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Browsing by Subject "Content analysis"
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Item Annual Performance Reviews Of, For and By Faculty: A Qualitative Analysis of One Department's Experiences(New Forums Press, 2018-05) Connelly, Maureen T.; Inui, Thomas S.; Oken, Emily; Peters, Antoinette S.; Medicine, School of MedicinePurpose: Although annual performance reviews and feedback are recommended for faculty development, best practices and faculty perceptions have not been documented. The authors sought to evaluate the process in one medical school department that established and has sustained an innovative review tradition for 25 years. Method: Content analysis of faculty reports and immersion/crystallization to analyze interviews. Results: Faculty reports described satisfaction and dissatisfaction; facilitators and barriers to goals; and requests for feedback, with community, collaboration and mentorship integral to all three. Interviewees emphasized practical challenges, the role of the mentor and the power of the review to establish community norms. Conclusion: Respondents generally found reviews constructive and supportive. The process informs departmental expectations and culture.Item Communicating Critical Information to Cancer Survivors: an Assessment of Survivorship Care Plans in Use in Diverse Healthcare Settings(Springer, 2021) Lyson, Helena C.; Haggstrom, David; Bentz, Michael; Obeng-Gyasi, Samilia; Dixit, Niharika; Sarkar, Urmimala; Medicine, School of MedicinePurpose: Survivorship care plans (SCPs) serve to communicate critical information needed for cancer survivors’ long-term follow-up care. The extent to which SCPs are tailored to meet the specific needs of underserved patient populations is understudied. To fill this gap, this study aimed to assess the content and communication appropriateness of SCPs collected from diverse health care settings. Methods: We analyzed collected SCPs (n=16) for concordance with Institute of Medicine (IOM) recommendations for SCP content and for communication appropriateness using the Suitability Assessment of Materials (SAM) instrument. Results: All plans failed to incorporate all IOM criteria, with the majority of plans (n=11) incorporating less than 60% of recommended content. The average reading grade level of all the plans was 14, and only one plan received a superior rating for cultural appropriateness. Conclusion: There is significant variation in the format and content of SCPs used in diverse hospital settings and most plans are not written at an appropriate reading grade level nor tailored for underserved and/or minority patient populations. Implications for Cancer Survivors: Co-designing SCPs with diverse patient populations is crucial to ensure that these documents are meeting the needs and preferences of all cancer survivors.Item K-12 trade books’ representation of earthquake safety and protective actions: A content analysis(Wiley, 2024) Nyarko, Samuel Cornelius; Sumy, Danielle F.; McBride, Sara K.Meaningful learning resources for earthquake safety and survival have become an increasingly important topic among geoscientists, especially educators and researchers. Various members of the public, especially K-12 (ages 5–18) learners, continue to depend on scientific trade books available at their local public and school libraries for information about earthquake concepts. To our knowledge, no research has empirically examined how trade books represent earthquake safety and survival actions. In this research, we combine an iterative qualitative inductive and deductive analysis to explore the representation of earthquake safety and protective actions in 50 trade books. We categorize these actions into time-based practices related to preparedness before an earthquake, protective actions during an earthquake, and recovery after an earthquake. These trade books emphasize preparedness by means of building earthquake-resistant structures and urban planning, and efforts toward community resilience and keeping home supplies. The recommended personal protective action during an earthquake in the United States (“Drop, Cover, and Hold On”) is emphasized in the majority of the trade books, as well as other protective actions related to emotional actions and current technological automated actions such as earthquake early warning systems. Finally, the books highlight actions such as damage evaluation and support as ways to recover after an earthquake. Our findings highlight the issues between accepted earthquake safety and survival actions and the limited and/or inaccurate knowledge represented in some trade books. We provide interpretations of how presentation of limited or inaccurate information may increase confusion about appropriate protective actions. The inclusion of accepted and recommended protective actions in future trade books and the use of earthquake drills in public libraries as a supplement for trade book users may improve understanding and implementation of appropriate actions. We further demonstrate the potential of trade book contents in fostering earthquake education through library-community partnerships.Item Narrative Analyses: Cognitive Behavior Group Therapy for Women with Menopause and Bipolar or Major Depressive Disorders(Mary Ann Liebert, 2021-09-22) Conklin, Danette; Carpenter, Janet S.; Sorenson Whitney, Meredith; DeLozier, Sarah; Ogede, Daisy Okwa; Bazella, Corinne; McVoy, Molly; Sajatovic, Martha; School of NursingBackground: Bipolar and depressive disorders (bipolar disorder [BD], major depressive disorder [MDD]), as well as menopause affect millions of women. Although there are three known cognitive behavioral group treatment (CBGT) protocols to help women with problematic menopause symptoms, they do not target women on the BD or MDD spectrum. The purpose of this qualitative study was to learn more about the treatment needs and group experiences of women with problematic menopause symptoms and diagnosed on the BD and MDD spectrum, who participated in a CBGT intervention for menopausal symptoms. Methods: Narrative data recorded by clinicians (Interventionists' notes) and participants (Evaluation of Groups Survey) were analyzed using content analyses. Results: Several themes emerged from (n = 11 BD; n = 48 MDD) what women wanted help with (specific symptoms and general aspects of menopause), what women liked about CBGT (specific and general aspects of the program), and changes needed in the CBGT intervention (things wished for and barriers that interfered with the program). The two diagnostic groups differed in their responses, although both groups identified content and delivery gaps they wished would be addressed. Specifically related to their diagnosis, women most commonly talked about problems with worsening mood and mood instability and multiple stressors interfering with their ability to follow through with the intervention. Conclusions: These findings can help refine existing CBGT protocols for women diagnosed on the BD and MDD spectrum seeking help for menopause symptoms.Item Pain clinic definitions in the medical literature and U.S. state laws: an integrative systematic review and comparison(BMC, 2018-05-22) Andraka-Christou, Barbara; Rager, Joshua B.; Brown-Podgorski, Brittany; Silverman, Ross D.; Watson, Dennis P.; Social and Behavioral Sciences, School of Public HealthBACKGROUND: In response to widespread opioid misuse, ten U.S. states have implemented regulations for facilities that primarily manage and treat chronic pain, called "pain clinics." Whether a clinic falls into a state's pain clinic definition determines the extent to which it is subject to oversight. It is unclear whether state pain clinic definitions model those found in the medical literature, and potential differences lead to discrepancies between scientific and professionally guided advice found in the medical literature and actual pain clinic practice. Identifying discrepancies could assist states to design laws that are more compatible with best practices suggested in the medical literature. METHODS: We conducted an integrative systematic review to create a taxonomy of pain clinic definitions using academic medical literature. We then identified existing U.S. state pain clinic statutes and regulations and compared the developed taxonomy using a content analysis approach to understand the extent to which medical literature definitions are reflected in state policy. RESULTS: In the medical literature, we identified eight categories of pain clinic definitions: 1) patient case mix; 2) single-modality treatment; 3) multidisciplinary treatment; 4) interdisciplinary treatment; 5) provider supervision; 6) provider composition; 7) marketing; and 8) outcome. We identified ten states with pain clinic laws. State laws primarily include the following definitional categories: patient case mix; single-modality treatment, and marketing. Some definitional categories commonly found in the medical literature, such as multidisciplinary treatment and interdisciplinary treatment, rarely appear in state law definitions. CONCLUSIONS: This is the first study to our knowledge to develop a taxonomy of pain clinic definitions and to identify differences between pain clinic definitions in U.S. state law and medical literature. Future work should explore the impact of different legal pain clinic definitions on provider decision-making and state-level health outcomes.Item Taking a Magnifying Glass to Measurement-Based Care Consultation Sessions: with What Issues Do Mental Health Clinicians Struggle?(Springer, 2023) Marriott, Brigid R.; Walker, Madison R.; Howard, Jacqueline; Puspitasari, Ajeng; Scott, Kelli; Albright, Karen; Lewis, Cara C.; Psychiatry, School of MedicinePurpose: Ongoing consultation following initial training is one of the most commonly deployed implementation strategies to facilitate uptake of evidence-based practices, such as measurement-based care (MBC). Group consultation provides an interactive experience with an expert and colleagues to get feedback on actual issues faced, yet there is little research that unpacks the questions raised in consultation and what types of issues are important to address. Methods: The current study characterized the questions and concerns raised by community mental health clinicians (N = 38 across six clinics) during group consultation sessions completed as part of an MBC implementation trial. We conducted a qualitative content analysis of consultation forms completed by clinicians before each MBC consultation session. Results: Clinicians sought MBC consultation for clients across a range of ages and levels of depression severity. Qualitative results revealed five main questions and concerns in consultation sessions: (1) how to administer the PHQ-9, (2) how to review PHQ-9 scores, (3) how to respond to PHQ-9 score, (4) the types of clients for whom MBC would be appropriate, and (5) how MBC could impact a clinician's usual care. Conclusion: Findings highlight the need for ongoing consultation and limitations of workshop training alone. Practical recommendations for addressing the common questions and concerns identified are presented to support MBC use.Item Top Pediatric Dermatology Twitter Post Characteristics and Trends From 2020 to 2021: Content Analysis(JMIR, 2022-10-26) Kokoska, Ryan E.; Kim, Lori S.; Szeto, Mindy D.; Aukerman, Erica L.; Dellavalle, Robert P.; Dermatology, School of Medicine