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Applications of mixed-methods methodology in clinical pharmacy research

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Abstract

Introduction Mixed-methods methodology, as the name suggests refers to mixing of elements of both qualitative and quantitative methodologies in a single study. In the past decade, mixed-methods methodology has gained popularity among healthcare researchers as it promises to bring together the strengths of both qualitative and quantitative approaches. Methodology A number of mixed-methods designs are available in the literature and the four most commonly used designs in healthcare research are: the convergent parallel design, the embedded design, the exploratory design, and the explanatory design. Each has its own unique advantages, challenges and procedures and selection of a particular design should be guided by the research question. Guidance on designing, conducting and reporting mixed-methods research is available in the literature, so it is advisable to adhere to this to ensure methodological rigour. When to use it is best suited when the research questions require: triangulating findings from different methodologies to explain a single phenomenon; clarifying the results of one method using another method; informing the design of one method based on the findings of another method, development of a scale/questionnaire and answering different research questions within a single study. Two case studies have been presented to illustrate possible applications of mixed-methods methodology. Limitations Possessing the necessary knowledge and skills to undertake qualitative and quantitative data collection, analysis, interpretation and integration remains the biggest challenge for researchers conducting mixed-methods studies. Sequential study designs are often time consuming, being in two (or more) phases whereas concurrent study designs may require more than one data collector to collect both qualitative and quantitative data at the same time.

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References

  1. Pope C, Mays N. Reaching the parts other methods cannot: an introduction to qualitative methods in health and health services research. BMJ. 1995;311:42–5.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  2. O’Cathain A, Murphy E, Nicholl J. Integration and publications as indicators of ‘yield’ from mixed methods studies. J Mix Methods Res. 2007;1:147–63.

    Article  Google Scholar 

  3. Creswell WJ, Plano Clark VL. Designing and conduction mixed methods research. 2nd ed. Thousand Oaks: Sage Publications; 2011.

    Google Scholar 

  4. Johnson RB, Onwuebuzie AJ. Mixed-methods research: a research paradigm whose time has come. Educ Res. 2004;33:14–26.

    Article  Google Scholar 

  5. Tashakkori A, Creswell JW. Editorial: the new era of mixed methods. J Mix Methods Res. 2007;1:3–7.

    Article  Google Scholar 

  6. Johnson RB, Onwuegbuzie AJ, Turner LA. Toward a definition of mixed methods research. J Mix Methods Res. 2007;1:112–33.

    Article  Google Scholar 

  7. Poses RM, Isen AM. Quantitative research in medicine and healthcare: questions and controversy. J Gen Intern Med. 1998;13:32–8.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Hadi MA, Alldred DP, Briggs M, Closs SJ. Mixed methods research in pharmacy practice: basics and beyond (Part 1). Int J of Pharm Pract. 2013;21:341–5.

    Article  Google Scholar 

  9. Hadi MA, Alldred DP, Briggs M, Closs SJ. Mixed-methods research in pharmacy practice: recommendations for quality reporting (Part 2). Int J Pharm Pract. 2014;22:96–100.

    Article  PubMed  Google Scholar 

  10. Teddlie C, Tashakkaori A. A general typology of research designs featuring mixed methods. Res Sch. 2006;13:12–8.

    Google Scholar 

  11. Morse JM, Niehaus L. Mixed methods design: principles and procedures. Walnut Creek: Left Coast Press; 2009.

    Google Scholar 

  12. Greene JC, Caracelli VJ, Graham WF. Toward a conceptual framework for mixed method evaluation designs. Educ Eval Policy Anal. 1989;11:255–74.

    Article  Google Scholar 

  13. Leech NL, Onwuegbuzie AJ. A typology of mixed methods research designs. Qual Quant. 2007;43:265–75.

    Article  Google Scholar 

  14. Tiddlie C, Tashakkaori A. Foundations of mixed methods research. Thousand OAKS: Sage Publications; 2009.

    Google Scholar 

  15. Morse JM. Approaches to qualitative quantitative methodological triangulation. Nurs Res. 1991;40:120–3.

    Article  CAS  PubMed  Google Scholar 

  16. Tashakkori A, Teddlie C. Mixed methodology: combining qualitative and quantitative approaches. Thousand Oaks: Sage Publications; 1998.

    Google Scholar 

  17. O’Cathain A, Murphy E, Nicholl J. The quality of mixed methods studies in health services research. J Health Serv Res Policy. 2008;13:92–8.

    Article  PubMed  Google Scholar 

  18. Schifferdecker KD, Reed VA. Using mixed methods research in medical education: basic guidelines for researchers. Med Educ. 2009;43:637–44.

    Article  PubMed  Google Scholar 

  19. Leech NL, Onwuebuzie AJ. Guidelines for conducting and reporting mixed research in the field of counseling and beyond. J Couns Dev. 2010;88:61–9.

    Article  Google Scholar 

  20. Curry LA, Krumholz HM, O’Cathain A, Plano-Clark VL, Cherlin E, Bradley EH. Mixed methods in biomedical and health services research. Circ Cardiovasc Qual Outcomes. 2013;6:119–23.

    Article  PubMed  PubMed Central  Google Scholar 

  21. O’Cathain A, Murphy E, Nicholl J. Three techniques for integrating data in mixed methods studies. BMJ. 2010;341:c4587.

    Article  PubMed  Google Scholar 

  22. Irwin A, Weidmann AE. A mixed methods investigation into the use of non-technical skills by community and hospital pharmacists. Res Soc Adm Pharm. 2014;. doi:10.1016/j.sapharm.2014.11.006.

    Google Scholar 

  23. Witry MJ, Wesely PM, Goedken AM, Ernst EJ, Sorofman BA, Doucette WR. Development of a medication attitude monitoring measure using a mixed methods item development process. Int J Pharm Pract. 2015;. doi:10.1111/ijpp.12185.

    PubMed  Google Scholar 

  24. Hadi MA, Alldred DP, Briggs M, Closs SJ, Marczewski K. Mixed methods evaluation of nurse-pharmacist managed pain clinic: design, rationale and limitations. Can Pharm J. 2013;46:1–5.

    Google Scholar 

  25. Hadi MA, Alldred DP, Briggs M, Marczewski K, Closs SJ. Effectiveness of a community based nurse-pharmacist managed pain clinic: a mixed-methods study. Int J Nurs Stud. 2015;. doi:10.1016/j.ijnurstu.2015.09.003.

    PubMed  Google Scholar 

  26. Kaufmann CP, Stämpfli D, Hersberger KE, Lampert ML. Determination of risk factors for drug-related problems: a multidisciplinary triangulation process. BMJ Open. 2015;5:e006376. doi:10.1136/bmjopen-2014-006376.

    Article  PubMed  PubMed Central  Google Scholar 

  27. Pollini RA, Lozada R, Gallardo M, et al. Barriers to pharmacy-based syringe purchase among injection drug users in Tijuana, Mexico: a mixed methods study. AIDS Behav. 2010;14(3):679–87.

    Article  PubMed  PubMed Central  Google Scholar 

  28. Craig P, Dieppe P, Macintyre S et al. Developing and evaluating complex interventions: new guidance. 2008. www.mrc.ac.uk/complexinterventionsguidance. Accessed May 6, 2015).

  29. Parker CP, Cunningham CL, Carter BL, Vander Weg MW, Richardson KK, Rosenthal GE. A mixed method approach to evaluate a pharmacist intervention for veterans with hypertension. J Clin Hypertens. 2014;16:133–40.

    Article  Google Scholar 

  30. Harris AD, Bradham DD, Baumgarten M, Zuckerman IH, Fink JC, Perencevich EN. The use and interpretation of Quasi-experimental studies in infectious diseases. Clinic Infect Dis. 2004;38:1586–91.

    Article  Google Scholar 

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Hadi, M.A., Closs, S.J. Applications of mixed-methods methodology in clinical pharmacy research. Int J Clin Pharm 38, 635–640 (2016). https://doi.org/10.1007/s11096-015-0231-z

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