scholarly journals Mixed-Methods Research in a Complex Multisite VA Health Services Study: Variations in the Implementation and Characteristics of Chiropractic Services in VA

2013 ◽  
Vol 2013 ◽  
pp. 1-10 ◽  
Author(s):  
Raheleh Khorsan ◽  
Angela B. Cohen ◽  
Anthony J. Lisi ◽  
Monica M. Smith ◽  
Deborah Delevan ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Data Collection ◽  
Mixed Methods Research ◽  
Implementation Process ◽  
Lessons Learned ◽  
Data Sources ◽  
Department Of Veterans Affairs ◽  
Policy And Practice ◽  
Trade Offs ◽  
The Us

Maximizing the quality and benefits of newly established chiropractic services represents an important policy and practice goal for the US Department of Veterans Affairs’ healthcare system. Understanding the implementation process and characteristics of new chiropractic clinics and the determinants and consequences of these processes and characteristics is a critical first step in guiding quality improvement. This paper reports insights and lessons learned regarding the successful application of mixed methods research approaches—insights derived from a study of chiropractic clinic implementation and characteristics, Variations in the Implementation and Characteristics of Chiropractic Services in VA (VICCS). Challenges and solutions are presented in areas ranging from selection and recruitment of sites and participants to the collection and analysis of varied data sources. The VICCS study illustrates the importance of several factors in successful mixed-methods approaches, including (1) the importance of a formal, fully developed logic model to identify and link data sources, variables, and outcomes of interest to the study’s analysis plan and its data collection instruments and codebook and (2) ensuring that data collection methods, including mixed-methods, match study aims. Overall, successful application of a mixed-methods approach requires careful planning, frequent trade-offs, and complex coding and analysis.

scholarly journals Facilitators and Barriers to Recruiting Ambulatory Oncology Practices Into a Large Multisite Study: Mixed Methods Study

JMIR Cancer ◽  
10.2196/14476 ◽  
2020 ◽  
Vol 6 (1) ◽  
pp. e14476 ◽  
Author(s):  
Milisa Manojlovich ◽  
Louise Bedard ◽  
Jennifer J Griggs ◽  
Michaella McBratnie ◽  
Kari Mendelsohn-Victor ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Mixed Methods ◽  
Data Collection ◽  
Human Subjects ◽  
Implementation Process ◽  
Lessons Learned ◽  
Quality Improvement Collaborative ◽  
Ambulatory Oncology ◽  
Oncology Care ◽  
Facilitators And Barriers

Background Practice-based research is essential to generate the data necessary to understand outcomes in ambulatory oncology care. Although there is an increased interest in studying ambulatory oncology care, given the rising patient volumes and complexity in those settings, little guidance is available on how best to recruit ambulatory oncology practices for research. Objective This paper aimed to describe the facilitators and barriers to recruiting ambulatory oncology practices into a large multisite study. Methods Using a mixed methods design, we sought to recruit 52 ambulatory oncology practices that have participated in a state-wide quality improvement collaborative for the quantitative phase. We used 4 domains of the Consolidated Framework for Implementation Research (CFIR) to describe facilitators and barriers to recruitment. Results We successfully recruited 28 of the 52 collaborative-affiliated practices, collecting survey data from 2223 patients and 297 clinicians. Intervention attributes included multimodal outreach and training activities to assure high fidelity to the data collection protocol. The implementation process was enhanced through interactive training and practice-assigned champions responsible for data collection. External context attributes that facilitated practice recruitment included partnership with a quality improvement collaborative and the inclusion of a staff member from the collaborative in our team. Key opinion leaders within each practice who could identify challenges to participation and propose flexible solutions represented internal context attributes. We also reported lessons learned during the recruitment process, which included navigating diverse approaches to human subjects protection policies and understanding that recruitment could be a negotiated process that took longer than anticipated, among others. Conclusions Our experience provides other researchers with challenges to anticipate and possible solutions for common issues. Using the CFIR as a guide, we identified numerous recruitment barriers and facilitators and devised strategies to enhance recruitment efforts. In conclusion, researchers and clinicians can partner effectively to design and implement research protocols that ultimately benefit patients who are increasingly seeking care in ambulatory practices.

scholarly journals Facilitators and Barriers to Recruiting Ambulatory Oncology Practices Into a Large Multisite Study: Mixed Methods Study (Preprint)

2019 ◽  
Author(s):  
Milisa Manojlovich ◽  
Louise Bedard ◽  
Jennifer J Griggs ◽  
Michaella McBratnie ◽  
Kari Mendelsohn-Victor ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Mixed Methods ◽  
Data Collection ◽  
Human Subjects ◽  
Implementation Process ◽  
Lessons Learned ◽  
Quality Improvement Collaborative ◽  
Ambulatory Oncology ◽  
Oncology Care ◽  
Facilitators And Barriers

BACKGROUND Practice-based research is essential to generate the data necessary to understand outcomes in ambulatory oncology care. Although there is an increased interest in studying ambulatory oncology care, given the rising patient volumes and complexity in those settings, little guidance is available on how best to recruit ambulatory oncology practices for research. OBJECTIVE This paper aimed to describe the facilitators and barriers to recruiting ambulatory oncology practices into a large multisite study. METHODS Using a mixed methods design, we sought to recruit 52 ambulatory oncology practices that have participated in a state-wide quality improvement collaborative for the quantitative phase. We used 4 domains of the Consolidated Framework for Implementation Research (CFIR) to describe facilitators and barriers to recruitment. RESULTS We successfully recruited 28 of the 52 collaborative-affiliated practices, collecting survey data from 2223 patients and 297 clinicians. <i>Intervention attributes</i> included multimodal outreach and training activities to assure high fidelity to the data collection protocol. The <i>implementation process</i> was enhanced through interactive training and practice-assigned champions responsible for data collection. <i>External context</i> attributes that facilitated practice recruitment included partnership with a quality improvement collaborative and the inclusion of a staff member from the collaborative in our team. Key opinion leaders within each practice who could identify challenges to participation and propose flexible solutions represented <i>internal context</i> attributes. We also reported lessons learned during the recruitment process, which included navigating diverse approaches to human subjects protection policies and understanding that recruitment could be a negotiated process that took longer than anticipated, among others. CONCLUSIONS Our experience provides other researchers with challenges to anticipate and possible solutions for common issues. Using the CFIR as a guide, we identified numerous recruitment barriers and facilitators and devised strategies to enhance recruitment efforts. In conclusion, researchers and clinicians can partner effectively to design and implement research protocols that ultimately benefit patients who are increasingly seeking care in ambulatory practices.

scholarly journals Costing interventions in the field: preliminary cost estimates and lessons learned from an evaluation of community-wide mass drug administration for elimination of soil-transmitted helminths in the DeWorm3 trial

BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e049734
Author(s):  
Katya Galactionova ◽  
Maitreyi Sahu ◽  
Samuel Paul Gideon ◽  
Saravanakumar Puthupalayam Kaliappan ◽  
Chloe Morozoff ◽  
...  
Keyword(s):  
Data Collection ◽  
Drug Administration ◽  
Financial Reporting ◽  
Mass Drug Administration ◽  
Lessons Learned ◽  
Secondary Outcome ◽  
Data Quality Control ◽  
Soil Transmitted Helminths ◽  
Trade Offs ◽  
Rich Data

ObjectiveTo present a costing study integrated within the DeWorm3 multi-country field trial of community-wide mass drug administration (cMDA) for elimination of soil-transmitted helminths.DesignTailored data collection instruments covering resource use, expenditure and operational details were developed for each site. These were populated alongside field activities by on-site staff. Data quality control and validation processes were established. Programmed routines were used to clean, standardise and analyse data to derive costs of cMDA and supportive activities.SettingField site and collaborating research institutions.Primary and secondary outcome measuresA strategy for costing interventions in parallel with field activities was discussed. Interim estimates of cMDA costs obtained with the strategy were presented for one of the trial sites.ResultsThe study demonstrated that it was both feasible and advantageous to collect data alongside field activities. Practical decisions on implementing the strategy and the trade-offs involved varied by site; trialists and local partners were key to tailoring data collection to the technical and operational realities in the field. The strategy capitalised on the established processes for routine financial reporting at sites, benefitted from high recall and gathered operational insight that facilitated interpretation of the estimates derived. The methodology produced granular costs that aligned with the literature and allowed exploration of relevant scenarios. In the first year of the trial, net of drugs, the incremental financial cost of extending deworming of school-aged children to the whole community in India site averaged US$1.14 (USD, 2018) per person per round. A hypothesised at-scale routine implementation scenario yielded a much lower estimate of US$0.11 per person treated per round.ConclusionsWe showed that costing interventions alongside field activities offers unique opportunities for collecting rich data to inform policy toward optimising health interventions and for facilitating transfer of economic evidence from the field to the programme.Trial registration numberNCT03014167; Pre-results.

Countering Violent Extremism in Canada and Abroad

2018 ◽  
Author(s):  
Nora Abdelrahman Ibrahim
Keyword(s):  
Best Practice ◽  
Unintended Consequences ◽  
Lessons Learned ◽  
Policy And Practice ◽  
Far Right ◽  
Significant Development ◽  
The Us ◽  
Violent Extremism ◽  
Recent Trends ◽  
The Uk

Terrorism and violent extremism have undoubtedly become among the top security concerns of the 21st century. Despite a robust agenda of counterterrorism since the September 11, 2001 attacks, the evolution of global terrorism has continued to outpace the policy responses that have tried to address it. Recent trends such as the foreign fighter phenomenon, the rampant spread of extremist ideologies online and within communities, and a dramatic increase in terrorist incidents worldwide, have led to a recognition that “traditional” counterterrorism efforts are insufficient and ineffective in combatting these phenomena. Consequently, the focus of policy and practice has shifted towards countering violent extremism by addressing the drivers of radicalization to curb recruitment to extremist groups. Within this context, the field of countering violent extremism (CVE) has garnered attention from both the academic and policy-making worlds. While the CVE field holds promise as a significant development in counterterrorism, its policy and practice are complicated by several challenges that undermine the success of its initiatives. Building resilience to violent extremism is continuously challenged by an overly securitized narrative and unintended consequences of previous policies and practices, including divisive social undercurrents like Islamophobia, xenophobia, and far-right sentiments. These by-products make it increasingly difficult to mobilize a whole of society response that is so critical to the success and sustainability of CVE initiatives. This research project addresses these policy challenges by drawing on the CVE strategies of Canada, the US, the UK, and Denmark to collect best practice and lessons learned in order to outline a way forward. 

scholarly journals Opinions of Teacher Candidates on Inclusive Education: A Parallel Mixed Method Study

2021 ◽  
Vol 9 (4) ◽  
pp. 32
Author(s):  
Hatice Leblebici ◽  
Azmi Türkan
Keyword(s):  
Mixed Methods ◽  
Data Collection ◽  
Inclusive Education ◽  
Mixed Method ◽  
Self Efficacy ◽  
Teacher Candidates ◽  
Mixed Methods Research ◽  
Qualitative Data ◽  
Attitude Scale ◽  
Mixed Method Study

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.

Online Focus Groups

2015 ◽  
pp. 31-55
Author(s):  
Oksana Parylo
Keyword(s):  
Mixed Methods ◽  
Data Collection ◽  
Focus Groups ◽  
Mixed Methods Research ◽  
Theoretical Research ◽  
Online Research ◽  
Future Trends ◽  
Advantages And Disadvantages ◽  
Online Focus Groups ◽  
Data Collection Technique

The overall aim of this chapter is to provide a better understanding of how a specific technique of online research methodology, online focus groups, has been theoretically conceptualized and practically utilized in order to examine its advantages and disadvantages to improve future applications of this technique in qualitative and mixed methods research. The chapter offers an overview of qualitative and mixed methods empirical research using online focus groups in different disciplines and outlines the strengths and weaknesses of this data collection technique. In addition, based on the review of empirical and theoretical research, the current and emerging practices in and characteristics of using online focus groups for data collection are outlined and used to suggest future trends in using this data collection technique in qualitative and mixed methods research.

Mixed Methods Research Design

2020 ◽  
pp. 26-52
Author(s):  
Mette L. Baran
Keyword(s):  
Mixed Methods ◽  
Data Collection ◽  
Research Design ◽  
Mixed Methods Research ◽  
Exploratory Research ◽  
Embedded Design ◽  
Strategic Implementation ◽  
Research Questions ◽  
Collection Phase

This chapter introduces the various design choices researchers need to decide on prior to conducting the study. The chapter starts with a detailed description of what research design is, followed by an explanation of descriptive, explanatory, or exploratory research questions. This determines what type of data will be collected. The major strategic implementation methods for quantitative, qualitative, and mixed methods are then discussed. The three strategies for mixed methods research—parallel convergent, sequential, and embedded design—are presented in detail along with the rationale for their use. Finally, in the last section, the strands or sequencing of the data collection phase of the study are explained.

scholarly journals The Difference Between Living and Dying: Victim Characteristics and Motive Among Nonfatal Shootings and Gun Homicides

2017 ◽  
Vol 32 (6) ◽  
pp. 977-997 ◽  
Author(s):  
Natalie Kroovand Hipple ◽  
Lauren A. Magee
Keyword(s):  
Public Health ◽  
Data Collection ◽  
Gunshot Wound ◽  
Gun Violence ◽  
Data Sources ◽  
Policy And Practice ◽  
Police Policy ◽  
The Difference ◽  
Sector Data ◽  
Gun Homicides

Using both official and unofficial data sources, researchers examined nonfatal (n = 617) and fatal shooting (n = 159) victim characteristics over an 18-month period in Indianapolis. This research revealed that the typical shooting victim was male, non-White, almost 29 years old, had been arrested prior to inclusion in this study, and had been shot more than once. Interestingly, this research supports the notion that nonfatal shooting and homicide victims are different, especially as they relate to victim age, gunshot wound severity, and shooting motive. It highlights the need for better gun violence data collection beyond what currently exists. Striving for improved, more comprehensive cross-sector data collection has implications beyond just police policy and practice to include public health and prevention efforts.

scholarly journals Mixed Methods Research in Library and Information Science: A Methodological Review

2020 ◽  
Vol 15 (1) ◽  
pp. 106-125
Author(s):  
Richard Hayman ◽  
Erika E Smith
Keyword(s):  
Mixed Methods ◽  
Mixed Methods Research ◽  
Information Science ◽  
Research Literature ◽  
Lessons Learned ◽  
Library And Information Science ◽  
Methodological Review ◽  
Research And Practice ◽  
Health Related Research ◽  
Health Related

Abstract Objective - To review mixed methods research trends in the field of library and information science (LIS). In particular, we examine the extent to which research about or using mixed methods has been occurring in library and information science over the past decade (2008-2018), and how much of that mixed methods research is done in health contexts. Methods - We conducted a methodological review and analysis of mixed methods research (MMR) in LIS for published articles indexed in LISTA and Web of Science. After deduplication and verification for inclusion, we coded 417 articles to identify contributions using or about MMR. Given the connections between evidence based practice in health and LIS, we also identified whether articles about or using mixed methods were health-focused. Results - We found MMR to be a tiny proportion (less than 0.5%) of the overall LIS research literature. In terms of observable trends, while contributions about MMR remain fairly static, there has been an increase in articles using mixed methods. Of the 417 included articles, 373 (89.5%) primarily used mixed methods and 44 (10.5%) were primarily about MMR. Results also demonstrated that health-related research both using and about mixed methods has a strong presence in the LIS literature, with 136 published articles (32.6% of the total). Conclusion - Confirming findings of prior analyses of research methods in LIS, our methodological review shows current opportunities to adopt and expand the use of mixed methods research processes. Further contributions about mixed methods research, and ideally connecting research and practice in LIS, are needed. Despite the small proportion of MMR in LIS research, there is an observable increase in the number of publications using mixed methods during this timeframe. The LIS research community can promote additional growth by leveraging this momentum around using mixed methods, and look to translate lessons learned about mixed methods research and practice in health contexts to other LIS settings. Recommendations include developing educational opportunities and learning resources that facilitate wider engagement with MMR in LIS contexts.

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