Use of Framework Matrix and Thematic Coding Methods in Qualitative Analysis for mHealth: The FluidCalc app

BackgroundAn estimated 40% of global cases of Alzheimer’s disease and related dementias (ADRD) may be prevented through modification of 12 risk factors. Midlife risk reduction is particularly important given the long prodromal period for ADRD. However, population adherence to these health behaviors is low, and large, multidomain behavioral interventions have suffered from poor adherence. The goal of this study was to use qualitative methods to develop a personalized health education intervention (TEACH: Tailored Education for Aging and Cognitive Health), which is grounded in the Health Belief Model.MethodWe conducted six focus groups in which we presented health information about a fictitious person, including images conveying ADRD risk and descriptions of personal health belief factors. Participants provided feedback about the images, their understanding of ADRD risk, and interpretation of the health belief concepts. Results were summarized using a framework matrix.ResultsGroups found the presented risk information to be understandable and relevant to health behaviors. They had strong reactions to presented images and descriptions, and they provided alternative language and suggestions to improve clarity. Participants noted some overlap between health belief constructs but were able to identify connections between health beliefs and personal behaviors.ConclusionsResults guided the TEACH intervention development project, which includes creating an explanatory framework for disclosing individuals’ ADRD risk factors and health belief profile. The long-term goal is to develop a multi-domain intervention to promote sustained health behavior change for primary prevention of ADRD.

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Evaluation of Capacity Building in Community Health via a Learning-by-Doing Approach: Project Overview and Mixed Method Study Protocol

Fletcher-Lartey,

Smith

2024

Preprint

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Background Evaluation capacity building (ECB) is pivotal in advancing health service quality and maximizing impact through evidence-informed practice. This manuscript documents an overview and protocol for the evaluation of the Program Evaluation Skills Learning by Doing (LbD) ECB initiative, implemented within the Western Sydney Local Health District’s Integrated and Community Health (ICH) directorate. The initiative is designed to enhance staff competencies and strengthen organisational infrastructure for effective service evaluation. By employing an integrated ECB model, the initiative seeks to foster a robust environment supportive of evidence-based practices across diverse health services. Methods This study employs a comprehensive mixed methods approach that combines both qualitative and quantitative data to evaluate the LbD initiative. This mixed methodology involves assessing the implementation and outcomes of the three main phases of the initiative: stakeholder engagement; participant selection and project identification; and skills training via an LbD approach. The study aims to elucidate the multifaceted nature of ECB efforts and their application in a community health setting. Quantitative data will be collected through pre- and postintervention surveys to measure changes in skills, attitudes, and organizational support. Qualitative data will be gathered via focus groups and interviews with participants to capture in-depth insights into their experiences and the perceived impact of the initiative. Discussion This study provides essential insights into effectively leveraging practitioner training, organizational culture, and systemic support for building the capacity for evidence-informed health service delivery at the community level. By actively involving frontline staff, managers, and leaders in its codesign process, the LbD initiative ensures that evaluation methods are relevant and reflective of real-world settings, thereby enhancing the program's applicability and ownership among participants. The findings are expected to contribute significantly to the fields of research, practice, and policy by offering a replicable model for similar capacity-building initiatives. Additionally, the study addresses the limitations of self-reported data, acknowledges potential biases and emphasizes the importance of triangulating data sources to increase the validity of the findings.

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Use of Framework Matrix and Thematic Coding Methods in Qualitative Analysis for mHealth: The FluidCalc app

Cited by 5 publications

References 31 publications

Climate change and household food security in the Himalayas: A systematic review of the challenges and household adaptative measures

Climate change and household food security in the Himalayas: A systematic review of the challenges and household adaptative measures

Preliminary Development of a Multidomain Behavioral Intervention for Primary Prevention of Dementia in Midlife

Evaluation of Capacity Building in Community Health via a Learning-by-Doing Approach: Project Overview and Mixed Method Study Protocol

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