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The migrant population of Japan is gradually increasing, but it is not well known how and why diet and physical activity (PA) change post-migration. Therefore, this study used a mixed-method approach to investigate the changes in dietary patterns and PA through a web- and paper-based survey (n = 128) and understand the contextual factors for those changes through semi-structured interviews (n = 21). Descriptive and thematic analyses of quantitative and qualitative data were conducted, respectively. The majority of survey (57.8%) and interview (66.7%) participants were female, and the mean duration of stay in Japan was 5 and 3.6 years, respectively. The survey revealed an increased consumption of foods attached to Japanese culture, frozen and microwavable food, and a reduced consumption of fruits. We identified environmental (availability, accessibility, and affordability of foods; food safety and diet-related information; and climate), individual (living status; post-migration lifestyle; and food preferences and limitations), or socio-cultural (relationships with Japanese people; cultural differences; and religious influences) factors that impact diet changes. Language proficiency and the duration of stay shape dietary behaviors. Determinants of PA changes were climate, lifestyle, and the influence of Japanese culture. In conclusion, immigrants in Japan experience post-migration diet and PA changes, and this study adds knowledge about how and why such changes occur.

Solving the problems of everyday life is a common practice. Something becomes a problem when we do not have a ready response for it. Actually, we encounter a problem when we have a goal, but the way to reach it is not obvious. Sometimes the path to get the solution is obvious, while sometimes we face a complex pathway that requires further and more profound recognition. In architecture, like other fields of knowledge, the goal of some studies is to find solutions for the real problems of the architectural world. In this paper, we aim to define problem-solving research in architecture, its elements, processes and types. This study is being carried out with the classification strategy to clarify the characteristics of problem-solving research in architecture. For this purpose, we selected 29 PhD dissertations that were defended in the world’s top universities and sought to solve a problem in architecture. In this article, their abstracts were reviewed and analyzed. We show that in the studies where the research process leads to a solution for a real problem in architecture can be classified as problem-solving research. This kind of PhD dissertation uses scientific frameworks developed in other fields of knowledge for solving real-world problems, and therefore, similar to them, deal with two types of issues: well-defined and ill-defined problems. Ill-defined problems in architecture are often interdisciplinary with social sciences. These studies have a mixed-method approach and are in combination with other strategies. Problem-solving research is being conducted to find technical solutions, design and management strategies.

Aim: The general aim of this study was to explore the decision-making process followed by Intensive Care Unit (ICU) health professionals with respect to physical restraint (PR) administration and management, along with the factors that influence it. Method: A qual-quant multimethod design was sequenced in two stages: an initial stage following a qualitative methodology; and second, quantitative with a predominant descriptive approach. The multicenter study was undertaken at 17 ICUs belonging to 11 public hospitals in the Madrid region (Spain) across the period 2015 through 2019. The qualitative stage was performed from an interpretative phenomenological perspective. A total of eight discussion groups (DG) were held, with the participation of 23 nurses, 12 patient care nursing assistants, and seven physicians. Intentional purposive sampling was carried out. DG were tape-recorded and transcribed. A thematic analysis of the latent content was performed. In the quantitative stage, we maintained a 96-h observation period at each ICU. Variables pertaining to general descriptive elements of each ICU, institutional pain-agitation/sedation-delirium (PAD) monitoring policies and elements linked to quality of PR use were recorded. A descriptive analysis was performed, and the relationship between the variables was analyzed. The level of significance was set at p ≤ 0.05. Findings: A total of 1070 patients were observed, amounting to a median prevalence of PR use of 19.11% (min: 0%–max: 44.44%). The differences observed between ICUs could be explained by a difference in restraint conceptualization. The various actors involved jointly build up a health care culture and a conceptualization of the terms “safety-risk”, which determine decision-making about the use of restraints at each ICU. These shared meanings are the germ of beliefs, values, and rituals which, in this case, determine the greater or lesser use of restraints. There were different profiles of PR use among the units studied: preventive restraints versus “Zero” restraints. The differences corresponded to aspects such as: systematic use of tools for assessment of PAD; interpretation of patient behavior; the decision-making process, the significance attributed to patient safety and restraints; and the feelings generated by PR use. The restraint–free model requires an approach to safety from a holistic perspective, with the involvement of all team members and the family.

We expanded upon previous research by providing a mixed-method investigation of students’ experiences of campus gender bias incidents. Undergraduates ( N  = 225) from a Northeastern U.S. selective liberal arts college (SLAC) responded to an open-ended prompt about their exposure to incidents of campus bias targeting those across the gender identity spectrum. Qualitative coding and thematic analysis revealed rich information about the existence/prevalence, perceived targets, and types/manifestations of gender bias. While the majority of comments (70.7%) included reports of a specific example of campus gender bias, nearly half (40.4%) of the comments included hedged or second-guessed reports, and nearly a quarter (23.1%) denied encountering gender bias. Comments identified “women” as the perceived targets of gender bias most commonly (36%), followed by cisgender, heterosexual men (12.4%) and “non-cisgender” people (12%). Students described 21 different types of campus gender bias, including misgendering, benevolent sexism, backlash for violating gender stereotypes and stigma for possessing marginalized gender identities, sexualization, verbal and physical aggression, and issues related to institutional handling of sexual assault cases (i.e., Title-IX) and other college policies. Their comments frequently included references to stereotypically-masculine contexts (e.g., STEM, athletics), and particularly highlighted the consequences of campus gender bias for academic/professional advancement as well as sense of belonging/inclusion. Given that evidence of substantial gender bias emerged “even” at a relatively progressive SLAC, we discuss implications for campus climate and gender justice issues more broadly.

Leaders play a significant role in organizations and their leadership behaviors can either enhance or undermine the well-being of their employees. This study aimed to meta-analyze the relationship between transformational leadership and well-being in the service industry, and how employees’ gender and service sector moderated the strength of this relationship. This study used a convergent mixed-method approach. PubMed, MEDLINE, Google Scholar, AMED, and Scopus electronic databases were utilized to search for relevant studies. Textual data were analyzed using a text data-mining technique (Leximancer) to determine the relevant themes and concepts. Statistical data were examined through a comprehensive meta-analysis to determine their effect sizes. The qualitative results outline the major themes that emerged: leadership, well-being, and health. The quantitative findings revealed that the perceived well-being of male employees and those working outside of the health-care service sector was positively higher when employees’ leaders showed transformational leadership. In general, the findings from the qualitative and quantitative data converge. The findings confirm the positive relationship between transformational leadership and employee well-being. This study also highlights the applicability of a convergent mixed-method approach as a useful methodological strategy when analyzing both lexical and statistical data.

INTRODUCTION Research is limited on process evaluation of digital interventions for underserved dementia caregivers. This study reports the design and results from the process evaluation of Wellness Enhancement for Caregivers (WECARE) 2.0, a culturally tailored digital intervention for Chinese American dementia caregivers. METHODS During the 7‐week trial of WECARE 2.0, active measurement via weekly surveys and passive measurement via backend tracking were used to assess user engagement, collect timely feedback, and understand intervention mechanisms. These data were integrated to provide complementary insights. RESULTS The intervention achieved a 94% follow‐up rate and 82% program completion rate. Participants valued the culturally tailored multimedia content, practical resources, and asynchronous delivery, while also providing suggestions for improvement. Key mechanisms driving the intervention's success included improved caregiving skills, stress reduction, and increased social support. DISCUSSION The study underscores the importance of process evaluation using mixed methods to ensure the usability and effectiveness of digital interventions for underserved dementia caregivers. CLINICALTRIALS ID NCT05992467 Highlights Process evaluation was conducted in a digital intervention for dementia caregivers. Active and passive measurement were integrated in the process evaluation. Wellness Enhancement for Caregivers (WECARE) demonstrated high retention (94%) and program completion rates (82%). Data on user experiences, feedback, and intervention mechanisms were presented.

PurposeThe pioneers of online wine tastings have set a new standard and introduced an innovative tool that combines various goals: contacting existing and recruiting new customers, entertaining participants and boosting sales. Within the framework of the study, the authors addressed questions such as the reasons for offering online wine tasting, profitability and the basic characteristics and future perspectives of this new interactive online tool.Design/methodology/approachA mixed-methods research was conducted using a sequential exploratory design to analyse online wine tastings during Covid-19 pandemic. First, 40 in-depth interviews in Germany were conducted and, based on these results, a global online survey was undertaken with 1,423 wineries from more than 40 countries.FindingsThe survey results clearly show the effect of Covid-19 on the growing tendency to employ online wine tastings. This tool is about more than just providing entertainment for wine lovers in that it also has a tangible business aspect.Practical implicationsBased on these results, the authors assume that online wine tastings will continue to be offered after the Covid-19 crisis.Originality/valueThis paper offers a situation analysis of the first 10 months of the Covid-19 pandemic in the field of online wine tastings worldwide. The authors conducted a quantitative online survey that built on a qualitative pre-study. Given the fact that no academic paper has been published on the topic, this paper provides first insights on a global scale.

Purpose Extant literature regarding factors essential for successful information technologies (IT) implementation in small and medium enterprises (SMEs) does not significantly address readiness factors for IT implementation in an Indian context. This exploratory research develops and tests a framework to analyse the antecedents to organisational preparedness for adoption of IT infrastructure in SMEs. Design/methodology/approach This exploratory research adopts a mixed-method approach to test the technology, organization and environment (TOE) framework. In-depth interviews with SME owners are conducted to develop the case study, and the measures obtained are tested through a survey at a small and medium business industrial cluster in Southern India in SMEs. Findings The case study indicates SME owners’ drive to initiate technology preparedness for organisational sustainability is a key factor, a measure not seen during the literature review. An empirical study tests the measures. Pressure from customers, owner’s age, sales of SME, owner’s attitude towards IT and owner’s knowledge of IT was confirmed, which indicates organisational factors have more impact compared to technological and environmental factors. Research limitations/implications The academic scope of this research paper can be extended to contexts such as readiness in IT infrastructure for digital transformation. Practical implications The validated research framework can be used by organisation stakeholders and SME IT practitioners for successful IT adoption. Social implications SMEs contribute significantly to gross domestic product (GDP) and provide employment opportunities. Hence, this research provides a tested model that SMEs owners/managers can adopt as a framework to augment competitiveness to implement IT. Originality/value The study adopts a mixed-method research design and is, perhaps, a first in the Indian context to explore variables through case study and validate identified measures through an empirical study. The model can be used by SME owners and practitioners to ascertain factors for organisational preparedness for IT adoption.

The multiplication of complex datasets in empirical social sciences calls for methods that can improve the design of complex datasets before the actual gathering of data. Yet mainstream scholars in related fields have rarely explored such methods. In this study, we introduce Interpretive Structural Modeling (ISM) as such a method. As a mixed method, ISM integrates Boolean algebra, matrix theory, and directed graph theory to impose a formal structure to qualitative understanding of a complex system. ISM’s final output is a directed graph that can be visually and easily interpreted. We show that ISM can structure indicators graphically into a multilayered and multi-blocked model, thus uncovering hidden interactions among indicators. By doing so, ISM can reveal hidden and undesired redundancies and incoherencies among indicators within a complex dataset. Most critically, ISM achieves these goals without relying on statistical analysis and hence before the actual gathering of any data. Deploying ISM when designing complex datasets thus facilitates more rigorous conceptualization and understanding of complex social phenomena, steers us away from badly designed complex datasets, and saves precious resource. We use ISM to probe several complex datasets to demonstrate its potentials.

Disabled children living in orphanages in low-income countries may not have access to the therapy they need. The COVID-19 pandemic has complicated the situation dramatically, making online training activities a possible innovative option to meet the real needs of local staff. This study aimed to detect the training needs of the local staff of an orphanage in Vietnam, as well as develop an audiovisual training material and measure its feasibility. Training needs were identified through a focus group carried out by the volunteers of Fisios Mundi, a nongovernmental organization. The audiovisual training material was developed to meet these specific needs. Lastly, its feasibility was evaluated, in terms of both content and format, through an ad hoc questionnaire. Nine volunteers participated in the project. Twenty-four videos were created and structured around five themes. This study expands the body of knowledge on how an international cooperation project can be developed in a pandemic situation. The audiovisual training material content and format created in this project was considered by the volunteers as very feasible and useful for training the staff of a Vietnamese orphanage.