Conceptual models to guide integration during analysis in convergent mixed methods studies

Moseholm, Ellen; Fetters, Michael D.

doi:10.1177/2059799117703118

Cited by 160 publications

(173 citation statements)

References 49 publications

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“…We used a mixed methods approach with a convergent design on the post-intervention qualitative and quantitative data [37]. Measuring HRQoL provides important information on how adolescents who are overweight or obese feel about their lives.…”

Section: Discussionmentioning

confidence: 99%

Health-related quality of life among 13–14 year old adolescents with overweight−a mixed methods approach

Sundar

Riiser

Småstuen

et al. 2020

Health Qual Life Outcomes

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Background: Overweight and obesity are public concerns with risk of adverse health outcomes. Health-related quality of life (HRQoL) is lower in adolescents than children in general. An increase in body mass index (BMI) is associated with a decrease in HRQoL. The purpose of this study was to measure and explore the HRQoL among adolescents with overweight or obesity who had participated in an intervention study, Young & Active, with the aim of increasing physical activity (PA), reducing BMI and promoting HRQoL. Methods: Mixed methods, with a convergent design, were used to investigate how different methodological approaches could expand our understanding of the adolescents' HRQoL. Quantitative post-intervention data on HRQoL were collected among the 84 intervention participants, aged 13-14 years, using the KIDSCREEN 52 questionnaire. The data were compared with a Norwegian reference population of 244 individuals, and analysed using a non-parametric Mann-Whitney test. Qualitative semi-structured interviews were conducted with 21 adolescents from the intervention. A directed approach to content analysis was adopted, using the ten sub-scales from KIDSCREEN 52. Results: HRQoL in the intervention sample was significantly reduced on the sub-scale of physical well-being compared to the reference population. The reference population scored significantly lower than the intervention sample on the sub-scale of parent relation and home life. No significant differences were found on the other subscales. The qualitative data supported the quantitative findings on the sub-scale of physical well-being, but showed that perceptions of fitness, energy level or health could vary. Regarding parent relations, the interviewees extended this to include relationships to other family members as equally important. Most of the interviewees expressed a negative view of their bodies, but not their clothing or accessories. This may explain why no statistically significant differences were found on these aspects in the results from the KIDSCREEN questionnaire. Conclusion: The use of the KIDSCREEN 52 instrument gave important indications about the adolescents' HRQoL and need for additional follow up. The qualitative data provided an in-depth understanding that nuanced the findings and widened our knowledge of the adolescents HRQoL. Combining methods enabled a comprehensive approach to research on HRQoL.

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Section: Discussionmentioning

confidence: 99%

Health-related quality of life among 13–14 year old adolescents with overweight−a mixed methods approach

Sundar

Riiser

Småstuen

et al. 2020

Health Qual Life Outcomes

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“…There are 2 approaches for an integrated analysis: an interactive analysis strategy or an independent intramethod analysis [64].…”

Section: Methodsmentioning

confidence: 99%

“…The interactive analysis strategy [64], also called a crossover-tracks analysis [65], means that the researcher considers the qualitative and quantitative findings, in real time, as the data are collected and analyzed. That is, the data are openly, actively, and interactively considered in the context of each other.…”

Section: Methodsmentioning

confidence: 99%

“…In the early rounds of development, the qualitative component of the mixed methods evaluation will weigh more heavily for identifying the macrolevel changes (Figure 1). This is more of a qualitatively driven mixed methods approach [64]. In subsequent iterations, as the prototype moves from paper to digital prototype to product, changes may depend much more heavily on the quantitative automated analyses that can accumulate with increased numbers of users, a quantitatively driven approach.…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

The Iterative Convergent Design for Mobile Health Usability Testing: Mixed Methods Approach

Alwashmi¹,

Hawboldt²,

Davis³

et al. 2019

JMIR Mhealth Uhealth

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Although patients express an interest in using mobile health (mHealth) interventions to manage their health and chronic conditions, many current mHealth interventions are difficult to use. Usability testing is critical for the success of novel mHealth interventions. Researchers recognize the utility of using qualitative and quantitative approaches for usability testing, but many mHealth researchers lack the awareness of integration approaches from advances in mixed methods research that can add value to mHealth technology. As efficient usability testing proceeds iteratively, we introduce a novel mixed methods design developed specifically for mHealth researchers. The iterative convergent mixed methods design involves simultaneous qualitative and quantitative data collection and analysis that continues cyclically through multiple rounds of mixed methods data collection and analysis until the mHealth technology under evaluation is found to work to the satisfaction of the researcher. In cyclical iterations, early development is more qualitatively driven but progressively becomes more quantitatively driven. Using this design, mHealth researchers can leverage mixed methods integration procedures in the research question, data collection, data analysis, interpretation, and dissemination dimensions. This study demonstrates how the iterative convergent mixed methods design provides a novel framework for generating unique insights into multifaceted phenomena impacting mHealth usability. Understanding these practices can help developers and researchers leverage the strengths of an integrated mixed methods design.

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“…We used a mixed methods approach with a convergent design on the post-intervention qualitative and quantitative data [38]. Measuring HRQoL provides important information on how adolescents who are overweight or obese feel about their lives.…”

Section: Discussionmentioning

confidence: 99%

Health-related quality of life among 13–14 year old adolescents with overweight - a mixed methods approach

Sundar

Riiser

Småstuen

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Overweight and obesity are public concerns with risk of adverse health outcomes. Health-related quality of life (HRQoL) is lower in adolescents than children in general. An increase in body mass index (BMI) is associated with a decrease in HRQoL. The purpose of this study was to measure and explore the HRQoL among adolescents with overweight or obesity who had participated in an intervention study, Young & Active, with the aim of increasing physical activity (PA), reducing BMI and promoting HRQoL. Methods: Mixed methods, with a convergent design, were used to investigate how different methodological approaches could expand our understanding of the adolescents’ HRQoL. Quantitative post-intervention data on HRQoL were collected among the 84 intervention participants, aged 13–14 years, using the KIDSCREEN 52 questionnaire. The data were compared with a Norwegian reference population of 244 individuals, and analysed using a non-parametric Mann-Whitney test. Qualitative semi-structured interviews were conducted with 21 adolescents from the intervention. A directed approach to content analysis was adopted, using the ten sub-scales from KIDSCREEN 52. Results: HRQoL in the intervention sample was significantly reduced on the sub-scale of physical well-being compared to the reference population. The reference population scored significantly lower than the intervention sample on the sub-scale of parent relation and home life. No significant differences were found on the other sub-scales. The qualitative data supported the quantitative findings on the sub-scale of physical well-being, but showed that perceptions of fitness, energy level or health could vary. Regarding parent relations, the interviewees extended this to include relationships to other family members as equally important. Most of the interviewees expressed a negative view of their bodies, but not their clothing or accessories. This may explain why no statistically significant differences were found on these aspects in the results from the KIDSCREEN questionnaire.Conclusion: The use of the KIDSCREEN 52 instrument gave important indications about the adolescents’ HRQoL and need for additional follow up. The qualitative data provided an in-depth understanding that nuanced the findings and widened our knowledge of the adolescents HRQoL. Combining methods enabled a comprehensive approach to research on HRQoL.

show abstract

Conceptual models to guide integration during analysis in convergent mixed methods studies

Cited by 160 publications

References 49 publications

Health-related quality of life among 13–14 year old adolescents with overweight−a mixed methods approach

Health-related quality of life among 13–14 year old adolescents with overweight−a mixed methods approach

The Iterative Convergent Design for Mobile Health Usability Testing: Mixed Methods Approach

Health-related quality of life among 13–14 year old adolescents with overweight - a mixed methods approach

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