<i>Weight of Evidence</i>: Participatory Methods and Bayesian Updating to Contextualize Evidence Synthesis in Stakeholders’ Knowledge

Dion, Anna; Carini-Gutierrez, Alessandro; Jimenez, Vania; Ameur, Amal Ben; Robert, Émilie; Joseph, Lawrence; Andersson, Neil

doi:10.1177/15586898211037412

Cited by 14 publications

(31 citation statements)

References 81 publications

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“…Supported by a specialist librarian, we will conduct a scoping review of quantitative and qualitative studies of factors associated with ASRH outcomes in low- and middle-income countries. In addition to a standard reporting of the review, we will create a fuzzy cognitive map (see as follows) of factors related to ASRH outcomes, marking the strength of associations as odds ratios or regression coefficients, and compare the literature map with stakeholder-created maps [ 62 , 64 , 65 ].…”

Section: Methodsmentioning

confidence: 99%

Impact-Oriented Dialogue for Culturally Safe Adolescent Sexual and Reproductive Health in Bauchi State, Nigeria: Protocol for a Codesigned Pragmatic Cluster Randomized Controlled Trial

Cockcroft¹,

Omer²,

Gidado³

et al. 2022

JMIR Res Protoc

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Background Adolescents (10-19 years) are a big segment of the Nigerian population, and they face serious risks to their health and well-being. Maternal mortality is very high in Nigeria, and rates of pregnancy and maternal deaths are high among female adolescents. Rates of HIV infection are rising among adolescents, gender violence and sexual abuse are common, and knowledge about sexual and reproductive health risks is low. Adolescent sexual and reproductive health (ASRH) indicators are worse in the north of the country. Objective In Bauchi State, northern Nigeria, the project will document the nature and extent of ASRH outcomes and risks, discuss the findings and codesign solutions with local stakeholders, and measure the short-term impact of the discussions and proposed solutions. Methods The participatory research project is a sequential mixed-methods codesign of a pragmatic cluster randomized controlled trial. Focus groups of local stakeholders (female and male adolescents, parents, traditional and religious leaders, service providers, and planners) will identify local priority ASRH concerns. The same stakeholder groups will map their knowledge of factors causing these concerns using the fuzzy cognitive mapping (FCM) technique. Findings from the maps and a scoping review will inform the contextualization of survey instruments to collect information about ASRH from female and male adolescents and parents in households and from local service providers. The survey will take place in 60 Bauchi communities. Adolescents will cocreate materials to share the findings from the maps and survey. In 30 communities, randomly allocated, the project will engage adolescents and other stakeholders in households, communities, and services to discuss the evidence and to design and implement culturally acceptable actions to improve ASRH. A follow-up survey in communities with and without the intervention will measure the short-term impact of these discussions and actions. We will also evaluate the intervention process and use narrative techniques to assess its impact qualitatively. Results Focus groups to explore ASRH concerns of stakeholders began in October 2021. Baseline data collection in the household survey is expected to take place in mid-2022. The study was approved by the Bauchi State Health Research Ethics Committee, approval number NREC/03/11/19B/2021/03 (March 1, 2021), and by the Faculty of Medicine and Health Sciences Institutional Review Board McGill University (September 13, 2021). Conclusions Evidence about factors related to ASRH outcomes in Nigeria and implementation and testing of a dialogic intervention to improve these outcomes will fill a gap in the literature. The project will document and test the effectiveness of a participatory approach to ASRH intervention research. Trial Registration ISRCTN Registry ISRCTN18295275; https://www.isrctn.com/ISRCTN18295275 International Registered Report Identifier (IRRID) DERR1-10.2196/36060

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Section: Methodsmentioning

confidence: 99%

Impact-Oriented Dialogue for Culturally Safe Adolescent Sexual and Reproductive Health in Bauchi State, Nigeria: Protocol for a Codesigned Pragmatic Cluster Randomized Controlled Trial

Cockcroft¹,

Omer²,

Gidado³

et al. 2022

JMIR Res Protoc

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“…We contrasted the scoping review map with stakeholder perspectives to make sense of published evidence in the experience of local stakeholders. 24 The shared FCM format highlights similarities and differences between maps and the eventual combination of the resulting knowledge networks.…”

Section: Methodsmentioning

confidence: 99%

“…Dion’s Weight of Evidence is a procedure for stakeholders to interpret, expand on and prioritise findings from evidence syntheses. 24 We adapted this method by summarising the scoping review evidence as a fuzzy cognitive map with operator-independent weights based on Harris’ discourse analysis. As described elsewhere, traditional midwives and intercultural researchers generated cognitive maps of their knowledge of factors affecting maternal health in Indigenous communities.…”

Section: Methodsmentioning

confidence: 99%

“…The weights of the relationships in the operatorindependent maps are best interpreted as grades of consensus about influence, not as pooled estimates of impact. 18 24 Harris' discourse analysis is more informative in maps of categories of factors. 33 These categories imply higher levels of abstraction with necessary losses in granularity for factor-level inference.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

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Maternal health and Indigenous traditional midwives in southern Mexico: contextualisation of a scoping review

et al. 2021

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ObjectivesCollate published evidence of factors that affect maternal health in Indigenous communities and contextualise the findings with stakeholder perspectives in the Mexican State of Guerrero.DesignScoping review and stakeholder fuzzy cognitive mapping.Inclusion and exclusionThe scoping review included empirical studies (quantitative, qualitative or mixed methods) that addressed maternal health issues among Indigenous communities in the Americas and reported on the role or influence of traditional midwives before June 2020. The contextualisation drew on two previous studies of traditional midwife and researcher perspectives in southern Mexico.ResultsThe initial search identified 4461 references. Of 87 selected studies, 63 came from Guatemala and Mexico. Three small randomised trials involved traditional midwives. One addressed the practice of traditional midwifery. With diverse approaches to cultural differences, the studies used contrasting definitions of traditional midwives. A fuzzy cognitive map graphically summarised the influences identified in the scoping review. When we compared the literature’s map with those from 29 traditional midwives in Guerrero and eight international researchers, the three sources coincided in the importance of self-care practices, rituals and traditional midwifery. The primary concern reflected in the scoping review was access to Western healthcare, followed by maternal health outcomes. For traditional midwives, the availability of hospital or health centre in the community was less relevant and had negative effects on other protective influences, while researchers conditioned its importance to its levels of cultural safety. Traditional midwives highlighted the role of violence against women, male involvement and traditional diseases.ConclusionsThe literature and stakeholder maps showed maternal health resulting from complex interacting factors in which promotion of cultural practices was compatible with a protective effect on Indigenous maternal health. Future research challenges include traditional concepts of diseases and the impact on maternal health of gender norms, self-care practices and authentic traditional midwifery.

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“…In the first article in this issue, Dion et al (2022) with affiliations in health sciences have introduced Weight of Evidence as a transformative procedure to contextualize evidence in the understanding of relevant stakeholders. Through this procedure, stakeholders can interpret, expand upon, and prioritize evidence from synthesis, and inform service improvements and program evaluation that can refine syntheses.…”

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confidence: 99%

In This Issue: Transformative and Participatory Methods, Integration Through Multiple Correspondence Analysis, and Network Analysis of Qualitative Data

Molina‐Azorín

Fetters

2022

Journal of Mixed Methods Research

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This July 2022 issue of the Journal of Mixed Methods Research (JMMR) includes an editorial, four articles, a commentary, and three media reviews.In the editorial, Poth et al. (2022) have collected discussions about mixed methods designs in a virtual special issue (VSI) based on selected articles published in JMMR. They included 13 readings, 10 empirical and methodological articles as well as three editorials that were published between 2008 and June, 2022. They conclude three points from analysis of this collection, a trend toward greater engagement with stakeholders in mixed methods research designs, a need for authors to be consistent and comprehensively use their design terminology throughout all sections of papers, and authentic or detailed reporting to facilitate the understanding of readers about the procedures employed.VSIs are prepared by chief or associate editors with purpose of identifying from previously articles published in JMMR perspectives on key contributions of the articles relative to the chosen theme (Fetters & Molina-Azorín, 2020). Previous VSIs have addressed timely topics of discussion in the field such as paradigms in mixed methods research , integration in mixed methods research (Guetterman et al., 2020), and quality in mixed methods research (Fàbregues et al., 2021). Additionally, Shannon-Baker (2022) examined publications from the field of education with a focus on designs, integration, and visual displays. VSI editorials are available open access under the collections link on the JMMR homepage.In the first article in this issue, Dion et al. ( 2022) with affiliations in health sciences have introduced Weight of Evidence as a transformative procedure to contextualize evidence in the understanding of relevant stakeholders. Through this procedure, stakeholders can interpret, expand upon, and prioritize evidence from synthesis, and inform service improvements and program evaluation that can refine syntheses.

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Weight of Evidence: Participatory Methods and Bayesian Updating to Contextualize Evidence Synthesis in Stakeholders’ Knowledge

Cited by 14 publications

References 81 publications

Impact-Oriented Dialogue for Culturally Safe Adolescent Sexual and Reproductive Health in Bauchi State, Nigeria: Protocol for a Codesigned Pragmatic Cluster Randomized Controlled Trial

Impact-Oriented Dialogue for Culturally Safe Adolescent Sexual and Reproductive Health in Bauchi State, Nigeria: Protocol for a Codesigned Pragmatic Cluster Randomized Controlled Trial

Maternal health and Indigenous traditional midwives in southern Mexico: contextualisation of a scoping review

In This Issue: Transformative and Participatory Methods, Integration Through Multiple Correspondence Analysis, and Network Analysis of Qualitative Data

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