Determinants of non-adherence to home injury prevention practice among parents of under-five children in North Seberang Perai district, Penang: A mixed-methods study protocol (Preprint)

2020 ◽  
Author(s):  
Nurul Abdul ◽  
Hayati Kadir @ Shahar ◽  
Nor Afiah Mohd Zulkefli ◽  
Ahmad Iqmer Nashriq Mohd Nazan
Keyword(s):  
Mixed Methods ◽  
Linear Regression ◽  
Qualitative Study ◽  
Injury Prevention ◽  
Quantitative Study ◽  
Mixed Methods Study ◽  
Under Five ◽  
Under Five Children ◽  
Home Injury ◽  
At Home

BACKGROUND Unintentional injury is a global burden of disease that occurs everywhere, including our home. Young children are most vulnerable to home injuries because they are still developing their physical and psychological skills and spent most of their time at home. Despite being largely preventable, three consecutive national surveys show no reduction in the rate of injury among children under-five. More surprising, children from high-income families were found to have the highest incidence of injury, contradicting the findings from other countries. OBJECTIVE This study aims to identify the determinants of a non-adherence to unintentional home injury prevention practice among parents of under-five children in North Seberang Perai district, Penang. METHODS This sequential explanatory mixed-methods study consists of two phases starting with a quantitative study looking into respondents and their child’s sociodemographic status and their home injury prevention practice, followed by a qualitative study that interview parents with a low level of home injury prevention practice. In phase I, the parent or primary caregiver of a child age less than five years old who age 18 or older and is a Malaysian will be included in the study while being disabled or having a severe psychiatric disorder or having the index child diagnosed with chronic disease will make them not eligible to participate in the study. Derived using two population means formula, a sample size of 495 parents will be sampled among those with under-five children following up at the Maternal Child Health Department in the health clinics of North Seberang Perai using stratified systematic sampling. Independent t-test/Mann Whitney U, simple linear regression and multiple linear regression will be used for data analysis. The sample will be stratified according to household income to look for associated factors and determinants of low prevention practice. In phase II, parents with a low score from the quantitative study will be selected to participate in the qualitative study using purposive sampling. A semi-structured interview using the help of an interview guide will be carried out and recorded with a voice recorder. Thematic analysis approach will be used to analyse the qualitative data. RESULTS The study has been registered under the National Medical Research Registry and awaiting ethical approval. CONCLUSIONS It is hoped that findings from this study can shed light on the barriers faced by under-five parents in carrying out preventive measures at home.

Injuries in Day Care

PEDIATRICS ◽  
1990 ◽  
Vol 86 (5) ◽  
pp. 808-809
Author(s):  
FREDERICK P. RIVARA ◽  
CAROLYN DIGUISEPPI
Keyword(s):  
Injury Prevention ◽  
Day Care ◽  
Effective Intervention ◽  
Research Center ◽  
Injury Control ◽  
Sizeable Number ◽  
Home Injury ◽  
At Home

In Reply.— We appreciate the comments of Gielen et al on our study examining the risk of injuries to children in day care compared with the risks of injuries to children at home. Injury control, a problem ignored for far to long, is finally beginning to attract a sizeable number of investigators and practitioners. Nevertheless, resources are still extremely scarce, and we encourage others involved in this area to use criteria similar to those used at the Harborview Injury Prevention and Research Center in choosing a topic for intervention: the injuries must be frequent, they must be severe, and an effective intervention should exist.

scholarly journals The impact of self-efficacy and health literacy on outcome after bariatric surgery in Sweden: a protocol for a prospective, longitudinal mixed-methods study

BMJ Open ◽  
2019 ◽  
Vol 9 (5) ◽  
pp. e027272 ◽  
Author(s):  
Maria Jaensson ◽  
Karuna Dahlberg ◽  
Ulrica Nilsson ◽  
Erik Stenberg
Keyword(s):  
Bariatric Surgery ◽  
Mixed Methods ◽  
Health Literacy ◽  
Qualitative Study ◽  
Self Efficacy ◽  
Mixed Methods Study ◽  
Inclusion Criteria ◽  
Study Results ◽  
Prospective Longitudinal ◽  
The Impact

IntroductionA person-centred approach, to know about a person’s individual weaknesses and strengths, is warranted in today’s healthcare in Sweden. When a person suffers from obesity, there are not only risks for comorbidities but also increased risk for decreased health-related quality of life (HRQoL). After bariatric surgery, there are also risks for complications; however, healthcare service expects the person to have sufficient ability to handle recovery after surgery. The need is to investigate how a person’s self-efficacy and health literacy(HL) skills are important to determine their effect on recovery as well as HRQoL after bariatric surgery. It can, involve the person in the care, improve shared decision-making, and perhaps decrease complications and readmissions.Method and analysisThis is a prospective, longitudinal mixed-methods study with the intent of including 700 patients from three bariatric centres in Sweden (phase 1); 20 patients will be included in a qualitative study (phase 2). Inclusion criteria will be age >17 years, scheduled primary bariatric surgery and ability to read and understand the Swedish language in speech and in writing. Inclusion criteria for the qualitative study will be patients who reported a low self-efficacy, with a selection to ensure maximum variation regarding age and gender. Before bariatric surgery patients will answer a questionnaire including 20 items. Valid and reliable instruments will be used to investigate general self-efficacy (10 items) and functional and communicative and critical HL (10 items). This data collection will then be merged with data from the Scandinavian Obesity Surgery Registry. Analysis will be performed 30 days, 1 year and 2 years after bariatric surgery. One year after bariatric surgery the qualitative study will be performed. The main outcomes are the impact of a person’s self-efficacy and HL on recovery after bariatric surgery.Ethics and disseminationThe study has received approval from the ethical review board in Uppsala, Sweden (number 2018/256). The study results will be disseminated through peer-reviewed publications and conference presentations to the scientific community and social media.

scholarly journals The knowledge and learning needs of health professionals in providing support for parents of premature babies at home: A mixed-methods study

2019 ◽  
Vol 25 (6) ◽  
pp. 277-284 ◽  
Author(s):  
Julia Petty ◽  
Lisa Whiting ◽  
Alison Mosenthal ◽  
Cathrine Fowler ◽  
Doug Elliott ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Health Professionals ◽  
Mixed Methods Study ◽  
Learning Needs ◽  
Premature Babies ◽  
At Home

scholarly journals Approaches used by parents to keep their children safe at home: a qualitative study to explore the perspectives of parents with children aged under five years

2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Joanne Ablewhite ◽  
Lisa McDaid ◽  
Adrian Hawkins ◽  
Isabel Peel ◽  
Trudy Goodenough ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Under Five ◽  
At Home

scholarly journals Development of a Caregivers’ Support Platform (Connected Health Sustaining Home Stay in Dementia): Protocol for a Longitudinal Observational Mixed Methods Study

10.2196/13280 ◽  
2019 ◽  
Vol 8 (8) ◽  
pp. 13280
Author(s):  
Estefania Guisado-Fernandez ◽  
Brian Caulfield ◽  
Paula Alexandra Silva ◽  
Laura Mackey ◽  
David Singleton ◽  
...  
Keyword(s):  
Health Care ◽  
Mixed Methods ◽  
Home Care ◽  
Informal Caregivers ◽  
Intervention Group ◽  
Well Being ◽  
Mixed Methods Study ◽  
Care Plan ◽  
Connected Health ◽  
At Home

Background Dementia disease is a chronic condition that leads a person with dementia (PwD) into a state of progressive deterioration and a greater dependence in performing their activities of daily living (ADL). It is believed nowadays that PwDs and their informal caregivers can have a better life when provided with the appropriate services and support. Connected Health (CH) is a new technology-enabled model of chronic care delivery where the stakeholders are connected through a health portal, ensuring continuity and efficient flow of information. CH has demonstrated promising results regarding supporting informal home care and Aging in Place, and it has been increasingly considered by researchers and health care providers as a method for dementia home care management. Objective This study aims to describe the development and implementation protocol of a CH platform system to support informal caregivers of PwDs at home. Methods This is a longitudinal observational mixed methods study where quantitative and qualitative data will be combined for determining the utility of the CH platform for dementia home care. Dyads, consisting of a PwD and their informal caregiver living in the community, will be divided into 2 groups: the intervention group, which will receive the CH technology package at home, and the usual care group, which will not have any CH technology at all. Dyads will be followed up for 12 months during which they will continue with their traditional care plan, but in addition, the intervention group will receive the CH package for their use at home during 6 months (months 3 to 9 of the yearly follow-up). Further comprehensive assessments related to the caregiver’s and PwD’s emotional and physical well-being will be performed at the initial assessment and at 3, 6, 9, and 12 months using international and standardized validated questionnaires and semistructured individual interviews. Results This 3-year funded study (2016-2019) is currently in its implementation phase and is expected to finish by December 2019. We believe that CH can potentially change the PwD current care model, facilitating a proactive and preventive model, utilizing self-management–based strategies, and enhancing caregivers’ involvement in the management of health care at home for PwDs. Conclusions We foresee that our CH platform will provide knowledge and promote autonomy for the caregivers, which may empower them into greater control of the care for PwDs, and with it, improve the quality of life and well-being for the person they are caring for and for themselves through a physical and cognitive decline predictive model. We also believe that facilitating information sharing between all the PwDs’ care stakeholders may enable a stronger relationship between them, facilitate a more coordinated care plan, and increase the feelings of empowerment in the informal caregivers. International Registered Report Identifier (IRRID) DERR1-10.2196/13280

scholarly journals Effects of an Internationalization at Home (IAH) Programme on Cultural Awareness among Medical and Nursing Students in Hong Kong and Indonesia During the COVID-19 Pandemic: A Mixed-Methods Study

2022 ◽  
Author(s):  
Patrick Pui Kin KOR ◽  
Clare YU ◽  
Ida ayu TRIASTUTI ◽  
Mitra Andini SIGILIPOE ◽  
Haryo Dimasto KRISTIYANTO ◽  
...  
Keyword(s):  
Hong Kong ◽  
Mixed Methods ◽  
Nursing Students ◽  
Learning Outcomes ◽  
Cultural Awareness ◽  
Learning Experience ◽  
Mixed Methods Study ◽  
Face To Face ◽  
Internationalization At Home ◽  
At Home

Abstract Background: The COVID-19 pandemic has severely impacted the learning experience of students by limiting their opportunities for face-to-face intercultural exchanges. Given the importance of cultural competence in medical education, there is a need to develop a programme that promotes cultural awareness, but that offers more flexibility in terms of outbound mobility. This study aims to evaluate the effectiveness of an internationalization at home programme and to explore the learning experiences of medical and nursing students from Hong Kong and Indonesia. Methods: Students were recruited from two universities in Hong Kong and Indonesia. They attended an online internationalization at home programme designed by members of the research team from both countries. A mixed-methods study was conducted. A pre-test post-test design was used to evaluate the effects of the programme on cultural awareness, and four focus group interviews were conducted to explore the students’ experiences in the programme. Quantitative and qualitative data were analysed by T-test and thematic analysis. Data were integrated via triangulation. Results: One hundred and forty-eight students from Hong Kong and Indonesia participated in the study. After the programme, there was a significant improvement in cultural awareness. Three themes were identified: (1) learning process: enjoyable, but a desire remains for face-to-face cross-cultural communication; (2) learning outcomes: gained cultural awareness, developed cultural sensitivity, had an opportunity to practice language and learn about new learning styles; (3) factors influencing learning outcomes: facilitators (micro-movie and active communication) and barriers (language barrier, inappropriate time arrangement, insufficient prior briefing). Conclusion: This programme achieved the learning outcomes by successfully enhancing the cultural awareness of students during a time of pandemic when outbound student exchanges were not possible. Further adaptations of the programme are required to further enhance learning outcomes.

The role of transaction cost and trust in e-loyalty: a mixed-methods study of ride-sharing

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Tingting Hou ◽  
Xusen Cheng ◽  
Xiankun Cheng
Keyword(s):  
Mixed Methods ◽  
Qualitative Study ◽  
Transaction Cost ◽  
Quantitative Study ◽  
Mobile Commerce ◽  
Content Type ◽  
Trust Relationship ◽  
Driving Skills ◽  
Ride Sharing ◽  
Context Specific

PurposeThe purpose of this paper is to explore the trust antecedents and the effect of trust and transaction cost on passengers' e-loyalty in the context of mobile commerce enabled ride-sharing.Design/methodology/approachA mixed-methods research is adopted to investigate the phenomena of interest. The qualitative study was used to identify the context-specific trust antecedents. The quantitative study investigated the effects of trust and transaction cost on e-loyalty by combining the results of qualitative study.FindingsThree important context-specific trust antecedents were identified in qualitative study, namely online rating score, service quality and driving skills. The quantitative study indicates that driving skills, explicit cost and implicit cost are positively associated with trust. Trust and implicit cost have direct and positive effects on e-loyalty.Research limitations/implicationsThis study contributes to understanding passengers' trust towards drivers in the context of mobile commerce enabled ride-sharing and the effect of trust on e-loyalty by including the transaction cost.Practical implicationsManagement to enhance passengers' e-loyalty to ride-sharing might involve the measures to promote trust relationship.Originality/valueLimited research has explored trust relationship for enhancing e-loyalty in the context of ride-sharing. The current study provides a novel contribution through an exploration of trust antecedents and the effects of transaction cost and trust on e-loyalty. The study has thrown light on the use of mixed-methods design in the research of user behavior in sharing economy.

scholarly journals The Clinical Impacts of Mobile Mood-Monitoring in Young People With Mental Health Problems: The MeMO Study

2021 ◽  
Vol 12 ◽  
Author(s):  
Muna Dubad ◽  
Farah Elahi ◽  
Steven Marwaha
Keyword(s):  
Mental Health ◽  
Mixed Methods ◽  
Young People ◽  
Quantitative Study ◽  
Mental Health Problems ◽  
Health Problems ◽  
Small Sample ◽  
Mixed Methods Study ◽  
Therapeutic Engagement ◽  
Significant Difference

Background: Limited evidence suggests that mobile mood-monitoring can improve mental health outcomes and therapeutic engagement in young people. The aim of this mixed methods study was to explore the clinical impacts of mobile mood-monitoring in youth with mental health problems, using a publicly accessible app.Methods: Twenty-three patients with mental health problems and 24 young people without mental health problems participated in the quantitative study. Participants monitored their mood using a mood-monitoring app twice a day for 3 weeks, which was preceded by a 3-week baseline period. Outcome measures included momentary and retrospective assessments of affect regulation (all participants) and therapeutic engagement (patients only). Following the quantitative study, patients (n = 7) and their clinicians (n = 6) participated in individual interviews. Interview data was analysed using thematic analysis.Results: Use of the mood-monitoring app significantly reduced momentary negative mood (p < 0.001) and retrospectively assessed impulsivity across all 47 participants (p = 0.001). All other outcomes showed no significant difference. Qualitative feedback similarly indicated the potential of apps to improve problems with impulsivity in patients. Furthermore, apps may aid communication, promote empowerment, and ameliorate memory difficulties in clinical appointments.Conclusions: This mixed methods study demonstrated the potential utility of apps for clinical practice. Apps may potentially be an interventional tool, or at a minimum, an adjunct to existing treatments. Data was collected from a small sample size over a short study duration, limiting the generalisability of findings and inferences regarding long-term effects. Potential sources of bias in the qualitative study (e.g., researcher bias) should also be considered.

Proposing paradigm peace: Mixed methods in feminist tourism research

2012 ◽  
Vol 12 (3) ◽  
pp. 287-304 ◽  
Author(s):  
Bente Heimtun ◽  
Nigel Morgan
Keyword(s):  
Mixed Methods ◽  
Qualitative Study ◽  
Quantitative Study ◽  
Power Relations ◽  
Tourism Research ◽  
Women’S Experiences ◽  
Women's Experiences

This article attempts to engage and advance tourism’s epistemological and methodological discussions. It explores how the transformative paradigm offers an opportunity to feminist tourism researchers to broaden their methods base and obtain nuanced understandings of systematic and localised oppression without compromising research principles, such as positionality and reflexivity. To illustrate the value of this approach, we combine a qualitative study of midlife (35–55 years) single women’s holiday experiences with a follow-up quantitative study of young (18–30 years) single women’s experiences. We argue that merging these studies creates new understandings of intersecting power relations related to gender, age and singlehood and that in a broader sense working within the transformative paradigm has the potential to promote paradigm peace in feminist tourism research.

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