scholarly journals Evaluating the use of job aids and user instructions to improve adherence for the treatment of childhood pneumonia using amoxicillin dispersible tablets in a low-income setting: a mixed-method study

BMJ Open ◽  
2019 ◽  
Vol 9 (5) ◽  
pp. e024978
Author(s):  
Haribondhu Sarma ◽  
Emily Gerth-Guyette ◽  
Syaket Ahmed Shakil ◽  
Kazi Robiul Alom ◽  
Elizabeth Abu-Haydar ◽  
...  
Keyword(s):  
Low Income ◽  
Mixed Method ◽  
Service Providers ◽  
Healthcare Providers ◽  
Mixed Method Study ◽  
Childhood Pneumonia ◽  
Job Aids ◽  
Key Stakeholders ◽  
User Instructions ◽  
User Friendly

ObjectivesWe conducted a study to evaluate the use of job aids and simple user instructions to improve adherence for the treatment of childhood pneumonia with amoxicillin dispersible tablet (DT).DesignA mixed-method study implemented in three phases between October 2015 and February 2016.SettingsThe study was implemented in two subdistricts of Bangladesh.ParticipantsCaregivers of children aged 2–59 months, health service providers and key stakeholders at national and district level.InterventionsAn intervention including training and job aids and user-friendly instructions was introduced in one subdistrict while standard amoxicillin DT packaging and instructions with no training served as the control in the comparison subdistrict.Primary outcomeAdherence behaviour of caregivers of children aged 2–59 months for the treatment of childhood pneumonia with amoxicillin DT.MethodsWe conducted a survey with 56 caregivers in the intervention subdistrict and 38 caregivers in the comparison subdistrict. We also conducted 44 in-depth interviews to evaluate the job aids and user-friendly instructions with healthcare providers and caregivers to assess the feasibility, usability and acceptability of the tools in intervention subdistrict.ResultsFor 5-day treatment course, 32.1% (95% CI 23.1% to 41.1%) of caregivers in the intervention subdistrict and 2.6% (95% CI 0.3% to 7.8%) in the comparison subdistrict maintained full adherence to the amoxicillin DT treatment for pneumonia. More children under 12 months were given age-appropriate treatment than older children. Key stakeholders and healthcare providers considered the use and integration of the tools into the health system to be feasible and acceptable.ConclusionsThe provision of tools for the treatment of childhood pneumonia with amoxicillin DT had a positive influence on adherence behaviours. These tools can help close information gaps and overcome the barriers posed by medical illiteracy and remembering instructions from providers.

scholarly journals Identifying Opportunities to Promote Physical Activity in a Diverse Low-Income Population: A Mixed-Method Study at a Boys & Girls Club Site

2019 ◽  
Vol 49 (2) ◽  
pp. 171-200
Author(s):  
Bridget K. Biggs ◽  
Ellen Tolleson ◽  
Jodi Millerbernd ◽  
Carrie Bronars ◽  
Sonja J. Meiers ◽  
...  
Keyword(s):  
Physical Activity ◽  
Low Income ◽  
Mixed Method ◽  
Mixed Method Study ◽  
Low Income Population

scholarly journals When healthcare providers are supportive, ‘I'd rather not test alone’: Exploring uptake and acceptability of HIV self‐testing for youth in Zimbabwe – A mixed method study

2021 ◽  
Vol 24 (9) ◽  
Author(s):  
Constancia V. Mavodza ◽  
Constance R. S. Mackworth‐Young ◽  
Tsitsi Bandason ◽  
Ethel Dauya ◽  
Chido Dziva Chikwari ◽  
...  
Keyword(s):  
Mixed Method ◽  
Healthcare Providers ◽  
Mixed Method Study ◽  
Self Testing

scholarly journals Assessment of risk perception and risk communication regarding COVID-19 among healthcare providers: An explanatory sequential mixed-method study in Bangladesh

F1000Research ◽  
2020 ◽  
Vol 9 ◽  
pp. 1335
Author(s):  
Marium Salwa ◽  
M Atiqul Haque ◽  
Muhmammad Ibrahim Ibne Towhid ◽  
Sarmin Sultana ◽  
Mohammad Tanvir Islam ◽  
...  
Keyword(s):  
Risk Perception ◽  
Risk Communication ◽  
Mixed Method ◽  
Infection Prevention ◽  
Qualitative Data ◽  
Healthcare Providers ◽  
Communication Strategy ◽  
Infection Prevention And Control ◽  
Mixed Method Study ◽  
Second Phase

Background: Any public health emergency demands adequate risk communication with the vulnerable population along with their optimized perception about the impending risk to ensure proper risk management and crisis control. Hence, this study will be conducted to explore healthcare providers’ perceptions regarding risks of coronavirus disease 2019 (COVID-19), as well as how they are being communicated to about the risk, and how they practice risk reduction measures. Methods: A two-phased explanatory sequential mixed-method study will be conducted among physicians and nurses from randomly selected tertiary healthcare facilities in Dhaka, the capital of Bangladesh. In the first phase, the general pattern and quantifiable measures of risk perception, risk communication, and infection prevention practices will be assessed quantitatively. Multiple linear regression analyses will be performed to explore how much variability of risk perception is predicted by risk communication methods and contents. In the second phase, qualitative data will be collected for in-depth understanding and exploration of participants’ experiences and insights regarding COVID-19 risk through interviews and document reviews. Thematic content analysis of the qualitative data will be done manually. Findings from both quantitative and qualitative phases will then be triangulated to illustrate the research objectives. Discussion: Based on the psychometric dimensions of risk perception and psycho-social theory of the health belief model, perception of COVID-19 risk among healthcare providers will be evaluated in this study. The relationship between risk perception and infection prevention and control practices among healthcare providers will also be investigated. The explanatory sequential design of this study is expected to generate hypotheses on how risk perception is being shaped in a time of uncertainty and thus, will help to build a proper risk communication strategy to minimize risk perception among healthcare providers.

scholarly journals Information needs and patient perceptions of the quality of medication information available in hospitals: a mixed method study

2020 ◽  
Vol 42 (6) ◽  
pp. 1396-1404
Author(s):  
Charlotte L. Bekker ◽  
Shaghayegh Mohsenian Naghani ◽  
Stephanie Natsch ◽  
Naomi S. Wartenberg ◽  
Bart J. F. van den Bemt
Keyword(s):  
Mixed Method ◽  
Information Needs ◽  
Healthcare Providers ◽  
Patient Perceptions ◽  
Mixed Method Study ◽  
Individual Interviews ◽  
Written Information ◽  
Medication Information ◽  
Almost All

Abstract Background Providing appropriate medication information to patients is of utmost importance for optimal pharmacotherapy. (Un)intentional miscommunication and information gaps resulting in unmet needs could negatively affect patient’s ability to use their medication properly. Objective To identify the information needs and patient perceptions of the quality of medication information available in hospitals in the Netherlands. Setting Cardiology, oncology, or rheumatology department of five hospitals. Methods Adult cardiology, oncology, and rheumatology patients participated in this mixed-method study. Focus groups and individual interviews were held to identify patients’ views on the medication information and their information needs. Outcomes were used to construct a questionnaire that was used in a survey among patients to compare existing medication information with patients’ needs, and to judge the quality of the provided information. Main outcome measure Patients needs with medication information. Results Four themes derived from interviews with 44 patients: (1) Content; almost all patients acknowledged to receive insufficient information not meeting their personal needs. (2) Moment of delivery; patients were dissatisfied with the timing. (3) Method of delivery; patients highly preferred verbal and written information. (4) Contextual quality prerequisites that should be met according to patients; medication information should be accessible, comprehensive, reliable and understandable. A total of 352 patients completed the questionnaire. Almost all patients reported all items as important, whereas up to 74.6% patients were not informed. Up to half of the patients perceived verbal information from healthcare providers, written information of leaflets and folders of insufficient quality. Conclusion Patients attending Dutch hospitals have needs for extensive medication information, which should be tailored to their individual needs. According to patients the quality of medication information available in hospitals can be improved.

How Should I Choose My Dentist? A Preliminary Study Investigating the Effectiveness of Decision Aids on Healthcare Online Review Portals

2018 ◽  
Vol 62 (1) ◽  
pp. 1694-1698 ◽  
Author(s):  
Amro Khasawneh ◽  
Amal Ponathil ◽  
Necmettin Firat Ozkan ◽  
Kapil Chalil Madathil
Keyword(s):  
Mixed Method ◽  
Decision Aids ◽  
Healthcare Providers ◽  
Wait Time ◽  
Influential Factor ◽  
Online Review ◽  
Mixed Method Study ◽  
The Internet ◽  
Sensemaking Process ◽  
Preliminary Study

Information on healthcare providers on the internet can be found in both public reports and/or anecdotal comments. Healthcare consumers rely more on the anecdotal comments than public reports as they are easier to understand, more engaging and convincing. However, the anecdotal comments can be misleading as they are based on a relatively smaller and less representative sample. Hence, it’s important to understand how users make sense of the anecdotal information and define the factors that influence their decisions. This study utilized the domain of dentistry, focusing on how the nature of the review and other decision aids affect the sensemaking process of healthcare seekers. We conducted a mixed-method study with twenty participants, finding the nature of the review (the text) to be the most influential factor and the wait time to be the least contributing factor in the decision.

scholarly journals A logistics sector’s perspective of factors and risks within the business environment that influence supply chains’ effectiveness: An explorative mixed method study

2015 ◽  
Vol 9 (1) ◽  
Author(s):  
Johanna A. Badenhorst-Weiss ◽  
Beverley J. Waugh
Keyword(s):  
Risk Factors ◽  
Supply Chains ◽  
Mixed Method ◽  
Service Providers ◽  
Business Environment ◽  
Mixed Method Study ◽  
Mixed Method Research ◽  
Logistics Industry ◽  
Operational Management ◽  
Insight Into

Background: Supply chains in South Africa operate in a challenging business environment. This environment influences the efficiency and effectiveness of South African businesses and supply chains. These factors further influence the competitiveness of products produced in the country, the economic growth and development of South Africa.Objectives: The purpose of this study was two-fold: Firstly, to obtain insight into the main business environment risks and other factors, from a logistics perspective; and secondly, to demonstrate the use of methodology not often used in logistics research − the sequential mixed method.Method: The explorative study was conducted amongst logistics service providers and cargo owners in 2013 by means of a sequential mixed method study, consisting of a survey to determine the importance of risk factors in the business environment, followed by a qualitative study in the form of a focus group discussion to obtain richer data and insight into these risks and factors. The results of these two methods were integrated with industry literature.Results: It was found that increasing transportation costs, operational management of infrastructure and human resources-related problems pose the biggest challenges in the logistics industry. In addition, it was found that the mixed method research study has application possibilities in logistics research.Conclusion: The factors identified as particularly problematic for the logistics industry, namely ineffective operational management of infrastructure, the general conditions in the labour market and increasing costs (to some extent) are outside the control of individual organisations. However, organisations can control how they react and mitigate these risk factors. It is shown that these factors and risks can change overnight. The use of the explorative mixed method in obtaining qualitative and quantitative inputs and integrating it with existing literature proved to be a workable and usable methodology.

A Mixed-Method Study of Teachers' Attitudes About Teaching in Urban and Low-Income Schools

2009 ◽  
Vol 44 (2) ◽  
pp. 181-224 ◽  
Author(s):  
Anne-Lise Halvorsen ◽  
Valerie E. Lee ◽  
Fernando H. Andrade
Keyword(s):  
Low Income ◽  
Mixed Method ◽  
Mixed Method Study ◽  
Teachers Attitudes
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