Concept Mapping Approach Research Articles

Comic Based Learning for Students with Visual Impairments

ABSTRACT Visual impairment can affect a student’s ability to learn since their concept development when interacting with educational material is being limited. Learning activities based on images and visually rich content are mainstream learning methods, where facilitating students with visual impairments for engaged learning can be challenging. For comic books, which have shown promising results in engaged student learning, this problem is more severe. To overcome this challenge, this research presents a novel voice synthesised learning method to reduce the gap between the learning experience of a student with visual impairments compared to a mainstream learning activity. Utilising comic books, the proposed technique and the tool developed extracts semantic content, stores them in a database, and generates an audio stream in multiple languages on the user’s demand. To assess the usability of the system, a survey for a selected set of students with visual impairments was carried out. The results showed a mean rating of 5.76 out of 7 for the Informative Interest. Furthermore, a concept-mapping approach was used to analyse the feedback given through the open-ended questions. From the analysis, key concepts with an emphasis on positive emotions, willingness to try again, and features to be improved, were identified.

Design and development of semi-automatic concept map authoring support tool

This research, to design and develop a concept map authoring support tool, adopts a semi-automatic concept mapping approach to help teachers create concept maps from English readings. A concept map is widely regarded as a useful teaching and learning tool. It offers many potential advantages apart from representing the students’ knowledge and understanding during learning. Students’ engagement in using and creating concept maps with a computer-enabled concept mapping tool raises concept maps’ potential benefits. It contributes to the learning process and improves the students’ meaningful learning. The Kit-Build concept map framework, which incorporates a technology-enabled concept mapping tool, uses concept map recomposition as its essential learning activity. In learning with Kit-Build, teachers compose concept maps that they want the students to achieve. The teachers’ maps are then decomposed into components from which the students recompose and reflect deeply on their understanding. The difference between teacher’s and students’ concept maps depicts the gap between teachers’ expected understanding and students’ actual understanding. Hence, the teachers’ concept map becomes an essential part of learning with Kit-Build. For some teachers, creating a good concept map for learning is difficult and time-consuming. Hence, support to improve teachers’ productivity in creating concept maps is essential. The findings suggest that the support tool yields better concept mapping efficiency while maintaining concept maps of similar quality. Teachers also found that the support tool was useful. Therefore, semi-automatic concept mapping with the supported Kit-Build concept map authoring tool has been shown to be a better approach.

Factors affecting clinicians' adherence to principles of diagnosis documentation: A concept mapping approach for improved decision-making.

The quality of data in electronic health records (EHRs) depends on adherence of clinicians to principles of diagnosis documentation. A concept mapping (CM) approach was used to extract factors related to quality of clinicians' documentation that govern EHR data quality. Influential factors extracted from brainstorming sessions were sorted by individual participants, followed by a quantitative analysis using multidimensional scaling and cluster analysis to categorise sorted factors. Finally, a questionnaire was used to elicit the importance-feasibility of the extracted factors. Results were visualised by cluster maps and Go-Zone plots. Factors were classified into seven clusters: "knowledge about International Classification of Diseases and clinical coding," "need for facilitators and guidelines," "explaining the importance of the issue and defining responsibilities," "cooperation of other personnel," "codify legal requirements," "workload" and "clinical obstacles," as ranked by importance. To enhance the quality of EHR data, a collaboration between physicians, nurses, managers and EHR developers is required. CM is an acceptable approach to meet this objective. Our findings highlight the significance of clinical coding knowledge, awareness about its importance and applicability and use of well-structured information systems. In combination, these three factors can have a strong positive impact on the quality of EHR data. A list of solutions is provided for policymakers, and two interventions suggested, based on the findings of this study, including the adoption of EHRs that incorporate documentation guidelines. We further propose updated clinical training programs and a monitoring and feedback mechanism to facilitate the EHR documentation process.

Multi-stakeholder perspectives in defining health services quality indicators and dimensions: a concept mapping based comparison for cataract care between Singapore and The Netherlands

ObjectiveThis study aims to advance understanding of globally valid versus country-specific quality dimensions and indicators, as perceived by relevant stakeholders. It specifically addresses patient-level indicators for cataract surgery.DesignA mixed-methods case...

Concept mapping toward competency: Teaching and assessing undergraduate evidence‐informed practice

AbstractBackgroundUndergraduate students in healthcare professions need to develop critical thinking skills in order to be prepared to deliver patient‐centered high‐quality care upon graduation. The new Canadian Athletic Therapy Association (CATA) competency framework includes a “scholar” role, placing emphasis on knowledge and skills related to evidence‐informed practices (EIP). Educators are expected to develop their student's EIP skills; however, little is known about the optimal educational approaches to accomplish this task. The study objective was to examine concept mapping as a teaching and learning strategy to deepen the understanding of EIP and examine the validity and reliability of a concept mapping scoring rubric.MethodA concept mapping approach to teaching EIP was piloted in an upper‐level research methods and statistics course. Students (N = 15) participated in a pretest post‐test concurrent nested mixed‐method intervention study that analyzed the impact of concept mapping on students' understanding of EIP and assessed initial validity and reliability of the grading rubric.ResultsStudents demonstrated a deeper understanding of EIP and its relationship to healthcare practice following the concept mapping activity compared to a note‐taking activity (Cohen's d = 1.79). The concept mapping rubric used to assess EIP competence demonstrated strong construct validity and content validity with moderate inter‐rater reliability.ConclusionsEmploying the concept mapping technique as a teaching and learning tool proved to be effective to teach EIP principles and concepts based on student grades. An analytic rubric method was found valid and reliable for grading student concept maps underpinning EIP competency.

Comparing Two Extended Concept Mapping Approaches to Investigate the Distribution of Students' Achievements

Comparing Two Extended Concept Mapping Approaches to Investigate the Distribution of Students' Achievements

What male coaches want to know about the menstrual cycle in women’s team sports: Performance, health, and communication

This study aimed to identify what male coaches of elite female team sport athletes want to know about the menstrual cycle and its influence on athlete health and performance. Using a mixed-methods concept mapping approach, 18 male coaches of Australian female elite football-codes brainstormed what they wanted to know about the menstrual cycle to work more effectively with female athletes. Ideas were sorted into groups of similar ideas and rated for importance and influence. Thirty-eight unique statements emerged from the brainstorming. These were organised into five clusters/topics following multidimensional scaling and hierarchical cluster analysis: 1) How does training need to be managed; 2) How is physical performance impacted; 3) What are the medical and dietary considerations; 4) When and how should we communicate with athletes; and 5) How are athletes affected psychologically and emotionally. These findings highlight the need for a comprehensive education framework to improve the knowledge of and practices related to the menstrual cycle. This education should 1) facilitate better recognition and referral of female athletes regarding menstrual cycle dysfunction and related health concerns; 2) encourage collaboration between athletes, coaches, and medical and dietary professionals; and 3) promote effective communication between athletes and coaches about the menstrual cycle.

Why Vancomycin Is Overly Prescribed Despite the Lack of Supporting Microbiological Data

Objective To develop a concept map in order to evaluate the factors associated with continuing of vancomycin after 48 to 72 hours of prescription despite the lack of supporting microbiological data. Methods This study was conducted in a teaching hospital affiliated to Mashhad University of Medical Sciences, Iran, between January 2017 and March 2017. After demonstrating the high rate of overuse and inappropriate use of vancomycin in our teaching hospital in the first arm of the study, we attempted to evaluate the factors associated with this behavior by developing a concept map. In this study, cluster approach of concept mapping was used and the importance of statements was scored by using the 5-point Likert method (1 for the lowest score and 5 for the highest score). Results Twenty-one physicians were participated, with a male to female ratio of 2. During the brainstorming session, about 25 statements were generated, which eventually resulted in sorting of 16 appropriate statements. The highest scored statements for continuing vancomycin after 48 to 72 hours of prescription in the absence of supporting microbiological data was worries and concerns of physicians regarding critically ill status of patients (score, 3.76) and lack of updated information on microbiological spectrum and antimicrobial resistance pattern of infections at the regional level (score, 3.57). In the final cluster analysis, the mean of importance of a cluster consisted of “health care system-physician related factors” was scored highest (score, 3.2), as compared with other created clusters. Conclusions According to the result of our study, improving vancomycin use requires more effective education of basic principles of diagnosis of infectious clinical syndromes and the concept of deescalation of antibiotics. It should also address physicians' concerns about the management of critically ill septic patients. In addition, providing the physicians with updated information on microbiological spectrum and antimicrobial resistance pattern of infections at the regional level can be effective in improving vancomycin prescription behavior.

Building health-promoting sports clubs: a participative concept mapping approach

ObjectivesThe potential of sports clubs to promote health beyond physical activity has been acknowledged by researchers and policy-makers. This study gathered stakeholder ideas on support sports clubs need to increase health promotion efforts and prioritize them based on importance and feasibility. Study designThe study design used in this study is a mixed-methods concept mapping approach. MethodsFrench sports and public health stakeholders (n = 45) were invited to participate. Steps included are as follows: (1) formulating a focus prompt, (2) brainstorming statements in response to the focus prompt, (3) sorting statements into themed piles, and (4) rating statements based on indicators. Multidimensional scaling and hierarchical cluster analysis were used to produce visual cluster maps, and descriptive statistics generated Go-Zone graphs based on mean importance and feasible ratings. ResultsParticipants generated 62 statements from the focus prompt: ‘What assistance would benefit sports clubs to become a health-promoting setting?‘. Final sorting produced 9 clusters: Tools for health promotion, Communication tools, Stakeholder training courses, Diagnostic and Financing, Awareness and Mobilization, Advocacy, Policies and Methods, Sharing and Networking, as well as Communication and Dissemination. Participant ratings produced 34 statements within the Go-Zone graphs. ConclusionUnderstanding stakeholders’ needs to increase health promotion activities in sports clubs is crucial to planning and implementing sustainable health promotion policies and practice. Priority areas include increasing awareness of health promotion benefits, mobilizing actors, advocating for support, and educating sports club actors.

A Study of Argumentation-Based Science Concept Mapping Teaching Approach in Identifying Students’ Learning Performances towards Scientific Process Skills

The application for burning incenses case study both indoors and outdoors is a controversial issues of value-laden and moral dilemma in Taiwan. This research aimed at using the argumentation-based case study as burning incenses with concept mapping approach in identifying students’ learning performances towards scientific process skills. It was followed by an argumentation-based approach of pre-tests, post-tests and interviews designed for 139 qualified participants. All data collected from two experimental group students’ argumentation-based learning performances and feedback was further analyzed by means of open-ended achievement tests, descriptive statistical analysis of learning attitude and the narration of students’ interviews. Analytical results indicated that the argumentation-based texts were successfully designed for students’ learning guidance by instructor. An evaluation tools with content validity and good reliability (Cronbach’s α > .9) were developed to assess students’ argumentation-based learning performances. The achievement posttest finding revealed that two experimental group students enhanced their science argumentation skills of higher level than pretests. The further t-test of achievement posttest didn’t indicate any significant differences (p> .05) for two experimental group students. Students’ positive learning feedbacks also provided the predominant advantage for activating responsive reasons, promoting their critical thinking, enhancing self-confidence of science process skills and supporting teachers in argumentation teaching.

Building health promoting sports clubs: A participative concept mapping approach

Abstract Background Sports clubs offer a unique position to increase performance and physical activity but may also provide additional health promoting opportunities. Research is limited on support clubs need to increase health promotion efforts. This study took a participative approach to gather French stakeholder ideas on perceived assistance sports clubs need to increase health promotion efforts and prioritized them based on ratings of importance and feasibility. Methods This concept mapping study had 4-steps: 1) drafting a focus prompt to a key issue, 2) brainstorming ideas in response to the focus prompt, 3) sorting ideas into themed piles and 4) rating ideas (1-6) based on two indicators. French stakeholders (45) in sports and health organizations were invited to respond using the groupwisdom™ platform. Researchers produced visual cluster maps of themed piles and Go-Zone graphs displaying ideas perceived as important and feasible. Results Participants generated 62 ideas responding to the focus prompt: 'What assistance would benefit sports clubs to become health-promoting settings?'. Once researchers edited ideas, 78 were available to sort. Final sorting formed 9 clusters: Tools for health promotion, Communication tools, Stakeholder training courses, Diagnostic & Financing, Awareness & Mobilization, Advocacy, Policies & Methods, Sharing & Networking, Communication & Dissemination. Importance and feasibility ratings produced Go-Zones with 34 ideas above the mean for both indicators. Top focus areas include: increasing awareness of health promotion benefits, mobilizing actors, advocating for support and educating club actors. Conclusions Understanding support stakeholders need to increase health promotion efforts in sports clubs is a crucial step to plan and implement policies. Including stakeholders' perceptions helps establish effective interventions by increasing the possibility of integration into current or emerging policies and acceptance from those working in clubs. Key messages Generating and organizing stakeholder ideas gives insight into perceptions of what support is needed to develop and implement health promotion interventions in the sports club context. Based on importance and feasibility, sports clubs can increase health promotion efforts by focusing on: increasing awareness of health promotion benefits, mobilizing actors, advocacy and education.

A practice model of sexuality nursing care: a concept mapping approach.

The aim of this study is to develop a practice model to enhance the provision of sexuality nursing care for patients with gynaecological cancers. A concept mapping approach with three phases was adopted, with phase I involving individual interviews, phase II producing a concept map, and phase III evaluating the applicability of the concept map to clinical practice. A sample of 80 participants, consisting of patients with gynaecological cancers, their spouses/partners, and registered nurses and physicians, was recruited from the gynaecological oncology unit of two acute hospitals in Hong Kong. The participants were involved in all three phases. In phase I, 50 statements were generated from the interviews. In phase II, we applied statistical techniques to produce a concept map illustrating the relationships and clustering between the statements. The map depicted seven clusters of statements in descending level of importance: discussion about sexual impact of treatment, organisational support, information-giving, attitude towards sexuality care, personnel involved in sexuality care delivery, timing of sexuality care delivery, and mode of sexuality care delivery. Finally, in phase III, the concept map was used to inform the development of a practice model which is adapted from the extended PLISSIT model. The feedback from participants supported the acceptability and appropriateness of the newly developed practice model to guide the delivery of sexuality care in the local clinical context. The newly developed practice model could serve as a reference point for other countries with Chinese populations in matters concerning sexuality care.

Reflections and perceptions of chronic tinnitus during childhood and adolescence

ObjectivesTo enhance understanding of the lived experience of tinnitus during childhood/adolescence from the reflections of adults who experienced tinnitus during childhood/adolescence and the perceptions of primary carers and clinicians who care for children/adolescents who experience it. Secondly to develop a conceptual framework to better describe the experience of chronic tinnitus during childhood/adolescence and to guide approaches to assessment and management. DesignUsing a concept mapping approach, participants from two stakeholder groups generated statements describing what chronic tinnitus sounds and feels like to children/adolescents who experience it. Participants subsequently grouped and rated the statements to reveal key concepts. The first stakeholder group consisted of adults who had experienced chronic tinnitus as a child/adolescent and parents of children or adolescents who are experience chronic tinnitus. The second stakeholder group consisted of clinical professionals who provide care for children/adolescents experiencing chronic tinnitus. ResultsParticipants identified 102 different descriptions of what chronic tinnitus sounds and feels like to children/adolescents, across five concepts: 1) Sounds of tinnitus; 2) Descriptions of tinnitus; 3) Perceptions of tinnitus; 4) Emotional responses to tinnitus and 5) Physical responses to tinnitus. ConclusionsThe experience of chronic tinnitus during childhood/adolescence is heterogenous and multifaceted. It may involve the perception of sound, emotions and physiological sequalae. How a child/adolescent experiences their tinnitus will be influenced by the interplay between the sound they perceive, the number of accompanying senses involved and their interpretation of the sound. As well as the emotions and physical effects they experience.

Conceptualizing the impacts of cyberbullying victimization among Korean male adolescents

This study aimed to explore and conceptualize the impacts of cyberbullying victimization as perceived by 47 Korean male adolescents using a mixed-methods, concept mapping approach. Concept mapping revealed six major impacts of cyberbullying victimization among Korean male adolescents: internalized problems (M = 3.97), externalized problems (M = 3.51), school and peer problems (M = 3.92), online problems (M = 3.84), seeking social support (M = 4.17), and avoidance (M = 3.49). Based on the results, the conceptual framework presented herein can be utilized to plan and develop assessment and intervention approaches with male adolescents experiencing cyberbullying victimization.

Perceptions of barriers and levers of health-enhancing physical activity policies in mid-size French municipalities

BackgroundPolicy is one of the levers for initiating structural change to foster the promotion of health-enhancing physical activity (HEPA). To this end, policy-makers have to deal with complex ecosystems embedded in specific contexts. However, limited research has been conducted on this topic at the local level. The purpose of this study was to identify the perceived barriers and levers of HEPA policies according to department heads and elected officials across various sectors in mid-size French municipalities.MethodsThis study used a mixed method primarily based on an adaptation of the concept mapping approach. A list of statements completing the sentence: ‘In a mid-size municipal context, to develop HEPA policies, it is necessary to …’ was submitted to key informants of 17 mid-sized French cities. Key informants in each municipality first rated the importance of each statement without considering their local context; they then rated the feasibility of each statement given their local context. In both cases, they used a Likert scale ranging from 1 to 6.ResultsA total of 23 municipal department heads and 10 elected officials from the sport (n = 14), health (n = 10) and social (n = 9) sectors in 11 mid-size French cities participated in this study. A list of 84 statements, sorted into 16 categories, was rated by participants according to their importance (M = 4.52, SD = 0.86) and their feasibility (M = 3.77, SD = 0.74). Potential barriers to (n = 10) and levers of (n = 38) HEPA policy development were identified. These results varied according to the position and sector of the participants.ConclusionsThe results suggest that local contextual factors can affect the development of HEPA policies in mid-size French municipalities. The different perceptions of the potential levers and barriers according to sector might affect intersectoral collaboration. This study contributes by enhancing understanding of how local HEPA policies are developed in the French context.

155-LB: Understanding Determinants of Caffeinated Sugar-Sweetened Beverage Consumption among Children: A Concept-Mapping Approach

Background: Excess sugar-sweetened beverage (SSB) consumption is associated with type 2 diabetes, obesity, and cardiometabolic disease. In addition to having high added sugar content, caffeinated sugar-sweetened beverages (CSSBs) are the predominant source of caffeine among children. However, the extent to which the caffeine and sugar in CSSBs promote continued CSSB intake among children has not been rigorously studied. Aim: To develop a conceptual framework of children’s CSSB consumption using group concept mapping. Methods: Children, ages 8-14, recruited from the Washington, D.C. area who reported consuming ≥ 12 ounces of CSSBs per day participated in concept mapping, an applied social research multimethodology. Concept mapping involved 3 participant-driven activities, including: (1) brainstorming (n=51), during which children reported reasons or determinants for their CSSB consumption, from which 58 unique determinants were identified, (2) sorting (n=72), during which children categorized each of the determinants and named each category, and (3) rating (n=74), during which children rated the influence of each determinant on their own consumption (Likert scale, 1-5). Similarity matrices, multidimensional scaling, and hierarchical cluster analysis were applied to generate concept maps. Results: The concept maps generated from this study displayed the 58 determinants in a 9-cluster solution, reflective of 3 overarching motives: Perceived Mental and Physical Benefits, Energy and Function, and Preference and Palatability. Among the 58 determinants, the greatest drivers of consumption related to Energy and Function and Preference and Palatability. Conclusions: The use of concept maps to illuminate the importance of certain determinants, such as energy improvements or taste preferences related to caffeine and/or sugar, as drivers of consumption will inform the development of tailored interventions to reduce CSSB consumption. Disclosure S.E. Halberg: None. A.J. Visek: None. E.F. Blake: None. J.M. Sacheck: None. A. Sylvetsky: None.

Selecting and tailoring implementation interventions: a concept mapping approach

BackgroundTo improve the uptake of research into practice, knowledge translation frameworks recommend tailoring implementation strategies to address practice barriers. This study reports our experience pairing the Theoretical Domains Framework with information from multiple stakeholder groups to co-develop practice-informed strategies for improving the implementation of an evidence-based outcome measurement tool across a large community health system for preschoolers with communication impairments.MethodsConcept mapping was used to identify strategies for improving implementation of the Focus on the Outcomes of Communication Under Six (FOCUS) in Ontario Canada’s Preschool Speech and Language Program. This work was done in five stages. First, we interviewed 37 speech-language pathologists (clinicians) who identified 90 unique strategies to resolve practice barriers to FOCUS implementation. Second, clinicians (n = 34), policy-makers (n = 3), and members of the FOCUS research team (n = 6) sorted and rated the strategies by importance and feasibility. Third, stakeholders’ sorting data were analyzed to generate a two-dimensional concept map. Based on the rating data from stakeholders, we prioritized a list of strategies that were rated as highly important and highly feasible, and summarized the practice barriers addressed by each of the prioritized strategies. Fourth, we validated these findings with stakeholders via an online survey. Fifth, the mechanisms of action of the prioritized list of strategies were considered based on available evidence from the Theoretical Domains Framework and associated behavior change literature.ResultsStakeholders categorized the 90 unique implementation strategies into a six-cluster concept map. Based on stakeholders’ ratings, a list of 14 implementation strategies were prioritized. These implementation strategies were reported to resolve barriers within the environmental context and resources and beliefs about consequences domains of the Theoretical Domains Framework. All but one of the prioritized strategies have a demonstrated link in resolving existing barriers according to the behavioral change literature.ConclusionsOur study contributes to a growing literature that demonstrates the process of tailoring implementation strategies to specific barriers. Practical drawbacks and benefits of using concept mapping as a way to engage stakeholders in implementation research are discussed.

The Brand Image and Brand Associations of Langkawi and Phuket: A Brand Concept Map Analysis/ Imej dan Asosiasi Jenama Langkawi dan Phuket: Satu Analisis Peta Konsep Jenama

In the current competitive scenario of tourism industry, brand association studies are important to identify the authentic brand image of tourism destinations. This would eventually benefit the key players in the tourism industry in planning an effective tourism marketing campaign. The present study aims to analyze the brand image of Langkawi and Phuket and to identify the differences in brand associations in the tourists' memory who visited the two destinations. Incorporating Brand Concept Mapping approach, the study used preliminary survey and focus group interviews to achieve the objectives of the study. Findings indicated that Langkawi was identified as a 'Family-oriented” or “Multiproduct” Destination as reflected in its multifarious list of brand associations covering from history, natural beauty, shopping centre and recreational destination. Meanwhile, Phuket was associated as an ‘Entertainment-oriented Destination’ with its structural brand associations were linked towards entertainment and pleasure such as nightclubs. Thai girl show, brothels and nightlife.

Ten Best Practices for Improving Emergency Medicine Provider-Nurse Communication.

The current state of scientific knowledge regarding communication between emergency medicine (EM) providers indicates that communication is critical to safe and effective patient care. In this study, we identified communication needs of EM nurses and physicians; in particular, what information should be conveyed, when, how, and to whom. Five semi-structured focus groups and one interview were conducted with nine nurses, eight attending physicians, and four residents. Questions addressed how EM personnel use and share information about patients and clinical work, what information tends to be exchanged, and what additional information would be helpful to share. Sessions were audio recorded. Transcripts were generated and analyzed using a concept mapping approach (a visual qualitative analysis technique to represent and convey synthesized knowledge). Eleven concept maps were produced summarizing: information physicians needed from nurses and vice versa; methods of communication that could be utilized; barriers or obstacles to effective communication; strategies to enhance or ensure effective communication; and environmental or situational factors that impact communication. Our main finding of this research is that communication ensures shared awareness of patient health status, the care plan, status of plan steps and orders, and, especially, any critical changes or "surprises" regarding the health of a patient. Additionally, the research identified shared information needs; communication methods, strategies and barriers; and factors affecting successful communication, and has implications for both system and training design. Key implications for emergency nursing practice from this research are distilled in 10 'best practice' strategies for improving EM nurse-physician communication.

Identifying values and preferences around the choice of analgesia for patients with acute trauma pain in emergency and prehospital settings: using group concept mapping methodology

ObjectivesThe main study aim was to examine the applicability of a novel method to assess the criterion of values and preferences within the Grading of Recommendation, Assessment, Development and Evaluation...