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Intersecting Mixed Methods and Community-Based Participatory Action Research to Promote Patient-Centeredness in Research

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Handbook of Social Inclusion

Abstract

An increased focus on patient-centered care as a means for enhancing patient safety and improving health care quality calls for a meaningful intersection of research approaches that integrate different methodologies, incorporate participatory methods, and allow for a cyclical approach to addressing pertinent issues from a stakeholder perspective. Intersecting or meaningfully combining mixed methods research (MMR) and community-based participatory action research (CBPAR) within a study provides an effective conceptual and methodological premise to promote patient-centeredness and to enhance patient-centered research. The chapter discusses how a meaningful intersection of MMR and CBPAR at the epistemological, axiological, methodological, and design levels provides an effective framework for promoting patient-centeredness and enhancing stakeholder engagement with research and its outcomes. A short overview of MMR and CBPAR is followed by a discussion of the four levels of intersection between the two approaches and the logistics of designing and implementing a mixed methods action research (MMAR) study guided by an MMR framework for CBPAR. Tips for researchers to consider when designing studies that intersect MMR and CBPAR are provided organized by four intersection levels.

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References

  • Bradbury, H. (Ed.). (2015). The SAGE handbook of action research (3rd ed.). Thousand Oaks: Sage.

    Google Scholar 

  • Breimaier, H. E., Halfens, R. J., & Lohrmann, C. (2015). Effectiveness of multifaceted and tailored strategies to implement a fall-prevention guideline into acute care nursing practice: A before-and-after, mixed-method study using a participatory action research approach. BMC Nursing, 14(1), 18. https://doi.org/10.1186/s12912-015-0064-z.

    Article  PubMed  PubMed Central  Google Scholar 

  • Brewer, S. E., Crump, N. M., & O'Leary, S. T. (2019). Patient-centered research priorities: A mixed-methods approach from the Colorado children’s outcomes network (COCONet). The Journal of the American Board of Family Medicine, 32(5), 674–684.

    Article  Google Scholar 

  • Creswell, J. W., & Plano Clark, V. L. (2018). Designing and conducting mixed methods research (3rd ed.). Thousand Oaks: SAGE.

    Google Scholar 

  • Creswell, J. W., Klassen, A. C., Plano Clark, V. L., Smith, K. C., & for the Office of Behavioral and Social Sciences Research. (2018). Best practices for mixed methods research in the health sciences. Washington, DC: National Institutes of Health. Retrieved from: Best Practices for Mixed Methods Research in the Health Sciences (nih.gov).

    Google Scholar 

  • Currall, S. C., & Towler, A. J. (2003). Research methods in management and organizational research: Toward integration of qualitative and quantitative techniques. In A. Tashakkori & C. Teddlie (Eds.), Handbook of mixed methods in social and behavioral research (pp. 513–526). Thousand Oaks: Sage.

    Google Scholar 

  • Duesbery, L., & Twyman, T. (2020). 100 questions (and answers) about action research. Thousand Oaks: Sage.

    Book  Google Scholar 

  • Green, C. A., Duan, N., Gibbons, R. D., Hoagwood, K. E., Palinkas, L. A., & Wisdom, J. P. (2015). Approaches to mixed methods dissemination and implementation research: Methods, strengths, caveats, and opportunities. Administration and Policy in Mental Health and Mental Health Services Research, 42, 508–523. https://doi.org/10.1007/s10488-014-0552-6.

    Article  PubMed  Google Scholar 

  • Greene, J. C. (2007). Mixed methods in social inquiry. San Francisco: Jossey-Bass.

    Google Scholar 

  • Greene, J. C., Caracelli, V. J., & Graham, W. F. (1989). Toward a conceptual framework for mixed-method evaluation designs. Educational Evaluation and Policy Analysis, 11(3), 255–274.

    Article  Google Scholar 

  • Hacker, K. (2013). Community-based participatory research. Thousand Oaks: Sage.

    Book  Google Scholar 

  • Herr, K., & Anderson, G. L. (2005). The action research dissertation: A guide for students and faculty. Thousand Oaks: Sage.

    Book  Google Scholar 

  • Hinchey, P. H. (2008). Action research: Primer. New York: Peter Lang.

    Google Scholar 

  • Institute of Medicine (IOM). (2001). Crossing the quality chasm: A new health system for the 21st century. Washington, DC: National Academies Press. Retrieved from: https://www.nap.edu/catalog/10027/crossing-the-quality-chasm-a-new-health-system-for-the.

    Google Scholar 

  • Israel, B. A., Schulz, A. J., Parker, E. A., & Becker, A. B. (2001). Community-based participatory research: Policy recommendations for promoting a partnership. Approach in Health Research Education for Health, 14(2), 182–197.

    CAS  PubMed  Google Scholar 

  • Ivankova, N. V. (2015). Mixed methods applications in action research: From methods to community action. Thousand Oaks: SAGE.

    Google Scholar 

  • Ivankova, N. V. (2017). Applying mixed methods in community-based action research: A framework for engaging stakeholders with research as means for promoting patient-centeredness. Journal of Nursing Research, 22(4), 282–294. https://doi.org/10.1177/1744987117699655.

    Article  Google Scholar 

  • Ivankova, N.V., & Johnson, S.L. (2021, in press). Designing integrated mixed methods action research studies. In J. Hitchcock & A. Onwuegbuzie (Eds.), Routledge Handbook for Advancing Integration in Mixed Methods Research. UK: Routledge.

    Google Scholar 

  • Ivankova, N. V., & Wingo, N. (2018). Applying mixed methods in action research: Methodological potentials and advantages. The American Behavioral Scientist, 62(7), 978–997. https://doi.org/10.1177/0002764218772673.

    Article  Google Scholar 

  • Ivankova, N. V., Herbey, I., & Roussel, L. (2018). Theory and practice of using mixed methods in translational research: A cross-disciplinary perspective. International Journal of Multiple Research Approaches, 10(1) http://ijmra.org/inaugural-special-issue/.

  • Johnson, R. B. (2017). Dialectical pluralism: A metaparadigm whose time has come. Journal of Mixed Methods Research, 11, 156–173. https://doi.org/10.1177/1558689815607692.

    Article  Google Scholar 

  • Johnson, B., & Gray, R. (2010). A history of philosophical and theoretical issues for mixed methods research. In A. Tashakkori & C. Teddlie (Eds.), SAGE handbook of mixed methods in social & behavioral research (2nd ed., pp. 69–94). Thousand Oaks: Sage.

    Chapter  Google Scholar 

  • Johnson, S., & Ivankova, N. V. (2019). Intersecting mixed methods and action research to evaluate a community-based care coordination service: Implications for designing stakeholder-informed and context-specific health services research studies. International Journal of Multiple Research Approaches, 11(1) https://ijmra.org/volume-11-number-1-april-2019/.

  • 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.

    Article  Google Scholar 

  • Kemmis, S. (Ed.). (1982). The action research reader. Geelong: Deakin University Press.

    Google Scholar 

  • Koshy, E., Koshy, V., & Waterman, H. (2011). Action research in healthcare. Thousand Oaks: Sage.

    Book  Google Scholar 

  • Kral, M. J., & Allen, J. (2015). Community-based participatory action research. In L. A. Jason & D. S. Glenwick (Eds.), Handbook of methodological approaches to community-based research: Qualitative, quantitative, and mixed methods (pp. 253–262). Oxford, UK: Oxford University Press.

    Chapter  Google Scholar 

  • Lewin, G. (Ed.). (1948). Resolving social conflicts: Selected papers on group dynamics by Kurt Lewin. New York: Harper & Brothers Publishers.

    Google Scholar 

  • Lucero, J., Wallerstein, N., Duran, B., Alegria, M., Greene-Moton, E., Israel, B., … & Schulz, A. (2018). Development of a mixed methods investigation of process and outcomes of community-based participatory research. Journal of Mixed Methods Research, 12(1), 55–74.

    Google Scholar 

  • McNiff, J., & Whitehead, J. (2011). All you need to know about action research (2nd ed.). London: Sage.

    Google Scholar 

  • Morse, J. M., & Niehaus, L. (2009). Mixed method design: Principles and procedures. Walnut Creek: Left Coast Press.

    Google Scholar 

  • Nastasi, B., & Hitchcock, J. (2016). Mixed methods research and culture-specific interventions: Program development and evaluation. Thousand Oaks: Sage.

    Google Scholar 

  • Olson, B. D., & Jason, L. A. (2015). Participatory mixed methods research. In S. Hesse-Biber & R. Johnson (Eds.), The Oxford handbook of multimethod and mixed methods research inquiry (pp. 393–405). Oxford, UK: Oxford University Press.

    Google Scholar 

  • Phillips, L., & Scheffmann-Petersen, M. (2020). Minding the gap between the policy and practice of patient-centeredness: Cocreating a model for tensional dialogue in the “Active Patient Support” program. Qualitative Health Research, 30(9), 1419–1430.

    Article  Google Scholar 

  • Plano Clark, V., & Ivankova, N. (2016). Mixed methods research: A guide to the field. Thousand Oaks: Sage.

    Book  Google Scholar 

  • Ravitch, S. M., & Riggan, M. (2017). Reason & rigor: How conceptual frameworks guide research (2nd ed.). Thousand Oaks, CA: Sage Publications.

    Google Scholar 

  • Reason, P., & Bradbury, H. (2008). Introduction. In P. Reason & H. Bradbury (Eds.), The SAGE handbook of action research: Participative inquiry and practice (2nd ed., pp. 1–10). Thousand Oaks: Sage.

    Chapter  Google Scholar 

  • Stringer, E. T., & Aragón, A. O. (2020). Action research (5th ed.). Thousand Oaks: Sage.

    Google Scholar 

  • Tashakkori, A., & Creswell, J. (2007). The new era of mixed methods. Journal of Mixed Methods Research, 1(1), 3–8.

    Article  Google Scholar 

  • Tashakkori, A., Johnson, R. B., & Teddlie, C. (2021). Foundations of mixed methods research: Integrating quantitative and qualitative approaches in the social and behavioral sciences (2nd ed.). Thousand Oaks: Sage.

    Google Scholar 

  • The Patient-Centered Outcomes Research Institute (PCORI). (2012). National Priorities for Research and Research Agenda. Retrieved from: http://www.pcori.org/sites/default/files/PCORI-National-Priorities-and-Research-Agenda.pdf

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Correspondence to Nataliya V. Ivankova .

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Ivankova, N.V., Wingo, N.P. (2021). Intersecting Mixed Methods and Community-Based Participatory Action Research to Promote Patient-Centeredness in Research. In: Liamputtong, P. (eds) Handbook of Social Inclusion. Springer, Cham. https://doi.org/10.1007/978-3-030-48277-0_90-1

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  • DOI: https://doi.org/10.1007/978-3-030-48277-0_90-1

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  • Print ISBN: 978-3-030-48277-0

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