Mixed Methods Research Articles

Experiences of cultural stress among U.S. citizen migrants: A mixed method approach.

On September 20, 2017, Hurricane Maria made landfall in Puerto Rico, devastating the archipelago and forcing thousands of Puerto Ricans to migrate to the U.S. mainland. Guided by a cultural stress theory framework, the present mixed method study examined how various cultural stressors impact participants' daily interactions and mental health outcomes. A total of 319 adult Hurricane Maria survivors residing on the U.S. mainland participated in the study. A mixed method sequential explanatory design was used. First, we used latent profile analysis (LPA) and multinomial logistic regression to identify the varied cultural stress experiences that participants had. Then we used data from semistructured interviews to better understand the experiences of participants classified into the different LPA profiles. Four profiles were identified: "moderate cultural stress" (35%), "overall low" (29%), "high cultural stress" (26%), and "low language stress" (10%). Multinomial regression indicated that members of the moderate cultural stress, high cultural stress, and low language stress profiles all reported significantly higher depressive and anxiety symptoms compared to members of the overall low profile. Qualitative data exemplified the daily experiences of participants placed into each profile, demonstrating that participants have rich and varied experiences that can contribute to their mental health symptoms. The present study documents the contributions of hurricane trauma and cultural stress vis-à-vis current mental health symptoms. Clinicians working with Hurricane Maria survivors should be cognizant of and inquire about migration-related cultural stressors including discrimination, feelings of being unwelcomed, and difficulty communicating in the destination community's dominant language. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Optimizing multi-recycled concrete for sustainability: Aggregate gradation, surface treatment methods and life cycle impact assessment

Utilizing demolished waste as recycled aggregate in concrete is a sustainable practice, however, the concerns over inconsistent quality, such as hardened mortar content and water absorption, hinder global adoption. This study evaluates the physical, microstructural properties and gives insights into Life Cycle Impact Assessment of three generations of recycled aggregate concrete. The microstructure analysis yielded compelling insights into the role of Interfacial Transition Zone (ITZ) of reclaimed aggregate on concrete. The study demonstrated that the effective proportioning of coarse and fine aggregate particles using Compressible Packing Model (CPM), resulted in a reduction of dosage of cement in concrete volume, reducing the Binder Intensity Index (BII), and an improvement in the strength and stability of concrete. Additionally, surface treatment methods, including water soaking, mechanical, and thermo-mechanical treatments, were explored. The thermo-mechanical treatment method proved to be effective in reducing 40–60 % of residual mortar. Life cycle assessment of treated and untreated recycled aggregate concrete was performed, considering five environmental impact indicators viz., Global Warming Potential (GWP), Acidification Potential (AP), Eutrophication Potential (EP), Abiotic Depletion Potential (ADP) and Human Toxicity (HT). These indicators illustrated that CPM method of mix proportioning accompanied with thermo-mechanical treatment of repurposed aggregate resulted in lowering environmental impact. These findings underscore the potential for sustainable concrete construction through the use of treated recycled aggregate, offering valuable insights into methods for augmenting its quality and performance.

Analysis of Halal Certification in Small and Medium Industries in the Development of Halal Tourism in Tourism Areas in North Sumatra

Halal Certificate is an important thing for Small and Medium Industries to have in terms of marketing their products and for the economic welfare of the people. Likewise, for Small and Medium Industries located in Tourism Areas where it can develop Halal Tourism in these tourist areas. However, in reality there are many obstacles faced by Small and Medium Industries in terms of issuing these halal certificates. This study uses the Mix Methode research method where the authors conduct Indept Interviews with experts and business people then provide questionnaires to business people regarding the process of making halal certificates for the businesses they run. The procedures for making halal certification for Small and Medium Industries (SMIs) in the development of Halal Tourism in Tourism Areas in North Sumatra include: understanding halal certification requirements and attending halal assurance system (SJH) training, implementing a halal assurance system (SJH), preparing halal certification documents, registering halal certification (uploading data), conducting preaudit monitoring and payment of certification contracts, conducting audits, conducting post-audit monitoring, obtaining halal certificates. The results of this study indicate that only 50% of SMEs understand about halal certificates and procedures for making them. The obstacles in making halal certificates are not believing in the importance of halal certification for their business, not believing in the importance of halal certification for their business. For SMEs that have succeeded in having a Halal Certificate after a simple Linear Regression Test the results show that Halal certificates have a positive and significant effect on SME income of 77.7%.

"Vinnugleðin hefur tapast, nú er bara álag og erfitt og lítil gleði" - starfsumhverfi opinberra starfsmanna á tímum efnahagsþrenginga

Árið 2008 markaði upphaf mikils samdráttarskeiðs um heim allan og Ísland var eitt af fyrstu löndunum í Evrópu sem alþjóðakreppan náði til. Áhrifa kreppunnar gætti víða í samfélaginu og þó hún hafi komi harðar niður á einkageiranum hafði hún einnig mikil áhrif í opinbera geiranum, ekki síst hjá sveitarfélögunum. Tilgangur rannsóknarinnar var að komast að því hvernig starfsfólk sveitarfélaga greindi frá starfsánægju, álagi, starfsöryggi, ánægju með stjórnun vinnustaðarins og umhyggju stjórnenda fyrir heilsu og líðan starfsfólks tveimur, þremur og fimm árum eftir efnahagshrunið. Auk þess var skoðað hvort þættir í starfsumhverfinu, auk persónubundinna þátta, geti spáð fyrir um líkur á starfsánægju. Notað var blandað rannsóknarsnið (spurningalistakannanir og rýnihópaviðtöl). Niðurstöðurnar sýndu lækkandi hlutfall þeirra sem voru ánægðir í starfi eftir því sem lengra leið frá efnahagshruninu, einkum vegna sparnaðaraðgerða stjórnenda. Starfsaðstæður versnuðu verulega að mati þátttakenda og mátti sjá birtingarmyndir þess í fækkun starfsfólks, auknu vinnuálagi, minna starfsöryggi, meiri óánægju með stjórnun og minni umhyggju stjórnenda fyrir heilsu og líðan starfsfólks, sérstaklega á vinnustöðum þar sem uppsagnir höfðu orðið. Uppsagnir á vinnustað var besta spágildið fyrir starfsánægju (OR=0,590), þannig að á vinnustöðum þar sem uppsagnir höfuð orðið var mun minni starfsánægja en á öðrum vinnustöðum. Einnig kom í ljós að aðrir þættir í starfsumhverfinu (umhyggja stjórnenda fyrir heilsu og líðan starfsmanna OR=1,349; ánægja með stjórnun vinnustaðarins OR=1,345; starfsöryggi OR=1,221 og vinnuálag OR=0,801) höfðu allir marktæk áhrif á starfsánægju. Mikilvægt er að stjórnendur hafi vakandi auga fyrir starfstengdri líðan á vinnustaðnum, sérstaklega á samdráttartímum, og þá ekki einungis meðal þeirra starfshópa sem hafa orðið verst úti heldur einnig þeirra sem að jafnaði eru taldir búa við mikið starfsöryggi, eins og starfsfólk sveitarfélaga.

Patient and family contributions to improve the diagnostic process through the OurDX electronic health record tool: a mixed method analysis

BackgroundAccurate and timely diagnosis relies on sharing perspectives among team members and avoiding information asymmetries. Patients/Families hold unique diagnostic process (DxP) information, including knowledge of diagnostic safety blindspots—information that patients/families...

Health Policy Analysis on the Containment of Antimicrobial Resistance (AMR) in India: A Mixed Methods Study of Antimicrobial Stewardship as a Pivotal Intervention in Tackling AMR

Objective: This policy report aimed at two goals, that is, to report the findings of the literature review and explore the perceptions of the key stakeholders in seeking better insight into the antimicrobial stewardship program (AMSP), and to develop antimicrobial resistance (AMR) policy recommendations for the Ministry of Health and Family Welfare (MoHFW), India, based on the findings from the rapid systematic review of the literature (both published and grey) and the views of key stakeholders. Methods: A mixed method approach using literature review and qualitative interviews has been applied. A rapid systematic literature review focusing on the antimicrobial stewardship pro-gram’s key achievements and its implementation and impact, implementation challenges, gaps and barriers, and opportunities, has been carried out, which has been followed by conducting interviews of key stakeholders and reporting the findings along with the recommendations. Results: The findings have shown significant progress towards AMSP, such as expanding to 90 secondary-level hospitals and district-level hospitals/nursing homes, and the Indian Council of Medical Research antimicrobial resistance surveillance and research network (ICMR AMRSN) program. Education, training, and microbiological testing have been found to be the current focus areas. However, there exist challenges, including a lack of leadership support, diagnostic stew-ardship, and staffing of clinical pharmacists and infectious control nurses. Key gaps and barriers identified include setting up microbiology laboratories and hiring ICN nurses and clinical phar-macists. Opportunities have also been identified. Based on these findings, we have made succinct recommendations to address the themes and issues identified. Conclusion: Without new medicines, India will struggle to manage antimicrobial resistance. This situation calls for national oversight. This study has demonstrated AMSP as crucial for fighting this silent pandemic. The Indian government and policymakers must swiftly address critical chal-lenges, gaps, and opportunities. These findings and recommendations might potentially strengthen the future antimicrobial resistance national action plan (AMR NAP).

Exclusion of the female child from primary education: exploring the perceptions and experiences of female learners in northern Nigeria

ABSTRACT Despite efforts at achieving the SDG goal of education for all, a critical issue remains an increased exclusion of female child from education. This study explored the perceptions and experiences of female learners on girl-child exclusion from primary education. The study employed a concurrent parallel mixed methods research design. The study's population are all female learners in Kastina State primary schools. Data was collected using In-depth interviews, Focus Group Discussions, and a questionnaire tagged: ‘Perceived Exclusion from Education Questionnaire’ (α = 0.84), and analysed using descriptive statistics and thematic analysis via the SPSS and ATLAS.ti respectively. Findings indicate positive perceptions of female learners towards education of the female child; female learners’ experiences in being educated were recounted; factors necessitating the exclusion of female children from primary education were cultural, economic, environmental and personal. Strategies for mitigating the exclusion of female children from primary education were highlighted. Some recommendations are discussed.

Body, visual arts and healing: a study of the effectiveness of facilitative visual arts interventions with women survivors of intimate partner violence in Kerala

Intimate partner violence (IPV) in a micro-space invites the attention of development practitioners to intervene at the micro-, meso- and macro-level, especially in the case of marginalised women. Here, visual arts therapy is a culturally located instrument used to impact and mobilise individuals in order to construct resilience and deconstruct stress. The article analyses such an intervention and the resultant change in 204 women violated by intimate partner violence. It uses mixed research methods, employing structured interviewing using Depression, Anxiety and Stress Scale and focus group discussions. The findings reveal reduced and milder levels of anxiety, stress and depression among the women after participating in the interventions, with emergent themes including ‘fear’, ‘beatings’, ‘motivation’, ‘recovery’ and ‘healing’, and ‘mutual aid’. The implications affirm women-centred social work practice.

Experiences of informal caregivers of people with dementia in low- and middle-income countries: a systematic review protocol.

This review aims to synthesize the experiences of informal caregivers of people with dementia in low- and middle-income countries (LMICs). Globally, the burden of dementia is increasing disproportionately in LMICs. Informal caregivers play a vital role and face multiple challenges in LMICs, even though they also often lack the awareness and skills to provide adequate care for people living with dementia. Many LMICs have limited resources and caregivers lack support services. Understanding their experiences and perceptions may improve interventions, helping caregivers to better support those living with dementia. Studies from all settings in LMICs will be considered. Qualitative data from qualitative or mixed methods studies that explore caregivers' experiences and perceptions will be included in this review. Participants are informal caregivers of people diagnosed with dementia at any stage, regardless of age, gender, or their relationship with people living with dementia. This review will follow the JBI methodology for a qualitative systematic reviews, with meta-aggregation as the synthesis method. The review will be reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. A 3-step search strategy will be used to locate published and unpublished studies in MEDLINE, CINAHL, Embase, PsycINFO, AgeLine, LILACS, African Index Medicus, ProQuest Dissertations and Theses, Open Dissertations, Web of Science Core Collection, and Google Scholar. There will be no date or language limitations. All studies will be screened against the inclusion criteria and data will be extracted and critically appraised for methodological quality by 2 independent reviewers using JBI tools. Confidence in the final synthesized findings will be assessed using the ConQual approach. PROSPERO CRD42023453814.

Experiences of people with diabetes mellitus of telehealth for diabetes management during the COVID-19 pandemic: a qualitative systematic review protocol.

The objective of this review is to explore the experiences of people with diabetes who used telehealth for diabetes management due to COVID-19 pandemic protocols rather than traditional in-person consultations. COVID-19 intensified globally from January 2020, eliciting a multinational response to infection control for health preservation, including social distancing in public areas and health care settings. The outcome had a significant impact on the health care system, where people with chronic diseases, such as those with diabetes, were required to transition most of their care to telehealth to align with social restrictions. This review will include qualitative and mixed methods studies and theses of any research design and in any language that examine the experiences of adults with diabetes who transitioned from in-person consultations to telehealth during the COVID-19 pandemic. Exclusions will include pre-COVID-19 data; quantitative studies; and secondary, tertiary, and all other gray literature. A search of CINAHL (EBSCOhost), Scopus, Emcare (Ovid), Embase, PubMed (NCBI), and several ProQuest databases will be conducted. Studies from January 2020 onwards in any language will be assessed for inclusion. Two independent reviewers will retrieve and screen titles and abstracts and full-text studies, and assess the methodological quality of the included studies utilizing the JBI qualitative critical appraisal tool. The included studies will be synthesized utilizing JBI meta-aggregation, and the certainty of the findings will be assessed with ConQual. PROSPERO CRD42023424667.

Leveraging Key Informant Interviews to Inform Intervention Development: The Greater Lawndale Healthy Work Project.

The Greater Lawndale Healthy Work project is a sequential mixed methods community based participatory research project that examines work as a structural determinant of health and builds community capacity for healthy work in a predominantly Black and Latinx community in Chicago known as Greater Lawndale (GL). We interviewed community leaders in GL as key informants to understand the barriers to healthy work and inform intervention development. We conducted a directed content analysis of transcripts from 20 key informants and coded the social ecology and type of intervention. Every key informant mentioned at least one asset in GL, showing an opportunity to employ a capacity-oriented approach to intervention development. Key informants suggested a variety of interventions to address precarious work across levels of the social ecology, with individual and community level interventions being the most salient. Through this approach, we were able to navigate tensions and challenges in conducting research for community-wide change. Key informant stakeholder interviews can be leveraged to meaningfully inform intervention development and support the development of multi-level, sustainable, and culturally acceptable interventions that advance health equity.

Coding attitudes of fourth-grade latinx students during distance learning

ABSTRACT Background and Context Despite the growing initiatives in K-12 computer science (CS), there is a continued disparity in the participation of Latinx and multilingual students, a historically underrepresented group in computing. The inequitable participation may be understood by examining students’ early development of CS attitudes. Objective This study aims to explore shifts and elicitation in coding attitudes of fourth-grade, Latinx students (ages 9-10) who underwent a year-long remote coding curriculum, with consideration of gender and language designation. Method Using a mixed method approach, pre-post survey responses on coding attitudes were analyzed to understand shifts and portrayal of Interest, Confidence, Utility, Social Values, and Perception of Coders, with consideration of gender or designation as an English Language Learner. Findings Gender and language designation did not interact with overall attitude shifts. However, there is a significant difference in Social Values and Confidence over time. Student interviews revealed more nuance in social influences with siblings and cousins as key motivators for extended learning, underlying values of perseverance in confidence, mixed perception of what coders do, and the importance of creativity to develop interest. Implications The key role of social influence in driving higher identity among Latinx students points to the important role of extended family. Moreso, developing students’ confidence in domain-specific tasks should be a focus in curricula in order to have a longer-term impact on motivation. Finally, more research on the role that subjective task values pertaining to cultural values should be explored in early coding motivation in order to broaden participation. Keywords: Coding attitudes, elementary students, remote learning, expectancy-value theory, coding curriculum.

A New Menu Analysis Approach: Time-Driven Menu Engineering (TDME)

ABSTRACT This study aims to develop a new menu analysis model using a time-based activity-based costing method which allocates costs to activities. In this new menu analysis model, in addition to food and beverage costs, labor and general production costs are taken together while calculating contribution margin. In this study, a mixed research method was utilized. An a la carte restaurant is considered in the study. Interview and observation techniques, which are qualitative research methods, were used to determine the activities in the restaurant. The activities were determined by a descriptive analysis of the interviews with the employees of the restaurant. In the quantitative part of the study, job sampling was used to determine the duration of the activities in the restaurant. Because job sampling is used to distribute the costs incurred in the restaurant to the activities, this method is not yet used in the field of gastronomy. Therefore, the durations that were previously used as estimates were actually determined. In this study, the aboyeur activity was also added to the activities in restaurants for the first time. As a result of the study, a new menu engineering model that enables cost-based menu analysis in restaurants is introduced. In this model, all costs incurred in restaurants are included in the cost analysis, and a contribution margin is calculated accordingly. In this respect, the model brings a new approach to menu analysis.

Gap analysis between skills requirements for research support services and LIS/IM curricula

The primary goal of this study was to identify gaps in curriculum coverage and required skills for research support services (RSS) in university libraries in the Punjab province of Pakistan. A convergent parallel mixed methods design was used to meet its objective. To collect data for the quantitative strand, a cross-sectional survey with a closed-ended questionnaire was conducted. The population for the cross-sectional survey was reference/research librarians working in university libraries in the Punjab province. SPSS was used to analyze quantitative data. In the qualitative strand, the curriculum documents of seven LIS/IM schools in the Punjab province were examined by using the content analysis technique. Results of both strands were compared for gap analysis. The findings revealed a gap between the skills required for RSS and the offerings of LIS/IM schools. The findings have practical implications for LIS/IM schools that will help to realign their curricula to meet market needs.

Cross-sectoral role and community empowerment in controlling schistosomiasis in Indonesia

The role of cross-sectors in synergy with community empowerment in controlling schistosomiasis is a very effective model. Until mid-2017, the incidence rate of disease in humans in 28 endemic villages still ranged 0.00-2.15%. This research aims to evaluate schistosomiasis control activities that have been carried out across sectors based on a road map for schistosomiasis eradication and community empowerment in controlling schistosomiasis. The study was mixed method. Data were obtained by in-depth interview with key informants and evaluation of the results of cross-sectoral and community activities. The research was carried out in an endemic area for schistosomiasis on the Bada Plateau, Indonesia, from January to November 2019. In conclusion, the potential of cross-sector collaboration in controlling schistosomiasis has not been fully realized due to budget constraints. Community empowerment is carried out to eliminate snail foci, increase the scope of feces collection and change community behavior for the better in order to avoid infection and always try to clean up snail foci.

Consumer experience and outcomes of insertion, removal, and management practices of short and midline peripheral intravenous catheters in acute health care: a mixed methods systematic review protocol.

This review will synthesize and integrate current research on the practices relating to the insertion, removal, and management of short and midline peripheral intravenous catheters on consumer experiences and outcomes in acute health care. The aim is to provide consolidated evidence to support policy decision-makers and health care workers in overcoming peripheral intravenous catheter device management challenges. Implementing the evidence provided by this review could increase positive consumer outcomes and reduce the gap between research evidence and clinical practice. Peripheral intravenous catheterization is a process in which a device is inserted into a patient's peripheral vein to administer medication, blood products, and therapeutic fluids. Recent studies have demonstrated the positive and negative impacts of peripheral intravenous catheter site placement, pain relief for insertion, complications, consumer engagement, and routine versus clinically indicated removal of these devices on consumers and the health care system. Managing these impacts in relation to research-practice gaps and conflicting evidence remains challenging. Moreover, consumer experiences and outcomes concerning these challenges are unclear. This review will consider quantitative, qualitative, and mixed methods studies on consumer experiences and outcomes in acute health care. The quantitative component will consider outcomes of patients' pain, satisfaction, anxiety, distress, preferences, fear, and comfort. The qualitative component will consider consumer experiences, including perceptions, preferences, perspectives, attitudes, expectations, and satisfaction. This study will follow JBI's convergent segregated approach for mixed method systematic reviews. A search of 11 databases will be conducted for peer-reviewed published articles, theses, and dissertations. There will be no age, date, or language limitations. PROSPERO CRD42023410214.

A novel method for gas mixing and distribution in multi-chamber embryo incubators.

High-quality control of the gas environment in incubators is crucial for in vitro embryo development, which requires high accuracy, fast recovery, and low gas consumption. In this study, we propose a novel gas mixing and distribution system and method as an alternative solution for multi-chamber embryo incubators. The system-based embryo incubator enables a controllable gas circulation process and a quantitative supply of CO2 and N2. To determine the optimal parameters for the mixing time and flow rate of the circulated gases, we conducted contrast experiments on the system-based incubator. To evaluate the performance of the gas system in the incubator, we conducted tests under four different initial conditions, simulating various practical application scenarios. Furthermore, we performed a mouse embryo assay to assess the system's effectiveness. The results show that the system achieved a gas concentration accuracy of ± 0.2% (volume fraction) after stabilization, a minimum recovery time of 5 minutes, an average consumption of 8.9 L/d for N2 and 0.83 L/d for CO2 during routine operation, and a blastocyst rate exceeding 90% observed after 96 hours of culture in the incubator. The system and method demonstrate a significant advantage in terms of low gas consumption compared to existing incubators, while still maintaining high accuracy and fast recovery.

Introduction to the Special Issue on Situating the Intersectional Experiences of Black Girls and Women in Computing & Technology

This special issue builds on and expands computing’s engagement with Black feminist epistemologies like Intersectionality and Black Feminist Thought, exploring the intersectional experiences of Black girls and women in computing, technology, and computing education and workforce. The set of articles examines, explores, and uncovers structural and systemic barriers in computing, CS education, and technology; the roles of social supports and social capital in ensuring Black women thrive; quantitative, qualitative, and mixed methods approaches that center Black girls and women instead of making them comparative groups to white or other people of color of all genders; and issues around equity and inclusivity in computing, CS education, and technology more broadly. Taken together, this collection serves as a model for centering one community often marginalized in computing, technology, and computing education: Black girls and women.

An asymmetric orifice-based active micromixer in the microfluidic chip with 3D microelectrode

The fluid mixing in microscale is central to the development of flow patterns in microfluidic chips for particles separation and biological analysis. Yet, as the size of the fluid decreases, the mixing becomes challenging to change this state of flow. In this work, a novel active micromixer for enhancing the mixing performance in the micromixer with asymmetric orifices is presented. To induce the electric-driven micromixing, an AC electric field is employed to the inserted 3D microelectrodes to produce the local electric field through the asymmetric orifices located on the opposite channel walls, which is perpendicular to the main microchannel. Then the mixing experiments were conducted in a microfluidic chip comprising microelectrode with asymmetric orifices, specifically exploiting the mixing efficiency varying with the asymmetric orifice pairs, applied electric potential and frequency of the AC electric field, and flow rate. The bending degree of the mixing interface was calculated and found increasing as a function of applied electric voltage at a given AC frequency, thus enabling effective mixing crossing the microelectrode's area. The predictions are confirmed by optical microscopy experiments and the micromixing can be significantly improved as they experience longer-exposed electrical forces. The integration of multiple asymmetric orifices leads a larger zone to increase mixing efficiency and makes it a promising method for rapid and stable fluid mixing in microscale.

Pharmacy practice and First Peoples health equity: a scoping review protocol.

The objective of this review is to examine and describe global pharmacy practice strategies and interventions designed to achieve health equity for First Peoples. Access to medicines and quality use of medicines is critical to achieving health equity for First Peoples. Pharmacists are uniquely placed to lead the charge in transforming current health systems, reducing health disparities, and bolstering the movement toward health equity. Global studies describing pharmacy practice strategies and interventions designed to achieve health equity for First Peoples will be considered for inclusion in the review. Studies relating to all areas of pharmacy practice, including community and clinical pharmacy, social, administrative, pharmaceutical sciences, practice, teaching, research, advocacy, or service relevant to the review's objective will also be considered for inclusion. The types of studies to be included are qualitative, quantitative, and mixed methods systematic reviews, scoping reviews, literature reviews, and gray literature. This review will be conducted in accordance with JBI methodology for scoping reviews. Embase, MEDLINE, Scopus, CINAHL, and gray literature sources will be searched from 1998 to the present. Titles, abstracts, and full texts will be screened against the inclusion criteria. Strategies and interventions identified in the included reviews will be mapped to a published framework, outlining actionable strategies for pharmacy practice inclusion in sustainable efforts to achieve health equity. Qualitative content analysis and descriptive statistics will be utilized with data presented in tables, accompanied by a narrative. Open Science Framework osf.io/qa64b.