scholarly journals Successful negotiation of goal conflict between romantic partners predicts better goal outcomes during COVID-19: A mixed methods study

2021 ◽  
pp. 026540752110333
Author(s):  
Laura M. Vowels ◽  
Katherine B. Carnelley ◽  
Rachel R. R. Francois-Walcott
Keyword(s):  
Mixed Methods ◽  
Structured Interview ◽  
Romantic Partners ◽  
Mixed Methods Study ◽  
Goal Conflict ◽  
Personal Goals ◽  
Personal Goal ◽  
Emotional Needs ◽  
Negotiation Strategies ◽  
Conflict Negotiation

When romantic partners’ personal goals conflict, this can negatively affect personal goal outcomes, such as progress. In a concurrent mixed methods study, we investigated whether goal conflict and negation of goal conflict were associated with goal outcomes (progress, confidence, motivation) and what strategies partners used during the COVID-19 pandemic to negotiate goal conflict. Survey participants ( n = 200) completed a daily diary for a week and weekly longitudinal reports for a month and interview participants ( n = 48) attended a semi-structured interview. Results showed that higher goal conflict was associated with lower goal outcomes, and successful negotiation of goal conflict was associated with better goal outcomes. Qualitative analyses identified three goal conflict negotiation strategies (compromise, integration, concession). Conversations focused on both practical and emotional needs and included respectful communication and space from conflict (timeout or avoidance). The mixed methods results suggest that goal conflict was low during the pandemic and participants were often able to negotiate goal conflict resulting in better goal outcomes.

scholarly journals Successful Negotiation of Goal Conflict between Romantic Partners Predicts Better Goal Outcomes During COVID-19: A Mixed Methods Study

2020 ◽  
Author(s):  
Laura Marika Vowels ◽  
Katherine Carnelley ◽  
Rachel Francois-Walcott
Keyword(s):  
Mixed Methods ◽  
Daily Diary ◽  
Extended Period ◽  
Structured Interview ◽  
Romantic Partners ◽  
Mixed Methods Study ◽  
Goal Conflict ◽  
Emotional Needs ◽  
Interdependence Theory ◽  
Conflict Strategies

Interdependence theory suggests that romantic partners become more interdependent as they spend more time together. Due to COVID-19, partners have been together for an extended period while coping with demands caused by the pandemic. This is likely to lead to instances of conflict between partners’ goals. Goal conflict is damaging for relationships as it continuously tests the commitment between partners. In a concurrent mixed-methods study, we investigated whether (negotiation of) goal conflict was associated with goal outcomes (progress, confidence, motivation) and what strategies partners used during the pandemic to negotiate goal conflict. Quantitative participants (n = 200) completed a daily diary for a week and weekly longitudinal reports for a month and qualitative participants (n = 48) attended a semi-structured interview. Results showed that higher goal conflict was associated with lower goal outcomes, and successful negotiation of goal conflict was associated with better goal outcomes. Qualitative analyses identified three conflict strategies (compromise, integration, concession). Conversations focused on both practical and emotional needs and included respectful communication and space from conflict (timeout or avoidance). The mixed-methods results suggest that goal conflict was relatively low during the pandemic and participants were often able to negotiate goal conflict resulting in better goal outcomes.

scholarly journals Legacy Beliefs Across Generations: Comparing Views of Older Parents and Their Adult Children

2018 ◽  
Vol 88 (2) ◽  
pp. 168-186
Author(s):  
Thomas M. Meuser ◽  
Thuli G. Mthembu ◽  
Brianne L. Overton ◽  
Nicolette V. Roman ◽  
Rebecca D. Miller ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Adult Child ◽  
Structured Interview ◽  
The Self ◽  
Mixed Methods Study ◽  
Mutual Understanding ◽  
New Approach ◽  
Older Parents ◽  
Parents And Children ◽  
Intention To Continue

This mixed-methods study examined legacy beliefs (i.e., anticipated remembrances and linkages to the self after death) as understood in 14 older parent and adult child pairs. This work validates and expands on a 2005 typology of legacy beliefs from gerontologists, Elizabeth Hunter and Graham Rowles. A structured interview was administered separately to parents and children, coded for legacy examples (i.e., those unique to the parent, overlapping, unique to the child), and analyzed with respect to expectations of similarity reported by each participant. Most predicted moderate to high overlap in mutual understanding of parent legacy. This was not the case, as there were far more unique legacy examples given than shared. Pairs agreed least with respect to material legacies, with half showing no agreement. All reported finding the structured discussion of legacy to be beneficial, with some indicating an intention to continue these discussions further. This work may constitute a new approach to intervention.

Identifying Features that Enhance Older Adults’ Acceptance of Robots: A Mixed Methods Study

Gerontology ◽  
2019 ◽  
Vol 65 (4) ◽  
pp. 441-450 ◽  
Author(s):  
Li Chu ◽  
Hung-Wen Chen ◽  
Pei-Yi Cheng ◽  
Pokuan Ho ◽  
I-Tan Weng ◽  
...  
Keyword(s):  
Older Adults ◽  
Mixed Methods ◽  
Structured Interview ◽  
Aged Care ◽  
Community Dwelling ◽  
Perceived Usefulness ◽  
Mixed Methods Study ◽  
Use Of Technology ◽  
Service Oriented ◽  
Meaningful Relationships

Background: With global aging, robots are considered a promising solution for handling the shortage of aged care and companionships. However, these technologies would serve little purpose if their intended users do not accept them. While the socioemotional selectivity theory predicts that older adults would accept robots that offer emotionally meaningful relationships, selective optimization with compensation model predicts that older adults would accept robots that compensate for their functional losses. Objective: The present study aims to understand older adults’ expectations for robots and to compare older adults’ acceptance ratings for 2 existing robots: one of them is a more human-like and more service-oriented robot and the other one is a more animal-like and more companion-oriented robot. Methods: A mixed methods study was conducted with 33 healthy, community-dwelling Taiwanese older adults (age range: 59–82 years). Participants first completed a semi-structured interview regarding their ideal robot. After receiving information about the 2 existing robots, they then completed the Unified Theory of Acceptance and Use of Technology questionnaires to report their pre-implementation acceptance of the 2 robots. Results: Interviews were transcribed for conventional content analysis with satisfactory inter-rater reliability. From the interview data, a collection of older adults’ ideal robot characteristics emerged with highlights of humanlike qualities. From the questionnaire data, respondents showed a higher level of acceptance toward the more service-oriented robot than the more companion-oriented robot in terms of attitude, perceived adaptiveness, and perceived usefulness. From the mixed methods analyses, the finding that older adults had a higher level of positive attitude towards the more service-oriented robot than the more companion-oriented robot was predicted by higher expectation or preference for robots with more service-related functions. Conclusion: This study identified older adults’ preference toward more functional and humanlike robots. Our findings provide practical suggestions for future robot designs that target the older population.

scholarly journals Patient perceptions of receiving test results via online portals: a mixed-methods study

2017 ◽  
Vol 25 (4) ◽  
pp. 440-446 ◽  
Author(s):  
Traber D Giardina ◽  
Jessica Baldwin ◽  
Daniel T Nystrom ◽  
Dean F Sittig ◽  
Hardeep Singh
Keyword(s):  
Mixed Methods ◽  
Negative Emotions ◽  
Structured Interview ◽  
Mixed Methods Study ◽  
Test Results ◽  
Policy And Practice ◽  
Online Test ◽  
National Guidance ◽  
Semistructured Interviews ◽  
Test Result

Abstract Objective Online portals provide patients with access to their test results, but it is unknown how patients use these tools to manage results and what information is available to promote understanding. We conducted a mixed-methods study to explore patients’ experiences and preferences when accessing their test results via portals. Materials and Methods We conducted 95 interviews (13 semistructured and 82 structured) with adults who viewed a test result in their portal between April 2015 and September 2016 at 4 large outpatient clinics in Houston, Texas. Semistructured interviews were coded using content analysis and transformed into quantitative data and integrated with the structured interview data. Descriptive statistics were used to summarize the structured data. Results Nearly two-thirds (63%) did not receive any explanatory information or test result interpretation at the time they received the result, and 46% conducted online searches for further information about their result. Patients who received an abnormal result were more likely to experience negative emotions (56% vs 21%; P = .003) and more likely to call their physician (44% vs 15%; P = .002) compared with those who received normal results. Discussion Study findings suggest that online portals are not currently designed to present test results to patients in a meaningful way. Patients experienced negative emotions often with abnormal results, but sometimes even with normal results. Simply providing access via portals is insufficient; additional strategies are needed to help patients interpret and manage their online test results. Conclusion Given the absence of national guidance, our findings could help strengthen policy and practice in this area and inform innovations that promote patient understanding of test results.

scholarly journals Does de-implementation of low-value care impact the patient-clinician relationship? A mixed methods study

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Michelle S. Rockwell ◽  
Kenan C. Michaels ◽  
John W. Epling
Keyword(s):  
Primary Care ◽  
Vitamin D ◽  
Mixed Methods ◽  
Quality Care ◽  
Structured Interview ◽  
Mixed Methods Study ◽  
Primary Care Clinician ◽  
Minimal Impact ◽  
Broad Concept ◽  
The Impact

Abstract Background The importance of reducing low-value care (LVC) is increasingly recognized, but the impact of de-implementation on the patient-clinician relationship is not well understood. This mixed-methods study explored the impact of LVC de-implementation on the patient-clinician relationship. Methods Adult primary care patients from a large Virginia health system volunteered to participate in a survey (n = 232) or interview (n = 24). Participants completed the Patient-Doctor Relationship Questionnaire (PDRQ-9) after reading a vignette about a clinician declining to provide a low-value service: antibiotics for acute sinusitis (LVC-antibiotics); screening EKG (LVC-EKG); screening vitamin D test (LVC-vitamin D); or an alternate vignette about a high-value service, and imagining that their own primary care clinician had acted in the same manner. A different sample of participants was asked to imagine that their own primary care clinician did not order LVC-antibiotics or LVC-EKG and then respond to semi-structured interview questions. Outcomes data included participant demographics, PDRQ-9 scores (higher score = greater relationship integrity), and content analysis of transcribed interviews. Differences in PDRQ-9 scores were analyzed using one-way ANOVA. Data were integrated for analysis and interpretation. Results Although participants generally agreed with the vignette narrative (not providing LVC), many demonstrated difficulty comprehending the broad concept of LVC and potential harms. The topic triggered memories of negative experiences with healthcare (typically poor-quality care, not necessarily LVC). The most common recommendation for reducing LVC was for patients to take greater responsibility for their own health. Most participants believed that their relationship with their clinician would not be negatively impacted by denial of LVC because they trusted their clinician’s guidance. Participants emphasized that trusted clinicians are those who listen to them, spend time with them, and offer understandable advice. Some felt that not providing LVC would actually increase their trust in their clinician. Similar PDRQ-9 scores were observed for LVC-antibiotics (38.9), LVC-EKG (37.5), and the alternate vignette (36.4), but LVC-vitamin D was associated with a significantly lower score (31.2) (p < 0.05). Conclusions In this vignette-based study, we observed minimal impact of LVC de-implementation on the patient-clinician relationship, although service-specific differences surfaced. Further situation-based research is needed to confirm study findings.

scholarly journals Coping With Repression In Soviet Ukraine

2016 ◽  
Vol 12 (8) ◽  
pp. 52
Author(s):  
Oxana Bayer ◽  
Ievgeniia Martyshenko
Keyword(s):  
Mixed Methods ◽  
Qualitative Analysis ◽  
Self Esteem ◽  
Structured Interview ◽  
Emotional Reactions ◽  
Mixed Methods Study ◽  
Soviet Period ◽  
Creative Work ◽  
Soviet Regime ◽  
Informational Support

The psychology of the Soviet period in Ukraine still needs to be analyzed because living witnesses of those times are gradually passing away. In this mixed-methods study, a sample of 56 respondents aged 63-102 were administered a semi-structured interview created for discovering the ways and resources people used to overcome the oppression of the Soviet regime. A qualitative analysis of participants’ testimonies through conceptualization revealed the following helping resources: social, financial, and informational support, faith, creative work, the example of family members, upbringing, humor, self-esteem, and morale, and taking responsibility. Though respondents mentioned all strategies, emotional reactions were notably missing from the strategies. Thus, participant responses were quantitatively analyzed for emotional content as well, allowing for detection of subjects’ non-conscious attitudes towards the topic under discussion.

scholarly journals Does De-Implementation of Low Value Care Impact the Patient-Clinician Relationship? A Mixed Methods Study

2021 ◽  
Author(s):  
Michelle S. Rockwell ◽  
Kenan C. Michaels ◽  
John W. Epling
Keyword(s):  
Primary Care ◽  
Vitamin D ◽  
Mixed Methods ◽  
Quality Care ◽  
Structured Interview ◽  
Mixed Methods Study ◽  
Primary Care Clinician ◽  
Minimal Impact ◽  
Broad Concept ◽  
The Impact

Abstract Background: The importance of reducing low-value care (LVC) is increasingly recognized, but the impact of de-implementation on the patient-clinician relationship is not well understood. This mixed-methods study explored the impact of LVC de-implementation on the patient-clinician relationship. Methods: Adult primary care patients from a large Virginia health system volunteered to participate in a survey (n=232) or interview (n=24). Participants completed the Patient-Doctor Relationship Questionnaire (PDRQ-9) after reading a vignette about a clinician declining to provide a low-value service: antibiotics for acute sinusitis (LVC-antibiotics); screening EKG (LVC-EKG); screening vitamin D test (LVC-vitamin D); or a comparison vignette about a high-value service, and imagining that their own primary care clinician had acted in the same manner. A different sample of participants was asked to imagine that their own primary care clinician did not order LVC-antibiotics or LVC-EKG and then respond to semi-structured interview questions. Outcomes data included participant demographics, PDRQ-9 scores (higher score = greater relationship integrity), and content analysis of transcribed interviews. Differences in PDRQ-9 scores were analyzed using one-way ANOVA. Data were integrated for analysis and interpretation. Results: Although participants generally agreed with the vignette narrative (not providing LVC), many demonstrated difficulty comprehending the broad concept of LVC and potential harms. The topic triggered memories of negative experiences with healthcare (typically poor-quality care, not necessarily LVC). The most common recommendation for reducing LVC was for patients to take greater responsibility for their own health. Most participants believed that their relationship with their clinician would not be negatively impacted by not receiving the described service because they trusted their clinician’s guidance. Participants emphasized that trusted clinicians are those who listen to them, spend time with them, and offer understandable advice. Some felt that not providing LVC would actually increase their trust in their clinician. Similar PDRQ-9 scores were observed for LVC-antibiotics (38.9), LVC-EKG (37.5), and the comparison vignette (36.4), but LVC-vitamin D was associated with a significantly lower score (31.2) (p<0.05). Conclusions: Findings suggest minimal impact of LVC de-implementation on the patient-clinician relationship, although service-specific differences may exist. Further research on enhancing patient trust through LVC de-implementation is needed.

scholarly journals Exploring the Dynamic Interplay Between Foreign Language Enjoyment and Learner Engagement With Regard to EFL Achievement and Absenteeism: A Sequential Mixed Methods Study

2021 ◽  
Vol 12 ◽  
Author(s):  
Yunxian Guo
Keyword(s):  
Mixed Methods ◽  
Second Language Acquisition ◽  
Foreign Language ◽  
Language Learners ◽  
Well Being ◽  
Structured Interview ◽  
Mixed Methods Study ◽  
Future Research ◽  
Learner Engagement ◽  
Sequential Mixed Methods

Scholarly attention to the feeling of enjoyment experienced in second language acquisition (SLA) has sharply increased in the past 5 years owing to its positive effect on facilitating academic outcomes as well as promoting language learners' well-being. This sequential mixed methods study aims to examine the interplay between Foreign language enjoyment (FLE) and learner engagement (LE) as well as their combined effects on participants' EFL achievement and absenteeism. To this end, we administrated a questionnaire containing the adapted FLE Scale and the four-aspect engagement inventory among 707 Chinese university students and a semi-structured interview among 28 of them. Statistical analysis revealed that FLE was highly and positively correlated with LE, and the causal relationship between the two constructs was reciprocal. Furthermore, both FLE and LE had low correlations with participants' academic achievements, but no significant correlation was found between FLE or LE and absenteeism. However, a higher level of FLE-social was associated with a lower level of absenteeism. Finally, no gender differences were found either in the level FLE or in that of LE. The thematic analysis indicated that FLE was subject substantially to teacher-related variables and the second most significant attractor of FLE was FLE-self. Analysis of the trends of LE indicated that Chinese EFL learners preferred to engage themselves in their English study more emotionally, behaviorally, and cognitively than agentically. Pedagogical implications of the findings for EFL practitioners are also discussed, and suggestions for future research are offered.

scholarly journals Proactive frailty identification – a good idea? A sequential mixed-methods study of GP views

2021 ◽  
pp. BJGP.2020.0178
Author(s):  
Ebrahim Mulla ◽  
Elizabeth Orton ◽  
Denise Kendrick
Keyword(s):  
Mixed Methods ◽  
Risk Stratification ◽  
Independent Living ◽  
Structured Interview ◽  
Mixed Methods Study ◽  
Framework Analysis ◽  
Online Questionnaire ◽  
East Midlands ◽  
Sequential Mixed Methods ◽  
The Impact

Background: In England, general practitioners (GPs) are independent contractors working to a national contract. Since 2017 the contract requires GPs to use electronic tools to proactively identify moderate and severe frailty in people aged 65 and over and offer interventions to help those identified to stay well and maintain independent living. Little is currently known about GPs’ views of this contractual requirement. Aim: To explore GPs’ views of identifying frailty and offering interventions for those living with moderate or severe frailty. Design and setting: Sequential mixed-methods study of GPs in the East Midlands region of England (Derbyshire, Leicestershire, Lincolnshire, Nottinghamshire, Northamptonshire) between January and May 2019. Methods: Survey of GPs by online questionnaire, followed by semi-structured interview. Based on survey responses GPs with a range of views on identifying frailty, GP and practice characteristics, were selected for interview. Questionnaires were analysed using descriptive statistics. Interview transcripts were analysed using framework analysis. Results: 188 (6.1%) GPs responded to the survey and 18 GPs were interviewed. GPs were broadly supportive of identifying frailty, but felt risk-stratification tools lacked sensitivity and specificity and wanted evidence showing clinical benefit. Frailty identification increased workload and was under-resourced, with limited time for, and access to necessary interventions. GPs felt they lacked knowledge about frailty and more education was required. Conclusion: Proactively identifying and responding to frailty in primary care requires GP education, highly sensitive and specific risk-stratification tools, access to interventions to lessen the impact of frailty and adequate resourcing to achieve its potential clinical impact.

scholarly journals Effects of Family-Based Dignity Intervention And Expressive Writing On Anticipatory Grief of Family Caregivers of Patient With Cancer: A Study Protocol For A Mixed Methods Study

2021 ◽  
Author(s):  
Naima Seyedfatemi ◽  
Tahereh Najafi Ghezeljeh ◽  
Jafar Bolhari ◽  
Masoud Rezaei
Keyword(s):  
Mixed Methods ◽  
Cancer Patients ◽  
Family Caregivers ◽  
Expressive Writing ◽  
Intervention Group ◽  
Structured Interview ◽  
Mixed Methods Study ◽  
Anticipatory Grief ◽  
Writing Group ◽  
Family Based

Abstract Background: Family caregivers of dying cancer patients are affected by grief experiences and bereavement complications. Several approaches such as psycho-emotional care and an increase in spirituality have been suggested to diminish these complications. However, no study has examined the effects of family-based dignity intervention and expressive writing on anticipatory grief in family caregivers of dying cancer patients. This study was done to describe the protocol of a mixed-methods study on the effects of family-based dignity intervention and expressive writing on anticipatory grief in family caregivers of dying cancer patients.Methods: This mixed-methods study will be done in an embedded explanatory design with two quantitative and qualitative phases. In the first phase (quantitative), a randomized clinical trial will be done, in which 200 family caregivers of dying cancer patients will be randomly assigned to one of the four groups: family-based dignity intervention (group 1), expressive writing intervention (group 2), combined family-based dignity intervention and expressive writing (group 3), and controls (group 4). At baseline, one week and two weeks after the interventions, anticipatory grief will be assessed by a 13-item anticipatory grief scale. After the quantitative phase, the qualitative phase will be conducted through the conventional content analysis approach of Granheim and Lundman, in which an individual semi-structured interview will be taken from participants in the first phase to collect data on their experiences on interventions. Finally, data from quantitative and qualitative phases will be analyzed and discussed.Discussion: Family caregivers of dying cancer patients usually experience depression, anxiety, and psychological distress due to isolation and inadequate social support. Psychological interventions such as dignity and expressive writing interventions may help caregivers to obtain a better understanding of themselves and to increase their abilities to cope with caregiving difficulties. Therefore, there is a need for a comprehensive study confirming the effects of mentioned interventions on family caregivers of dying cancer patients. Trial registration: Iranian Registry of Clinical Trials (www.irct.ir) IRCT20210111050010N1. Retrospectively registered 6 February 2021.

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