Correction: Medication Adherence Reminder System for Virtual Home Assistants: Mixed Methods Evaluation Study (Preprint)

Abstract This paper introduces the rapidly growing modern mixed methods research (MMR) and its application in a Chinese cancer screening program. While some previous researchers have incorporated quantitative and qualitative data in research, recent mixed methods developments have provided significant clarity that can guide those new to the MMR field. Understanding the context for using MMR and examining a complex mixed methods evaluation study in Taiwan can help illustrate opportunities for and application of mixed methods in Asians. The Taiwan Cervical Cancer Screening Education Program is used as an exemplar of a multi-phase complex mixed methods evaluation study showcasing various MMR designs. These include an exploratory sequential design to develop culturally sensitive study instrument, iterative concurrent and sequential mixed methods for intervention mapping, and an embedded mixed methods evaluation design to assess impact. Visual diagrams are introduced to facilitate communication of mixed methods design procedures and products in each phase.

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Implementing change in primary care practice: lessons from a mixed-methods evaluation of a frailty initiative

BJGP Open ◽

10.3399/bjgpopen18x101421 ◽

2018 ◽

Vol 2 (1) ◽

pp. bjgpopen18X101421 ◽

Cited By ~ 2

Author(s):

Carol Bryce ◽

Joanna Fleming ◽

Joanne Reeve

Keyword(s):

Primary Care ◽

Mixed Methods ◽

Online Survey ◽

Complex Interventions ◽

Evaluation Study ◽

Models Of Care ◽

Normalisation Process Theory ◽

Care Practice ◽

Successful Implementation ◽

Mixed Methods Evaluation

BackgroundThe NHS is facing increasing needs from an aging population, which is acutely visible in the emerging problem of frailty. There is growing evidence describing new models of care for people living with frailty, but a lack of evidence on successful implementation of these complex interventions at the practice level.AimThis study aimed to determine what factors enable or prevent implementation of a whole-system, complex intervention for managing frailty (the PACT initiative) in the UK primary care setting.Design & settingA mixed-methods evaluation study undertaken within a large clinical commissioning group (CCG). Design and analysis was informed by normalisation process theory (NPT).MethodData collection from six sites included: observation of delivery, interviews with staff, and an online survey. NPT-informed analysis sought to identify enablers and barriers to implementation of change.ResultsSeven themes were identified. PACT was valued by professionals and patients but a lack of clarity on its aims was identified as a barrier to implementation. Successful implementation relied on champions pushing the work forward, and dealing with unanticipated resistance. Contracts focused on delivery of service outcomes, but these were sometimes at odds with professional priorities. Implementation followed evidence-informed rather than evidence-based practice, requiring redesign of the intervention and potentially created a new body of knowledge on managing frailty.ConclusionSuccessful implementation of complex interventions in primary care need inbuilt capacity for flexibility and adaptability, requiring expertise as well as evidence. Professionals need to be supported to translate innovative practice into practice-based evidence.

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Methodological Challenges of Mixed Methods Intervention Evaluations

Methodology ◽

10.1027/1614-2241/a000101 ◽

2015 ◽

Vol 11 (4) ◽

pp. 119-125 ◽

Cited By ~ 3

Author(s):

Hennie R. Boeije ◽

Sarah J. Drabble ◽

Alicia O’Cathain

Keyword(s):

Mixed Methods ◽

Evaluation Studies ◽

Complex Interventions ◽

Evaluation Study ◽

Methodological Issues ◽

Mixed Methods Evaluation ◽

Methodological Challenges ◽

Research Designs ◽

Combination Of Methods ◽

Equal Interest

Abstract. This paper addresses the methodological challenges that accompany the use of a combination of research methods to evaluate complex interventions. In evaluating complex interventions, the question about effectiveness is not the only question that needs to be answered. Of equal interest are questions about acceptability, feasibility, and implementation of the intervention and the evaluation study itself. Using qualitative research in conjunction with trials enables us to address this diversity of questions. The combination of methods results in a mixed methods intervention evaluation (MMIE). In this article we demonstrate the relevance of mixed methods evaluation studies and provide case studies from health care. Methodological challenges that need our attention are, among others, choosing appropriate designs for MMIEs, determining realistic expectations of both components, and assigning adequate resources to both components. Solving these methodological issues will improve our research designs and provide further insights into complex interventions.

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