Browsing Health by Publisher "Sage"
Now showing items 1-3 of 3
Exploring the use of action research to stimulate and evaluate workplace health promotionThis article descrbes a health authority's approach to setting up and evaluating a coronary heart disease prevention programme through the workplace. The Bedfordshire Healthy Workplace Project was set up in 1992 to 'stinulate interest and activity in workplace health promotion' and has developed an action research model to evaluate the impact of working with local employers on coronary heart disease risk behaviour. Action research as a methdology for health promotion research, and some of the main benefits and barriers are discussed.
Overcoming hurdles to intervention studies with autistic children with profound communication difficulties and their familiesAutistic children and adults who are non-verbal/minimally verbal or have an intellectual disability have often been excluded from Autism Spectrum Disorder research. Historical, practical and theoretical reasons for this exclusion continue to deter some researchers from work with this underserved population. We discuss why these reasons are neither convincing nor ethical, and provide strategies for dealing with practical issues. As part of a randomised controlled trial of an intervention for children with profound autism, we reflected as a multi-disciplinary team on what we had learnt from these children, their families and each other. We provide 10 strategies to overcome what appeared initially to be barriers to collecting data with this population. These hurdles and our solutions are organised by theme: interacting physically with children, how to play and test, navigating difficult behaviours, selecting suitable outcome measures, relating with parents, managing siblings, involving stakeholders, timing interactions, the clinician’s role in managing expectations, and recruitment. The aim of this article is to provide researchers with the tools to feel motivated to conduct research with children with profound autism and their families, a difficult but worthwhile endeavour. Many of these lessons also apply to conducting research with non-autistic children with intellectual disabilities.
Triangulation in healthcare research: what does it achieve?In 2007 I started my PhD to examine to what extent health sector decentralisation would improve access to and utilisation of health services, and the challenges faced, if any, while accessing the essential health services using a qualitative paradigm within the primary healthcare context in Nepal. I involved a range of qualitative research methods – interviews, discussions and observations with health service users, providers, policy-planners and decision-makers – to capture the wider picture of the research process, content and context. Triangulation was one method used while reviewing, synthesising and interpreting field data. Triangulation has been advocated as a methodological technique not only to enhance the validity of the research findings but also to achieve ‘completeness’ and ‘confirmation’ of data using multiple methods or approaches, so as to minimise one method's weaknesses or challenges by the strengths of other methods. Is that always the case? This case study provides a broad picture considering what triangulation in research really is; what sort of evidence can be used as a basis for practice; why triangulation is important in research and the researching process; and how triangulation would contribute to make research findings ‘convincing’. I draw on my personal, as well as professional, perspectives and experiences.