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Qualitative research methods

[Introduction: Reduction of social inequalities in health has been one of the main political pillars of Regional Health Agencies in France since their creation in 2009. This paper presents a contextual analysis of the effects on social inequalities in health of a hospital-based health promotion and disease prevention programme in terms of overall health policy and scope.Methods: Qualitative analysis was used to describe the impact on social inequalities in health according to the classification proposed by Diderichsen et al. Carey’s framework was used to apply proportionate universalism in order to analyse its action on these inequalities, adopting a contextualised and holistic approach with regard to regional and national public policy. The results showed that the intervention focused on targeted actions, but may have broader applications. The intervention strategy shifts between closing the inequality gap and levelling up the social gradient. However, analysis of this type of intervention using the proportionate universalism framework may lead to a revised view of the effects of the intervention on social inequalities in health.Results: Implementing health-equity focused interventions remains a challenge for each institution, including Regional Health Agencies. However, research on hospital-based preventive interventions highlights contrasting results in terms of social gradient, depending on whether the intervention is considered in isolation or in its broader context.Discussion].
Marion Porcherie, Blanche Le Bihan-Youinou, Jeanine Pommier
INTRODUCTION: Reduction of social inequalities in health has been one of the main political pillars of Regional Health Agencies in France since their creation in 2009. This paper presents a contextual analysis of the effects on social inequalities in health of a hospital-based health promotion and disease prevention programme in terms of overall health policy and scope. METHODS: Qualitative analysis was used to describe the impact on social inequalities in health according to the classification proposed by Diderichsen et al...
September 6, 2018: Santé Publique: Revue Multidisciplinaire Pour la Recherche et L'action
Lauren Lewis, Beth Dolph, Meriem Said, Thomas H Feeley, Liise K Kayler
BACKGROUND: Racial disparities in access to kidney transplantation (KTX) among African Americans (AAs) have been attributed in part to insufficient patient education. Interventions are needed to provide AAs with culturally sensitive, understandable information that increases their capacity to pursue KTX. Research about the factors that activated patients to pursue KTX is necessary to inform such interventions; however, few studies have yielded this type of information. METHODS: We conducted focus groups and one-on-one interviews with 26 AA referred, listed, or transplanted patients and 3 nephrologists to explore decisional factors that foster pursuit of KTX...
December 13, 2018: Journal of Racial and Ethnic Health Disparities
Michael A Lindsey, Andrae Banks, Catherine F Cota, Marquisha Lawrence Scott, Sean Joe
The objective was to qualitatively examine the treatment effects of depression interventions on young, Black males (YBM) across treatment providers and settings via a review. Randomized controlled trials (RCTs) seeking to ameliorate depressive symptomology in Black males ages 12-29 were eligible for inclusion. After review of 627 abstracts and 212 full-text articles, 12 studies were selected. These RCTs were organized into five categories based on the intervention method. We isolated only one study that targeted YBM exclusively...
March 1, 2018: Research on Social Work Practice
Joanna Milward, Paolo Deluca, Colin Drummond, Andreas Kimergård
BACKGROUND: Understanding how users engage with electronic screening and brief intervention (eSBI) is a critical research objective to improve effectiveness of app-based interventions to reduce harmful alcohol consumption. Although quantitative measures of engagement provide a strong indicator of how the user engages with an app at the group level, they do not elucidate finer-grained details of how apps function from an individual, experiential perspective and why, or how, users engage with an intervention in a particular manner...
December 13, 2018: JMIR MHealth and UHealth
Ian Litchfield, Laura L Jones, Naiem Moiemen, Nicole Andrews, Sheila Greenfield, Jonathan Mathers
INTRODUCTION: For severe burns patient care presents a considerable challenge, necessitating an integrated multi-disciplinary approach that utilises a range of treatments. The period of care post-discharge can be lengthy and complex, and include scar management, occupational and physiotherapies, psychological support, and further surgery. How successfully the patient negotiates this complex care regimen is critical to their long-term recovery and in doing so they would appear to employ approaches recognised as "self-management" in other chronic conditions...
December 10, 2018: Burns: Journal of the International Society for Burn Injuries
Sarah Wadd, Maureen Dutton
BACKGROUND: Whilst alcohol misuse is decreasing amongst younger adults in many countries, it is increasing in older adults. Residential rehabilitation (rehab) is a vital component of the alcohol treatment system, particularly for those with relatively complex needs and entrenched alcohol problems. In this study, we sought to find out to what extent rehabs in England have upper age limits that exclude older adults, whether rehabs are responsive to older adults' age-related needs and how older adults experience these services...
December 13, 2018: Substance Abuse Treatment, Prevention, and Policy
Luis Miguel Dos Santos
The researcher employed personal belief system (PBS) theory as the theoretical foundation for this study because it holds that teachers' PBSs may influence their teaching behaviours, teaching styles, and pedagogies in classroom practice due to cultural influences. The purpose of this qualitative study was to explore how teachers' personal beliefs influence how they teach and how their approach may align with or diverge from cultural expectations in a private adult learning facility for English learning in Macau Special Administrative Region, China...
December 11, 2018: Brain Sciences
On-Yee Lo, Lisa A Conboy, Alexandra Rukhadze, Caroline Georgetti, Margaret M Gagnon, Brad Manor, Margie E Lachman, Lewis A Lipsitz, Peter M Wayne
Background and Objectives: Older adults living in subsidized housing have typically been excluded from exercise intervention studies. We conducted a qualitative study to explore the perceived physical, psychological, social, and economic factors that influenced participation in and adherence to a year-long Tai Chi intervention within an ongoing cluster-randomized controlled trial (RCT) for older adults living within subsidized housing facilities. Research Design and Methods: Focus groups were held with participants of the RCT who were allocated to the trial's Tai Chi intervention...
December 13, 2018: Gerontologist
Nicola Coley, Anna Rosenberg, Tessa van Middelaar, Alexandra Soulier, Mariagnese Barbera, Juliette Guillemont, Jaap Steensma, Valérie Igier, Marjo Eskelinen, Hilkka Soininen, Eric Moll van Charante, Edo Richard, Miia Kivipelto, Sandrine Andrieu
OBJECTIVES: To explore older adults' reasons for participating in a multinational eHealth prevention trial, and compare motivations between countries. DESIGN: Cross-sectional mixed methods research using quantitative and qualitative approaches (the ACCEPT-HATICE study). SETTING AND PARTICIPANTS: Substudy conducted during the recruitment phase of an 18-month RCT testing the efficacy of an eHealth intervention for self-management of risk factors for cardiovascular disease (CVD) and cognitive decline in older adults in Finland, France, and the Netherlands...
December 9, 2018: Journal of the American Medical Directors Association
Marguerite C Sendall, Laura K McCosker, Alison Brodie, Melissa Hill, Phil Crane
BACKGROUND: Workplace health interventions incorporating qualitative and quantitative components (mixed methods) within a Participatory Action Research approach can increase understanding of contextual issues ensuring realistic interventions which influence health behaviour. Mixed methods research teams, however, face a variety of challenges at the methodological and expertise levels when designing actions and interventions. Addressing these challenges can improve the team's functionality and lead to higher quality health outcomes...
December 12, 2018: BMC Medical Research Methodology
Paulin-Bertrand Nguina Ekeme
INTRODUCTION: Researchers on skills management insist on the need to have a context-based approach. We highlight the components of a grid of key skills of health professionals in public hospitals of different categories in the city of Yaoundé in Cameroon. METHOD: In order to have a global vision of the design, implementation, evaluation and practices around the key competencies of health professionals, 43 semi-directive interviews were validated with actors with different functions and positions...
October 22, 2018: Santé Publique: Revue Multidisciplinaire Pour la Recherche et L'action
Margareth Zanchetta, Christian Mesenge, Arel Hanel, Marie Petuelle Elisme
OBJECTIVES: This study aims to analyze how graduates, coming from low income Francophone countries, of the Master in International Health and Nutrition Policies program at the Senghor University are a new human capital bringing an original contribution to the global development of African communities. METHODS: A secondary analysis of qualitative findings responded to the research question about the evidences of the impact of this new human capital over the community development of countries where the graduates worked...
October 22, 2018: Santé Publique: Revue Multidisciplinaire Pour la Recherche et L'action
Bruna de Souza Lima Marski, Beatriz Castanheira Facio, Sueli Mutsumi Tsukuda Ichisato, Patricia Carla de Souza Della Barba, Monika Wernet
OBJECTIVE: to analyze the Developmental Care in nursing care for Newborns in critical Neonatal Intensive Care Units. METHOD: a qualitative study with 11 nurses from Neonatal Intensive Care Units of a city in the State of São Paulo countryside, based on the Developmental Care. Data collection was based on non-participant observation, documentary research in medical records and semi-structured interviews. The Symbolic Interactionism was adopted as theoretical framework, and the Bardin Content Analysis, as method of analysis...
2018: Revista Brasileira de Enfermagem
David W Tscholl, Mona Weiss, Lucas Handschin, Donat R Spahn, Christoph B Nöthiger
BACKGROUND: A new patient monitoring technology called Visual Patient, which transforms numerical and waveform data into a virtual model (an avatar) of the monitored patient, has been shown to improve the perception of vital signs compared to conventional patient monitoring. In order to gain a deeper understanding of the opinions of potential future users regarding the new technology, we have analyzed the answers of two large groups of anesthetists using two different study methods. METHODS: First, we carried out a qualitative analysis guided by the "consolidated criteria for reporting qualitative research" checklist...
December 11, 2018: BMC Anesthesiology
Natasha Hawkins, Sarah Jeong, Tony Smith
AIMS: To synthesize the scientific evidence about new graduate nurses' transition to practice in the acute care setting and consider implications for nurses and nursing practice. BACKGROUND: Despite the vast amount of literature on new graduate nurses' transition to practice, the transition of new graduate nurses is a global issue and remains at the forefront of discussions within the nursing community. DESIGN: An integrative review. REVIEW METHODS: A search of evidence-based research from seven electronic databases (CINAHL, MEDLINE, ProQuest, Cochrane, JBI, Wiley, and Scopus) was conducted for the period of 2006-2016...
December 9, 2018: International Journal of Nursing Practice
Wendy B Bostwick, Brian Dodge
Despite comprising the largest proportion of the "lesbian, gay, and bisexual" population, research focusing on the unique health concerns and needs of bisexual individuals is relatively scarce. While health disparities are increasingly well documented among lesbian, gay, bisexual, and transgender individuals relative to their heterosexual and cisgender counterparts, gaps remain in our basic understanding of how health status, behaviors, and outcomes vary within these groups, especially bisexual individuals...
December 10, 2018: Archives of Sexual Behavior
Jane W Seymour, Laura Fix, Daniel Grossman, Kate Grindlay
Introduction: Despite evidence that the unintended pregnancy rate is higher among U.S. servicewomen than the general population and that servicewomen may face barriers to contraceptive use, there is little research about contraceptive access and use experiences of non-deployed active duty servicewomen. This qualitative study aimed to explore the experiences of accessing contraception while in the U.S. military among active duty servicewomen who had an abortion. Materials and Methods: From January 2015 to July 2016, we conducted qualitative in-depth interviews with 21 servicewomen who had obtained an abortion within the prior two years while active duty...
December 7, 2018: Military Medicine
L Huusko, S Sjöberg, A Ekström, E Hertfelt Wahn, S Thorstensson
Background: Research shows that first-time fathers want to take part in preparation for birth and parenthood but they describe being excluded by health professionals. Aim: The aim of this study was to illustrate first-time fathers' experiences of support from midwives in maternity clinics as a step in the validation of "The Father Perceived-Professional-Support" (The FaPPS) scale. Methods: A qualitative content analysis with an inductive and deductive approach was used; seven first-time fathers were strategically selected and interviewed...
2018: Nursing Research and Practice
Nichole B Thorne, Taylor K Soderborg, Jacqueline J Glover, Lilian Hoffecker, Maryam Guiahi
OBJECTIVE: Given the rise in Catholic ownership of U.S. health care facilities, we aimed to examine reproductive health care provision and patient outcomes. We performed a scoping review, which maps the literature and considers inclusion of studies that are not specifically quantitative. DATA SOURCES: We searched five databases (MEDLINE, EMBASE, Web of Science and Cochrane Library, from inception through August 2018 using terms related to reproductive health care and religion...
December 4, 2018: Obstetrics and Gynecology
Jan L Shifren, Rebekah Zincavage, Ellen L Cho, Ashley Magnavita, David J Portman, Michael L Krychman, James A Simon, Sheryl A Kingsberg, Raymond C Rosen
OBJECTIVE: This study describes women's experiences of the genitourinary syndrome of menopause (GSM) elicited through focus groups and cognitive debriefing sessions during development of a novel patient-reported outcome measure (PROM) designed for use in both clinical care and research. METHODS: A draft questionnaire to identify and assess bothersome genitourinary symptoms associated with estrogen deficiency in menopausal women was developed in five discrete phases from multiple sources of information in accordance with standards for PROM development...
December 10, 2018: Menopause: the Journal of the North American Menopause Society
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