This study investigates how destination social responsibility (DSR) improves resident quality of life (QOL) through the lenses of signaling theory and emotional solidarity theory. The study demonstrates the mediating role of resident emotional solidarity toward the destination and the moderating roles of disclosure tone and visual messages. Three experiments indicate that continuous (vs. one-time) DSR positively affects resident emotional solidarity and QOL, whereas emotional solidarity has a mediating role. Emotional solidarity elicited by continuous (vs. one-time) DSR is significantly higher when the disclosure tone of DSR is vivid (vs. pallid). However, when DSR is disclosed using visual messages, emotional solidarity effects of DSR types are not different in vivid tone but have significant differences in pallid tone. This study expands the application of signaling theory and emotional solidarity theory to resident QOL studies and provides suggestions on improving residents’ QOL through DSR.
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Abstract Purpose To determine the predictive value of quality of life for mortality at the domain and item levels. Methods This longitudinal study was carried out in a sample of 479 Dutch people aged 75 years or older living independently, using a follow-up of 7 years. Participants completed a self-report questionnaire. Quality of life was assessed with the WHOQOL-BREF, including four domains: physical health, psychological, social relationships, and environment. The municipality of Roosendaal (a town in the Netherlands) indicated the dates of death of the individuals. Results Based on mean, all quality of life domains predicted mortality adjusted for gender, age, marital status, education, and income. The hazard ratios ranged from 0.811 (psychological) to 0.933 (social relationships). The areas under the curve (AUCs) of the four domains were 0.730 (physical health), 0.723 (psychological), 0.693 (social relationships), and 0.700 (environment). In all quality of life domains, at least one item predicted mortality (adjusted). Conclusion Our study showed that all four quality of life domains belonging to the WHOQOL-BREF predict mortality in a sample of Dutch community-dwelling older people using a follow-up period of 7 years. Two AUCs were above threshold (psychological, physical health). The findings offer health care and welfare professionals evidence for conducting interventions to reduce the risk of premature death.
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Introduction Many health care interventions have been developed that aim to improve or maintain the quality of life for frail elderly. A clear overview of these health care interventions for frail elderly and their effects on quality of life is missing. Purpose To provide a systematic overview of the effect of health care interventions on quality of life of frail elderly. Methods A systematic search was conducted in Embase, Medline (OvidSP), Cochrane Central, Cinahl, PsycInfo and Web of Science, up to and including November 2017. Studies describing health care interventions for frail elderly were included if the effect of the intervention on quality of life was described. The effects of the interventions on quality of life were described in an overview of the included studies. Results In total 4,853 potentially relevant articles were screened for relevance, of which 19 intervention studies met the inclusion criteria. The studies were very heterogeneous in the design: measurement of frailty, health care intervention and outcome measurement differ. Health care interventions described were: multidisciplinary treatment, exercise programs, testosterone gel, nurse home visits and acupuncture. Seven of the nineteen intervention studies, describing different health care interventions, reported a statistically significant effect on subdomains of quality of life, two studies reported a statistically significant effect of the intervention on the overall quality of life score. Ten studies reported no statistically significant difference between the intervention and control groups. Conclusion Reported effects of health care interventions on frail elderly persons’ quality of life are inconsistent, with most of the studies reporting no differences between the intervention and control groups. As the number of frail elderly persons in the population will continue to grow, it will be important to continue the search for effective health care interventions. Alignment of studies in design and outcome measurements is needed.
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Client: ERA-NET Cofund Smart Cities and Communities, JPI Urban EuropeUrban tourism generates income for cities and create opportunities for its businesses and employment for its residents. However, it can also lead to overcrowding, pollution, noise and numerous other problems, thus reducing quality of life for residents and other local stakeholders and potentially leading to public discontent. This project introduces SCITHOS as a concept that consists of guidelines and tools to help cities find solutions to make the transition towards environmentally and socially responsible urban tourism that simultaneously contributes to long-term prosperity.Within SCTHOS this is done by combining hospitality principles, simulation tools, apps and serious gaming techniques to support policymakers and other stakeholders in generating collaborative deep reflections about barriers to sustainable urban tourism and the need for transition or adaptation strategies. The project supports the assessment of intervention strategies based on an interactive simulation-supported multi-stakeholder approach that triggers social learning and behavior change, while stimulating shared governance and smart citizenship.Guidelines/ tools and the full concept are developed through a series of living labs and field experiments in participating cities. What is more, a Smart City Hospitality network is set up to ensure accessibility to this concept, including all tools and experiences with using them. The final results of the projects are presented 10 and 11 September 2019 in Vienna, as a pre-session to the popular annual Tourism conference (TOURMIS).
The number of tourists in Zeeland is high, which influences the livability and quality of life in the region. There are also increasing concerns about health and well-being in this area. Zeeland aims to be a vital region, where a vital Leisure, Tourism, Hospitality (LTH) sector is in balance with society and the environment. The practical problem revolves around the realisation of the social legitimation of the impact of tourism on its environment. This PD-trajectory overall ambition is to contribute to the social legitimation of LTH by strengthening crossovers between the LTH sector and the health sector. The objective of this PD-trajectory is to support LTH entrepreneurs in a way that their initiatives contribute to the health of the local residents. To accomplish this task, entrepreneurs in the LTH industry have a need for practical tools and guidelines that assist them in contributing to these societal challenges. So far, there are no concrete tools or other support products available in the region for LTH entrepreneurs to base their actions (in quadruple helix context) on in order to achieve crossovers and positive impact on health. How this process works and what is required for this is important to gain insight into so that this co-creation process can serve as an example for other initiatives in the LTH sector. Therefore, this process will be monitored and evaluated so that lessons can be learned. Ultimately, a decision support tool will be developed from this effort which other entrepreneurs can use to develop and organize their initiatives in a quadruple helix context with the aim of health benefits for the resident. This will help to establish a cross-domain approach and work in co-creation on regional positive impact of LTH in line with the future vision for Zeeland.
