Use of concurrent mixed methods combining concept mapping and focus groups to adapt a health equity tool in Canada

Guichard, Anne; Tardieu, Émilie; Dagenais, Christian; Nour, Kareen; Lafontaine, Ginette; Ridde, Valéry

doi:10.1016/j.evalprogplan.2017.01.003

Cited by 10 publications

(7 citation statements)

References 25 publications

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“…Although some of the statements in these clusters are specific to health equity, these higher level themes demonstrate understanding of what is needed for successful development and delivery of programs in general. Some of these findings are similar to those of Guichard, et al [ 40 ], who used concept mapping to prioritize and identify important conditions for implementing a specific health equity tool (GAALISS tool) in public health practice. These conditions included specifying necessary characteristics of the tool being implemented such as: the tool should be short, have simple terminology, be accompanied by examples, and have a user guide.…”

Section: Discussionsupporting

confidence: 82%

Critical considerations for the practical utility of health equity tools: a concept mapping study

Pauly

Martin

Perkin

et al. 2018

Int J Equity Health

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BackgroundPromoting health equity within health systems is a priority and challenge worldwide. Health equity tools have been identified as one strategy for integrating health equity considerations into health systems. Although there has been a proliferation of health equity tools, there has been limited attention to evaluating these tools for their practicality and thus their likelihood for uptake.MethodsWithin the context of a large program of research, the Equity Lens in Public Health (ELPH), we conducted a concept mapping study to identify key elements and themes related to public health leaders and practitioners’ views about what makes a health equity tool practical and useful. Concept mapping is a participatory mixed-method approach to generating ideas and concepts to address a common concern. Participants brainstormed responses to the prompt “To be useful, a health equity tool should…” After participants sorted responses into groups based on similarity and rated them for importance and feasibility, the statements were analyzed using multidimensional scaling, then grouped using cluster analysis. Pattern matching graphs were constructed to illustrate the relationship between the importance and feasibility of statements, and go-zone maps were created to guide subsequent action.ResultsThe process resulted in 67 unique statements that were grouped into six clusters: 1) Evaluation for Improvement; 2) User Friendliness; 3) Explicit Theoretical Background; 4) Templates and Tools 5) Equity Competencies; and 6) Nothing about Me without Me- Client Engaged. The result was a set of concepts and themes describing participants’ views of the practicality and usefulness of health equity tools.ConclusionsThese thematic clusters highlight the importance of user friendliness and having user guides, templates and resources to enhance use of equity tools. Furthermore, participants’ indicated that practicality was not enough for a tool to be useful. In addition to practical characteristics of the tool, a useful tool is one that encourages and supports the development of practitioner competencies to engage in equity work including critical reflections on power and institutional culture as well as strategies for the involvement of community members impacted by health inequities in program planning and delivery. The results of this study will be used to inform the development of practical criteria to assess health equity tools for application in public health.

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Section: Discussionsupporting

confidence: 82%

Critical considerations for the practical utility of health equity tools: a concept mapping study

Pauly

Martin

Perkin

et al. 2018

Int J Equity Health

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“…Research staff developed five open-ended questions prior to the focus group sessions (see Table 2). All members of the research team received a 2-hr training session on concept mapping and held one additional training meeting prior to conducting the focus groups to review procedures (Guichard et al, 2017). Throughout the meetings, visuals were used to facilitate the focus group process; specifically, the use of concept mapping to ensure that researchers were adequately capturing focus group responses.…”

Section: Methodsmentioning

confidence: 99%

“…Concept mapping involves visually depicting overall themes and keywords from group responses to focus group questions, and using the visuals to observe and confirm linkages between participant responses (Guichard et al, 2017). The use of mapping techniques in focus group data collection facilitates buy-in to the project illustrates the effects of initiatives and allows for clarifying the responses to increase the accuracy of coding and analysis of data (Burke et al, 2005; Chazdon et al, 2017; Guichard et al, 2017). In fact, the use of concept mapping also allowed for on-the-spot validation by focus group members to further enhance the trustworthiness of the data.…”

Section: Methodsmentioning

confidence: 99%

Health Care Executive Perceptions of Hiring and Retention Practices of People With Disabilities: Results From Executive Focus Groups

McDonough

Ham

Brooke

et al. 2020

Rehabilitation Counseling Bulletin

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The supply-side approach to providing services without taking into account employer practices has not been effective in achieving meaningful, competitive, and integrated employment outcomes for people with disabilities. This focus neglects the fact that disability and employment is a two-way process with businesses being accountable for such demand-side factors as establishing better hiring, retention, and advancement practices. To initiate the identification of effective employer practices, this article shares the results of two executive focus groups that were conducted in a large health care organization, across four individual hospitals, with a documented success rate of hiring and retaining people with disabilities (PWDs). The purpose of the focus groups was to explore executive perceptions of their organization’s success at integrating PWDs throughout their work force. Results are explored through five identified themes: (a) organizational mission guided decision-making concerning the employment of PWDs, (b) executives living the mission through their daily inclusive behaviors led to employing PWDs, (c) organizational values were important to employing PWDs, (d) the organization benefited from employment of PWDs, and (e) employing PWDs benefited organization staff and the surrounding community. The results of these executive focus groups provide an initial glimpse into the culture and practices of a highly effective organization.

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“…Concept mapping is a mixed methods approach that involves a structured process to integrate qualitative and quantitative data. Although historically used for program planning and evaluation [31], concept mapping has also been used for a wide range of studies, including measurement development [32][33][34][35], public health priority setting and program development [36,37], examining patient experience for quality improvement projects [38][39][40], understanding caregiver perspectives around care issues [41], and developing evidence-based public health care practices [42]. Concept mapping permits a diverse participant group of any size, in a wide range of settings, identifies participants' perspectives, and visually represents their viewpoints about a focused topic on a map [43][44][45].…”

Section: Design Data Collection and Analysismentioning

confidence: 99%

Care Staff Perspectives on Using Mobile Technology to Support Communication in Long-Term Care: Mixed Methods Study (Preprint)

Wilson¹,

Small²

2020

Preprint

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BACKGROUND

Care staff in long-term care (LTC) assist older adults living with chronic conditions such as Alzheimer’s disease, related dementias, and stroke that can cause communication disorders. In addition to the complex cognitive challenges that can impact communication, further difficulties can arise from cultural-language differences between care staff and residents. Breakdowns in caregiver-resident communication can negatively impact the delivery of person-centred care. Recent advances in mobile technology (MT), specifically mobile devices (tablet/smartphone) and their software applications (apps) offer innovative solutions for supporting everyday communication between care staff and residents. To date, little is known about the care staff’s perspectives on the different ways that MT could be used to support communication with residents. A better understanding of the most useful and practical ways of using MT with older adults living in LTC could be used to inform the priority planning of mobile health (mHealth) interventions in daily care.

OBJECTIVE

This study aimed to identify care staff perspectives on (1) the different ways of using devices and apps to support everyday communication with adults living in LTC and (2) the priority care areas for using MT to support communication with residents.

METHODS

This descriptive study employed concept mapping (CM) methods to explore care staff perspectives about ways of using MT with residents and to identify the usefulness, practicality, and probable uses of MT to support communication in priority care areas. CM is an integrated mixed-methods approach (qualitative/quantitative) that uses a structured process to identify priority areas for planning and evaluation. Thirteen care staff from a single LTC home participated in this study. Concept mapping includes two main data collection phases: (1) statement generations through brainstorming and (2) statement structuring through sorting and rating. Brainstorming took place in person in a group session, while sorting and rating occurred individually after the brainstorming session. CM data was analyzed using multidimensional scaling and cluster analysis to generate numerous interpretable data maps and displays.

RESULTS

Participants generated 67 unique statements during the brainstorming session. Following the sorting and rating of the statements, the concept map analysis was performed. five-clusters were identified (1) connect; (2) care management; (3) facilitate; (4) caregiving; and (5) overcome barriers. While all five clusters were rated as useful, with a mean score of 4.1 – 4.5 (Likert: 1-5), care staff rated cluster 2: care management as the highest on usefulness, practicality, and probable use of MT to support communication.

CONCLUSIONS

This study provided insight into the viewpoints of care staff regarding the different ways MT could be used to support caregiver-resident communication in LTC. Our findings suggest that care management, facilitating communication, and overcoming barriers are three priority target areas for implementing mHealth interventions to promote person-centred care/resident-centred care.

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Use of concurrent mixed methods combining concept mapping and focus groups to adapt a health equity tool in Canada

Cited by 10 publications

References 25 publications

Critical considerations for the practical utility of health equity tools: a concept mapping study

Critical considerations for the practical utility of health equity tools: a concept mapping study

Health Care Executive Perceptions of Hiring and Retention Practices of People With Disabilities: Results From Executive Focus Groups

Care Staff Perspectives on Using Mobile Technology to Support Communication in Long-Term Care: Mixed Methods Study (Preprint)

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