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Methods Workshop for the Ministry of Health and Long-Term Care Assessing Research Protocols: Mixed Methods Research By: Yelena Petrosyan, MD Mixed methods: Definition Mixed methods consists of the collection or analysis of both quantitative and qualitative data in a single study in which the data are collected concurrently or sequentially, are given a priority, and involve the integration of data at one or more stages in the process of research. The major mixed methods designs 1. The convergent parallel design The convergent parallel design (convergent/triangulation design) occurs when the researchers use concurrent timing to implement the quantitative and qualitative studies during the same phase of the research process. The two methods in this design have an equal priority so that both play an equally important role in addressing the research problem. This design keeps the studies independent during the data collection and analysis and then mixes or merges the results during the overall interpretation. The purpose for the convergent design To triangulate the methods by directly comparing and contrasting quantitative results with qualitative findings for corroboration and validation purposes; To illustrate quantitative results with qualitative findings to develop a more complete understanding of a phenomenon. Advantages of the convergent design It is an efficient design, in which both types of data are collected during one phase of the research at roughly the same time. Each type of data can be collected and analyzed separately and independently, using the techniques traditionally associated with each data type. Challenges in using the convergent design Much effort and expertise is required, particularly because of the concurrent data collection and the fact that equal weight is usually given to each data type. This can be addressed by forming a research team that includes members who have quantitative and qualitative expertise, or by training single researchers in both quantitative and qualitative research.

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MethodsWorkshopfortheMinistryofHealthandLong-TermCare

AssessingResearchProtocols:MixedMethodsResearchBy:YelenaPetrosyan,MD

Mixedmethods:Definition

Mixedmethodsconsistsofthecollectionoranalysisofbothquantitativeandqualitativedatainasinglestudyinwhichthedataarecollectedconcurrentlyorsequentially,aregivenapriority,andinvolvetheintegrationofdataatoneormorestagesintheprocessofresearch.Themajormixedmethodsdesigns

1. Theconvergentparalleldesign

Theconvergentparalleldesign(convergent/triangulationdesign)occurswhentheresearchersuseconcurrenttimingtoimplementthequantitativeandqualitativestudiesduringthesamephaseoftheresearchprocess.Thetwomethodsinthisdesignhaveanequalprioritysothatbothplayanequallyimportantroleinaddressingtheresearchproblem.Thisdesignkeepsthestudiesindependentduringthedatacollectionandanalysisandthenmixesormergestheresultsduringtheoverallinterpretation.Thepurposefortheconvergentdesign

• Totriangulatethemethodsbydirectlycomparingandcontrastingquantitativeresultswithqualitativefindingsforcorroborationandvalidationpurposes;

• Toillustratequantitativeresultswithqualitativefindingstodevelopamorecompleteunderstandingofaphenomenon.

Advantagesoftheconvergentdesign

• Itisanefficientdesign,inwhichbothtypesofdataarecollectedduringonephaseoftheresearchatroughlythesametime.

• Eachtypeofdatacanbecollectedandanalyzedseparatelyandindependently,usingthetechniquestraditionallyassociatedwitheachdatatype.

Challengesinusingtheconvergentdesign

• Mucheffortandexpertiseisrequired,particularlybecauseoftheconcurrentdatacollectionandthefactthatequalweightisusuallygiventoeachdatatype.Thiscanbeaddressedbyformingaresearchteamthatincludesmemberswhohavequantitativeandqualitativeexpertise,orbytrainingsingleresearchersinbothquantitativeandqualitativeresearch.

MethodsWorkshopfortheMinistryofHealthandLong-TermCare

• Researchersneedtoconsidertheconsequencesofhavingdifferentsamplesanddifferentsamplesizeswhenmergingthetwodatasets.Differentsamplesizesmayoccurbecausethequantitativeandqualitativedataareusuallycollectedfordifferentpurposes.

• Itcanbechallengingtomergetwosetsofverydifferentdatainameaningfulway;• Itcanbechallengingifthequantitativeandqualitativeresultsdonotagree.

Contradictionsmayprovidenewinsightsintothetopic,butthesedifferencescanbedifficulttoresolveandmayrequirethecollectionofadditionaldata.

2. Theexplanatorysequentialdesign

Theexplanatorysequentialdesignusessequentialtiming.Thisdesignstartswiththecollectionandanalysisofquantitativedata,whichhasthepriorityforaddressingthestudy’squestions.Thisfirstphaseisfollowedbythesubsequentcollectionandanalysisofqualitativedata.Thesecond,qualitativephaseofthestudyisdesignedsothatitfollowsfromtheresultsofthefirst,quantitativephase.Finally,theresearcherinterpretstowhatextentandinwhatwaysthequalitativeresultshelptoexplaintheinitialquantitativeresults.Thepurposefortheexplanatorydesign

• Touseaqualitativestrandtoexplaininitialquantitativeresults;• Tousequantitativeresultsaboutparticipantcharacteristicstoguidepurposeful

samplingforaqualitativephase.Advantagesoftheexplanatorydesign

• Thisdesignappealstoquantitativeresearchers,becauseitoftenbeginswithastrongquantitativeorientation.

• Itstwo-phasestructuremakesitstraightforwardtoimplement,becausetheresearcherconductsthetwomethodsinseparatephasesandcollectsonlyonetypeofdataatatime.Therefore,singleresearcherscanconductthisdesign.

• Thisdesignlendsitselftoemergentapproacheswherethesecondphasecanbedesignedbasedonwhatislearnedfromtheinitialquantitativephase.

Challengesinusingtheexplanatorydesign

• Thisdesignrequiresalengthyamountoftimeforimplementingthetwophases;• Itcanbedifficulttosecureinstitutionalreviewboard(IRB)approvalforthisdesign,

becausetheresearchercannotspecifyhowparticipantswillbeselectedforthesecondphaseuntiltheinitialfindingsareobtained.

• Theresearchermustdecidewhichquantitativeresultsneedtobefurtherexplained.• Theresearchermustdecidewhotosampleinthesecondphaseandwhatcriteriato

useforparticipantselection.

MethodsWorkshopfortheMinistryofHealthandLong-TermCare

3. Theexploratorysequentialdesign

Theexploratorysequentialdesignalsousessequentialtiming.Incontrasttotheexplanatorydesign,theexploratorydesignbeginswithandprioritizesthecollectionandanalysisofqualitativedatainthefirstphase.Buildingfromthequalitativeresults,theresearcherconductsasecond,quantitativephasetotestorgeneralizetheinitialfindings.Finally,theresearcherinterpretshowthequantitativeresultsbuildontheinitialqualitativeresults.Purposefortheexploratorydesign

• Togeneralizequalitativefindingsbasedonafewindividualsfromthefirstphasetoalargersamplegatheredduringthesecondphase;

• Theresultsofthefirst,qualitativemethodcanhelpdeveloporinformthesecond,quantitativemethod;

• Todevelopandtestaninstrumentbecauseoneisnotavailable;• Toidentifyimportantvariablesforthequantitativestudywhenthevariablesare

unknown;• Toexploreaphenomenonindepthandmeasuretheprevalenceofitsdimensions.

Advantagesoftheexploratorydesign

• Separatephasesmaketheexploratorydesignstraightforwardtodescribe,implement,andreport.

• Theresearchercanproduceanewinstrumentasoneofthepotentialproductsoftheresearchprocess.

Challengesinusingtheexploratorydesign

• Thetwo-phaseapproachrequiresconsiderabletimetoimplement,potentiallyincludingtimetodevelopanewinstrument.

• ItisdifficulttospecifytheproceduresofthequantitativephasewhenapplyingforinitialIRBapprovalforthestudy;

• Researchersshouldconsiderusingasmallpurposefulsampleinthefirstphaseandalargesampleofdifferentparticipantsinthesecondphasetoavoidquestionsofbiasinthequantitativestudy.

• Proceduresshouldbeundertakentoensurethatthescoresdevelopedontheinstrumentarevalidandreliable.

4. Theembeddeddesign Theembeddeddesignoccurswhentheresearchercollectsandanalyzesbothquantitativeandqualitativedatawithinatraditionalquantitativeorqualitativedesign.Inanembeddeddesign,theresearchermayaddaqualitativestudywithinaquantitative

MethodsWorkshopfortheMinistryofHealthandLong-TermCare

design,suchasanexperiment,oraddaquantitativestudywithinaqualitativedesign,suchasacasestudy.Intheembeddeddesign,thesupplementalstudyisaddedtoenhancetheoveralldesigninsomeway.

Thepurposefortheembeddeddesign• Toincludequalitativedatatoanswerasecondaryresearchquestionwithinthe

predominantlyquantitativestudy;• Toimproverecruitmentprocedures;• Toexaminetheprocessofanintervention;• Toexplainreactionstoparticipationinanexperiment.

Advantagesoftheembeddeddesign• Thisdesigncanbeusedwhentheresearcherdoesnothavesufficienttimeor

resourcestocommittoextensivequantitativeandqualitativedatacollectionbecauseonedatatypeisgivenlessprioritythantheother.

• Bytheadditionofsupplementaldata,theresearcherisabletoimprovethelargerdesign.

• Researchersusinganembeddeddesigncankeepthetwosetsofresultsseparateintheirreportsorevenreporttheminseparatepapers.

Challengesinusingtheembeddeddesign

• Theresearcherneedstohaveexpertiseinthequantitativeorqualitativedesignusedinadditiontoexpertiseinmixedmethodsresearch.

• Theresearchermustspecifythepurposeofcollectingqualitative(orquantitative)dataaspartofalargerquantitative(orqualitative)study.

• Itcanbedifficulttointegratetheresultswhenthetwomethodsareusedtoanswerdifferentresearchquestions.

Samplingissues

• Somechallengesspecifictoconcurrentdesigns(i.e.,mergingquantitativeandqualitativeresearch)includehavingadequatesamplesizesforanalyses,usingcomparablesamples,andemployingaconsistentunitofanalysisacrossthedatabases.

• Forsequentialdesigns(i.e.,onephaseofqualitativeresearchbuildsonthequantitativephaseorviceversa),theissuesrelatetodecidingwhatresultsfromthefirstphasetouseinthefollow-upphase,choosingsamplesandestimatingreasonablesamplesizesforbothphases,andinterpretingresultsfrombothphases.

Analyticandinterpretiveissues

MethodsWorkshopfortheMinistryofHealthandLong-TermCare

Issuesariseduringdataanalysisandinterpretationwhenusingspecificdesigns.Whentheinvestigatormergesthedataduringaconcurrentdesign,thefindingsmayconflictorbecontradictory.Astrategyofresolvingdifferencesneedstobeconsidered,suchasgatheringmoredataorrevisitingthedatabases.Fordesignsinvolvingasequentialdesignwithonephasefollowingtheother,thekeyissuessurroundthe“pointofinterface”inwhichtheinvestigatorneedstodecidewhatresultsfromthefirstphasewillbethefocusofattentionforthefollow-updatacollection.Makinganinterpretationbasedonintegratedresultsmaybechallengingbecauseoftheunequalemphasisplacedoneachdatasetbytheinvestigatororteam,theaccuracyorvalidityofeachdataset,andwhetherphilosophiesrelatedtoquantitativeorqualitativeresearchcanorshouldbecombined.IntegrationofQualitativeandQuantitativedataMergingdata• Byreportingresultstogetherinadiscussionsectionofastudy,suchasreportingfirst

thequantitativestatisticalresultsfollowedbyqualitativequotesorthemesthatsupportorrefutethequantitativeresults.

• Theconversionortransformationofonedatatypeintotheothersothatbothcanbeanalyzedtogether:

o Quantitativedataarenumericallycodedandincludedwithquantitativedatainstatisticalanalysis.

o Quantitativedataaretransformedintonarrativeandincludedwithqualitativedatainthematicanalysis.

Connectingdata

o Thisintegrationinvolvesanalyzingonedataset(e.g.,aquantitativesurvey),andthenusingtheinformationtoinformthesubsequentdatacollection(e.g.,interviewquestions,identificationofparticipantstointerview).Inthisway,theintegrationoccursbyconnectingtheanalysisoftheresultsfromtheinitialstudyorphasewiththedatacollectionfromthesecondstudyorphase.

Embeddingdata

o Theresearchermayembedasupplementalqualitativedatawithinalargerquantitative(e.g.,experimental)designorembedaquantitativedatawithinalargerqualitative(e.g.,narrative)design.Theembeddednatureoccursatthedesignlevel,inthattheembeddedmethodisconductedspecificallytofitthecontextofthelargerquantitativeorqualitativedesignframework.

MethodsWorkshopfortheMinistryofHealthandLong-TermCare

AchecklistforreviewingNIHmixedmethodsapplication

Significance• Doestheapplicationmakeaconvincingcasethattheproblemisrelevant(e.g.,if

aimsareachieved,theworkwillimproveknowledgeorpractice)?• Cantheproblembebeststudiedthroughthemultipleperspectivesofmixed

methodsresearch?

Investigator(s)

• Dotheinvestigator(s)havetherequiredskillstoconductallproposedmethods(e.g.,investigator(s)havepriorpublicationsand/orgrantsrelatedtoproposedqualitative,quantitative,andmixedmethods;co-investigatorswithappropriateexpertiseareidentifiedtoleadeachmethodasneeded)?

• Isthereevidencethattheprojectleadershipiscommittedtomixedmethodsresearch(e.g.,eachcomponentofthestudyisaddressedsufficientlyandconsistentlythroughouttheapplication;therearereferencestocurrentrelevantliteratureonmixedmethods;investigatorshaveexperiencesinprofessionaldevelopmentinmixedmethods)?

• Hastheapproachtocollaborationbeendescribed(e.g.,frequencyofmeetingsbetweenleadersofdifferentcomponents,managementofdifferencesbetweenco-investigators)?

Innovation

• Doestheuseofmixedmethodsprovideaplatformforinnovativeinvestigationoftheresearchproblem(s)(e.g.,providesinsightsintomechanismsoforganizationalchangenotpossiblewithasinglemethod)?

• Isthecombinationofmethodsusedinnovative,orthewayinwhichtheyareintegratedinnovative?

Approach

• Isthereadescriptionofthephilosophyortheoryinformingtheresearchandthewaysthisphilosophyortheoryshapestheinvestigation?

• Havetheapplicantsofferedaconvincingexplanationofwhymixedmethodsresearchisneededtoaddressthestudyaimsandthevalueaddedbyusingthisapproach(e.g.,explainedhowalternativedesignswouldbeinappropriateorinadequate)?

• Isthereacleardescriptionofthefullstudydesign,includingwhereintegrationoccurs(e.g.,usingacomprehensivefigureormatrix)?

• Istheintegrationofthemethodswelldescribed,includingthetiming,techniques,andresponsibilitiesforintegration?

• Isthedesignappropriateforthestudyaims?

MethodsWorkshopfortheMinistryofHealthandLong-TermCare

• Arethemethodsconsistentwithestablishedstandardsofrigorforquantitativeandqualitativedatacollectionandanalysis(e.g.,sampling,samplesizeandanalysisplansarespecifiedforeachmethod,withappropriatecitations)?

• Willappropriatecomputersoftwarebeusedforeachanalyticcomponent,andifnot,isaconvincingrationaleprovided?

• Isthestudyfeasiblewithinitsproposedtimeframeandresources(e.g.,atimetableisprovidedthatallocatestimefordataintegration)?

Environment• Isthereevidencethattheinstitutionsupportsmixedmethodsresearch(e.g.,forums

formultidisciplinarycollaborations,facultywithfundingformixedmethodsresearch)?

MethodsWorkshopfortheMinistryofHealthandLong-TermCare

ReferencesCreswell,J.W.,&PlanoClark,V.L.(2007).Designingandconductingmixedmethods

research(Chapter4Choosingamixedmethodsdesign).ThousandOaks:SagePublication.Cohen,D.,&Crabtree,B.(2008).RobertWoodJohnson,qualitativeresearchguidelines

project.Retrievedfromhttp://www.qualres.org/.Creswell,J.W.,&PlanoClark,V.L.(2011).Designingandconductingmixedmethods

research(2nded.).ThousandOaks,CA:Sage.Frechtling,J.(January,2002).The2002userfriendlyhandbookforprojectevaluation.WashingtonD.C.:NationalScienceFoundation.Retrievedfromhttp://www.nsf.gov/pubs/2002/nsf02057/start.htm.LevinJ.S.,Glass,T.A.,Kushi,L.H.,Schuck,J.R.,Steele,L.,&Jonas,W.B.(1997).Quantitativemethodsinresearchcomplementaryandalternativemedicine,MedicalCare,

35,1079-1094.O’Cathain,A.(2010).Assessingthequalityofmixedmethodsresearch:Towardacomprehensiveframework.InA.Tashakkori&C.Teddlie(Eds.),SAGEhandbookofmixedmethodsinsocial&behavioralresearch(2nded.)(pp.531-555)ThousandOaks,CA:Sage.O’Cathain,A.,Murphy,E.,&Nicholl,J.(2008).Thequalityofmixedmethodsstudiesin

healthservicesresearch.JournalofHealthServicesResearchPolicy,13(2),92-98.Tashakkori,A.,&Creswell,J.W.(2007).Theneweraofmixedmethods.[Editorial].Journal

ofMixedMethodsResearch,1(1),3-7.Caracelli,V.J.,&Greene,J.C.(1993).Dataanalysisstrategiesformixed-methodevaluationdesigns.EducationalEvaluationandPolicyAnalysis,15,195-207.Greene,J.C.(2007).Mixedmethodsinsocialinquiry.SanFrancisco:JohnWiley&Sons.Morse,J.,&Niehaus,L.(2009).Mixedmethoddesign:Principlesandprocedures.WalnutCreek,CA:LeftCoastPress.O’Cathain,A.O.,Murphy,E.,&Nicholl,J.(2010).Threetechniquesforintegratingdatainmixedmethodsstudies.BMJ,341,c4587.Song,M.,Sandelowski,M.,&Happ,M.B.(2010).Currentpracticesandemergingtrendsinconductingmixedmethodsinterventionstudiesinthehealthsciences.In:A.Tashakkori&

C.Teddlie(Eds.),Handbookofmixedmethodsinsocial&behavioralresearch(2nded.,pp.

725–747).ThousandOaks,CA:Sage.NationalInstitutesofHealth.Bestpracticesformixedmethodsresearchinthehealth

sciences,2010.