Treatment pathways traversed by polycystic ovary syndrome (PCOS) patients: A mixed-method study

Background This study was undertaken to explore the treatment-seeking pathways traversed by women with PCOS and elicit their behavior, experiences and perspectives regarding it. Methods This concurrent mixed-method study was conducted on 18–40 years old women diagnosed with PCOS at the Gynecology outpatient department, PGIMER, Chandigarh, India. Of the 275 women, who were administered a questionnaire to elicit their treatment-seeking behavior, 62 willing participants were subjected to in-depth interviews. Quantitative responses were descriptively analyzed and presented as count, proportion, mean or median. Framework analysis was performed for the qualitative data. The findings of both types of data were triangulated to construct the pathways to treatment traversed by PCOS patients. Findings Many (~45%) respondents had no information regarding PCOS. Only 9.1% received some information from their doctors. Though the internet was the primary source of information for 37.5% of respondents, they expressed dissatisfaction with the quality of information. Multiple health care agencies were consulted by most (85.8%) of the respondents. Allopathy was the preferred choice of treatment. The average delay in initiating the treatment was 3 months. The major reasons for this were ignorance, the concept of ‘normality’ and ‘endurance’. Deviations from the normal self (like irregular-menstruation, obesity, hirsutism, infertility) were the concern that led them to consult a doctor. They were also dissatisfied with the treatment due to a late diagnosis, lack of relief, taboo, side-effects, expenses involved and the need for repeated laboratory tests. Participants’ course of treatment was influenced by the interplay of individual, distress, health-system, and social-economic factors. Conclusions Women with PCOS were dissatisfied with the quality of the information and treatment received. There were treatment delays. The patients consulted multiple health agencies, including indigenous therapies, in the hope of relief. The findings provide an empirical basis on points to focus on for building better coping strategies for managing the condition.

Download Full-text

Comparing the Experiences of Parturient Women With Remifentanil Analgesia and Elective Cesarean Section and Providing Improver Strategies: A Sequential Explanatory Mixed Method Study

10.21203/rs.3.rs-353880/v1 ◽

2021 ◽

Author(s):

rana dousti ◽

Sevil Hakimi ◽

Hojjat Pourfathi ◽

Roghayeh Nourizadeh ◽

Niloufar sattarzadeh jahdi

Keyword(s):

Cesarean Section ◽

Mixed Method ◽

Elective Cesarean Section ◽

Mixed Method Study ◽

Quality Of Data ◽

Sequential Approach ◽

Private Hospitals ◽

Elective Cesarean ◽

The City

Abstract Background Identifying methods that can effectively and safely improve the childbirth experience and are tailored to mothers' needs are of crucial importance. The current study aimed to compare experiences of parturient women with remifentanil analgesia and elective cesarean section and providing improver strategies for women living in the city of Tabriz, Iran.MethodsThis is a mixed-method study with an explanatory sequential approach. The first stage is quantitative and longitudinal. The study population is all parturient women who will give birth by elective C-section or vaginal painless delivery using remifentanil in private hospitals of the city of Tabriz in 2020-2021. All mothers are free to choose either method. Participants will be selected from all private hospitals using the convenience sampling technique proportioned to the number of eligible women in each hospital. Participants will be followed up to 30 days after delivery to complete the Edinburgh Postpartum Depression questionnaire. The second stage is a qualitative study aimed at exploring the perceptions of parturient women who had either elective C-section or painless delivery (using remifentanil), including factors related to labor experiences. Data will be collected by semi structured interviews with new mothers and important others (if needed).In the third stage, a mixed study will be performed to provide strategies for improving labor experiences. we will use an explanatory Sequential approach in order to increase the accuracy and quality of data and to use the findings to evaluate different methods of delivery.DiscussionBy comparing the experience of parturient women receiving Remifentanil analgesia and elective C-section, evidence-based improving strategies using a culturally sensitive approach can be provided. Presentation of the results obtained from this study using the mixed method may help in better understanding the issue. Also, the obtained results can be used to enhance the quality of midwifery care to be examined by health policymakers and planners.Trial registrationThis study is approved by the ethics committee of the Tabriz University of Medical Sciences (code: IR.TBZMED.REC.1399. 521). Besides, it's evaluated by relevant refers.

Download Full-text

Quality of Life in Family Caregivers of Adolescents with Depression in China: A Mixed-Method Study

Patient Preference and Adherence ◽

10.2147/ppa.s265867 ◽

2020 ◽

Vol Volume 14 ◽

pp. 1317-1327

Author(s):

Yinying Zhang ◽

Min Yang ◽

Xin Guo ◽

Qiongni Chen

Keyword(s):

Quality Of Life ◽

Family Caregivers ◽

Mixed Method ◽

Mixed Method Study

Download Full-text

Improving the quality of self-management support in ambulatory cancer care: a mixed-method study of organisational and clinician readiness, barriers and enablers for tailoring of implementation strategies to multisites

BMJ Quality & Safety ◽

10.1136/bmjqs-2020-012051 ◽

2021 ◽

pp. bmjqs-2020-012051

Author(s):

Doris Howell ◽

Melanie Powis ◽

Ryan Kirkby ◽

Heidi Amernic ◽

Lesley Moody ◽

...

Keyword(s):

Mixed Method ◽

Cancer Care ◽

Implementation Strategies ◽

Self Management ◽

Normalisation Process Theory ◽

Mixed Method Study ◽

Successful Implementation ◽

Management Support ◽

Specific Implementation

IntroductionImproving the quality of self-management support (SMS) for treatment-related toxicities is a priority in cancer care. Successful implementation of SMS programmes depends on tailoring implementation strategies to organisational readiness factors and barriers/enablers, however, a systematic process for this is lacking. In this formative phase of our implementation-effectiveness trial, Self-Management and Activation to Reduce Treatment-Related Toxicities, we evaluated readiness based on constructs in the Consolidated Framework for Implementation Research (CFIR) and Normalisation Process Theory (NPT) and developed a process for mapping implementation strategies to local contexts.MethodsIn this convergent mixed-method study, surveys and interviews were used to assess readiness and barriers/enablers for SMS among stakeholders in 3 disease site groups at 3 regional cancer centres (RCCs) in Ontario, Canada. Median survey responses were classified as a barrier, enabler or neutral based on a priori cut-off values. Barriers/enablers at each centre were mapped to CFIR and then inputted into the CFIR-Expert Recommendations for Implementing Change Strategy Matching Tool V.1.0 (CFIR-ERIC) to identify centre-specific implementation strategies. Qualitative data were separately analysed and themes mapped to CFIR constructs to provide a deeper understanding of barriers/enablers.ResultsSMS in most of the RCCs was not systematically delivered, yet most stakeholders (n=78; respondent rate=50%) valued SMS. For centre 1, 7 barriers/12 enablers were identified, 14 barriers/9 enablers for centre 2 and 11 barriers/5 enablers for centre 3. Of the total 46 strategies identified, 30 (65%) were common across centres as core implementation strategies and 5 tailored implementation recommendations were identified for centres 1 and 3, and 4 for centre 2.ConclusionsThe CFIR and CFIR-ERIC were valuable tools for tailoring SMS implementation to readiness and barriers/enablers, whereas NPT helped to clarify the clinical work of implementation. Our approach to tailoring of implementation strategies may have relevance for other studies.

Download Full-text

Family Caregivers’ Perspectives for the Effect of Social Support on their Care Burden and Quality of Life: A Mixed-Method Study in Rural and Sub-Urban Central Japan

The Tohoku Journal of Experimental Medicine ◽

10.1620/tjem.247.197 ◽

2019 ◽

Vol 247 (3) ◽

pp. 197-207 ◽

Cited By ~ 1

Author(s):

Marinda Asiah Nuril Haya ◽

Shuhei Ichikawa ◽

Hideki Wakabayashi ◽

Yousuke Takemura

Keyword(s):

Quality Of Life ◽

Social Support ◽

Family Caregivers ◽

Mixed Method ◽

Mixed Method Study ◽

Central Japan ◽

Care Burden

Download Full-text

Oral language development among Mandarin learners in Chinese homestays

Study Abroad Research in Second Language Acquisition and International Education ◽

10.1075/sar.17002.dia ◽

2018 ◽

Vol 3 (1) ◽

pp. 32-57

Author(s):

Wenhao Diao ◽

Anne Donovan ◽

Margaret Malone

Keyword(s):

Mixed Method ◽

Oral Language ◽

Learning Experience ◽

Oral Proficiency ◽

Mixed Method Study ◽

Oral Language Development ◽

American Students ◽

Host Families

Abstract This mixed-method study describes the oral Mandarin development of 25 American students living in Chinese homestays, and how it may relate to the ways they respond to opportunities for interaction with their host families. While scholars have begun to examine students’ Mandarin development during their sojourns in China, there is little research regarding changes in their holistic oral proficiency and how such changes may be related to the quality of interaction they have with their interlocutors. The results of this study show robust gains in proficiency ratings of their oral performances over the course of one semester. A case study of two purposefully selected student performances – one who demonstrated the most prominent proficiency gains and the other who showed no gains – reveals differences in the ways they respond to opportunities for interaction. These findings provide suggestions on ways to best facilitate students’ learning experience while living with host families.

Download Full-text