10 best resources on … mixed methods research in health systems

Ozawa, Sachiko; Pongpirul, Krit

doi:10.1093/heapol/czt019

Cited by 73 publications

(78 citation statements)

References 18 publications

(18 reference statements)

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“…Conflicted coding was resolved through dialogue between the coders to reach a consensus [27]. This qualitative interview and free response data was mixed with quantitative survey data using a convergent parallel design whereby qualitative and quantitative data are gathered concurrently and contribute equally to the interpretation and conclusions of the study [28]. …”

Section: Methodsmentioning

confidence: 99%

Supporting and retaining Village Health Teams: an assessment of a community health worker program in two Ugandan districts

Mays

O’Neil

Mworozi

et al. 2017

Int J Equity Health

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BackgroundUganda’s national community health worker program involves volunteer Village Health Teams (VHTs) delivering basic health services and education. Evidence demonstrates their positive impact on health outcomes, particularly for Ugandans who would otherwise lack access to health services. Despite their impact, VHTs are not optimally supported and attrition is a growing problem. In this study, we examined the support needs and existing challenges of VHTs in two Ugandan districts and evaluated specific factors associated with long-term retention. We report on findings from a standardized survey of VHTs and exploratory interviews with key stakeholders and draw conclusions that inform efforts to strengthen and sustain community health care delivery in Uganda.MethodsA mixed-methods approach was employed through a survey of 134 individual VHT members and semi-structured interviews with six key stakeholders. Descriptive and bivariate regression analysis of quantitative survey data was performed along with thematic analysis of qualitative data from surveys and interviews. In the regression analysis, the dependent variable is 10-year anticipated longevity among VHTs, which asked respondents if they anticipate continuing to volunteer as VHTs for at least 10 more years if their current situation remains unchanged.ResultsVHTs desire additional support primarily in the forms of money (e.g. transportation allowance) and material supplies (e.g. rubber boots). VHTs commonly report difficult working conditions and describe a lack of respect from their communities and other health workers. If their current situation remains unchanged, 57% of VHTs anticipate remaining in their posts for at least 10 years. Anticipated 10-year longevity was positively associated with stronger partnerships with local health center staff and greater ease in home visiting.ConclusionsSupporting and retaining Uganda’s VHTs would be enhanced by building stronger partnerships between VHTs and other health workers and regularly providing supplies and transportation allowances. Pursuing such measures would likely improve equity in access to healthcare for all Ugandans.Electronic supplementary materialThe online version of this article (doi:10.1186/s12939-017-0619-6) contains supplementary material, which is available to authorized users.

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Section: Methodsmentioning

confidence: 99%

Supporting and retaining Village Health Teams: an assessment of a community health worker program in two Ugandan districts

Mays

O’Neil

Mworozi

et al. 2017

Int J Equity Health

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“…Many studies emphasize on the combination of both quantitative and qualitative methods (mixed-methods) to examine professional and organizational factors in system evaluation [73,79,80]. Only two of the reviewed papers in this study used mixed methods.…”

Section: Page 14 Of 28mentioning

confidence: 99%

“…A previous study showed the potential of mixed-method studies to understand and improve health systems performance in low-and middle-income countries [79].…”

Section: Page 14 Of 28mentioning

confidence: 99%

Evaluation methods used on health information systems (HISs) in Iran and the effects of HISs on Iranian healthcare: A systematic review

Ahmadian¹,

Salehinejad²,

Khajouei³

2015

International Journal of Medical Informatics

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“…This study will use convergent parallel mixed methods where an embedded qualitative study will help expose the mechanisms influencing feasibility data such as recruitment, retention, and usage [23,24]. An online randomization tool will be used to mitigate imbalance between the arms and to assess whether it is possible to recruit to both arms of the study: standard care and standard care plus TRAK.…”

Section: Methodsmentioning

confidence: 99%

Taxonomy for the Rehabilitation of Knee Conditions (TRAK), a Digital Intervention to Support the Self-Care Components of Anterior Cruciate Ligament Rehabilitation: Protocol of a Feasibility Study

Dunphy¹,

Hamilton²,

Button³

2016

JMIR Res Protoc

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BackgroundRupture of the anterior cruciate ligament (ACL) is common, especially in the active population. In defining the problem of ACL rehabilitation, this study draws from the knowledge that improved self-care, strength, and fitness are associated with better outcomes. Traditional rehabilitation involves regular physiotherapy, but it is not clear what the optimal way for delivering rehabilitation is, and it varies widely across the world. Evidence for treatments are discussed in the literature, however standard length of rehabilitation and frequency of appointments are unknown. Additionally, current rehabilitation models in the National Health Service (NHS) struggle with catering to large volumes of patients and the lengthy time span over which rehabilitation is delivered. The use of eHealth (the Internet in health care) has been successful at delivering behavior change to a number of diverse patient groups. In physiotherapy, problems such as exercise compliance, exercise technique, and managing a broad program of rehabilitation and advice can be challenging. An eHealth intervention called Taxonomy for the Rehabilitation of Knee Conditions (TRAK) to support self-management and behavior change has been developed by patients and clinicians, and acceptability studies have yielded positive results. TRAK is not an exercise rehabilitation protocol; it is a tool to support ACL rehabilitation with personalized plans, prompts, and logs to help adherence and videos and instructions to improve quality and address queries. The patients have their own log-ins and can email their physiotherapist through the website. This novel platform is directly in line with current NHS England, National Institute for Health and Care Excellence, and NHS Improvement agendas that call for rehabilitation initiatives using both technology and supported self-management for patients. This study forms part of a research platform to identify a best practice model of ACL care from the literature and opinions of key stakeholders. Patients’ exercise programs and duration of treatment are still based on individual needs, but use of the website may offer improved self-management and function and reduced health resource use.ObjectiveThis is a feasibility study to establish recruitment, retention, sample size estimates, and practicality of collecting outcome measures to inform a future trial comparing the TRAK intervention, which has been rigorously designed to address the challenges of ACL rehabilitation, to usual care.MethodsThis is a feasibility study comparing 2 groups: standard care and standard care plus eHealth. It will use convergent parallel mixed methods where both qualitative and quantitative data are sought for a more thorough understanding of the objectives. Primary outcomes relate to feasibility, including recruitment, retention, and usage. Secondary outcomes relate to health resource use and patient-rated outcome measures.ResultsThis research expects to establish the feasibility of a full-scale randomized controlled trial to explore wheth...

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10 best resources on … mixed methods research in health systems

Cited by 73 publications

References 18 publications

Supporting and retaining Village Health Teams: an assessment of a community health worker program in two Ugandan districts

Supporting and retaining Village Health Teams: an assessment of a community health worker program in two Ugandan districts

Evaluation methods used on health information systems (HISs) in Iran and the effects of HISs on Iranian healthcare: A systematic review

Taxonomy for the Rehabilitation of Knee Conditions (TRAK), a Digital Intervention to Support the Self-Care Components of Anterior Cruciate Ligament Rehabilitation: Protocol of a Feasibility Study

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