Slow tourism is perceived as a new type of sustainable tourism and a promising alternative to mass tourism with which tourists, destination managers and tourism service providers are willing to engage. However, inconsistent interpretations impede the clarity of communication between tourism suppliers and consumers. This study reexamines the phenomenon of slow tourism to address this gap in the literature. The focus of the study is Latvia where slowness, until recently, was adopted in tourism branding. This qualitative study revealed that slow tourism is an approach to tourism underpinned by a slow mindset which enhances the core experiential aspect of the phenomenon within ethical boundaries. The environmental and economic aspects appear to be marginal and may fluctuate in intensity according to individuals' perception. This study offers a theoretical perspective alongside some practical implications for slow tourism and enhances industry awareness of the phenomenon, satisfies consumers' expectations and improves marketing communications.
Background: Cognitive Muscular TherapyTM (CMT) is an integrated behavioural intervention developed for knee osteoarthritis. CMT teaches patients to reconceptualise the condition, integrates muscle biofeedback and aims to reduce muscle overactivity, both in response to pain and during daily activities. This nested qualitative study explored patient and physiotherapist perspectives and experiences of CMT.Methods: Five physiotherapists were trained to follow a well-defined protocol and then delivered CMT to at least two patients with knee osteoarthritis. Each patient received seven individual clinical sessions and was provided with access to online learning materials incorporating animated videos. Semi-structured interviews took place after delivery/completion of the intervention and data were analysed at the patient and physiotherapist level.Results: Five physiotherapists and five patients were interviewed. All described a process of changing beliefs throughout their engagement with CMT. A framework with three phases was developed to organise the data according to how osteoarthritis was conceptualised and how this changed throughout their interactions with CMT. Firstly, was an identification of pain beliefs to be challenged and recognition of how current beliefs can misalign with daily experiences. Secondly was a process of challenging and changing beliefs, validated through new experiences. Finally, there was an embedding of changed beliefs into self-management to continue with activities.
Conclusion:This study identified a range of psychological changes which occur during exposure to CMT. These changes enabled patients to reconceptualise their condition, develop a new understanding of their body, understand psychological processes, and make sense of their knee pain.
The emerging principles of performance reporting are explored in the context of urban policy and inner city regeneration Copyright 0 1995 by Marcel Dekker, Inc. Downloaded by [University of Strathclyde] at 01:32 01 April 2015 468 SHARIFI AND BOVAIRDprogrammes in the UK, upon which a great deal of evaluative research has been carried out in the last decade. The paper questions the extent that performance management principles as embodied by the FMI are necessary for public accountability. It illustrates that implementation of performance reporting in the urban regeneration programme has had a symbolic role in generating myths and images about practice which imply that the "rational model" of decision making is in operation. The imposition of performance reporting cannot per se guarantee improvements, in the sense of learning, in the organising approaches adopted by public sector organisations.
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