theoretical framework analysis

  • 文章类型: Journal Article
    目的:偏头痛被认为是一种影响生活质量和心理健康的慢性健康状况。偏头痛患者使用一系列管理策略,其中包括药理学和非药理学治疗。这项研究的目的是使用疾病表征的常识模型(CSM)探索个人对偏头痛及其治疗的经验和看法。
    方法:半结构化,我们对11例有偏头痛病史的患者进行了一对一访谈,以探讨他们对偏头痛及其治疗的经历和看法.参与者是通过使用社交媒体广告进行便利抽样从英国各地招募的。采访被记录下来,逐字转录,定性数据使用CSM进行理论框架分析。
    结果:将CSM的三个维度映射到定性数据上。这些是:(i)偏头痛的认知表征,在五个领域内:(A)偏头痛的身份,(b)察觉的原因,(C)感知的时间表,(d)感知控制/治愈,和(e)感知的后果;(ii)与(a)偏头痛特定情绪和(b)偏头痛影响的情绪表现有关的偏头痛情绪表现;(iii)应对/自我管理行为,即(a)自我用药行为和(b)寻求护理行为。没有发现不一致的数据;因此,不需要进一步的主题分析.
    结论:这是第一项将CSM应用于偏头痛的研究,以这种方式对定性数据进行框架分析。研究结果说明了偏头痛的情绪影响以及与适当的自我管理相关的疾病感知范围。这些数据将用于设计定量研究的问卷,以调查这些看法在多大程度上可推广到更广泛的偏头痛患者。
    OBJECTIVE: Migraine is considered a chronic health condition that impacts both quality of life and psychological wellbeing. People with migraines use a range of management strategies, which include pharmacological and non-pharmacological treatments. The aim of this study was to explore individuals\' experiences and perceptions of migraines and its treatment using the Common-Sense Model (CSM) of Illness Representations.
    METHODS: Semi-structured, one-to-one interviews were conducted with eleven individuals with a history of migraine to explore their experiences and perceptions of migraine and its treatment. Participants were recruited from across the United Kingdom via convenience sampling using social media advertisement. Interviews were recorded, transcribed verbatim, and qualitative data were analysed using theoretical framework analysis using the CSM.
    RESULTS: The three dimensions of the CSM were mapped on to the qualitative data. These were: (i) Cognitive representations of migraine, within five domains: (a) identity of migraine, (b) perceived causes, (c) perceived timeline, (d) perceived control/cure, and (e) perceived consequences; (ii) Emotional representations of migraine relating to (a) migraine specific emotions and (b) emotional representation of the impact of migraine; and (iii) Coping/self-management behaviours, namely (a) self-medicating behaviours and (b) care-seeking behaviours. No incongruous data were found; therefore, no further thematic analysis was required.
    CONCLUSIONS: This is the first study to apply the CSM to migraine for framework analysis of qualitative data in this way. The findings illustrate the emotional impact of migraine and the range of illness perceptions associated with appropriate self-management. The data will be used to design a questionnaire for quantitative studies to investigate the extent to which these perceptions are generalizable to the wider population of people who experience migraines.
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  • 文章类型: Journal Article
    了解(a)使用“if-then”计划减少精神病患者的久坐行为和(b)建议的应用程序内容的可接受性。
    定性可接受性研究。
    对8名有精神病发作经历的参与者进行了三个结构化的焦点小组和访谈。他们讨论了久坐的行为,更加活跃,在他们可能会久坐不动的危急情况下,以及这些问题的解决方案(if-then计划),和移动应用程序的模型。可接受的理论框架(TFA)用于定性分析转录本。
    在每个转录物中编码所有TFA构建体。减少久坐行为的想法对于精神病患者来说是可以接受的,参与者知道更积极的重要性,然而,这并不总是他们的首要任务。同样,该应用程序的建议内容被认为是可以接受的,参与者已经使用了一些建议的解决方案。
    这是第一项使用TFA框架来评估应用程序的可接受性的研究,该应用程序使用紧急情况和解决方案(“如果计划”)来帮助减少精神病患者的久坐行为。在这个样本中(男性,主要讲英语的白人),参与者了解更积极的好处。然而,减少久坐行为不是这个人群的主要优先事项,当他们的心理健康不好时,久坐有好处。
    To understand the acceptability of (a) reducing sedentary-behaviour in people with psychosis using \'if-then\' plans and (b) the proposed app content.
    Qualitative acceptability study.
    Three structured focus-groups and an interview were conducted with eight participants who had experience of a psychotic episode. They discussed sedentary-behaviour, being more active, critical situations in which they may be tempted to be sedentary and solutions to these (the if-then plans), and a mock-up of the mobile application. The Theoretical Framework of Acceptability (TFA) was used to analyse qualitatively the transcripts.
    All TFA constructs were coded in each of the transcripts. The idea of reducing sedentary-behaviour was acceptable to people with psychosis, participants knew the importance of being more active, however it is not always their main priority. Likewise, the proposed content of the app was found to be acceptable, with participants already using some of the proposed solutions.
    This was the first study to use the TFA framework to assess the acceptability of an app that uses critical situations and solutions (\'if-then plans\') to help reduce sedentary behaviour for people with psychosis. In this sample (male, English speaking mainly white people), participants understood the benefits of being more active. However, reducing sedentary-behaviour is not the main priority of this population and being sedentary has benefits when their mental-health is bad.
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