scholarly journals ‘A volunteer for life’

2020 ◽  
Vol 7 (2) ◽  
pp. 296-302
Author(s):  
Blessings N. Kaunda-Khangamwa
Keyword(s):  
Knowledge Production ◽  
Mixed Method ◽  
Sexual And Reproductive Health ◽  
Service Use ◽  
Mixed Method Study ◽  
Resilience Theory ◽  
Multiple Perspectives ◽  
Group Interviews ◽  
Methodological Considerations ◽  
Living With Hiv

In a time of renewed interest in the challenges of adolescent sexual and reproductive health (SRH) and service use, increased scholarly attention paid to fieldwork and knowledge production is critical. I describe the pleasure and challenges of engaging with multiple perspectives, spaces, places, and roles at a family centre in Malawi to understand the complexity of the interactions and relationships related to my doctoral fieldwork. This work is part of a large mixed-method study that explores SRH, service use, and resilience among adolescents living with HIV and attending a teen-club clinic in Blantyre, Malawi. Drawing from resilience theory and experiences of reflexivity, I reflect on my roles as a student of medical anthropology and public health, a ‘friend’, an ‘aunt’, and a ‘volunteer’; on my occupation of diverse spaces (clinics, homes, school grounds, digital); and on my use of multiple methods (including participants’ observations, individual and group interviews, workshops, feedback sessions, and fieldnotes), which make up the data collection, analysis, and interpretation processes. The reflections contained in this essay advance our understanding of the implications of the methodological considerations and ethical questions underscoring approaches to adolescents research.

scholarly journals Characteristics of influential peers in the eyes of secondary school students: a mixed method study

2017 ◽  
Vol 18 (05) ◽  
pp. 429-440 ◽  
Author(s):  
Alice Y. Loke ◽  
Yim-wah Mak ◽  
Cynthia S.T. Wu
Keyword(s):  
Focus Group ◽  
Health Risk ◽  
Risk Behaviors ◽  
Mixed Method ◽  
At Risk Students ◽  
Health Risk Behaviors ◽  
Mixed Method Study ◽  
Focus Group Interviews ◽  
School Students ◽  
Group Interviews

Aim It is the aim of this study to explore the characteristics of influential peers identified by schoolmates, and the mechanism by which they exert their influence on their peers. Background Adolescent crowds are a salient influence on the health-risk behaviors of peers, contributing to adolescent substance use such as drinking alcohol, smoking cigarettes, and taking drugs. Methods A mixed method study. Three schools granted us access to students and those who had been nominated as influential by their peers. The students were asked to nominate and indicated the characteristics of peers whom they considered influential in a quantitative study. Those peers whom they considered influential were invited to take part in focus group interviews. A total of six focus group interviews were conducted, comprised of two groups from each school, with an average of seven participants in each group. Findings Students considered caring and friendliness (91.0%), being a buddy (88.5%), and entertaining/humor (86.8%) as the top three characteristics of influential peers. The interviews revealed that the students believed that they are influential because of their cheerfulness and humor, considerateness, ability to communicate, popularity and sociability, sincerity and trustworthiness, and because they possess the characteristics of a leader. They also believed that their power to influence came about through their helpfulness, accommodation, and the closeness of their relationships. Their influence was manifested in both positive and negative ways on the academic pursuits and health-risk behaviors of their peers. In order to engage at-risk students in health promotion programs, it is important to identify their influential peers, and to understand how adolescent friends may help one another to resist behaviors that pose a risk to their health.

scholarly journals Preventing ventilator-associated pneumonia—a mixed-method study to find behavioral leverage for better protocol adherence

2018 ◽  
Vol 39 (10) ◽  
pp. 1222-1229 ◽  
Author(s):  
Aline Wolfensberger ◽  
Marie-Theres Meier ◽  
Lauren Clack ◽  
Peter W. Schreiber ◽  
Hugo Sax
Keyword(s):  
Focus Group ◽  
Mixed Method ◽  
University Hospital ◽  
Mixed Method Study ◽  
Ventilator Associated Pneumonia ◽  
Theory Approach ◽  
Prevention Measures ◽  
Focus Group Interviews ◽  
Protocol Adherence ◽  
Group Interviews

AbstractObjectivePreventing ventilator-associated pneumonia (VAP) is an important goal for intensive care units (ICUs). We aimed to identify the optimal behavior leverage to improve VAP prevention protocol adherence.DesignMixed-method study using adherence measurements to assess 4 VAP prevention measures and qualitative analysis of semi-structured focus group interviews with frontline healthcare practitioners (HCPs).SettingThe 6 ICUs in the 900-bed University Hospital Zurich in Zurich, Switzerland.Patients and participantsAdherence to VAP prevention measures were assessed in patients with a device for invasive ventilation (ie, endotracheal tube, tracheostomy tube). Participants in focus group interviews included a convenience samples of ICU nurses and physicians.ResultsBetween February 2015 and July 2017, we measured adherence to 4 protocols: bed elevation showed adherence at 27% (95% confidence intervals [CI], 23%–31%); oral care at 41% (95% CI, 36%–45%); sedation interruption at 81% (95% CI, 74%–85%); and subglottic suctioning at 88% (95% CI, 83%–92%). Interviews were analyzed first inductively according a grounded theory approach then deductively against the behavior change wheel (BCW) framework. Main behavioral facilitators belonged to the BCW component ‘reflective motivation’ (ie, perceived seriousness of VAP and self-efficacy to prevent VAP). The main barriers belonged to ‘physical capability’ (ie, lack of equipment and staffing and side-effects of prevention measures). Furthermore, 2 primarily technical approaches (ie, ‘restructuring environment’ and ‘enabling HCP’) emerged as means to overcome these barriers.ConclusionsOur findings suggest that technical, rather than education-based, solutions should be promoted to improve VAP prevention. This theory-informed mixed-method approach is an effective means of guiding infection prevention efforts.

scholarly journals Assessment of Palliative Care Needs among People Living with HIV/ AIDS Attending Antiretroviral Therapy Outpatient Department in an Urban Slum of Mumbai: A Mixed Method Study

2022 ◽  
Vol 0 ◽  
pp. 1-8
Author(s):  
Sujata Ramchandra Lavangare ◽  
Prabhadevi Ravichandran
Keyword(s):  
Palliative Care ◽  
Mixed Method ◽  
Care Process ◽  
Mixed Method Study ◽  
People Living With Hiv ◽  
Care Needs ◽  
Demographic Profile ◽  
Living With Hiv ◽  
Palliative Care Needs ◽  
Hiv Aids

Objectives: According to WHO, Palliative care is an essential component of a comprehensive package of care for people living with HIV/AIDS. Lack of palliative care results in untreated symptoms that hamper an individual’s ability to perform daily activities. The study aimed to explore the perceived Palliative care needs of People Living With HIV/AIDS and the association between socio- demographic profile with Palliative care needs. Materials and Methods: It was a mixed method study conducted over 2 months in November and December 2020 at Link ART OPD of Urban Health Training Centre in Mumbai. Out of 120 registered patients,15 patients were selected for in-depth interview by purposive sampling. The remaining 105 patients were selected for quantitative part of the study by complete enumeration method. For Qualitative part, Thematic analysis of the transcripts was done. Data were coded using Microsoft word comment feature. Themes and categories were drawn from it. For Quantitative part, Data analysis was done using SPSS version 22. Chi- square test was applied to find out the association between socio- demographic profile & palliative care needs. P value < 0.05 was considered statistically significant. Results: The major themes identified were poor attitude towards the disease, lack of support and role of counselling. The common palliative care needs identified were need for financial assistance, family support and psychological support. Conclusions: Palliative care should be introduced early in the care process by a team of providers who is aware of the patient’s history and requirements.

scholarly journals Attitudes towards people living with HIV and people who inject drugs: A mixed method study of stigmas within harm reduction programs in Kazakhstan

2019 ◽  
Vol 68 ◽  
pp. 27-36 ◽  
Author(s):  
Kristi Lynn Stringer ◽  
Trena Mukherjee ◽  
Tara McCrimmon ◽  
Assel Terlikbayeva ◽  
Sholpan Primbetovac ◽  
...  
Keyword(s):  
Harm Reduction ◽  
Mixed Method ◽  
People Who Inject Drugs ◽  
Mixed Method Study ◽  
People Living With Hiv ◽  
Living With Hiv

scholarly journals Development and Psychometric Properties of Sexual and Reproductive Health Literacy Instrument for Infertile Women (SRH-Life): A Mixed Method Study

2020 ◽  
Author(s):  
Zahra Rakhshaee ◽  
Zohreh Khakbazan ◽  
Saharnaz Nedjat ◽  
Raziyeh Maasoumi
Keyword(s):  
Health Literacy ◽  
Reproductive Health ◽  
Psychometric Properties ◽  
Health Information ◽  
Mixed Method ◽  
Sexual And Reproductive Health ◽  
Intraclass Correlation ◽  
Mixed Method Study ◽  
Infertile Women ◽  
Sexual Reproductive Health

Abstract Background: Promoting sexual- reproductive health literacy is one of the most important strategies for achieving the goals of sexual- reproductive health in different groups of women. Infertile women are one of the most vulnerable groups to the adverse effects of low levels of health literacy. Since no specific instrument exists for assessing the level of sexual- reproductive health literacy, therefore, this study aimed to develop and evaluate the psychometric characteristics of an instrument for measuring sexual and reproductive health literacy among infertile women (Sexual and Reproductive Health Literacy instrument for infertile women: SRH-Life).Methods: This was a mixed method study with exploratory design which conducted from July 2018 to Jan 2020 in northern Iran. Semi structured interviews with infertile women, literature review and, expert panel comments were utilized to generate an item pool. Then, the psychometric properties of the instrument, validity and reliability were assessed. Results: The initial instrument contained 78 items. Next, 10 experts evaluated content validity. Some items were removed and a provisional version of the instrument with 47 items was provided. Then, the face validity was performed by 10 infertile women. Finally, a random sample of 235 infertile women completed the instrument and construct validity were assessed. The exploratory factor analysis was performed, 35 items were loaded, which indicated a 4-factor solution for the instrument including reproductive health information (8 items), infertility and treatment information (9 items), sexual health information (8 items) and functional sexual- reproductive literacy (10 items) that jointly explained 55.3% of the variance observed. For reliability, internal consistency showed satisfactory results with Cronbach’s alpha coefficients ranging from 0.89 to 0.9. Intraclass correlation coefficient (test-retest analysis) showed acceptable stability for the instrument.Conclusion: The results showed that Sexual and Reproductive Health Literacy instrument for infertile women (SRH-Life) is a valid and reliable measure for assessing sexual and reproductive health literacy among women with infertility.

From concept to practice, is multidimensional care the leading principle in hospice care? An exploratory mixed method study

2017 ◽  
Vol 10 (1) ◽  
pp. e5-e5 ◽  
Author(s):  
Everlien de Graaf ◽  
Merel van Klinken ◽  
Danielle Zweers ◽  
Saskia Teunissen
Keyword(s):  
Clinical Reasoning ◽  
Mixed Method ◽  
Hospice Care ◽  
Interdisciplinary Collaboration ◽  
Assessment Tools ◽  
Mixed Method Study ◽  
Patient Records ◽  
Multiprofessional Team ◽  
Primary Focus ◽  
Group Interviews

BackgroundHospice care (HC) aims to optimise the quality of life of patients and their families by relief and prevention of multidimensional suffering. The aim of this study is to gain insight into multidimensional care (MC) provided to hospice inpatients by a multiprofessional team (MT) and identify facilitators, to ameliorate multidimensional HC.MethodsThis exploratory mixed-method study with a sequential quantitative–qualitative design was conducted from January to December 2015. First a quantitative study of 36 patient records (12 hospices, 3 patient records/hospice) was performed. The outcomes were MC, clinical reasoning and assessment tools. Second, MC was qualitatively explored using semistructured focus group interviews with multiprofessional hospice teams. Both methods had equal priority and were integrated during analysis.ResultsThe physical dimension was most prevalent in daily care, reflecting the patients' primary expressed priority at admission and the nurses' and physicians' primary focus. The psychological, social and spiritual dimensions were less frequently described. Assessment tools were used systematically by 4/12 hospices. Facilitators identified were interdisciplinary collaboration, implemented methods of clinical reasoning and structures.ConclusionsMC is not always verifiable in patient records; however, it is experienced by hospice professionals. The level of MC varied between hospices. The use of assessment tools and a stepped skills approach for spiritual care are recommended and multidimensional assessment tools should be developed. Leadership and commitment of all members of the MT is needed to establish the integration of multidimensional symptom management and interdisciplinary collaboration as preconditions for integrated multidimensional HC.

scholarly journals Social streaming? Navigating music as personal and social

2016 ◽  
Vol 23 (6) ◽  
pp. 643-659 ◽  
Author(s):  
Anja N Hagen ◽  
Marika Lüders
Keyword(s):  
Focus Group ◽  
Mixed Method ◽  
Social Awareness ◽  
Mixed Method Study ◽  
Focus Group Interviews ◽  
Self Reports ◽  
Social Features ◽  
Streaming Services ◽  
Group Interviews ◽  
Music Streaming

Music-streaming services embed social features that enable users to connect to one another and use music as social objects. This article examines how these features are experienced within negotiations of music as personal and social through the acts of sharing music and of following others. The analysis relies on 23 focus-group interviews with 124 Spotify and/or Tidal users and a mixed-method study including music-diary self-reports, online observation and interviews with 12 heavy users. Our findings suggest that users incorporate social awareness in non-sharing, selective-sharing and all-sharing approaches with strong, weak and absent ties. These ties are characterized by different configurations of social and music homophily. Negotiations of music as personal and social shape how music-streaming services are experienced.

scholarly journals The Benefits of Spiritual Diaries: A Mixed-Method Study in Korea

2021 ◽  
Author(s):  
Suk-Sun Kim ◽  
Yeounsoo Kim-Godwin ◽  
Minji Gil ◽  
DaEun Kim ◽  
Yeon Kum Cheon
Keyword(s):  
Focus Group ◽  
Mixed Method ◽  
Spiritual Growth ◽  
Healthcare Providers ◽  
Self Care ◽  
Well Being ◽  
Psychological Wellbeing ◽  
Mixed Method Study ◽  
Focus Group Interviews ◽  
Group Interviews

AbstractThis mixed study examined the benefits of spiritual diaries in Korea. Quantitatively, differences in spiritual growth and psychological well-being were examined in relation to the frequency of writing spiritual diaries among 385 participating adults. The group who wrote spiritual diaries ‘5–7 times a week’ had significantly higher scores relating to spiritual growth and psychological wellbeing than other groups across the outcome variables. Qualitatively, the study also explored the benefits of writing spiritual diaries among 37 adults. Three major themes using four focus group interviews, were identified: (a) the acquisition of godly habits, (b) a closer walk with Jesus, and (c) the fullness of God’s presence. These findings are particularly important for healthcare providers who want to facilitate patient self-care.

scholarly journals Development and Psychometric Properties of Sexual and Reproductive Health Literacy Instrument for Infertile Women (SRH-Life): A Mixed Method Study

2020 ◽  
Author(s):  
Zahra Rakhshaee ◽  
Zohreh Khakbazan ◽  
Saharnaz Nedjat Saharnaz Nedjat ◽  
Raziyeh Maasoumi
Keyword(s):  
Health Literacy ◽  
Reproductive Health ◽  
Psychometric Properties ◽  
Health Information ◽  
Mixed Method ◽  
Sexual And Reproductive Health ◽  
Intraclass Correlation ◽  
Mixed Method Study ◽  
Infertile Women ◽  
Sexual Reproductive Health

Abstract Background: Promoting sexual- reproductive health literacy is one of the most important strategies for achieving the goals of sexual- reproductive health in different groups of women. Infertile women are one of the most vulnerable groups to the adverse effects of low levels of health literacy. Since no specific instrument exists for assessing the level of sexual- reproductive health literacy, therefore, this study aimed to develop and evaluate the psychometric characteristics of an instrument for measuring sexual and reproductive health literacy among infertile women ( Sexual and Reproductive Health Literacy instrument for infertile women: SRH-Life) .Methods: This was a mixed method study with exploratory design which conducted from July 2018 to Jan 2020 in northern Iran. Semi structured interviews with infertile women, literature review and, expert panel comments were utilized to generate an item pool. Then, the psychometric properties of the instrument, validity and reliability were assessed.Results: The initial instrument contained 78 items. Next, 10 experts evaluated content validity. Some items were removed and a provisional version of the instrument with 47 items was provided. Then, the face validity was performed by 10 infertile women. Finally, a random sample of 235 infertile women completed the instrument and construct validity were assessed. The exploratory factor analysis was performed, 35 items were loaded, which indicated a 4-factor solution for the instrument including reproductive health information (8 items), infertility and treatment information (9 items), sexual health information (8 items) and functional sexual- reproductive literacy (10 items) that jointly explained 55.3% of the variance observed. For reliability, internal consistency showed satisfactory results with Cronbach’s alpha coefficients ranging from 0.89 to 0.9. Intraclass correlation coefficient (test-retest analysis) showed acceptable stability for the instrument.Conclusion: The results showed that Sexual and Reproductive Health Literacy instrument for infertile women (SRH-Life) is a valid and reliable measure for assessing sexual and reproductive health literacy among women with infertility.

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