BackgroundSome studies have reported a ceiling effect in EQ-5D-3L, especially in healthy and/or young individuals. Recently, two further levels have been included in its measurement model (EQ-5D-5L). The purposes of this study were (1) to assess the properties of the EQ-5D-5L in comparison with the standard EQ-5D-3L in a sample of young adults, (2) to foreground the importance of collecting qualitative data to confirm, validate or refine the EQ-5D questionnaire items and (3) to raise questions pertaining to the wording in these questionnaire items.MethodsThe data used came from a sample of respondents aged 30 or under (n = 624). They completed both versions of the EQ-5D, which were compared in terms of feasibility, level of inconsistency and ceiling effect. Agreement between the instruments was assessed using correlation coefficients and Bland-Altman plots. Known-groups validity of the EQ-5D-5L was also assessed using non-parametric tests. The discriminative properties were compared using receiver operating characteristic curves. Finally, four interviews were conducted for retrospective reports to elicit respondents’ understanding and perceptions of the format, instructions, items, and responses.ResultsQuantitative results show a ceiling effect reduction of 25.3 % and a high level agreement between both indices. Known-groups validity was confirmed for the EQ-5D-5L. Explorative interviews indicated ambiguity and low degree of certainty in regards to conceptualizing differences between levels moderate-slight across three dimensions.ConclusionsThe EQ-5D-5L performed better than the EQ-5D-3L. However, the explorative interviews demonstrated several limitations in the EQ-5D questionnaire wording and high context-dependent answers point to lack of illnesses’ experience amongst young adults.
In view of the proliferation of alojamento local (short-term vacation rentals) in the major Portuguese cities of Lisbon and Porto, along with the recent transformation of the historic city centre neighbourhoods, this study explores the mediatized politics of place by analysing data sets resulting from different, but interconnected, discursive practices. At the level of governance, we examine how legislation has enabled and facilitated this transformation. We then explore the media coverage of the issues surrounding these recent changes. Finally, we focus on individual and collective stakeholder voices by analysing the various rights claims and arguments found in social media communication channels. Framing our analysis initially in Lefebvre's concept of 'the right to the city', often invoked as an argument for the promotion of justice, inclusion and sustainability in the face of urbanisation policies, we argue that a 'rights in the city' approach is better suited to gaining insight into the multiple tensions and conflicts brought about through the interlinking processes of regeneration, gentrification and touristification that affect neighbourhoods with high proportions of short-term rental accommodation, and conclude that there are many rights claimants within a seemingly unified group of stakeholders, invoking rights claims which are sometimes overlapping, but often conflicting.
This study explores two World Heritage Sites (WHS) as tourism destinations by applying several uncommon techniques in these settings: Smart Tourism Analytics, namely Text mining, Sentiment Analysis, and Market Basket Analysis, to highlight patterns according to attraction, nationality, and repeated visits. Salamanca (Spain) and Coimbra (Portugal) are analyzed and compared based on 8,638 online travel reviews (OTR), from TripAdvisor (2017–2018). Findings show that WHS reputation does not seem to be relevant to visitors-reviewers. Additionally, keyword extraction reveals that the reviews do not differ from language to language or from city to city, and it was also possible to identify several keywords related to history and heritage; in particular, architectural styles, names of kings, and places. The study identifies topics that could be used by destination management organizations to promote these cities, highlights the advantages of applying a data science approach, and confirms the rich information value of OTRs as a tool to (re)position the destination according to smart tourism design tenets.
Purpose -This paper aims to explore the phenomenon of online vacation rentals (OVRs) (a new source of e-business travel growth) and how the concept of sense of place is presented by tourists' online reviews. Design/methodology/approach -The initial assumption for this exploratory study is that OVRs bring both material and intangible advantages to the individual consumer and to the community of homeowners. Using a qualitative approach, within the conceptual framework of a sense of place, multidimensional meanings presented by tourists' online reviews of their travel experience and home rentals were explored.Findings -The findings point to a sense of place constructed through affordances of place, home and a functional sense of place. They seem to indicate that these testimonials come from a close-knit virtual community; although the site is open to all, it is primarily used by British-to-British. The data reveal neither any salient expression of social interaction between these tourists and the local community nor any references to the cultural context, thus pointing to the dimensions of security and familiarity and to the absence of any travelling-to-learn motivation.Research limitations/implications -It remains unclear whether sense of place, as defined here, is the outcome of the limitations induced by the channel and textual genre. Future research on this virtual community, via interviews and questionnaires, could clarify this question.Originality/value -The analysis of this new form of tourism and the innovative design of this research, based on textual analysis of free elicited data, are the main contributions of this paper.
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