Mixed Methods Data Research Articles

Sexual and Reproductive Health Rights and Service Use among Undocumented Migrants in the EU: A Systematic Literature Review.

Most EU member states fail to provide essential sexual and reproductive health services to undocumented migrants, a vulnerable population facing limited access, utilization, and worse health-related outcomes. This study systematically reviewed the literature on access to and use of these services, as well as related health, economic, and migratory outcomes for undocumented migrants in the EU-EFTA region. The systematic review is reported based on the PRISMA 2020 checklist and includes 37 studies published between 2017 and 2024. Included studies were based upon original quantitative, qualitative, or mixed-methods data; conducted in one or more European countries; and published in one or more of the following languages: English, Spanish, French, Portuguese, or Romanian. A quality assessment was conducted using the CASP checklist for qualitative studies and the NHLBI Study Quality Assessment Tools for quantitative studies. The findings revealed numerous access barriers, including refusal of care, lack of knowledge about national healthcare schemes, bureaucratic hurdles, and affordability issues. Even when care was available, stigma, fear of deportation, socio-economic precarity, and abuse further hindered utilization. These barriers contributed to generally worse reproductive health outcomes for undocumented migrants in Europe, though the findings may not generalize to all EU-EFTA countries.

Parental Contributions to Enhance Sustainable School Feeding Programme in Public Primary Schools in Gairo District Council, Tanzania

This study aimed to find out the parental contributions to enhance sustainable school feeding programmes (SFP) at public primary schools in Gairo District Council, Tanzania. It is guided by the two objectives; identify the kind of parental contributions in enhancing sustainable SFP and highlight the parents' perceptions in supporting sustainable school feeding programme (SFP). The study had a sample of 177 respondents who were selected using simple random, snowball and purposive sampling techniques. The study sample involved 98 students, 18 teachers, 60 parents, and 1 District Primary Education Officer. The study employed the mixed method approach and data was collected through a questionnaire, interview, FGD, observation and documentary review. The quantitative data was analysed by using SPSS version 25.0 and the qualitative data was analysed thematically according to the two research objectives. The findings of the study showed the existence of SFP in all 6 schools and the parents had positive perceptions as revealed through contributing food crops, cash money and physical labour to the SFP for constant supply of students' meals. The study recommended the policymakers, government and the community to act on their part for the success and sustainability of SFP

Analysis of Public Satisfaction Levels in Gelora Bung Karno (GBK) City Forest Based on Socio-Cultural Functions

The Jakarta City Government, along with the central government, has implemented various measures to address the issue of air pollution that has become a serious problem for the city. One of the efforts undertaken is to increase the provision of urban green spaces and restore the function of the GBK City Forest as a public green open space (GOS). However, there has been no research showing the public's perspective and satisfaction with the utilization of the GBK City Forest. This study aims to determine the level of public satisfaction with the GBK City Forest based on social-cultural functions. The assessment indicators used to measure public satisfaction in this study are based on the theory of cultural ecosystem services developed by Shijie Gai et al. The data used in this study were obtained using mixed methods data collection techniques through questionnaires (quantitative) as well as in-depth interviews and literature studies (qualitative). Based on the results of the study, it can be concluded that the majority of the public is highly satisfied with the utilization of the social-cultural functions of the GBK City Forest. However, some people still complain about the lack of supporting facilities for recreational activities and the disturbances from external parties that make them feel uncomfortable when engaging in activities at the GBK City Forest. Therefore, it is important for the government and the GBK City Forest management to consider public feedback and improve the quality and safety of the existing facilities.

Assessing Leadership Styles, Self-Efficacy, Job Satisfaction, and Organizational Commitment in Rural Administrative Officials Through Mixed-Methods and Quantitative Data Analysis

Assessing Leadership Styles, Self-Efficacy, Job Satisfaction, and Organizational Commitment in Rural Administrative Officials Through Mixed-Methods and Quantitative Data Analysis

The Voices on Vax Campaign: Lessons Learned from Engaging Youth to Promote COVID Vaccination

Abstract: Background: The Voices on Vax campaign was a collaborative effort that engaged youth to create an interactive website and social media presence to increase COVID vaccine confidence and uptake among African American families in Baltimore, Maryland. Objectives: To describe lessons learned and offer recommendations for future health communication campaigns involving youth ambassadors and virtual platforms. Methods: We collected website analytics and limited data from pop-up surveys on the Voices on Vax website, as well as reflections from the youth ambassadors about their experiences. Lessons Learned: Challenges included difficulties engaging the priority population and methodological limitations of our campaign’s impact evaluation. Successes included our focus on youth and adaptive engagement strategies. Conclusions: We recommend using techniques to maximize engagement by the priority population, conducting in-person outreach, incorporating mixed methods data collection, and providing a mix of structured training and creative freedom to youth ambassadors.

Implementation and Impact of Intimate Partner Violence Screening Expansion in the Veterans Health Administration: Protocol for a Mixed Methods Evaluation.

Intimate partner violence (IPV) is a significant public health problem with far-reaching consequences. The health care system plays an integral role in the detection of and response to IPV. Historically, the majority of IPV screening initiatives have targeted women of reproductive age, with little known about men's IPV screening experiences or the impact of screening on men's health care. The Veterans Health Administration (VHA) has called for an expansion of IPV screening, providing a unique opportunity for a large-scale evaluation of IPV screening and response across all patient populations. In this protocol paper, we describe the recently funded Partnered Evaluation of Relationship Health Innovations and Services through Mixed Methods (PRISM) initiative, aiming to evaluate the implementation and impact of the VHA's IPV screening and response expansion, with a particular focus on identifying potential gender differences. The PRISM Initiative is guided by the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) and Consolidated Framework for Implementation Research (CFIR 2.0) frameworks. We will use mixed methods data from 139 VHA facilities to evaluate the IPV screening expansion, including electronic health record data and qualitative interviews with patients, clinicians, and national IPV program leadership. Quantitative data will be analyzed using a longitudinal observational design with repeated measurement periods at baseline (T0), year 1 (T1), and year 2 (T2). Qualitative interviews will focus on identifying multilevel factors, including potential implementation barriers and facilitators critical to IPV screening and response expansion, and examining the impact of screening on patients and clinicians. The PRISM initiative was funded in October 2023. We have developed the qualitative interview guides, obtained institutional review board approval, extracted quantitative data for baseline analyses, and began recruitment for qualitative interviews. Reports of progress and results will be made available to evaluation partners and funders through quarterly and end-of-year reports. All data collection and analyses across time points are expected to be completed in June 2026. Findings from this mixed methods evaluation will provide a comprehensive understanding of IPV screening expansion at the VHA, including the implementation and impact of screening and the scope of IPV detected in the VHA patient population. Moreover, data generated by this initiative have critical policy and clinical practice implications in a national health care system. PRR1-10.2196/59918.

Strategies in Increasing Foreign Tourist Visits to Halal Destination: Insights from Sabang, Indonesia

Objective –This research aims to determine the impact of increasing the intention to visit on the competitiveness of Aceh's leading tourist destinations and to develop strategic steps to increase foreign tourist visits to Sabang.Design/methodology –The methodology used is a mixed method, with quantitative and qualitative data collected by concurrent triangulation design. The quantitative sample comprised 100 participants, while the qualitative sample consisted of seven informants, all sample and informant from foreign tourists.Results –The impact of increasing the intention to visit on the competitiveness of Aceh's leading tourist destinations is based in large part on its halal image, with attitude also having a significant effect on tourists' intention to visit tourist destinations in Sabang. Halal awareness among international tourists can strengthen or weaken the relationship between halal image, attitude and tourists' intention to visit tourist destinations in the area. Efforts to increase foreign tourist visits can be made by developing strategic steps through the optimization of roles. For example, the government should conduct promotions, provide education, and ensure environmental cleanliness. Entrepreneurs should promote Sabang Island through social media and collaboration with the travel, provide cleaning the facilities, and build prayer rooms. The society needs to understand Sharia behavior and be able to communicate in English through training and education programs, and also needs to keep the environment clean.Research limitations/implications –This study focuses on efforts to increase the number of foreign tourists in Sabang, Aceh's. The research can contribute to developing superior Sharia tourist destinations in Sabang in the future and consequently increase foreign exchange earnings from tourism.Novelty/Originality –The novelty is the development of Sabang as a premium sharia tourism destination in Aceh. Unique efforts were made by increasing halal awareness and approach optimalization role uses foreign tourists’ perceptions. Contributions from local governments, entrepreneurs and the community are needed to increase interest in repeat visits by foreign tourists.

Task-shifting of prolonged exposure for primary care (PE-PC) for PTSD in a semirural setting in South Africa: A pilot implementation study.

Implementation science (IS) has received increased attention as it provides a means to bridge the know-do gap to implement evidence-based interventions in real-world settings. Against this backdrop, posttraumatic stress disorder (PTSD) is a global mental health concern (Koenen et al., 2017), especially in low- and middle-income countries characterized by limited trained health professionals, infrastructure, and limited access to evidence-based mental health care (Chen et al., 2017). Over the last 3 decades, effective trauma-focused psychotherapies (TFPs) for PTSD have been developed (Hamblen et al., 2019). Prolonged exposure therapy (PE) is a first-line TFP for PTSD (Hamblen et al., 2019), yet the dissemination and implementation of PE have been limited to specialty care settings in developed or industrialized countries (Booysen & Kagee, 2020). Implementation science provides an opportunity for disseminating and implementing TFPs like PE in low- and middle-income countries. This article describes mixed-method data from a pilot implementation study of an abbreviated version of PE, known as prolonged exposure for primary care (S. A. M. Rauch, Kim, et al., 2023), in a semirural city in the Eastern Cape of South Africa. Importantly, prolonged exposure for primary care shows a significant reduction in PTSD when provided by lay counselors and good feasibility and acceptability. In addition, we reflect on the barriers and facilitators related to implementation research within a low-resourced community, namely, (a) training lay counselors, (b) cultural diversity, and (c) mental health literacy. Mental health literacy is proposed as an essential component to consider in implementation science, especially in low-resourced communities. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Data-driven program adaptation and continuous improvement: A case study of the Adolescents 360 (A360) project in Ethiopia, Nigeria, and Tanzania

Interventions benefit from ongoing continuous quality improvement during implementation to refine and strengthen them in response to changing contexts and emerging opportunities. This article reflects on the experience from the Adolescents 360 (A360) project in implementing user-centered, adaptive programming across Tanzania, Ethiopia, and Nigeria from 2018 to 2020. During this implementation period, A360 progressed through three distinct phases: an ‘optimization’ of project interventions in pursuit of efficiency and preparation for scale; a re-focusing on user-centered programming to go beyond efficiency and pursue greater impact; and a rapid course correction in response to the emerging COVID-19 pandemic. A360’s approach to data-informed adaptation evolved throughout these phases. From a hyper focus on cost-efficiency during optimization to a more expansive use of mixed methods data for adaptation during its second phase and finally iteration in response to an extremely restrictive service delivery environment during the COVID-19 pandemic. In this article we reflect on how these periods of adaptation and course correction contributed to the evolution of the project’s interventions and provided significant lessons which the project has taken into its new investment phase. Balance is key – utilizing a range of mixed methods data instead of a singular focus on cost-efficiency, streamlining interventions while not compromising long-term impact, and retaining a user-focus even while considering sustainability.

An evaluation of the best practices and barriers for the Nagasaki acute myocardial infarction secondary prevention clinical pathway

Aims The Nagasaki Acute Myocardial Infarction Secondary Prevention Clinical Pathway (NASP), a guideline-based regional clinical pathway, was developed to manage low-density lipoprotein cholesterol levels for patients with acute myocardial infarction (AMI) in the Nagasaki prefecture in Japan. This study aimed to summarize the perceived best practices and barriers for the dissemination and operation of the NASP. Methods This exploratory sequential mixed methods study was developed around the RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) framework. Focus group interviews were conducted with 24 physicians with experience treating AMI in alignment with the NASP at foundation hospitals. The identified themes and insights were integrated into the development of the questionnaire. The web-based, self-administered questionnaire with a cross-sectional study design was given to 62 physicians in the Nagasaki prefecture. Mixed-method data integration of the results from both study phases was conducted through meta-inferences made from the qualitative and quantitative data. Results The best practices included the development of multi-disciplinary operation teams at medical facilities in preparation for the implementation of the NASP, the simplification of the document preparation process, and the establishment of an additional medical fees policy for the utilization of the NASP instead of patient referral documents. Practices tailored to the type of medical institute such as instructing patients on the NASP regimen during index hospitalization for acute-care hospitals, and the development of NASP instructions and manuals for primary care hospitals/outpatient clinics were also recommended. In addition, barriers to the implementation of the NASP such as missed eligible AMI patients for the NASP and the inconsistent implementation to eligible AMI patients were identified. Conclusions This study identified the perceived best practices and barriers for the NASP. This knowledge should be considered when expanding the NASP to other institutions across Japan.

Improving Linkages Between Sexual and Reproductive Health and Substance Use Providers: The Partnership to Advance Integrated Referrals.

Women of reproductive age with substance use (SU) disorders have lower rates of contraceptive use and higher rates of unintended pregnancy than women without SU disorders and are less likely to access treatment than men. Integration of SU and sexual and reproductive health (SRH) services, using a model known as Screening, Brief Intervention, and Referral to Treatment (SBIRT), has been proven effective in reducing SU and improving health care equity. The SBIRT model includes screening, brief intervention (a short client-centered conversation providing an opportunity to identify/discuss concerns), and referral to treatment. The purpose of this study was to test whether an established quality improvement (QI) learning collaborative model could be used to support SU and SRH sites in implementing an SBIRT/SBIRT-like model to improve health outcomes for women. Five SRH sites and 4 SU sites across New York State participated in the Partnership to Advance Integrated Referrals (PAIR), an 18-month QI learning collaborative designed and implemented by Public Health Solutions. Six standardized mixed-methods data collection tools were used over 18months to gather process and outcome data from over 130 QI team members and site staff and over 5000 clients. By the end of PAIR, QI team members and site staff showed a reduction in bias, increased knowledge and comfort, increased rating of organizational practices related to client-centered care, and increased access to peer learning, information about best practices, and training and technical assistance. SU sites increased SRH screening from 47.9% in the first quarter of data collection to 67.4% in the final quarter and increased brief interventions from 92.5% in the first quarter to 100.0% in the final quarter. Similarly, SRH sites increased SU screening from 51.6% to 75.6% and increased brief interventions from 81.3% to 85.1%. The processes and outcomes were very different for the SU and SRH sites, and their varying successes and challenges are discussed. Making and verifying referrals remained challenging. The results of PAIR demonstrated the feasibility of SU and SRH sites implementing an SBIRT/SBIRT-like model when supported by a QI learning collaborative. Larger community and organizational challenges (COVID-19, staff turnover) still present barriers to improved reproductive health and SU outcomes for women.

A tutorial for integrating generative AI in mixed methods data analysis

The current article used real data to demonstrate the analysis and synthesis of Mixed Methods Research (MMR) data with generative Artificial Intelligence (Gen AI). I explore how reliable and valid Gen AI data outputs are and how to improve their use. The current content is geared towards enhancing methodological application regardless of field or discipline and includes access to a prompt library and examples of using outputs. The demonstration data used emanated from a study done in South Africa, with a quantitative sample size of 969 first-year engineering students and, for the qualitative part, 14 first-year students. In the current article, I compare my original analysis to ChatGPT results. Generative AI as a mind tool is best used with human insight, and I found this to be especially true when coding qualitative data. ChatGPT produced generic codes if asked to do inductive coding, and the results improved when training the Gen AI on human examples, which led to moderate and significant correlations between human and machine coding. The quantitative analysis was accurate for the descriptive statistics, but the researcher had to use best judgment to select the correct inferential analysis. Quantitative and qualitative analysis should be conducted separately in generative AI before asking the Chatbot for help with mixed methods results. In the current paper, I give guidelines and a tutorial on how to use chatbots in an ethically responsible and scientifically sound manner for research in social and human sciences.

Intuitive tracking: Blending competing approaches to exercise and eating.

Under the conditions of neo-liberal individual responsibilisation, self-tracking has become the predominant model of health management. More recently, though, intuition-based approaches to exercise and eating are also gaining traction. These two approaches are often located in opposition. While self-tracking uses datafication and calculability to structure health decisions, intuitive approaches encourage abandonment of rules and restrictions around exercise and food in favour of corporeal self-awareness and attunement to sensation. Although navigating these competing approaches is a common experience for all populations, the tensions between them are felt particularly acutely by people with complex health histories, such as eating disorders (EDs). In this article, we draw on mixed-methods longitudinal data, analysed using phenomenological analysis, to propose a novel framework - 'intuitive tracking'-which moves beyond understandings of self-tracking as the antithesis of intuitive engagement with exercise and health. Drawing on longitudinal interviews and photo elicitation with 19 women who are in recovery from EDs and using weightlifting as a tool to support their recovery, we demonstrate how attentiveness to bodily and emotional cues is successfully combined with an emphasis on monitoring health behaviours to support wellbeing. We conclude that theoretical understandings of self-tracking can and should make space for intuition-led decision-making.

Methodologic and Data-Analysis Triangulation in Case Studies: A Scoping Review.

We sought to explore the processes of methodologic and data-analysis triangulation in case studies using the example of research on nurse practitioners in primary health care. We conducted a scoping review within Arksey and O'Malley's methodological framework, considering studies that defined a case study design and used 2 or more data sources, published in English or German before August 2023. The databases searched were MEDLINE and CINAHL, supplemented with hand searching of relevant nursing journals. We also examined the reference list of all the included studies. In total, 63 reports were assessed for eligibility. Ultimately, we included 8 articles. Five studies described within-method triangulation, whereas 3 provided information on between/across-method triangulation. No study reported within-method triangulation of 2 or more quantitative data-collection procedures. The data-collection procedures were interviews, observation, documentation/documents, service records, and questionnaires/assessments. The data-analysis triangulation involved various qualitative and quantitative methods of analysis. Details about comparing or contrasting results from different qualitative and mixed-methods data were lacking. Various processes for methodologic and data-analysis triangulation are described in this scoping review but lack detail, thus hampering standardization in case study research, potentially affecting research traceability. Triangulation is complicated by terminological confusion. To advance case study research in nursing, authors should reflect critically on the processes of triangulation and employ existing tools, like a protocol or mixed-methods matrix, for transparent reporting. The only existing reporting guideline should be complemented with directions on methodologic and data-analysis triangulation.

Development of a Patient-Centered Pathway of Care for Retinoblastoma Patients: A Mixed-Methods Pilot Study.

Introduction Retinoblastoma treatment and follow-up is complex and varies between patients. Pathways of care can enhance quality of care, patient outcomes, safety, satisfaction, and resource optimization. Developing a pathway of care for retinoblastoma was identified as a top research priority by the retinoblastoma community. This study aimed to co-design and pilot a pathway of care called the "Retinoblastoma Journey Map" tailored for caregivers of newly diagnosed children with retinoblastoma. Methods A working group of patients, health professionals and researchers used human-centred design to ideate, prototype and refine the Retinoblastoma Journey Map. Caregivers of affected children were recruited to use and evaluate the Map. Mixed-methods data was collected on feasibility, acceptability, usability and perceived impact on communication, self-efficacy, anxiety, depression, and the quality of physician-patient interaction. Results The Retinoblastoma Journey Map consisted of an illustrated roadmap with 25 child-friendly stickers covering clinical treatment, medical education and milestones. Quantitative analysis revealed that the Map was feasible, acceptable, and usable; however, no significant effect on communication, self-efficacy, anxiety, depression or quality of physician-patient interaction was observed. Qualitative analysis identified 6 themes: Primary Use, Challenges, Impact, Limitations, Feasibility, Acceptability and Usability, and Unmet Needs. Conclusion A pathway of care for retinoblastoma, co-designed by researchers, health professionals and patients, was usable, acceptable, and feasible by caregivers of children with retinoblastoma. While significant effects on communication and physician-patient interaction were not observed, 'legacy building' - documentation of the pathway of care by families for later education of their child - emerged as an unanticipated yet important use of the Retinoblastoma Journey Map.

Does Being In-Person Matter? Demonstrating the Feasibility and Reliability of Fully Remote Observational Data Collection.

Many conventional research methods employed in randomized controlled trials were not possible during the height of the COVID-19 pandemic. In particular, behavioral observations are nearly universally gathered in-person. Observational methods are valued for the rich, informative data they produce in comparison to non-observational methods and are a cornerstone of parenting and family research. COVID provided the opportunity to, and indeed necessitated, the transition to fully remote observation. However, little to no studies have investigated whether remotely collected observational data are methodologically sound. This paper assesses the feasibility of remote data collection by describing the transition between in-person and fully remote observational data collection during a Sequential, Multiple Assignment, Randomized Trial (SMART) of a parenting program that took place both before and during the pandemic. Using mixed-methods data from coders, the overall quality of video-recorded data collected both before and during COVID was examined. Coder reliability over time was assessed with intraclass correlation coefficients. Results suggest that the frequency of audio problems, the severity of visual problems, and the level of administration challenges decreased after transitioning to remote data collection. Additionally, coders showed good to excellent reliability coding remotely collected data, and reliability even improved on some measured tasks. Although challenges to remote data collection exist, this study demonstrated that observational data can be collected feasibly and reliably. As observational data collection is a key method to assess parenting practices, these findings should improve researcher confidence in utilizing remote observational methods in prevention science.

Mitigating stuttering self-stigma: How do we start and where do we go? Using a Participative Concept Mapping Approach to develop a local framework of principles

PurposeThis study aims to create a stigma reduction framework for stuttering in the local context of Québec, Canada using the Participative Concept Mapping Approach (PCMA), focusing on both self and societal stigma. MethodEmploying a mixed-methods approach, this study engaged 17 experts—people who stutter, clinicians and health innovation specialists—in PCMA workshops. Via diverse steps, including generation, sorting and rating of ideas in response to the focus prompt, "To effectively address stuttering (self-)stigma, an intervention should…" these sessions led to a framework depicted in visual maps, then refined into actionable principles through qualitative analysis. Mixed-methods data analysis used the open-source R-CMap software to generate visual maps illustrating the relationships among ideas as well as importance and feasibility ratings. ResultsThe collaborative workshops identified 95 ideas in response to the focus prompt, reunited in 7 clusters, evolving into 16 principles to mitigate stuttering stigma and self-stigma. At the therapy level, these principles emphasize personalized therapy, thorough assessments, stigma-free therapeutic environment, empowerment, and the importance of group inclusivity and educating the relational circles. Societally, they advocate for initiatives such as improved educational outreach, empathy enhancement, and better representation. This dual approach targets individual experiences and societal views on stuttering, stressing the need for an all-encompassing intervention framework. ConclusionThe findings demonstrate PCMA's usefulness in crafting local, culturally sensitive, tailored interventions for stigma reduction. The study emphasizes the necessity of holistic approaches that address individual experiences and societal perceptions, offering a model to conduct similar exercises in diverse local settings.

Systematic Review on the Barriers and Challenges of Organisations in Delivering New Net Zero Emissions Buildings

Achieving the net zero emissions target that was set in the Paris Agreement to mitigate the risks of climate change seems increasingly difficult as countries and sectors of the economy are falling behind the expected trajectory. The building and construction industry, as one of the main contributors to global emissions, has an essential role to play toward this aim. Net zero emissions target has been introduced to this sector as well; however, achieving it is a very challenging and complex task. Many studies have been undertaken on implementing different measures and strategies to reduce the industry’s carbon footprint. These studies identified many challenges and barriers in transforming the industry. This paper aims to provide a systematic review of challenges that organisations face in delivering new net zero emissions buildings. The relevant journal articles published since the Paris Agreement were identified and analysed using mixed-method data analysis, including quantitative (science mapping) and qualitative (thematic) analysis. The result showed increased attention to the subject over this period, with China, the UK, and Australia being the top contexts for research. The most discussed groups of barriers were “economic”, “knowledge”, and “technical”, respectively, followed by “organisational”, “market”, “technological”, and “legal” barriers.

Differential Costs of Raising Grandchildren on Older Mother-Adult Child Relations in Black and White Families.

Drawing from theories of affect, role strain and stress processes, we studied the impact of raising grandchildren on older mothers' relationships with the adult offspring whose children they raised, with particular attention to how these patterns differ by race and ethnicity. We used mixed-methods data collected from 531 older mothers regarding their relationships with 1935 of their adult children as part of the Within-Family Differences Study. Multilevel regression analyses showed that raising grandchildren was associated with greater mother-adult child closeness in Black families; however, in White families, raising grandchildren was associated with greater mother-adult child conflict. Qualitative analyses revealed that these differences could be explained by the tendency of Black grandmothers to emphasize positive aspects of raising grandchildren, compared to White grandmothers, who viewed raising grandchildren as demanding and who described their exchanges with their adult children as unequal. Overall, our findings reflect racial and ethnic differences in intergenerational solidarity.

Teachers’ perceptions about digital storytelling and its pedagogical usage. The improvement of minority children’s classroom engagement

ABSTRACT The study examines teachers’ perceptions about digital storytelling (DST) and why they are reluctant to use it as an instructional tool, despite its effectiveness for student learning. Additionally, it answers the question: What are the effective pedagogical practices for implementing digital storytelling by kindergarten teachers? Twelve participants were interviewed to explain the results of a questionnaire completed by 42 participants. The mixed method data analysis identified effective pedagogical practices that impact children's skills and responsibilities, as well as the engagement of minority children. This research is expected to provide valuable insights for educational practice.