Mixed Methods Concurrent Design Research Articles

Cultural and co-designed principles for developing a Māori kaumātua housing village to address health and social wellbeing

BackgroundThe current study is a case study of a Māori (Indigenous people of New Zealand) organisation and their developmental processes in creating a kaumātua (older people) housing village for health and social wellbeing. This study identifies how a set of established co-design and culturally-centred principles were enacted when creating and developing the village.MethodA mixed-method concurrent design was used in creating the case with interviews (n = 4), focus groups (N = 4 with 16 total participants) and survey questionnaires (n = 56) involving kaumātua and organisation members.ResultsSurvey results illustrate that suitable and affordable housing are associated with self-rated health, loneliness, and life satisfaction. The primary purpose of the housing village was to enable kaumātua to be connected to the marae (community meeting house) as part of a larger vision of developing intergenerational housing around the marae to enhance wellbeing. Further, key themes around visioning, collaborative team and funding, leadership, fit-for-purpose design, and tenancy management were grounded in cultural elements using te ao Māori (Māori worldview).ConclusionThis case study illustrates several co-design and culturally-centred principles from a previously developed toolkit that supported the project. This case study demonstrates how one community enacted these principles to provide the ground for developing a housing project that meets the health and social wellbeing of kaumātua.

Effect of a peer\u2010led intervention combining mental health promotion with coping\u2010strategy\u2010based workshops on mental health awareness, help\u2010seeking behavior, and wellbeing among university students in Hong Kong

BackgroundThe psychological well-being of university students is an important factor in successfully coping with the demands of academic life. This study aimed to assess the impact of a peer-led intervention of mental health promotion combined with coping-strategy-based group workshops on mental health awareness and help-seeking behavior among university students in Hong Kong.MethodA mixed-method concurrent design was used for this study. Quantitative data, based on one-group pretest-posttest design, were collected using Mental Health Knowledge Schedule Questionnaire to assess mental health awareness, and Attitude Towards Seeking Professional Help Questionnaire-Short Form to examine help-seeking behavior of university students from The Hong Kong Polytechnic University. Qualitative data were collected from written post-activity reflections and focus group discussions which were thematically analyzed.ResultsA total of 62 university students (mean age: 23.2 ± 5.1 years) were included in this study. Mental health awareness was significantly improved (p = 0.015, 95% Confidence Interval of − 2.670, − 0.297) after program implementation. Help-seeking behavior mean score increased from pretest to posttest, however, no significant difference was observed (p = 0.188, 95% CI = − 1.775, 0.355). Qualitative analysis revealed that the program helped participants learn about coping strategies to help themselves and others with mental health challenges.ConclusionsThe peer-led intervention provided a positive impact through increased mental health awareness and knowledge of coping strategies on self-help and helping others among university students. Further study could focus on the impact of the program when applied regularly throughout the entire academic year.

The Italian ‘Taste’: The Far-Right and the Performance of Exclusionary Populism During the European Elections

This article examines populist leaders’ politicisation of food in their social media performances. More precisely, it analyses Matteo Salvini’s Instagram posts during the 2019 European elections, and the way food is mobilized for populist and nationalist purposes. The main argument is that food serves as a cultural trope that confers identity, reinforcing social divisions and the terms of national and class belonging. Drawing on Bourdieu’s (1984) social critique of taste, political leaders have traditionally placed themselves on the side of a distant gastronomic culture; that of a high-end elite. However, populist leaders perform a twofold role, attempting to present themselves as part of the common people and distancing themselves from the traditional elite. This change in social positioning is reflected in their social media accounts, often posting “authentic” glimpses of their cultural practices, such as cooking and eating. Methodologically, this paper uses a mixed-methods concurrent design, combining digital ethnography and visual rhetoric analysis for examining both the discursive and the aesthetic clues that construct Salvini’s social positioning towards taste. Through food, being Italian becomes a matter of constructing Italian authenticity against the national intellectual and political elite, but also against the European value-building project.

Prospective application of implementation science theories and frameworks to inform use of PROMs in routine clinical care within an integrated pain network

PurposeThe objective of this study is to present the implementation science approaches that were used before implementing electronic patient-reported outcome measures (ePROMs) across an integrated chronic pain network that includes primary, rehabilitation, and hospital-based care.MethodsThe Theoretical Domains Framework (TDF) was used to identify potential barriers and enablers to the use of ePROMS by primary care clinicians. In rehabilitation and tertiary care, the Consolidated Framework for Implementation (CFIR) was used to guide the identification of determinants of implementations, through observation of workflow, patient and clinician surveys, and clinician interviews. A mixed-method concurrent design comprising a quantitative and qualitative analysis was used. The results were reviewed by a steering committee to iteratively inform the ePROM implementation plan. The Proctor framework of evaluation was used to guide the development of an evaluation plan for the implementation of ePROMs in the integrated chronic pain network.ResultsBoth frameworks provided similar results with respect to healthcare provider knowledge, behaviour, and experience interpreting PROM scores. The TDF and CFIR frameworks differed in identifying organizational-level determinants. The resultant implementation plan was structured around the adoption of PROMs to inform individual treatment planning and quality improvement. The evaluation plan focused on implementation and impact outcomes to evaluate the ePROM intervention.ConclusionsThe TDF and CFIR guided the development of a multi-component knowledge translation and training intervention that will address multiple gaps and barriers to implementation of PROMs across the integrated network. The ePROM intervention will aim to increase clinicians’ knowledge and skills and foster best practices.

Teaching Methods in English Language Instruction: Case of Selected English Language Teachers in General Santos City, Philippines

The aim of the Philippine education is to highlight the learners' equal opportunity in learning and holistic development to the best level possible amid insufficient learning materials and facilities. Hence, the teachers’ pedagogies, their best practices and strategies applied in the classroom are the key which leads to the questions on what are the most common teaching methods used by the teachers and how are they using these methods? The underpinning concept in this study is guided by the theory of constructivism. As such, in view of the research questions; the mixed method concurrent design was used to explore the experiences of the selected English language teachers in rendering an effective teaching strategy. The teaching methods in English language instruction were determined through a survey questionnaire. This is further reinforced by the qualitative data obtained through the semi-structured interview and classroom observations. Results showed that the lecture method and brainstorming were most often used as a method of teaching. The profile of the subjects showed that teachers are well experienced and qualified English language teachers in view of their educational background and professional development. Implications for teachers considering the results emphasized more innovative and contextualized teaching strategies in English instruction. Keywords: Teaching methods, constructivism, English language instruction DOI: 10.7176/JLLL/66-07 Publication date: March 31 st 2020

Science Self‐Efficacy of Preservice Teachers in Face‐to‐Face versus Blended Environments

Using a quasi‐experimental mixed methods concurrent design, this study measured the science self‐efficacy of pre‐service elementary teachers before and after a survey of science content course. Further, this course was delivered in two different formats: face‐to‐face and hybrid (approximately 50% online), and compared pre‐and post‐science self‐efficacy of students in the two different course formats. Our quantitative results showed increases in personal efficacy, but not outcome expectancy for both formats, and no significant differences between the increases for either format. Our qualitative data showed that participants attributed their increased levels of personal efficacy to the hands‐on components of the course, as well as perceived teacher attitudes toward science, both of which would be challenging to replicate in a purely online format, as opposed to the hybrid format included in this study.

Self-Administered Intervention for Caregivers of Persons With Alzheimer’s Disease

The purpose of this article is to describe the development and feasibility testing of a Transition Toolkit to support caregivers of persons with Alzheimer's disease (AD) in dealing with transitions. Using the Medical Research Council (MRC; UK) guidelines for complex intervention development, Step 1 was to develop a theoretical understanding of the likely processes of change, by reviewing existing evidence and theory, and conducting new primary research. Based on Step 1, the intervention was developed with the Alzheimer's Society experts (Step 2), followed by concept mapping of the critical inputs of the intervention with the theoretical understanding (Step 3). A feasibility study was then conducted with 20 caregivers of persons with AD (Step 4) using a mixed methods concurrent design. The preliminary findings of the pilot study were positive with the participants describing the Transition Toolkit as acceptable, easy to use, and having the potential to help deal with transitions.