scholarly journals Personalising psychotherapies for depression using a novel mixed methods approach: an example from Morita therapy

Trials ◽  
2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Holly Victoria Rose Sugg ◽  
Julia Frost ◽  
David A. Richards
Keyword(s):  
Mixed Methods ◽  
Quantitative Data ◽  
Quantitative Methods ◽  
Clinical Decision Making ◽  
Controlled Trial ◽  
Alternative Methods ◽  
Response To Treatment ◽  
Sampled Data ◽  
Mixed Methods Approach ◽  
Morita Therapy

Abstract Background Current quantitative methods for personalising psychotherapies for depression are unlikely to be able to inform clinical decision-making for hundreds of years. Novel alternative methods to generate hypotheses for prospective testing are therefore required, and we showcase mixed methods as one such approach. By exploring patients’ perspectives in depth, and integrating qualitative and quantitative data at the level of the individual, we may identify new potential psychosocial predictors of psychotherapy outcomes, potentially informing the personalisation of depression treatment in a shorter timeframe. Using Morita therapy (a Japanese psychotherapy) as an exemplar, we thus explored how Morita therapy recipients’ views on treatment acceptability explain their adherence and response to treatment. Methods The Morita trial incorporated a pilot randomised controlled trial of Morita therapy versus treatment as usual for depression, and post-treatment qualitative interviews. We recruited trial participants from general practice record searches in Devon, UK, and purposively sampled data from 16 participants for our mixed methods analysis. We developed typologies of participants’ views from our qualitative themes, and integrated these with quantitative data on number of sessions attended and whether participants responded to treatment in a joint typologies and statistics display. We enriched our analysis using participant vignettes to demonstrate each typology. Results We demonstrated that (1) participants who could identify with the principles of Morita therapy typically responded to treatment, regardless of how many sessions they attended, whilst those whose orientation towards treatment was incompatible with Morita therapy did not respond to treatment, again regardless of treatment adherence and (2) participants whose personal circumstances impeded their opportunity to engage in Morita therapy attended the fewest sessions, though still benefitted from treatment if the principles resonated with them. Conclusions We identified new potential relationships between “orientation” and outcomes, and “opportunity” and adherence, which could not have been identified using existing non-integrative methods. This mixed methods approach warrants replication in future trials and with other psychotherapies to generate hypotheses, based on typologies (or profiles) of patients for whom a treatment is more or less likely to be suitable, to be tested in prospective trials. Trial registration Current Controlled Trials, ISRCTN17544090. Registered on 23 July 2015.

A Generative Sequential Mixed Methods Approach Using Quantitative Measures to Enhance Social Constructionist Inquiry

2021 ◽  
pp. 155868982098627
Author(s):  
Diego Romaioli
Keyword(s):  
Mixed Methods ◽  
Mixed Methods Research ◽  
Quantitative Methods ◽  
Maslach Burnout Inventory ◽  
Well Being ◽  
Social Constructionist ◽  
Social Scientists ◽  
Mixed Methods Approach ◽  
Qualitative And Quantitative Methods ◽  
Sequential Mixed Methods

In order to enhance core mixed methods research designs, social scientists need an approach that incorporates developments in the social constructionist perspective. This work describes a study that aimed to promote occupational well-being in hospital departments where employees are at risk of burnout, based on a constructionist inquiry developed starting from the Maslach Burnout Inventory. Taking this study as an example, we define a “generative sequential mixed methods approach” as a process that involves consulting quantitative studies to identify criticalities on which to conduct focused, transformative investigations. The article contributes by envisaging ways to mix qualitative and quantitative methods that consider a “generative” and “future-forming” orientation to research, in line with recent shifts in social psychology.

scholarly journals Health and Wellbeing Needs and Priorities in Mining Host Communities in South Africa: A Mixed-Methods Approach For Identifying Key SDG3 Targets

2021 ◽  
Author(s):  
Brian Rice ◽  
Delia Boccia ◽  
Daniel J Carter ◽  
Renay Weiner ◽  
Lebohang Letsela ◽  
...  
Keyword(s):  
South Africa ◽  
Substance Abuse ◽  
Mixed Methods ◽  
Quantitative Data ◽  
Host Community ◽  
Structural Level ◽  
Mixed Methods Approach ◽  
Qualitative And Quantitative ◽  
Priority Areas ◽  
Health And Wellbeing

Abstract Background The global mining industry has an opportunity to mobilize resources to advance progress against the Sustainable Development Goals (SDGs). In 2018, the Anglo-American Group outlined aspirations for mining host communities to meet the SDG3 health targets. To progress from aspiration to action we designed and implemented a mixed-methods approach to attain a deeper understanding of the health and wellbeing priorities within the local context of host communities of fifteen mines in South Africa. Methods To identify local needs and priorities relating to SDG3 targets in host communities, stakeholder workshops and key informant interviews were conducted between June and August 2019. A baseline assessment of health data, related to each of the SDG3 targets and indicators and to each host community location, was also conducted. Findings emerging from the qualitative and quantitative baseline assessments were compared to identify the extent to which health issues aligned and health and wellbeing priority areas for action. Results A total of 407 people participated in the workshops, and 85 key informants were interviewed. Quantitative data were available at sub-national level for seven of the nine SDG3 targets and eleven of the 21 indicators. Key priority areas for action identified through alignment of the qualitative and quantitative data were maternal mortality (SDG3.1), HIV (SDG3.3.1), tuberculosis (SDG3.3.2), substance abuse (SDG3.5), and road traffic accidents (SDG3.6) We found consistency in the individual, interpersonal, community, societal, and structural factors underlying these priority areas. At a structural level, poor access to quality healthcare was raised at every workshop as a key factor underlying the achievement of all SDG3 targets. Of the five priority areas identified, HIV, TB and substance abuse were found to overlap in the study communities in terms of risk, burden, and underlying factors. Conclusions We demonstrate a mixed method approach for identifying local health needs and prioritised SDG3 targets in mining host communities. Consistency in reporting suggests the need for effective, efficient and feasible interventions to address five priority areas. Given the prominent economic role of the mining sector in South Africa, it can play a critical role in implementing programmatic activities that further progress towards achieving the SDG3 targets.

scholarly journals Health and wellbeing needs and priorities in mining host communities in South Africa: a mixed-methods approach for identifying key SDG3 targets

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Brian Rice ◽  
Delia Boccia ◽  
Daniel J. Carter ◽  
Renay Weiner ◽  
Lebohang Letsela ◽  
...  
Keyword(s):  
South Africa ◽  
Substance Abuse ◽  
Mixed Methods ◽  
Quantitative Data ◽  
Host Community ◽  
Structural Level ◽  
Mixed Methods Approach ◽  
Qualitative And Quantitative ◽  
Priority Areas ◽  
Health And Wellbeing

Abstract Background The global mining industry has an opportunity to mobilize resources to advance progress against the Sustainable Development Goals (SDGs). In 2018, the Anglo-American Group outlined aspirations for mining host communities to meet the SDG3 health targets. To progress from aspiration to action we designed and implemented a mixed-methods approach to attain a deeper understanding of the health and wellbeing priorities within the local context of host communities of fifteen mines in South Africa. Methods To identify local needs and priorities relating to SDG3 targets in host communities, stakeholder workshops and key informant interviews were conducted between June and August 2019. A baseline assessment of health data, related to each of the SDG3 targets and indicators and to each host community location, was also conducted. Findings emerging from the qualitative and quantitative baseline assessments were compared to identify the extent to which health issues aligned and health and wellbeing priority areas for action. Results A total of 407 people participated in the workshops, and 85 key informants were interviewed. Quantitative data were available at sub-national level for seven of the nine SDG3 targets and eleven of the 21 indicators. Key priority areas for action identified through alignment of the qualitative and quantitative data were maternal mortality (SDG3.1), HIV (SDG3.3.1), tuberculosis (SDG3.3.2), substance abuse (SDG3.5), and road traffic accidents (SDG3.6) We found consistency in the individual, interpersonal, community, societal, and structural factors underlying these priority areas. At a structural level, poor access to quality healthcare was raised at every workshop as a key factor underlying the achievement of all SDG3 targets. Of the five priority areas identified, HIV, TB and substance abuse were found to overlap in the study communities in terms of risk, burden, and underlying factors. Conclusions We demonstrate a mixed method approach for identifying local health needs and prioritised SDG3 targets in mining host communities. Consistency in reporting suggests the need for effective, efficient and feasible interventions to address five priority areas. Given the prominent economic role of the mining sector in South Africa, it can play a critical role in implementing programmatic activities that further progress towards achieving the SDG3 targets.

scholarly journals Results of a prospective, mixed methods study to assess feasibility, acceptability and effectiveness of TRIumPH (Treatment and Recovery In PsycHosis): an integrated care pathway for psychosis, compared to usual treatment

BMJ Open ◽  
2020 ◽  
Vol 10 (4) ◽  
pp. e033711
Author(s):  
Shanaya Rathod ◽  
Kerensa Thorne ◽  
Elizabeth Graves ◽  
Peter Phiri ◽  
Carolyn Asher ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Physical Health ◽  
Quantitative Data ◽  
Care Pathway ◽  
Controlled Trial ◽  
Quality Standards ◽  
Family Intervention ◽  
Mixed Methods Study ◽  
Research Network ◽  
Early Intervention In Psychosis

ObjectivesTo evaluate whether a newly developed care pathway, Treatment and Recovery In PsycHosis (TRIumPH), is feasible, acceptable and effective in meeting National Institute of Health and Care Excellence (NICE) quality standards in a timely manner.MethodsThis is a pragmatic, non-randomised, prospective, mixed methods study comparing an implementation (TRIumPH) and comparator site (not implementing TRIumPH) across three cohorts to assess feasibility, acceptability and effectiveness of the integrated pathway.SettingEarly intervention in psychosis (EIP) services at two National Health Service organisations in South of England.ParticipantsAll patients accepted into EIP services between 1 June 2014 and 31 May 2017 were each followed up for 1 year within their respective cohorts.MethodologyQuantitative data consisted of routinely collected clinical data retrieved from patient records to assess whether the implementation of TRIumPH achieved better concordance to NICE standards. These included time to access services, physical health assessments, clinical outcomes based timeliness of delivery and acute data. The controlled trial has evaluated the effect of TRIumPH (Intervention) with Care As Usual (Comparator). Qualitative measures consisted of questionnaires, interviews and focus groups to assess acceptability and satisfaction. Outcome measures were compared within the baseline, year 1 and year 2 cohorts and between the two sites. Quantitative data were statistically analysed by comparing means and proportions.ResultsTime to assessment improved in the implementation site and remained within the target in comparator site. Meeting of quality standards increased substantially in the implementation site but was more variable and reached lower levels in the comparator site especially for physical health standards. Cognitive therapy for psychosis, family intervention and carer and employment support were all offered to a greater extent in the implementation site and uptake increased over the period.ConclusionsPathway implementation generally led to greater improvements in achievement of access and quality standards compared with comparator site.Trial registration numberUK Clinical Research Network Portfolio (19187)

scholarly journals Mixing Qualitative and Quantitative Methods in Sports Fan Research

1997 ◽  
Author(s):  
Ian Jones
Keyword(s):  
Mixed Methods ◽  
Quantitative Methods ◽  
Mixed Methods Approach ◽  
Qualitative And Quantitative ◽  
Qualitative And Quantitative Methods ◽  
Sports Fandom ◽  
Sports Fan

Sports fandom consists of cognitive and affective, as well as behavioural components. Existing sports fan research utilises either strong qualitative, or more often, strong quantitative methodologies. The strengths and weaknesses of each approach are outlined, developing the argument that the use of a single methodology often fails to explore all of these components. The use of a mixed methods approach is suggested to counteract this weakness and to enhance research into the sports fan.

Mixed Methods Program Evaluation

2019 ◽  
pp. 304-320
Author(s):  
Deepthiman Gowda ◽  
Tayla Curran ◽  
Dorene F. Balmer
Keyword(s):  
Program Evaluation ◽  
Mixed Methods ◽  
Quantitative Methods ◽  
Evaluation Method ◽  
Narrative Medicine ◽  
Health Humanities ◽  
Mixed Methods Approach ◽  
Qualitative And Quantitative ◽  
Qualitative And Quantitative Methods ◽  
Mixed Methods Evaluation

Program evaluations explore the effectiveness and feasibility of new programs. An evaluation method using a mixed methods approach combines qualitative and quantitative data; this approach enables triangulation of data to provide more comprehensive understanding of a program and increase the trustworthiness of evaluation findings. Mixed methods evaluation can be resource intensive and requires expertise in both qualitative and quantitative methods. Program evaluation questions should be informed by program stakeholders and by the concerns of the field. In this chapter, the authors describe how to conduct a mixed methods program evaluation and explore its benefits and limitations. The authors draw on their experience of using a mixed methods approach to evaluate a year-long narrative medicine program in primary care clinics. Though not appropriate for all health humanities program evaluation, a mixed methods evaluation offers rich, multidimensional understandings of programs.

Working With Business: Counselor Expectations, Actions, and Challenges

2017 ◽  
Vol 31 (2) ◽  
pp. 135-145 ◽  
Author(s):  
Michele C. McDonnall
Keyword(s):  
Mixed Methods ◽  
Vocational Rehabilitation ◽  
Quantitative Data ◽  
Qualitative Data ◽  
Rehabilitation Counseling ◽  
Master's Programs ◽  
Mixed Methods Approach ◽  
Workforce Innovation ◽  
Almost All

Purpose:The purpose of this study was to (a) explore state-federal vocational rehabilitation (VR) agency expectations for counselor engagement with business, (b) determine what VR counselors are actually doing in terms of interacting with businesses, and © identify challenges VR counselors experience to working with business.Method:A mixed-methods approach, including both quantitative data from surveys and qualitative data from interviews, was used. Surveys were conducted with 47 VR agency administrators and 121 counselors, and interviews were conducted with 6 administrators and 19 counselors.Results:Almost all VR agencies had a clear expectation that counselors will engage with business, but the specific expectations varied by agency. Counselors spend approximately 20% of their time interacting with businesses, and most counselors reported providing one or more service to businesses on a regular basis. Challenges experienced by counselors were lack of time, lack of comfort, and lack of preparation to engage with business.Conclusion:Given the current expectations for business engagement and the increased importance of business engagement with the passage of the Workforce Innovation and Opportunity Act (2015), it is vital that rehabilitation counseling master’s programs increase their focus on working with business.

scholarly journals Speech-language therapists supporting foundation phase teachers with literacy and numeracy in a rural and township context

2010 ◽  
Vol 57 (1) ◽  
Author(s):  
Anna Maria Wium ◽  
Brenda Louw ◽  
Irma Eloff
Keyword(s):  
Mixed Methods ◽  
Quantitative Data ◽  
Qualitative Data ◽  
Language Skills ◽  
National Curriculum ◽  
Effective Means ◽  
Selection Procedures ◽  
Homogeneous Groups ◽  
Mixed Methods Approach ◽  
Support Programme

Language is required for learning, but teachers often find it difficult to facilitate listening and language skills while they have to adapt to a new national curriculum with an outcomes-based approach for which they have not necessarily been adequately trained. A multi-faceted support programme was developed for foundation phase teachers to facilitate listening and language for literacy, with a particular focus on the language required for numeracy. The aim of the research was to determine the value of this particular support programme for foundation phase teachers in a semi-rural and township context. A mixed methods approach with a concurrent, equal status triangulation design was used, where qualitative data were transformed to quantitative data in order to be compared in a matrix. The results show that the participants benefited to varying degrees from the programme. The combination of workshops, practical and mentoring components proved to be an effective means of support. The results indicate a need for pre-training selection procedures as more effective support can be provided to homogeneous groups.

Stages of food security: A co-produced mixed-methods methodology

2017 ◽  
Vol 17 (4) ◽  
pp. 291-306 ◽  
Author(s):  
Logan Cochrane
Keyword(s):  
Food Security ◽  
Mixed Methods ◽  
Quantitative Data ◽  
Participatory Approach ◽  
Complex Nature ◽  
Mixed Methods Approach ◽  
Qualitative Approaches ◽  
Micro Level ◽  
Pilot Implementation ◽  
Insight Into

This article presents the stages of food security methodology, an adaptation of stages of progress developed by Dr. Krishna. Studies of food security are primarily survey based, applying a common set of generalist indicators across a range of agroecological areas and for a diverse array of people; these findings have provided a wealth of information and insight into the trends, challenges and the extent of food security on national, regional and global scales. Ethnographic and qualitative approaches have provided detailed, contextualized findings about the interrelated and complex nature of food security at the micro level. This co-produced, mixed methods approach brings together participatory qualitative approaches and co-produces quantitative data collection tools, which provide generalizable data geared towards supporting the development or refinement of policies and programmes to strengthen food security. Based upon a pilot implementation of the methodology in Ethiopia, advantages and limitations are discussed, as well as reflections on why co-production as a participatory approach was adopted, in contrast to other participatory processes. The findings demonstrate the ways in which co-produced approaches can offer unique insight, complementing and enhancing existing knowledge about complex challenges.

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