“This doesn’t look too hard”: A mixed methods exploration of self‐efficacy and sources of self‐efficacy information in a novel puzzle task

2019 ◽  
Vol 49 (4) ◽  
pp. 226-238
Author(s):  
Amber M. Shipherd
Author(s):  
Coral L. Hanson ◽  
Lis Neubeck ◽  
Richard G. Kyle ◽  
Norrie Brown ◽  
Robyn Gallagher ◽  
...  

Physical activity referral schemes (PARS) are implemented internationally to increase physical activity (PA), but evidence of effectiveness for population subgroups is equivocal. We examined gender differences for a Scottish PARS. This mixed-methods, concurrent longitudinal study had equal status quantitative and qualitative components. We conducted 348 telephone interviews across three time points (pre-scheme, 12 and 52 weeks). These included validated self-reported PA and exercise self-efficacy measures and open-ended questions about experiences. We recruited 136 participants, of whom 120 completed 12-week and 92 completed 52-week interviews. PARS uptake was 83.8% (114/136), and 12-week adherence for those who started was 43.0% (49/114). Living in less deprived areas was associated with better uptake (p = 0.021) and 12-week adherence (p = 0.020), and with male uptake (p = 0.024) in gender-stratified analysis. Female adherers significantly increased self-reported PA at 12 weeks (p = 0.005) but not 52 weeks. Males significantly increased exercise self-efficacy between baseline and 52 weeks (p = 0.009). Three qualitative themes and eight subthemes developed; gender perspectives, personal factors (health, social circumstances, transport and attendance benefits) and scheme factors (communication, social/staff support, individualisation and age appropriateness). Both genders valued the PARS. To increase uptake, adherence and PA, PARS should ensure timely, personalised communication, individualised, affordable PA and include mechanisms to re-engage those who disengage temporarily.


2021 ◽  
Vol 7 ◽  
pp. 233372142098568
Author(s):  
Annie T. Chen ◽  
Frances Chu ◽  
Andrew K. Teng ◽  
Soojeong Han ◽  
Shih-Yin Lin ◽  
...  

Background: There is a need for interventions to promote health management of older adults with pre-frailty and frailty. Technology poses promising solutions, but questions exist about effective delivery. Objectives: We present the results of a mixed-methods pilot evaluation of Virtual Online Communities for Older Adults (VOCALE), an 8-week intervention conducted in the northwestern United States, in which participants shared health-related experiences and applied problem solving skills in a Facebook group. Methods: We performed a mixed-methods process evaluation, integrating quantitative and qualitative data, to characterize the intervention and its effects. We focus on four areas: health-related measures (health literacy and self-efficacy), participation, problem solving skills enacted, and subjective feedback. Results: Eight older adults with pre-frailty and frailty (age = 82.7 ± 6.6 years) completed the study. There was an upward trend in health literacy and health self-efficacy post-intervention. Participants posted at least two times per week. Content analysis of 210 posts showed participants were able to apply the problem solving skills taught, and exit interviews showed participants’ increased awareness of the need to manage health, and enjoyment in learning about others. Conclusion: This mixed-methods evaluation provides insight into feasibility and design considerations for online interventions to promote health management among vulnerable older adults.


2019 ◽  
Vol 57 ◽  
pp. 32-53 ◽  
Author(s):  
Ellen L. Usher ◽  
Calah J. Ford ◽  
Caihong R. Li ◽  
Brianna L. Weidner

2021 ◽  
Vol 7 (3) ◽  
pp. 283
Author(s):  
Nurlatifah Rangkuti ◽  
Turmudi Turmudi ◽  
Abdussakir Abdussakir

Penelitian ini bertujuan untuk menguji dan menganalisis pengaruh efikasi diri dan motivasi belajar terhadap hasil belajar matematika. Penelitian ini didesain dalam bentuk pendekatan Mixed Methods yang mengkombinasikan analisis kuantitatif dan kualitatif (Sequantial Explanatory). Teknik analisis data yang digunakan adalah analisis regresi berganda menggunakan SPSS Versi 23,0. Hasil penelitian ini menunjukkan bahwa terdapat pengaruh efikasi diri dan motivasi belajar yang signifikan positif terhadap hasil belajar matematika.   This study aims to examine and analyze the effect of self-efficacy and learning motivation on mathematics learning outcomes. This research is designed in the form of a Mixed Methods approach that combines quantitative and qualitative analysis (Sequantial Explanatory). The data analysis technique used is multiple regression analysis using SPSS Version 23.0. The results of this study indicate that there is a significant positive effect of self-efficacy and learning motivation on mathematics learning outcomes.


2021 ◽  
Author(s):  
Nicole Ringo ◽  
Sheila M. Gephart

Abstract Background: As compared to the United States general postpartum population, civilian military wives encounter unique challenges that can impede their ability to breastfeed, including geographic replacement and physical and emotional challenges. Yet despite these challenges, civilian military wives demonstrate higher rates of breastfeeding initiation and duration in the United States postpartum population as a whole. The purpose of this study was to explore factors contributing to the high rate of breastfeeding initiation and duration among civilian military wives and to determine what might be learned from these factors for intervention design for the broader population of postpartum mothers. Methods: The sample consisted of 28 civilian military wives whose ages ranged from 18-45. The study was conducted online using a concurrent mixed-methods design. Results: Seven main themes with 16 subthemes emerged from the descriptions of the semi-structured interviews. The results of the Breastfeeding Self-Efficacy Scale-Short Form score was 55.2 (SD = 5.73). The results of the integrative analysis revealed that factors within the military environment influence a sense of community, thus supporting their breastfeeding self-efficacy (BSE). Additionally, supportive and pro-breastfeeding healthcare facilitators (especially lactation consultants) throughout the prenatal, intrapartum, and postpartum periods described by civilian military wives were associated with high levels of breastfeeding self-efficacy among civilian military wives. Moreover, high levels of breastfeeding self-efficacy related to breastfeeding skills and duration were associated with the accessibility of resources within the military environment, breastfeeding health and economic benefits, and setting of a breastfeeding goal. Conclusions: Using a concurrent mixed-methods design, this study identified facilitators from the descriptions of civilian military wives that they believed promote their higher rates of breastfeeding initiation and continuation, quantified their high level of breastfeeding self-efficacy, and identified descriptive factors that contributed to both areas lacking in the literature among this population.


Author(s):  
Hatice Leblebici ◽  
Azmi Türkan

In this study, teacher candidates’ attitudes, self-efficacy perceptions towards inclusive education, and their situation towards in-class practices were determined. A total of a hundred thirty three pre-service teachers participated in the research voluntarily. The study was designed according to the parallel mixed methods research in which both quantitative and qualitative data (QUAN + QUAL) were used together. As data collection tools, “Attitude Scale towards Inclusive Education”, “Self-Efficacy Scale for Inclusive Education” and “In-class Practice Scale for Inclusive Education” were used. In addition, during the collection of qualitative data, teacher candidates were asked to complete the statement, “In my opinion, inclusive education is like…. because….” To determine their metaphorical perceptions. When the results of the study were examined, teacher candidates, it was determined that the perceptions of self-efficacy towards inclusive education and the concern for personal equipment differ in terms of various variables. In addition, the participants chose the positive metaphors that they produced for inclusive education. Among these metaphors, respect for differences, acceptance of diversity is expressed as coexistence due to the structure of inclusive education that unites society.


2020 ◽  
Author(s):  
Teresa M Damush ◽  
Lauren S. Penney ◽  
Edward J. Miech ◽  
Nicholas A. Rattray ◽  
Sean A. Baird ◽  
...  

Abstract Background: The Protocol-guided Rapid Evaluation of Veterans Experiencing New Transient Neurologic Symptoms (PREVENT) program was a complex quality improvement (QI) intervention targeting transient ischemic attack (TIA) evidence-based care. The aim of this study was to evaluate program acceptability among the QI teams and factors associated with degrees of acceptability.Methods: QI teams from six Veterans Administration facilities participated in active implementation for a one-year period. We employed mixed methods to evaluate program acceptability. Multiple data sources were collected over implementation phases and triangulated for this evaluation. First, we conducted 30 onsite, semi-structured interviews during active implementation with 35 participants at 6 months; 27 interviews with 28 participants at 12 months; and 19 participants during program sustainment. Second, we collected participant automated response survey data during the team kick-off meeting. Third, we conducted debriefing meetings after onsite visits and monthly virtual collaborative calls. All interviews and debriefings were audiotaped, transcribed, and de-identified. De-identified files were qualitatively coded and analyzed for common themes and acceptability patterns. We conducted mixed-methods matrix analyses comparing acceptability by satisfaction ratings and by the Theoretical Framework of Acceptability (TFA). Results: Overall, the QI teams reported the PREVENT program was acceptable. At pre-implementation phase, reviewing quality data, team brainstorming solutions and development of action plans were rated as most useful during the team kickoff meetings. Program acceptability perceptions varied over time across active implementation and after teams accomplished actions plans and moved into sustainment. We observed team acceptability growth over a year of active implementation in concert with the QI team’s self-efficacy to improve quality of care. Guided by the TFA, the QI teams’ acceptability was represented by the respective seven components of the multifaceted acceptability construct.Conclusions: Program acceptability varied by time, by champion role on QI team, by team self-efficacy, and by perceived effectiveness to improve quality of care aligned with the TFA. A complex quality improvement program that fostered flexibility in local adaptation and supported users with access to data, resources, and implementation strategies was deemed acceptable and appropriate by front-line clinicians implementing practice changes in a large, national healthcare organization.Trial Registration: clinicaltrials.gov: NCT02769338


BMJ Open ◽  
2019 ◽  
Vol 9 (5) ◽  
pp. e027272 ◽  
Author(s):  
Maria Jaensson ◽  
Karuna Dahlberg ◽  
Ulrica Nilsson ◽  
Erik Stenberg

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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