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How to make the best of qualitative phases of mixed method research. Professor Kim Usher Centre for Chronic Disease Prevention Mixed Methods in Prevention and Health Services Research. Mixed Methods Research. Types Principles Importance of stand-alone phases Integration. Integration.

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how to make the best of qualitative phases of mixed method research

How to make the best of qualitative phases of mixed method research

Professor Kim Usher

Centre for Chronic Disease Prevention

Mixed Methods in Prevention and Health Services Research

mixed methods research

Mixed Methods Research

Types

Principles

Importance of stand-alone phases

Integration

chronic illnesses

Chronic illnesses

Prime examples of conditions that by their very nature need to be studied from many perspectives.

hierarchies for evaluating evidence

Hierarchies for evaluating evidence

Most based on criteria for rigor developed for quantitative research designs

Design ranked according to extent the study is internally valid or free from bias

RCTs best evidence

qualitative research is evidence too

Qualitative research is evidence too!

Just because excluded from hierarchies does not mean it is less valuable

Implementation of interventions in real world requires knowledge about patients’ values and experiences

why have qualitative phases

Why have qualitative phases?

Evaluate the effects of interventions on health outcomes

Examine views of participants

Distinguish between components of interventions

Understand a non-significant outcome

why have qualitative phases1

Why have qualitative phases?

To develop measures

To identify relevant phenomena

To interpret/explain quantitative data

Investigate complex phenomena

Study special populations

designing intervention studies with qualitative components

Designing intervention studies with qualitative components

Before a trial

To ‘trial’ the trial

To develop the intervention

To test tools

designing intervention studies with qualitative components1

Designing intervention studies with qualitative components

During a trial

To describe and explain within and between subject variation discerned from instruments

To understand whether intervention delivered as planned

Patient reaction to intervention

designing intervention studies with qualitative components2

Designing intervention studies with qualitative components

After a trial

To select individuals for more intensive study based on scores

Interview or observe to validate outcomes

To help explain non-significant findings

qualitative approaches

Qualitative approaches

Phenomenology

How one or more individuals experience a phenomenon

Ethnography

Learning the culture of a group and what it is like to be a member of that group from the perspective of the members

qualitative approaches1

Qualitative approaches

Case study

A detailed account of one or more cases-focus on each case a a whole unit as it exists in the world

Grounded theory

An inductive approach for generating theories or explanations

future directions

Future directions

Qualitative studies enhance the meaningfulness of interventions

Situate them in the real world of patients and their caregivers

Shed light on facilitators and barriers to the uptake of promising interventions

Illuminate aspects of the patient experience

future directions1

Future directions

Can identify barriers to implementing and sustaining community-based prevention programs

Ensure patient safety, including reduction of misuse of medical therapies and oversights of clinical care

conclusion

Conclusion

Not everything that can be counted counts, and not everything that counts can be counted.

Albert Einstein