scholarly journals Could implementation of mifepristone address Canada’s urban–rural abortion access disparity: a mixed-methods implementation study protocol

BMJ Open ◽  
2019 ◽  
Vol 9 (4) ◽  
pp. e028443 ◽  
Author(s):  
Wendy V Norman ◽  
Sarah Munro ◽  
Melissa Brooks ◽  
Courtney Devane ◽  
Edith Guilbert ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Community Of Practice ◽  
Diffusion Of Innovation ◽  
Qualitative Data ◽  
Training Programme ◽  
Geographical Information ◽  
Implementation Study ◽  
Theoretical Frameworks ◽  
Face To Face ◽  
The Impact

IntroductionIn January 2017, mifepristone-induced medical abortion was made available in Canada. In this study, we will seek to (1) understand facilitators and barriers to the implementation of mifepristone across Canada, (2) assess the impact of a ‘community of practice’ clinical and health service support platform and (3) engage in and assess the impact of integrated knowledge translation (iKT) activities aimed to improve health policy, systems and service delivery issues to enhance patient access to mifepristone.Methods and analysisThis prospective mixed-methods implementation study will involve a national sample of physicians and pharmacists recruited via an online training programme, professional networks and a purpose-built community of practice website. Surveys that explore constructs related to diffusion of innovation and Godin’s behaviour change frameworks will be conducted at baseline and at 6 months, and qualitative data will be collected from electronic interactions on the website. Survey participants and a purposeful sample of decision-makers will be invited to participate in in-depth interviews. Descriptive analyses will be conducted for quantitative data. Thematic analysis guided by the theoretical frameworks will guide interpretation of qualitative data. We will conduct and assess iKT activities involving Canada’s leading health system and health professional leaders, including evidence briefs, Geographical Information System (GIS)maps, face-to-face meetings and regular electronic exchanges. Findings will contribute to understanding the mechanisms of iKT relationships and activities that have a meaningful effect on uptake of evidence into policy and practice.Ethics and disseminationEthical approval was received from the University of British Columbia Children’s and Women’s Hospital Ethics Review Board (H16-01006). Full publication of the work will be sought in an international peer-reviewed journal. Findings will be disseminated to research participants through newsletters and media interviews, and to policy-makers through invited evidence briefs and face-to-face presentations.

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 Companion Animal Type and Level of Engagement Matter: A Mixed-Methods Study Examining Links between Companion Animal Guardianship, Loneliness and Well-Being during the COVID-19 Pandemic

Animals ◽  
2021 ◽  
Vol 11 (8) ◽  
pp. 2349
Author(s):  
Heather Clements ◽  
Stephanie Valentin ◽  
Nicholas Jenkins ◽  
Jean Rankin ◽  
Nancy R. Gee ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Quantitative Data ◽  
Online Survey ◽  
Qualitative Data ◽  
Companion Animals ◽  
Well Being ◽  
Companion Animal ◽  
Mixed Methods Study ◽  
The Impact ◽  
Mental Well Being

To reduce the spread of COVID-19, countries worldwide placed limitations on social interaction, which is anticipated to have severe psychological consequences. Although findings are inconsistent, prior research has suggested that companion animals may positively influence human well-being and reduce loneliness. In the context of COVID-19, this has important implications, as companion animal guardians may be less negatively affected by the pandemic. The primary aim of this research was to investigate the influence of companion animals on mental well-being and loneliness during the pandemic, with specific interest in the role of ornamental fishes. A mixed-methods study was conducted, using an international sample. Quantitative data were collected via an online survey (n = 1199) and analysed using robust hierarchical multiple regression analyses; the influence of level of engagement with companion animals was examined for dogs, cats and ornamental fishes. There was no evidence that companion animal guardianship was associated with loneliness and mental well-being during the pandemic but spending more time engaging physically or socially with dogs (and to a lesser extent cats) was generally associated with poorer outcomes. Qualitative data were collected through open-ended survey responses (n = 757) and semi-structured interviews (n = 25) and analysed using reflexive thematic analysis. Two themes were developed—one related to companion animals as providers of social and emotional support, and the other to companion animals as providers of purpose and perspective. Concerns regarding the impact of the pandemic on animal welfare were also identified. Compared to other animal types, more participants expressed indifference regarding the impact of their fishes on their well-being during the pandemic, possibly because fishes cannot provide comfort via physical touch. The findings of this study reflect the wider field of human–animal interaction; although qualitative data suggest guardians believe their companion animals are a positive influence in their lives, there is little convincing quantitative data to support these beliefs. This highlights the need to refine theories regarding which aspects of companion animal guardianship may influence human well-being; the findings from this research may be useful in the refinement of such theories.

scholarly journals Evaluation of the digital diabetes prevention programme pilot: uncontrolled mixed-methods study protocol

BMJ Open ◽  
2019 ◽  
Vol 9 (5) ◽  
pp. e025903 ◽  
Author(s):  
Elizabeth Murray ◽  
Kerry Daff ◽  
Anthi Lavida ◽  
William Henley ◽  
Jenny Irwin ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Diabetes Prevention ◽  
Quantitative Data ◽  
Qualitative Data ◽  
Behavioural Change ◽  
Prevention Programme ◽  
Successful Implementation ◽  
Framework Analysis ◽  
Theoretical Frameworks ◽  
Diabetes Prevention Programme

IntroductionThe prevalence of type 2 diabetes is rising steeply. National Health Service England (NHSE) is exploring the potential of a digital diabetes prevention programme (DDPP) and has commissioned a pilot with embedded evaluation.Methods and analysisThis study aims to determine whether, and if so, how, should NHSE implement a national DDPP, using a mixed-methods pretest and post-test design, underpinned by two theoretical frameworks: the Coventry, Aberdeen and London - Refined (CALO-RE) taxonomy of behavioural change techniques for the digital interventions and the Consolidated Framework for Implementation Research (CFIR) for implementation processes. In eight pilot areas across England, adults with non-diabetic hyperglycaemia (NDH) (glycated haemoglobin (HbA1c) 42–47 mmol/mol or fasting plasma glucose 5.5–6.9 mmol/L) and adults without NDH who are overweight (body mass index (BMI) >25 kg/m2) or obese (BMI >30 kg/m2) will be referred to one of five digitally delivered diabetes prevention interventions. The primary outcomes are reduction in HbA1c and weight (for people with NDH) and reduction in weight (for people who are overweight or obese) at 12 months. Secondary outcomes include use of the intervention, satisfaction, physical activity, patient activation and resources needed for successful implementation. Quantitative data will be collected at baseline, 6 months and 12 months by the digital intervention providers. Qualitative data will be collected through semistructured interviews with commissioners, providers, healthcare professionals and patients. Quantitative data will be analysed descriptively and using generalised linear models to determine whether changes in outcomes are associated with demographic and intervention factors. Qualitative data will be analysed using framework analysis, with data pertaining to implementation mapped onto the CFIR.Ethics and disseminationThe study has received ethical approval from the Public Health England Ethics and Research Governance Group (reference R&D 324). Dissemination will include a report to NHSE to inform future policy and publication in peer-reviewed journals.

The Impact of Organizational Capabilities on SMEs Export Performance: Application of the Resource Based View Theory

2020 ◽  
Vol 3 (3) ◽  
pp. 68-75
Author(s):  
Godwell Karedza ◽  
Krishna K. Govender
Keyword(s):  
Mixed Methods ◽  
Food Processing ◽  
Qualitative Data ◽  
Export Performance ◽  
Mixed Methods Study ◽  
Organizational Capabilities ◽  
Resource Based View ◽  
Organisational Capabilities ◽  
Interview Guide ◽  
The Impact

The research aimed at identifying the organizational capabilities that influence the export performance of SMEs in Zimbabwe, as well as the strategies that can be adopted by SMEs to enhance their export performance. A mixed-methods study was carried out with a sample size of 345 SMEs in Harare, comprising food processing, leather products, and textiles and four (4) policy advocates and four (4) export business analysts. Questionnaires were directed at the SME owner-managers and an interview guide was used to collect qualitative data. The results reveal that, although distinctive capabilities play a pivotal role in enhancing the export performance of SMEs; its impact on Zimbabwean manufacturing SMEs is not significant. The findings are envisaged to provide insights on how SMEs in Zimbabwe can embrace organisational capabilities to enhance export performance.

Health Promotion and Sexology Student and Teaching Staff Perspectives of Online Learning and Teaching During COVID-19: A Mixed Methods Study

2021 ◽  
pp. 237337992110373
Author(s):  
Krysten Blackford ◽  
Kieran Birney ◽  
Shefali Sharma ◽  
Gemma Crawford ◽  
Matt Tilley ◽  
...  
Keyword(s):  
Health Promotion ◽  
Online Learning ◽  
Mixed Methods ◽  
Mixed Methods Study ◽  
Teaching Staff ◽  
Delivery Mode ◽  
Student Survey ◽  
Internal Mode ◽  
Face To Face ◽  
The Impact

Universities are undergoing rapid and unprecedented changes due to the COVID-19 pandemic, and the needs of learners during this transition are not necessarily well understood or addressed. This study aimed to examine the impact of the “remote internal” unit delivery in a large Western Australian university, as experienced by students and teaching staff within a department of health promotion and sexology (DHPS). In the remote internal mode, previously “internal” (face-to-face) students received prerecorded lectures and attended workshops and seminars in real time through use of the learning platforms. The mixed methods study was conducted across three phases in 2020. A quantitative online student survey was followed by student and teaching staff focus groups and document analysis. Six themes were uncovered regarding the student experience of the remote internal mode: (1) face-to-face contact provides a sense of community, (2) online learning is better when it is interactive, (3) online learning is convenient, (4) delivery mode affects student willingness to contribute to discussions, (5) students enjoy a mixture of teaching patterns, and (6) technological issues create barriers to effective learning. Five themes were revealed regarding teaching staff experience of the remote internal mode: (1) connections matter, (2) face-to-face delivery enhances engagement, (3) learning outcomes are a priority for teaching staff, (4) online delivery needs effective supports, and (5) students have online privacy concerns. Considerations for course modalities, methods to enhance interactivity, and supportive technology and infrastructure are recommended to ensure that the technological, demographic, and socio-environmental needs of students are adequately met.

scholarly journals “No Way Out Except From External Intervention”: First-Hand Accounts of Autistic Inertia

2021 ◽  
Vol 12 ◽  
Author(s):  
Karen Leneh Buckle ◽  
Kathy Leadbitter ◽  
Ellen Poliakoff ◽  
Emma Gowen
Keyword(s):  
Qualitative Data ◽  
Real Life ◽  
Experimental Conditions ◽  
Face To Face ◽  
Support Strategies ◽  
Autistic People ◽  
Mental Health Difficulties ◽  
The Impact ◽  
External Intervention ◽  
Conscious Control

This study, called for by autistic people and led by an autistic researcher, is the first to explore ‘autistic inertia,’ a widespread and often debilitating difficulty acting on their intentions. Previous research has considered initiation only in the context of social interaction or experimental conditions. This study is unique in considering difficulty initiating tasks of any type in real life settings, and by gathering qualitative data directly from autistic people. Four face-to-face and 2 online (text) focus groups were conducted with 32 autistic adults (19 female, 8 male, and 5 other), aged 23–64 who were able to express their internal experiences in words. They articulate in detail the actions they have difficulty with, what makes it easier or harder to act, and the impact on their lives. Thematic analysis of the transcripts found four overarching themes: descriptions of inertia, scaffolding to support action, the influence of wellbeing, and the impact on day-to-day activities. Participants described difficulty starting, stopping and changing activities that was not within their conscious control. While difficulty with planning was common, a subset of participants described a profound impairment in initiating even simple actions more suggestive of a movement disorder. Prompting and compatible activity in the environment promoted action, while mental health difficulties and stress exacerbated difficulties. Inertia had pervasive effects on participants’ day-to-day activities and wellbeing. This overdue research opens the door to many areas of further investigation to better understand autistic inertia and effective support strategies.

scholarly journals Effects Of Numeric Representation Of Women On Interest In Engineering As A Career

2012 ◽  
Vol 3 (1) ◽  
pp. 1-12 ◽  
Author(s):  
Elizabeth G. Creamer
Keyword(s):  
Mixed Methods ◽  
Qualitative Data ◽  
Representation Of Women ◽  
Numeric Representation ◽  
The Impact

Little is known about how the presence of women influences undergraduates’ experiences in engineering. This paper presents results from a mixed methods, multivariate, and multi- institutional study to determine the impact of the numeric representation of women on the intent to be employed in engineering following graduation. Results from the analysis of both quantitative and the qualitative data suggests that numbers matter because it contributes to the perception that women have the skills, abilities, and interests to succeed in engineering. 

scholarly journals "No way out except from external intervention": First-hand accounts of autistic inertia

2020 ◽  
Author(s):  
Karen Leneh Buckle ◽  
Kathy Leadbitter ◽  
Ellen Poliakoff ◽  
Emma Gowen
Keyword(s):  
Qualitative Data ◽  
Real Life ◽  
Experimental Conditions ◽  
Face To Face ◽  
Support Strategies ◽  
Autistic People ◽  
Mental Health Difficulties ◽  
The Impact ◽  
External Intervention ◽  
Conscious Control

This study, called for by autistic people and led by an autistic researcher, is the first to explore ‘autistic inertia’, a widespread and often debilitating difficulty initiating action. Previous research has considered initiation only in the context of social interaction or experimental conditions. This study is unique in considering difficulty initiating tasks of any type in real life settings, and by gathering qualitative data directly from autistic people. Four face-to-face and 2 online (text) focus groups were conducted with 32 autistic adults (19 female, 8 male, 5 other), aged 23-64 who were able to express their internal experiences in words. They articulate in detail the actions they have difficulty with, what makes it easier or harder to act, and the impact on their lives. Thematic analysis of the transcripts found four overarching themes: descriptions of inertia, scaffolding to support action, the influence of wellbeing, and the impact on day-to-day activities. Participants described difficulty starting, stopping and changing activities that was not within their conscious control. While difficulty with planning was common, a subset of participants described a profound impairment in initiating even simple actions more suggestive of a movement disorder. Prompting and compatible activity in the environment promoted action, while mental health difficulties and stress exacerbated difficulties. Inertia had pervasive effects on participants’ day-to-day activities and wellbeing. This overdue research opens the door to many areas of further investigation to better understand autistic inertia and effective support strategies.

scholarly journals Character Index of Mathematics and Science Student Teachers in Online Learning

2020 ◽  
Vol 9 (3) ◽  
pp. 381
Author(s):  
Parmin Parmin ◽  
Iwan Junaedi ◽  
Eling Purwantoyo ◽  
Ibnul Mubarak ◽  
Mukhammad Toni ◽  
...  
Keyword(s):  
Online Learning ◽  
Mixed Methods ◽  
Distance Learning ◽  
Student Teachers ◽  
Quantitative Data ◽  
Qualitative Data ◽  
Science Student ◽  
Face To Face ◽  
Mathematics And Science

Online learning changes learning habits from face to face to distance learning. The purpose of the study is to measure the character index of mathematics and science student teachers in online learning during the COVID-19 pandemic. The study used mixed methods, collecting and analyzing quantitative data through questionnaires targeting Mathematics and Science student teachers, followed by qualitative data through interviews. The questionnaire used a Likert five scale option. The number of research targets was 340 student teachers with 224 women and 116 men. The results obtained are four indicators of mathematics and science student teachers characters in online learning that are less than optimal, consisting of beginning and ending lectures by praying, attendance, and politeness while optimal in the timeliness indicator collecting assignments with an index of 4.40 from a maximum index of 5.00. The study concludes that online learning has an impact on the character index of student teachers.

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