A Case Study of a Case Study: Analysis of a Robust Qualitative Research Methodology

Snyder, Catherine

doi:10.46743/2160-3715/2012.1791

Cited by 20 publications

(17 citation statements)

References 22 publications

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“…A thematic analytical approach was adopted [ 14 ]. Analytical memos and weekly analytical team meetings were also used in the development of themes and identification of patterns related to CATS experiences across the datasets [ 15 ]. See S1 CONSORT Checklist .…”

Section: Methodsmentioning

confidence: 99%

Peer-led counselling with problem discussion therapy for adolescents living with HIV in Zimbabwe: A cluster-randomised trial

Simms

Weiss

Chinoda³

et al. 2022

PLoS Med

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Background Adolescents living with HIV have poor virological suppression and high prevalence of common mental disorders (CMDs). In Zimbabwe, the Zvandiri adolescent peer support programme is effective at improving virological suppression. We assessed the effect of training Zvandiri peer counsellors known as Community Adolescent Treatment Supporters (CATS) in problem-solving therapy (PST) on virological suppression and mental health outcomes. Methods and findings Sixty clinics were randomised 1:1 to either normal Zvandiri peer counselling or a peer counsellor trained in PST. In January to March 2019, 842 adolescents aged 10 to 19 years and living with HIV who screened positive for CMDs were enrolled (375 (44.5%) male and 418 (49.6%) orphaned of at least one parent). The primary outcome was virological nonsuppression (viral load ≥1,000 copies/mL). Secondary outcomes were symptoms of CMDs measured with the Shona Symptom Questionnaire (SSQ ≥8) and depression measured with the Patient Health Questionnaire (PHQ-9 ≥10) and health utility score using the EQ-5D. The adjusted odds ratios (AORs) and 95% confidence intervals (CIs) were estimated using logistic regression adjusting for clinic-level clustering. Case reviews and focus group discussions were used to determine feasibility of intervention delivery. At baseline, 35.1% of participants had virological nonsuppression and 70.3% had SSQ≥8. After 48 weeks, follow-up was 89.5% for viral load data and 90.9% for other outcomes. Virological nonsuppression decreased in both arms, but there was no evidence of an intervention effect (prevalence of nonsuppression 14.7% in the Zvandiri-PST arm versus 11.9% in the Zvandiri arm; AOR = 1.29; 95% CI 0.68, 2.48; p = 0.44). There was strong evidence of an apparent effect on common mental health outcomes (SSQ ≥8: 2.4% versus 10.3% [AOR = 0.19; 95% CI 0.08, 0.46; p < 0.001]; PHQ-9 ≥10: 2.9% versus 8.8% [AOR = 0.32; 95% CI 0.14, 0.78; p = 0.01]). Prevalence of EQ-5D index score <1 was 27.6% versus 38.9% (AOR = 0.56; 95% CI 0.31, 1.03; p = 0.06). Qualitative analyses found that CATS-observed participants had limited autonomy or ability to solve problems. In response, the CATS adapted the intervention to focus on empathic problem discussion to fit adolescents’ age, capacity, and circumstances, which was beneficial. Limitations include that cost data were not available and that the mental health tools were validated in adult populations, not adolescents. Conclusions PST training for CATS did not add to the benefit of peer support in reducing virological nonsuppression but led to improved symptoms of CMD and depression compared to standard Zvandiri care among adolescents living with HIV in Zimbabwe. Active involvement of caregivers and strengthened referral structures could increase feasibility and effectiveness. Trial registration Pan African Clinical Trials Registry PACTR201810756862405.

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Section: Methodsmentioning

confidence: 99%

Peer-led counselling with problem discussion therapy for adolescents living with HIV in Zimbabwe: A cluster-randomised trial

Simms

Weiss

Chinoda³

et al. 2022

PLoS Med

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“…To gain an in-depth understanding of the unit of analysis (Cantina Cellaro), a case study approach (Snyder, 2012;Yazan, 2015;Yin, 1994) was adopted, assuming that it was most appropriate in examining the corporate decision-making process (Chetty, 1996). The authors of this paper considered this choice consonant with the research aims from Yin's perspective (1994).…”

Section: Methodsmentioning

confidence: 99%

The Sicilian cooperative system of wine production

Borsellino

Varia²,

Zinnanti

et al. 2020

IJWBR

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Purpose The purpose of this paper is to verify whether, besides the traditional organisational models mainly implemented by wine-making cooperatives, more modern and hybrid organisational forms can be profitably applied within an increasingly competitive wine market. Design/methodology/approach The study outlined in this paper deployed a mixed method. Specifically, an archived analysis, a survey and a descriptive case study (including visits, interviews and documentary analysis) were the methodological techniques used in this study, which were “in series but integrated” between themselves. In this paper, the landscape of Sicilian wine cooperatives is described by collating and processing different types of statistical sources, which have been integrated by direct surveys undertaken in 2017. Thereafter, the study focussed on a wine cooperative with a specific business model and a strategic edge by analysing its strategic choices and main structural and governance characteristics. Within this case study, a financial ratio analysis, which was based on 2011-2017 financial statements, was conducted to analyse the profitability, financial balance, capital structure and debt relationships of the wine cooperative. Findings The Sicilian wine cooperative system is still predominantly characterised by partial and vertical integration, implemented by cooperatives which elect to sell mainly bulk wine to wine merchants. In such a context, there is scope for other degrees of integration and strategic inter-firm alliances; the latter includes “vertical quasi-integration”. The study demonstrated how the wine cooperative under investigation is overcoming the structural problems of the regional wine sector and why it is retaining such a strategic alliance with one of the most important Italian wine conglomerates. Indeed, it has acquired greater strength and reliability since its collaboration with the aforementioned wine company. Thus, total revenue and the company’s market share of packaged wine have increased. However, there are still margins for improving sales’ profitability. Research limitations/implications This study has territorial limitations but Sicilian wine cooperatives generally play an important role in the regional, Italian and European wine industries. As such, this research should be considered as an exploratory study, deserving further investigation into different strategic choices within the wine cooperative system by performing cross-case comparisons. Results may also be useful in orienting cooperative strategies in Sicily (or further afield) to small-to-medium wine cooperatives, often lacking specific abilities relating to the distribution, marketing and selling of their wine. Public agricultural policies may also be enlightened by these research pathways. Originality/value The authors contend that their study provides hitherto missing information relating to inter-firm strategic alliances, which wine cooperatives might implement to enhance their competitiveness and survive in the long-run.

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“…The data include responses to the following exit survey prompt: “Please share with us the changes you have seen as a result of LearningRx training.” The survey was completed outside the presence of LearningRx staff members, which increased objectivity in responses from the participants and strengthened the integrity of the qualitative data (Tetnowski, 2015). The analysis employed grounded methodology and summative content analysis (Snyder, 2012) by annotating and evaluating participant comments without prior expectations of the outcome. In addition, the qualitative researcher was blinded to the treatment condition of the participants to achieve objectivity in audit and to increase rigor (Houghton, Casey, Shaw, & Murphy, 2013).…”

Section: Methodsmentioning

confidence: 99%

ThinkRx cognitive training for adults over age 50: Clinician–caregiver partners in delivery as effective as clinician-only delivery.

Moore

Carpenter²,

Miller

et al. 2019

Psychology & Neuroscience

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Many cognitive training interventions described in the extant literature predominately target only 1 or 2 domains, are very short in duration, and fail to generalize beyond the trained tasks. The aim of the current study was to evaluate differences in cognitive outcomes and self-reported real-life improvements between 2 methods of delivering the ThinkRx cognitive training intervention: professional delivery solely by a clinician versus a partnership model where a caregiver or spouse delivers half of the intervention at home. ThinkRx cognitive training is a clinician-delivered intervention targeting multiple cognitive skills, including working memory, long-term memory, visualization and visual processing, auditory discrimination, logic and reasoning, processing speed, and attention. The sample included records from 292 participants ranging in age from 51 to 95 (M ϭ 60.77, SD ϭ 9.04) presenting with subjective memory or attention complaints at the time of pretest. Participants completed an average of 79 training hours. The results showed no significant differences between delivery methods on any cognitive skills measured and few remarkable differences in self-reported real-life changes. Both delivery methods resulted in significant pretest to posttest gains across all 6 cognitive skills measured and self-reported changes in 5 key areas: mood, memory, cognitive efficiency, life application skills, and focus/attention. The results of the current study also suggest sharing the delivery of an intense, lengthy, multiconstruct cognitive training program to adults over 50 with nonclinical, subjective memory and attention complaints is associated with cognitive improvements and generalized improvements in real life.

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A Case Study of a Case Study: Analysis of a Robust Qualitative Research Methodology

Cited by 20 publications

References 22 publications

Peer-led counselling with problem discussion therapy for adolescents living with HIV in Zimbabwe: A cluster-randomised trial

Peer-led counselling with problem discussion therapy for adolescents living with HIV in Zimbabwe: A cluster-randomised trial

The Sicilian cooperative system of wine production

ThinkRx cognitive training for adults over age 50: Clinician–caregiver partners in delivery as effective as clinician-only delivery.

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