Answering the Call: Facilitating Responsive Services for Students Experiencing Homelessness

2011 ◽  
Vol 14 (3) ◽  
pp. 2156759X1101400
Author(s):  
Tim Grothaus ◽  
Sonya Lorelle ◽  
Kie Anderson ◽  
Jasmine Knight
Keyword(s):  
Mixed Methods ◽  
Mixed Methods Study ◽  
After School ◽  
Grade Point ◽  
Paired Samples ◽  
Tutoring Program ◽  
Parents And Children ◽  
Significant Difference ◽  
The Status ◽  
One Year

After a review of the literature elucidating the status quo for students experiencing homelessness, this article shares the results of a mixed methods study. With a phenomenological qualitative emphasis, the mixed methods study explored the perceptions of parents and children experiencing homelessness regarding their academic needs and the services they considered to be helpful. The researchers also examined archival data associated with an after school tutoring program offered at an agency that works with families experiencing homelessness. A paired samples t test indicated a significant difference the number of failed courses for participants in the tutoring program over a one-year period. Difference in grade point average was not significant over the same period of time. The article shares implications and recommendations for practice.

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.

scholarly journals Patient and Health Care Provider Experiences With a Recently Introduced Patient Portal in an Academic Hospital in the Netherlands: Mixed Methods Study

10.2196/13743 ◽  
2019 ◽  
Vol 21 (8) ◽  
pp. e13743 ◽  
Author(s):  
Maria M T Vreugdenhil ◽  
Sander Ranke ◽  
Yvonne de Man ◽  
Maaike M Haan ◽  
Rudolf B Kool
Keyword(s):  
Health Care ◽  
Mixed Methods ◽  
The Netherlands ◽  
Health Care System ◽  
Mixed Methods Study ◽  
Patient Portal ◽  
Academic Hospital ◽  
Patient Portals ◽  
Work Processes ◽  
One Year

Background In the Netherlands, the health care system and related information technology landscape are fragmented. Recently, hospitals have started to launch patient portals. It is not clear how these portals are used by patients and their health care providers (HCPs). Objective The objective of this study was to explore the adoption, use, usability, and usefulness of a recently introduced patient portal in an academic hospital to learn lessons for the implementation of patient portals in a fragmented health care system. Methods A mixed methods study design was used. In the quantitative study arm, characteristics of patients who used the portal were analyzed, in addition to the utilization of the different functionalities of the portal. In the qualitative study arms, think-aloud observations were made to explore usability. Focus group discussions were conducted among patients and HCPs of the dermatology and ophthalmology outpatient departments. Thematic content analysis of qualitative data was carried out and overarching themes were identified using a framework analysis. Results One year after the introduction of the portal, 24,514 patients, 13.49% of all patients who visited the hospital, had logged in to the portal. Adoption of the portal was associated with the age group 45 to 75 years, a higher socioeconomic status, and having at least one medical diagnosis. Overarching themes from the qualitative analyses were (1) usability and user-friendliness of the portal, (2) HCP-patient communication through the portal, (3) usefulness of the information that can be accessed through the portal, (4) integration of the portal in care and work processes, and (5) HCP and patient roles and relationships. Conclusions One year after the introduction of the patient portal, patients and HCPs who used the portal recognized the potential of the portal to engage patients in their care processes, facilitate patient-HCP communication, and increase patient convenience. Uncertainties among patients and HCPs about how to use the messaging functionality and limited integration of the portal in care and work processes are likely to have limited portal use and usefulness.

scholarly journals An Investigation of Selection Criteria for Admission to an Ontario University

1975 ◽  
Vol 5 (3) ◽  
pp. 1-16
Author(s):  
Gordon Pollock ◽  
Richard J. Bowman ◽  
Paul Gendreau ◽  
Lorna Gendreau
Keyword(s):  
Traditional Method ◽  
First Year ◽  
Admission Criteria ◽  
Grade Point ◽  
University Admission ◽  
Significant Difference ◽  
Admission Interview ◽  
Teacher Recommendations ◽  
One Year ◽  
The University

The study investigated the effectiveness of five methods of university admission criteria in relation to academic results achieved after one year of university study. The admission criteria used were open admission, interview, teacher recommendations, Grade 13 academic achievement and SACU test scores. In addition these procedures were compared with a traditional method of admission at the university where the study was carried out. The characteristics of the admission groups were not significantly related to geographical distribution, sex distribution, government financial assistance, and attitude and personality questionnaire data. These characteristics were no different for these groups than the traditional method of selection and there was no significant difference between groups as to final first year grade point average or academic penalty i.e., probations and rustications. The open admissions group compared favourably on these latter variables with other admissions groups and particularly with the university's traditional method of admission.

scholarly journals Hypertension Care Cascade at a Large Urban HIV Clinic in Uganda: A Mixed Methods Study Using the Capability, Opportunity, Motivation for Behavior change (COM-B) model

2020 ◽  
Author(s):  
Martin Muddu ◽  
Isaac Ssinabulya ◽  
Simon P. Kigozi ◽  
Rebecca Ssennyonjo ◽  
Florence Ayebare ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Mixed Methods Study ◽  
Barriers And Facilitators ◽  
Hiv Care ◽  
Hiv Care Cascade ◽  
Care Cascade ◽  
Increased Risk ◽  
Persons Living With Hiv ◽  
One Year ◽  
Hiv Integration

Abstract Background: Persons Living with HIV (PLHIV) receiving antiretroviral therapy (ART) have a high prevalence of hypertension (HTN) and increased risk of mortality from cardiovascular diseases. HTN and HIV care integration is recommended in Uganda, though its implementation has lagged. In this study, we sought to analyze the HTN and HIV care cascades and explore barriers and facilitators of HTN/HIV integration within a large HIV clinic in urban Uganda.Methods: We conducted an explanatory sequential mixed methods study at Mulago ISS clinic in Kampala, Uganda. We determined proportions of patients in HTN and HIV care cascade steps of: Screened, Diagnosed, Initiated on treatment, Retained, and Controlled. Guided by the Capability, Opportunity, Motivation and Behavior (COM-B) model, we then conducted semi-structured interviews and focus group discussions with healthcare providers and hypertensive PLHIV (n=45). We coded the qualitative data deductively and analyzed the data thematically categorizing them as themes that influenced HTN care positively or negatively. These denoted barriers and facilitators, respectively.Results: Of 15,953 adult PLHIV, 99.1% were initiated on ART, 89.5% were retained in care and 98.0% achieved control (viral suppression) at one year. All 15,953 (100%) participants were screened for HTN, of whom 24.3% had HTN. HTN treatment initiation, one-year retention, and control were low at 1.0%, 15.4% and 5.0%, respectively. Barriers and facilitators of HTN/HIV integration appeared in all three COM-B domains. Barriers included low patient knowledge of HTN complications, less priority by patients for HTN treatment compared to ART, sub-optimal provider knowledge of HTN treatment, lack of HTN treatment protocols, inadequate supply of anti-hypertensive medicines and lack of HTN care performance targets. Facilitators included patients’ and providers’ interest in HTN/HIV integration, patients’ interest in PLHIV peers support, providers’ knowledge and skills for HTN screening, optimal ART adherence counseling, and availability of automated BP machines. Conclusion: The prevalence of HTN among PLHIV is high, but the HTN care cascade is sub-optimal in this successful HIV clinic. To close these gaps, models of integrated HTN/HIV care are urgently needed. These findings provide a basis for designing contextually appropriate interventions for HTN/HIV integration in Uganda and other low and middle-income countries.

Failing the rights: sexual vulnerability, access to services and barriers to contraceptives among adolescents in Narok County, Kenya

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Griffins Manguro ◽  
Jefferson Mwaisaka ◽  
Dan Okoro ◽  
Kigen Korir ◽  
Patricia Owira ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Young People ◽  
Sexual Activity ◽  
Adolescent Pregnancy ◽  
Health Workers ◽  
Peer Pressure ◽  
Mixed Methods Study ◽  
Early Marriage ◽  
Content Type ◽  
Significant Difference

Purpose Around one in five girls in Kenya, aged 15 to 19 years old are either pregnant or have given birth. Of 47 counties, adolescent pregnancy is highest in Narok, where about 40% of girls aged 15 to 19 years old have begun childbearing. This study aims to explore drivers to sexual activity, access to sexual and reproductive health (SRH) services and barriers to contraceptive use among adolescents in Narok County, Kenya to inform the design of SRH interventions and safeguard young people’s rights to sexual health. Design/methodology/approach A cross-sectional mixed methods study was conducted in December 2019. Quantitative data were collected through structured questionnaires among girls aged 15 to 19 years old who were either pregnant or had given birth and those who had not and boys aged 15 to 19 years old. Qualitative data were collected through focus group discussions with adolescent girls and boys and through structured key informant interviews with parents, community leaders and health workers. Findings The mean age at first sexual intercourse for both genders was 15 years. While the majority of girls and boys knew where to access SRH services, few used contraception during their last sexual activity. There was no significant difference in the condom or other contraceptive methods use between girls who had begun child bearing and those who had not (p = 0.549 and p = 0.563, respectively). Key drivers for sexual activity among young people were poverty and peer pressure. Cultural practices such as female genital mutilation and early marriage contributed to early sex. Community attitudes toward contraception discouraged young people from taking up contraceptives. Originality/value This mixed methods study explores the drivers of adolescent pregnancy in Narok, Kenya, the county with the highest rates of adolescent pregnancy; twice the national pregnancy rates. Understanding the drivers of pregnancy and the underlying human rights violations will help policymakers and health leaders to design interventions which will improve outcomes.

scholarly journals The Clinical Impacts of Mobile Mood-Monitoring in Young People With Mental Health Problems: The MeMO Study

2021 ◽  
Vol 12 ◽  
Author(s):  
Muna Dubad ◽  
Farah Elahi ◽  
Steven Marwaha
Keyword(s):  
Mental Health ◽  
Mixed Methods ◽  
Young People ◽  
Quantitative Study ◽  
Mental Health Problems ◽  
Health Problems ◽  
Small Sample ◽  
Mixed Methods Study ◽  
Therapeutic Engagement ◽  
Significant Difference

Background: Limited evidence suggests that mobile mood-monitoring can improve mental health outcomes and therapeutic engagement in young people. The aim of this mixed methods study was to explore the clinical impacts of mobile mood-monitoring in youth with mental health problems, using a publicly accessible app.Methods: Twenty-three patients with mental health problems and 24 young people without mental health problems participated in the quantitative study. Participants monitored their mood using a mood-monitoring app twice a day for 3 weeks, which was preceded by a 3-week baseline period. Outcome measures included momentary and retrospective assessments of affect regulation (all participants) and therapeutic engagement (patients only). Following the quantitative study, patients (n = 7) and their clinicians (n = 6) participated in individual interviews. Interview data was analysed using thematic analysis.Results: Use of the mood-monitoring app significantly reduced momentary negative mood (p < 0.001) and retrospectively assessed impulsivity across all 47 participants (p = 0.001). All other outcomes showed no significant difference. Qualitative feedback similarly indicated the potential of apps to improve problems with impulsivity in patients. Furthermore, apps may aid communication, promote empowerment, and ameliorate memory difficulties in clinical appointments.Conclusions: This mixed methods study demonstrated the potential utility of apps for clinical practice. Apps may potentially be an interventional tool, or at a minimum, an adjunct to existing treatments. Data was collected from a small sample size over a short study duration, limiting the generalisability of findings and inferences regarding long-term effects. Potential sources of bias in the qualitative study (e.g., researcher bias) should also be considered.

scholarly journals A Mixed Methods Study Into the Development of Teacher-Researchers’ Research Knowledge

2019 ◽  
Vol 9 (2) ◽  
pp. 144
Author(s):  
K. R. Kitty Leuverink ◽  
R. Rian Aarts
Keyword(s):  
Mixed Methods ◽  
Concept Maps ◽  
Development Program ◽  
Study Data ◽  
Mixed Methods Study ◽  
Knowledge Development ◽  
Research Knowledge ◽  
Teacher Researchers ◽  
Conducting Research ◽  
One Year

This article reports on a mixed methods study into the development of research knowledge of secondary education teachers conducting research in the context of a professional development program. 26 teachers of 12 schools in the Netherlands participated in the study. Data were collected by using questionnaires, interviews, concept maps, oral tests and logbooks. Findings show a positive research knowledge development in teacher-researchers after following a one-year course in teacher research. This development was not only found in teachers’ self-reports, but was also measured by tests. In the process of research knowledge development, teacher-researchers mainly have difficulties with formulating research questions, developing research instruments, and reporting about their research.

scholarly journals Features of the intergenerational transmission of family values

2019 ◽  
Vol 25 (3) ◽  
pp. 117-139
Author(s):  
V. M. Karpova
Keyword(s):  
Family Values ◽  
Value Orientations ◽  
Child Life ◽  
Paired Samples ◽  
Significant Difference ◽  
The Family ◽  
The Status ◽  
Total Base ◽  
Values Transmission ◽  
Intra Family

The article deals with the problem of intra-family intergenerational values transmission and, first of all, reproductive attitudes, the need for children, the values of family and child life. It emphasizes the importance of increasing the reproductive attitudes in the population to overcome the demographic crisis in modern Russia and the world as a whole. The complexity of correctly measuring value orientations and reproductive attitudes, the significant difference between the declared values and real reproductive behavior is noted.To study and predict the development of value orientations of the population, reproductive attitudes characteristic of modern youth representatives, it is necessary to study the process of intergenerational values transmission. Moreover, taking into account that the basic values of a family-children lifestyle are formed within the primary intra-family socialization, it is necessary to study the process of intra-family values transmission from the generation of parents and grandparents to children.The paper presents analysis results of three waves of the study devoted to family-children life performed in 2014–2016, based on a total base of 4500 respondents’ responses. Using correlation and multivariate analysis of variance for paired samples, it is shown that family values of parents are not fully transmitted to children, and the distortion occurs not only at the stage of acceptance of the transmitted values, but also at the level of primary communication. For respondents of different socio-demographic status, representing families with different numbers of children, the decline in the significance of the family is equally characteristic when they transfer the values to their children. In the light of this pattern, the task of working with families and young people becomes important, aimed at raising the status of the family and strengthening intergenerational intra-family interaction.

Findings from an evaluation of Family Finding: Experiences of Family Finders and older youth

2017 ◽  
Vol 62 (2) ◽  
pp. 784-798 ◽  
Author(s):  
Elizabeth Jane Greeno ◽  
Berenice Rushovich ◽  
Sarah Catherine Williams ◽  
Joshua Brusca ◽  
Kantahyanee Murray
Keyword(s):  
Mixed Methods ◽  
Child Welfare ◽  
Mixed Methods Study ◽  
Children And Youth ◽  
Child Welfare Workers ◽  
Significant Difference ◽  
Relational Permanence ◽  
Older Youth ◽  
Welfare Workers ◽  
Qualitative Analyses

The purpose of this mixed methods study was to assess the experiences of child welfare workers trained in Family Finding and to assess the experiences of the youth who participated in Family Finding. Findings from this study suggest the efficacy of Family Finding in establishing relational permanence for youth. Findings from qualitative analyses indicate that Family Finders modified the actual steps of the model. Both youth-recommended and Family Finders-recommended Family Finding services begin when children and youth enter child welfare. However, quantitative findings suggest there is not any significant difference in Family Finding outcomes for younger and older youth.

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