MIXED METHODS AND ITS IMPORTANCE IN EXAMINING ILLNESS-RELATED EXPERIENCES IN HEALTH RESEARCH

Year 2024, Volume: 4 Issue: 2, 69 - 82, 05.10.2024

Buse Keskindağ

https://doi.org/10.69514/sosyalsaglik.1423256

Abstract

The use of mixed method designs in social and health research stands out as an important element in obtaining a comprehensive understanding. In particular, the importance of utilising mixed methods to understand individuals' experiences regarding illness and to determine their needs has been widely recognised. More comprehensive information about the phenomenon can be obtained by combining qualitative and quantitative findings obtained simultaneously or at different times. Although quantitative data obtained through standardized scales are effective in providing an overview of the problem, qualitative data are needed to have in-depth knowledge about the illness-related experiences and to determine individuals' needs regarding their health status. Therefore, it has been recommended to utilise both quantitative and qualitative approaches to obtain holistic information about individuals' experiences in relation to illness and adherence to treatment.

Keywords

Mixed methods, quantitative, qualitative, health, illness.

KARMA YÖNTEMLER VE SAĞLIK ARAŞTIRMALARINDA HASTALIĞA DAİR DENEYİMLERİN İNCELENMESİNDEKİ ÖNEMİ

Abstract

Karma yöntem desenlerinin sosyal bilimler ve sağlık bilimler alanlarındaki araştırmalarda kullanılması daha kapsamlı veri edinilebilmesi açısından önemli bir unsur olarak öne çıkmaktadır. Özellikle, sağlık alanında çalışmalar yürüten araştırmacıların, bireylerin hastalıkla ilgili deneyimlerinin anlaşılması ve gereksinimlerinin belirlenebilmesi için karma yöntem kullanılmasının önemi vurgulanmıştır. Aynı anda veya farklı zamanlarda edinilen nitel ve nicel bulguların birleştirilmesi ile olguya ilişkin daha kapsamlı bilgi edinilebilir. Standartlaştırılmış ölçekler aracılığyla elde edinilen nicel veriler, incelenen konular hakkında genel bir bakış sağlamada etkin olsa da, bireylerin sağlık durumlarıyla ilgili ihtiyaçlarını ve deneyimlerini derinlemesine belirlenmesinde nitel verilere ihtiyaç vardır. Bu nedenle özellikle bireylerin hastalıkla ilgili deneyimleri ve tedaviye uyumları hakkında derinlemesine ve bütüncül bilgi edinmek için hem nicel hem de nitel yaklaşımların bir araya getirilmesi değerli olacaktır.

Keywords

Karma yöntemler, nicel, nitel, sağlık, hastalık.

References

• Alzubaidi, H., Mc Narmara, K., Kilmartin, G. M., Kilmartin, J. F., & Marriott, J. (2015). The relationships between illness and treatment perceptions with adherence to diabetes self-care: A comparison between Arabic-speaking migrants and Caucasian English-speaking patients. Diabetes Research and Clinical Practice, 110(2), 208–217. https://doi.org/10.1016/j.diabres.2015.08.006
• Bhaskar, R. (2010). Reclaiming reality: A Critical Introduction to Contemporary Philosophy. Routledge.
• Broadbent, E., Wilkes, C., Koschwanez, H., Weinman, J., Norton, S., & Petrie, K. J. (2015). A systematic review and meta-analysis of the Brief Illness Perception Questionnaire. Psychology and Health, 30(11), 1361–1385. https://doi.org/10.1080/08870446.2015.1070851
• Chilcot, J., Norton, S., Wellsted, D., Davenport, A., Firth, J., & Farrington, K. (2013). Distinct depression symptom trajectories over the first year of dialysis: Associations with illness perceptions. Annals of Behavioral Medicine, 45(1), 78–88. https://doi.org/10.1007/s12160-012-9410-5
• Chilcot, J., Moss-Morris, R., Artom, M., Harden, L., Picariello, F., Hughes, H., … Macdougall, I. C. (2017). Correction to: Psychosocial and Clinical Correlates of Fatigue in Haemodialysis Patients: the Importance of Patients’ Illness Cognitions and Behaviours (International Journal of Behavioural Medicine, 23, 3, (271-281), 10.1007/s12529-015-9525-8). International Journal of Behavioral Medicine, 24(6), 958. https://doi.org/10.1007/s12529-017-9692-x
• Clarke, A. L., Yates, T., Smith, A. C., & Chilcot, J. (2016). Patient’s perceptions of chronic kidney disease and their association with psychosocial and clinical outcomes: A narrative review. Clinical Kidney Journal, 9(3), 494–502. https://doi.org/10.1093/ckj/sfw014
• Covic, A., Seica, A., Gusbeth-Tatomir, P., Gavrilovici, O., & Goldsmith, D. J. A. (2004). Illness representations and quality of life scores in haemodialysis patients. Nephrology Dialysis Transplantation, 19(8), 2078–2083. https://doi.org/10.1093/ndt/gfh254
• Creswell, J. W. (2015). A Concise Introduction to Mixed Methods Research. Sage publications.
• Creswell, J. W., & Plano Clark, V. L. (2018). Designing and Conducting Mixed Methods Research. Sage publications.
• Curry, L. A., Nembhard, I. M., & Bradley, E. H. (2009). Qualitative and mixed methods provide unique contributions to outcomes research. Circulation, 119(10), 1442–1452. https://doi.org/10.1161/CIRCULATIONAHA.107.742775
• Denzin, N.K, & Lincoln, Y.S. (2000). The discipline and practice of qualitative research. In Handbook of Qualitative Research, N.K. Denzin and Y.S. Lincoln (eds). 1–28. Sage Publications
• Doyle, L., Brady, A. M., & Byrne, G. (2016). An overview of mixed methods research–revisited. Journal of Research in Nursing, 21(8), 623-635. DOI: 10.1177/1744987116674257
• Dures, E., Rumsey, N., Morris, M., & Gleeson, K. (2011). Mixed methods in health psychology: Theoretical and practical considerations of the third paradigm. Journal of Health Psychology, 16(2), 332–341. https://doi.org/10.1177/1359105310377537
• French, D. P., & Weinman, J. (2008). Current issues and new directions in Psychology and Health: “Assessing illness perceptions: Beyond the IPQ.” Psychology and Health, 23(1), 5–9. https://doi.org/10.1080/08870440701616714
• Gough, B., & Deatrick, J. A. (2015). Qualitative health psychology research: Diversity, power, and impact. Health Psychology, 34(4), 289–292. https://doi.org/10.1037/hea0000206
• Griva, K., Jayasena, D., Davenport, A., Harrison, M., & Newman, S. P. (2009). Illness and treatment cognitions and health related quality of life in end stage renal disease. British Journal of Health Psychology, 14(1), 17-34.
• Henly, S. J., Wyman, J. F., & Gaugler, J. E. (2011). Health trajectory research: a call to action for nursing science. Nursing Research, 60(3 Suppl), S79.
• Horowitz, C. R., Rein, S. B., & Leventhal, H. (2004). A story of maladies, misconceptions and mishaps: effective management of heart failure. Social Science & Medicine, 58(3), 631-643.
• Jansen, D. L., Heijmans, M. J. W. M., Rijken, M., Spreeuwenberg, P., Grootendorst, D. C., Dekker, F. W., Boeschoten, E. W., Kaptein, A. A., & Groenewegen, P. P. (2013). Illness perceptions and treatment perceptions of patients with chronic kidney disease: Different phases, different perceptions? British Journal of Health Psychology, 18(2), 244–262. https://doi.org/10.1111/bjhp.12002
• Johnson, B., & Turner, L. A. (2003). Data collection strategies in mixed methods research. Handbook of Mixed Methods in Social and Behavioral Research, 297-319.
• Johnson, R. B., & Onwuegbuzie, A. J. (2004). Mixed methods research: A research paradigm whose time has come. Educational Researcher, 33(7), 14-26.
• Johnson, R. B., Onwuegbuzie, A. J., & Turner, L. A. (2007). Toward a definition of mixed methods research. Journal of Mixed Methods Research, 1(2), 112-133. https://doi.org/10.1177/1558689806298224
• Kimmel, P. L. P. (2000). Psychosocial factors in adult end-stage renal disease patients treated with hemodialysis: correlates and outcomes. American Journal of Kidney Diseases, 35(4), 132–140. https://doi.org/10.1016/S0272-6386(00)70240-X
• Lynn, P., Couper, M., & Watson, N. (2019). Longitudinal surveys–unique opportunities and unique methodological challenges. Longitudinal and Life Course Studies, 10(4), 415-420.
• Marks, D. F., & Yardley, L. (Eds.). (2004). Research Methods for Clinical and Health Psychology. Sage. Maxwell, J. A., & Mittapalli, K. (2010). Realism as a stance for mixed methods research. SAGE Handbook of Mixed Methods in Social & Behavioral Research, 2, 145-168.
• Maxwell, J. A. (2011). Paradigms or toolkits? Philosophical and methodological positions as heuristics for mixed methods research. Mid-Western Educational Researcher, 24(2), 27-30.
• McEvoy, P., & Richards, D. (2006). A critical realist rationale for using a combination of quantitative and qualitative methods. Journal of Research in Nursing, 11(1), 66-78.
• Morse, J. M. (2015). Critical analysis of strategies for determining rigor in qualitative inquiry. Qualitative Health Research, 25(9), 1212-1222. https://doi.org/10.1177/1049732315588501
• Molassiotis, A. (1997). A conceptual model of adaptation to illness and quality of life for cancer patients treated with bone marrow transplants. Journal of Advanced Nursing, 26(3), 572-579.
• Morgan, D. L. (2007). Paradigms lost and pragmatism regained: Methodological implications of combining qualitative and quantitative methods. Journal of Mixed Methods Research, 1(1), 48-76.
• Muscat, P., Chilcot, J., Weinman, J., & Hudson, J. (2018). Exploring the relationship between illness perceptions and depression in patients with chronic kidney disease: A systematic literature review. Journal of Renal Care. https://doi.org/10.1111/jorc.12243
• Nápoles-Springer, A. M., & Stewart, A. L. (2006). Overview of qualitative methods in research with diverse populations: Making research reflect the population. Medical Care, 44(11), S5-S9.
• Nicca, D., Fierz, K., Happ, M. B., Moody, K., & Spirig, R. (2012). Symptom management in HIV/AIDS: A mixed methods approach to describe collaboration and concordance between persons living with HIV and their close support persons. Journal of Mixed Methods Research, 6(3), 217-235. https://doi.org/10.1177/1558689811421773
• Onwuegbuzie, A. J., & Leech, N. L. (2004). Enhancing the Interpretation of “ Significant ” Findings : The Role of Mixed Methods Research. The Qualitative Report, 9(4), 770–792. http://carbon.videolectures.net/v005/de/32jy3suaxgv6xtmtvivthk7nm7wtroi7.pdf
• Östlund, U., Kidd, L., Wengström, Y., & Rowa-Dewar, N. (2011). Combining qualitative and quantitative research within mixed method research designs: A methodological review. International Journal of Nursing Studies, 48(3), 369–383. https://doi.org/10.1016/j.ijnurstu.2010.10.005
• Pedreira Robles, G., & Aguayo-González, M. P. (2019). From physical to emotional pain in chronic kidney disease: Nurses’ perceptions. Journal of Renal Care, 45(4), 212–222. https://doi.org/10.1111/jorc.12302
• Plano Clark, V. L., Anderson, N., Wertz, J. A., Zhou, Y., Schumacher, K., & Miaskowski, C. (2015). Conceptualizing Longitudinal Mixed Methods Designs: A Methodological Review of Health Sciences Research. Journal of Mixed Methods Research, 9(4), 297–319. https://doi.org/10.1177/1558689814543563
• Pollack, L. E., & Aponte, M. (2001). Patients' perceptions of their bipolar illness in a public hospital setting. Psychiatric Quarterly, 72, 167-179.
• Regan, T., Levesque, J. V., Lambert, S. D., & Kelly, B. (2015). A qualitative investigation of health care professionals’, patients’ and partners’ views on psychosocial issues and related interventions for couples coping with cancer. PLoS ONE, 10(7), 1–23. https://doi.org/10.1371/journal.pone.0133837
• Rorty, R. (1999). Pragmatism as Anti-authoritarianism. Revue internationale de philosophie, 7-20.
• Sav, A., Salehi, A., Mair, F. S., & McMillan, S. S. (2017). Measuring the burden of treatment for chronic disease: Implications of a scoping review of the literature. BMC Medical Research Methodology, 17(1), 1–14. https://doi.org/10.1186/s12874-017-0411-8
• Shannon-Baker, P. (2016). Making Paradigms Meaningful in Mixed Methods Research. Journal of Mixed Methods Research, 10(4), 319–334. https://doi.org/10.1177/1558689815575861
• Singer, J. D., & Willett, J. B. (2003). Applied longitudinal data analysis: Modeling change and event occurrence. New York: Oxford University Press
• Slife, B. D. (1995). Information and time. Theory & Psychology, 5(4), 533-550.
• Stevenson, C. (2005). Practical inquiry/theory in nursing. Journal of Advanced Nursing, 50(2), 196-203.
• Stewart, A. L., & Napoles-Springer, A. (2000). Health-related quality-of-life assessments in diverse population groups in the United States. Medical care, II102-II124.
• Tariq, S., & Woodman, J. (2013). Using mixed methods in health research. Journal of the Royal Society of Medicine Short Reports, 4(6), DOI: 10.1177/2042533313479197.
• Timmers, L., Thong, M., Dekker, F. W., Boeschoten, E. W., Heijmans, M., Rijken, M., ... & Kaptein, A. (2008). Illness perceptions in dialysis patients and their association with quality of life. Psychology and Health, 23(6), 679-690.
• Vélez‐Vélez, E., & Bosch, R. J. (2016). Illness perception, coping and adherence to treatment among patients with chronic kidney disease. Journal of Advanced Nursing, 72(4), 849-863.
• Yardley, L., & Bishop, F. L. (2015). Using mixed methods in health research: Benefits and challenges. British Journal of Health Psychology, 20(1), 1-4.