Vulnerable populations with psychological disorders in tourism: Methodological challenges and recommended solutions for empirical research

Vulnerable groups, including travel-eligible tourists with medical conditions (e.g., early- and mid-stage dementia), represent an emerging niche market in the tourism industry that has been largely overlooked in the tourism literature. By identifying and addressing the challenges of conducting empirical research for this population, unreliable and misrepresentative data (and resulting imprudent recommendations) can be avoided. Given that tourism-based interventions may provide a new avenue for patient-oriented treatments, rigorous methodological guidelines are needed to advance knowledge in this interdisciplinary area. This paper provides insights into the potential challenges of empirical research involving tourists with psychological disorders. Collecting primary data from target participants requires preparation and deliberate contemplation when identifying and recruiting travel-eligible tourists. Solutions such as clear recruitment criteria, randomized controlled trials, and integrated health research approaches are recommended. Resultant studies on exposure and outcomes can inform tourism management and marketing strategies regarding these populations.     

The Natural State

ABSTRACT

Australian nature-based tourism and ecotourism have become popular forms of recreational activity. Tasmania attracts twice the Australian national average number of nature-based tourists and ecotourists (thirty per cent). The growth of this tourism sector has prompted measures to ensure that experiences are of high quality, and that environmental impacts are adequately managed. ISO 14000 is an environmental management and certification system often utilised as an environmental management system standard within various industries, but has not been widely applied to the Australian tourism industry. The Nature and Ecotourism Accreditation Program (NEAP) represents the most significant accreditation measure within Australia at present. This paper assesses the relevance of NEAP in the Tasmanian nature-based tourism and ecotourism industry through in-depth interviews with a key informant group and a comparative analysis of interview data. The paper introduces nature-based tourism and ecotourism definitions and discusses the growing relevance of ecotourism accreditation. The paper argues that NEAP is relevant to the Tasmanian nature-based tourism and ecotourism industry, where the quality of the natural environment forms the central focus for such experiences. Furthermore, the paper argues that NEAP can assist in supporting the State's nature-based tourism and ecotourism industry through means such as branding and promotion. However, problems exist in relation to financial issues between NEAP and operators, and the perceived overlap of NEAP with the widely implemented Tourism Council Tasmania Accreditation Program. Thus, financial issues need to be addressed by the Ecotourism Association of Australia in association with Australian Commonwealth Government subsidisation. The degree of overlap between the two programs can be effectively addressed through industry cooperation. The paper also suggests that stronger branding and promotion of NEAP can be achieved through increased industry involvement by Tourism Tasmania.     

Towards Assessing the Knowledge Gap in Medical Tourism

The medical tourism industry is a fast growing global niche market that generated $20 billion in income for destinations around the world. This study suggests and tests a mechanism to assess the medical tourism providers’ perceptions about the tourists’ perceived important product attributes when selecting a medical tourism destination. The results indicate that the various medical tourism providers groups do not vary in their perceptions regarding 24 important attributes of the medical tourism product and that they all agree that tourists perceive the medical variables to be more important than the tourism related variables. Using the Korean market for data collection, the study’s additional contribution is providing insights for Korean government agencies, operators of medical tourism hospitals, policymakers, and marketers.     

Are there cultural limits to tourism?

This article poses the question: are there cultural limits to tourism? It argues that tourism is a culture industry in the sense that it markets cultural products to tourists as cultural experiences. The three elements of tourism as culture are: the cultural foundations of tourism products, the sophistication of tourists’ perceptions and experiences of tourist cultures, and the cultural consequences of tourism development on resident communities. Yet these aspects are usually treated in a tokenistic way in favour of economic and environmental considerations, ignoring the cultural consequences of major changes to destination communities as a result of tourist development. This article proposes that the changes and consequences of tourism on the culture of destinations and on the culture of tourists should be central to debates about sustainable tourism development. The article proposes a number of conditions or indicators to identify the matrix of impacts of tourism from which acceptable and unacceptable limits can be determined. The use of these indicators should be central to planning, management and monitoring practices to achieve sustainable tourism.     

Tourist adaptation behavior in response to climate disasters in Bangladesh

To assess the impacts of climate disasters on the behavior of tourists in Bangladesh, this study makes an initial attempt to investigate tourists’ adaptation behavior in response to climate disasters. A questionnaire survey was developed and administered to address both tourists’ previous adaptation behavior and their stated adaptation behavior in response to different future climate disasters. The choice modeling analysis of tourists’ previous behavior revealed that a cyclone is more likely to result in the cancellation of a trip, and a flood is more likely to result in a change in trip timing. As for the stated behavior analysis, it was confirmed that most variables related to disaster severity show significant influence on adaptation behavior. The results also indicate that construction of disaster-resilient transportation networks is essential to avoid trip cancellations. In addition, improving market-oriented tourism service quality in Bangladesh could play a significant role in reducing the probability of both trip cancellations and changes of destination. The findings of this study can provide the tourism industry in Bangladesh with critical insights for future disaster management and sustainable development of the tourism industry.     

Identifying tourists with smaller environmental footprints

This paper identifies which information about tourists serves as the best predictor of their pro-environmental behavior at home and on vacation. If a small set of predictors can be identified, the tourism industry would be able to use them to focus attention on attracting tourists with smaller environmental footprints. Results from a survey asking respondents about pro-environmental behavior in their role as residents and tourists indicate that environmental concern, altruism, feeling morally obliged to behave in an environmentally friendly manner, age and regional identity are the best predictors of the segment of people who behave in an environmentally friendly way at home. Income levels and moral obligation best predict membership of the segment of environmentally friendly tourists. The two segments overlap; differences between them are due to the fact that, at home, people can create the infrastructure they require to behave in an environmentally friendly way. On vacation they need to adjust to the infrastructure provided, which can act as a barrier to pro-environmental behavior. Results have direct practical implications, highlighting the value of demand-side approaches to environmentally sustainable tourism for protected areas, both urban and rural, such as focusing on those market segments that have the highest intrinsic inclination to protect the environment.     

Designing for more environmentally friendly tourism

The environmental (un)sustainability of the tourism industry has been debated for many decades. This debate generated ample empirical evidence of the environmental damage caused by tourism-related human activity. It is underpinned, however, by a passive position: one of largely accepting the tourism industry as it is, and lamenting its negative consequences. An alternative, more active approach, is to deliberately design for environmental sustainability. This article provides examples of how the tourism industry can drive a reduction of environmental damage by actively designing brand-owned touchpoints in a way that entice tourists to behave more environmentally friendly. The article concludes with an overview of promising design approaches and a framework to guide the future design of more environmentally friendly tourism services.     

Conflicting preferences among tourists and residents

In this paper we present the results of a choice modelling (CM) experiment designed to estimate preferences of residents and tourists in Alghero, Sardinia (Italy). In 2004 Sardinia’s regional government introduced a set of reforms on coastal development and environmental protection that had important consequences for the tourism industry. The CM experiment took place in 2006, and aimed to study both resident’s and tourists’ preferences regarding the 2004 reform and other tourist development alternatives. We also assess the hypothesis that the perceived social and environmental effects of tourism differ among classes of respondents. The analysis indicates that there are conflicting preferences within the host community as well as between the host community and tourists. This creates a mismatch between residents’ supply and tourists’ demand of recreational services that needs to be addressed to promote the best tourist development strategy. It also shows that the 2004 reform is not such an effective strategy as it matches neither resident’s nor tourists’ preferences.     

Can gamification improve the virtual reality tourism experience? Analyzing the mediating role of tourism fatigue

Although virtual reality (VR) technology has been increasingly applied in the tourism industry, improving the VR experience of tourists remains a challenge. Based on two studies, this paper examines how gamification can improve the VR tourism experience through reducing tourism fatigue. Study 1 explores the relationship between gamification, tourism fatigue, and tourist satisfaction. The results show that tourists are more satisfied with a gamified, rather than non-gamified, VR tourism experience, and that motivational fatigue plays a mediating role between gamification and tourism satisfaction. Study 2 provides further evidence that four elements in gamification (challenge, feedback, reward, and leaderboard) can alleviate motivational fatigue and improve tourist satisfaction, with feedback playing the biggest role. The findings have valuable practical implications for VR experience providers, for destination practitioners in VR experience enhancement, and for the application of gamification to the VR tourism experience.     

Motivational and Behavioral Profiling of Visitors to Forest-based Recreational Destinations in Sri Lanka

The tourism industry plays a key role in regional and destination development. As negative environmental and socio-cultural impacts of mass tourism become more common, the appeal of alternative forms of tourism, especially ecotourism, continues to increase. With rising demand, ecotourism operators are facing the task of meeting expectations of diverse consumers of ecotourism products. Accordingly, the need to define and distinguish ecotourists from other types of tourists has become important. The importance of using a behavioral approach to distinguish ecotourists from other types of tourists is emphasized by tourism scholars. This study developed distinct motivational and behavioral profiles of visitors to forest-based ecotourism sites in Sri Lanka. Results identified four different types of tourists based on their behavioral and motivational characteristics: ecotourists, picnickers, egoistic tourists, and adventure tourists. Broad implications of visitor profiling are also discussed. This approach can help ecotourism operators to better tailor marketing strategies and increase visitor satisfaction.     

How would the contextual features of a destination function together with individual factors to enhance tourists’ intention toward ST in Taiwan?

Abstract

Slow travel (ST), which emphasizes deeper experiences via slower transportation modes, has been promoted as an alternative to current practice and a more sustainable form of tourism. With lower GHG emissions being a national environmental goal in Taiwan, ST concepts have been garnering attention. The relationship between the environments of destinations and pro-environmental behavior of tourists has attracted relatively little academic attention. To remedy this, the current research establishes a fairly complete model for incorporating factors at the contextual level into the individual determinants useful in encouraging ST. The goal of this research is to understand how certain predictors directly and interactively influence the choices of tourists toward ST. This study collected 508 validly filled surveys addressing 13 industrial tourist destinations, and applied Hierarchical Linear and Nonlinear Modeling (HLM) analyses. In addition to the individual-level factors, including perceived benefits of tourism experiences and ages of tourists, the design of onsite tourism programs at the contextual level was one of the most influential drivers to encourage visitors’ ST intentions. Included in this research are the insights into how to promote ST and corresponding suggestions for tourism operations within the context of sustainable tourism and destination management.     

The influence of recreation experiences on environmentally responsible behavior: the case of Liuqiu Island,Taiwan

Scientific understanding of the relationships between recreation experience and environmentally responsible behavior (ERB) of nature-based tourists is limited. To address this research gap, this study examines the relationship between recreation experiences (i.e. education, experiential engagement, esthetics, and escapism) and the general and site-specific ERB of tourists on Liuqiu Island in Taiwan. In total, 443 usable questionnaires were collected. The empirical results indicate that general ERB is positively and significantly affected by experiential engagement and the escapism of recreation experiences. The site-specific ERB of tourists is positively and significantly affected by the education, esthetics, and escapism of the recreation experience. We conclude that when people participate in the types of nature-based tourism described here, their recreation experiences can strengthen their sense of engagement in general and site-specific ERB, and contribute constructively to positive aspects of sustainable tourism. The management implications presented in this paper provide valuable insights for sustainable tourism. We suggest that recreation managers at nature-based tourism destinations collaborate to plan and implement recreational activities that are integrated with environmental education initiatives. This approach will encourage tourists to simultaneously engage in high-quality recreation experiences and ERB.     

Developing environmental performance measures for tourism using a Tourism Satellite Accounts approach: a pilot study of the accommodation industry in Egypt

Considering the recognized pressures of tourism on the natural environment, it is important to quantify and understand those pressures. This paper adopts an approach based on the Tourism Satellite Accounts conceptual framework to measure selected environmental pressures of tourism. Egypt is selected for the case study and the accommodation industry group is used as a pilot test (reference year 2009) for the feasibility of the proposed methodology. Results show that each US$ 1 million of direct value added supported by tourists expenditure in the accommodation industry group requires 18.6 thousand m³ of water, 51.1 tons of fuel, and 426 megawatt hours (Mwh) of electricity. Similarly, each US$ 1 million of the direct value added generated by tourists expenditure for accommodation creates directly about 464.3 tons of CO₂ emissions. It is estimated that serving inbound tourism is a higher user of energy resources than serving domestic tourism, which is higher in terms of water use. These environmental performance measures enable the Egyptian Government to examine the potential environmental pressures and financial costs of attracting new tourists.     

离岸岛屿目的地旅游交通能耗与CO_2排放测算——以海口市为例

离岸岛屿目的地旅游交通能耗与排放的测算能更加清晰地反映旅游交通、乘飞机旅行造成的环境影响。国内现有的旅游业能耗与排放的测算几乎都使用的是国外5年甚至10年前的经验参数。文章采用自下而上法,最大限度地使用符合我国实际的各种交通方式能耗及排放强度的关键参数,并通过大量的实地调研,细化旅游交通组织,较为准确地测算了我国第二大岛海南岛首府海口市2011年旅游交通的能源消耗与CO2排放量。结果表明,2011年海口市旅游交通能耗为27.40PJ(皮焦,1皮焦等于1015焦),占当年全市总能耗的22.10%;旅游交通CO2排放总量为2.06Mt(兆吨,1兆吨等于106吨)。对于离岸岛屿旅游目的地而言,无烟产业的定论被打破,旅游业正在或已经成为海口市重点用能产业。离岸岛屿目的地旅游业为应对气候变化和节能减排,应设法延长游客的停留天数、减少进出往返的飞行次数;并在充分研究论证的基础上,适时考虑开征设立航空排放税、旅游环境税或生态补偿基金等。鉴于旅游交通等旅游能耗统计基础薄弱,建议组建专业化的旅游能源统计机构,切实加强旅游能耗统计管理。     

Nature-based tourism's impact on environmental knowledge,attitudes, and behavior: a review and analysis of the literature and potential future research

Although nature-based tourism is often promoted as benefiting local destinations through income generation, employment, and direct conservation support, it is also believed to influence tourists’ environmentally friendly attitudes, knowledge, and ultimately their behavior. Yet, few studies have empirically documented these outcomes, and those that do are inconsistent in the variables measured and the time frame analyzed. This paper examines the empirical research on nature-based tourism's ability to foster long-term stewardship behavior among travelers by conducting a systematic review of peer-reviewed tourism research published between 1995 and 2013. This search, focused on literature addressing changes in tourists’ environmentally related knowledge, attitudes, intentions, and actual behaviors, yielded just 30 empirical studies. Outcomes related to new environmental knowledge were commonly reported in these studies, but findings related to environmental attitudes and behaviors were inconsistent. Few studies measured environmental behavior directly, and fewer still include longitudinal assessments of persistent changes in attitudes or behaviors. We suggest potential future areas for research as well as programmatic strategies that may facilitate favorable outcomes from nature-based tourism, particularly those related to tourists’ knowledge, attitudes, and behaviors. Key areas include understanding visitors’ prior experiences and background, designing and delivering more effective interpretive messages, and using social media.     

Context mapping for creative tourism

The article explores the processes designer-makers and communities should engage in before using service design approaches to produce creative tourism experiences. These processes can yield insights into the inner processes and interactions with external environments of creative individuals and communities. Case studies from Finnish Lapland and Namibia show the importance of identity construction, creativity and storytelling for context mapping. The article presents a practical and flexible mapping tool that has been derived from these case studies. This tool can be expanded and applied by designer-makers for practical mapping activities. The findings indicate that creative tourism involving designer-makers can provide new tourism opportunities that not only generate deeply relevant experiences for tourists but also sustainable livelihoods for local designer-makers.     

Elucidating the relationships among destination images,recreation experience,and authenticity of the Shengxing Heritage Recreation Area in Taiwan

A destination's image and on-site recreation experience can be regarded as precedents of the authenticity perceived by heritage tourists. Historic images attract tourists to experience the authenticity of a heritage destination. This study examines the linear relationships among destination images, recreation experience, and the perceived authenticity experienced by tourists at the Shengxing Heritage Recreation Area in central Taiwan. In total, 536 usable questionnaires were collected. Analytical results indicate that the cognitive and affective images of a destination directly and significantly affect the recreation experience of tourists at a heritage recreation area. Additionally, recreation experience directly and significantly affects perceived authenticity. Moreover, recreation experience has a significant mediating effect on the relationship between cognitive image and perceived authenticity. We conclude that when tourists visit a heritage-based tourism destination, such as the destination under consideration, these tourists gain tourism image and recreation experiences, which strengthens their perceived authenticity of heritage tourism; as a result, these tourists are more likely to contribute to the development of heritage tourism. Applying this theoretical framework to research on heritage tourism further extends our understanding of the behavioural model of heritage tourists. Finally, this study provides a valuable reference for managers striving to develop heritage tourism.     

How do environmental knowledge,environmental sensitivity,and place attachment affect environmentally responsible behavior? An integrated approach for sustainable island tourism

Previous studies have explored tourists’ environmentally responsible behavior (ERB) from the perspectives of individual commitment, attractiveness, and involvement. This study approaches from the standpoint of environmental knowledge (EK); it probes tourists’ behavior to facilitate sustainable tourism development, and constructs a sustainable island tourism development model by integrating EK, environmental sensitivity, place attachment, and ERB. Four hundred and seventy seven tourists visiting the Penghu Islands, Taiwan, were surveyed. Structural equation modeling was used to determine the relationships among the variables and the mediating effects. Results indicate that higher levels of tourists’ EK about the Penghu Islands are associated with stronger environmental sensitivity; environmental sensitivity which tourists have for island tourism is positively associated with place attachment. The extent of place attachment of Penghu as perceived by tourists is also positively associated with stronger ERB. When tourists are highly sensitive to the attraction, they are more likely to exhibit ERB. Environmental sensitivity and place attachment were found to exert significant effects in mediating the relationships between EK and ERB. This study pioneers the integration of all four constructs in a sustainable tourism behavior model for tourists to island tourism destinations. Suggestions for marketing and implementation of sustainable tourism, and their managerial implications are proposed.     

The sustainability–profitability trade-off in tourism: can it be overcome?

This paper answers key questions about personal and industry decision-making in implementing sustainable tourism. Being environmentally friendly is typically associated with sacrifice, including sacrifice of comfort (e.g. walking rather than driving), sacrifice of time (e.g. recycling garbage) or sacrifice of money (e.g. buying more expensive locally grown vegetables). Consequently, the tourism industry perceives sustainable tourism as a sacrificial touristic niche, one that is associated with additional cost but appears to attract customers who do not spend enough money to compensate for the extra effort. This paper explores a perceived trade-off between minimising environmental damage and maximising revenue, by finding market segments that are environmentally friendly and have high expenditures. An online survey was made of 1003 Australian domestic tourists. Results indicate that tourist segments vary significantly in terms of their environmental impacts and vacation expenditure. Six segments were identified. Two market segments, containing 40% of the total market, that leave small environmental footprints while maintaining high expenditure were found, indicating that market segmentation when coupled with marketing/demarketing policies can be used as a strategy complementary to the development of destination-based initiatives to reduce the environmental impact of tourism.     

The Problems and Prospects of Sustainable Tourism Development in the Okavango Delta,Botswana

The objective of this paper is to assess the problems and prospects of sustainable tourism development in developing countries with special reference to the Okavango Delta, Botswana. Using both secondary and primary data sources, this paper points out that tourism in developing countries does not always adhere to the principles of sustainable tourism development. In the Okavango Delta, the tourism industry is designed to meet the interests of tourists from developed countries and is dominated by foreign safari companies. The tourism industry in the Okavango Delta does not significantly take into consideration the sociocultural, economic and environmental needs of the host economy. It is characterised by: the marginalisation of local companies and investors; leakages and repatriation of tourism revenue from Botswana to developed countries; the failure of tourism to promote rural development and poverty alleviation; and, the failure to observe local environmental regulations to conserve the Okavango Delta as a natural ecosystem. This paper argues that, despite these problems, such destinations have the potential to contribute to sustainable tourism development. This requires a planning process that satisfies the needs of tourists and tour operators while being sensitive to the sociocultural, economic and environmental needs of host countries and destinations.