Integrating Video Evidence in Mixed Methods Research: Innovations, Benefits, and Challenges for Research Exploring How Beliefs Shape Actions

The purpose of this article is to demonstrate the benefits of using video evidence as a catalyst for innovative integration in mixed methods research. We illustrate how video data were used in the elicitation interviews of three teachers to understand their interpretations of how their beliefs align with their observed practices and how they attempted to reduce cognitive dissonance that became apparent during the video elicitation interviews. This article draws from the mixed methods case study phase of a larger explanatory sequential mixed methods study conducted in Jamaica with 248 secondary school teachers. A subsample of eight teachers participated in follow-up mixed methods case studies. Case study data were collected in the form of qualitative and quantitative observation data, video recordings, semi-structured interviews, and video elicitation interviews. The video elicitation interview increased credibility in the inferences drawn about how beliefs shaped actions by allowing the teachers to answer in a more conscious, reflective manner as they selected segments of the videos that they felt reflected their beliefs about teaching in terms of learner-centeredness and teacher-centeredness. All data for each case were integrated using joint display analysis. The findings revealed that teachers’ stated beliefs that their teaching practices were more student centered were not evident in the video data collected which resulted in cognitive dissonance for some teachers. The videos provided an opportunity for the researcher to understand the inconsistencies in the data and how the teachers dealt with dissonance between their beliefs and actions that would not have been afforded without the use of videos during the elicitation interview. Integrating video data in research into psychological constructs has implications for educational psychologists as well as mixed methods researchers. Future research on the use of video elicitation in research about beliefs versus actions can consider using this visual method over a longitudinal timeframe to see if the use of video elicitations prompts change in beliefs and/or actions

Education of Children with Disabilities: Voices from Around the World

Education of Children with Disabilities: Voices from Around the World combines research on children with disabilities and women/girls with disabilities. These projects provided opportunities to interview disability professionals, policy-makers and persons with disabilities from around the world with the purpose of learning about needs, issues and services, in diverse countries. A unique international analysis, this research compares various cultural responses on the education of children with disabilities emphasizing the girl child. Discussion includes findings based on 177 interviews of disability professionals from over 57 countries including the stated reasons and consequences of lost educational opportunities. Techniques locating participants included internet searches, literature reviews, and personal referrals. Interviewees were selected based on their experiences with childhood disabilities and/or women and girls with disabilities. Many interviewees were persons with disabilities who shared their personal experiences. Through a qualitative analysis of the interviews some of the most prevalent themes that emerged were the importance of education and the disproportionate negative effect of disability on females. To measure the strength of these themes, an electronic survey was created using a Likert scale to measure the strength of agreement of each participant with the issues identified. Survey ratings added quantitative confirmation to the rich qualitative interviews. The education themes identified include school exclusion and barriers to education with a particular focus on the girl child, education quality and inclusive education

Impact of Outpatient vs Inpatient ABSSSI Treatment on Outcomes: A Retrospective Observational Analysis of Medical Charts Across US Emergency Departments

Background The objective of this study was to characterize treatment of patients with acute bacterial skin and skin structure infections (ABSSSIs) and describe the association between hospital admission and emergency department (ED) visits or readmissions within 30 days after initial episode of care (IEC). Methods This was a retrospective, observational, cohort study of adults with ABSSSI who presented to an ED between July 1, 2012, and June 30, 2013. Patient, health care facility, and treatment characteristics, including unplanned ED visits or readmissions, were obtained through manual chart review and abstraction. Adjusted logistic regression analysis examined likelihood of all-cause unplanned ED visits or readmissions between admitted and nonadmitted patients. Results Records from 1527 ED visits for ABSSSI from 40 centers were reviewed (admitted, n = 578 [38%]; nonadmitted, n = 949 [62%]). Admitted patients were typically older (mean age, 52.2 years vs 43.0 years), more likely to be morbidly obese (body mass index \u3e 40 kg/m2; 17.3% vs 9.1%), and had more comorbidities (Charlson Comorbidity Index ≥ 4; 24.4% vs 6.8%) compared with those not admitted. In the primary analysis, adjusted logistic regression, controlling for comorbidities and severity of illness, demonstrated that there was a similar likelihood of all-cause unplanned ED visits or readmissions between admitted and nonadmitted patients (odds ratio, 1.03; 95% confidence interval, 0.74–1.43; P = .87). Conclusions ABSSSI treatment pathways leveraging outpatient treatment vs hospital admission support similar likelihood of unplanned 30-day ED visits or readmissions, an important clinical outcome and quality metric at US hospitals. Further research regarding the decision criteria around hospital admission to avoid potentially unnecessary hospitalizations is warranted

Improving Newborn Hearing Screening Through Collaboration and Communication

Purpose: Hearing loss is the number one birth defect among children. There are significant consequences of delayed diagnosis and failure to obtain timely intervention, particularly for a child’s speech and language development. Design and implementation of successful newborn hearing screening (NHS) programs can be challenging. The purpose of this paper is to demonstrate improved efficiency and effectiveness of a large NHS program through the implementation of a team approach engaging both ambulatory and hospital services. Methodology: A Strengths, Weaknesses, Opportunities, and Threats (SWOT) analysis was used to develop an improved NHS program focused on improving patient care. The SWOT analysis outcomes were used to determine several key factors to be implemented, including dedicated technicians solely assigned to the NHS program and purchase of new equipment to improve accuracy and reduce disposable costs. In addition, a two-tiered approach was implemented whereby the dedicated technicians performed initial screenings, with all rescreens performed by an audiologist. Results: Implementation of the new NHS program demonstrated numerous successes including a significant reduction in the failure rate, improved care coordination, and increased communication between ambulatory and hospital services

A novel approach for measuring residential socioeconomic factors associated with cardiovascular and metabolic health

Individual-level characteristics, including socioeconomic status, have been associated with poor metabolic and cardiovascular health; however, residential area-level characteristics may also independently contribute to health status. In the current study, we used hierarchical clustering to aggregate 444 US Census block groups in Durham, Orange, and Wake Counties, NC, USA into six homogeneous clusters of similar characteristics based on 12 demographic factors. We assigned 2254 cardiac catheterization patients to these clusters based on residence at first catheterization. After controlling for individual age, sex, smoking status, and race, there were elevated odds of patients being obese (odds ratio (OR) = 1.92, 95% confidence intervals (CI) = 1.39, 2.67), and having diabetes (OR = 2.19, 95% CI = 1.57, 3.04), congestive heart failure (OR = 1.99, 95% CI = 1.39, 2.83), and hypertension (OR = 2.05, 95% CI = 1.38, 3.11) in a cluster that was urban, impoverished, and unemployed, compared with a cluster that was urban with a low percentage of people that were impoverished or unemployed. Our findings demonstrate the feasibility of applying hierarchical clustering to an assessment of area-level characteristics and that living in impoverished, urban residential clusters may have an adverse impact on health

The Vehicle, Fall 1996

Vol. 38, No. 1 Table of Contents DarcyMichael Maypage 1 Time in TimeJoe Howardpage 2 Sestina for DyingAmy Haynespage 3 VioletsSandra Beauchamppage 5 Melody\u27s SongSandra Beauchamppage 7 A Spinning Top ContemplationThomas T. Brownpage 10 Lady of the NightShari Grierpage 13 The Difference Between a Hand and a Killing JarJason S. Loguepage 14 The Bat I KilledMichael Maypage 15 UntitledKimberly Mannypage 16 ReleaseKimberly Mannypage 17 Fountain in the RainEric Chisauskypage 18 War, the Old Fashioned WayCarmella Cosenzapage 19 AloneCarmella Cosenzapage 20 MotelMichael Maypage 21 UntitledAndrea Traxlerpage 22 UntitledMichael Maypage 23 From Across the CourtyardShannon Goodallpage 24 CommunionShannon Goodallpage 26 Please Come HomeKendall W. Baumannpage 27 UntitledMichael Maypage 29 Indefinite SacrificeAmanda Watsonpage 30 Recovery RoomAbby Kollerpage 31 Questioning FaithMichael Kawapage 31 MerulaMichael Maypage 32 Biographiespage 33https://thekeep.eiu.edu/vehicle/1066/thumbnail.jp

Comparative Network Analysis of Preterm vs. Full-Term Infant-Mother Interactions

Several studies have reported that interactions of mothers with preterm infants show differential characteristics compared to that of mothers with full-term infants. Interaction of preterm dyads is often reported as less harmonious. However, observations and explanations concerning the underlying mechanisms are inconsistent. In this work 30 preterm and 42 full-term mother-infant dyads were observed at one year of age. Free play interactions were videotaped and coded using a micro-analytic coding system. The video records were coded at one second resolution and studied by a novel approach using network analysis tools. The advantage of our approach is that it reveals the patterns of behavioral transitions in the interactions. We found that the most frequent behavioral transitions are the same in the two groups. However, we have identified several high and lower frequency transitions which occur significantly more often in the preterm or full-term group. Our analysis also suggests that the variability of behavioral transitions is significantly higher in the preterm group. This higher variability is mostly resulted from the diversity of transitions involving non-harmonious behaviors. We have identified a maladaptive pattern in the maternal behavior in the preterm group, involving intrusiveness and disengagement. Application of the approach reported in this paper to longitudinal data could elucidate whether these maladaptive maternal behavioral changes place the infant at risk for later emotional, cognitive and behavioral disturbance

Patient allocations in general practice in case of patients' preferences for gender of doctor and their unavailability

<p>Abstract</p> <p>Background</p> <p>In some countries every citizen has the right to obtain a designated general practitioner. However, each individual may have preferences that cannot be fulfilled due to shortages of some kind. The questions raised in this paper are: To what extent can we expect that preferences are fulfilled when the patients "compete" for entry on the lists of practitioners? What changes can we expect under changing conditions? A particular issue explored in the paper is when the majority of women prefer a female doctor and there is a shortage of female doctors.</p> <p>Findings</p> <p>The analysis is done on the macro level by the so called gravity model and on the micro level by recent theories of benefit efficient population behaviour, partly developed by two of the authors. A major finding is that the number of patients wanting a doctor of the underrepresented gender is less important than the strength of their preferences as determining factor for the benefit efficient allocation.</p> <p>Conclusions</p> <p>We were able to generate valuable insights to the questions asked and to the dynamics of benefit efficient allocations. The approach is quite general and can be applied in a variety of contexts.</p

Collective Power to Create Political Change: Increasing the Political Efficacy and Engagement of Social Workers

Because social workers are called to challenge social injustices and create systemic change to support the well-being of individuals and communities, it is essential that social workers develop political efficacy: belief that the political system can work and they can influence the system. This study explored the impact of an intensive political social work curriculum on political efficacy and planned political engagement among social work students and practitioners. The findings suggest this model of delivering a political social work curriculum effectively increases internal, external, and overall political efficacy, and that increasing political efficacy has promise for increasing future political engagement

Impact of Outpatient vs Inpatient ABSSSI Treatment on Outcomes: A Retrospective Observational Analysis of Medical Charts Across US Emergency Departments

Background: The objective of this study was to characterize treatment of patients with acute bacterial skin and skin structure infections (ABSSSIs) and describe the association between hospital admission and emergency department (ED) visits or readmissions within 30 days after initial episode of care (IEC). Methods: This was a retrospective, observational, cohort study of adults with ABSSSI who presented to an ED between July 1, 2012, and June 30, 2013. Patient, health care facility, and treatment characteristics, including unplanned ED visits or readmissions, were obtained through manual chart review and abstraction. Adjusted logistic regression analysis examined likelihood of all-cause unplanned ED visits or readmissions between admitted and nonadmitted patients. Results: Records from 1527 ED visits for ABSSSI from 40 centers were reviewed (admitted, n = 578 [38%]; nonadmitted, n = 949 [62%]). Admitted patients were typically older (mean age, 52.2 years vs 43.0 years), more likely to be morbidly obese (body mass index \u3e 40 kg/m; 17.3% vs 9.1%), and had more comorbidities (Charlson Comorbidity Index ≥ 4; 24.4% vs 6.8%) compared with those not admitted. In the primary analysis, adjusted logistic regression, controlling for comorbidities and severity of illness, demonstrated that there was a similar likelihood of all-cause unplanned ED visits or readmissions between admitted and nonadmitted patients (odds ratio, 1.03; 95% confidence interval, 0.74-1.43; = .87). Conclusions: ABSSSI treatment pathways leveraging outpatient treatment vs hospital admission support similar likelihood of unplanned 30-day ED visits or readmissions, an important clinical outcome and quality metric at US hospitals. Further research regarding the decision criteria around hospital admission to avoid potentially unnecessary hospitalizations is warranted