A mixed methods study of physical activity and quality of life in adolescents with Turner syndrome

Aim: This study aimed to explore how qualitative data about rehabilitation for patients with intermittent claudication do provide an enhanced understanding of the quantitative experimental results. Background: The study was a randomized clinical trial comparing a rehabilitation intervention with usual care. A statistically significant difference between rehabilitation and usual care was found in walking distance, physical activity, quality of life and diet. The findings from the quantitative and qualitative analyses were analysed separately on their own tradition. In this study, mixed methods address whether the qualitative results could help explain the quantitative results and bring forward additional information. Design: Complex mixed-method intervention design with a convergent questionnaire variant. Methods: From April 2017- May 2019, patients diagnosed with intermittent claudication were included in a randomized clinical trial (N=118). In addition, qualitative interview informants from the intervention group were sampled from the quantitative study population for a survey (N=43) and focus group interviews (N=10). Interviews were conducted from April 2018-August 2019. Results: Integrated analyses identified how improvement in walking distance, physical activity, diet and quality of life was affected by team spirit, pedometer, education and fun exercise in a local setting. Quantitative and qualitative findings primarily confirmed and expanded each other; however, two discordant results were also evident. Conclusion: Our study adds empirical evidence regarding how a mixed-methods study can be used to obtain a more nuanced understanding of complex healthcare problems. The study provides new knowledge concerning how to set up a rehabilitation programme for patients with intermittent claudication.

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Health-related quality of life and needs of care and support of adult Tanzanians with cancer: a mixed-methods study

Health and Quality of Life Outcomes ◽

10.1186/1477-7525-10-133 ◽

2012 ◽

Vol 10 (1) ◽

pp. 133 ◽

Cited By ~ 9

Author(s):

Golden M Masika ◽

Lena Wettergren ◽

Thecla W Kohi ◽

Louise von Essen

Keyword(s):

Quality Of Life ◽

Mixed Methods ◽

Mixed Methods Study ◽

Health Related Quality ◽

Care And Support ◽

Related Quality ◽

Health Related

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Perceptions of Stress, Mindfulness, and Occupational Engagement Among Graduate-Level OT Students

American Journal of Occupational Therapy ◽

10.5014/ajot.2021.75s2-rp140 ◽

2021 ◽

Vol 75 (Supplement_2) ◽

pp. 7512505140p1-7512505140p1

Author(s):

Patricia A. Henton ◽

Acacia Gambrel ◽

Jerome Klah ◽

Catherine Rink ◽

Caroline Targonski ◽

...

Keyword(s):

Quality Of Life ◽

Mixed Methods ◽

Graduate Students ◽

Coping Strategies ◽

Mixed Methods Study ◽

Coping Mechanism ◽

Occupational Engagement ◽

Graduate Level ◽

Primary Author

Abstract Date Presented Accepted for AOTA INSPIRE 2021 but unable to be presented due to online event limitations. The exploratory mixed-methods study of 490 OT graduate students revealed that high levels of reported stress along with limited coping strategies impacted students’ perceived occupational engagement and quality of life. Students identified mindfulness as an effective coping mechanism; however, its reported use did not appear to alter quality of life. The study supported a link between mindfulness and occupational engagement and has broad implications for the field of OT. Primary Author and Speaker: Patricia A. Henton Additional Authors and Speakers: Acacia Gambrel, Jerome Klah, Catherine Rink, Caroline Targonski, and Sarah Wirtz

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Effect of a brief physical activity-based presentation by a former patient for men treated with radical prostatectomy for prostate cancer: a mixed methods pilot study

Supportive Care in Cancer ◽

10.1007/s00520-020-05455-4 ◽

2020 ◽

Vol 29 (1) ◽

pp. 145-154

Author(s):

Louis Fox ◽

Theresa Wiseman ◽

Declan Cahill ◽

Louisa Fleure ◽

Janette Kinsella ◽

...

Keyword(s):

Quality Of Life ◽

Physical Activity ◽

Prostate Cancer ◽

Mixed Methods ◽

Pragmatic Trial ◽

Behavioural Intervention ◽

Structured Interviews ◽

Exercise Specialist ◽

Clinically Significant

Abstract Purpose Existing research indicates that physical activity (PA) is beneficial to men with prostate cancer (PCa). We examined the potential of a single-contact peer-support-based behavioural intervention to promote PA engagement in men treated for PCa. Methods A mixed methods design was employed, comprising a two-arm pragmatic trial and semi-structured interviews. The intervention was a 10-min PA-based presentation by a former patient, delivered in group seminars that are provided for patients as standard care. Seminars were alternately allocated to (a) cancer exercise specialist talk + patient speaker talk or (b) cancer exercise specialist talk only. Self-reported PA, exercise motivation, quality of life, fatigue and clinical and demographic characteristics were obtained from n = 148 (intervention: n = 69; control: n = 79) patients immediately prior to the seminar, and at follow-up ≈ 100 days later. Data were analysed using ANCOVA models and χ2 tests. Fourteen semi-structured interviews with intervention participants, which explored how the intervention was experienced, were analysed using a grounded theory-style approach. Results The intervention had no significant effect on quantitatively self-reported PA (p = 0.4). However, the intervention was statistically and clinically beneficial for fatigue (p = 0.04) and quality of life (p = 0.01). Qualitative analysis showed that the intervention was beneficial to psychological wellbeing and some participants had increased intention to engage in PA as a result of the intervention. Conclusions A brief one-off PA-based presentation for men with PCa, delivered by a former patient alongside cancer exercise specialist advice, may result in clinically significant benefits to quality of life and may influence PA intention in certain individuals.

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Quality of life among survivors of prolonged critical illness; a mixed methods study

Critical Care ◽

10.1186/cc6729 ◽

2008 ◽

Vol 12 (Suppl 2) ◽

pp. P508

Author(s):

P Ramsay ◽

G Huby ◽

A Thompson ◽

T Walsh

Keyword(s):

Quality Of Life ◽

Mixed Methods ◽

Critical Illness ◽

Mixed Methods Study

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Are globals for health, well-being and quality of life interchangeable? A mixed methods study in ankylosing spondylitis patients and controls

Rheumatology ◽

10.1093/rheumatology/key129 ◽

2018 ◽

Vol 57 (9) ◽

pp. 1555-1562 ◽

Cited By ~ 1

Author(s):

Astrid van Tubergen ◽

Anouk Gulpen ◽

Robert Landewé ◽

Annelies Boonen

Keyword(s):

Quality Of Life ◽

Mixed Methods ◽

Ankylosing Spondylitis ◽

Well Being ◽

Mixed Methods Study

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CONGENITAL HEART DISEASE DISCORDANT TWIN PAIRS DIFFER IN QUALITY OF LIFE, BUT NOT PHYSICAL ACTIVITY LEVELS: A MIXED METHODS STUDY

Canadian Journal of Cardiology ◽

10.1016/j.cjca.2020.07.065 ◽

2020 ◽

Vol 36 (10) ◽

pp. S25-S26

Author(s):

N. Hemphill ◽

E. Bennett ◽

C. Voss ◽

A. Pozas Franco ◽

P. Sneddon ◽

...

Keyword(s):

Quality Of Life ◽

Physical Activity ◽

Congenital Heart Disease ◽

Heart Disease ◽

Congenital Heart ◽

Mixed Methods Study ◽

Activity Levels ◽

Physical Activity Levels ◽

Discordant Twin

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Health-related quality of life in adult CHD surgical patients in a low middle-income country: a mixed-methods study

Cardiology in the Young ◽

10.1017/s1047951120001663 ◽

2020 ◽

Vol 30 (8) ◽

pp. 1126-1137

Author(s):

Laila A. Ladak ◽

Robyn Gallagher ◽

Babar S. Hasan ◽

Khadija Awais ◽

Ahmed Abdullah ◽

...

Keyword(s):

Quality Of Life ◽

Mixed Methods ◽

Mixed Methods Study ◽

Income Country ◽

Surgical Patients ◽

Health Related Quality ◽

Middle Income ◽

Related Quality ◽

Health Related

AbstractBackground and objectives:This mixed-methods study aimed to assess health-related quality of life in young adults with CHD following surgery in a low middle-income country, Pakistan. Despite the knowledge that geographic, cultural and socio-economic factors may shape the way health and illness is experienced and managed and consequently determine a person’s health-related quality of life, few health-related quality of life studies are conducted in low middle-income countries. This deficit is pronounced in CHD, so there is little guidance for patient care.Methods:The study utilised concurrent, mixed methods. Adults with CHD (n = 59) completed health-related quality of life surveys (PedsQLTM 4.0 Generic Core Scale, PedsQLTM Cognitive Functioning Scale and PedsQLTM 3.0 Cardiac Module). Semi-structured interview data were collected from a nested sub-sample of 17 participants and analysed using qualitative content analysis, guided by the revised Wilson–Cleary model of health-related quality of life.Results:The lowest health-related quality of life domain was emotional with the mean score (71.61 ± 20.6), followed by physical (78.81 ± 21.18) and heart problem (79.41 ± 18.05). There was no statistical difference in general or cardiac-specific health-related quality of life between mild, moderate or complex CHD. Qualitative findings suggested low health-related quality of life arose from a reduced capacity to contribute to family life including family income and gender. A sense of reduced marriageability and fear of dependency were important socio-cultural considerations.Conclusions:CHD surgical patients in this low-income country experience poor health-related quality of life, and contributing factors differ to those reported for high-income countries. Socio-cultural understandings should underpin assessment, management and care-partnering with young adults with CHD following surgical correction.

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