scholarly journals Missed Appointments at a Child Development Centre and Barriers to Access Special Needs Services for Children in Klang Valley, Malaysia: A Mixed Methods Study

2021 ◽  
Vol 19 (1) ◽  
pp. 325
Author(s):  
Fariza Fadzil ◽  
Idayu Badilla Idris ◽  
Norazlin Kamal Nor ◽  
Juriza Ismail ◽  
Azmi Mohd Tamil ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Child Development ◽  
Special Needs ◽  
Mixed Methods Study ◽  
Children With Special Needs ◽  
Missed Appointments ◽  
Development Centre ◽  
Child Development Centre ◽  
Special Needs Services

Attending appointments is vital for children with special needs, as such appointments involve long-term interdisciplinary care to ensure continuity of care and improve health and well-being. This study was performed to determine the prevalence of missed clinic appointments and identify the factors among those who have ever missed appointments and barriers of access to children’s special needs services at the Child Development Centre (CDC) at the Universiti Kebangsaan Malaysia Medical Centre (UKMMC). Moreover, suggestions for improvement from the caregivers’ perspectives were explored. This is an explanatory sequential mixed methods study among caregivers of children with developmental disabilities aged up to 17 years old. Of 197 caregivers, 62 (31.5%) had missed clinic appointments. Forgetfulness was the most frequently cited reason. The bi-variable analysis showed significant differences in missed appointment rates by gender of caregivers and duration of follow-up. The final logistic regression model demonstrated that, when combined with the effect of being a male caregiver as an independent variable, follow-up duration of more than 6 years increased 2.67 times the risk of missing an appointment. Caregivers’ perceived barriers were transportation, caregiver, child and healthcare services factors. Policies and strategic plans should be focused on key findings from these factors to improve appointment adherence and accessibility to services for children with special needs.

An Affair to Remember: A Mixed-Methods Survey Examining Therapists’ Experiences Treating Infidelity

2021 ◽  
pp. 106648072110618
Author(s):  
Taylor J. Irvine ◽  
Paul R. Peluso
Keyword(s):  
Mixed Methods ◽  
Mixed Methods Study ◽  
Personal History ◽  
Future Research ◽  
Present Survey ◽  
Training Standards ◽  
Recovery Treatment ◽  
And Training

In this mixed-methods study, we analyzed data from 351 couple therapists who completed our Therapists' Experiences Treating Infidelity (TETI) survey. The present survey is a follow-up of previous iterations that examined therapists' attitudes toward infidelity and affair recovery treatment. Our TETI survey provided additional questions pertaining to therapists' personal history with affairs and perceptions on current research and training standards. Results showed that various therapist and couple factors serve to impede affair recovery treatment. Additionally, this survey revealed several similarities in therapists' attitudes from prior surveys, despite decades having passed between when the present survey and previous versions. In this article, we (a) outline findings from this mixed-methods survey, (b) discuss implications for the field, and (c) offer directions for future research.

Care coordination and follow-up practices in the community pharmacy setting: A mixed methods study

2020 ◽  
Vol 60 (4) ◽  
pp. 631-638.e2
Author(s):  
Chelsea P. Renfro ◽  
Jessica M. Robinson ◽  
Kea Turner ◽  
Tashani Gaskins ◽  
Stefanie P. Ferreri
Keyword(s):  
Mixed Methods ◽  
Community Pharmacy ◽  
Care Coordination ◽  
Mixed Methods Study ◽  
Pharmacy Setting

scholarly journals Follow-up of Abnormal Estimated GFR Results Within a Large Integrated Health Care Delivery System: A Mixed-Methods Study

2019 ◽  
Vol 74 (5) ◽  
pp. 589-600 ◽  
Author(s):  
Kim N. Danforth ◽  
Erin E. Hahn ◽  
Jeffrey M. Slezak ◽  
Lie Hong Chen ◽  
Bonnie H. Li ◽  
...  
Keyword(s):  
Health Care ◽  
Mixed Methods ◽  
Delivery System ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Health Care Delivery System ◽  
Mixed Methods Study ◽  
Estimated Gfr ◽  
System A

scholarly journals Does Sense make sense? Mixed methods study of a Dutch sexual health program

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
R Joosten ◽  
L Jochems ◽  
C Wijsen ◽  
T Heijman ◽  
A Timen
Keyword(s):  
Health Care ◽  
Mixed Methods ◽  
Young People ◽  
Sexual Health ◽  
Health Care Professionals ◽  
Mixed Methods Study ◽  
Structured Interviews ◽  
Open Atmosphere ◽  
Study Results

Abstract In the Netherlands, the Sense program addresses several key elements of sexual health for young people <25 year. This program offers free consultations at the PHS concerning STI, contraceptives, pregnancy or sexuality. The performance of this program has not been studied yet. This mixed methods study investigates facilitators and barriers of a Sense consultation from the perspective of clients and health care professionals (HCP) and investigates the outcome of the consultation at three points in time. Semi-structured interviews were conducted after consultation among 16 clients and 6 HCP. Questionnaires were collected directly after consultation and at 3, 6 and 12 months after consultation. Two cohorts were recruited; clients with STI consultation only and clients with questions related to sexuality, contraception and pregnancy (Sense consultation, SC). Satisfaction of the consultation and applicability of the given advice was measured. In the follow up presence of STI, pregnancy, sexual problem and contraceptive use was measured. A minority of the interviewed clients were familiar with Sense, highly valued the expertise of the HCP and the open atmosphere during the consultation. Reasons for visiting Sense included expertise, more anonymity and feeling more comfortable than at the GP. The questionnaire after consultation was returned by 144 STI clients and 32 SC clients. Both type of consultation were highly valued and advice was easily applicable. The follow up cohort included 97 STI clients and 23 SC clients. Response rate of the 3- and 6 month-questionnaires was 61%. Results of the full one year follow-up are expected in September 2019. Study results provide evidence for a highly valued Sense program, by both clients and HCP. Sense is a platform to discuss STI, contraception and sexuality in an open atmosphere, though familiarity with Sense is low. A major conclusion is that an STI consultation provides the opportunity to address questions related to sexuality. Key messages The Sense program is highly valued by young people, and yet the program is not widely known among young people. There is need for more publicity to the program to enable more young people to use this program and to improve the sexual health care of young Dutch people.

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