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Practicing the Awareness of Embodiment in Qualitative Health Research: Methodological ReflectionsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Although the importance of the researcher’s embodiment has been noted in health and social sciences research, in many instances, more attention has been paid to the embodiment of the researched. Thus, more in-depth analysis of the embodied researcher can illuminate qualitative inquiry. The influence of the embodied researcher became visible in a recent critical ethnographic study examining the negotiation of religious, spiritual, and cultural plurality in health care. In this article, we do not present research findings per se, but rather methodological reflections. As researchers, we highlight emotional and bodily w...
Source: Qualitative Health Research - October 20, 2009 Category: Global & Universal Authors: Sharma, S., Reimer-Kirkham, S., Cochrane, M. Tags: Articles Source Type: journals

Protecting Respondent Confidentiality in Qualitative ResearchEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
For qualitative researchers, maintaining respondent confidentiality while presenting rich, detailed accounts of social life presents unique challenges. These challenges are not adequately addressed in the literature on research ethics and research methods. Using an example from a study of breast cancer survivors, I argue that by carefully considering the audience for one’s research and by reenvisioning the informed consent process, qualitative researchers can avoid confidentiality dilemmas that might otherwise lead them not to report rich, detailed data. (Source: Qualitative Health Research)
Source: Qualitative Health Research - October 20, 2009 Category: Global & Universal Authors: Kaiser, K. Tags: Articles Source Type: journals

Positions in Doctors' Questions During Psychiatric InterviewsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In this article I apply the concept of positioning to the analysis of 15 initial psychiatric interviews. I argue that through their questions the psychiatrists-in-training impose positions requiring the patients to gaze at themselves and their actual problems from particular perspectives. I point to three such positions: (a) the position of the observing assessor, from which it is expected that the patients will make a detached assessment of themselves or their problems, (b) the position of the informing witness, which requires the patients only to verify the information about themselves, and (c) the marginal one, the posi...
Source: Qualitative Health Research - October 20, 2009 Category: Global & Universal Authors: Ziolkowska, J. Tags: Articles Source Type: journals

Recovery From Total Hip Replacement Surgery: "It's Not Just Physical"Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In this grounded theory study we explored the process of recovery following total hip replacement (THR) surgery from the perspective of the older adult. In-depth interviews were conducted with 10 patients aged more than 65 years who had been discharged from hospital for a period of 4 to 6 months following THR surgery. Findings showed that three distinct but interrelated processes constitute the physical, psychological, and social recovery process: reclaiming physical ability, reestablishing roles and relationships, and refocusing self. Intervening conditions affecting the recovery process include comorbid conditions, the p...
Source: Qualitative Health Research - October 20, 2009 Category: Global & Universal Authors: Grant, S., St John, W., Patterson, E. Tags: Articles Source Type: journals

Ethical Dilemmas: The Experiences of Israeli NursesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In this study I explored ethical dilemmas in nursing to gain a better understanding of nurses’ work and their professional status. Qualitative data on ethical dilemmas were collected by interviewing 52 nurses in 18 hospitals and health maintenance organizations. The transcribed interviews were analyzed using a stepwise method. Results indicate a large number of dilemmas that can be divided into five main categories: caring vs. following formal codes; fair process vs. fair outcome; organizational standards vs. family agenda; autonomy vs. deference to higher authority, and guarding secrecy vs. duty to report. The study...
Source: Qualitative Health Research - October 20, 2009 Category: Global & Universal Authors: Shapira-Lishchinsky, O. Tags: Articles Source Type: journals

African American Women's Beliefs, Coping Behaviors, and Barriers to Seeking Mental Health ServicesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Little is known about African American women’s beliefs about mental illness. In this qualitative study we employed the Common Sense Model (CSM) to examine African American women’s beliefs about mental illness, coping behaviors, barriers to treatment seeking, and variations in beliefs, coping, and barriers associated with aging. Fifteen community-dwelling African American women participated in individual interviews. Dimensional analysis, guided by the CSM, showed that participants believed general, culturally specific, and age-related factors can cause mental illness. They believed mental illness is chronic, wit...
Source: Qualitative Health Research - October 20, 2009 Category: Global & Universal Authors: Ward, E. C., Clark, L. O., Heidrich, S. Tags: Articles Source Type: journals

Experiencing "The Other Side": A Study of Empathy and Empowerment in General Practitioners Who Have Been PatientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Work-related pressures and susceptibility to health problems mean that many general practitioners (GPs) will, at some stage, experience the role of patient. However qualitative evidence about their experiences of illness and patienthood is sparse. Our study offers an interpretative perspective on GPs’ experiences of illness and the influence that this has had on their practice. Seventeen GPs who had experienced significant illness took part in semistructured interviews. Data were analyzed using interpretative phenomenological analysis (IPA). The findings highlight the relationship between empathy and empowerment and ...
Source: Qualitative Health Research - October 20, 2009 Category: Global & Universal Authors: Fox, F. E., Rodham, K. J., Harris, M. F., Taylor, G. J., Sutton, J., Scott, J., Robinson, B. Tags: Articles Source Type: journals

Women's Accounts of Their Decision to Quit Taking AntidepressantsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Over the past 15 years, the rates at which antidepressants are prescribed have increased dramatically. Adherence, however, is often low and considered to be problematic. Using a discursive approach to analyzing interviews with six Canadian women who chose unilaterally to discontinue their use of antidepressants, we focus on three rhetorical strategies used to justify their actions: (a) referencing the actual or potential effects of antidepressants, (b) positioning lay knowledge as superior to expert medical knowledge, and (c) denigrating medical authorities. We argue that these women drew on the responsible-use-of-drugs fr...
Source: Qualitative Health Research - October 20, 2009 Category: Global & Universal Authors: McMullen, L. M., Herman, J. Tags: Articles Source Type: journals

Perspectives of Colorectal Cancer Risk and Screening Among Dominicans and Puerto Ricans: Stigma and MisperceptionsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Colorectal cancer is the second most common cancer among Latinos, but a lower percentage of Latinos are screened than Whites and Blacks. Along with recognized economic barriers, differences in knowledge and perceptions might impede colorectal screening among Latinos. We conducted 147 individual, qualitative interviews with Dominicans and Puerto Ricans in the northeastern United States to explore their explanatory models for colorectal cancer and screening barriers. Many participants had not previously heard of colorectal cancer. The most commonly mentioned cause of colorectal cancer was anal sex. Also considered risks were...
Source: Qualitative Health Research - October 20, 2009 Category: Global & Universal Authors: Goldman, R. E., Diaz, J. A., Kim, I. Tags: Articles Source Type: journals

Incomprehensibility in the Narratives of Individuals With a Diagnosis of SchizophreniaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The fact that individuals with a diagnosis of schizophrenia have difficulties in terms of ordering and communicating their life stories is well known, and undoubtedly these dysfunctions are linked to the experience of alienation and isolation. In this article we contribute to the debate by studying life narratives of ten patients with a diagnosis of paranoid schizophrenia living in care homes in Andalusia, Spain. Patients were selected through meetings held with the directors of the care homes and data obtained from narrative, semistructured interviews. Thematic self-positioning and structure analysis identified four types...
Source: Qualitative Health Research - October 20, 2009 Category: Global & Universal Authors: Saavedra, J., Cubero, M., Crawford, P. Tags: Articles Source Type: journals

Dignity Violation in Health CareEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In this grounded theory analysis I sought to understand dignity violation in health care and to explore the context in which such violations take place. I found that dignity violation in health care occurs through processes of rudeness, indifference, condescension, dismissal, disregard, dependence, intrusion, objectification, restriction, labeling, contempt, discrimination, revulsion, deprivation, assault, and abjection. The conditions that promote these processes reside in the positions of the actors involved; in the asymmetrical relationships between the actors; in the health care setting itself, which is characterized b...
Source: Qualitative Health Research - October 20, 2009 Category: Global & Universal Authors: Jacobson, N. Tags: Articles Source Type: journals

Being There for Another With a Serious Mental IllnessEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In this article I describe the unique caring and caretaking relationship between a mentally ill person and the nonprofessional caretaker in his or her life. Stressing the perspective of the caretaker, I call this relationship "being there" for the mentally ill person. I collected the data through in-depth interviews and used a descriptive phenomenological approach to unveil the general structure of the experience. Eight constituents emerged as central to the general structure of this experience: (a) accepting the changed other and grieving the loss of who the other once was; (b) taking action in challenging circumstances; ...
Source: Qualitative Health Research - October 20, 2009 Category: Global & Universal Authors: Champlin, B. E. Tags: Articles Source Type: journals

Mixing Qualitative MethodsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Qualitative Health Research)
Source: Qualitative Health Research - October 20, 2009 Category: Global & Universal Authors: Morse, J. M. Tags: Articles Source Type: journals

Toward an Agenda for Evaluation of Qualitative ResearchEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Evaluation is essential for research quality and development, but the diversity of traditions that characterize qualitative research suggests that general checklists or shared criteria for evaluation are problematic. We propose an approach to research evaluation that encourages reflexive dialogue through use of an evaluation agenda. In proposing an evaluation agenda we shift attention from rule-based judgment to reflexive dialogue. Unlike criteria, an agenda may embrace pluralism, and does not request consensus on ontological, epistemological, and methodological issues, only consensus on what themes warrant discussion. We ...
Source: Qualitative Health Research - October 5, 2009 Category: Global & Universal Authors: Stige, B., Malterud, K., Midtgarden, T. Tags: Articles Source Type: journals

Understanding the Ecological Validity of Neuropsychological Testing Using an Ethnographic ApproachEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Neurocognitive impairment is a defining and disabling feature of schizophrenia and other physical disorders. Most of our understanding about neurocognitive deficits comes from laboratory-based testing in research protocols. There has been little research using direct behavioral community observation over a prolonged period to understand the association of daily functioning with cognitive performance.The purpose of this study was to develop an observational method that could be replicated by researchers interested in viewing cognitive deficits in vivo, and then comparing this data to laboratory measures to affirm the ecolog...
Source: Qualitative Health Research - October 5, 2009 Category: Global & Universal Authors: Gioia, D. Tags: Articles Source Type: journals

Adjusting to Life After Esophagectomy: The Experience of Survivors and CarersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Following surgery for esophageal cancer, patients can experience complex physical, social, and emotional changes. Investigation of these challenges, particularly from the perspective of the patient and his or her carer, has been limited. The current study explored the emotional and cognitive experiences of esophageal cancer survivors and those of their carers, using focus groups conducted with members of a patient support group. Analysis of the patients’ data yielded three themes: coping with a death sentence, adjusting to and accepting an altered self, and the unique benefits of peer support. Analysis of the carers&...
Source: Qualitative Health Research - October 5, 2009 Category: Global & Universal Authors: McCorry, N. K., Dempster, M., Clarke, C., Doyle, R. Tags: Articles Source Type: journals

"Making it All Normal": The Role of the Internet in Problematic PregnancyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Women are actively encouraged to educate themselves about pregnancy from formal sources (e.g., information leaflets, antenatal classes, books). In addition, informal stories of pregnancy and birth are routinely told between women. However, increased prenatal testing means that more fetuses are diagnosed with abnormalities, shifting the information requirements during pregnancy. Traditional sources of information cannot cover all possible outcomes, and the Internet is beginning to fill this gap. In this article, we draw from interviews about experiences of antenatal screening and pregnancy to explore how the Internet provid...
Source: Qualitative Health Research - October 5, 2009 Category: Global & Universal Authors: Lowe, P., Powell, J., Griffiths, F., Thorogood, M., Locock, L. Tags: Articles Source Type: journals

Navigating Between Illness Paradigms: Treatment Seeking by Samoan People in Samoa and New ZealandEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
There are substantial Samoan communities in New Zealand. Most Samoan people use both palagi (Western) and traditional Samoan health care. Western practitioners sometimes comment on Samoan patients’ seemingly erratic patterns of seeking and using health care. Within a larger study on knowledge and the use of antibiotics, we carried out semistructured interviews with 31 Samoan people in Samoa and New Zealand.Accounts of participants’ responses to illness and patterns of treatment seeking reveal how Samoan people draw on traditional and Western models of treatment and healing resources. Samoan people are very acti...
Source: Qualitative Health Research - October 5, 2009 Category: Global & Universal Authors: Norris, P., Fa'alau, F., Va'ai, C., Churchward, M., Arroll, B. Tags: Articles Source Type: journals

From Trauma to PTSD: Beliefs About Sensations, Symptoms, and Mental IllnessEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We describe the criteria veterans used to evaluate the potential clinical importance of their posttrauma reactions, and the process by which they came to label these reactions as PTSD. Difficulties that veterans experienced in evaluating their posttrauma reactions and in labeling them as PTSD mirror issues that have been raised about the diagnosis of PTSD in the professional literature. (Source: Qualitative Health Research)
Source: Qualitative Health Research - October 5, 2009 Category: Global & Universal Authors: Spoont, M. R., Sayer, N., Friedemann-Sanchez, G., Parker, L. E., Murdoch, M., Chiros, C. Tags: Articles Source Type: journals

"I've Never Not Had it So I Don't Really Know What it's Like Not to": Nondifference and Biographical Disruption Among Children and Young People With Cystic FibrosisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The relevance of biographical disruption and loss of self for children and young people is unclear, particularly in cases of congenital illness such as cystic fibrosis, where no prior period of wellness, stability, or perceived normality might exist. We explored the meaning, importance, and forms of maintenance of ideas of normality among 32 children and young people with cystic fibrosis. We examine the ways in which normalcy is produced, maintained, and threatened, and discuss the implications for the applicability and relevance of these traditional sociological concepts. Analysis of children’s and young people&rsqu...
Source: Qualitative Health Research - October 5, 2009 Category: Global & Universal Authors: Williams, B., Corlett, J., Dowell, J. S., Coyle, J., Mukhopadhyay, S. Tags: Articles Source Type: journals

Family Presence During Resuscitation and Invasive Procedures: The Nurse ExperienceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The purpose of this study was to understand the experiences of nurses who participate with families during resuscitation and invasive procedures in the hospital. Seventeen nurses in a large metropolitan area in the northeastern United States were interviewed about their thoughts and feelings about participating with families during these procedures. Conversations were audiotaped and transcribed verbatim for analysis. Transcripts were analyzed using van Manen’s technique of isolating thematic statements. Four main themes were identified from the data: forging a connection, engaging the family, transition to acceptance...
Source: Qualitative Health Research - October 5, 2009 Category: Global & Universal Authors: Miller, J. H., Stiles, A. Tags: Articles Source Type: journals

Relationships Between Humor, Subversion, and Genuine Connection Among Persons With Severe Mental IllnessEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In this study, a series of interviews focused on humor was completed by 15 individuals with SMI, with narratives analyzed using grounded theory methods.The marginalized and stigmatized social position occupied by persons with SMI was found to affect both the use and meanings of humor. Humor was described as being the subject of clinical scrutiny. Humor was also emphasized as a means of subverting power differentials revolving around the identity of SMI with, for many, the primary goal being the development of "real" and genuine connections with service providers. (Source: Qualitative Health Research)
Source: Qualitative Health Research - October 5, 2009 Category: Global & Universal Authors: Kidd, S. A., Miller, R., Boyd, G. M., Cardena, I. Tags: Articles Source Type: journals

Experiencing Out-of-Hospital Cardiac Arrest: Significant Others' Lifeworld PerspectiveEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
When patients suffer out-of-hospital cardiac arrests (OHCA), significant others find themselves with no choice about being there. After the event they are often left with unanswered questions about the life-threatening circumstances, or the patient’s death, or emergency treatment and future needs. When it is unclear how the care and the event itself will affect significant others’ well-being, prehospital emergency personnel face ethical decisions. In this article we describe the experiences of significant others present at OHCA, focusing on ethical aspects and values. Using a lifeworld phenomenological approach...
Source: Qualitative Health Research - October 5, 2009 Category: Global & Universal Authors: Bremer, A., Dahlberg, K., Sandman, L. Tags: Articles Source Type: journals

Accounts of HIV Seroconversion Among Substance-Using Gay and Bisexual MenEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Statistical associations between substance use and seroconversion among gay and bisexual men abound. However, these associations often ignore men’s own interpretations of their seroconversion. Using in-depth interviews with gay and bisexual men who reported using drugs or alcohol at the time of their seroconversion, we identify how these men explain the events that led to HIV transmission. Whereas a small minority of respondents reported substance use to explain their seroconversion, the majority reported three competing explanations. These participants claimed that they lacked sufficient knowledge about the behavior...
Source: Qualitative Health Research - October 5, 2009 Category: Global & Universal Authors: Aguinaldo, J. P., Myers, T., Ryder, K., Haubrich, D. J., Calzavara, L. Tags: Articles Source Type: journals

Patient Real-Time and 12-Month Retrospective Perceptions of Difficult Communications in the Cancer Diagnostic PeriodEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Communication is a notoriously complex challenge in the cancer care context. Our program of research involves exploration of patient—provider communications across the cancer trajectory from the patient perspective.Toward this end, we have been following a cohort of 60 cancer patients, representing a range of tumor sites, from immediately after diagnosis through to recovery, chronic, or advanced disease. Drawing on interpretive description analytic techniques, we documented patterns and themes related to various components of the cancer journey. In this article, we report on findings pertaining to poor communication ...
Source: Qualitative Health Research - October 5, 2009 Category: Global & Universal Authors: Thorne, S., Armstrong, E.-A., Harris, S. R., Hislop, T. G., Kim-Sing, C., Oglov, V., Oliffe, J. L., Stajduhar, K. I. Tags: Articles Source Type: journals

The Case of the Proliferating ParadigmsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Qualitative Health Research)
Source: Qualitative Health Research - October 5, 2009 Category: Global & Universal Authors: Coulehan, J. Tags: Articles Source Type: journals

The Lived Experience of Hepatitis C and its Treatment Among Injecting Drug Users: Qualitative SynthesisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Hepatitis C virus infection is a stigmatized condition because of its close association with injecting drug use. There is a need to explore how people who inject drugs (IDUs) perceive hepatitis C, including in relation to treatment experience. We undertook a review, using a qualitative synthesis approach, of English-language qualitative research focusing on the lived experience of hepatitis C among IDUs. The review included 25 published articles representing 20 unique studies. A synthesis of this literature generated three interplaying themes: social stigma, biographical adaptation, and medical and treatment encounters. In...
Source: Qualitative Health Research - August 17, 2009 Category: Global & Universal Authors: Treloar, C., Rhodes, T. Tags: Article Source Type: journals

A Cooperative Inquiry Into Action Learning and Praxis Development in a Community Nursing ModuleEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
As nurse lecturers we investigated practice development and action learning approaches aimed at enabling postregistration bachelor’s- and master’s-level nursing students (Community Health Studies, Nursing in the Home) to advance practice in the context of policy and professional developments. A patchwork text was used to assess summatively what students achieved (practice change/development) and how this was informed critically, via an extended epistemology. First-person inquiry supplemented by cooperative inquiry postcourse completion (including reflective discussions with 16 students and 16 practice mentors) ...
Source: Qualitative Health Research - August 17, 2009 Category: Global & Universal Authors: Jenkins, E. R., Mabbett, G. M., Surridge, A. G., Warring, J., Gwynn, E. D. Tags: Article Source Type: journals

Participatory Action Research: Practical Strategies for Actively Engaging and Maintaining Participation in Immigrant and Refugee CommunitiesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In this research we examined the processes involved in implementing and maintaining a participatory action research (PAR) project by uncovering how theoretical PAR tenets hold up in the reality of a community-based project addressing immigrants’ and refugees’ mental health needs. Qualitative data from focus groups with these newcomers were analyzed for thematic content. Findings reveal that active participation is seen as the gateway into a PAR project, whereas knowledge attainment and empowerment are the stimuli for continued participation. The data also suggest that newcomers’ motivations to participate...
Source: Qualitative Health Research - August 17, 2009 Category: Global & Universal Authors: van der Velde, J., Williamson, D. L., Ogilvie, L. D. Tags: Article Source Type: journals

Strengths and Challenges in the Use of Interpretive Description: Reflections Arising From a Study of the Moral Experience of Health Professionals in Humanitarian WorkEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Interpretive description is a qualitative research methodology aligned with a constructivist and naturalistic orientation to inquiry. The aim of interpretive description, a relatively new qualitative methodology, is to generate knowledge relevant for the clinical context of applied health disciplines. To date there has been little discussion in the literature of the particular merits and limitations of this methodological framework. In this article I draw on my experience of using interpretive description as methodology for an inquiry into the moral experience of clinicians in humanitarian work. I identify and discuss stre...
Source: Qualitative Health Research - August 17, 2009 Category: Global & Universal Authors: Hunt, M. R. Tags: Article Source Type: journals

Using Narratives to Understand Older People's Decision-Making ProcessesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article describes how narratives were used not only to help identify decision- and choice-making influences, but also as a way of enhancing the hermeneutic processes associated with constructivism. (Source: Qualitative Health Research)
Source: Qualitative Health Research - August 17, 2009 Category: Global & Universal Authors: Tetley, J., Grant, G., Davies, S. Tags: Article Source Type: journals

Health Materials and Strategies for the Prevention of Immigrants' Weight-Related ProblemsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Existing health education materials dealing with healthy eating, active living, and body image were examined by immigrant parents of elementary school children to determine their relevance, cultural competence, and accessibility. A total of 13 immigrant mothers from Sri Lanka and China participated in a series of three focus groups. Study findings indicate that the present health education materials intended to help prevent weight-related problems could be improved to better meet the needs of new immigrant families. Immigrant mothers who participated in the study expressed their preferences for health education materials a...
Source: Qualitative Health Research - August 17, 2009 Category: Global & Universal Authors: Ferrari, M., Tweed, S., Anneke Rummens, J., Skinner, H. A., McVey, G. Tags: Article Source Type: journals

Professional Satisfaction and Dissatisfaction Among Fiji Specialist Trainees: What Are the Implications for Preventing Migration?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The migration of doctors from developing countries threatens the health status of the populations left behind. This qualitative study was conducted to explore why an unexpected number of Fiji specialist trainees left the public sector, often to migrate, using a lens of professional satisfaction. Forty seven Fiji doctors, including 36 of 66 who undertook specialist training in Fiji, were interviewed about the factors that led to their own professional satisfaction and dissatisfaction. Three major components of professional satisfaction emerged: professional growth, service, and recognition, with considerable overlap between...
Source: Qualitative Health Research - August 17, 2009 Category: Global & Universal Authors: Oman, K. M., Moulds, R., Usher, K. Tags: Article Source Type: journals

"Overeating is Not About the Food": Women Describe Their Experience of a Yoga Treatment Program for Binge EatingEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
As part of a larger mixed-methods study, data from 20 personal journals were analyzed to examine the experience of a 12-week yoga treatment program for binge eating among a sample of 25 women who were obese. Qualitative analysis revealed a positive shift experienced by the women during the program, summarized by a general structural description: disconnection versus connection. Women’s comments suggested that the program appeared to encourage a healthy reconnection to food, as well as the development of physical self-empowerment, through cultivating present-moment awareness. Specifically, women perceived an overall r...
Source: Qualitative Health Research - August 17, 2009 Category: Global & Universal Authors: McIver, S., McGartland, M., O'Halloran, P. Tags: Article Source Type: journals

Competing Motivational Discourses for Weight Loss: Means to Ends and the Nexus of Beauty and HealthEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article concludes with a discussion of the health, social, and policy implications of these findings. (Source: Qualitative Health Research)
Source: Qualitative Health Research - August 17, 2009 Category: Global & Universal Authors: Kwan, S. Tags: Article Source Type: journals

Pubertal Development in Mexican American Girls: The Family's PerspectiveEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Mexican American (MA) girls are entering puberty earlier than in the past, yet few studies have explored the perceptions surrounding puberty among this group. We conducted separate focus groups for fathers, mothers, and daughters aged 6 to 12 years to explore perceptions of body image, pubertal development, communications, and sources of puberty-related information in MA participants. Our results revealed parental concerns about daughters’ weight and pubertal development, as well as differences in their communication with their daughters. Although both parents willingly discussed pubertal issues concerning their daug...
Source: Qualitative Health Research - August 17, 2009 Category: Global & Universal Authors: Thelus Jean, R., Bondy, M. L., Wilkinson, A. V., Forman, M. R. Tags: Article Source Type: journals

Hooking Up and Sexual Risk Taking Among College Students: A Health Belief Model PerspectiveEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
"Hooking up" with friends, strangers, and acquaintances is a popular way for college students to experience sexual intimacy without investing in relationships. Because hooking up often occurs in situations in which prophylactics against sexually transmitted infections (STIs) are not available or in which students’ judgment is impaired, it can involve risky behaviors that compromise student health. As such, in-depth studies of the factors related to sexual risk taking during hookups are needed, to advance preventive research and programming. Based on semistructured interviews with 71 college students about their hooki...
Source: Qualitative Health Research - August 17, 2009 Category: Global & Universal Authors: Downing-Matibag, T. M., Geisinger, B. Tags: Article Source Type: journals

The Significance of Social Engagement in Relocated Older AdultsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Social networks and social support are recognized as important determinants of health. Relocation is a common transition in older adults’ lives that can disrupt existing social networks and challenge seniors to reconstitute these networks. Social engagement is a required component of the process of reconstituting social relationships and of feeling connected. The purpose of this focused ethnographic study was to develop an understanding of the experience of social engagement in relocated residents of a senior-designated apartment building. Data generation included interviews with 19 older adults. Transcribed intervie...
Source: Qualitative Health Research - August 17, 2009 Category: Global & Universal Authors: Dupuis-Blanchard, S., Neufeld, A., Strang, V. R. Tags: Article Source Type: journals

Is the Story Enough?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Qualitative Health Research)
Source: Qualitative Health Research - August 17, 2009 Category: Global & Universal Authors: Thorne, S. E. Tags: Article Source Type: journals

Turning Adolescents Into Analysts of Their Own Discourse: Raising Reflexive Awareness of Everyday Talk to Develop Peer-Based Health ActivitiesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Adopting principles applied in discursive psychology and translated to suit the practice of participatory health education, we describe in this article the five steps of the discursive action method (DAM). With this method, adolescents are stimulated to explore their own everyday conversations to become consciously aware of how they talk about health issues with their peers. Using detailed accounts of adolescents' experiences with the method, we present some first indications of the kinds of results this method can achieve. We show that the strength of the method specifically lies in two closely related domains: (a) stimul...
Source: Qualitative Health Research - July 27, 2009 Category: Global & Universal Authors: Lamerichs, J., Koelen, M., te Molder, H. Tags: Article Source Type: journals

Studying Narrative-in-Action in Women With Chronic Rheumatic ConditionsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In this article we aim to sculpt a possible methodology for studying how a good everyday life comes about when living with chronic rheumatic conditions (CRC). Our "how" focus acknowledges a woman with CRC as one member of a diverse population, whereby we question the biomedically based view that she differs from the population. The more frequently asked "what" question colors study designs and results in categories and characteristics regarding what she is able to do and what adaptations she has made in everyday life as a consequence of her disease. Adopting a narrative approach, we ask how a good everyday life comes about...
Source: Qualitative Health Research - July 27, 2009 Category: Global & Universal Authors: Alsaker, S., Bongaardt, R., Josephsson, S. Tags: Article Source Type: journals

Experiencing Cancer in Old Age: A Qualitative Systematic ReviewEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Our purpose in this study was to find, report, and interpret the results of qualitative studies which investigated the experiences of older people living with cancer. We conducted systematic literature searches, identified and extracted the findings from 11 studies, and analyzed them systematically. We interpreted the findings to suggest that living with cancer in old age is to live in a perpetual state of ambiguity. The experience is characterized by a sense of disintegration, diminished identity, suffering, and social retraction. These experiences are balanced by sources of comfort and strength found within the self and ...
Source: Qualitative Health Research - July 27, 2009 Category: Global & Universal Authors: Hughes, N., Closs, S. J., Clark, D. Tags: Article Source Type: journals

The Experience of Kidney Graft Failure: Patients' PerspectivesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In this article we describe the phenomenon of kidney graft failure from the unique perspective of patients. Fifteen patients took part in semistructured interviews. We analyzed interviews using interpretative phenomenological analysis. The content analysis yielded five main emergent themes: life disruption, suffering, meaning making, resistance/acceptance, and social comparison. These results are discussed within the theoretical framework of psychosocial transition put forward by Parkes. A comprehensive description of the experience of kidney graft failure emerging from the patients' perspectives can provide a better under...
Source: Qualitative Health Research - July 27, 2009 Category: Global & Universal Authors: Ouellette, A., Achille, M., Paquet, M. Tags: Article Source Type: journals

Making Sense of Living Under the Shadow of Death: Adjusting to a Recurrent Breast Cancer IllnessEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Women with recurrent breast cancer face many difficulties and challenges, from clinical symptoms of disease progression and treatment to a range of emotional responses. Guided by grounded theory methodology, we explored the main concerns of women with recurrent breast cancer, and how they were dealing with their situations. Data were collected from 40 in-depth interviews with 20 women diagnosed with recurrent breast cancer. The core category illustrated the process of "making sense of living under the shadow of death," and was based on the women's experiences of adjusting to living with a persistent life-threatening illnes...
Source: Qualitative Health Research - July 27, 2009 Category: Global & Universal Authors: Sarenmalm, E. K., Thoren-Jonsson, A.-L., Gaston-Johansson, F., Ohlen, J. Tags: Article Source Type: journals

Hospitalization for Type 2 Diabetes: The Effects of the Suspension of Reality on Patients' Subsequent Management of Their ConditionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Hospitalization still plays a major part in the management of uncontrolled type 2 diabetes and its complications. In this article, we assess the effects of self-management education on the individual practices of 42 patients after discharge from specialized diabetes units on the French island of Reunion. Hospitalization offers respite and temporarily suspends the realities of daily life. When patients leave the unit where they have acquired new knowledge and practices, the extent to which the latter can be maintained depends on the practice in question, the individual's circumstances, and his or her social relationships an...
Source: Qualitative Health Research - July 27, 2009 Category: Global & Universal Authors: Balcou-Debussche, M., Debussche, X. Tags: Article Source Type: journals

Examining the Meaning Attached to Mental Illness and Mental Health Services Among Justice System-Involved Youth and Their ParentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In this study, we used a process-focused framework of mental health decision making to gain insight into the use of mental health services among these youth. In-depth interviews were conducted with nine youth and nine parents participating in a program servicing youth with mental health problems who have been in detention. Themes related to problem recognition, the decision to seek and participate in services, subjective norms, and juvenile justice system involvement emerged. Most families acknowledged their youth was having problems, but few defined those problems in mental health terms. This did not prevent them from see...
Source: Qualitative Health Research - July 27, 2009 Category: Global & Universal Authors: Watson, A. C., Kelly, B. L., Vidalon, T. M. Tags: Article Source Type: journals

Making New Meanings of Being in the World After Treatment for Oral CancerEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
When the mouth is affected by cancer, difficulties in satisfying basic human needs such as eating, tasting, swallowing, and speaking might arise, and the existential significance of the mouth might become obvious. How does it feel to live with these difficulties? What does it mean to be a human being living with the consequences of oral cancer? Five patients with oral cancer were interviewed a median time of 4 years after the beginning of treatment. A hermeneutic research approach was used to understand, explain, and interpret the transcribed interviews and showed how the consequences of oral cancer affected the being-in-t...
Source: Qualitative Health Research - July 27, 2009 Category: Global & Universal Authors: Roing, M., Hirsch, J.-M., Holmstrom, I., Schuster, M. Tags: Article Source Type: journals

Coping With HIV: Caribbean People in the United KingdomEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Although Caribbean people in the United Kingdom are increasingly being affected by HIV/AIDS, there has been no examination of how they are coping with the illness. We investigate the coping strategies of HIV-positive Caribbean people using in-depth interviews with a purposively selected group of 25 residents of South London. The main coping strategies were more cognitive than behavioral: restricted disclosure, submersion, faith, and positive reappraisal. These strategies were intertwined in complex ways, and most were rooted in contextual factors, particularly cultural ones. Themes of loss, silence, and reinvention suffuse...
Source: Qualitative Health Research - July 27, 2009 Category: Global & Universal Authors: Anderson, M., Elam, G., Solarin, I., Gerver, S., Fenton, K., Easterbrook, P. Tags: Article Source Type: journals

Intuition, Subjectivity, and Le Bricoleur: Cancer Patients' Accounts of Negotiating a Plurality of Therapeutic OptionsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Cancer patients are now combining complementary and alternative medicine (CAM) with biomedical cancer treatments, reflecting an increasingly pluralistic health care environment. However, there has been little research done on the ways in which cancer patients juggle multiplicity in claims to expertise, models of disease, and therapeutic practice. Drawing on the accounts of cancer patients who use CAM, in this article I develop a conceptualization of therapeutic decision making, utilizing the notion of bricolage as a key point of departure. The patient accounts illustrate the "piecing together" (or bricolage) of therapeutic...
Source: Qualitative Health Research - July 27, 2009 Category: Global & Universal Authors: Broom, A. Tags: Article Source Type: journals

Mind and Body Management Strategies for Chronic Pain and Rheumatoid ArthritisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Chronic pain (CP) and rheumatoid arthritis (RA) pose particular challenges for the individual. Although biomedicine inevitably plays a role in the reduction or control of some symptoms for people living with chronic pain, directed self-management is also increasingly recognized as an important tool. Self-management can address pain-associated symptoms of CP and RA, and often has broader aims, such as promoting positive well-being. Forty-six interviews with people experiencing CP and 46 interviews with those living with RA-associated pain were analyzed. Our analysis uncovered three broad strategies adopted by participants: ...
Source: Qualitative Health Research - July 27, 2009 Category: Global & Universal Authors: Shariff, F., Carter, J., Dow, C., Polley, M., Salinas, M., Ridge, D. Tags: Article Source Type: journals