Mixed-Methods Research in Nutrition and Dietetics

Zoellner, Jamie; Harris, Jeffrey E.

doi:10.1016/j.jand.2017.01.018

Cited by 61 publications

(46 citation statements)

References 24 publications

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“…An explanatory sequential study design was used with a two-phase mixed methods approach [17]. The first phase of the study involved collection of quantitative data at two time points, namely directly before and after an acute care simulation using a demographic survey and confidence appraisal scale.…”

Section: Study Design and Samplingmentioning

confidence: 99%

Perceived Benefits of a Standardized Patient Simulation in Pre-Placement Dietetic Students

2020

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The purpose of this study was to evaluate the effect of a simulation-based learning (SBL) experience on perceived confidence in monitoring and evaluation, as part of the delivery of nutrition care of pre-placement dietetic students, and to describe their perceived value of the learning experience post-placement. A mixed method explanatory sequential study design was used. A confidence appraisal scale was developed and completed by students before (n = 37) and after (n = 33) a low fidelity simulation using a volunteer patient in an acute care setting. Two semi-structured focus group discussions with post-placement students (n = 17) were thematically analysed, grounded in phenomenology. Overall perceived confidence in monitoring and evaluating, as part of nutrition care, improved after the simulation [pre-SBL: 74 (62–83) vs. post-SBL: 89 (81–98.5), p = 0.00]. Two factors emerged to modulate confidence, namely (i) structure and (ii) authentic learning. Structure in turn was modulated by two key factors; safety and process. A low fidelity simulation using a standardised patient can improve students’ perceived confidence in monitoring and evaluation, and a well-structured authentic learning experience was valued and positively perceived by most dietetic students.

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Section: Study Design and Samplingmentioning

confidence: 99%

Perceived Benefits of a Standardized Patient Simulation in Pre-Placement Dietetic Students

2020

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“…This was a mixed-methods study, using convergent parallel design where quantitative and qualitative data were collected concurrently [27]. The advantage of combining quantitative and qualitative methods to answer a single research problem is to gain a more complete perspective and to best understand the problem and thus pave ways for appropriate strategies for addressing the problem [28]. Accordingly, the present study followed a QUAN + qual paradigm with quantitative approach as the primary method [27,28], and the data were integrated so as to provide a comprehensive understanding around the factors influence the adherence to dietary recommendations/prescriptions in CKD patients on hemodialysis.…”

Section: Study Design and Settingmentioning

confidence: 99%

Factors associated with adherence to dietary prescription among adult patients with chronic kidney disease on hemodialysis in national referral hospitals in Kenya: a mixed-methods survey

et al. 2019

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Introduction: Adherence to dietary prescriptions among patients with chronic kidney disease is known to prevent deterioration of kidney functions and slow down the risk for morbidity and mortality. This study determined factors associated with adherence to dietary prescription among adult patients with chronic kidney disease on hemodialysis. Methods: A mixed-methods study, using parallel mixed design, was conducted at the renal clinics and dialysis units at the national teaching and referral hospitals in Kenya from September 2018 to January 2019. The study followed a QUAN + qual paradigm, with quantitative survey as the primary method. Adult patients with chronic kidney disease on hemodialysis without kidney transplant were purposively sampled for the quantitative survey. A sub-sample of adult patients and their caregivers were purposively sampled for the qualitative survey. Numeric data were collected using a structured, self-reported questionnaire using Open Data Kit "Collect software" while qualitative data were collected using in-depth interview guides and voice recording. Analysis on STATA software for quantitative and NVIV0 12 for qualitative data was conducted. The dependent variable, "adherence to diet prescription" was analyzed as a binary variable. P values < 0.1 and < 0.05 were considered as statistically significant in univariate and multivariate logistic regression models respectively. Qualitative data were thematically analyzed. Results: Only 36.3% of the study population adhered to their dietary prescriptions. Factors that were independently associated with adherence to diet prescriptions were "flexibility in the diets" (AOR 2.65, 95% CI 1.11-6.30, P 0.028), "difficulties in following diet recommendations" (AOR 0.24, 95% CI 0.13-0.46, P < 001), and "adherence to limiting fluid intake" (AOR 9.74, 95% CI 4.90-19.38, P < 0.001).

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“…Mixed-methods studies allow multiple, dynamic factors to be described and explored (different people, in different settings, doing different things, at different times) [14,15]. We used a convergent, parallel mixed-methods design whereby the quantitative and qualitative components of the study were valued equally and carried out concurrently [14,16]. Seven secondary schools were purposefully recruited across Scotland so that we could include schools in areas of varying SES and food outlet type/density.…”

Section: Methodsmentioning

confidence: 99%

Socio-Economic Factors, the Food Environment and Lunchtime Food Purchasing by Young People at Secondary School

Wills

Danesi

Kapetanaki

et al. 2019

IJERPH

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The aim of this paper is to report on the lunchtime food purchasing practices of secondary school students and some of the factors related to this purchasing, including the influence of socio-economic status (SES) and the food environment within and around schools. A mixed-methods study incorporating an online purchasing recall questionnaire and multiple qualitative methods was undertaken at seven UK secondary schools. The analysis shows that SES was intricately woven with lunchtime food practices. Three-quarters of participants regularly purchased food outside of school; those at low SES schools were more likely to report regularly leaving school to buy food. Young people’s perception of food sold in schools in areas of low SES was often negative and they left school to find “better” food and value for money. Taste, ingredients and advertisements were factors that mattered to young people at schools with low or mixed SES; health as a driver was only mentioned by pupils at a high SES school. For public health initiatives to be effective, it is critical to consider food purchasing practices as complex socio-economically driven phenomena and this study offers important insights along with suggestions for designing interventions that consider SES. Availability of food outlets may be less important than meeting young people’s desires for tasty food and positive relationships with peers, caterers and retailers, all shaped by SES. Innovative ways to engage young people, taking account of SES, are required.

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Mixed-Methods Research in Nutrition and Dietetics

Cited by 61 publications

References 24 publications

Perceived Benefits of a Standardized Patient Simulation in Pre-Placement Dietetic Students

Perceived Benefits of a Standardized Patient Simulation in Pre-Placement Dietetic Students

Factors associated with adherence to dietary prescription among adult patients with chronic kidney disease on hemodialysis in national referral hospitals in Kenya: a mixed-methods survey

Socio-Economic Factors, the Food Environment and Lunchtime Food Purchasing by Young People at Secondary School

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