;Rebecca K. Sripada","doi":"10.1016/j.ssmqr.2025.100559","DOIUrl":"10.1016/j.ssmqr.2025.100559","url":null,"abstract":"<div><div>Burnout negatively affects clinicians nationwide, with elevated levels among mental health providers (MHPs) in the Veterans Health Administration (VHA). Female providers bear a disproportionate burden. We sought <strong>t</strong>o examine contextual circumstances affecting workplace experiences and burnout among MHPs and differences by sex. Employing a convergent mixed methods design, we explored factors contributing to negative workplace experiences among MHPs (psychiatrists, psychologists, and social workers) using 2022 VHA All Employee Survey (AES) data and MHP interviews (2021–2022). Our analysis included 14,265 2022 AES responses from MHPs (72.1 % female) and 51 interviews, (66.7 % female). A higher proportion of females reported burnout (42.71 % of females, 40.18 % of males). Among other AES workplace items, females were less likely to report no supervisor favoritism, fair conflict resolution, supervisors addressing their concerns, and performance recognition (effect estimates ranged from −0.05 to −0.18). Qualitative findings complemented quantitative findings: females were less comfortable advocating for themselves and setting “hard boundaries” regarding workload. Females reported more disrespect from coworkers than their male colleagues, and in some cases reported outright discrimination. Reflecting the broader social context, females reported a variety of ways in which sexism pervaded the organization and contributed to burnout. Our findings highlighted multiple ways in which female MHPs experienced higher levels of burnout, less positive workplace experiences, and more challenges advocating for themselves. These findings identify targets for system-level improvements that could address burnout among all employees and those unique to female employees. Downstream, these opportunities could lead to a healthier, consistent workforce and improved patient care.</div></div>","PeriodicalId":74862,"journal":{"name":"SSM. Qualitative research in health","volume":"7 ","pages":"Article 100559"},"PeriodicalIF":1.8,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144107028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"New stories, same Stigma: Framing analysis of news articles about people with alcohol-related conditions needing liver transplants","authors":"Whitney Langlee ,&nbsp;Divya Kalluri ,&nbsp;Rivka Abedon ,&nbsp;Aura T. Teles ,&nbsp;Janetta Brundage ,&nbsp;Po-Hung Chen ,&nbsp;Andrew M. Cameron ,&nbsp;Hannah C. Sung ,&nbsp;Olivia S. Kates","doi":"10.1016/j.ssmqr.2025.100567","DOIUrl":"10.1016/j.ssmqr.2025.100567","url":null,"abstract":"<div><h3>Background</h3><div>Public stigma surrounding alcohol use disorder (AUD) negatively impacts people with alcohol-related liver disease (ALD) in need of liver transplants (LT). Representations of LT for ALD are socially constructed in part through media, but media on this topic has been underexplored in current research.</div></div><div><h3>Methods</h3><div>Research team members conducted systematic searches during 7/2022-5/2024 for online, publicly available articles about LT for ALD within leading English-language news sites in the US by monthly visits (n = 24). Using inductive framing analysis, we coded and identified patterns in news articles (n = 42) from 1990 to 2021 to generate frames.</div></div><div><h3>Findings</h3><div>Our inductive analysis generated 4 main frames: (a) making individual exceptions: good people in a bad group, (b) appealing to societal costs: individual actions putting a strain on society, (c) questioning professionals' judgements: doctors’ discretionary power, and (d) portraying healthcare as a competition: unfair play in a zero-sum game. Media characterized people with ALD as less deserving of liver transplant, but with individual exceptions. Articles described people with “self-induced” illnesses as irresponsible towards themselves, other LT candidates, and society; doctors as “gatekeepers” with discretionary power over how to apply criteria or rules; and the liver transplant waitlist as a competitive zero-sum game in which people with ALD are or should be deprioritized.</div></div><div><h3>Discussion</h3><div>News articles reflect our society's stigmatization of alcohol-related conditions as well as misconceptions about transplant listing and allocation. Such mischaracterizations can further marginalize stigmatized patients with alcohol-related conditions in need of LTs. We offer recommendations for public communications, including avoiding representations of patients with ALD as exceptions to the norm and contextualizing LT for ALD within the context of public health and social and systemic factors.</div></div>","PeriodicalId":74862,"journal":{"name":"SSM. Qualitative research in health","volume":"7 ","pages":"Article 100567"},"PeriodicalIF":1.8,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143924168","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}