Browsing by Subject "Qualitative methods"

Now showing 1 - 6 of 6
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    Exploring the impact of career transition on athletes and military personnel : a mixed methods study
    (2018-04-17) Shue, Sarah A.; Munk, Niki; Watson, Dennis; Matthias, Marianne; Miller, Kristine
    Sport and exercise psychology practitioners work with military service members to enhance performance prior to and during active duty but have no clear role during military career exits. Given health and wellness concerns veterans face as they transition out of the military and reintegrate back into civilian life, it may be of benefit to establish non-VA practitioners as a transitioning resource. To determine sport and exercise psychology practitioner preparedness to address military to veteran transition needs, similarities and differences between transition experiences of former athletes and military veterans is needed. A mixed methods approach, known as a convergent design, compared the transition experiences of 42 athletes and 64 veterans (N=106) during the quantitative phase and 9 athletes and 15 veterans (N=24) during the qualitative phase. The quantitative phase consisted of independent sample t-tests to determine differences in outcome scores for four valid and reliable measures: Satisfaction with Life Scale, World Health Organization’s abbreviated quality of life measure, Career Transition Inventory, and Patient Health Questionnaire Depression Scale. The qualitative phase consisted of recorded semi-structured phone interviews, which gathered information regarding an individual’s career transition experience. Overall, athlete participants represented 14 sports from the National Collegiate Athletic Association and National Association of Intercollegiate Athletics universities. Veteran participants came from each military branch and a variety of pay grades. Quantitative analysis revealed athlete and veteran participants scored similarly on each outcome measure or domain. Veteran participants had lower physical health and social relationship domain scores, but comparatively better transition control scores. Qualitative analysis revealed four themes: 1) the necessity of preparation for the transition process, 2) factors impacting the career transition process, 3) transitioning resulted in the loss of structure, and 4) establishing oneself outside of former career. Results indicate shared outcomes and perspectives between former athletes and veterans in regard to their career transition process. Transition process similarities indicate sport and exercise psychology practitioners may be qualified to effectively assist transitioning veterans in the same capacity they assist transitioning athletes.
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    From Passive Gatekeeper to Quarterback: Evolving Perceptions of Primary Care Among Medical Students in Longitudinal Outpatient Clerkships
    (Springer, 2022) Henschen, Bruce L.; Shaunfield, Sara; Golden, Blair P.; Gard, Lauren A.; Bierman, Jennifer; Evans, Daniel B.; Wayne, Diane B.; Ryan, Elizabeth R.; Yang, Monica; Cameron, Kenzie A.; Medicine, School of Medicine
    Background: Longitudinal clerkships provide students with meaningful clinical care roles that promote learning and professional development. It remains unclear how longitudinal primary care clerkships inform students' perceptions of primary care. Objective: To explore perceptions of primary care among medical students enrolled in longitudinal primary care clerkships. Design: Qualitative, semi-structured interviews with medical students over 4 years. Participants: Thirty-eight medical students participated at baseline; 35 participated in a 2-year follow-up interview; 24 participated at 4 years. Each student was enrolled in one of two longitudinal primary care clerkships: a team-based Education-Centered Medical Home (ECMH) or a one-on-one individual preceptorship (IP). Approach: De-identified interview transcripts were analyzed using a process of open and axial coding, followed by elaborative coding for longitudinal analysis. Codes were compiled into a set of themes and compared across time periods and between clerkships. Key results: Students reported that primary care serves as a first point of contact, emphasizing longitudinal care with a wide scope of practice and approaching patient care with a biopsychosocial perspective. Student perceptions of primary care greatly expanded over the course of 4 years: for instance, initial perceptions of primary care physicians evolved from "passive gatekeeper" to a more nuanced "quarterback." Students in ECMH, whose clerkship provided more opportunity for patient continuity, further reflected on the relationships they themselves developed with patients. Conclusions: Regardless of their eventual specialty choice, longitudinal experiences may aid all students in fostering a sense of the broad scope and importance of primary care. However, without numerous opportunities to witness continuity of care, students may perceive primary care as having limited scope and importance. Longitudinal clerkships, emphasizing continuity with patients and preceptors, may foster in students a broad and nuanced perspective of the scope of primary care as a field.
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    Headache Specialists' Perceptions of the Role of Health Psychologists in Headache Management: A Qualitative Study
    (Springer Nature, 2024-03-14) Takagishi, Stanley Curtis; Grinberg, Amy S.; Lindsey, Hayley; Goldman, Roberta E.; Baird, Sean A.; Burrone, Laura; Sico, Jason J.; Damush, Teresa M.; Medicine, School of Medicine
    Background: Since headache specialists cannot treat all the patients with headache disorders, multidisciplinary teams that include health psychologists are becoming more prevalent. Health psychologists mainly use a form of cognitive-behavioral therapy (CBT), along with biofeedback on occasion, to effectively address patients’ pain and headache disorders. The Veterans Health Administration (VHA) is one setting that routinely includes a health psychologist with advanced training in pain disorders in their pain care to its veterans. The VHA has established Headache Centers of Excellence (HCoE) around the country to provide multidisciplinary treatment for patients with headache disorders, which enables headache specialists to regularly interact with health psychologists. Objective: The study’s objective is to evaluate headache specialists’ views of health psychologists in the treatment of patients with headache disorders. Method: Semi-structured interviews were conducted with headache specialists in academic-based healthcare settings, the community, and VHA HCoE sites. The interviews were audio-recorded and de-identified so they could be transcribed and analyzed using content matrix analysis. Results: Four themes emerged: headache specialists desired to work with health psychologists and included them as members of multidisciplinary teams; valued health psychologists because they provided non-pharmacological treatments, such as CBT and biofeedback; preferred in-person communication with health psychologists; and used multiple titles when referring to health psychologists. Conclusion: Headache specialists valued health psychologists as providers of behavioral and non-pharmacological treatments and considered them essential members of multidisciplinary teams. Headache specialists should strive to work with a headache psychologist, not just a general health psychologist. By committing to this, headache specialists can foster changes in the quality of care, resource allocation, and training experiences related to health psychologists.
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    “How is it going to help?”: Exploring Black breast cancer patients’ questions about biomarker testing to predict chemotherapy-induced peripheral neuropathy
    (Elsevier, 2022-12-13) Head, Katharine J.; Hayes, Lisa R.; Miller, Nadia E.; Shakil, Safia; Bales, Casey L.; Schneider, Bryan P.; Communication Studies, School of Liberal Arts
    Objective: Many Black breast cancer patients experience chemotherapy-induced peripheral neuropathy (CIPN). Our study assessed Black breast cancer patients' questions about a biomarker test that can predict likelihood of CIPN. Methods: Nineteen Black women who were previous/current breast cancer patients participated in focus groups. Researchers briefly explained CIPN and the biomarker test, and then participants were asked what questions they would have about the test and its use in treatment decisions. These participant-voiced questions composed the data for this study and were analyzed using thematic analysis. Results: Participants' questions centered on six themes: reasons for the test, effect on timeline of breast cancer treatment, testing procedure, limits of test (including accuracy), research done to develop this test (including research participants), and concerns about personal information connected to the test (including DNA). Conclusion: This study provides an exploratory look at questions that Black breast cancer patients may have about toxicity biomarker testing use in breast cancer treatment decisions. Innovation: These findings provide a starting point for developing patient-centered approaches for integrating this precision medicine tool into clinical care. The methodological choice to generate participants' questions (rather than answers to a question) led to robust, actionable data.
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    Stakeholder perspectives on barriers for healthy living for low-income african american families
    (Frontiers Media S.A., 2014-12-04) Jones, Veronnie Faye; Rowland, Michael L.; Young, Linda; Atwood, Katherine; Thompson, Kirsten; Honaker, Sarah Morsbach; Williams, Joel E.; Johnson, Knowlton; Davis, Deborah Winders; Department of Pediatrics, IU School of Medicine
    BACKGROUND: Childhood obesity is a growing problem for children in the United States, especially for children from low-income, African American families. OBJECTIVE: The purpose of this qualitative study was to understand facilitators and barriers to engaging in healthy lifestyles faced by low-income African American children and their families. METHODS: This qualitative study used semi-structured focus group interviews with eight African American children clinically identified as overweight or obese (BMI ≥ 85) and their parents. An expert panel provided insights in developing culturally appropriate intervention strategies. RESULTS: Child and parent focus group analysis revealed 11 barriers and no definitive facilitators for healthy eating and lifestyles. Parents reported confusion regarding what constitutes nutritional eating, varying needs of family members in terms of issues with weight, and difficulty in engaging the family in appropriate and safe physical activities; to name a few themes. Community experts independently suggested that nutritional information is confusing and, often, contradictory. Additionally, they recommended simple messaging and practical interventions such as helping with shopping lists, meal planning, and identifying simple and inexpensive physical activities. CONCLUSION: Childhood obesity in the context of low-resource families is a complex problem with no simple solutions. Culturally sensitive and family informed interventions are needed to support low-income African American families in dealing with childhood obesity.
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    Supporting Surgical Teams: Identifying Needs and Barriers for Exoskeleton Implementation in the Operating Room
    (Sage, 2020) Cha, Jackie S.; Monfared, Sara; Stefanidis, Dimitrios; Nussbaum, Maury A.; Yu, Denny; Surgery, School of Medicine
    Objective: The objective of this study was to identify potential needs and barriers related to using exoskeletons to decrease musculoskeletal (MS) symptoms for workers in the operating room (OR). Background: MS symptoms and injuries adversely impact worker health and performance in surgical environments. Half of the surgical team members (e.g., surgeons, nurses, trainees) report MS symptoms during and after surgery. Although the ergonomic risks in surgery are well recognized, little has been done to develop and sustain effective interventions. Method: Surgical team members (n = 14) participated in focus groups, performed a 10-min simulated surgical task with a commercial upper-body exoskeleton, and then completed a usability questionnaire. Content analysis was conducted to determine relevant themes. Results: Four themes were identified: (1) characteristics of individuals, (2) perceived benefits, (3) environmental/societal factors, and (4) intervention characteristics. Participants noted that exoskeletons would benefit workers who stand in prolonged, static postures (e.g., holding instruments for visualization) and indicated that they could foresee a long-term decrease in MS symptoms with the intervention. Specifically, raising awareness of exoskeletons for early-career workers and obtaining buy-in from team members may increase future adoption of this technology. Mean participant responses from the System Usability Scale was 81.3 out of 100 (SD = 8.1), which was in the acceptable range of usability. Conclusion: Adoption factors were identified to implement exoskeletons in the OR, such as the indicated need for exoskeletons and usability. Exoskeletons may be beneficial in the OR, but barriers such as maintenance and safety to adoption will need to be addressed. Application: Findings from this work identify facilitators and barriers for sustained implementation of exoskeletons by surgical teams.