Health, Wellness, and Place Attachment During and Post Health Pandemics

"And if my goal is never to leave Casey House?": The significance of place attachment for patients at a specialty HIV hospital in Toronto, Canada

The current healthcare context prioritizes shorter hospital stays and fewer readmissions. However, these measures may not fully capture care experiences for people living with HIV, especially those experiencing medical, psychosocial, and economic complexity. As part of a larger study, we conducted seven focus groups with people living with HIV (n = 52), who were current/former patients at a Toronto-based specialty hospital, examining their desires/needs for hospital programs. Using a novel place attachment lens, we conducted a thematic analysis focusing on the emotional bond between person (patient) and place (hospital). Our findings show that participants wanted an ongoing connection to hospital to fulfill their need(s) for control, security, restoration and belonging. Indeed, continual attachment to hospital may be beneficial for patients with complex care needs. Our research has implications for care engagement and retention frameworks.

The trinomial health, safety and happiness promote rural tourism

BACKGROUND

Health and safety protocols have become a requirement to promote rural tourism (PRT). From this perspective, this paper empirically analyses how the health and safety dimensions influence the happiness of hotel managers and rural tourists in the post-Covid 19 era.

METHODS

A theory-based structural equation model will be carried out of activation of norms, that measure variables: sanitary, socioeconomic, and safety. Precisely, we will measure how those three attributes affect the managers-guests' health in rural areas and their search for happiness at the rural destination. Based on the above, a field of study has been 215 rural tourist accommodations in the Extremadura region (Spain) and a sample population of 443 guests. Data were organised through the SEM-PLS path modelling.

RESULTS

The results achieved statistically show the need to undertake a new model of healthier and safer tourism consumption that values the tourist resources of rural areas, especially nearby and sustainable destinations, based on the guiding principles of safety, health, and happiness.

CONCLUSIONS

The first conclusion is that promoting tourist destinations under safe and healthy conditions has become a priority objective in the tourism industry. The second conclusion that follows from the first is that the variables safety and health and the pursuit of happiness are essential factors in promoting tourist destinations for rural hotel managers and rural tourists. The third conclusion related to the first two is that the opportunity that this study provides to develop strategies of an innovative, sustainable, and creative nature based on the relationships of the new trinomial of health, safety and happiness, from the perspective of happiness management.

Health and Wellness Tourists' Motivation and Behavior Intention: The Role of Perceived Value

In recent years, with the rapid change of people's health concept, health and wellness tourism has shown a vigorous development trend. However, existing literature has been lacking on travelers' behavioral intentions, influenced by their motivation in health and wellness tourism. To fill in this gap, we designed scales of tourists' behavioral intention and motivation in health and wellness tourism and investigated the aforementioned effects, with a sample of 493 visitors who have traveled in health and wellness tourism. Factor analysis and structural equation models were applied to explore the relations among motivation, perceived value, and behavioral intention in health and wellness tourism. The results indicate that health and wellness tourists' motivation significantly positively predicts their behavior intentions. Travelers' perceived value of health and wellness tourism significantly partially mediates the associations between their behavioral intention and escape motivation, attractive motivation, environmental motivation, as well as interpersonal motivation. No empirical evidence supports the mediating role of perceived value in the correlation between consumption motivation and behavioral intention. Health and wellness tourism industries are encouraged to meet the intrinsic motivation of travelers and make them perceive the value of this kind of tourism, which in turn promotes tourists' choice, evaluation, and satisfaction of health and wellness tourism.

Stimulating Tourist Inspiration by Tourist Experience: The Moderating Role of Destination Familiarity

The tourist experience is a core indicator of destination management for the comprehensive evaluation of destination value. Tourist experience and tourist inspiration are important concepts in the stream of research on destination marketing and management. However, these relationships remained under-explored in the extant literature. This study examined the impact of tourist experience on tourist inspiration under the moderating impact of destination familiarity. To achieve the objective of this study, data were collected online from 622 Chinese tourists. We employed partial least squares structural equation modeling (PLS-SEM) to statistically analyze the gathered data. Findings show that four types of tourist experiences, namely education, esthetics, entertainment, and escapism, significantly and positively influenced the inspired-by state of tourist inspiration, which further influenced the inspired-to-state of tourist inspiration. Destination familiarity exerted a significantly negative moderating impact on the relationship between education experience and inspired-by state of tourist inspiration. Sensitivity analysis presents that education experience was the strongest predictor of the inspired-by state followed by aesthetics, escapism, and entertainment facets of the tourist experience. Findings contribute to the theory and practice of tourism management with a robust interpretation of tourist experience, tourist inspiration, and destination familiarity to solidify the effective management of tourist destinations. Limitations and future research directions are noted.

COVID-19 Adaptive Interventions: Implications for Wellbeing and Quality-of-Life

Social bonds may assist in cultivating a more positive attitude to life through commonly shared meanings about the COVID-19 pandemic. The key challenge, however, is how to foster social bonds meeting the changing demands in a post pandemic world. Yet, it is in the middle of a crisis that the conversation needs to start about how to strategically plan for the recovery. This is important not only in the current pandemic, but also in a post pandemic world. Reinforcing or fostering new social bonds is likely to bring positive experiences. The latter is central to human health and wellbeing, and has potential to contribute greatly in enhancing people's quality of life. In an attempt to foster place social bonding in the COVID-19 pandemic and beyond to subsequently contribute to wellbeing, this paper develops and proposes a new conceptual framework suggesting the need for adaptive social bonding interventions in the SARS-CoV-2 pandemic. This is an essential measure to manage the significant impacts on our global health services due to a decline in people's mental health in addition to COVID-19 physical impacts. The paper discusses how promoting adaptive social bonding interventions (psycho-socio, digital and nature social bonding) can make people more resilient. It further discusses how they can be empowered psychologically, socially, and emotionally in the current challenging times. The conceptual framework posits that social bonding interventions can assist in maintaining better mental, physical, emotional, and spiritual wellbeing and discusses how these wellbeing outcomes may also be experienced post the pandemic. This has important benefits and is of relevance to governments, policy makers and healthcare professionals in delivering better health care and equipping people with coping mechanisms both throughout the pandemic and in the long run.

A Study on the Correlation Between Media Usage Frequency and Audiences' Risk Perception, Emotion and Behavior

Whether risk events can be effectively controlled and mitigated is largely influenced by people's perceptions of risk events and their behavioral cooperation. Therefore, this study used a web-based questionnaire (N = 306) to investigate the specific factors influencing people's risk perceptions and behaviors, and included a test for the difference in the effect of positive and negative emotions of the audiences. The results show that the overall model has good explanatory power (R 2 = 61%) for the behavioral variables, and (1) how people's use of different media (especially TV and online media) significantly influenced their positive and negative emotions; (2) how people's frequency of TV use significantly influenced their risk susceptibility and how online media use significantly influenced their risk severity (with some differences in people's perceptions of efficacy between different media); (3) how people's sense of efficacy for risky events is the strongest predictor of their risk control behavior; and (4) that there are different mediating effects of different emotions and risk severity and sense of efficacy between the frequency of media use and risk control behavior.

Conserve My Village—Finnish, Norwegian and Swedish Students’ Valued Landscapes and Well-Being

In the context of landscape, both the natural environment and the built environment can be linked with human health and well-being. This connection has been studied among adults, but no research has been conducted on young people. To fill this gap, this case study aimed to elucidate students’ views on landscapes worth conserving and the landscapes that affect and support their well-being. The participants (n = 538) were Finnish, Norwegian and Swedish students from grades 3–6. The students drew the landscapes they wanted to conserve. The drawn landscapes and the welfare-supporting features they contained were analysed using inductive and abductive content analyses. The students from all three countries preferred water, forest and yard landscapes. In the drawings of natural landscapes, the most recurring themes were sunrise or sunset, forest, beach and mountain landscapes. Physical well-being was manifested in the opportunity to jog and walk. Social well-being was reflected in the presence of friends, relatives and animals. Therapeutically important well-being-related spaces—the so-called green (natural areas), blue (aquatic environments) and white (e.g., snow) areas—were also depicted in the participants’ drawings. It can be concluded that the drawn landscapes reflect several values that promote students’ well-being.

The impact of COVID-19 on European tourists' attitudes to air travel and the consequences for tourist destination evoked set formation

We study how risk conditions derived from the COVID-19 pandemic may impact on both the desire to travel and intention to visit of tourists and, therefore, on different stages of the destination choice process. We analyse 5134 million flight searches and 379 million flight picks during 2020 for the 17 largest European tourism source markets. An unweighted index number is employed to measure the average variation for searches and picks, for the year 2020, in relation to the reference base period (year 2019). This is done for air travel in general and to Spain specifically. The study then proceeds to conduct an analysis of 17 international travel destinations that are in the evoked sets of the two largest outbound markets in Europe (Germany and UK). We also identify which markets are most favourable to Spain. The research design can inform cost-efficient marketing decisions in a situation of high uncertainty.

Modeling of the Impact of the Credibility of the Destination Endorser on the Place Attachment of Potential Tourists

Place attachment has been identified as effective marketing strength to enhance destination competitiveness. However, little research explored the formation mechanism of the place attachment of potential tourists and the role of celebrity endorsers. This study aims to identify the influence mechanism of the credibility of endorsers on place attachment. Various theories from different research fields were introduced to explore the mediating effect of destination attitude, para-social relationships, and destination source credibility between endorser credibility and the place attachment of potential tourists. The famous destination endorser in China, Tenzin, was chosen as the case. A quantitative method was adopted. The research model was examined by a survey sampling size of 367 respondents. The covariance-based structural equation model analysis revealed that the credibility of the endorser exerts a positive influence on the destination attitude of potential tourists, para-social relationship with the endorser, and destination source credibility. These three constructs have a positive effect on their place attachment. The results showed that the credibility of the endorser has a significant indirect influence on place attachment. This study extends the current literature of forming the place attachment of potential tourists from the perspective of the personal characteristics of the destination endorser. The findings shed light on how the credibility of the endorser could form place attachment through enhancing the destination attitude, credibility, and para-social relationships of potential tourists. This study provides several practical implications for destination marketing.

The Effect of Place Attachment on Overseas Students' Tourism Ambassador Behavior: A Mediation Role of Life Satisfactionrdrd

Life satisfaction is a research hotspot in positive psychology in recent years. This study uses overseas students as subjects and attempts to examine the effect of place attachment and student life satisfaction on Mainland Chinese students' word-of-mouth (WOM) recommendations and their Ambassador Behavioral (AB) intention. A survey was systematically conducted in six institutions in Macao. The results of 312 valid data indicate that place dependence has a positive influence on place identity; place identity and place dependence have a positive influence on student life satisfaction; student life satisfaction mediates the influence of the two dimensions of place attachment on WOM and AB intention. Recommendations are provided to improve overseas students' life satisfaction in the study places. It helps to improve their sense of ownership and actively participate in the construction of the study places.

Factors Affecting Perceived Health Benefits and Use Behaviors in Urban Green Spaces During the COVID-19 Pandemic in Southern China Megacities

Background: The COVID-19 pandemic has alienated people from urban green spaces (UGSs) that have various health outcomes for humans. However, little is known about the influential factors of perceived health benefits and use behaviors in UGSs during the COVID-19 pandemic. This study aims to explore the key factors that influence perceived health benefits and use behaviors in UGSs and to assess the mediating role of place attachment in relationships during the COVID-19 pandemic in Chinese megacities. Methods: We conducted an online questionnaire survey from December 2020 to March 2021 in Guangzhou and Shenzhen, China. Six multiple regression models were constructed to investigate the main factors by which UGSs influence citizens' perceived health benefits and use behaviors. Four mediation models were established using the structural equation modeling (SEM) method to explore the mediating effect of place attachment. Results: A total of 628 questionnaires were included in the analysis. The results revealed that some UGS components (green space access, maintenance, and soundscape) significantly affected perceived health benefits for citizens (physical, mental, and social health) during the COVID-19 pandemic. Conversely, use behaviors (frequency of visits, duration of visits, and activity intensity) were mainly affected by the sociodemographic context but less affected by UGS components. In addition, UGS components were found to significantly predict place attachment, which in turn influenced the perceived health benefits, frequency, and duration of visits. Conclusions: This study distinguished the key factors that affect perceived health benefits and use behaviors during the COVID-19 pandemic: green space access, maintenance, soundscape, and sociodemographic characteristics. Place attachment still needs to be considered when discussing how to encourage citizens to visit UGSs during the pandemic. These findings provide implications for policymakers and landscape planners regarding design and management measures for UGSs that are conducive to coping with pandemics.

Place Affect Interventions During and After the COVID-19 Pandemic

The COVID-19 health and economic crisis has also brought a rise in people being unable to cope with their existing medical conditions and other issues such as domestic violence, drugs, and alcohol among others. Suicidal tendencies have been on the rise. Feelings of isolation causing emotional distress in place-confined settings have put additional pressure on the healthcare systems demanding that we find additional and complementary means of support for those in need. This is important not only in the current pandemic but also in the post-pandemic world. The goal is to collectively contribute and address the recurring calls for actions to maintain global well-being and public health. An important discussion to bring on the table is the need to promote interventions for people to cope with the pandemic and to adjust to the post-pandemic world. Promoting affective attitudes toward place can foster well-being outcomes. This has important benefits and is of relevance to governments, policymakers, and healthcare professionals in delivering better healthcare equipping people with coping mechanisms both throughout the pandemic and in the long run. However, the key challenge is how to foster these place affect attitudes meeting the changing demands in the post-pandemic world. It is in the middle of a crisis that the conversation needs to start about how to strategically plan for the recovery.

Social Bonding and Public Trust/Distrust in COVID-19 Vaccines

COVID-19 vaccine hesitancy has been a growing concern. The pandemic has proved to be very complicated with the mutated virus. The Delta variant is contributing to a surge of cases across the globe. Vaccine hesitancy can be socially contagious, requiring more stringent efforts from policy makers and health professionals in promoting vaccine uptake. Some evidence shows that vaccine acceptance appears to have played an integral role in successfully controlling the pandemic. Vaccination acceptance, however, demands that the public has a good understanding of the vaccine’s benefits in promoting healthier societies and people’s quality of life. Unclear COVID-19 vaccine information can lead to distrust in vaccines and vaccine hesitancy. It is of paramount importance to communicate clear and unbiased vaccine information to the public to encourage vaccine uptake. Word of mouth communication remains important to further promote COVID-19 vaccine uptake in the community. This short paper discusses the role of social bonds and public trust/distrust and word of mouth communication in vaccine decision making.

The Consequences of COVID-19 Toward Human Growth: The Role of Traumatic Event and Coping Strategies Among Indonesian Sample

COVID-19 has brought a massive psychological impact on individuals' life. The current study sets a significant purpose to test the model whether post-traumatic stress and coping strategies affect stress-related growth regarding the COVID-19 event. One hundred and ninety-nine participants have participated in an online survey in the period of lockdown. The proposed hypotheses model is further tested using PLS-SEM. The first model explains a significant moderate, 46% amount of variance for stress-related growth. With gender as moderator, the second model explains a significant 29% amount of variance for stress-related growth, which is also moderate. This study shows that active coping strategies and positive affirmation significantly influence individual stress-related growth. The trauma event (COVID-19) does not significantly affect growth. Women experience trauma compared to men, besides active coping with the COVID-19 situation is higher in men than women. Using the Bio-centric perspective, having a positive connection through acceptance and awareness of the situation, self-care, and affective interaction with others would develop growth regarding traumatic situations. Further, interventions about coping skills and positive affirmations are essential to give, especially to vulnerable groups such as women.

Thinking Outside the Park: Connecting Visitors’ Sound Affect in a Nature-Based Tourism Setting with Perceptions of Their Urban Home and Work Soundscapes

This study examined the potential for Perceived Affective Quality (PAQ; pleasantness, eventfulness, familiarity) soundscape measures developed within urban settings to enrich current soundscape management approaches within protected areas (PAs). Drawing on the premise that people bring experiences from other life contexts into PA settings and PA visitors are increasingly coming from urban areas, research integrated urban visitors’ soundscape perceptions of their home and work acoustic environments with their perceptions of acoustic environments in PAs. Two-phased survey research (n = 333) separated visitors into urban density groups and compared PAQ variables across home, work, and PA contexts. Significant differences resulted, both in ratings of the three acoustic contexts (PA, home, work) for all three PAQ components and between urban density groups. The importance of pleasantness was confirmed across all contexts; however, alone, this dimension lacked sufficient contrast to interpret the complexity of soundscape perceptions, especially considering diverse Healthy Parks, Healthy People (HPHP) visitor experience scenarios and goals. Thus, managers should consider (1) additional PAQ variables that can provide more useful and contrasting information; (2) incorporating methods that integrate PAQ measures across visitors’ different acoustic contexts, and (3) including urban density measures within HPHP research.

Corporate Social Responsibility at LUX* Resorts and Hotels: Satisfaction and Loyalty Implications for Employee and Customer Social Responsibility

Corporate Social Responsibility (CSR) remains a hot topic in management. Yet, little is known about how well managers, employees and consumers are responding to CSR initiatives to align with the 2030 Agenda for Sustainable Development. Underpinned by well-established theories, this study develops a single integrative model of managers’, employees’ and consumers’ CSR. Data were collected from the LUX* group of resorts and hotels located on three Indian Ocean islands: Mauritius, Reunion and the Maldives. Structural equation modelling was employed. Findings reveal: (1) organizational CSR is positively related to employee social responsibility; (2) organizational CSR is negatively associated with customer social responsibility; (3) employee social responsibility is negatively related to customer social responsibility; (4) employee social responsibility is negatively related to customer delight; (5) customer social responsibility is positively related to customer satisfaction; and (6); customer social responsibility is positively related to customer delight. Strategic CSR initiatives with a multi-stakeholder engagement approach are discussed.