Advancing engagement and capacity for rural cancer control: a mixed-methods case study of a Community-Academic Advisory Board in the Appalachia region of Southwest Virginia

Abstract Background The objectives are to: 1) describe engagement processes used to prioritize and address regional comprehensive cancer control needs among a Community-Academic Advisory Board (CAB) in the medically-underserved, rural Appalachian region, and 2) detail longitudinal CAB evaluation findings. Methods This three-year case study (2017–2020) used a convergent parallel, mixed-methods design. The approach was guided by community-based participatory research (CBPR) principles, the Comprehensive Participatory Planning and Evaluation process, and Nine Habits of Successful Comprehensive Cancer Control Coalitions. Meeting artifacts were tracked and evaluated. CAB members completed quantitative surveys at three time points and semi-structured interviews at two time points. Quantitative data were analyzed using analysis of variance tests. Interviews were audio recorded, transcribed, and analyzed via an inductive-deductive process. Results Through 13 meetings, Prevention and Early Detection Action Teams created causal models and prioritized four cancer control needs: human papillomavirus vaccination, tobacco control, colorectal cancer screening, and lung cancer screening. These sub-groups also began advancing into planning and intervention proposal development phases. As rated by 49 involved CAB members, all habits significantly improved from Time 1 to Time 2 (i.e., communication, priority work plans, roles/accountability, shared decision making, value-added collaboration, empowered leadership, diversified funding, trust, satisfaction; all p < .05), and most remained significantly higher at Time 3. CAB members also identified specific challenges (e.g., fully utilizing member expertise), strengths (e.g., diverse membership), and recommendations across habits. Conclusion This project’s equity-based CBPR approach used a CPPE process in conjunction with internal evaluation of cancer coalition best practices to advance CAB efforts to address cancer disparities in rural Appalachia. This approach encouraged CAB buy-in and identified key strengths, weaknesses, and opportunities that will lay the foundation for continued involvement in cancer control projects. These engagement processes may serve as a template for similar coalitions in rural, underserved areas.

Download Full-text

Comprehensive cancer control programs and coalitions: partnering to launch successful colorectal cancer screening initiatives

Cancer Causes & Control ◽

10.1007/s10552-010-9664-9 ◽

2010 ◽

Vol 21 (12) ◽

pp. 2023-2031 ◽

Cited By ~ 19

Author(s):

Laura C. Seeff ◽

Anne Major ◽

Julie S. Townsend ◽

Ellen Provost ◽

Diana Redwood ◽

...

Keyword(s):

Colorectal Cancer ◽

Cancer Screening ◽

Colorectal Cancer Screening ◽

Cancer Control ◽

Comprehensive Cancer Control ◽

Control Programs

Download Full-text

Nurse Practitioner Role Acceptance In The Emergency Department : A Case Study

10.32920/ryerson.14657094 ◽

2021 ◽

Author(s):

Alexandra A. Jurczak

Keyword(s):

Nurse Practitioners ◽

Value Added ◽

Improve Patient Care ◽

Pilot Project ◽

Professional Relationships ◽

Structured Interviews ◽

Term Care ◽

Policy Practice ◽

Study Approach

The Ministry of Health and Long-Term Care (MoHLTC) invested in a pilot project that introduced nurse practitioners (NPs) into emergency departments (EDs) in order to improve patient care. Since the launch of the project, there have been no documented studies exploring how the NP role has been accepted by others. Role acceptance is critical to NP integration and thus effectiveness of the role in achieving its desired outcomes. This study explored NP role acceptance in the ED as perceived by NPs, physicians and nurses. Case study approach was employed using semi-structured interviews, the researcher's field notes and publicly accessible documents. NP role acceptance was found to be influenced by participants' understanding of the initial impetus for the role, the role itself, their appreciation of value-added components of the role, NP-specific characteristics and professional relationships among NPs, physicians and nurses. Implications for policy, practice, education and research are explored.

Download Full-text

Nurse Practitioner Role Acceptance In The Emergency Department : A Case Study

10.32920/ryerson.14657094.v1 ◽

2021 ◽

Author(s):

Alexandra A. Jurczak

Keyword(s):

Nurse Practitioners ◽

Value Added ◽

Improve Patient Care ◽

Pilot Project ◽

Professional Relationships ◽

Structured Interviews ◽

Term Care ◽

Policy Practice ◽

Study Approach

Download Full-text

Factors influencing delivery of intersectoral actions to address infant stunting in Bogotá, Colombia – a mixed methods case study.

10.21203/rs.3.rs-21690/v2 ◽

2020 ◽

Author(s):

Natalia Botero-Tovar ◽

Gina Paola Arocha Zuluaga ◽

Andrea Ramírez Varela

Keyword(s):

Public Health ◽

Mixed Methods ◽

Health Sector ◽

Systematic Evaluation ◽

Intersectoral Collaboration ◽

Local Health ◽

Structured Interviews ◽

Local Health Service ◽

Qualitative Component

Abstract Background Intersectoral actions (ISA) are a recognized relationship between the health sector and other sectors to improve health outcomes. Although a frequent topic in public health, evidence for systematic evaluation of implementation of ISA is scarce. An intersectoral health intervention for infants under one-year-old with, and at risk of, stunting (low height-for-age) was developed by a public-private partnership in Bogotá, Colombia, during 2018 and 2019. Here we report a case study conducted in parallel to the intervention designed to assess factors that influenced implementation of the ISA. Methods The case study was developed using a concurrent mixed-methods design, with the qualitative component giving context to the quantitative results. The qualitative component was obtained from four workshops, three focal groups, and 17 semi-structured interviews with actors involved in the intersectoral intervention. The quantitative component was obtained with two questionnaires that evaluated perceptions on improvement and partnership functioning of the ISA. Results This study collected information from 122 participants. The intervention demanded intersectoral collaboration. Political will, motivated human resources, and recognition that health results from collaboration facilitated intersectoral actions. Intersectoral actions were limited by difficulties in engaging the health sector, communication challenges related to local health service decentralization, and administrative barriers. Conclusions Intersectoral actions have been recently discussed in the literature due to challenges on implementation, idealization, inconsistent demands, and doubts about economic outcomes. The implementation of intersectoral public health interventions can be jeopardized by a lack of coordination and management skills.

Download Full-text

The development of a framework for the successful implementation of curriculum renewal : a case study of the office management and technology (OMT) programme

10.51415/10321/3208 ◽

2018 ◽

Author(s):

◽

Moodley Egashnee

Keyword(s):

Renewal Process ◽

Tertiary Education ◽

Academic Staff ◽

Advisory Board ◽

Successful Implementation ◽

Structured Interviews ◽

Student Body ◽

Office Management ◽

Curriculum Renewal

South Africa’s tertiary education institutions main goal is to train, educate, deliver high level professional and occupational skills, research and innovation required for development and economic growth for South Africa (Timm, Govender and Gonsalves 2016). To develop the manpower required for the advancement of South Africa’s economic development, tertiary institutions need to align their programme with the needs of social, economic and technology developments locally, nationally and globally. In an attempt to enhance the aligning needs of the industry and international education standards towards education, universities had started to accredit and renew their programme curricular. However, some researchers have identified that even though curriculum renewal of a programme had brought about some advantages for academics and students, there was many disadvantages as well (Bird et al. 2015: 19). Wormley (2004: 329) has identified that if there are many challenges, negative perceptions and lack of benefits because of a poorly planned framework for curriculum renewal of a programme. Ultimately it leads to the unsuccessful implementation of curriculum renewal. The aim of the study is to explore the curriculum renewal process amongst academics and students of the Office Management and Technology programme at Durban University of Technology to develop a framework for future successful implementation of the curriculum implementation process. As this case study will provide new insights into the perceptions and experiences of those most closely affected, that is the academic staff, the curriculum champion and students of the university involved in the curriculum renewal process, thereby assisting other departments or programmes embarking on a curriculum renewal process A qualitative methodology was employed for this study. Whereby semi-structured interviews were conducted with OMT academics, the OMT curriculum champion, representative from the Centre for Quality Promotion and Assurance (CQPA), and Academic Development Practioner (ADP) for the Faculty of Accounting and Informatics (FAI). Focus group discussion with OMT students was held to obtain the students’ perspectives on the curriculum renewal process of the OMT programme. The study revealed that the main barrier for academics implementing the curriculum renewal process and renewed curriculum lagged due to the lack of resources available to the department, lack of tutors for students, lack of student involvement in the advisory board for stakeholders, as well as lack of curriculum expert’s in department as the main factors that hinder the curriculum renewal process of a programme. On the other hand, the students revealed that the ‘’Blackboard, ThinkLearnZone’’ application notification system needs to be improved as most students do not own smartphones to access the internet. Moreover, students suggested that the academics should conduct more practical activities during the lecture period. Interestingly, students also suggested that lecturers begin to record lectures via the Podcast application which always them to download and learn. The recommendation highlights that students representatives from each level enrolled into the programme should form part of the advisory board for the curriculum renewal process and review, there should be a professional student body from the department, who must be given an equal opportunity to participate in the process discussion. Moreover, to resolve the lack of funds to purchase textbooks and resources, the researcher recommends that the OMT department should start using their own resources from the department and start creating revenue for the department.

Download Full-text

Protocol for a prospective, longitudinal mixed-methods case study: supporting a Model of Care for Healthier Adolescents (The MoCHA study)

BMJ Open ◽

10.1136/bmjopen-2018-025098 ◽

2019 ◽

Vol 9 (2) ◽

pp. e025098 ◽

Cited By ~ 1

Author(s):

Claire Hayes ◽

Victoria J Palmer ◽

Magenta Simmons ◽

Bridget Hamilton ◽

Christine Simons ◽

...

Keyword(s):

Mixed Methods ◽

Depressive Symptomatology ◽

Emotional Dysregulation ◽

Self Report ◽

Structured Interviews ◽

Post Discharge ◽

Mixed Methods Case Study ◽

Distress Scale ◽

Prospective Longitudinal

IntroductionImproving mental healthcare for adolescents is a global policy priority. Despite demands for community-based services, many adolescents require more intensive interventions, such as an inpatient admission. This is typically at a point of crisis, often accompanied by intense emotional dysregulation, impairment of coping function and impulsivity. However, limited evidence exists on how best to support this group while they are in inpatient care, aside from pharmacological treatments which have a limited role in adolescents. Little is known about the models of care (MoC) offered in inpatient units, whether adolescents perceive these as helpful and the perspectives of caregivers and clinicians. Here, we describe a protocol which aims to explore and evaluate an inpatient MoC.Methods and analysisWe designed a longitudinal, mixed-methods, case study. The population consists of adolescents, caregivers and clinicians at a single inpatient unit in Melbourne, Australia. Standardised outcome measures, including semi- structured interviews, will be administered to adolescents at three time-points, T1 (admission), T2 (discharge) and T3 (6 months post discharge). Caregivers will also be interviewed at T1, T2 and T3. Clinicians will be interviewed once. The measures include: Life Problems Inventory, Quick Inventory of Depressive Symptomatology, Kessler Psychological Distress Scale and the Youth Self-Report. Health of the Nation Outcome Scales for Children and Adolescents will be collected at T1 and T2. Quantitative analysis will include descriptive statistics and paired t-tests summarising adolescents admitted to the unit, clinical characteristics and longitudinal data on symptomatology. Qualitative data will be analysed using both thematic and trajectory analysis. Data collection began in May 2017 and will cease with T3 interviews by October 2018.Ethics and dissemination

Download Full-text

Factors influencing delivery of intersectoral actions to address infant stunting in Bogotá, Colombia – a mixed methods case study.

10.21203/rs.3.rs-21690/v1 ◽

2020 ◽

Author(s):

Natalia Botero-Tovar ◽

Gina Paola Arocha Zuluaga ◽

Andrea Ramírez Varela

Keyword(s):

Public Health ◽

Mixed Methods ◽

Health Sector ◽

Systematic Evaluation ◽

Intersectoral Collaboration ◽

Local Health ◽

Structured Interviews ◽

Local Health Service ◽

Qualitative Component

Download Full-text

One-Year Mixed-Methods Case Study of a Community–Academic Advisory Board Addressing Childhood Obesity

Health Promotion Practice ◽

10.1177/1524839916689550 ◽

2017 ◽

Vol 18 (6) ◽

pp. 833-853 ◽

Cited By ~ 9

Author(s):

Jamie Zoellner ◽

Jennie L. Hill ◽

Donna Brock ◽

Morgan L. Barlow ◽

Ramine Alexander ◽

...

Keyword(s):

Mixed Methods ◽

Childhood Obesity ◽

Advisory Board ◽

Mixed Methods Case Study ◽

One Year

Download Full-text

Why do stroke survivors not receive recommended amounts of active therapy? Findings from the ReAcT study, a mixed-methods case-study evaluation in eight stroke units

Clinical Rehabilitation ◽

10.1177/0269215518765329 ◽

2018 ◽

Vol 32 (8) ◽

pp. 1119-1132 ◽

Cited By ~ 15

Author(s):

David J Clarke ◽

Louisa-Jane Burton ◽

Sarah F Tyson ◽

Helen Rodgers ◽

Avril Drummond ◽

...

Keyword(s):

Mixed Methods ◽

Information Exchange ◽

Patient Specific ◽

Guideline Recommendation ◽

Structured Interviews ◽

Stroke Units ◽

Mixed Methods Case Study ◽

Documentary Analysis ◽

Study Evaluation

Objective: To identify why the National Clinical Guideline recommendation of 45 minutes of each appropriate therapy daily is not met in many English stroke units. Design: Mixed-methods case-study evaluation, including modified process mapping, non-participant observations of service organisation and therapy delivery, documentary analysis and semi-structured interviews. Setting: Eight stroke units in four English regions. Subjects: Seventy-seven patients with stroke, 53 carers and 197 stroke unit staff were observed; 49 patients, 50 carers and 131 staff participants were interviewed. Results: Over 1000 hours of non-participant observations and 433 patient-specific therapy observations were undertaken. The most significant factor influencing amount and frequency of therapy provided was the time therapists routinely spent, individually and collectively, in information exchange. Patient factors, including fatigue and tolerance influenced therapists’ decisions about frequency and intensity, typically resulting in adaptation of therapy rather than no provision. Limited use of individual patient therapy timetables was evident. Therapist staffing levels were associated with differences in therapy provision but were not the main determinant of intensity and frequency. Few therapists demonstrated understanding of the evidence underpinning recommendations for increased therapy frequency and intensity. Units delivering more therapy had undertaken patient-focused reorganisation of therapists’ working practices, enabling them to provide therapy consistent with guideline recommendations. Conclusion: Time spent in information exchange impacted on therapy provision in stroke units. Reorganisation of therapists’ work improved alignment with guidelines.

Download Full-text

An Exploration for the Motives behind Enhancing Senior Banker’s Level of Organizational Resilience: A Holistic Case Study

Journal of Intercultural Management ◽

10.1515/joim-2017-0025 ◽

2017 ◽

Vol 9 (4) ◽

pp. 141-163

Author(s):

Mohamed Mousa ◽

Andrew Adjah Sai ◽

Gehad Salhin

Keyword(s):

Relevant Literature ◽

Organizational Capacity ◽

Value Added ◽

Arabic Language ◽

Organizational Resilience ◽

Structured Interviews ◽

External Threats ◽

Main Motive ◽

And Training

AbstractObjective: the present paper aims to explore the main motives behind Cairo bank’s attempts to raise its senior bankers’ level of organizational resilience.Methodology: after gathering and investigating all relevant literature about organizational resilience, semi-structured interviews were conducted with 24 of the senior bankers who work at Cairo bank at 6 October city, Giza, Egypt. All interviews were conducted in the Arabic language.Findings: the findings of this study show that senior bankers at Cairo bank, like many other Egyptian classes, struggle in a state of uncertainty and consider it the main motive behind their bank’s attempt to raise their resilience level. The pressure of stakeholders is, to a large extent, present, and there is a thought that fulfilling different societal obligations is a source for economic gains and accordingly, stakeholders’ pressure is a second motive behind raising employees’ organizational resilience. Furthermore, organizational culture adaptability and the tendency to responsively act in line with unpredicted events is a third motive. Finally, senior bankers’ loud voice in calling for continuous grants for education and training has come to be the fourth motive.Value added: the paper is considered the first to qualitatively investigate organizational resilience in Egypt.Recommendations: The researchers are of the view that the development of every departmental agenda for needed resilience is a priority for improving organizational capacity. Moreover, reformulating the bank’s values, operations and activities should also be considered to create a harmony between the external threats and the internal duties. Furthermore, there should be also an orientation to redefine the concept of “uncertainty” from time to time to include socio-political and socio-economic types of risk.

Download Full-text