Note 10 - Operating Segment Information - Information Related to the Operations of the Company's Operating Segments (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2023	Jun. 30, 2022	Jun. 30, 2023	Jun. 30, 2022
Net sales	$ 129,162	$ 147,933	$ 259,935	$ 291,515
Cost of goods sold	81,566	99,800	165,231	193,601
Gross margin	47,596	48,133	94,704	97,914
Selling and administrative expenses	43,382	45,969	86,761	88,183
Other periodic pension cost	214	528	428	1,056
Interest expense	2,624	583	5,194	882
Income (loss) before income tax expense	1,376	(28,986)	2,321	(22,246)
Depreciation and amortization	3,428	3,180	6,816	6,103
Capital expenditures	1,529	2,851	3,643	7,039
Goodwill, Impairment Loss	0	24,458	0	24,458
Impairment of Intangible Assets, Indefinite-Lived (Excluding Goodwill)	0	5,581	0	5,581
Operating Segments [Member] | Branded Products [Member]
Net sales	79,592	102,039	161,443	199,122
Cost of goods sold	53,952	72,954	109,904	141,822
Gross margin	25,640	29,085	51,539	57,300
Selling and administrative expenses	20,362	24,004	40,415	45,561
Other periodic pension cost	0	0	0	0
Interest expense	0	63	0	118
Income (loss) before income tax expense	5,278	(4,698)	11,124	1,905
Depreciation and amortization	1,710	1,589	3,374	2,972
Capital expenditures	736	1,401	2,007	2,944
Goodwill, Impairment Loss		4,135		4,135
Impairment of Intangible Assets, Indefinite-Lived (Excluding Goodwill)		5,581		5,581
Operating Segments [Member] | Healthcare Apparel [Member]
Net sales	28,072	26,288	56,226	56,856
Cost of goods sold	17,653	18,904	35,707	37,457
Gross margin	10,419	7,384	20,519	19,399
Selling and administrative expenses	9,466	9,801	18,968	19,888
Other periodic pension cost	0	0	0	0
Interest expense	0	34	0	52
Income (loss) before income tax expense	953	(22,774)	1,551	(20,864)
Depreciation and amortization	976	988	1,950	1,969
Capital expenditures	64	539	526	1,250
Goodwill, Impairment Loss		20,323		20,323
Impairment of Intangible Assets, Indefinite-Lived (Excluding Goodwill)		0		0
Operating Segments [Member] | Contact Centers [Member]
Net sales	22,758	21,466	44,814	39,440
Cost of goods sold	10,554	8,692	20,821	15,985
Gross margin	12,204	12,774	23,993	23,455
Selling and administrative expenses	9,614	8,402	19,278	14,774
Other periodic pension cost	0	0	0	0
Interest expense	0	0	0	0
Income (loss) before income tax expense	2,590	4,372	4,715	8,681
Depreciation and amortization	662	549	1,330	1,044
Capital expenditures	683	840	1,064	2,771
Goodwill, Impairment Loss		0		0
Impairment of Intangible Assets, Indefinite-Lived (Excluding Goodwill)		0		0
Intersegment Eliminations [Member]
Net sales	(1,260)	(1,860)	(2,548)	(3,903)
Cost of goods sold	(593)	(750)	(1,201)	(1,663)
Gross margin	(667)	(1,110)	(1,347)	(2,240)
Selling and administrative expenses	(667)	(1,110)	(1,347)	(2,240)
Other periodic pension cost	0	0	0	0
Interest expense	0	0	0	0
Income (loss) before income tax expense	0	0	0	0
Depreciation and amortization	0	0	0	0
Capital expenditures	0	0	0	0
Goodwill, Impairment Loss		0		0
Impairment of Intangible Assets, Indefinite-Lived (Excluding Goodwill)		0		0
Segment Reconciling Items [Member]
Net sales	0	0	0	0
Cost of goods sold	0	0	0	0
Gross margin	0	0	0	0
Selling and administrative expenses	4,607	4,872	9,447	10,200
Other periodic pension cost	214	528	428	1,056
Interest expense	2,624	486	5,194	712
Income (loss) before income tax expense	(7,445)	(5,886)	(15,069)	(11,968)
Depreciation and amortization	80	54	162	118
Capital expenditures	$ 46	71	$ 46	74
Goodwill, Impairment Loss		0		0
Impairment of Intangible Assets, Indefinite-Lived (Excluding Goodwill)		$ 0		$ 0