Dataset Information

Sustaining Sporting Destinations through Improving Tourists' Mental and Physical Health in the Tourism Environment: The Case of Korea.

ABSTRACT: The purpose of this study was to explore structural relationships between emotional experiences, novelty seeking, tourist satisfaction, and destination loyalty in the context of active sport tourism. The study emphasizes the mediating effect tourist satisfaction has on the relationship between emotional experiences and destination loyalty. The validities and reliabilities of the measures used were examined through confirmatory factor analysis (CFA) and correlation analysis using 230 domestic and international participants who attended a marathon race as amateur athletes. Structural equation modeling analysis with maximum likelihood estimation was conducted to investigate relationships between study variables. Findings disclosed the positive impacts of (a) emotional experiences on tourist satisfaction and destination loyalty, (b) novelty seeking on tourist satisfaction, and (c) tourist satisfaction on destination loyalty, and demonstrated that (d) tourist satisfaction fully mediates the relationship between emotional experiences and destination loyalty. Based on its results, this study (a) indicates that emotional experiences play key roles in predicting tourist satisfaction and destination loyalty, (b) provides an example of the merits of the Destination Emotion Scale (DES) in a sport tourism setting, (c) implies that both emotional experiences and novelty seeking should be incorporated into tourist behavior models, and (d) contributes to tourism studies by exploring the mediating effect of tourist satisfaction on the relation between emotional experiences and destination loyalty. Thus, destination managers should manage gorgeous natural views and beautiful cityscapes, and organize various fun events, such as prize and ticket giveaway events, music performances, and charity campaigns for tourists during events.

SUBMITTER: Jeong Y

PROVIDER: S-EPMC6981675 | biostudies-literature | 2019 Dec

REPOSITORIES: biostudies-literature

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Publications

Sustaining Sporting Destinations through Improving Tourists' Mental and Physical Health in the Tourism Environment: The Case of Korea.

Jeong Yunduk Y Kim Suk-Kyu SK Yu Jae-Gu JG

International journal of environmental research and public health 20191223 1

The purpose of this study was to explore structural relationships between emotional experiences, novelty seeking, tourist satisfaction, and destination loyalty in the context of active sport tourism. The study emphasizes the mediating effect tourist satisfaction has on the relationship between emotional experiences and destination loyalty. The validities and reliabilities of the measures used were examined through confirmatory factor analysis (CFA) and correlation analysis using 230 domestic and ...[more]

PMID: 31877974

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Project description:BackgroundLarge-scale implementation of evidence-based psychotherapies (EBPs) such as cognitive processing therapy (CPT) for posttraumatic stress disorder can have a tremendous impact on mental and physical health, healthcare utilization, and quality of life. While many mental health systems (MHS) have invested heavily in programs to implement EBPs, few eligible patients receive EBPs in routine care settings, and clinicians do not appear to deliver the full treatment protocol to many of their patients. Emerging evidence suggests that when CPT and other EBPs are delivered at low levels of fidelity, clinical outcomes are negatively impacted. Thus, identifying strategies to improve and sustain the delivery of CPT and other EBPs is critical. Existing literature has suggested two competing strategies to promote sustainability. One emphasizes fidelity to the treatment protocol through ongoing consultation and fidelity monitoring. The other focuses on improving the fit and effectiveness of these treatments through appropriate adaptations to the treatment or the clinical setting through a process of data-driven, continuous quality improvement. Neither has been evaluated in terms of impact on sustained implementation.MethodsTo compare these approaches on the key sustainability outcomes and provide initial guidance on sustainability strategies, we propose a cluster randomized trial with mental health clinics (n = 32) in three diverse MHSs that have implemented CPT. Cohorts of clinicians and clinical managers will participate in 1 year of a fidelity oriented learning collaborative or 1 year of a continuous quality improvement-oriented learning collaborative. Patient-level PTSD symptom change, CPT fidelity and adaptation, penetration, and clinics' capacity to deliver EBP will be examined. Survey and interview data will also be collected to investigate multilevel influences on the success of the two learning collaborative strategies. This research will be conducted by a team of investigators with expertise in CPT implementation, mixed method research strategies, quality improvement, and implementation science, with input from stakeholders in each participating MHS.DiscussionIt will have broad implications for supporting ongoing delivery of EBPs in mental health and healthcare systems and settings. The resulting products have the potential to significantly improve efforts to ensure ongoing high quality implementation and consumer access to EBPs.Trial registrationNCT02449421 . Registered 02/09/2015.

Project description:AimDevelop a strengths-based, person-centred, trauma-informed and recovery-oriented framework to mitigate any potential increase in conflict resulting from the implementation of C19 restrictions.BackgroundGuidance addressing the unique challenges posed by Covid-19 within mental health in-patient settings, including how to support those whose distress may present as behaviour that challenges including violence and self-harm, remains urgently needed.Methodology/approachA Delphi design involving four iterative stages was adopted. Stage 1 involved a review and synthesis of COVID-19-related public health and ethical guidance and a narrative literature review. A formative operational framework was then developed. Stage 2 sought to establish the face validity of the framework through engagement with frontline and senior staff in mental health services in Ireland, Denmark and Netherlands. Stage 3 investigated the content validity of the final framework through a plenary presentation and discussion of the framework at a scientific symposium of the European Violence in Psychiatric Research Group (EViPRG, 2020). Stage 4 sought expert appraisal of the framework using a structured evaluation completed by a panel of eighteen multidisciplinary experts from nine countries, including four academics, six clinicians and eight holding dual clinical/academic appointments to assess content validity.ResultsThe guidance adopts the widely advocated approach to support those whose distress may present as behaviour services find challenging in identifying the need for primary, secondary, tertiary and recovery measures. It emphasizes person-centred care while integrating specific Covid-19 public health requirements into service planning. It also aligns with contemporary best practice in in-patient mental health care, incorporating the principles of Safewards, the core values of trauma-informed care, and an explicit on recovery.ConclusionThe guidance developed has face and content validity.

Dataset Information

Sustaining Sporting Destinations through Improving Tourists' Mental and Physical Health in the Tourism Environment: The Case of Korea.

Publications

Sustaining Sporting Destinations through Improving Tourists' Mental and Physical Health in the Tourism Environment: The Case of Korea.

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