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Qualitative & Mixed-MethodsResearchSohailBajammal, MBChB, MSc, FRCS(C), PhD(c)Umm Al-Qura Universityssbajammal@uqu.edu.sa
QuantitativeQualitativeMixed-MethodsNumbersWordsActionsReactions
Not everything that can be counted counts,and not everythingthat counts can be counted.Albert Einstein
EBMResearch EvidencePatients’ PreferencesClinical ExpertiseClinical ContextHaynes et al. BMJ 2002;324:1350
EverydayNew PatientQUALITATIVE  quantitativeFollow-up PatientQUANTITATIVE  qualitative
QuestionsHow do trauma patients with quadriplegia in the Western region – Saudi Arabia rehabilitate?What are the important aspects of quality of life for Saudi patients?What are the barriers to conduct RCTs in Saudi Arabia?
Learning OutcomesBy the end of the lecture, you will be able to:Identify:What is qualitative research? characteristics?When to use it?Identify:What is mixed-methods research? types?When to use it?
Qualitative Research
Types of Research QuestionsQuantitative: (cause, determine, relate, influence)Does A cause/correlate with B?Which is better A or B in terms of diagnosis, treatment, or prognosis?Qualitative: (discover, understand, explore, describe)What?How?Why?
Creswell J. Research Design. 2009
Characteristics of QualitativeNatural settingsResearcher as key instrumentMultiple sources of data: interviews, observations, documentsInductive data analysisParticipants’ meaningsEmergent designTheoretical lens: sampling, saturation, integratingInterpretiveHolistic accountCreswell J. Research Design. 2009
When to use qualitative?Investigate complex phenomena that are difficult to measure quantitativelyGenerate data necessary for a comprehensive understanding of a problemGain insights into potential causal mechanismsDevelop quantitative measurement instrumentsStudy special populations (those traditionally underrepresented in research,  low literacy)Curry et al, Circulation 2009
Investigate complex phenomena that are difficult to measure quantitatively
Qualitative & Mixed Methods Research
Generate data necessary for a comprehensive understanding of a problem
Qualitative & Mixed Methods Research
Qualitative & Mixed Methods Research
Common Strategies (Approaches) of Qualitative ResearchCulture-sharing behavior of groupsEthnographyPhenomenologyNarrative researchCase studiesGrounded theoryIndividualsExplore processes, activities, events
Data Collection MethodsObservation  field notesInterviews  transcriptsOne-on-one: in-depth, open-endedFocus groupDocuments content analysisAudio-visual materials  analysis
Qualitative Data AnalysisData CollectionData Analysis
Qualitative Data AnalysisRaw Data (transcripts, field notes, images)Organizing data for analysisReading through all dataCoding the data  ThemesIntegrating themes, diagramming  Interpreting
Data
Computer-Aided Qualitative AnalysisATLAS.tiNVivoMAXqda
NVivo
NVivo
www.researchsupport.com.au
“Validity” StrategiesRationale for choosing an approachTriangulation of methodsInterviewers trainingMember checkingRich, thick descriptionReflectivityPeer debriefing  Cross-codingDocumentation External auditor
Mixed-Methods
What is mixed-methods research?Combining qualitative & quantitative research1960s
Aspects in Mixed-MethodsTiming: sequentially or concurrentlyEmphasis:qualitative, quantitative, or bothMixing:integrating, connecting, or embedding
1. Sequential ExplanatoryQUANqualCreswell J. Research Design. 2009
2. Sequential ExploratoryQUALquanCreswell J. Research Design. 2009
3. Concurrent TriangulationQUALQUANQUANData CollectionQUALData CollectionQUANData AnalysisQUALData AnalysisData Results ComparedCreswell J. Research Design. 2009
4. Concurrent EmbeddedQUANqualCreswell J. Research Design. 2009
Lewin et al, BMJ 2009
Publishing
Qualitative & Mixed Methods Research
Qualitative & Mixed Methods Research
Resources
BooksResearch Design: Qualitative, Quantitative, and Mixed Methods Approaches. John Creswell. 3rd Edition. 2009. SAGE Publications.
Articles
Qualitative & Mixed Methods Research
Qualitative & Mixed Methods Research
PeopleLook around in your university:NursingMedical EducationalistPsychologySociologyMedical Geography
QuestionsHow do Saudi patients with quadriplegia in the Western region rehabilitate?What are the important aspects of quality of life for Saudi patients?What are the barriers to conduct RCTs in Saudi Arabia?
SummaryPatients talk, act & react  not numbersQualitative is helpful when nothing or little is known about a condition or environmentGOOD qualitative research needs lots of workBe pragmaticssbajammal@uqu.edu.sa

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Qualitative & Mixed Methods Research

Editor's Notes

  • #19: Ethnography: study a group in a natural setting over a prolonged period of timePhenomenology: identify the essence of human experiences about a phenomenon as described by participants.studying a small number of participants through extensive & prolonged engagementCase studies: The researcher explores in depth a program, event, activity, process, or one or more individualsNarrative research:The researcher studies the lives of individuals and asks one or more individuals to provide stories about their lives