scholarly journals The Central Aspects of Pain in the Knee (CAP-Knee) questionnaire; a mixed-methods study of a self-report instrument for assessing central mechanisms in people with knee pain

2021 ◽  
Author(s):  
Kehinde Akin-Akinyosoye ◽  
Richard J.E. James ◽  
Daniel F. McWilliams ◽  
Bonnie Millar ◽  
Roshan das Nair ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Knee Pain ◽  
Mixed Methods Study ◽  
Self Report

scholarly journals Fidelity assessment of nurse-led non-pharmacological package of care for knee pain in the package development phase of a feasibility randomised controlled trial based in secondary care: a mixed methods study

BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e045242
Author(s):  
Polykarpos Angelos Nomikos ◽  
Michelle Hall ◽  
Amy Fuller ◽  
Bonnie Millar ◽  
Reuben Ogollah ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Knee Pain ◽  
Secondary Care ◽  
Mixed Methods Study ◽  
Self Report ◽  
Research Nurse ◽  
Pharmacological Intervention ◽  
Percentage Agreement ◽  
Walking Aids ◽  
Fidelity Assessment

ObjectivesTo evaluate fidelity of delivery of a nurse-led non-pharmacological complex intervention for knee pain.SettingSecondary care. Single-centre study.Study designMixed methods study.ParticipantsEighteen adults with chronic knee pain.Inclusion criteriaAge >40 years, knee pain present for longer than 3 months, knee pain for most days of the previous month, at least moderate pain in two of the five domains of Western Ontario and McMaster Universities Osteoarthritis Index pain scale.InterventionsNurse-led non-pharmacological intervention comprising assessment, education, exercise, use of hot/cold treatments, footwear modification, walking aids and weight-loss advice (if required).Outcome(s)Primary: fidelity of delivery of intervention, secondary: nurses’ experience of delivering intervention.MethodsEach intervention session with every participant was video recorded and formed part of fidelity assessment. Fidelity checklists were completed by the research nurse after each session and by an independent researcher, after viewing the video-recordings blinded to nurse ratings. Fidelity scores (%), percentage agreement and 95% Confidence Intervals (CI) were calculated. Two semi-structured interviews were conducted with the research nurse.ResultsFourteen participants completed all visits. 62 treatment sessions took place. Nurse self-report and assessor video rating scores for all 62 treatment sessions were included in fidelity assessment. Overall fidelity was higher on nurse self-report (97.7%) than on objective video-rating (84.2%). Percentage agreement between nurse self-report and video-rating was 73.3% (95% CI 71.3 to 75.3). Fidelity was lowest for advice on footwear and walking aids. The nurse reported difficulty advising on thermal treatments, footwear and walking aids, and did not feel confident negotiating achievable and realistic goals with participants.ConclusionsA trained research nurse can deliver most components of a non-pharmacological intervention for knee pain to a high degree of fidelity. Future research should assess intervention fidelity in a routine clinical setting, and examine its clinical and cost-effectiveness.Trial registration numberNCT03670706.

Determining Emotional Tone and Verbal Behavior in Patients With Tinnitus and Hyperacusis: An Exploratory Mixed-Methods Study

2019 ◽  
Vol 28 (3) ◽  
pp. 660-672
Author(s):  
Suzanne H. Kimball ◽  
Toby Hamilton ◽  
Erin Benear ◽  
Jonathan Baldwin
Keyword(s):  
Mixed Methods ◽  
Verbal Behavior ◽  
Coping Strategies ◽  
Mixed Methods Study ◽  
Self Report ◽  
Anxiety And Depression ◽  
Negative Consequences ◽  
Emotional Tone ◽  
Explanatory Mixed Methods ◽  
Quantitative Results

Purpose The purpose of this study was to evaluate the emotional tone and verbal behavior of social media users who self-identified as having tinnitus and/or hyperacusis that caused self-described negative consequences on daily life or health. Research Design and Method An explanatory mixed-methods design was utilized. Two hundred “initial” and 200 “reply” Facebook posts were collected from members of a tinnitus group and a hyperacusis group. Data were analyzed via the LIWC 2015 software program and compared to typical bloggers. As this was an explanatory mixed-methods study, we used qualitative thematic analyses to explain, interpret, and illustrate the quantitative results. Results Overall, quantitative results indicated lower overall emotional tone for all categories (tinnitus and hyperacusis, initial and reply), which was mostly influenced by higher negative emotion. Higher levels of authenticity or truth were found in the hyperacusis sample but not in the tinnitus sample. Lower levels of clout (social standing) were indicated in all groups, and a lower level of analytical thinking style (concepts and complex categories rather than narratives) was found in the hyperacusis sample. Additional analysis of the language indicated higher levels of sadness and anxiety in all groups and lower levels of anger, particularly for initial replies. These data support prior findings indicating higher levels of anxiety and depression in this patient population based on the actual words in blog posts and not from self-report questionnaires. Qualitative results identified 3 major themes from both the tinnitus and hyperacusis texts: suffering, negative emotional tone, and coping strategies. Conclusions Results from this study suggest support for the predominant clinical view that patients with tinnitus and hyperacusis have higher levels of anxiety and depression than the general population. The extent of the suffering described and patterns of coping strategies suggest clinical practice patterns and the need for research in implementing improved practice plans.

scholarly journals Pilot Evaluations of Two Bluetooth Contact Tracing Approaches on a University Campus: Mixed Methods Study (Preprint)

2021 ◽  
Author(s):  
Tyler Shelby ◽  
Tyler Caruthers ◽  
Oren Y Kanner ◽  
Rebecca Schneider ◽  
Dana Lipnickas ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Mobile Phone ◽  
Sensitivity And Specificity ◽  
Mobile App ◽  
Mixed Methods Study ◽  
Self Report ◽  
Contact Tracing ◽  
Free Text ◽  
Contact Interactions ◽  
University Campus

BACKGROUND Many have proposed the use of Bluetooth technology to help scale up contact tracing for COVID-19. However, much remains unknown about the accuracy of this technology in real-world settings, the attitudes of potential users, and the differences between delivery formats (mobile app vs carriable or wearable devices). OBJECTIVE We pilot tested 2 separate Bluetooth contact tracing technologies on a university campus to evaluate their sensitivity and specificity, and to learn from the experiences of the participants. METHODS We used a convergent mixed methods study design, and participants included graduate students and researchers working on a university campus during June and July 2020. We conducted separate 2-week pilot studies for each Bluetooth technology. The first was for a mobile phone app (“app pilot”), and the second was for a small electronic “tag” (“tag pilot”). Participants validated a list of Bluetooth-identified contacts daily and reported additional close contacts not identified by Bluetooth. We used these data to estimate sensitivity and specificity. Participants completed a postparticipation survey regarding appropriateness, usability, acceptability, and adherence, and provided additional feedback via free text. We used tests of proportions to evaluate differences in survey responses between participants from each pilot, paired <i>t</i> tests to measure differences between compatible survey questions, and qualitative analysis to evaluate the survey’s free-text responses. RESULTS Among 25 participants in the app pilot, 53 contact interactions were identified by Bluetooth and an additional 61 by self-report. Among 17 participants in the tag pilot, 171 contact interactions were identified by Bluetooth and an additional 4 by self-report. The tag had significantly higher sensitivity compared with the app (46/49, 94% vs 35/61, 57%; <i>P</i>&lt;.001), as well as higher specificity (120/126, 95% vs 123/141, 87%; <i>P</i>=.02). Most participants felt that Bluetooth contact tracing was appropriate on campus (26/32, 81%), while significantly fewer participants felt that using other technologies, such as GPS or Wi-Fi, was appropriate (17/31, 55%; <i>P</i>=.02). Most participants preferred technology developed and managed by the university rather than a third party (27/32, 84%) and preferred not to have tracing apps on their personal phones (21/32, 66%), due to “concerns with privacy.” There were no significant differences in self-reported adherence rates across pilots. CONCLUSIONS Convenient and carriable Bluetooth technology may improve tracing efficiency while alleviating privacy concerns by shifting data collection away from personal devices. With accuracy comparable to, and in this case, superior to, mobile phone apps, such approaches may be suitable for workplace or school settings with the ability to purchase and maintain physical devices.

scholarly journals Outcomes of Visual Self-Expression in Virtual Reality on Psychosocial Well-Being With the Inclusion of a Fragrance Stimulus: A Pilot Mixed-Methods Study

2020 ◽  
Vol 11 ◽  
Author(s):  
Girija Kaimal ◽  
Katrina Carroll-Haskins ◽  
Arun Ramakrishnan ◽  
Susan Magsamen ◽  
Asli Arslanbek ◽  
...  
Keyword(s):  
Virtual Reality ◽  
Mixed Methods ◽  
Negative Affect ◽  
Self Efficacy ◽  
Well Being ◽  
Mixed Methods Study ◽  
Self Report ◽  
Art Making ◽  
Creative Agency ◽  
The Impact

AimsIn this pilot mixed-methods study, we examined the participants experiences of engaging in virtual drawing tasks and the impact of an olfactory stimulus (calming fragrance blend) on outcomes of affect, stress, self-efficacy, anxiety, creative agency, and well-being (satisfaction with life).MethodsThis study used a parallel mixed-methods, simple block randomization design. The study participants included 24 healthy adults aged 18 to 54 years, including 18 women and six men. The participants completed two 1-h immersive virtual art making sessions and were randomly assigned to receive either a fragrance or a non-fragrance condition for the first session. Quantitative (standardized self-report measures) and qualitative (open-ended survey responses and virtual artwork) datasets were collected concurrently and integrated during data analysis.ResultsThe quantitative results indicated that the fragrance condition demonstrated a significant reduction in negative affect (e.g., feeling hostile, jittery, upset, distressed, etc.), namely, reduced feelings of negativity when compared to the non-fragrance condition. A trend toward improvement in self-efficacy was also seen in the fragrance condition. No significant changes were found for fragrance or non-fragrance conditions for positive affect, anxiety, and creative agency. The qualitative findings included five themes related to art making experiences in virtual reality in both conditions: fun and joy; novelty of virtual media, experimentation, and play; relaxation and calm; learning curve; and physical discomfort and disorientation. Four themes were identified for virtual art content and visual qualities: nature imagery, references to memories and personal symbols, fantasy and play within imagery, and depiction of everyday objects.ConclusionsOverall, the participants reported positive responses to the novel virtual art making experiences which were further heightened by the inclusion of the fragrance stimulus for negative affect. These preliminary findings need to be replicated with larger sample sizes to confirm the outcomes and the trends that were seen in this pilot study. Further research is recommended to examine the differences between experiences of virtual and traditional art media and to examine different olfactory stimuli promoting focus and concentration.

Knowledge, confidence and learning needs of physiotherapists treating persistent knee pain in Australia and Canada: a mixed-methods study

2021 ◽  
pp. 1-13
Author(s):  
Christian J. Barton ◽  
Allison M. Ezzat ◽  
Emily C. Bell ◽  
Michael Skovdal Rathleff ◽  
Joanne L. Kemp ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Knee Pain ◽  
Mixed Methods Study ◽  
Learning Needs

scholarly journals What are the physical and psychological health effects of suicide bereavement on family members? An observational and interview mixed-methods study in Ireland

BMJ Open ◽  
2018 ◽  
Vol 8 (1) ◽  
pp. e019472 ◽  
Author(s):  
Ailbhe Spillane ◽  
Karen Matvienko-Sikar ◽  
Celine Larkin ◽  
Paul Corcoran ◽  
Ella Arensman
Keyword(s):  
Mixed Methods ◽  
Psychological Health ◽  
Family Members ◽  
Well Being ◽  
Mixed Methods Study ◽  
Self Report ◽  
Next Of Kin ◽  
Suicide Bereavement ◽  
Physical And Psychological Health ◽  
The Impact

ObjectivesResearch focussing on the impact of suicide bereavement on family members’ physical and psychological health is scarce. The aim of this study was to examine how family members have been physically and psychologically affected following suicide bereavement. A secondary objective of the study was to describe the needs of family members bereaved by suicide.DesignA mixed-methods study was conducted, using qualitative semistructured interviews and additional quantitative self-report measures of depression, anxiety and stress (DASS-21).SettingConsecutive suicide cases and next-of-kin were identified by examining coroner’s records in Cork City and County, Ireland from October 2014 to May 2016.ParticipantsEighteen family members bereaved by suicide took part in a qualitative interview. They were recruited from the Suicide Support and Information System: A Case-Control Study (SSIS-ACE), where family members bereaved by suicide (n=33) completed structured measures of their well-being.ResultsQualitative findings indicated three superordinate themes in relation to experiences following suicide bereavement: (1) co-occurrence of grief and health reactions; (2) disparity in supports after suicide and (3) reconstructing life after deceased’s suicide. Initial feelings of guilt, blame, shame and anger often manifested in enduring physical, psychological and psychosomatic difficulties. Support needs were diverse and were often related to the availability or absence of informal support by family or friends. Quantitative results indicated that the proportion of respondents above the DASS-21 cut-offs respectively were 24% for depression, 18% for anxiety and 27% for stress.ConclusionsHealthcare professionals’ awareness of the adverse physical and psychosomatic health difficulties experienced by family members bereaved by suicide is essential. Proactively facilitating support for this group could help to reduce the negative health sequelae. The effects of suicide bereavement are wide-ranging, including high levels of stress, depression, anxiety and physical health difficulties.

scholarly journals The Impact of the COVID-19 Pandemic on ICU Healthcare Professionals: A Mixed Methods Study

2021 ◽  
Vol 18 (17) ◽  
pp. 9243
Author(s):  
Cristina Moreno-Mulet ◽  
Noemí Sansó ◽  
Alba Carrero-Planells ◽  
Camelia López-Deflory ◽  
Laura Galiana ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mixed Methods ◽  
Healthcare Professionals ◽  
Mixed Methods Study ◽  
Self Report ◽  
Professional Quality Of Life ◽  
Professional Quality ◽  
Distress Scale ◽  
The Impact

The large numbers of patients admitted to intensive care units due to COVID-19 has had a major impact on healthcare professionals. The incidence of mental health disorders among these professionals has increased considerably and their professional quality of life has suffered during the pandemic. This study aims to explore the impact of the provision of COVID-19 patient care on ICU healthcare professionals. A mixed methods study with an exploratory concurrent design was conducted between June and November 2020 in the Balearic Islands, Spain. Data were collected using a self-report online survey (n = 122) based on three validated questionnaires, and individual semi-structured in-depth online interviews (n = 11). Respondents scored 2.5 out of 5 on the moral distress scale, moderate/high on the compassion satisfaction scale, and moderate on the burnout and compassion fatigue subscales. Age was significantly and negatively related to professional quality of life but was positively related to workload and unavailability of protective equipment. Three main groups of themes relating to the impact of the pandemic emerged from the in-depth interviews: (a) clinical, (b) professional, and (c) personal and family impacts in the two waves. ICU healthcare professionals should be viewed as second victims of the COVID-19 pandemic as they have suffered significant psychological, professional, and moral harm.

scholarly journals Regret and unfinished business in parents bereaved by cancer: A mixed methods study

2020 ◽  
Vol 34 (3) ◽  
pp. 367-377 ◽  
Author(s):  
Wendy G Lichtenthal ◽  
Kailey E Roberts ◽  
Corinne Catarozoli ◽  
Elizabeth Schofield ◽  
Jason M Holland ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Treatment Decision ◽  
Mixed Methods Study ◽  
Self Report ◽  
Unfinished Business ◽  
Cross Sectional ◽  
Prolonged Grief ◽  
Treatment Decision Making ◽  
Research Institution ◽  
Bereaved Parents

Background: Prior research has demonstrated that the presence of regret and unfinished business is associated with poorer adjustment in bereavement. Though there is a growing literature on these constructs among caregivers of adult patients, the literature on regret and unfinished business in bereaved parents has been limited. Aim: The aim of this study was to examine regret and unfinished business in parents bereaved by cancer, as well as their associations with caregiving experiences and prolonged grief. Design: This was a cross-sectional mixed methods study that utilized self-report questionnaires with open-ended items. Setting/Participants: The multisite study took place at a tertiary cancer hospital and pediatric cancer clinical research institution. Participants were 118 parents (mothers = 82, fathers = 36) who lost a child aged 6 months to 25 years to cancer between 6 months and 6 years prior. Results: Results showed that 73% of the parents endorsed regret and 33% endorsed unfinished business, both of which were more common among mothers than fathers ( p ⩽ 0.05). Parents were on average moderately distressed by their regrets and unfinished business, and both regret-related and unfinished business–related distress were associated with distress while caregiving and prolonged grief symptoms. Conclusion: Findings have implications for how providers work with families, including increasing treatment decision-making support, supporting parents in speaking to their child about illness, and, in bereavement, validating choices made. Grief interventions that use cognitive-behavioral and meaning-centered approaches may be particularly beneficial.

scholarly journals Open-Ended and Closed-Ended Measures of Religious/Spiritual Struggles: A Mixed-Methods Study

Religions ◽  
2020 ◽  
Vol 11 (10) ◽  
pp. 505
Author(s):  
Joshua A. Wilt ◽  
Joyce T. Takahashi ◽  
Peter Jeong ◽  
Julie J. Exline ◽  
Kenneth I. Pargament
Keyword(s):  
Mixed Methods ◽  
Religious Belief ◽  
Discriminant Validity ◽  
Quantitative Measure ◽  
Mixed Methods Study ◽  
Self Report ◽  
Qualitative Description ◽  
Convergent And Discriminant Validity ◽  
Spiritual Struggles ◽  
Valid Information

Religious and spiritual struggles are typically assessed by self-report scales using closed-ended items, yet nascent research suggests that using open-ended interviews and prompts may complement and advance assessment and theories. In the current mixed-methods study, undergraduate participants (N = 976) completed open-ended descriptions of their religious and spiritual struggles, the Religious and Spiritual Struggles Scale (RSS), and a quantitative measure of religious belief salience. Qualitative description showed that the themes emerging from open-ended descriptions generally fell within the broad domains of the RSS though some descriptions reflected more contextualized struggles. Scores derived from the open-ended responses to assess RSS domains achieved evidence of reliability, and quantitative correlational analyses provided support for convergent and discriminant validity with the RSS. Correlations revealed a mix of similar and divergent associations between methods of assessing religious and spiritual struggles and religious belief salience. Open-ended descriptions of religious and spiritual struggles may yield reliable and valid information that is related to but distinct from assessments relying on closed-ended items.

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