scholarly journals Managing depression in primary care: A meta-synthesis of qualitative and quantitative research from the UK to identify barriers and facilitators

2011 ◽  
Vol 12 (1) ◽  
Author(s):  
Elizabeth A Barley ◽  
Joanna Murray ◽  
Paul Walters ◽  
André Tylee
Keyword(s):  
Primary Care ◽  
Quantitative Research ◽  
Barriers And Facilitators ◽  
Qualitative And Quantitative ◽  
The Uk

An Evaluation of a UK Energy Conservation Programme

1996 ◽  
Vol 7 (1) ◽  
pp. 41-49 ◽  
Author(s):  
Ragnar E. Löfstedt
Keyword(s):  
Global Warming ◽  
Energy Consumption ◽  
Energy Conservation ◽  
Quantitative Research ◽  
Ozone Hole ◽  
Policy Makers ◽  
Telephone Surveys ◽  
Qualitative And Quantitative ◽  
The Earth ◽  
The Uk

This paper evaluates the Department of the Environment's Helping the Earth Begins at Home Campaign that was carried out in the early 1990s from a global warming perception perspective. The study is based on both qualitative and quantitative research in the UK including random telephone surveys and interviews with policy makers. The study shows that the campaign largely failed for two reasons: a) the majority of the respondents did not make a link between their own energy consumption and global warming and b) the respondent's still confused global warming with the ozone hole.

scholarly journals Online Sobriety Communities for Women's Problematic Alcohol Use: A Mini Review of Existing Qualitative and Quantitative Research

2021 ◽  
Vol 2 ◽  
Author(s):  
Claire Davey
Keyword(s):  
Alcohol Consumption ◽  
Alcohol Use ◽  
Support Groups ◽  
Quantitative Research ◽  
Online Support Groups ◽  
Treatment Pathways ◽  
Problematic Drinking ◽  
Qualitative And Quantitative ◽  
New Treatment ◽  
The Uk

The increase in women's drinking is one of the most prominent trends in alcohol consumption in the UK in recent history, possibly exacerbated by COVID-19 lockdown measures. Higher rates of drinking are associated with substantial economic, health, and social costs. However, women are less likely to seek treatment for Alcohol Use Disorder (AUD) than men and have less successful treatment outcomes from traditional treatment paths, such as 12-step programs and in-patient care. Female heavy drinkers may also experience particular forms of gendered stigma that affect their experiences of addiction and recovery and their desire or ability to access these more “traditional” services. This review provides an overview of existing qualitative and quantitative research regarding online sobriety communities that are predominantly utilised by women, such as non-12-step alcohol online support groups (AOSGs) and temporary abstinence initiatives (TAIs). This is a small—but expanding—body of literature emerging as “sober curiosity” and “mindful drinking” are trending in Western contexts such as the UK, particularly amongst young women who do not identify with traditional, binary recovery language such as “alcoholic” and “addict.” This review highlights the gaps in research and concludes that further research regarding these new treatment pathways, and women's experiences when utilising them, must be conducted to provide more evidence-based options for women who want to address problematic drinking. Public health bodies could also learn more effective strategies from these innovative solutions to reduce alcohol consumption generally.

Development of clinically meaningful complex interventions – The contribution of qualitative research

Pflege ◽  
2013 ◽  
Vol 26 (3) ◽  
pp. 207-214 ◽  
Author(s):  
Mette Spliid Ludvigsen ◽  
Gabriele Meyer ◽  
Elisabeth Hall ◽  
Liv Fegran ◽  
Hanne Aagaard ◽  
...  
Keyword(s):  
Qualitative Research ◽  
Quantitative Research ◽  
Evaluation Studies ◽  
Complex Interventions ◽  
Nursing Home Residents ◽  
Complex Nature ◽  
Nursing Interventions ◽  
Qualitative And Quantitative ◽  
The Uk ◽  
The Right

The debate about the “right” methods and designs for nursing research is on-going. According to international surveys, studies on the effectiveness and safety of nursing interventions are rare. Since nursing practice deals daily with interventions, nurses ostensibly expose hospital patients and nursing home residents frequently to unproven therapeutic and preventive nursing interventions. Nursing interventions are predominately of a complex nature, consisting of several components depending on and interacting with each other and their complex contextual factors. Thus, evaluation studies are often challenging and need especially careful development, ambitious designs and systematic evaluations. The UK Medical Research Council (MRC) has proposed a framework, where qualitative and quantitative research rely on each other in order to develop theory-based complex interventions, prepare and conduct their optimal delivery, explain how the interventions work and which conditions contributed in case they did not work. The present essay outlines the points where qualitative research contributes towards the development and evaluation of complex interventions. First, the UK MRC framework is introduced, and secondly it is illustrated where qualitative research should necessarily be located using examples from a handful of qualitative studies. Future clinically meaningful and implementable nursing interventions should best be developed by research groups with both excellent qualitative and quantitative research skills.

scholarly journals Barriers and facilitators to GP–patient communication about emotional concerns in UK primary care: a systematic review

2020 ◽  
Vol 37 (4) ◽  
pp. 434-444
Author(s):  
Daisy Parker ◽  
Richard Byng ◽  
Chris Dickens ◽  
Debbie Kinsey ◽  
Rose McCabe
Keyword(s):  
Systematic Review ◽  
Primary Care ◽  
Treatment Guidelines ◽  
Medical Condition ◽  
Information Provision ◽  
Patient Communication ◽  
Barriers And Facilitators ◽  
Qualitative Synthesis ◽  
Social Stressors ◽  
The Uk

Abstract Background In the UK, general practitioners (GPs) are the most commonly used providers of care for emotional concerns. Objective To update and synthesize literature on barriers and facilitators to GP–patient communication about emotional concerns in UK primary care. Design Systematic review and qualitative synthesis. Method We conducted a systematic search on MEDLINE (OvidSP), PsycInfo and EMBASE, supplemented by citation chasing. Eligible papers focused on how GPs and adult patients in the UK communicated about emotional concerns. Results were synthesized using thematic analysis. Results Across 30 studies involving 342 GPs and 720 patients, four themes relating to barriers were: (i) emotional concerns are difficult to disclose; (ii) tension between understanding emotional concerns as a medical condition or arising from social stressors; (iii) unspoken assumptions about agency resulting in too little or too much involvement in decisions and (iv) providing limited care driven by little time. Three facilitative themes were: (v) a human connection improves identification of emotional concerns and is therapeutic; (vi) exploring, explaining and negotiating a shared understanding or guiding patients towards new understandings and (vii) upfront information provision and involvement manages expectations about recovery and improves engagement in treatment. Conclusion The findings suggest that treatment guidelines should acknowledge: the therapeutic value of a positive GP–patient relationship; that diagnosis is a two-way negotiated process rather than an activity strictly in the doctor’s domain of expertise; and the value of exploring and shaping new understandings about patients’ emotional concerns and their management.

Barriers and facilitators to integrating behavioral health services and pediatric primary care.

2020 ◽  
Author(s):  
Keri J. S. Brady ◽  
Michelle P. Durham ◽  
Alex Francoeur ◽  
Cameron Henneberg ◽  
Avanti Adhia ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Services ◽  
Behavioral Health ◽  
Barriers And Facilitators ◽  
Pediatric Primary Care ◽  
Behavioral Health Services

A Tale of Two Cultures

2012 ◽  
Author(s):  
Gary Goertz ◽  
James Mahoney
Keyword(s):  
Social Sciences ◽  
Quantitative Research ◽  
Social Science Research ◽  
Measurement Data ◽  
Science Research ◽  
Quantitative Research Methods ◽  
Qualitative And Quantitative ◽  
The Social ◽  
Scientific Worldview ◽  
Different Cultures

Some in the social sciences argue that the same logic applies to both qualitative and quantitative research methods. This book demonstrates that these two paradigms constitute different cultures, each internally coherent yet marked by contrasting norms, practices, and toolkits. The book identifies and discusses major differences between these two traditions that touch nearly every aspect of social science research, including design, goals, causal effects and models, concepts and measurement, data analysis, and case selection. Although focused on the differences between qualitative and quantitative research, the book also seeks to promote toleration, exchange, and learning by enabling scholars to think beyond their own culture and see an alternative scientific worldview. The book is written in an easily accessible style and features a host of real-world examples to illustrate methodological points.

scholarly journals Leveraging human factors in cybersecurity: an integrated methodological approach

2021 ◽  
Author(s):  
Alessandro Pollini ◽  
Tiziana C. Callari ◽  
Alessandra Tedeschi ◽  
Daniele Ruscio ◽  
Luca Save ◽  
...  
Keyword(s):  
Human Factors ◽  
Cyber Security ◽  
Quantitative Research ◽  
Methodological Approach ◽  
Quantitative Research Methods ◽  
Security Culture ◽  
Technological Factors ◽  
Qualitative And Quantitative ◽  
The Individual ◽  
Technical Solutions

AbstractComputer and Information Security (CIS) is usually approached adopting a technology-centric viewpoint, where the human components of sociotechnical systems are generally considered as their weakest part, with little consideration for the end users’ cognitive characteristics, needs and motivations. This paper presents a holistic/Human Factors (HF) approach, where the individual, organisational and technological factors are investigated in pilot healthcare organisations to show how HF vulnerabilities may impact on cybersecurity risks. An overview of current challenges in relation to cybersecurity is first provided, followed by the presentation of an integrated top–down and bottom–up methodology using qualitative and quantitative research methods to assess the level of maturity of the pilot organisations with respect to their capability to face and tackle cyber threats and attacks. This approach adopts a user-centred perspective, involving both the organisations’ management and employees, The results show that a better cyber-security culture does not always correspond with more rule compliant behaviour. In addition, conflicts among cybersecurity rules and procedures may trigger human vulnerabilities. In conclusion, the integration of traditional technical solutions with guidelines to enhance CIS systems by leveraging HF in cybersecurity may lead to the adoption of non-technical countermeasures (such as user awareness) for a comprehensive and holistic way to manage cyber security in organisations.

scholarly journals A semi-supervised approach for rapidly creating clinical biomarker phenotypes in the UK Biobank using different primary care EHR and clinical terminology systems

JAMIA Open ◽  
2020 ◽  
Author(s):  
Spiros Denaxas ◽  
Anoop D Shah ◽  
Bilal A Mateen ◽  
Valerie Kuan ◽  
Jennifer K Quint ◽  
...  
Keyword(s):  
Primary Care ◽  
Proportional Hazards ◽  
Biomarker Discovery ◽  
Data Extraction ◽  
Cox Proportional Hazards ◽  
Research Quality ◽  
Uk Biobank ◽  
Expert Review ◽  
Cox Proportional Hazards Models ◽  
The Uk

Abstract Objectives The UK Biobank (UKB) is making primary care electronic health records (EHRs) for 500 000 participants available for COVID-19-related research. Data are extracted from four sources, recorded using five clinical terminologies and stored in different schemas. The aims of our research were to: (a) develop a semi-supervised approach for bootstrapping EHR phenotyping algorithms in UKB EHR, and (b) to evaluate our approach by implementing and evaluating phenotypes for 31 common biomarkers. Materials and Methods We describe an algorithmic approach to phenotyping biomarkers in primary care EHR involving (a) bootstrapping definitions using existing phenotypes, (b) excluding generic, rare, or semantically distant terms, (c) forward-mapping terminology terms, (d) expert review, and (e) data extraction. We evaluated the phenotypes by assessing the ability to reproduce known epidemiological associations with all-cause mortality using Cox proportional hazards models. Results We created and evaluated phenotyping algorithms for 31 biomarkers many of which are directly related to COVID-19 complications, for example diabetes, cardiovascular disease, respiratory disease. Our algorithm identified 1651 Read v2 and Clinical Terms Version 3 terms and automatically excluded 1228 terms. Clinical review excluded 103 terms and included 44 terms, resulting in 364 terms for data extraction (sensitivity 0.89, specificity 0.92). We extracted 38 190 682 events and identified 220 978 participants with at least one biomarker measured. Discussion and conclusion Bootstrapping phenotyping algorithms from similar EHR can potentially address pre-existing methodological concerns that undermine the outputs of biomarker discovery pipelines and provide research-quality phenotyping algorithms.

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