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Providing Feedback and Involving Stakeholders in the Research Process: TRIAGE. Monique Carrière PhD, Sylvie Tétreault PhD, Eve-Line Bussières MPs , & Martine Giroux, MA Rehabilitation Department, Laval University, Quebec City Monique.Carriere @rea.ulaval.ca. Abstract.

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Providing Feedback and Involving Stakeholders in the Research Process: TRIAGE

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Providing feedback and involving stakeholders in the research process triage
Providing Feedback and Involving Stakeholders in the Research Process: TRIAGE

Monique Carrière PhD, Sylvie Tétreault PhD, Eve-Line Bussières MPs, &

Martine Giroux, MA

Rehabilitation Department,

Laval University, Quebec City

Monique.Carriere@rea.ulaval.ca


Abstract
Abstract Research Process: TRIAGE

Stakeholders are the first actors concerned by the results of evaluation and research. In a perspective of transparency and exchange, it is important to involve participants in the reflection process and to give them feedback.

This study focusing on managers’ contribution to partnership between families and rehabilitation therapists illustrates this process in two phases :

1° managers are interviewed individually

2° the actions proposed by managers during the individual interviews are examined by managers in group sessions conducted with TRIAGE

The purpose of TRIAGE is to provide feedback and allow managers to select which actions are compatible with their context. TRIAGE facilitates interactions between researchers and participants, which in turn favors transparency.


Illustration of the process
Illustration of the Process Research Process: TRIAGE

“Contribution of managers to partnership between families and rehabilitation therapists”

  • Granted by the FQRSC (2001-2003)

  • Qualitative and exploratory study in six rehabilitation centers in Quebec province

  • Theoretical approach : Structuration Theory (Giddens, 1987)

  • A dialectic and constructivist approach


Main research goal
Main Research Goal Research Process: TRIAGE

Better understanding of managers’ perceptions and contribution to partnership between families and rehabilitation therapists

Specific Objectives

1) To describe and explain managers’ intentions and actions regarding the families and the therapists’ partnership

2) To determine contextual elements that facilitate or limit managers’ actions

3) To highlight self-evaluation of managers’ influence on collaboration


Methodology
Methodology Research Process: TRIAGE

Phase I:Data collection

  • Individual interviews with participants

    Phase II:Data treatment by participants

  • TRIAGE : Technique for Research of

    Information by Animation of a Group of Experts

    (Plante & Côté, 1993)


Participants
Participants Research Process: TRIAGE

Phase I(N=48)Participation rate ~ 52%

Phase II (N=26)

Participation rate ~ 65%

(5 meetings for TRIAGE)

Top Managers n=13

Middle managers n=16

Board members n=15

Professional advisors n= 4

29 women / 19 men

Top managersn=3

Middle managersn=23

21 women / 5 men


Phase i
Phase I Research Process: TRIAGE

  • Themes for the Individual Interviews (individual production of TRIAGE)

  •   Contextual data

  •   Managers’ experience

  •   Perceptions of collaboration between families

    and therapists

  •   Managers’ intentions

  •   Managers’ actions and resources

  •   Reflections


Between phase i and phase ii
Between Phase I and Phase II Research Process: TRIAGE

  • Interviews’ analysis (n=48)

    • Development of 100 statements and more from individual interviews.

    • Extraction of 20 statements from scientific literature and previous research (St-Onge, Tétreault, & Carrière, 2002)


Results phase i memory phase ii
RESULTS Research Process: TRIAGEPhase I = MEMORY Phase II

Action propositions of managers toward:

Partners n=39

Parents

n=18

Therapists

n=54

Associations

Committees

n=12

Parents and Therapists Propositions

Literature Recommendations

Pull


Examples of managers actions regarding parents
Examples of Research Process: TRIAGE Managers’ Actions RegardingParents

  • “ Meet with parents whocomplain ”

  • “ Give resource information ”

  • “ Survey parents’ opinions ”

  • “ Support parents ”

  • “ Consult parents about servicesoffered ”


Examples of managers actions regarding therapists
Examples of Research Process: TRIAGEManagers’ Actions RegardingTherapists

  • “ Meet with therapists who

  • complain ”

  • “ Give resources to therapists ”

  • “ Supervise therapists (coaching) ”

  • “ Recall the center’s philosophy ”

  • “ Support therapists ”


Examples of managers actions regarding partners and other managers
Examples of Research Process: TRIAGE Managers’ ActionsRegardingPartners and Other Managers

  • “ Simplify administrative procedures ”

  • “ Promote partnership ”

  • “ Evaluate programs ”

  • “ Hire people who are willing to work in

  • partnership ”

  • “ Maintain coherence between the center’s

  • orientations and the rehabilitation

  • objectives ”


Examples of managers actions regarding parents associations
Examples of Research Process: TRIAGE Managers’ Actions RegardingParents’ Associations

  • “ Clarify problems and find a solution”

  • “ Help and support parents’

  • associations”

  • “ Defend parents’ associations”

  • “ Promote exchanges between

  • associations and rehabilitation centers”


Examples of parents and therapists propositions
Examples of Research Process: TRIAGEParents and Therapists propositions

  • “ Hire more staff ”

  • “ Maintain a rehabilitation team stability ”

  • “ Consider parents’ preoccupations ”

  • “ Support parents ”

  • “ Share rehabilitation approach with

  • school setting ”

  • “ Develop interventions at school,

  • kindergarten and home ”


Examples of literature recommendations
Examples of Research Process: TRIAGELiterature Recommendations

  • “ Consider parents as experts ”

  • “ Form therapists with the family

  • centered approach”

  • “ Support families ”

  • “ Let families take part of the decision

  • making process ”

  • “ Develop a communication and

  • information system ”


Phase ii preparation
Phase II: Preparation Research Process: TRIAGE

Participants receive a package containing :

- the TRIAGE process description

- the questions that will be examined

in TRIAGE

- the statements taken from the six

rehabilitation centers


Phase ii triage
Phase II Research Process: TRIAGE: TRIAGE

  • Realization of TRIAGE groups (between 3 and 10 participants)

    in participating rehabilitation centers

  • Collective and interactive production

  • Continuous visual support

  • Consensus-focused technique

  • 3-step process :

    • Validation of statements

    • Regrouping and reformulation of statements

      (if necessary)

    • Selection of statements (priorities)

  • Involves participants and gives them feedback


Phase ii triage1
Phase II : TRIAGE Research Process: TRIAGE

FRIDGE :

Statements to be discussed later

GROUPING / REFORMULATION / SELECTION

MEMORY

TRASH :

Statements not relevant

VETO :

Statements to be treated later by external experts


Triage follow up
TRIAGE Follow-up Research Process: TRIAGE

  • Feedback to participants by sending them the list of priorities established in TRIAGE sessions

  • Evaluation of TRIAGE by the participants

  • Results’ analysis of TRIAGE by the researchers

    • for each center in its context

    •  for all the centers

  • Report writing and its distribution

Pull


Some priorities of the managers in rc 1 re garding
Some Priorities of the Managers in Research Process: TRIAGERC #1 Regarding…

Therapists

1. Recall center’s vision

2. Give resources (training in family intervention)

Parents

1. Support families (information on resources and tips)

Parents’ Associations

1. Make alliance with parents’ groups

Partners

1. Simplify administrative procedures

2. Promote partnership


Some priorities of the managers in rc 2 r egarding
Some Priorities of the Managers in Research Process: TRIAGERC #2 Regarding…

Therapists

1: Give therapists working tools (to help families)

2: Be available to guide therapists (especially new ones)

Parents

1: Develop interaction tools for the families

2: Evaluate parents’ satisfaction (surveys)

Parents’ Associations:

1: Find a solution when there is a problem

Partners

1: Build partnership

2: Take action to promote social participation


Some priorities of the managers in rc 3 regarding
Some Priorities of the Managers in Research Process: TRIAGERC #3Regarding…

Therapists

1: Give therapists appropriate work conditions

2: Facilitate communication in every way

Parents

1: Organize structures to give a place to parents

2: Examine the waiting lists’ issue

Parents’ Associations

1: Give information, promote parents’ participation

Partners

1: Promote partnership

2: Promote coherence between center’s functioning and

rehabilitation goals


Ultimate feedback
Ultimate Feedback Research Process: TRIAGE

  • Diffusion of the final report in rehabilitation centers, rehabilitation center associations, and government offices

  • Presentations and discussions in each rehabilitation center

  • Presentations in scientific and professional conferences

  • Continuous education and university training


Participants feedback about triage
Participants Research Process: TRIAGE ’ Feedback about TRIAGE

Main contributions

- Reflexive activity about managers’ contribution to collaboration between parents and therapists

- Creative problem solving

- Better understanding of organizational values

- Development of an overall picture of parents’ position in rehabilitation centers

Main difficulties

- Time-consuming process

- Treating statements coming from other centers

- Scheduling a meeting with several managers

- Make consensus


Researchers feedback about triage
Researchers Research Process: TRIAGE ’ Feedback about TRIAGE

Strengths

- Flexible (different contexts, group sizes and questions)

- Production of valid material

- Easy to use (visual support, usual animation technique)

- Gives feedback while involving participants

Pitfalls

- Challenges of animation

- Time-consuming process


R sum
Résumé Research Process: TRIAGE

Les acteurs sur le terrain sont les premiers concernés par les résultats des évaluations et de la recherche. Dans une perspective de transparence et d’échanges, il s’avère important d’impliquer les participants dans un processus de réflexion et de leur fournir des rétroactions.

Cette étude portant sur la contribution des gestionnaires à la collaboration entre les familles et les intervenants en réadaptation illustre ce processus composé de deux étapes :

1° entrevues individuelles avec les gestionnaires

2° les actions proposées par les gestionnaires lors des entrevues

individuelles sont examinées par les gestionnaires lors de

sessions de groupe animées avec TRIAGE

L’utilisation de TRIAGE fournit des rétroactions aux gestionnaires et leur permet de déterminer des actions qui sont compatibles avec leur contexte. TRIAGE facilite les interactions entre les chercheurs et les participants et favorise la transparence.


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