“I Don’t Do Much Without Researching Things Myself”: A Mixed Methods Study Exploring the Role of Parent Health Literacy in Autism Services Use for Young Children

IntroductionHealth literacy research has focused predominantly on the adult population, and much less is understood about this concept from an adolescent perspective. The tools currently available to measure adolescent health literacy have been adapted from adult versions. This limits their applicability to young people because of the developmental characteristics that impact on adolescents’ behaviour, including impulse control and judgement skills. This protocol describes the intended development and validity testing of a questionnaire to measure health literacy in adolescents.Methods and analysisThis protocol describes this mixed methods study that has three phases: the first phase will involve grounded research with adolescents using qualitative group interviews, co-design and concept mapping workshops to understand what health and healthy behaviours mean to adolescents and to explore their health literacy needs and the potential domains for the questionnaire. The draft health literacy domains identified will be presented to the youth advisory panel, and the questionnaire will be altered based on their feedback. Cognitive pretesting of the questionnaire items will also be conducted. Phase 2 will involve piloting the questionnaire to a two-stage random sample of young people in five urban and rural schools in Ireland. Test–retest reliability will be conducted using Pearson correlation coefficient. Confirmatory factor analysis will also be conducted to analyse the psychometric properties of the questionnaire. Phase 3 will involve the questionnaire being rolled out to a nationally representative sample of adolescents (n=6052) in Ireland to assess their levels of health literacy.Ethics and disseminationEthical approval to conduct this study has been granted from the University College Dublin Human Research Ethics Committee – Sciences (LS-20–08). Informed assent from adolescents and informed consent from parents/guardians will be sought. The findings of this research will be disseminated at national and international conferences, as well as through publication in peer-reviewed journals.

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The potential role of mother-in-law in prevention of mother-to-child transmission of HIV: a mixed methods study from the Kilimanjaro region, northern Tanzania

BMC Public Health ◽

10.1186/1471-2458-11-551 ◽

2011 ◽

Vol 11 (1) ◽

Cited By ~ 7

Author(s):

Eli Fjeld Falnes ◽

Karen Marie Moland ◽

Thorkild Tylleskär ◽

Marina Manuela de Paoli ◽

Sebalda Charles Leshabari ◽

...

Keyword(s):

Mixed Methods ◽

Potential Role ◽

Mixed Methods Study ◽

Mother To Child Transmission ◽

Child Transmission ◽

Northern Tanzania ◽

Kilimanjaro Region ◽

Mother To Child

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Exploring the actual and potential role of the primary care nurse in the prevention of cancer: a mixed methods study

European Journal of Cancer Care ◽

10.1111/ecc.12119 ◽

2013 ◽

Vol 23 (3) ◽

pp. 288-299 ◽

Cited By ~ 10

Author(s):

S. McIlfatrick ◽

S. Keeney ◽

H. McKenna ◽

N. McCarley ◽

G. McIlwee

Keyword(s):

Primary Care ◽

Mixed Methods ◽

Potential Role ◽

Mixed Methods Study ◽

Care Nurse ◽

Primary Care Nurse ◽

Prevention Of Cancer

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Ringing the changes: the role of telephone communication in a helpline and befriending service targeting loneliness in older people

Ageing and Society ◽

10.1017/s0144686x18000120 ◽

2018 ◽

Vol 39 (7) ◽

pp. 1528-1551 ◽

Cited By ~ 2

Author(s):

CLAIRE PRESTON ◽

STEPHEN MOORE

Keyword(s):

Mixed Methods ◽

Older People ◽

Thematic Analysis ◽

Emotional Support ◽

Mixed Methods Study ◽

Structured Interviews ◽

Voice Communication ◽

Telephone Communication ◽

The United Kingdom

ABSTRACTThe drive to deliver services addressing loneliness in older people by telephone and online makes it increasingly relevant to consider how the mode of communication affects the way people interact with services and the capacity of services to meet their needs. This paper is based on the qualitative strand of a larger mixed-methods study of a national phoneline tackling loneliness in older people in the United Kingdom. The research comprised thematic analysis of four focus groups with staff and 42 semi-structured interviews with callers. It explored the associations between telephone-delivery, how individuals used the services and how the services were able to respond. To understand these associations, it was useful to identify some constituent characteristics of telephone communication in this context: namely its availability, reach and non-visual nature. This enabled various insights and comparison with other communication media. For example, the availability of the services attracted people seeking frequent emotional support but this presented challenges to staff. More positively, the ability of the services to connect disparate individuals enabled them to form different kinds of satisfying relationships. The evolution of mixed communication forms, such as internet-based voice communication and smartphone-based visual communication, makes analysis at the level of a technology's characteristics useful. Such a cross-cutting perspective can inform both the design of interventions and assessment of their suitability for different manifestations of loneliness.

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A Mixed-Methods Study to Examine the Role of Psychosocial Stress and Air Pollution on Hypertension in Mexican-Origin Hispanics

Journal of Racial and Ethnic Health Disparities ◽

10.1007/s40615-018-0490-1 ◽

2018 ◽

Vol 6 (1) ◽

pp. 12-21 ◽

Cited By ~ 3

Author(s):

Amal Rammah ◽

Kristina Walker Whitworth ◽

Inkyu Han ◽

Wenyaw Chan ◽

Maria D. Jimenez ◽

...

Keyword(s):

Air Pollution ◽

Mixed Methods ◽

Psychosocial Stress ◽

Mixed Methods Study ◽

Mexican Origin

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The Role of Vocabulary Knowledge in Second Language Speaking Fluency: A Mixed-Methods Study

The Acquisition of Chinese as a Second Language Pronunciation - Prosody, Phonology and Phonetics ◽

10.1007/978-981-15-3809-4_14 ◽

2021 ◽

pp. 305-328

Author(s):

Yu Liu

Keyword(s):

Second Language ◽

Mixed Methods ◽

Vocabulary Knowledge ◽

Mixed Methods Study

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The impact of self-efficacy and health literacy on outcome after bariatric surgery in Sweden: a protocol for a prospective, longitudinal mixed-methods study

BMJ Open ◽

10.1136/bmjopen-2018-027272 ◽

2019 ◽

Vol 9 (5) ◽

pp. e027272 ◽

Cited By ~ 1

Author(s):

Maria Jaensson ◽

Karuna Dahlberg ◽

Ulrica Nilsson ◽

Erik Stenberg

Keyword(s):

Bariatric Surgery ◽

Mixed Methods ◽

Health Literacy ◽

Qualitative Study ◽

Self Efficacy ◽

Mixed Methods Study ◽

Inclusion Criteria ◽

Study Results ◽

Prospective Longitudinal ◽

The Impact

IntroductionA person-centred approach, to know about a person’s individual weaknesses and strengths, is warranted in today’s healthcare in Sweden. When a person suffers from obesity, there are not only risks for comorbidities but also increased risk for decreased health-related quality of life (HRQoL). After bariatric surgery, there are also risks for complications; however, healthcare service expects the person to have sufficient ability to handle recovery after surgery. The need is to investigate how a person’s self-efficacy and health literacy(HL) skills are important to determine their effect on recovery as well as HRQoL after bariatric surgery. It can, involve the person in the care, improve shared decision-making, and perhaps decrease complications and readmissions.Method and analysisThis is a prospective, longitudinal mixed-methods study with the intent of including 700 patients from three bariatric centres in Sweden (phase 1); 20 patients will be included in a qualitative study (phase 2). Inclusion criteria will be age >17 years, scheduled primary bariatric surgery and ability to read and understand the Swedish language in speech and in writing. Inclusion criteria for the qualitative study will be patients who reported a low self-efficacy, with a selection to ensure maximum variation regarding age and gender. Before bariatric surgery patients will answer a questionnaire including 20 items. Valid and reliable instruments will be used to investigate general self-efficacy (10 items) and functional and communicative and critical HL (10 items). This data collection will then be merged with data from the Scandinavian Obesity Surgery Registry. Analysis will be performed 30 days, 1 year and 2 years after bariatric surgery. One year after bariatric surgery the qualitative study will be performed. The main outcomes are the impact of a person’s self-efficacy and HL on recovery after bariatric surgery.Ethics and disseminationThe study has received approval from the ethical review board in Uppsala, Sweden (number 2018/256). The study results will be disseminated through peer-reviewed publications and conference presentations to the scientific community and social media.

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Preventing and Managing Urinary Tract Infections: Enhancing the Role of Community Pharmacists—A Mixed Methods Study

Antibiotics ◽

10.3390/antibiotics9090583 ◽

2020 ◽

Vol 9 (9) ◽

pp. 583 ◽

Cited By ~ 1

Author(s):

Nathan Peiffer-Smadja ◽

Rosalie Allison ◽

Leah F. Jones ◽

Alison Holmes ◽

Parvesh Patel ◽

...

Keyword(s):

Primary Care ◽

Mixed Methods ◽

Urinary Tract ◽

Community Pharmacists ◽

Mixed Methods Study ◽

Urinary Symptoms ◽

Service Users ◽

Specific Patient ◽

Tract Infections

Background: Community pharmacists are involved in antimicrobial stewardship through self-care advice and delivering medications for uncomplicated infections. Objectives: This mixed methods study aimed to identify opportunities to enhance the role of community pharmacists in the management of service users with suspected or confirmed urinary tract infection (UTI). Methods: Data collection was through a service user survey (n = 51) and pharmacist surveys and semi-structured interviews before (16 interviews, 22 questionnaires) and after (15 interviews, 16 questionnaires) trialing UTI leaflets designed to be shared with service users. Data were analysed inductively using thematic analysis and descriptive tabulation of quantitative data. Results: Twenty-five percent (n = 13/51) of service users with urinary symptoms sought help from a pharmacist first and 65% (n = 33/51) were comfortable discussing their urinary symptoms with a pharmacist in a private space. Community pharmacists were confident as the first professional contact for service users with uncomplicated UTI (n = 13/16, 81%), but indicated the lack of a specific patient referral pathway (n = 16/16, 100%), the need for additional funding and staff (n = 10/16, 62%), and the importance of developing prescription options for pharmacists (5/16, 31%). All community pharmacists reported playing a daily role in controlling antimicrobial resistance by educating service users about viral and bacterial infections and promoting a healthy lifestyle. Enhancing their role will need greater integrated working with general practices and more prescribers based in community pharmacy. Conclusion: This study suggests that community pharmacists could play a greater role in the management of uncomplicated UTI. The current reconfiguration of primary care in England with primary care networks and integrated care systems could provide a real opportunity for this collaborative working with potential learning for international initiatives.

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