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Qualitative Health Research

Emily K Jenkins, Allie Slemon, Rebecca J Haines-Saah, John Oliffe
The aims of multisite qualitative research, originally developed within the case study tradition, are to produce findings that are reflective of context, while also holding broader applicability across settings. Such knowledge is ideal for informing health and social interventions by overcoming the limitations of research developed through methodological approaches that either "strip" context, or that hold relevance for a site-specific group or population. Yet, despite the potential benefits of multisite qualitative research, there is a paucity of analytical guidance to support researchers in achieving these yields...
July 1, 2018: Qualitative Health Research
Alaina C Zanin, Cameron W Piercy
Using a lens of structuration theory, this study highlights the ways that specific structures within the current community-based model of mental health care might enable and constrain individuals and families living with mental illness. Through a case study of a volunteer mental illness advocacy group, the authors employed a duality analysis on a variety of data collected from the case (i.e., interviews, organizational documents, and community health care data). Findings indicate that while group members encountered structural barriers to their organizational mission, they also used communicative agency creatively and collectively to (re)create structures within the current community-based model of mental health care...
July 1, 2018: Qualitative Health Research
Karin Olson, Oksana Zimka, Ashley Pasiorowski, Sandra Iregbu, Normand G Boulé
In this article, we report the results of a study that was part of a five-study concept development project. Our goal was to learn about the nature of illness by exploring variations in the manifestations of fatigue, a symptom that is prevalent in both ill (cancer, depression, chronic fatigue syndrome) and selected nonill (recreational marathon runners, shift workers) populations. In this article, we report results of our study of recreational marathon runners, obtained from unstructured interviews with 13 runners between the ages 19 and 49 years using ethnoscience as the design...
July 1, 2018: Qualitative Health Research
Erin Willis
Many patients seek and share information online regarding health, especially those diagnosed with chronic disease. The social cognitive theory is used as the theoretical framework for analyzing how members learn within online health communities. This study conducted in-depth interviews with members from online health communities related to arthritis to understand their motivation for participating in the community and how the content exchanged therein is applied to managing their disease. Four themes were identified: processing disease diagnosis, collaborating to solve problem, recognizing personal limitations, and appreciating that health is variable...
July 1, 2018: Qualitative Health Research
Stephanie M N Glegg
Visual methods are gaining traction in qualitative research to support data generation, data analysis, and research dissemination. In this article, I propose a preliminary typology that categorizes five identified purposes of applying visual methods in qualitative interviews: to (a) enable communication, (b) represent the data, (c) enhance data quality and validity, (d) facilitate the relationship, and (e) effect change. Examples of visual tools are presented to demonstrate their utility in addressing these five aims...
July 1, 2018: Qualitative Health Research
Jamie Hartmann-Boyce, Anne-Marie Boylan, Susan A Jebb, Paul Aveyard
The experience and role of self-monitoring in self-directed weight loss attempts may be distinctly different from that within formal interventions, and has yet to be fully explored. We systematically reviewed qualitative studies to examine experiences of self-monitoring as an aid to self-directed weight loss. Thematic synthesis was used to construct descriptive and analytical themes from the available data. In all, 22 studies (681 participants) were included, in which the uses of self-monitoring ranged from an aid to increase adherence to a tool for facilitating analysis...
July 1, 2018: Qualitative Health Research
Elizabeth Troutman Adams, Elisia L Cohen, Andrew Bernard, Whittney Darnell, Donald W Helme
Prescription opioids and heroin account for more than half of all drug overdose fatalities, costing an estimated 115 American lives every day. The ongoing opioid epidemic devastates communities and represents a tremendous burden to the national economy and health care system. In 2016, the Centers for Disease Control and Prevention and the White House Office of National Drug Control Policy proposed action to train prescribers on the proper dispensing of opioids, which are indispensable pharmacologic resources for treating acute pain resulting from a traumatic injury or surgery...
July 1, 2018: Qualitative Health Research
Erika N Smith-Marek, Joyce Baptist, Chandra Lasley, Jessica D Cless
The experience of exercise among women survivors of sexual violence is a multifaceted phenomenon. In effort to inform treatment interventions, we used a phenomenological approach to describe the lived experience of exercise among women survivors of sexual violence. Data analysis from a focus group discussion and individual interviews with eight women survivors receiving services at a rape crisis center (RCC) revealed four themes: exercising (and not exercising) fosters safety, exercising is risky, past trauma restricts exercise choices, and exercising is beneficial...
July 1, 2018: Qualitative Health Research
Leeat Granek, Ora Nakash, Merav Ben-David, Shahar Shapira, Samuel Ariad
The objectives of this study were to identify how oncologists respond to mental health distress in their patients, what specific strategies they use in treating this distress, and what barriers they report responding to their patients' emotional distress. Twenty-three oncologists at two cancer centers were interviewed. The grounded theory method of data collection and analysis was used. Oncologists varied in their response to patients' emotional distress. Strategies used in responding to patients' distress included creating supportive relationships and prescribing medications, while barriers included patient reluctance, a lack of protocol on how to respond to patients, limited psychosocial resources, and a lack of time...
July 1, 2018: Qualitative Health Research
Benjamin F Henwood, John Lahey, Taylor Harris, Harmony Rhoades, Suzanne L Wenzel
In this study, we used ethnographic methods and a risk environment framework to consider how contextual factors produce or reduce risk for substance use with a sample of 27 adults who recently moved into permanent supportive housing (PSH). Most apparent was how the social and physical environments interacted, because most participants focused on how having an apartment had dramatically changed their lives and how they interact with others. Specific themes that emerged that also involved economic and policy environments included the following: isolation versus social engagement; becoming one's own caseworker; and engaging in identity work...
July 1, 2018: Qualitative Health Research
Gregory A Thompson, Leeann H Whiffen
We argue that patient autonomy is a cultural value specific to Western culture and that the autonomy focus in U.S. health care may produce negative patient outcomes for patients from other cultures. To this end, we present a case study of a Mexican physician's interactions with his patients and apply the method of discourse analysis to argue that (a) this physician's interactions are highly paternalistic, (b) there is an appreciation for this among his Latino patients and in the broader Latino community, and (c) this physician provides high-quality ethical care precisely because his paternalism communicates important ethical values such as familial intimacy, insistence, and care...
June 1, 2018: Qualitative Health Research
Laetitia Ricci, Jean-Baptiste Lanfranchi, Fabienne Lemetayer, Christine Rotonda, Francis Guillemin, Joël Coste, Elisabeth Spitz
A systematic review of articles using qualitative methods to generate questionnaire items identified in MEDLINE and PsycINFO from 2000 to 2014 was carried out. Articles were analyzed for (a) year of publication and journal domain, (b) qualitative data collection methods, (c) method of data content analysis, (d) professional experts' input in item generation, and (e) debriefing of the newly developed items. In total, 371 articles were included and results showed (a) an acceleration of published articles, (b) individual interviews and focus groups were common ways of generating items and no emergent approach was identified, (c) the content analysis was usually not described (43% of articles), (d) experts were involved in eliciting concepts in less than a third of articles, (e) 61% of articles involved a step of further submission of newly developed items to the population of interest...
June 1, 2018: Qualitative Health Research
Ohad Green, Liat Ayalon
We examined the role of possessions in the process of moving and adjusting to continuing care retirement communities (CCRCs). Totally, 59 CCRC residents in 12 CCRCs were interviewed. We categorized three main types of residents: "I want it all," "I want it that way," and "I want to break free." Each type experienced differently the role that objects play in (a) the reasons for moving, (b) choosing a CCRC and a specific apartment, (c) organizing one's belongings in preparation for relocation, and (d) adjusting to the new apartment...
June 1, 2018: Qualitative Health Research
Salini Mohanty, Amy Carroll-Scott, Marissa Wheeler, Cecilia Davis-Hayes, Renee Turchi, Kristen Feemster, Michael Yudell, Alison M Buttenheim
Understanding how pediatric practices handle parental vaccine hesitancy is important as it impacts the efficiency and effectiveness of pediatric practices. In total, 21 semi-structured interviews with pediatric practice staff within a primary care network were conducted between May 2012 and March 2013. Thematic analysis focused on the barriers and challenges of vaccine hesitancy and strategies to reduce the burden at the practice level. Barriers and challenges of vaccine hesitancy included time constraints, administrative challenges, financial challenges and strained patient-provider relationships...
June 1, 2018: Qualitative Health Research
Martina von Arx, Stéphane Cullati, Ralph E Schmidt, Silvia Richner, Rainer Kraehenmann, Boris Cheval, Thomas Agoritsas, Pierre Chopard, Claudine Burton-Jeangros, Delphine S Courvoisier
Physicians and nurses are expected to systematically provide high-quality healthcare in a context marked by complexity, time pressure, heavy workload, and the influence of nonclinical factors on clinical decisions. Therefore, healthcare professionals must eventually deal with unfortunate events to which regret is a typical emotional reaction. Using semistructured interviews, 11 physicians and 13 nurses working in two different hospitals in the German-speaking part of Switzerland reported a total of 48 healthcare-related regret experiences...
June 1, 2018: Qualitative Health Research
Aleksandra A Staneva, Alexandra F Gibson, Penelope M Webb, Vanessa L Beesley
We aimed to examine how women construct their experiences of chemotherapy treatment for ovarian cancer. Through semistructured interviews, we explored the accounts of 18 Australian women about their experiences within a broader cultural imperative-or discourse-to "think positively." By applying a critical realist lens to the analysis, we identified two discursive themes that shaped women's accounts. The "feeling different and managing support" theme highlights the identity challenges women faced because of the lack of formal support for ovarian cancer...
June 1, 2018: Qualitative Health Research
Z Mupambireyi, S Bernays
This methodological article reflects on the contribution audio diaries can make to accessing important, and commonly silenced, dimensions of the lived experience of growing up with HIV and their acceptability to children. Audio diaries were used by 12 young people, aged 11 to 13 years, as part of a longitudinal qualitative study embedded within the Anti-Retroviral Research for Watoto (ARROW) clinical trial. The method provided an alternative means for young people to express detailed reflections on their day-to-day encounters, as well as ordinarily silenced topics, including hidden and suppressed emotions regarding the circumstance surrounding their perinatal infection...
June 1, 2018: Qualitative Health Research
Travis Salway, Dionne Gesink
In this study, we document life stories of gay men who attempted suicide as adults. Our goal is to expand the collection of narratives used to understand this persistent health inequity. We interviewed seven adult gay men, each of whom had attempted suicide two to four times, and identified five narratives. Pride narratives resist any connection between sexuality and suicide. Trauma-and-stress narratives enable coping through acknowledgment of sexual stigma as a fundamental trauma and cause of subsequent stress and suicidal thoughts...
June 1, 2018: Qualitative Health Research
Ann Kristin Bjørnnes, Monica Parry, Marit Leegaard, Ana Patricia Ayala, Erica Lenton, Paula Harvey, Judith McFetridge-Durdle, Michael H McGillion, Jennifer Price, Jennifer Stinson, Judy Watt-Watson
Symptom recognition and self-management is instrumental in reducing the number of deaths related to coronary artery disease (CAD) in women. The purpose of this study was to synthesize qualitative research evidence on the self-management of cardiac pain and associated symptoms in women. Seven databases were systematically searched, and the concepts of the Individual and Family Self-Management Theory were used as the framework for data extraction and analysis. Search strategies yielded 22,402 citations, from which 35 qualitative studies were included in a final meta-summary, comprising data from 769 participants, including 437 (57%) women...
June 1, 2018: Qualitative Health Research
E Ann Yeh, Nicole Chiang, Bindia Darshan, Nadine Nejati, Stephanie A Grover, Carolyn E Schwartz, Ruth Slater, Marcia Finlayson
Rates of medication nonadherence in youth with multiple sclerosis (MS) range from 10% to 60%. Qualitative studies of adherence can provide insight into children's own perspectives about barriers and facilitators to their adherence and inform future interventions. This qualitative longitudinal descriptive study included children with MS ( n = 28) participating in a randomized controlled trial focused on medication adherence ( : NCT02234713). Following established methods, three independent reviewers coded transcripts of motivational interviewing (MI) sessions (three interviews per subject, performed monthly over a 3-month period) for relevant themes...
June 1, 2018: Qualitative Health Research
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