The Use of “Mixing” Procedure of Mixed Methods in Health Services Research

Zhang, Wanqing; Creswell, John W.

doi:10.1097/mlr.0b013e31824642fd

Cited by 197 publications

(149 citation statements)

References 23 publications

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“…This integration can take place at various points 3,24 : development or study design-when the results of one strand inform the data collection for the second strand; data analysis-when the analysis of one strand is embedded within the analysis of the other strand; and interpretation-when each strand is analyzed independently and then considered together in the discussion section of a publication. We sought to describe the frequency with which different points of integration were used in the included studies.…”

Section: What the Study Addsmentioning

confidence: 99%

Use of Mixed Methods Research in Research on Coronary Artery Disease, Diabetes Mellitus, and Hypertension

Campbell¹,

Tam-Tham

Dhaliwal³

et al. 2017

Circ: Cardiovascular Quality and Outcomes

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Background-Mixed methods research, the use of both qualitative and quantitative methods within 1 program of study, is becoming increasingly popular to allow investigators to explore patient experiences (qualitative) and also measure outcomes (quantitative). Coronary artery disease and its risk factors are some of the most studied conditions; however, the extent to which mixed methods studies are being conducted in these content areas is unknown. We sought to comprehensively describe the characteristics of published mixed methods studies on coronary artery disease and major risk factors (diabetes mellitus and hypertension). Methods and Results-We conducted a scoping review of the literature indexed in PubMed, Medline, EMBASE, and CINAHL. We identified 811 abstracts for screening, of which 254 articles underwent full-text review and 97 reports of 81 studies met criteria for inclusion. The majority of studies in this area were conducted in the past 10 years by nurse researchers from the United States and United Kingdom. Diabetes mellitus was the most common content area for mixed methods investigation (compared with coronary artery disease and hypertension). Most authors described their rationale for using mixed methods as complementarity and did not describe study priority or how they reconciled differences in methodological paradigms. Some mixed methods study designs were more commonly used than others, including concurrent timing and integration at the interpretation stage. Qualitative strands were most commonly descriptive studies using interviews for data collection. Quantitative strands were most commonly cross-sectional observational studies, which relied heavily on self-report data such as surveys and scales. Conclusions-Although mixed methods research is becoming increasingly popular in the area of coronary artery disease and its risk factors, many of the more advanced mixed methods, qualitative, and quantitative techniques have not been commonly used in these areas. (Circ Cardiovasc Qual Outcomes. 2017;10:e003310.

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Section: What the Study Addsmentioning

confidence: 99%

Use of Mixed Methods Research in Research on Coronary Artery Disease, Diabetes Mellitus, and Hypertension

Campbell¹,

Tam-Tham

Dhaliwal³

et al. 2017

Circ: Cardiovascular Quality and Outcomes

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show abstract

“…To further investigate if the coverage trends we heard about from Oregon families were being experienced nationally, we conducted secondary analyses of nationallyrepresentative data from the 1998-2009 Medical Expenditure Panel Survey-Household Component (MEPS-HC). In this mixed-methods study, our qualitative findings guided a quantitative analysis of the MEPS-HC [8], in which we examined trends in coverage for US children and their parents. This study contributes to the literature by using interview data to design analysis of national health insurance data from children and their parents together over a 12-year time period; most previous work has not used qualitative data to inform quantitative analysis, has focused quantitative analyses on children but not parents, or has examined only one point in time [9][10][11][12].…”

Section: Introductionmentioning

confidence: 99%

Recent Health Insurance Trends for US Families: Children Gain While Parents Lose

DeVoe

Tillotson

Angier

et al. 2013

Matern Child Health J

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In the past decade, political and economic changes in the United States (US) have affected health insurance coverage for children and their parents. Most likely these policies have differentially affected coverage patterns for children (versus parents) and for low-income (versus high-income) families. We aimed to examine-qualitatively and quantitatively-the impact of changing health insurance coverage on US families. Primary data from interviews with Oregon families (2008)(2009)(2010) were analyzed using an iterative process. Qualitative findings guided quantitative analyses of secondary data from the nationally-representative Medical Expenditure Panel Survey (MEPS) (1998-2009); we used Joinpoint Regression to assess average annual percent changes (AAPC) in health insurance trends, examining child and parent status and type of coverage stratified by income. Interviewees reported that although children gained coverage, parents lost coverage. MEPS analyses confirmed this trend; the percentage of children uninsured all year decreased from 9.6 % in 1998 to 6.1 % in 2009; AAPC = −3.1 % (95 % confidence interval [CI] from −5.1 to −1.0), while the percentage of parents uninsured all year rose from 13.6 % in 1998 to 17.1 % in 2009, AAPC = 2.7 % (95 % CI 1.8-3.7). Low-income families experienced the most significant changes in coverage. Between 1998 and 2009, as US children gained health insurance, their Correspondence to: Heather Angier, angierh@ohsu.edu. HHS Public Access

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“…Using mixed methods, qualitative and quantitative data were collected concurrently, and the results were integrated. 16 The University of Colorado Institutional Review Board approved this study.…”

Section: Methodsmentioning

confidence: 99%

Availability of Heart Failure Medications in Hospice Care

Lum

Horney

Koets

et al. 2016

Am J Hosp Palliat Care

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Background Availability of cardiac medications in hospice for acute symptom management of heart failure is unknown. This study explored hospice approaches to cardiac medications for patients with heart failure. Methods Descriptive study using a quantitative survey of 46 US hospice agencies and clinician interviews. Results Of 31 hospices that provided standard home medication kits for acute symptom management, only 1 provided medication with cardiac indications (oral furosemide). Only 22% of the hospice agencies had a specific cardiac medication kit. Just over half (57%) of the agencies could provide intravenous inotropic therapy, often in multiple hospice settings. Clinicians described an individualized approach to cardiac medications for patients with heart failure. Conclusion This study highlights opportunities for practice guidelines that inform medical therapy for hospice patients with heart failure.

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The Use of “Mixing” Procedure of Mixed Methods in Health Services Research

Abstract: "Mixing" in mixed methods is more than just the combination of 2 independent components of the quantitative and qualitative data. The use of "mixing" procedure in health services research involves the integration, connection, and embedding of these 2 data components.

Cited by 197 publications

References 23 publications

Use of Mixed Methods Research in Research on Coronary Artery Disease, Diabetes Mellitus, and Hypertension

Use of Mixed Methods Research in Research on Coronary Artery Disease, Diabetes Mellitus, and Hypertension

Recent Health Insurance Trends for US Families: Children Gain While Parents Lose

Availability of Heart Failure Medications in Hospice Care

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