Using Qualitative Research Methods to Improve Clinical Care in Pediatric Psychology

Alderfer, Melissa A.; Sood, Erica

doi:10.1037/cpp0000164

Cited by 18 publications

(10 citation statements)

References 27 publications

(34 reference statements)

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“…To increase the understanding of processes of change and outcomes in psychological treatments for young people, as well as to improve clinical care with respect to the preferences and needs of young people and parents, rigorous qualitative studies provide an important source of information [35,36,37]. Further, as described above, a few studies indicate that central treatment targets in ACT (e.g., acceptance) are related to improvements in outcomes for young people with chronic pain.…”

Section: Introductionmentioning

confidence: 99%

Adolescent and Parent Experiences of Acceptance and Commitment Therapy for Pediatric Chronic Pain: An Interpretative Phenomenological Analysis

2019

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Pediatric chronic pain is common and can be related to reduced functioning in many domains for the young person and their parents. Existing psychological treatments such as Acceptance and Commitment Therapy (ACT) have shown to be effective, but improvements are needed. Qualitative approaches can help improve our understanding of treatment processes and outcomes. The aim of the present qualitative interview study was to explore the lived experiences of young people and parents who had participated in ACT for pediatric chronic pain. Four young persons and four parents were interviewed, and data was analyzed using Interpretative Phenomenological Analysis (IPA). Three themes were generated, each comprising two subthemes: (1) ‘Warning system’, which included experiences from being offered this psychological intervention, and the alternative explanations provided for pain; (2) ‘Change and challenges’, which suggested the importance of the values-based work, and of individual adaptation; and (3) ’A common language’ in which the interaction with others and new ways to communicate around the pain experience were described. Findings highlight the importance of pain education, formulating and acting in line with personal values, and communication around the pain experience, as well as the need for developmental and individual adaptations of interventions.

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Section: Introductionmentioning

confidence: 99%

Adolescent and Parent Experiences of Acceptance and Commitment Therapy for Pediatric Chronic Pain: An Interpretative Phenomenological Analysis

2019

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“…Rosenthal (2016) suggested that the researcher can use a qualitative research method in the health services field to gain more insight into the reasoning behind people engaging in collective actions and behaviors. Additionally, Alderfer and Sood (2016) noted that the researcher could use a qualitative methodology to guide them toward good reporting and evaluating data. Vass, Rigby, and Payne (2017) suggested that the researcher can use a qualitative inquiry to explore peoples' thoughts or feelings by collecting their words through text or interviews.…”

Section: Methodsmentioning

confidence: 99%

Successful Billing Strategies in the Hospital Industry

Merritt-Myrick¹,

Harris²

2020

IJHRS

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This paper explores the negative impact of changing Medicare regulations have on hospital profitability. Findings indicate that the successful strategies billing managers could use to ensure Medicare reimbursement and profitability include remaining up to date with Medicare changing compliance regulations, enhancing communication with staff, multiple departments, and Medicare, and adopting a robust billing system and other systems that compliment billing. Since the implementation of changes, hospitals continued to foster criterion to ensure successful Medicare reimbursement, thereby remaining in operation to continue to support the healthcare needs of families in the local communities. The biggest obstacle for hospitals is the ever-revolving Medicare reform and the effects it has on lowering reimbursement for the hospital industry. Hospitals that are affected by reform report issues that relate to the Medicare Prospective Payment System (PPS), payment for performance, and value-based payments.

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“…Although studies of multifaceted interventions such as SCThrive are crucial, they provide limited information about which components the participants perceived as fundamental to the intervention's success. Qualitative evaluations provide valuable supplemental information to help clinicians and researchers understand ways to adapt and improve an intervention (Alderfer & Sood, 2016). Therefore, the current study reports on the qualitative interview data from participants completing the SCThrive intervention to understand the components (mixed in-person/online format, culturally tailored materials, app) perceived to make SCThrive feasible, acceptable, and motivating for self-management.…”

mentioning

confidence: 99%

Perceptions of a Self-Management Intervention for Adolescents With Sickle Cell Disease

Crosby¹,

Joffe²,

Kidwell³

et al. 2022

Clinical Practice in Pediatric Psychology

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Objective: Individuals with sickle cell disease (SCD) are at increased risk for complications from their disease during their adolescent and young adult (AYA) years. The risk of morbidity in AYA with SCD can be decreased with improved self-management. Existing self-management interventions typically focus on one aspect of self-management (e.g., adherence) and do not address factors that activate patients (knowledge, motivation, self-efficacy and social support) to self-manage. Sickle Cell Thrive (SCThrive) is a mixed in-person/online, technology-enhanced (use of a mobile app), group self-management intervention that targets patient activation. To determine the most clinically-significant intervention components, a qualitative study was conducted. Methods: Participants were 19 AYA (M age=17.05) with SCD who participated in individual semi-structured phone interviews after completing SCThrive. Interview content was coded using a grounded-theory approach to generate themes related to SCThrive's feasibility, acceptability, and motivation for and impact on self-management. Results: SCThrive was reported to be highly feasible due to the mixed in-person/online format and acceptable because they learned skills to manage SCD in a group of AYAs with SCD. Action planning and pain/mood tracking appeared to be key factors in motivating AYAs for self-management.Participants reported continuing to use self-management skills post-SCThrive (self-efficacy) including applying them to other domains of their lives (e.g., educational/vocational).Conclusions: Study results provide data that can be leveraged to enhance the feasibility, acceptability, and impact of SCThrive and other self-management interventions. Findings can also inform clinical and mHealth interventions to increase self-management in this population.

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Using Qualitative Research Methods to Improve Clinical Care in Pediatric Psychology

Cited by 18 publications

References 27 publications

Adolescent and Parent Experiences of Acceptance and Commitment Therapy for Pediatric Chronic Pain: An Interpretative Phenomenological Analysis

Adolescent and Parent Experiences of Acceptance and Commitment Therapy for Pediatric Chronic Pain: An Interpretative Phenomenological Analysis

Successful Billing Strategies in the Hospital Industry

Perceptions of a Self-Management Intervention for Adolescents With Sickle Cell Disease

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