Note 10 - Operating Segment Information - Information Related to the Operations of the Company's Operating Segments (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022
Net sales	$ 136,126	$ 138,703	$ 396,061	$ 430,218
Cost of goods sold	82,928	88,066	248,159	281,667
Gross margin	53,198	50,637	147,902	148,551
Selling and administrative expenses	47,246	43,815	134,007	131,998
Other periodic pension cost	214	528	642	1,584
Interest expense	2,464	1,794	7,658	2,676
Income (loss) before income tax expense	3,274	(16,960)	5,595	(39,206)
Depreciation and amortization	3,515	3,401	10,331	9,504
Capital expenditures	380	4,182	4,023	11,221
Goodwill, Impairment Loss	0	21,460	0	45,918
Impairment of Intangible Assets, Indefinite-Lived (Excluding Goodwill)			0	5,581
Operating Segments [Member] | Branded Products [Member]
Net sales	83,512	86,769	244,955	285,891
Cost of goods sold	54,588	60,600	164,492	202,422
Gross margin	28,924	26,169	80,463	83,469
Selling and administrative expenses	23,418	22,257	63,833	67,818
Other periodic pension cost	0	0	0	0
Interest expense	0	87	0	205
Income (loss) before income tax expense	5,506	(17,635)	16,630	(15,730)
Depreciation and amortization	1,452	1,724	4,826	4,696
Capital expenditures	86	2,062	2,093	5,006
Goodwill, Impairment Loss		21,460		25,595
Impairment of Intangible Assets, Indefinite-Lived (Excluding Goodwill)				5,581
Operating Segments [Member] | Healthcare Apparel [Member]
Net sales	29,649	30,039	85,875	86,895
Cost of goods sold	18,165	18,609	53,872	56,066
Gross margin	11,484	11,430	32,003	30,829
Selling and administrative expenses	9,493	10,161	28,461	30,049
Other periodic pension cost	0	0	0	0
Interest expense	0	32	0	84
Income (loss) before income tax expense	1,991	1,237	3,542	(19,627)
Depreciation and amortization	1,064	973	3,014	2,942
Capital expenditures	115	498	641	1,748
Goodwill, Impairment Loss		0		20,323
Impairment of Intangible Assets, Indefinite-Lived (Excluding Goodwill)				0
Operating Segments [Member] | Contact Centers [Member]
Net sales	24,121	23,363	68,935	62,803
Cost of goods sold	10,724	9,453	31,545	25,438
Gross margin	13,397	13,910	37,390	37,365
Selling and administrative expenses	10,224	9,520	29,502	24,294
Other periodic pension cost	0	0	0	0
Interest expense	0	0	0	0
Income (loss) before income tax expense	3,173	4,390	7,888	13,071
Depreciation and amortization	880	653	2,210	1,697
Capital expenditures	157	1,622	1,221	4,393
Goodwill, Impairment Loss		0		0
Impairment of Intangible Assets, Indefinite-Lived (Excluding Goodwill)				0
Intersegment Eliminations [Member]
Net sales	(1,156)	(1,468)	(3,704)	(5,371)
Cost of goods sold	(549)	(596)	(1,750)	(2,259)
Gross margin	(607)	(872)	(1,954)	(3,112)
Selling and administrative expenses	(607)	(872)	(1,954)	(3,112)
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
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	4,718	2,749	14,165	12,949
Other periodic pension cost	214	528	642	1,584
Interest expense	2,464	1,675	7,658	2,387
Income (loss) before income tax expense	(7,396)	(4,952)	(22,465)	(16,920)
Depreciation and amortization	119	51	281	169
Capital expenditures	$ 22	0	$ 68	74
Goodwill, Impairment Loss		$ 0		0
Impairment of Intangible Assets, Indefinite-Lived (Excluding Goodwill)				$ 0