An Outside Perspective

Author(s):  
Harold Chui ◽  
Sarah Bloch-Elkouby ◽  
Jacques P. Barber

Case Studies Within Psychotherapy Trials: Integrating Qualitative and Quantitative Methods presents a specific, mixed-methods approach, called the “Cases Within Trials” (CWT) model, to psychotherapy research, combining the results from a randomized clinical trial (RCT) with systematic case studies involving contrasting outcomes drawn from the experimental condition of the RCT; and a synthesis of the two types of knowledge. Chapters 3–6 of the book present four specific and diverse projects that concretely illustrate the CWT method. Chapter 7 presents an outside perspective on the four projects from a research team expert in conducting traditional RCTs. The authors explore the benefits of the CWT approach, such as confirming certain findings and challenging other findings in the quantitative group literature, and coming up with new hypotheses emerging from individual differences within group findings. In addition, the authors document some of the challenges of the CWT approach, such as confirmatory bias and case selection.

Author(s):  
Daniel B. Fishman

Case Studies Within Psychotherapy Trials: Integrating Qualitative and Quantitative Methods presents a specific, mixed-methods approach, called the “Cases Within Trials” (CWT) model, to psychotherapy research. The CWT model combines the randomized clinical trial (RCT) research design, based on quantitative group research, with richly, qualitatively detailed systematic case studies involving contrasting outcomes drawn from the experimental condition of the RCT. Specifically, the CWT model involves three components: results gained from the RCT, results gained from the case studies; and a synthesis of the two types of knowledge. Chapter 2 of the book is a “reader’s guide” to the details of the CWT method and its application to four illustrative RCT projects in Chapters 3–6 of the book.


Case Studies Within Psychotherapy Trials: Integrating Qualitative and Quantitative Methods presents a specific, mixed-methods approach, called the “Cases Within Trials” (CWT) model, to psychotherapy research, combining the results from a randomized clinical trial (RCT) with systematic case studies involving contrasting outcomes drawn from the experimental condition of the RCT; and a synthesis of the two types of knowledge. Chapters 3–6 of the book present four specific and diverse projects that concretely illustrate the CWT method. In Chapter 8 the editors analyze the four chapters and explore emergent themes in the knowledge gained from them. In the process, the editors systematically compare the positive-outcome and negative-outcome cases across the four projects, highlighting, for example, (a) the importance of contextual variables in creating the conditions for change mechanisms to be activated; (b) the multidimensional, reciprocally interactional nature of the therapy process; and (c) the particular role of therapist responsiveness.


Author(s):  
Mikael Thastum ◽  
Irene Lundkvist-Houndoumadi ◽  
Kristian Bech Arendt ◽  
Silke Stjerneklar ◽  
Daniel B. Fishman

Case Studies Within Psychotherapy Trials: Integrating Qualitative and Quantitative Methods presents a specific, mixed-methods approach, called the “Cases Within Trials” (CWT) model, to psychotherapy research, combining the results from a randomized clinical trial (RCT); the results of richly and qualitatively detailed systematic case studies involving contrasting outcomes drawn from the experimental condition of the RCT; and a synthesis of the two types of knowledge. Chapter 3 of the book applies this model to an RCT study of a group-based, cognitive-behavioral treatment (CBT)—called “Cool Kids/Chilled Adolescents”—for youth anxiety in Denmark. Finding a substantial statistical advantage of the CBT treatment to a waiting-list control condition, the authors then analyze and compare the positive-outcome case of Lisa with the negative-outcome case of Marius, both drawn from the CBT condition.


Author(s):  
Sarah S. Kerner ◽  
Jami F. Young

Case Studies Within Psychotherapy Trials: Integrating Qualitative and Quantitative Methods presents a specific, mixed-methods approach, called the “Cases Within Trials” (CWT) model, to psychotherapy research combining the results from a randomized clinical trial (RCT); the results of richly and qualitatively detailed systematic case studies involving contrasting outcomes drawn from the experimental condition of the RCT; and a synthesis of the two types of knowledge. Chapter 4 of the book applies this model to a study of the application of a group-based, interpersonal therapy treatment—called “Interpersonal Psychotherapy—Adolescent Skills Training” (IPT-AST)—in preventing depression in adolescents. Finding a substantial statistical advantage of the interpersonal treatment over a “school counseling as usual” condition, the authors then analyze and compare the positive-outcome case of Menorka with the negative-outcome case of Shelly, both drawn from the IPT-AST condition.


Author(s):  
Alejandro Interian ◽  
Ariana Prawda ◽  
Daniel B. Fishman ◽  
William M. Buerger

Case Studies Within Psychotherapy Trials: Integrating Qualitative and Quantitative Methods presents a specific, mixed-methods approach, called the “Cases Within Trials” (CWT) model, to psychotherapy research, combining the results from a randomized clinical trial (RCT), from case studies drawn from the RCT, and a synthesis of the two types of knowledge. Chapter 6 of the book applies this model to a study of the application of a three-session, individual, “motivational interviewing” therapy—specifically labeled “motivational enhancement therapy for antidepressants” (META). META was employed for treating disadvantaged, predominantly Spanish-speaking Latinos with depression. Finding META plus routine individual psychiatric therapy based in a community mental health center (CMHC) to be statistically and substantially superior to the CMHC-therapy-only condition, the authors then analyze and compare the positive-outcome case of Lupe, the mixed-outcome case of Ana, and the negative-outcome case of Maria, all drawn from the META condition.


The Cases Within Trials (CWT) model combines the randomized clinical trial (RCT) research design, based on quantitative group research, with richly and qualitatively detailed systematic case studies involving contrasting outcomes drawn from the experimental condition of the RCT. Chapter 1 of the book provides the broad historical and methodological context out of which the CWT method developed, including the recent dramatic growth of mixed-methods approaches in psychotherapy research generally, with an associated increase in their credibility and rigor. Chapter 2 presents the details of the CWT method and its application to Chapters 3–6, which present four specific projects that concretely illustrate the CWT method. The four projects vary across such dimensions as theoretical orientation and type of mental disorder. To facilitate comparison across projects, each is organized in three main sections, including results gained from the RCT, results gained from the case studies, and a synthesis of the two types of knowledge. Each project concludes with a commentary by an outside expert (or expert team) in the theoretical and disorder focus of the project. Chapter 7 presents an outside perspective on the four projects from a research team highly experienced in conducting and thinking about traditional RCTs. In view of the four projects as a whole, Chapter 8 presents the editors’ summary and analysis of themes and guidelines for the future embodied in the knowledge gained from the four projects.


Author(s):  
Kenneth N. Levy ◽  
Kevin B. Meehan ◽  
Tracy L. Clouthier ◽  
Frank E. Yeomans ◽  
Mark F. Lenzenweger ◽  
...  

Case Studies Within Psychotherapy Trials: Integrating Qualitative and Quantitative Methods presents a specific, mixed-methods approach, called the “Cases Within Trials” (CWT) model, to psychotherapy research combining the results from a randomized clinical trial (RCT); the results of richly and qualitatively detailed systematic case studies involving contrasting outcomes drawn from the experimental condition of the RCT; and a synthesis of the two types of knowledge. Chapter 5 of the book applies this model to a study of an individually based psychoanalytic therapy—called “transference-focused psychotherapy” (TFP)—to treating borderline personality disorder (BPD). Finding TFP equivalent to dialectical behavior therapy, the evidence-based benchmark of BPD treatment, the authors subsequently analyze and compare the positive-outcome case of Ms. J with the negative-outcome case of Ms. V, both drawn from the TFP condition.


2021 ◽  
pp. 155868982098627
Author(s):  
Diego Romaioli

In order to enhance core mixed methods research designs, social scientists need an approach that incorporates developments in the social constructionist perspective. This work describes a study that aimed to promote occupational well-being in hospital departments where employees are at risk of burnout, based on a constructionist inquiry developed starting from the Maslach Burnout Inventory. Taking this study as an example, we define a “generative sequential mixed methods approach” as a process that involves consulting quantitative studies to identify criticalities on which to conduct focused, transformative investigations. The article contributes by envisaging ways to mix qualitative and quantitative methods that consider a “generative” and “future-forming” orientation to research, in line with recent shifts in social psychology.


2021 ◽  
Author(s):  
Maj Siercke ◽  
Sanne Pagh Moller ◽  
Lau Caspar Thygesen ◽  
Henrik Sillesen ◽  
Dorthe Overgaard

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.


Author(s):  
Daphne C. Watkins

Mixed methods research integrates both qualitative and quantitative methods into a single study to produce a more inclusive and expansive understanding of a topic. This article defines mixed methods in social work research, and discusses design notation, language, popular mixed methods designs, and data integration. Using mixed methods provides an opportunity for social workers to take advantage of the strengths of both qualitative and quantitative approaches and to offset their weaknesses. It is important that social workers engaged in mixed methods research maximize the interpretation of their findings and articulate the advantages of using mixed methods over qualitative or quantitative methods alone. Given the unique features of the profession, it is imperative that social workers carve out a distinctive mixed methods niche for social work researchers and practitioners.


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