A Novel Mixed Methods Approach Combining Geospatial Mapping and Qualitative Inquiry to Identify Multilevel Policy Targets: The Focused Rapid Assessment Process (fRAP) Applied to Cancer Survivorship

2021 ◽  
pp. 155868982098427
Author(s):  
Autumn M. Kieber-Emmons ◽  
William L. Miller ◽  
Ellen B. Rubinstein ◽  
Jenna Howard ◽  
Jennifer Tsui ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Cancer Survivorship ◽  
Rapid Assessment ◽  
Qualitative Inquiry ◽  
Assessment Process ◽  
Survivorship Care ◽  
Medical Systems ◽  
Policy Environments ◽  
Care Relationships ◽  
Geospatial Mapping

Multilevel perspectives across communities, medical systems and policy environments are needed, but few methods are available for health services researchers with limited resources. We developed a mixed methods health policy approach, the focused Rapid Assessment Process (fRAP), that is designed to uncover multilevel modifiable barriers and facilitators contributing to public health issues. We illustrate with a study applying fRAP to the issue of cancer survivorship care. Through this multilevel investigation we identified two major modifiable areas affecting high-quality cancer survivorship care: (1) the importance of cancer survivorship guidelines/data and (2) the need for improved oncology–primary care relationships. This article contributes to the mixed methods literature by coupling geospatial mapping to qualitative rapid assessment to efficiently identify policy change targets.

A new mixed methods approach to uncover multi-level barriers and facilitators of cancer survivorship.

2018 ◽  
Vol 36 (7_suppl) ◽  
pp. 36-36
Author(s):  
Autumn Kieber-Emmons ◽  
Benjamin F Crabtree ◽  
William Miller
Keyword(s):  
Primary Care ◽  
Mixed Methods ◽  
Cancer Survivorship ◽  
Cancer Mortality ◽  
Qualitative Inquiry ◽  
Barriers And Facilitators ◽  
Assessment Process ◽  
Survivorship Care ◽  
Multi Level ◽  
Multiple Levels

36 Background: As healthcare becomes increasingly complex, research needs to take into account multi-level interactions that contribute to public health issues. One such area ripe for multi-level investigation is cancer survivorship care, illuminated in the 2006 Lost in Transition Institute of Medicine report on cancer survivors. We have developed a novel method that aims to understand barriers and facilitators of cancer survivorship from multiple levels, including community factors, medical system features, and policy and environmental influences. Methods: Our method, focused Rapid Assessment Process (fRAP), utilizes mixed methods at multiple levels to better understand cancer survivorship care with a primary care lens. fRAP begins with Geographic Information Systems (GIS) to map variables relevant to cancer survivorship care, such as cancer mortality rates, insurance coverage, and oncology and primary care provider sites. Qualitative participant observation and semi-structured interviews of informants from each level are then undertaken to better understand how cancer survivorship care is delivered within a county or census tract. Lastly, modifiable contextual factors from all levels are identified, as potential future environmental policy change targets. Results: As a development and pilot of our novel fRAP, we have designed, tested, revised and retested our methods over the last 3 years within the framework of two national grant-funded studies on cancer survivorship in primary care. Preliminary modifiable factors of interest affecting cancer survivorship care have been identified for future dissemination. The newest and current iteration of our methods has focused on utilizing GIS specifically to identify hot spots of cervical cancer mortality disparities in order to provide the richest contextual environment for subsequent qualitative inquiry into survivorship care. Conclusions: fRAP is a novel mixed method that has potential to identify modifiable barriers and facilitators of high-quality cancer survivorship care nationally, and may aid in policy improvements in health and healthcare delivery for survivors.

Special Considerations in Social Network Interviewing and Mapping with Vulnerable Populations

Field Methods ◽  
2021 ◽  
pp. 1525822X2198984
Author(s):  
Melissa E. Smith ◽  
Rohini Pahwa
Keyword(s):  
Social Network ◽  
Mixed Methods ◽  
Vulnerable Populations ◽  
Cognitive Impairments ◽  
Cultural Responsiveness ◽  
Qualitative Inquiry ◽  
Mental Illnesses ◽  
Qualitative Interviewing ◽  
Serious Mental Illnesses

This short take describes the process of enhancing social network interviews with qualitative inquiry to facilitate participant recall, contextualize participant–alter relationships, and increase cultural responsiveness with populations with cognitive impairments. The authors illustrate this process, including the use of a qualitative interviewing name generator, with an example of a mixed-methods project exploring community experiences with adults with serious mental illnesses.

Role of the nurse in the design, delivery, monitoring and coordination of cancer survivorship care plans: An integrative review

2021 ◽  
Author(s):  
Nerea Elizondo Rodriguez ◽  
Leire Ambrosio ◽  
Virginia La Rosa‐Salas ◽  
Marta Domingo‐Osle ◽  
Cristina Garcia‐Vivar
Keyword(s):  
Cancer Survivorship ◽  
Integrative Review ◽  
Survivorship Care Plans ◽  
Survivorship Care ◽  
Care Plans

Dissemination of cancer survivorship care plans: who is being left out?

2021 ◽  
Author(s):  
Lava R. Timsina ◽  
Ben Zarzaur ◽  
David A. Haggstrom ◽  
Peter C. Jenkins ◽  
Maryam Lustberg ◽  
...  
Keyword(s):  
Cancer Survivorship ◽  
Survivorship Care Plans ◽  
Survivorship Care ◽  
Care Plans

Cancer Survivorship Care in Colombia: Review and Implications for Health Policy

2021 ◽  
pp. 154041532110015
Author(s):  
Oscar Yesid Franco-Rocha ◽  
Gloria Mabel Carillo-Gonzalez ◽  
Alexandra Garcia ◽  
Ashley Henneghan
Keyword(s):  
Health Care ◽  
Health Policy ◽  
Cancer Survivors ◽  
Cancer Survivorship ◽  
Policy Development ◽  
Care Delivery ◽  
Developed Countries ◽  
The United States ◽  
Survivorship Care ◽  
Cancer Symptoms

Introduction: The number of cancer survivors is increasing in Colombia, and health policy changes are necessary to meet their unmet needs and improve their health outcomes. Similar trends have been identified in developed countries, and positive changes have been made. Methods: We conducted a narrative review to provide an overview of Colombia’s social structure, health care system, and health care delivery in relation to cancer, with recommendations for improving cancer survivorship in Colombia based on the model of survivorship care in the United States. Results: We proposed general recommendations for improving cancer survivors’ care including (1) recognizing cancer survivorship as a distinct phase of cancer, (2) strengthening methods and metrics for tracking cancer survivorship, (3) assessing and monitoring cancer symptoms and quality of life of cancer survivors, (4) publishing evidence-based guidelines considering the social, economic, and cultural characteristics of Colombian population and cancer survivors’ specific needs. Conclusion: These recommendations could be used to inform and prioritize health policy development in Colombia related to cancer survivorship outcomes.

Sign in / Sign up

Export Citation Format

Share Document