scholarly journals Integrated decision-making model for community-based rehabilitation service utilisation among persons with severe mental illness in China: protocol for a cross-sectional, mixed-methods study

BMJ Open ◽  
2018 ◽  
Vol 8 (12) ◽  
pp. e021528 ◽  
Author(s):  
Ruoxi Wang ◽  
Shangfeng Tang ◽  
Ian Shaw ◽  
Zhanchun Feng ◽  
Zhuo Chen ◽  
...  
Keyword(s):  
Decision Making ◽  
Mental Illness ◽  
Mixed Methods ◽  
Mixed Methods Study ◽  
Service Utilisation ◽  
Community Based ◽  
Cross Sectional ◽  
Community Based Rehabilitation ◽  
Integrated Decision Making ◽  
Different Levels

IntroductionA common problem low-income and middle-income countries face is the scarcity of community-based rehabilitation (CBR) resources and low service utilisation among persons with severe mental illness (SMI). Despite this problem, the factors and pathways followed influencing one’s decision on service utilisation in China have not been fully comprehended. This study aims to develop a theory-based model that systematically describes the integrated decision-making process of mental health CBR utilisation among persons with SMI in China.Methods/DesignThis cross-sectional, mixed-methods study involves three main stages and is expected to last 3 years, from January 2018 to December 2020. In stage 1, the Social Exchange Theory is deployed as an analytical framework to comprehensively capture factors associated with tendency to use CBR services in China using semistructured interview methodology involving patients with SMI, their primary caregivers and CBR service providers. In stage 2, interpretive structural modelling will be applied to analyse the relationships between factors in different dimensions, at different levels and with different levels of impact. Stage 3 involves a multiregion survey among at least 300 family decision-makers (either the patient or their caregivers) in six communities in three cities to statistically validate the initial model derived in stage 2 using a further structural equation modelling.Ethics and disseminationEthical approval was granted by the Ethics Committee of Tongji Medical College, Huazhong University of Science and Technology (No 2017S319). All interviewees will be provided with written information about the study, and a signed consent will be retrieved prior to the interview. Rules on confidentiality and anonymity of data will be strictly followed. The findings of this study will be disseminated via international and domestic peer-reviewed journals, reports, conference presentations and symposium discussions. Reports will be submitted to the National Natural Science Foundation of China.

scholarly journals 05 - INTERNALIZED STIGMA IN PERSONS WITH MENTAL ILLNESS AND THEIR FAMILIES IN QATAR: A CROSS-SECTIONAL MIXED METHODS STUDY

2019 ◽  
Author(s):  
Vahe Kehyayan ◽  
Dr. Suhaila Ghuloum, MD ◽  
Ziyad Mahfoud ◽  
Hassen Al-Amin ◽  
Tamara Marji
Keyword(s):  
Mental Illness ◽  
Mixed Methods ◽  
Mixed Methods Study ◽  
Internalized Stigma ◽  
Cross Sectional

scholarly journals Determinants of Modern Family Planning Methods in the Oromia, Amhara, and Somali Regions, Ethiopia: A Community-Based, Cross-Sectional Mixed Methods Study

2020 ◽  
Author(s):  
Hocheol Lee ◽  
Eshetu Girma Kindane ◽  
Young Ah Doh ◽  
Eun Woo Nam
Keyword(s):  
Mixed Methods ◽  
Family Planning ◽  
Fertility Rate ◽  
Mixed Methods Study ◽  
Community Based ◽  
Cross Sectional ◽  
Modern Family ◽  
Planning Methods ◽  
Modern Family Planning ◽  
Family Planning Methods

Abstract Background: In 2019, Ethiopia had a total fertility rate of 4.2 births per woman with the rates varying significantly across regions. The Federal Ministry of Health of Ethiopia announced “Ethiopia FP 2020” to address the high fertility rate, aiming to reduce it to 3.0 by 2020. This study aimed to identify the determinants of the use of modern family planning services in the Amhara, Oromia, and Somali regions.Methods: A community-based, cross-sectional mixed methods study was conducted, using quantitative and qualitative data. The quantitative data were subjected to binary logistic regression analyses. Participants included over 4,117 married men and women aged 15-65 years old.Results: Respondents in Oromia were 8.673 times more likely to have modern family planning methods than those in Somali. Participants in Amhara were 5.183 times more likely to have modern family planning methods than their Somali counterparts. Women, married respondents, and recipients of media messages were more likely to have family planning experience. Family planning discussions with Health Extension Workers and health professionals played a significant role in modern family planning. Conclusion: Establishing a family planning strategy that considers the sociocultural characteristics of each region might help address regional contexts. Everyone in Somali—especially husbands and religious leaders—must be educated in family planning and funds be made available to deploy advanced measures for the same.

Uncertainty about cellulitis and unmet patient information needs: a mixed methods study

2018 ◽  
Vol 68 (suppl 1) ◽  
pp. bjgp18X697349
Author(s):  
Anna Lalonde ◽  
Emma Teasdale ◽  
Ingrid Muller ◽  
Joanne Chalmers ◽  
Peter Smart ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Information Needs ◽  
Qualitative Data ◽  
Information Provision ◽  
Mixed Methods Study ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Face To Face ◽  
Patient Information Needs ◽  
History Of

BackgroundCellulitis is a common painful infection of the skin and underlying tissues that recurs in approximately a third of cases. Patients’ ability to recover from cellulitis or prevent recurrence is likely to be influenced by their understanding of the condition.AimTo explore patients’ perceptions of cellulitis and their information needs.MethodMixed methods study comprising semi-structured, face-to-face interviews and cross-sectional survey, recruiting through primary care, secondary care and advertising. Adults aged 18 or over with a history of cellulitis (first or recurrent) were invited to complete a survey, take part in an interview or both. Qualitative data was analysed thematically.ResultsThirty interviews were conducted between August 2016 and July 2017. Qualitative data revealed low prior awareness of cellulitis, uncertainty around diagnosis, concern/surprise at the severity of cellulitis, and perceived insufficient information provision. People were surprised they had never heard of the condition and that they had not received advice or leaflets giving self-care information. Some sought information from the internet and found this bewildering. Two hundred and forty surveys were completed (response rate 17%). These showed that, while most people received information on the treatment of cellulitis (60.0%, n = 144), they reported receiving no information about causes (60.8%, n = 146) or prevention of recurrence (73.3%, n = 176).ConclusionThere is a need for provision of basic information for people with cellulitis, particularly being informed of the name of their condition, how to manage acute episodes, and how to reduce risk of recurrence.

scholarly journals Assessing burden, risk factors, and perceived impact of uterine fibroids on women’s lives in rural Haiti: implications for advancing a health equity agenda, a mixed methods study

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Christophe Millien ◽  
Anatole Manzi ◽  
Arlene M. Katz ◽  
Hannah Gilbert ◽  
Mary C. Smith Fawzi ◽  
...  
Keyword(s):  
Risk Factors ◽  
Mixed Methods ◽  
Black Women ◽  
Uterine Fibroids ◽  
Mixed Methods Study ◽  
University Hospital ◽  
Gynecologic Surgery ◽  
Cross Sectional ◽  
Women's Lives

Abstract Background Uterine fibroids, the most common cause of gynecologic surgery, have a reported cumulative incidence of 59% among Black women in the U.S. Uterine fibroids negatively impact the quality of women’s lives. No study has been found in the literature about fibroids in Haiti. We conducted a mixed methods study to assess the burden and risk factors of uterine fibroids, as well as their effects on women’s quality of life. Methods A convergent mixed methods study was conducted between October 1, 2019 and January 31, 2020 at MUH’s (Mirebalais University Hospital) OB-GYN outpatient department. Quantitatively, in a cross-sectional study 211 women completed consecutively a structured questionnaire. In-depth interviews with 17 women with fibroids and 7 family members were implemented for the qualitative component. Descriptive statistics were calculated for clinical and social demographic variables. Logistic regression was performed to examine associations between fibroids and related risk factors. An inductive thematic process was used to analyze the qualitative data. A joint display technique was used to integrate the results. Results Of 193 women analyzed 116 had fibroids (60.1%). The mean age was 41.3. Anemia was the most frequent complication— 61 (52.6%). Compared to women without uterine fibroids, factors associated with uterine fibroids included income decline (AOR = 4.7, 95% CI: 2.1–10.9, p = < 0.001), excessive expenses for transport (AOR = 4.4, 95% CI: 1.6–12.4, p = 0.005), and family history with uterine fibroids (AOR = 4.6, 95% CI: 1.6–13.6, p = 0.005). In contrast, higher level of education and micro polycystic ovarian syndrome were associated with lower prevalence (AOR = 0.3, 95% CI: 0.1–0.9, p = 0.021) and (AOR = 0.2, 95% CI: 0.1–0.97, p = 0.044), respectively. The qualitative findings delineate how contextual factors such as health system failures, long wait times, gender inequality and poverty negatively affect the quality of women’s lives. The poverty cycle of uterine fibroids emerged. Conclusions A vicious cycle of poverty negatively impacts access to care for uterine fibroids in Haiti. Health insurance, social support, and income generating activities may be keys to promote social justice through access to adequate care for women with uterine fibroids in Haiti.

Post-mortem general surgeon reflection on decision-making: a mixed-methods study of mortality audit data

2018 ◽  
Vol 88 (10) ◽  
pp. 993-997 ◽  
Author(s):  
Daniel E. Cattanach ◽  
Arkadiusz P. Wysocki ◽  
Therese Ray-Conde ◽  
Charles Nankivell ◽  
Jennifer Allen ◽  
...  
Keyword(s):  
Decision Making ◽  
Mixed Methods ◽  
Mixed Methods Study ◽  
General Surgeon ◽  
Post Mortem ◽  
Audit Data

scholarly journals Internet Use among Community-Based Rehabilitation Workers in Bosnia and Herzegovina: A Cross-Sectional Survey

2011 ◽  
Vol 63 (4) ◽  
pp. 445-452 ◽  
Author(s):  
Euson Yeung ◽  
Robert Balogh ◽  
Donald Cole ◽  
Djenana Jalovcic ◽  
Michel D. Landry
Keyword(s):  
Bosnia And Herzegovina ◽  
Internet Use ◽  
Cross Sectional Survey ◽  
Community Based ◽  
Cross Sectional ◽  
Community Based Rehabilitation

scholarly journals Perceptions and acceptability of mHealth interventions for improving patient care at a community-based HIV/AIDS clinic in Uganda: A mixed methods study

AIDS Care ◽  
2013 ◽  
Vol 25 (7) ◽  
pp. 874-880 ◽  
Author(s):  
Larry W. Chang ◽  
Veronica Njie-Carr ◽  
Sheila Kalenge ◽  
Jack F. Kelly ◽  
Robert C. Bollinger ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Patient Care ◽  
Mixed Methods Study ◽  
Community Based ◽  
Improving Patient Care ◽  
Hiv Aids

scholarly journals Perceived social risk in medical decision-making for physical child abuse: a mixed-methods study

2017 ◽  
Vol 17 (1) ◽  
Author(s):  
Heather T. Keenan ◽  
Kristine A. Campbell ◽  
Kent Page ◽  
Lawrence J. Cook ◽  
Tyler Bardsley ◽  
...  
Keyword(s):  
Decision Making ◽  
Child Abuse ◽  
Mixed Methods ◽  
Medical Decision Making ◽  
Mixed Methods Study ◽  
Medical Decision ◽  
Social Risk ◽  
Physical Child Abuse

scholarly journals Community sensitization and decision‐making for trial participation: A mixed‐methods study from The Gambia

2017 ◽  
Vol 18 (4) ◽  
pp. 406-419 ◽  
Author(s):  
Susan Dierickx ◽  
Sarah O'Neill ◽  
Charlotte Gryseels ◽  
Edna Immaculate Anyango ◽  
Melanie Bannister‐Tyrrell ◽  
...  
Keyword(s):  
Decision Making ◽  
Mixed Methods ◽  
The Gambia ◽  
Mixed Methods Study ◽  
Trial Participation

Trauma Healing: A Mixed Methods Study of Personal and Community-Based Healing

2014 ◽  
Vol 23 (6) ◽  
pp. 611-632 ◽  
Author(s):  
Jeffrey L. Todahl ◽  
Elaine Walters ◽  
Deepa Bharwdi ◽  
Shanta R. Dube
Keyword(s):  
Mixed Methods ◽  
Mixed Methods Study ◽  
Community Based ◽  
Trauma Healing
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