Journal Articles

Permanent URI for this collectionhttps://mro.massey.ac.nz/handle/10179/7915

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Start date: 2020Subject: search.filters.subject.Qualitative research

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    New Zealand women’s experiences of managing gestational diabetes through diet: a qualitative study
    (BioMed Central Ltd, part of Springer Nature (London), 2021-12) Lawrence RL; Ward K; Wall CR; Bloomfield FH
    Background: For women with gestational diabetes mellitus (GDM) poor dietary choices can have deleterious consequences for both themselves and their baby. Diet is a well-recognised primary strategy for the management of GDM. Women who develop GDM may receive dietary recommendations from a range of sources that may be inconsistent and are often faced with needing to make several dietary adaptations in a short period of time to achieve glycaemic control. The aim of this study was to explore how women diagnosed with GDM perceive dietary recommendations and how this information influences their dietary decisions during pregnancy and beyond. Methods: Women diagnosed with GDM before 30 weeks’ gestation were purposively recruited from two GDM clinics in Auckland, New Zealand. Data were generated using semi-structured interviews and thematic analysed to identify themes describing women’s perceptions and experiences of dietary recommendations for the management of GDM. Results: Eighteen women from a diverse range of sociodemographic backgrounds participated in the study. Three interconnected themes described women’s perceptions of dietary recommendations and experiences in managing their GDM through diet: managing GDM is a balancing act; using the numbers as evidence, and the GDM timeframe. The primary objective of dietary advice was perceived to be to control blood glucose levels and this was central to each theme. Women faced a number of challenges in adhering to dietary recommendations. Their relationships with healthcare professionals played a significant role in their perception of advice and motivation to adhere to recommendations. Many women perceived the need to follow dietary recommendations to be temporary, with few planning to continue dietary adaptations long-term. Conclusions: The value of empathetic, individually tailored advice was highlighted in this study. A greater emphasis on establishing healthy dietary habits not just during pregnancy but for the long-term health of both mother and baby is needed.
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    ‘All Four Engines Have Failed’: A qualitative study of the health impacts, reactions and behaviours of passengers and crew onboard flight BA009 which flew through a volcanic ash cloud in 1982
    (Elsevier Ltd, 2025-06-15) Meach R; Horwell CJ; de Terte I
    This study investigated the experiences, health impacts and behaviours of passengers and crew onboard British Airways flight BA009 which flew through a volcanic ash cloud from Mount Galunggung, Indonesia, in 1982. In addition to secondary data sources, including a book published by one of the passengers, 18 semi-structured interviews were completed (14 passengers, 2 flight crew and 2 cabin crew) which were video recorded and transcribed verbatim. Data were analysed using reflexive thematic analysis to examine the experiences, behaviours, and actions of those onboard, and the health impacts of exposure to volcanic emissions. Our analysis identified five key themes which explain how people onboard flight BA009 responded: 1) Responsibility, 2) Airmanship and prior knowledge of aviation, 3) Upbringing and cultural background, 4) Faith and 5) Behaviour of the crew. Our study found few physical health impacts associated with the exposure to the ‘smoke’ and, despite individual cases of distress, there was no mass panic onboard the aircraft. Our findings highlight valuable information on passenger and crew behaviour in aviation crises, the risks of volcanic ash clouds to aviation, and have practical implications for aviation disaster management, planning and communication.
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    Revolutionising educational technology: The imperative for authentic qualitative research
    (Elsevier Ltd., 2024-08-17) Heinrich E
    The field of educational technology research has been described as dominated by quantitative approaches, superficial and lacking methodological capacity. Calls for more qualitative research and for bringing researchers from diverse backgrounds together have been made to contribute towards solving complex educational challenges. This research employed a critical methodological literature review to examine 1538 research articles published in 2021 editions of 13 top educational technology research journals and identified 168 qualitative and 231 mixed research articles. Applying a research description framework, a detailed study of these two subsets shows that only half of the articles describe their research design and even less address researcher beliefs (31.5% for qualitative, 6.5% for mixed research). Of the mixed research articles, only 20% demonstrate strong qualitative characteristics. The detailed examination of the methodological descriptions undertaken in this research highlights that prior reviews overestimate the qualitative characteristics of especially mixed research studies and that those studies in general do not have the methodological underpinning required for drawing on different perspectives. The article contributes a simplified framework for the description of research approaches which can be used by editors to outline their expectations for research descriptions in a way accessible to prospective authors from a wide variety of backgrounds. The article calls on journal editors to proactively facilitate publication of educational technology research that brings together researchers from different substantive areas and belief systems. Articles that provide authentic qualitative research that is rigorously defended will offer new conceptualizations for addressing the complex challenges educational technologies aim to address.
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    How research agendas are framed: Insights for leadership, learning and spillover in science teams
    (Elsevier B V, 2024-09) O'Kane C; Mangematin V; Zhang JA; Haar J
    Research agendas in science are fundamentally important to the generation of new knowledge and innovation. Yet, there remains a lack of scholarly attention and poor understanding on how science teams engage with research agendas in ways that influence their development. New insights are needed to better understand the factors that contribute to research agenda development and adaptation. In this paper, we draw on the framing perspective to explore how research agendas are framed in science teams over time. Research agendas can be understood as collective action frames within science teams that mobilize, guide, and coordinate the transformation of innovative but abstract science aspirations into something more concrete. Our research utilises a longitudinal case study analysis of two science teams over seven years (2016–2022). Our findings provide several new insights. First, we detail two ways in which research agendas are framed. Through centralised framing, research agendas are embodied and dictated by a visionary science team leader. In contrast, through decentralised framing, team leadership is weakly enacted and multiple team members discuss and deliberate the composition and direction of the research agenda. Second, we show centralised and decentralised approaches to framing enable and constrain the reframing and transformation of research agendas. Third, we demonstrate centralised and decentralised framing of research agendas are respectively stabilised by passive and active team learning environments across three areas: research agenda responsibility and accountability, nature of autonomy, and leadership development pathways. Finally, we theorise that, to enhance spillover, leaders who centralise framing of the research agenda need to balance between the benefits of reframing efficiency, and enabling greater team interaction and opportunities for S&T human capital development. On the other hand, when framing of research agendas is decentralised, team leaders need to balance between the benefits of team collaboration and leader development, and path dependent decision making. These insights lead to propositions that offer implications for theory and practice.
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    Conceptualizing eating disorder recovery research: Current perspectives and future research directions
    (BioMed Central Ltd, 2022-11-15) Hower H; LaMarre A; Bachner-Melman R; Harrop EN; McGilley B; Kenny TE
    Background How we research eating disorder (ED) recovery impacts what we know (perceive as fact) about it. Traditionally, research has focused more on the “what” of recovery (e.g., establishing criteria for recovery, reaching consensus definitions) than the “how” of recovery research (e.g., type of methodologies, triangulation of perspectives). In this paper we aim to provide an overview of the ED field’s current perspectives on recovery, discuss how our methodologies shape what is known about recovery, and suggest a broadening of our methodological “toolkits” in order to form a more complete picture of recovery. Body This paper examines commonly used methodologies in research, and explores how incorporating different perspectives can add to our understanding of the recovery process. To do this, we (1) provide an overview of commonly used methodologies (quantitative, qualitative), (2) consider their benefits and limitations, (3) explore newer approaches, including mixed-methods, creative methods (e.g., Photovoice, digital storytelling), and multi-methods (e.g., quantitative, qualitative, creative methods, psycho/physiological, behavioral, laboratory, online observations), and (4) suggest that broadening our methodological “toolkits” could spur more nuanced and specific insights about ED recoveries. We propose a potential future research model that would ideally have a multi-methods design, incorporate different perspectives (e.g., expanding recruitment of diverse participants, including supportive others, in study co-creation), and a longitudinal course (e.g., capturing cognitive and emotional recovery, which often comes after physical). In this way, we hope to move the field towards different, more comprehensive, perspectives on ED recovery. Conclusion Our current perspectives on studying ED recovery leave critical gaps in our knowledge about the process. The traditional research methodologies impact our conceptualization of recovery definitions, and in turn limit our understanding of the phenomenon. We suggest that we expand our range of methodologies, perspectives, and timeframes in research, in order to form a more complete picture of what is possible in recovery; the multiple aspects of an individual’s life that can improve, the greater number of people who can recover than previously believed, and the reaffirmation of hope that, even after decades, individuals can begin, and successfully continue, their ED recovery process.
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    The role of cannabis clinics in the health system: a qualitative study of physicians' views in New Zealand
    (BioMed Central Ltd, 2023-01-04) Withanarachchie V; Rychert M; Wilkins C
    Background Privately-owned cannabis clinics have sprung up in many jurisdictions where medicinal cannabis has been legalised and provide an alternative pathway for patients who are unable or unwilling to access a prescription for cannabis-based medicinal products from their usual healthcare providers. Aims This study aimed to explore physicians’ views on cannabis clinics, including their perceptions of the role cannabis clinics play in the wider health system. Methods A qualitative study using in-depth, semi-structured interviews with thirty-one physicians affiliated with private and community clinics in New Zealand (including cannabis clinicians, GPs, and specialist doctors). The interviews were conducted from July to December 2021. Data were transcribed and analysed using inductive thematic analysis. Results Cannabis clinicians positioned themselves as (1) “service providers”, facilitating consumer access to cannabis prescriptions and products, and (2) “educators”, providing advice to patients and the wider physician community. While general practitioners and specialists recognised the benefits of specialised cannabis clinics (i.e., knowledge of products and a non-judgmental environment), they questioned the limited evidence of clinical efficacy for cannabis, potential financial conflicts of interests of cannabis clinicians that may blur their clinical judgement, and the risk of compartmentalising patients’ healthcare. Conclusions Our paper raises a number of challenges with attempting to integrate cannabis clinics into the wider health system.
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    Implications of male circumcision for women in Papua New Guinea: a transformational grounded theory study
    (BioMed Central, 27/07/2017) Redman MacLaren M; Mills JE; Tommbe R; MacLaren; Speare R; McBride WJ
    BACKGROUND: Male circumcision reduces the risk of female-to-male transmission of human immunodeficiency virus (HIV) and is being explored for HIV prevention in Papua New Guinea (PNG). PNG has a concentrated HIV epidemic which is largely heterosexually transmitted. There are a diverse range of male circumcision and penile modification practices across PNG. Exploring the implications of male circumcision for women in PNG is important to inform evidence-based health policy that will result in positive, intended consequences. METHODS: The transformational grounded theory study incorporated participatory action research and decolonizing methodologies. In Phase One, an existing data set from a male circumcision study of 861 male and 519 female participants was theoretically sampled and analyzed for women's understanding and experience of male circumcision. In Phase Two of the study, primary data were co-generated with 64 women in seven interpretive focus group discussions and 11 semi-structured interviews to develop a theoretical model of the processes used by women to manage the outcomes of male circumcision. In Phase Three participants assisted to refine the developing transformational grounded theory and identify actions required to improve health. RESULTS: Many women know a lot about male circumcision and penile modification and the consequences for themselves, their families and communities. Their ability to act on this knowledge is determined by numerous social, cultural and economic factors. A transformational grounded theory was developed with connecting categories of: Women Know a Lot, Increasing Knowledge; Increasing Options; and Acting on Choices. Properties and dimensions of each category are represented in the model, along with the intervening condition of Safety. The condition of Safety contextualises the overarching lived realty for women in PNG, enables the inclusion of men in the transformational grounded theory model, and helps to explain relationships between men and women. The theory presents the core category as Power of Choice. CONCLUSIONS: This transformational grounded theory provides a means to explore how women experience male circumcision and penile modification in PNG, including for HIV prevention. Women who have had opportunities for education have a greater range of choices and an increased opportunity to act upon these choices. However, women can only exercise their power of choice in the context of safety. The concept of Peace drawn from the Social Determinants of Health is applied in order to extend the explanatory power of the transformational grounded theory. This study shows that women's ambivalence about male circumcision is often related to lack of safety, a consequence of gender inequality in PNG.