scholarly journals Designing and Testing a Treatment Adherence Model Based on the Roy Adaptation Model in Patients With Heart Failure: Protocol for a Mixed Methods Study (Preprint)

2019 ◽  
Author(s):  
Shabnam Shariatpanahi ◽  
Mansoureh Ashghali Farahani ◽  
Forough Rafii ◽  
Maryam Rassouli ◽  
Amir Kavousi
Keyword(s):  
Heart Failure ◽  
Content Analysis ◽  
Mixed Methods ◽  
Conceptual Framework ◽  
Treatment Adherence ◽  
Mixed Methods Study ◽  
Second Phase ◽  
Roy Adaptation Model ◽  
Adherence To Treatment ◽  
Adaptation Model

BACKGROUND Adherence to treatment is an important factor to decrease repeated and costly hospitalization owing to heart failure (HF). The explanation and prediction of medication adherence and other lifestyle recommendations in chronic diseases, including HF, are complex. Theories lead to a better understanding of complex situations as well as the process of changing behavior and explain the reasons for the existence of a problem. OBJECTIVE The aim of this study is to report a protocol for a mixed methods study setting out to investigate the empirical validity of the Roy Adaptation Model as a conceptual framework for explaining and predicting adherence to treatment in patients with HF in Iran. METHODS This mixed methods study consists of an exploratory sequential design to be conducted in 2 phases. The first phase involves identifying the factors associated with treatment adherence in patients with HF through content analysis of the literature and elucidating the perception of participants in the context of Iranian health care where the model of adherence to treatment is designed based on the Roy Adaptation Model. The second phase addresses the interrelationships among variables in the model through a descriptive study using structural equation modeling. Finally, following the summarization and separate interpretation of the qualitative findings and quantitative results, a decision is made about the extent to and ways in which the results of the quantitative stage can be generalized or tested for the qualitative findings. RESULTS Content analysis of the literature in part 1 of the first phase was completed in 2017. Collection and analysis of qualitative data in part 2 of the first phase will be completed soon. The results are expected to be submitted for publication in 2019. Then, the second phase—the quantitative study—will be conducted. CONCLUSIONS The results of this study will provide valuable information about the empirical validity of the Roy Adaptation Model as a conceptual framework for explaining and predicting adherence to treatment in patients with HF, which, to date, have received little attention. The results can be used as a guide for nursing practice and care provision to patients with HF and also to design and implement effective interventions to improve treatment adherence in these patients. INTERNATIONAL REGISTERED REPOR DERR1-10.2196/13317

scholarly journals Designing and Testing a Treatment Adherence Model Based on the Roy Adaptation Model in Patients With Heart Failure: Protocol for a Mixed Methods Study

10.2196/13317 ◽  
2019 ◽  
Vol 8 (7) ◽  
pp. e13317
Author(s):  
Shabnam Shariatpanahi ◽  
Mansoureh Ashghali Farahani ◽  
Forough Rafii ◽  
Maryam Rassouli ◽  
Amir Kavousi
Keyword(s):  
Heart Failure ◽  
Mixed Methods ◽  
Treatment Adherence ◽  
Mixed Methods Study ◽  
Roy Adaptation Model ◽  
Model Based ◽  
Patients With Heart Failure ◽  
Adaptation Model

scholarly journals The Effect of an Educational Plan Based on the Roy Adaptation Model for Fatigue and Activities of Daily Living of Patients with Heart Failure Disease

2020 ◽  
Vol 30 (4) ◽  
Author(s):  
Mahdieh Abdolahi ◽  
Mohammad Mahdi Doustmohamadi ◽  
Hojjat Sheikhbardsiri
Keyword(s):  
Heart Failure ◽  
Intervention Group ◽  
Nursing Intervention ◽  
Daily Activities ◽  
Control Group ◽  
Roy Adaptation Model ◽  
Educational Plan ◽  
Significant Difference ◽  
Patients With Heart Failure ◽  
Adaptation Model

BACKGROUND: Cardiac failure is one of the most common chronic diseases with high rate of morbidity and mortality. Fatigue and decreased ability to perform daily activities are of the most common complications of this disease. The purpose of this study was to determine the effect of an educational plan based on Roy adaptation model on fatigue and daily activities in patients with heart failure.METHODS: This experimental study was performed on 60 heart failure patients admitted in two educational hospitals supervised by the Kerman University of Medical Sciences in 2019. Sample was randomly assigned into two intervention and control groups. The intervention group received the care plan through a face-toface and group training program in 6 sessions at one month. Interval followed by a follow-up period for 4 weeks later. Fatigue level was calculated based on piper fatigue scale, and daily activities were calculated by Barthes scale.RESULTS: The finding indicated that there was a significant difference between the two groups (control and intervention) after the intervention. The result showed that the intervention group had significantly lower mean scores in fatigue and higher mean scores in daily activities compared to the control group after intervention P ≤ .05. There was a significant relationship between fatigue and daily activities of life with frequency of hospitalization and duration of disease in both groups, P ≤ .05.CONCLUSION: Implementation of Roy model-based education program as a low-cost, effective, and non-aggressive nursing intervention can reduce fatigue, and improve daily activities in patients with heart failure.

scholarly journals Health and Access to Healthcare in Homeless People: Protocol for a Mixed-methods Study

2021 ◽  
Author(s):  
Miguel A. Bedmar Pérez ◽  
Miquel Bennasar-Veny ◽  
Berta Artigas Lelong ◽  
Francisca Salvà Mut ◽  
Joan Pou Bordoy ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Health Status ◽  
Homeless People ◽  
Premature Death ◽  
Access To Healthcare ◽  
Mixed Methods Study ◽  
Poor Health ◽  
Barriers And Facilitators ◽  
Second Phase ◽  
Structural Factors

Abstract BackgroundHomelessness is a more complex problem than the simple lack of a place to live. Homeless people (HP) often suffer from poor health and premature death due to their limited access healthcare, and are also deprived of basic human and social rights. The study protocol described here aims to evaluate the complex relationship between homelessness and health, and identify the barriers and facilitators that impact access to healthcare by HP.MethodsThis is a mixed-methods study that uses an explanatory sequential design. The first phase will consist of a cross-sectional study of 300 HP. Specific health questionnaires will be used to obtain information on health status, challenges during the COVID-19 pandemic, self-reported use of healthcare, diagnoses and pharmacologic treatments, substance abuse (DAST-10), diet quality (IASE), depression (PHQ-9), and human basic needs and social support (SSQ-6). The second phase will be a qualitative study of HP using the “life story” technique with purposive sampling. We will determine the effects of different personal, family, and structural factors on the life and health status of participants. The interviews will be structured and defined using Nussbaum's capability approach. DiscussionIt is well-known that HP experience poor health and premature death, but more information is needed about the influence of the different specific social determinants of these outcomes and about the barriers and facilitators that affect the access of HP to healthcare. The results of this mixed methods study will help to develop global health strategies that improve the health and access to healthcare in HP.

Special Sorrow: Terminally Ill Children’s Experience of Their Parent’s Distress

2019 ◽  
Vol 32 (2) ◽  
pp. 135-139
Author(s):  
Martha Velasco-Whetsell ◽  
Steven L. Baumann
Keyword(s):  
Conceptual Framework ◽  
Terminally Ill ◽  
Roy Adaptation Model ◽  
Adaptation Model

The authors of this paper explore the distress that terminally ill children experience when they see the suffering their illness and dying is causing their parents. The authors refer to this experience as special sorrow. The conceptual framework that guides this reflection of the terminally ill child’s experience is the Roy adaptation model. The goal of this paper is to explore the concept of special sorrow as lived, so as to help nurses be with such children and their parents in a way that eases sorrow through effective adaptation and transcendence.

Healthcare professionals’ attitudes of implementing a chemotherapy electronic prescribing system: A mixed methods study

2019 ◽  
Vol 26 (5) ◽  
pp. 1164-1171
Author(s):  
Annette (Netty) V Cracknell
Keyword(s):  
Mixed Methods ◽  
Healthcare Professionals ◽  
Anticancer Therapy ◽  
Healthcare Systems ◽  
Mixed Methods Study ◽  
Electronic Prescribing ◽  
Second Phase ◽  
System A ◽  
Qualitative Exploration ◽  
Published Research

Purpose Recent research has investigated the attitudes of healthcare professionals when implementing electronic healthcare systems such as electronic medical records or electronic prescribing in primary care. There is limited research on implementation of electronic prescribing in secondary care and no published research exploring implementation of systemic-anticancer therapy (includes chemotherapy, TKIs, monoclonal antibodies, etc) electronic prescribing. By considering what attitudes healthcare professionals had towards the implementation of systemic-anticancer therapy (SACT) electronic prescribing systems, recommendations could be developed and used to aid successful future implementations. Methods This mixed methods study was in three phases. The first phase was a qualitative exploration of attitudes of healthcare professionals towards the implementation of a systemic-anticancer therapy electronic prescribing system, with the development of a questionnaire based on these findings. This was followed by a quantitative second phase where the results from the questionnaire were used to assess if the qualitative results could be generalised to a larger population. Further progression in phase three looked at developing recommendations based on the factors found in order to aid future implementations for hospitals. Results Thirteen factors were found relating to attitudes of healthcare staff when implementing systemic-anticancer therapy electronic prescribing. Nine of these factors were cited by other researchers when implementing other electronic healthcare systems. Four factors appeared to be specific to systemic-anticancer therapy electronic prescribing implementations. Nineteen recommendations were proposed when implementing a systemic-anticancer therapy electronic prescribing system. Conclusion This is the first study, to our knowledge, to examine the attitudes of healthcare professionals when implementing a systemic-anticancer therapy electronic prescribing system and the first to define important factors and list recommendations to manage these.

scholarly journals User Experience Methods and Maturity in Academic Libraries

2020 ◽  
Vol 39 (1) ◽  
Author(s):  
Scott W. H. Young ◽  
Zoe Chao ◽  
Adam Chandler
Keyword(s):  
Content Analysis ◽  
Mixed Methods ◽  
Statistical Analysis ◽  
User Experience ◽  
Academic Libraries ◽  
Qualitative Content Analysis ◽  
Mixed Methods Study ◽  
Organizational Characteristics ◽  
Recommended Practices ◽  
Survey Responses

This article presents a mixed-methods study of the methods and maturity of user experience (UX) practice in academic libraries. The authors apply qualitative content analysis and quantitative statistical analysis to a research dataset derived from a survey of UX practitioners. Results reveal the type and extent of UX methods currently in use by practitioners in academic libraries. Themes extracted from the survey responses also reveal a set of factors that influence the development of UX maturity. Analysis and discussion focus on organizational characteristics that influence UX methods and maturity. The authors conclude by offering a library-focused maturity scale with recommended practices for advancing UX maturity in academic libraries.

scholarly journals Under Reporting of Abuse of Older Adults in the Canadian Prairie Provinces

SAGE Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. 215824402110532
Author(s):  
Kerstin Roger ◽  
Christine A. Walsh ◽  
Donna Goodridge ◽  
Stacey Miller ◽  
Marina Cewick ◽  
...  
Keyword(s):  
Older Adults ◽  
Content Analysis ◽  
Mixed Methods ◽  
Service Provision ◽  
Service Providers ◽  
Mixed Methods Study ◽  
Canadian Prairie ◽  
Prevention And Treatment ◽  
Reporting Recommendations ◽  
Prairie Provinces

This tri-provincial mixed methods study explores the reasons for under reporting abuse of older adults in the Prairie Provinces of Canada. Abuse of community-residing older adults, and specifically the reasons for not reporting such abuse, is poorly understood. This paper discusses the findings of the qualitative arm of the study that collected data through interviews with older adults having histories of abuse, their family members and service providers from related sectors. Content analysis was employed to identify three key themes: (1) recognizing and naming abuse; (2) barriers to disclosure; and (3) facilitators of reporting. Recommendations are made to improve awareness, education, and service provision in prevention and treatment of the abuse of community-residing older adults.

scholarly journals Development and evaluation of a culturally tailored education module for type 1 diabetes in a resource-constrained setting: protocol for a mixed-methods study

2021 ◽  
Vol 8 (3) ◽  
pp. 244
Author(s):  
Latika Rohilla ◽  
Devi Dayal ◽  
Prahbhjot Malhi ◽  
Bhavneet Bharti ◽  
Sukhpal Kaur ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Mixed Methods ◽  
Diabetes Management ◽  
Resource Constraints ◽  
Diabetes Education ◽  
Mixed Methods Study ◽  
Trial Registration ◽  
Second Phase ◽  
Culturally Tailored

<p class="abstract"><strong>Background:</strong> Diabetes education is the key to successful diabetes management. There is a need for an education module for type 1 diabetes (T1D) that is culture-specific and suited to resource constraints.</p><p class="abstract"><strong>Methods:</strong> A mixed-methods study will be conducted, in three phases, to develop and evaluate a culturally tailored diabetes education module for Indian children with T1D and their families. During the first phase, a qualitative study among health professionals and families of children with T1D for need assessment will be conducted. During the second phase, based on the themes from the last phase, an educational module will be developed. The third phase will involve an evaluation of the content, feasibility and effectiveness of the proposed module. The content evaluation will be done using the standardized 'suitability assessment of materials' checklist. For feasibility, a mixed-method approach will be used with iterative cycles of satisfaction scale, semi-structured interview and feasibility and observation checklist. The module will be revised after each cycle till no new changes are suggested. The effectiveness will be assessed by a quasi-experimental controlled trial assessing glycemic control, health-related quality of life, clinically important events and self-management practices in T1D children at baseline and three and six months.</p><p class="abstract"><strong>Conclusions: </strong>This study aims at development and validation of a novel culturally tailored diabetes education module for children with T1D, suited to their resource constraints. A module designed with the inputs from all stakeholders, and evaluated using iterative cycles, has the potential to suit the dynamic nature of diabetes management in children.</p><p class="abstract"><strong>Trial registration:</strong> Trial registration number is CTRI/2021/04/032739.</p>

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