Explanatory Sequential Mixed Methods Research Articles

Comparing the psychological impact of the Shanghai lockdown on local and non-local college students: an explanatory sequential mixed method approach.

In 2022, the Shanghai municipal government enforced strict COVID-19 lockdown measures. Lockdown experiences for college students varied. Local students normally returned home and had familial support while non-local students relied more on institutional support when quarantining in dormitories. The difference could profoundly impact their access to necessary material resources and emotional support, affecting their mental health. This study compared the psychological effects of the Shanghai Lockdown on local and non-local college students using an explanatory-sequential mixed methods design. Quantitative analyses of data from 327 college students examined local and non-local students' mental health outcomes during the lockdown. Follow-up qualitative interviews (N = 12) contextualized their sources of stress and group differences. Higher prevalences of probable anxiety (34.6%), depression (45.1%), and poor subjective mental well-being (65.4%) are found among non-local students compared to local students (23.7% anxiety, 29.4% depressive symptoms, and 47.9% poor well-being). Suicidal ideation was higher among local students (8.6% prevalence difference). Being a non-local college student was associated with increased odds of probable anxiety, depression, and poor well-being. Interviews identified group differences such that non-local students received more school support (i.e., food and financial) and perceived emotional support but faced poorer quarantine living environments compared to local peers. Non-local college students were more vulnerable to the impact of lockdown. Our findings also provide insights into the impact of familial versus institutional support on student mental health during times of crisis.

Approach to Weighting the Success Criteria of Toll Road Project of Government Cooperation with Business Entities Procurement Model

In providing funding for toll road development projects, many developing countries are im-plementing PPP pro-curement schemes including Indonesia. This funding scheme is believed to be an innovative procurement process model and has good prospects for the future of the construc-tion industry in the world. However, in its implementation, the Indonesian government is currently faced with various problems that have the potential to have a negative impact on the management and development of toll roads in Indo-nesia. Therefore, the main objective of this research is to develop a method of evaluating the success of PPP-themed toll road projects and determining the current and future strategy of PPP-themed toll road development projects. Methodology This research, using an exploratory sequential mixed methods approach, involves four stages of research. Through a Systematic Literature Review (SLR) of reputable scientific journals from various countries, a questionnaire survey was developed. The survey results were analyzed using multivariate statistical methods with the help of Par-tial Least square analysis software (PLS-SEM), analytical hierarchy process (AHP) and Relative Importance Index (RII) methods. The results of this research found 20 critical success indicators and four dimensions of project success. This study produces a new way to assess the success of PPP-themed toll road projects that is very important and can inspire the government in making policies, legislation and regulations as well as innovative strategies in develop-ing PPP-themed toll roads.

Ride-Hailing Drivers’ Preference for Fairwork Principles of Trustworthy Labour-Platform Management and Greater Worker-Autonomy and Willingness to Form and Join Worker-Platform Co-Operatives in Kenya

Ride-hailing worker-platform co-operatives had emerged as part of and for at least fairwork principles. Moreover, studies on e-drivers have recommended the formation of worker-platform co-operatives in Kenya. The actual worker-platform co-operatives by e-drivers are yet to be established. It was against this backdrop that a study was conducted to determine the extent of ride-hailing drivers’ preference for fairwork principles of trustworthy labour-platform management, greater worker-autonomy and willingness to form and join worker-platform co-operatives. The study was grounded in the social exchange theory, affective theory of social exchange, and utility theory. The researcher applied critical-realism research philosophy and multimethod research designs of discrete choice experiments and sequential explanatory mixed method research designs. Using the Yamane sampling formula, the study used quantitative data from 497 respondents from sampled 600 of the 20,000 e-drivers in the Nairobi Metropolitan Region. The quantitative data was analysed using multinominal logistic regression. Moreover, the study used qualitative data from 11 participants, analysed using thematic analysis. Results indicated that the two fairwork principles were statistically significant to e-drivers’ willingness to form and join worker-platform co-operatives. The trustworthy platform management (TPM) principle, in particular, was a highly preferred fairwork principle in terms of e-drivers’ willingness to form and join worker-platform co-operative model (Coeff=2.62; SE = 0.400, Z = 6.54, p< .001), compared to the greater worker-autonomy contract (GAC) principle (Coeff=1.565, SE = 0.202, Z = 7.74, p< .001). This study brings practical and theoretical contributions to improve the e-drivers’ benefits from the ride-hailing sector. Policymakers, promoters, and platform workers like e-drivers could understand how best to promote worker-platform co-operatives to succeed in the country’s societal context.

한국 영어 학습자들의 영어 학습 회복탄력성: 설명적 혼합연구법을 중심으로

Objectives This study aims to investigate the characteristics of English learning resilience among Korean learners by using explanatory sequential mixed methods. Methods To this end, in the first stage, a five-point Likert scale questionnaire of four constructs (social support, satisfaction, persistence, and emotional regulation) measuring English learning resilience was administered to 180 students at a university in Seoul. In the second stage, reflective essays about their English learning at each school level were collected from 52 students at a university in Seoul. The average and standard deviation for each question were calculated from the questionnaire, and episodes related to each construct were analyzed through repeated reading. Results The analysis on the questionnaire showed the scores for ‘satisfaction’ and ‘persistence’ were high among the four constructs. Qualitative analysis revealed that teachers' support and emotional control were found across the school levels. However, emotional recovery strategies and strategic flexibility appeared with higher frequency as the school level advances. Conclusions This suggests that interventions to promote English learning resilience reflecting the characteristics of the school level are needed to help learners overcome the challenges in learning English.

Exploring the role of packaging in the formation of brand images: a mixed methods investigation of consumer perspectives

Purpose This study aims to explore consumers’ perspectives on how packaging plays a role in their consumption experience and how it contributes to the formation of brand images. By adopting a consumer’s perspective, the authors identify the criteria that consumers apply to evaluate packaging and reveal how packaging relates to consumers’ overall brand associations. Design/methodology/approach Through a sequential exploratory mixed methods design, the authors explore brand packaging of chocolate bars as emotionally laden, well-known fast-moving consumer goods. First, the authors conduct a qualitative focus group study to explore how consumers perceive package design, and how it relates to their brand impressions. Second, the authors test the constructs and attributes with an independent sample through a quantitative survey. Findings The qualitative findings reveal the different roles of packaging and highlight how packaging provides value for consumer experiences not only at the point-of-sale but also during later consumption. More specifically, the authors identify 12 main criteria that consumers use to evaluate packaging. The authors unwrap how packaging is embedded in consumers’ brand image networks by mapping out its connections to other brand associations pertaining to product attributes, the brand itself and personality impressions. The quantitative findings confirm the importance of practical and symbolic packaging criteria and the brand image comparisons. Originality/value Taking a consumer’s perspective, this study contributes to a more holistic understanding of how packaging supports brand building as we reveal the various ways in which packaging relates to consumers’ overall brand image associations. This study further directs attention to the roles that consumers themselves assign to packaging and how they evaluate packaging based on its practical, symbolic and social value.

Ride-Hailing Drivers' Preferences for Fairwork Principles of Satisfactory Working Conditions and Fair Pay-Profit Distribution and Willingness to Form and Join Worker-Platform Co-Operatives in Kenya

Ride-hailing drivers (e-drivers) are among the platform workers who successfully embrace the worker-platform co-operative model's emergence to counter capitalistic ride-hailing platforms and their complex ecosystems, which align with fairwork principles of pay, condition, contracts and (platform) management. This study was conducted to determine the extent of ride-hailing drivers' preferences for satisfactory working conditions, fair pay-profit distribution and willingness to form and join worker-platform co-operatives in Kenya. The study was grounded in the social exchange theory, affective theory of social exchange, and utility theory. The researcher applied critical-realism research philosophy and multimethod research designs of discrete choice experiments and sequential explanatory mixed method research designs. Using the Yamane sampling formula, the study used quantitative data from 497 respondents from sampled 600 of the 20,000 e-drivers in the Nairobi Metropolitan Region. The quantitative data was analysed using multinominal logistic regression. Moreover, the study used qualitative data from 11 participants, which was analysed using thematic analysis. Results indicated that the two fairwork principles were statistically significant to e-drivers’ willingness to form and join worker-platform co-operatives. fair pay-profits distribution (FPD) principle, in particular, was a highly preferred fairwork principle in terms of e-drivers’ willingness to form and join the worker-platform co-operative model (Coeff=1.564, SE = 0.234, Z = 6.67, p< .001), compared to the satisfactory working conditions (SWC) principle (Coeff=0.783, SE = 0.156, Z = 5.012, p< .001). This study brings practical and theoretical contributions to improve the e-drivers’ benefits from the ride-hailing sector. Policymakers, promoters, and platform workers like e-drivers could understand how best to promote worker-platform co-operatives to succeed in the country’s societal context.

Optimization of ride-sharing services: An investigation of the ride-hailing service providers

This study investigates the optimization of ride-sharing services (RSS) on the ride-hailing service (RHS) providers in Bangladesh. This study employed an explanatory sequential mixed method research design- a qualitative study followed by a quantitative one. Qualitative data were collected through focus group discussions and in-depth interviews with twenty (20) riders and drivers in Bangladesh, and quantitative data were collected from 300 respondents consisting of riders and drivers using a convenience sampling technique. Factor analysis and hierarchical cluster analysis were applied to the data analysis. The qualitative analysis reveals several significant factors associated with RSS and RHS, including cost efficiency, fare, fuel consumption, traffic congestion, carbon emissions, environmental pollution, employment opportunities, business growth, and security. The quantitative results indicate that using RSS is associated with more significant benefits than RHS in various aspects, including cost efficiency, fare, fuel consumption, traffic congestion, carbon emissions, environmental pollution, employment opportunities, and expansion of the automobile industry. The findings may assist policymakers in understanding how RSS can yield more incredible economic, environmental, and social benefits than RHS by analyzing fare sharing among passengers, carbon emissions, fuel consumption, and the expansion of the vehicle markets etc. Therefore, the government can formulate distinct policies for RSS holders due to their contributions to economic, social, and environmental concerns. While RHS services are available in many cities in Bangladesh, this study considered only Dhaka and Sylhet cities. Thus, future studies can consider more respondents from other cities for a holistic understanding.

How does Learning Differentiate with The Socio-Scientific Issue (SSI) Climate Change Improving Environmental Literacy?

Climate change is a complex global problem that requires understanding and action from students. Natural and Social Sciences projects can integrate climate change learning with social and scientific contexts. The preliminary study show that students do not yet have the environmental literacy skills needed to support science and technology projects learning. It also shows that students have difficulty understanding the concept of climate change and its implications for the environment. This research aims to determine the effect of differentiated learning with SSI to increase students ' understanding of climate change. The research method used is mixed methods research using the Exploratory Sequential Mixed Methods Design method. The research results show that implementing climate change differentiation learning with SSI can improve students ' environmental literacy skills. The results of the one-way ANOVA test have a significance value less than 0.05, where there is an increase after implementing differentiation learning. The findings of this research can integrate climate change learning with social and scientific contexts. SSI can help students understand complex issues that have significant social and scientific impact. This can motivate students to take action to overcome problems as an aspect of environmental literacy skills.

Examining the Impact of PBIS Experience on MTSS Implementation in Secondary Schools: A Mixed Methods Study

This sequential explanatory mixed methods study with a complementarity rationale examined the differential experiences of MTSS implementation in three Positive Behavior Interventions and Supports (PBIS)-implementing and three non-implementing secondary schools in the Midwestern United States. Using a survey and follow-up interviews with a sample of 25 secondary school leadership team (SLT) members, this study sought to understand (1) their beliefs and attitudes toward MTSS prior to implementation and (2) unique barriers and facilitators to MTSS implementation in secondary education following initial MTSS implementation. Overall, the results of this study indicated that generally, SLT members had positive beliefs and attitudes toward MTSS prior to implementation which were maintained a year later at follow-up. Additionally, several differential barriers and facilitators to implementation emerged between PBIS and non-PBIS schools, though shared barriers and facilitators were also evident. Lastly, experience with PBIS differentially impacted the experiences of SLT members from PBIS and non-PBIS schools. Implications for secondary school practitioners, schools, and local educational agencies are discussed.

CARD-SARC: mixed-method study to develop a disease-specific health-related quality of life tool for cardiac sarcoidosis

Abstract Introduction Sarcoidosis is a rare inflammatory condition caused by the formation of lumps (granulomas) of abnormal tissue in any organ, and can affect physical, functional, mental, social and economic aspects of life. People living with cardiac sarcoidosis (CS) are likely to have worse clinical outcomes and greater impairment on health-related quality of life (HRQoL) than other sarcoidosis manifestations. HRQoL is the main concern for people living with sarcoidosis. However, measuring HRQoL in people with CS is difficult as existing tools focus on other forms of sarcoidosis (for example, lung, eye or skin involvement) or for specific cardiac symptoms (for example, atrial fibrillation, angina or heart failure), but not specifically for CS. Purpose To develop a disease-specific patient-reported outcome measure (CARD-SARC) to assess the impact of CS on HRQoL. Methods A sequential exploratory mixed-method, multicentre observational cohort study using a clinimetric approach was conducted. The McMaster Framework for evaluative instruments involved three steps (item selection, item scaling and item reduction) which were complemented with recommendations from the consensus-based standards for the selection of health measurement instruments (COSMIN). The item-generation process connected data from quantitative (theory, research findings and systematic review) and qualitative components (qualitative semistructured interviews, clinical observations and experts’ opinion). A simultaneous triangulation (QUAN+qual) method was followed to ensure a comprehensive list of preliminary items. The formatting of items was guided by patient and public involvement (PPI) with a 2-weeks recall period. The item reduction strategy was led by PPI and an international multidisciplinary clinical CS-experts. Results 740 potential items were generated by converging all the different sources and techniques. After removal of duplicates and simultaneous triangulation, a preliminary list with 111 items was reviewed by the CS-expert panel with 26 members (including 11 pulmonologists, 7 cardiologists, 5 CS-patients and 3 specialist-nurses). After a consensus meeting, the CARD-SARC included 61 relevant items in six sections for pilot-testing: "functioning", "social, leisure and occupation", "emotional", psychological", "physical" and "healthcare/self-care". Conclusions This study combined a robust methodology with active PPI engagement to develop the first disease-specific HRQoL tool for CS. Each data source was planned independently, however the input from PPI members was critical during the simultaneous triangulation for item-generation. The contributions of CS-experts (members of the PPI group and clinical multidisciplinary experts) enhanced the content validity of the CARD-SARC. The CARD-SARC has the potential to influence clinical management and treatment options, future research and health-economic stakeholders’ decisions for CS.

The Examination of the Counseling Supervision Effect on Personal and Professional Development of First-Time Supervisees

The study investigated how clinical supervision affects the personal and professional development of first-time supervisees. The explanatory sequential mixed methods research design was employed in the study. Quantitative data was collected using a single group pretest-posttest experimental design to evaluate the impact of supervision on the personal and professional development of counselors in training. Individual interviews were conducted with 51 volunteer participants who were counselors in training at a state university in western Türkiye. Paired-sample t-tests were used to analyze the quantitative data, while content analysis was employed for the qualitative data. The findings showed that supervision significantly enhanced the counselors in training's effective counselor characteristics and self-awareness management strategies. However, there were no significant differences in hindering self-awareness and professional disposition. The qualitative analysis revealed that counselors in training who participated in supervision gained a deeper understanding of counseling procedures and techniques, increased trust in the profession, and improved self-efficacy. Counselors in training also highlighted the positive impact of their supervisor and group supervision format on their development. The results of the study suggest the significance of supervision in counselor education. It is recommended that the variables included in the current research and the effect of supervision should be examined in more studies.

Nurses’ implementation of evidence based practice in nursing process and its associated factors in South Wollo Zone public hospitals, Northeast Ethiopia: a mixed method study

BackgroundEvidence-based practice is clinical decision-making using the best evidence available in the context of individual patients’ preferences and clinical expertise. It is serving as a crucial instrument for the health science disciplines to minimize the theory-practice gap although the level of practice is unknown. Thus, this study aimed to assess nurses’ implementation of evidence-based practice in nursing process and its associated factors in South Wollo Zone Public Hospitals.MethodsAn explanatory sequential mixed method was employed from April 1 to May 29, 2023, among 419 nurses for the quantitative part and 15 others for the qualitative part. The data were collected using structured, pretested, self-administered questionnaires. Simple random and purposive sampling techniques were used to select participants for the quantitative and qualitative studies, respectively. The bivariable analysis was done primarily, and variables with a p-value < 0.25 were further examined using a multivariable logistic regression model to control con-founders. Then, variables having a p-value less than 0.05 with a 95% CI were used to declare significantly associated factors. The key informants were interviewed using pre-made interview guidelines, and then open code software was utilized to conduct a thematic analysis.ResultNurses who had poor implementation of evidence-based practice in the nursing process were 228 [54.42%; 95% CI: (49.8–59.3)]. Similarly, the key informants concluded that the implementation of evidence-based practice in the nursing process was low. Participants who were 31– 40 years old [AOR = 0.61, 95% CI: (0.38–0.99)], 41–50 years [AOR = 0.32, 95% CI: (0.15–0.65)], working at general hospitals [AOR = 3.37, 95% CI: (1.39–8.18)] and comprehensive specialized hospitals [AOR = 7.29, 95% CI: (3.06 − 17.31)], lack of training about evidence-based practice (AOR = 2.50, 95% CI: (1.36–4.56)], and lack of internet access [AOR = 2.46, 95% CI: (1.43–4.23)] were factors associated with poor levels of nurses’ implementation of evidence-based practice in the nursing process. The absence of computers, libraries, and updated guidelines were other factors identified on the quality analysis.ConclusionNurses’ implementation of evidence-based practice in the nursing process was low. Age, working in general hospitals, and comprehensive and specialized hospitals, lack of training, and internet access were factors that had significant associations. Hence, hospital managers should give an attention to internet access and training about utilization of evidence-based practice in nursing process, particularly for those aged above thirty years old.

What can we learn from pandemic educational methods?: military general practice trainees’ attitudes to feedback from recorded consultations

ABSTRACT Background Recorded consultations are a useful tool for developing consultation skills for general practice speciality trainees (GPSTs). Historical barriers to utility include a lack of recording equipment and trainee discomfort. Widespread use of online communication platforms during the pandemic led to the introduction of the Recorded Consultation Assessment (RCA), prompting an exploration of its impact on GPSTs’ attitudes and acceptability of using recorded consultations for feedback. Aim This sequential explanatory mixed methods study explored attitudes of military GPSTs towards using recorded consultations for feedback to develop consultation skills, and identify factors influencing GPST attitudes. Methods Participants of this study completed a questionnaire, followed by a representative sample focus group. Descriptive statistics were used to analyse quantitative data, reflexive thematic analysis was employed for qualitative data. Triangulation was conducted using a meta-matrix. Results Results indicated agreement among respondents on the usefulness of recorded consultations for developing consultation skills, particularly communication skills. Perceived trainer attitudes significantly influence the GPST utility of this tool. The RCA positively impacted attitudes, providing familiarity, free access to easy-to-use online recording platforms, simplified consenting procedures, secure data storage, and improved feedback quality from trainers. Conclusion Pre-pandemic studies cited equipment access and consent procedures as barriers to utilising recording as a method of feedback. The pandemic and RCA introduced online resources and imperative to utilise this method, resulting in largely positive GPST learning experiences. As we move away from the RCA it is important to retain institutional memory of the benefits gained from feedback using recorded methods.

The MINT Program: A Mixed-Method Approach to Identifying Nature-Based Resources to Promote Adolescent Parent Social and Psychological Well-Being.

Adolescent parents are at an increased risk for loneliness and mental health challenges compared to childless peers. Nature-based interventions are shown to promote social connectedness. To identify elements of a nature-based intervention to reduce loneliness and foster nature connection among pregnant and parenting adolescents. Sequential exploratory mixed methods. In 2020 and 2021, we piloted the 8-week MINT program at a school for pregnant and parenting teens. Our qualitative approach (n = 17) included online and in-person group meetings with nature-based educational content, discussion, park excursions, mindfulness activities, journaling and nature photography. Subsequently, we recruited 131 young mothers at a children's hospital for a cross-sectional survey based on qualitative school findings. Qualitative results from the school-based intervention showed a preference for meditative and contemplative activities and for spending time in nature with extended family. Participants typically accessed nature close to home. Our clinic-based teen parent survey illustrated that participants' access to nature were most limited by lack of time (25% of responses), company (18%) and energy (28%). While participants showed a close nature connection (mean NR-6 score = 3.9 (SD = 0.84)), they also showed moderate levels of loneliness (mean UCLA Loneliness score = 4.78 (SD = 1.60)). Walking, hiking and/or running were the most preferred nature activity. These findings provide key details to define nature-based activities to address loneliness and psychological well-being among teen mothers. Nature-based health interventions can address loneliness and nature disconnection by building community resilience, improving provider and patient well-being and motivating environmental stewardship. We identify key features of a nature-based intervention for adolescent mothers. These findings support teen mothers in the US and abroad and may serve as a foundation for using nature-based solutions for vulnerable mothers and for adolescents facing loneliness and mental health challenges. No patient or public contribution.

Young Black Women's Breast Cancer Knowledge and Beliefs: A Sequential Explanatory Mixed MethodsStudy.

Black women under the age of 50 have a 111% higher breast cancer mortality rate than their White counterparts. The breast cancer mortality disparities among young Black women may be due in part to the fact that they are more likely to be diagnosed with late-stage, invasive breast cancer tumors. Psychosocial factors, such as lack of perceived risk for breast cancer, lack of awareness of breast cancer risk factors, and ambiguity about breast cancer screening guidelines are areas that are under investigated among young Black women. The purpose of this study was to identify young Black women's cancer beliefs and level of breast cancer risk knowledge. A sequential explanatory mixed methods study was conducted using quantitative data from the Health Information Trends Survey 6 (HINTS 6) (n = 25) and qualitative data from interviews with young Black female college students (n = 13). The results of the quantitative data analysis were used to guide the development of the qualitative interview guide. Data regarding participants' cancer beliefs, cancer risk factor knowledge, perceived cancer risk, and ambiguity about cancer screening behaviors were analyzed. The findings indicated young Black women have low perceived risk of developing cancer. Most participants were not aware of cancer recommendations that were targeted towards women under the age of 40. In addition, knowledge about lifestyle behavior risk factors for breast cancer was relatively low. Our findings underscore the importance of developing, disseminating, and implementing breast cancer education interventions that are targeted towards young Black women.

The enhancement of teacher immunity in a professional development course: Contributions from supervisory observation and the observer

Classroom observation has been reported to be stressful for language teachers since it can disrupt the equilibrium and push the teachers towards maladaptive language teacher immunity. The present study is an attempt to shed light on the way classroom observation and a professional development (PD) course on classroom observation contribute to language teacher immunity development through self-organization lens. To this end, the researchers in the current study designed an explanatory sequential mixed method study and 13 novice language teachers were invited to fill language teacher immunity scale before and after a professional development course. The qualitative data were collected through narrative frames and semi-structured interviews. The findings revealed that the immunity level of the students differed significantly before and after the intervention. The findings accentuate the importance of in-service programs in reforming the teachers’ narratives of classroom observations and enabling them to transform classroom observations from threats to opportunities.

Giving children permission for risky play: teacher variables and reported practices

ABSTRACT This study aimed to examine (a) whether preschool teachers’ risky play attitudes differed in relation to school type, number of children, presence of teachers’ aides, professional experience, age groups, and/or duration of time outdoors, and (b) preschool teachers’ self-reported practices regarding risky play outdoors. An explanatory sequential mixed method design was utilized. 484 preschool teachers were completed the Scale for the Attitudes Towards Risky Play at Early Childhood-Teacher Form. Semi-structured interviews were conducted with 21 preschool teachers. Quantitative results unveiled significant differences in teachers’ risky play attitudes regarding preschool type, presence of teachers’ aides, and daily time spent outdoors. Qualitative results shed light on the way parents and administrators perceived risky play impacted teachers’ practices for allowing or prohibiting children’s risky play outdoors. This study underscores a need for professional training and continuous collaboration among teachers, parents, and administrators to support risky play in educational settings.

My ideal teacher: the Gen Z’s choice

This study explored the Gen Z’s ideal teacher. The research employed an explanatory sequential mixed method. The intent of the transformative mixed methods design, to seek reality from their preferred teaching styles, on how do they perceived an ideal teacher, and on how can teachers meet their expectations. The findings revealed that the most preferred teaching styles and most effective way in teaching these students is experiential learning. In addition, as perceived by the Gen Z students, an ideal teacher should have positive values and they must be emotionally supportive and technologically literate. Furthermore, it was unveiled that a teacher must imposes skill enhancement, be conscious of today’s trend, adapt to the digital revolution and have an awareness of individual differences and needs to meet the Gen Z expectations. This also provides information and serves as a guide on how teachers meet the Gen Z expectations based on the overall data gathered from the respondents. Through this, an instructional input was crafted containing the different teaching styles that the student prefers and the different activities that can help teachers accommodate the said teaching styles.

A Mixed Methods Study of Ethnic Identity and Mental Health Recovery Processes in Minoritized Young Adults.

Ethnic identity development is associated with positive mental health in young adults from ethnic minority groups. How a sense of belonging and attachment to one's ethnic culture is related to personal mental health recovery remains unexplained. This study examines the experiences of ethnic minority young adults in the U.S. to understand the aspects of culture and identity development that are relevant to their recovery processes. Young adults who were living with chronic mental disorders were recruited from four rehabilitation programs. Interviews produced quantitative and qualitative data. An explanatory sequential mixed methods design was used to integrate the qualitative findings from a sub-group of young adults (n = 44) with the results from the quantitative study. Directed content analysis was used to analyze the qualitative data, and the integrated data were analyzed in joint displays. The prominent themes characterizing ethnic identity development in personal recovery were (a) cultural history, traditions, and values; (b) mental illness stigma within the ethnic community; and (c) bias and discrimination in mental health services. Young adults with high ethnic identity development reported having more support from family, but they also described experiences with stigma and racism. The integrated results suggest that ethnic identity development promotes mental health recovery in minoritized young adults through social support and improved well-being and resilience. Experiences of intersectional stigma and structural racism associated with ethnic identity can interfere with self-determination and access to care among minoritized Hispanic/Latine, Black, and multiracial young adults in the U.S.

Evaluating the effectiveness of social workers as lead community care coordinators of a large integrated veteran affairs health care system in the Southeast region

ABSTRACT A Veteran Affairs Health Care System (VAHCS) in the Southeast region implemented the Social Workers as Lead Community Care Coordinators (SWLCCC) program to prevent delays in care coordination for veterans admitted to community hospitals. This study examines community hospital care coordinators’ perceptions and satisfaction levels with the SWLCCC program. An explanatory sequential mixed method research design was used. Surveys were analyzed using descriptive analysis and chi-square test of association and interviews were analyzed using thematic analysis. Results showed that care coordination assistance has improved since the veteran-centered social work-led program was implemented.