Mixed Methods Data Analysis Research Articles

Evaluation of a Large-Scale School Wellness Intervention Through the Consolidated Framework for Implementation Research (CFIR): Implications for Dissemination and Sustainability.

Numerous studies have tested school-based interventions promoting healthy behaviors in youth, but few have integrated dissemination and implementation (D&I) frameworks. Using D&I frameworks can inform if and how an evidence-based intervention is implemented and maintained and provide strategies to address contextual barriers. Such application is necessary to understand how and why interventions are sustained over time. We evaluated a school wellness initiative called SWITCH® (School Wellness Integration Targeting Child Health) to (1) assess implementation outcomes of adoption, fidelity, and penetration, (2) discern implementation determinants through the Consolidated Framework for Implementation Research (CFIR), and (3) examine differences among inexperienced and experienced schools and influential factors to sustainment. A total of 52 schools from Iowa, United States enrolled in the 2019-2020 iteration of SWITCH (22 inexperienced; 30 experienced). The CFIR guided the adaptation of mixed methods data collection and analysis protocols for school settings. Specific attention was focused on (1) fidelity to core elements; (2) adoption of best practices; and (3) penetration of behavior change practices. Determinants were investigated through in-depth qualitative interviews and readiness surveys with implementation leaders. A systematic process was used to score CFIR domains (between -2 and +2) indicating positive or negative influence. Independent t-tests were conducted to capture differences between samples, followed by a cross-case analysis to compare determinants data. Inductive coding yielded themes related to sustainment of SWITCH beyond formal implementation support. Experienced schools had higher scores on fidelity/compliance (t = -1.86 p = 0.07) and adoption (t = -2.03 p = 0.04). CFIR determinants of innovation source, culture, relative priority, and leadership engagement were positive implementation determinants, whereas tension for change and networks and communications were negative determinants. Distinguishing factors between experienced and inexperienced schools were Readiness for Implementation and Self-efficacy (experienced significantly higher; p < 0.05). Strategies to enhance sustainability were increasing student awareness/advocacy, keeping it simple, and integrating into school culture. Findings provide specific insights related to SWITCH implementation and sustainability but more generalized insights about the type of support needed to help schools implement and sustain school wellness programming. Tailoring implementation support to both inexperienced and experienced settings will ultimately enhance dissemination and sustainability of evidence-based interventions.

Nurses’ Views on How to Best Design a Program to Prevent Adolescents’ Anxiety in the Perioperative Period. A Qualitative Study

PurposeTo describe the nurses' views for consideration when designing a program to prevent adolescents' anxiety in the perioperative period. DesignA qualitative descriptive case study using focus group and thematic analysis was conducted. MethodsThree face-to-face focus group interviews were conducted in October and November 2019 in the pediatric department of a university hospital. A purposive criterion method was applied to achieve a sample of 19 pediatric nurse specialists. Data were organized and systematized in the professional software for qualitative and mixed methods data analysis software (MAXQDA) and treated through the thematic analysis method. The COREQ checklist was used to report data collection, analysis, and results. FindingsFour major themes and 14 subthemes regarding the perioperative period were generated. The first, adolescent evaluation, included the knowledge evaluation about procedures, signs and symptoms, and desire to be engaged in care. The second, caring adolescents and parents, means that nurses must be ready to care for both, use the opportunities to implement the nursing interventions, and manage physical teen space to accommodate adolescents in the ward. The third, nurses' challenges in the perioperative period, comprise the lack of time and trained nurses to work with adolescents, and the absence of prior adolescents' preparation and postoperative feedback. The fourth, nursing consultation, consists in promoting interdisciplinarity, developing the nursing interventions, and the main content to be included in the program's design. ConclusionsGiven the challenges experienced by nurses when caring for adolescents in the perioperative period, nurses suggested a systematized assessment of the adolescent at an early stage of the perioperative caring process. Added to this is the nurse's readiness for the adolescent and parents, as well as the existence of trained nurses to evaluate adolescents and to implement non-pharmacological interventions in the perioperative period. A nursing consultation emerges as the most suitable solution to include in a program to prepare adolescents for the surgical procedure and help them to manage anxiety. This kind of intervention should begin in the preoperative period, preferably after the decision on the need for the procedure.

Comparison of Sexual Concerns Between Patients with Prostate Cancer and Their Partners

ABSTRACT Introduction Prostate cancer diagnosis and treatment have a significant impact on sexual function and quality of life. Although prostate cancer is often called a “couples disease,” there is limited research on the needs of partners who are affected by the patient's sexual dysfunction. Objective The objective of our study was to compare the sexual health concerns and unmet needs of patients with prostate cancer and partners using real-world data from an online prostate cancer community. Methods We performed a mixed-methods analysis of data from the Inspire UsTOO Prostate Cancer Online Support &amp; Discussion Community. This online health community about prostate cancer has more than 30,000 members, including both patients and partners. Through a data use agreement, we obtained anonymized text from public postings to the Sexual Health &amp; Intimacy Forum on this community. Quantitative and qualitative data were examined from a random sample of 10% of the posts by women about sexual health (n=66), and were compared to an equal number of randomly selected posts by men. Results Among 6193 posts about sexual health and intimacy in prostate cancer, 661 (11%) were by female contributors. Of posts with cancer treatment details, surgery was the most common treatment discussed followed by hormonal therapy. Erectile dysfunction was the most common sexual complaint for both men and women. Posts by women were most likely to discuss problems with communication, relationship conflict, their partner's loss of libido, and the importance of intimacy. Common themes of the posts included coping with a “new normal” in their relationship, lack of access to and expense of erectile aids, and insufficient information and support from clinicians surrounding sexual recovery. A greater proportion of female posts conveyed emotion compared to male posts. The most common positive emotions were satisfaction and hope; while the most common negative emotions were frustration and loss of familiar sexual interaction. Although many posts discussed a variety of medical and surgical therapies for sexual recovery, very few discussed counseling or other psychosocial treatments. Conclusions Patients with prostate cancer and their partners experience a wide range of sexual health issues related to prostate cancer diagnosis and treatment. Online communities are widely used to give and receive peer-to-peer advice and support during sexual recovery. These findings highlight an unmet need for more extensive education and support surrounding sexual health for couples during the prostate cancer journey. Disclosure No

Defining and Cultivating International Mindedness: Perceptions and Perspectives of Students in the International Baccalaureate Middle Years Program

This article explores how international-mindedness is defined and cultivated in the International Baccalaureate (IB) Middle Years Program (MYP) schools in different regions of the world as young adolescents face their main developmental task of identity development. An online survey that contained demographic and open-ended questions was administered to MYP students. Mixed methods design and data analysis provided insight into the ways international-mindedness is experienced and developed within the IB community. Open-ended responses were analyzed using thematic analysis from which a grounded theory emerged. The most frequently mentioned themes in defining international-mindedness were understanding, awareness, and acceptance of different others. Respondents emphasized that family and school experiences were the main factors that influenced their international-mindedness with travel being frequently mentioned in both. Factors, such as make-up of participants’ families, their history of moving internationally, and the advice and modeling provided by parents and extended family as well as school experiences (e.g., field trips, debates, multicultural classrooms, curriculum focus) significantly contributed to their high self-ranked stance on the developmental continuum of international-mindedness. Consistency in responses across the regions demonstrate a paradigmatic understanding of international-mindedness among the respondents.

Students' understanding and skills on voltage and current measurements using hands-on laboratory and simulation software.

Skills competency is important especially in vocational and technical education. Thus, the aim of this research was to develop the student conceptual knowledge and skills in electrical measuring device to equip the students the necessary skills to become competent and skilful Technologist/Technician. A mixed method data analysis was employed on the data for thirteen Diploma in Telecommunication and Systems Engineering students who participated in this study. Quantitative instruments such as pre-test and post-test were used to check students’ conceptual knowledge on electrical measurement after the exposure of the hands-on or simulation laboratories. Video recordings were used to capture students’ processes on conducting the electrical measurement for both interventions. Observation form and laboratory rubric were used to analyse the skills of the students. The observer comments were then classified according to thematic analysis. The findings indicated that the students demonstrated an improvement in their conceptual understanding and their skills competency in measuring current and voltage in electrical circuits.

PENGARUH KUALITAS PELAYANAN KERETA COMMUTER INDONESIA TERHADAP KEPUASAN WISATAWAN DOMESTIK PADA ERA KENORMALAN BARU

The Indonesian Commuter Train is a favorite mass transportation for traveling in greater Jakarta because of its affordable price, proximity of the station to tourist destinations, and the services provided. In fact, the management has prepared special Passenger Service officers. There was a decline in passengers in 2019 due to passenger dissatisfaction with the services provided, even the ratio of the number of passenger complaints in 2019-2020 was still the same. In fact, as a commitment to the continued operation during the pandemic, the management launched a special Passenger Service officer named C-Ranger to disseminate health protocols during the new normal. This study uses mixed methods data analysis techniques including qualitative and quantitative descriptive analysis. The research sample determination technique uses purposive sampling with a sample size of 100 respondents. The results of the study show services provided by Passenger Service are ticketing, information service, complaint handling, CCTV access information, priority passenger, pregnant wowen, Lost and Found, and C-Ranger. Based on the t test showed that partially, the variables with tangible, assurance, and reliability variables had a significant influence on the satisfaction of domestic tourists. While the variables of empathy and responsiveness do not have a significant effect on the satisfaction of domestic tourists. simultaneously the quality of Passenger Service has a significant and positive influence on the satisfaction of domestic tourists with a coefficient of determination of 50.7%.

Multiple health behaviour change primary care intervention for smoking cessation, physical activity and healthy diet in adults 45 to 75\u2009years old (EIRA study): a hybrid effectiveness-implementation cluster randomised trial

BackgroundThis study aimed to evaluate the effectiveness of a) a Multiple Health Behaviour Change (MHBC) intervention on reducing smoking, increasing physical activity and adherence to a Mediterranean dietary pattern in people aged 45–75 years compared to usual care; and b) an implementation strategy.MethodsA cluster randomised effectiveness-implementation hybrid trial-type 2 with two parallel groups was conducted in 25 Spanish Primary Health Care (PHC) centres (3062 participants): 12 centres (1481 participants) were randomised to the intervention and 13 (1581 participants) to the control group (usual care). The intervention was based on the Transtheoretical Model and focused on all target behaviours using individual, group and community approaches. PHC professionals made it during routine care. The implementation strategy was based on the Consolidated Framework for Implementation Research (CFIR). Data were analysed using generalised linear mixed models, accounting for clustering. A mixed-methods data analysis was used to evaluate implementation outcomes (adoption, acceptability, appropriateness, feasibility and fidelity) and determinants of implementation success.Results14.5% of participants in the intervention group and 8.9% in the usual care group showed a positive change in two or all the target behaviours. Intervention was more effective in promoting dietary behaviour change (31.9% vs 21.4%). The overall adoption rate by professionals was 48.7%. Early and final appropriateness were perceived by professionals as moderate. Early acceptability was high, whereas final acceptability was only moderate. Initial and final acceptability as perceived by the participants was high, and appropriateness moderate. Consent and recruitment rates were 82.0% and 65.5%, respectively, intervention uptake was 89.5% and completion rate 74.7%. The global value of the percentage of approaches with fidelity ≥50% was 16.7%. Eight CFIR constructs distinguished between high and low implementation, five corresponding to the Inner Setting domain.ConclusionsCompared to usual care, the EIRA intervention was more effective in promoting MHBC and dietary behaviour change. Implementation outcomes were satisfactory except for the fidelity to the planned intervention, which was low. The organisational and structural contexts of the centres proved to be significant determinants of implementation effectiveness.Trial registrationClinicalTrials.gov, NCT03136211. Registered 2 May 2017, “retrospectively registered”.

Teaching mixed methods: Using the Titanic datasets to teach mixed methods data analysis

The Titanic quantitative dataset has long been used to teach statistics. However, combining the quantitative dataset with a qualitative dataset of survivor testimonies shows that the Titanic case is an even better example to teach mixed methods. This article offers practical tools to teach mixed methods to undergraduate or postgraduate students in the social sciences, using the Titanic datasets. Based on an empirical analysis of the survival probabilities on the Titanic, we show how mixed methods lead to superior explanations than mono-method strategies. This paper has two goals: 1) to introduce the freely available linked Titanic datasets; and 2) to present a three-hour step-by-step exercise with the Titanic datasets that can be used to learn and teach mixed methods.

Teaching Family Medicine Residents How to Identify and Address Social Determinants of Health.

This educational program aimed to teach family medicine residents how to address social determinants of health. The literature reviewed suggested that curricula addressing social needs of patients were sporadic and failed to provide residents with practical ways to apply the knowledge. The program objectives were to provide residents with a thorough understanding of social determinants of health and to provide a practical experience where they could address social needs. The program consisted of four didactic sessions in which the residents discussed why addressing social determinants of health is important, designed a screening tool, and were educated on how to assess and communicate with patients. As a longitudinal experience, the residents used the screening tool in their clinic and connected patients with resources. We performed a mixed-methods data analysis to determine if program goals were met. Survey data showed a statistically significant change in the comfort, understanding, and consistency of addressing social determinants of health. Reflections showed similar results. Residents recognized the importance of being aware of social needs, having conversations with patients about their needs, and considering cost when they implement treatment plans. Family medicine residents are the future primary care providers for our communities. Therefore, it is important to equip them with the knowledge and ability to address all of the factors affecting their patients' health. Graduates will be able to apply this knowledge to their future patients, and educators can be assured family physicians have the skills to address social determinants of health.

The Process of Reframing a Linguistic Mindset (RLM) and Its Implications for Professional Development in Education

This paper discusses the results of a study that yield information on the process of teachers reframing a linguistic mindset from standard language beliefs to linguistically informed, and proposes the Reframing of a Linguistic Mindset (RLM) model as a means of analysis for more impactful professional development. The participants were fourteen teachers who attended language variation workshops, then integrated linguistically informed content into their curricula throughout the year. The study employed mixed methods data analysis principally from transcribed individual and focus-group interviews. Analysis of the data resulted in a theoretical conceptualization of the reframing of a linguistic mindset as a circular process consisting of five phases: confronting new linguistic information; questioning linguistic information and previously held language beliefs; integrating new linguistic information within social contexts; evaluating relational, emotional and cognitive responses to integrating; and reframed views of language. The RLM model addresses a phenomenon in the reframing process where, not only do the phases repeat and inform each other, but the process can also include juxtaposed contrary views where previously held standard language beliefs are reinscribed, and at the same time a linguistically informed awareness is gained from the experience. Link to paper: https://documentcloud.adobe.com/link/review?uri=urn:aaid:scds:US:f9431a26-b0c9-4b16-b4ca-ca14e76b4c68

Using the Lenses of Emotion and Support to Understand Unemployment Discourse on Reddit

Unemployed individuals experience emotional upheaval and financial constraints, and they struggle to share their challenges and obtain support from their family members and social circles. While prior work has shown that social media platforms enable their users to safely share their turmoil, hardships, and emotional upheavals and seek support, little is known about how the unemployed use such platforms. Based on a mixed-methods analysis of data retrieved from unemployment communities on Reddit, our study reveals that redditors in these communities engage in exchanges that range from queries seeking information about job searching to discussions about sensitive topics such as the health and social implications of unemployment. Also, while redditors use mostly negative emotional tonality in their texts when initiating a new post, the comments in response provide considerable social support in the form of esteem, emotional, informational, network, and instrumental support. Based on these findings, we share the theoretical implications of our work and offer design

The Impact of Marketization on Sustainable Economic Growth—Evidence from West China

In this paper, we aim to study the relation between the marketization level in the western region of China and its economic development, and to provide policy guidance for the economic development of underdeveloped regions. Mixed methods data analysis was conducted using panel data from 82 prefecture-level cities in west China from 2003 to 2017. The overall regression results show that the level of marketization has a significant role in promoting economic growth. At the same time, regional heterogeneity analyses show that the sub-indicators of marketization have different degrees of influence on economic growth in the southwest and northwest of China, whereas the overall level indicator plays a significant role in both regions. In addition, the threshold panel model was used to test whether the influence of marketization on economic growth in the western region had interval characteristics. Through the self-sampling method, it was found that there are double thresholds. In terms of the gradual progress of the marketization level range, it shows a trend of first increasing, then decreasing and then increasing again. The results show that the level of marketization in west China has significantly promoted the economic development of the western region. Additionally, the impact of marketization on economic development in relatively backward regions is gradually increasing and surpassing that of relatively developed regions. Underdeveloped areas in west China can stimulate their advantages by continuously promoting the construction of marketization and improving the level of economic organization, so as to gradually narrow the development gap between regions.

Academic Health Sciences Librarian Job Descriptions Do Not Frequently Reflect Emerging Skillsets and Changing Research Needs

Academic Health Sciences Librarian Job Descriptions Do Not Frequently Reflect Emerging Skillsets and Changing Research Needs

Return on time investment: Research resources

Return on time investment: Research resources

Students’ perspective: instructional design and technology that should be done in vocational teacher education

The development of science and technology, the industrial revolution 4.0, the 21st century required skills, the ASEAN Economic Community, and the characteristic of 21st-century students bring significant effects for educational programs for preparing appropriate skills for students to face those challenges. Instructional design that should be done in the teaching and learning processes in the classroom is one of the crucial things that have high impacts on students’ success in mastering subject matter. This study aims to describe important things of instructional design and technology that students want to be implemented in their learning activities. This study is a descriptive survey research with exploratory sequential mixed-methods data analysis. The data was collected by conducting focus group discussions (FGD) and questionnaires with first-year students in 2 classes of automotive vocational teacher education in Yogyakarta State University. The results of this study are (1) having a structured program in an online platform with specific preferred learning materials before classroom activities for preparing needed background knowledge, (2) having discussions for exercising high order thinking skills in classroom activities, and (3) having checking understanding and discussion forum program in an online platform.

Improving access to refugee-focused health services for people from refugee-like backgrounds in south-eastern Melbourne through the education sector.

People from refugee-like backgrounds living in Australia face substantial health challenges that benefit from access to health and social services. Many people from refugee-like backgrounds have frequent contact with education sector staff, who have the potential to act as conduits to health and social services. The aim of this project was to improve access to refugee-focused health services for people from refugee-like backgrounds in south-eastern Melbourne by codesigning and delivering a 1-day education forum to education sector staff. Evaluation of the forum used mixed-methods analysis of data from pre-post and follow-up surveys (n =11; administered before, immediately after and 1 month after the forum respectively), post-forum interviews (n =4) and one school's referral records. The forum improved attendees' refugee-focused health service referral knowledge, confidence and behaviour. This was supported by the qualitative findings of high staff motivation, high forum satisfaction and evidence of outcome sustainability. Education staff are an important complement to an integrated model of health care for recently resettled people from refugee-like backgrounds. These results show that a straightforward local intervention can improve the ability of education staff to act as conduits to health services, increasing access to health services for people from refugee-like backgrounds.

Walking the UDL Walk

Incorporating UDL principles allows faculty to create engaging and accessible online courses for diverse learners in higher education. This article demonstrates a systematic and iterative development and testing of a course about UDL designed with UDL principles in mind. Mixed methods data sources and analyses were used to explore (1) understanding, (2) use, and (3) perceptions of UDL by 132 graduate students across five semesters. In-service educators recognized the specific UDL guidelines and checkpoints built into the course and found first-hand experiences inspiring to implement UDL in their own teaching/service environments. Specific suggestions for universally-designed course elements are shared and discussed.

Walking the UDL Walk

Incorporating UDL principles allows faculty to create engaging and accessible online courses for diverse learners in higher education. This article demonstrates a systematic and iterative development and testing of a course about UDL designed with UDL principles in mind. Mixed methods data sources and analyses were used to explore (1) understanding, (2) use, and (3) perceptions of UDL by 132 graduate students across five semesters. In-service educators recognized the specific UDL guidelines and checkpoints built into the course and found first-hand experiences inspiring to implement UDL in their own teaching/service environments. Specific suggestions for universally-designed course elements are shared and discussed.

Media Review: Qualitative and Mixed Methods Data Analysis Using Dedoose: A Practical Approach for Research Across the Social Sciences

Media Review: Qualitative and Mixed Methods Data Analysis Using Dedoose: A Practical Approach for Research Across the Social Sciences

Student Mobility in Transnational Higher Education: Study Abroad at International Branch Campuses

The purpose of this research is to investigate the extent to which universities actively encourage students to participate in study abroad at an international branch campus (IBC) owned by the university. We suggest that the quality of information on study abroad provided by an institution in its website may be a good indicator of the institution’s ambition (or not) to have students moving from the home university to a branch campus for study abroad. The selected institution websites were subjected to mixed-method data analysis, which included a content analysis procedure. It was found that some universities appear motivated to achieve IBC-based study abroad and demonstrate the required marketing communication competencies required, while other institutions possibly lack motivation and/or marketing competency. To effectively promote IBC-based study abroad, we advise universities to address the student decision-making process, as suggested by the hierarchy of effects model.