Advancing qualitative health research approaches in applied nutrition research.
applied health research
focused ethnography
interpretive description |case study
qualitative description
research methods
Journal
Journal of human nutrition and dietetics : the official journal of the British Dietetic Association
ISSN: 1365-277X
Titre abrégé: J Hum Nutr Diet
Pays: England
ID NLM: 8904840
Informations de publication
Date de publication:
04 2022
04 2022
Historique:
received:
31
08
2021
accepted:
04
01
2022
pubmed:
9
1
2022
medline:
19
4
2022
entrez:
8
1
2022
Statut:
ppublish
Résumé
Applied health research methods are evolving to meet the demands of increasingly complex health research needs. Qualitative health research, focused on individual perspectives of health, wellness, illness and recovery, has emerged as a unique discipline of this field. With distinct foci, methods and rules, qualitative health research has the potential to answer applied health research questions to inform practice, education and policy. Despite this potential, there are challenges to the application of qualitative health research methods in nutrition and dietetics research. These include limited training and mentorship availability for the rigorous application of these methods, as well as misaligned goals between the traditional social science-based qualitative approaches and emerging applied nutrition science needs. Recognising these limitations, this review aims to provide guidance to the nutrition scientist conducting applied qualitative health research. Using nutrition and dietetic examples from the literature, this review defines qualitative health research and advances the Emphasis-Purposeful sample-Phenomenon of interest-Context (EPPiC) framework as a tool for constructing structured overarching research questions and introduces four qualitative health research designs (qualitative description, interpretive description, case study and focused ethnography) relevant to applied nutrition science. This includes guidance on defining the sample, identifying strategies for data collection, analytic techniques and data reporting.
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
376-387Subventions
Organisme : CIHR
Pays : Canada
Informations de copyright
© 2022 The British Dietetic Association Ltd.
Références
Swift JA, Tischler V. Qualitative research in nutrition and dietetics: getting started. J Hum Nutr Diet. 2010;23:559-66.
Draper A, Swift JA. Qualitative research in nutrition and dietetics: data collection issues. J Hum Nutr Diet. 2011;24:3-12.
Fade SA, Swift JA. Qualitative research in nutrition and dietetics: data analysis issues. J Hum Nutr Diet. 2011;24:106-14.
Pilnick A, Swift JA. Qualitative research in nutrition and dietetics: assessing quality. J Hum Nutr Diet. 2011;24:209-14.
Palermo C, Reidlinger DP, Rees CE. Internal coherence matters: lessons for nutrition and dietetics research. Nutr Diet. 2021;78:252-67.
Thorne SE. Interpretive description. SAGE Publications; 2008.
Morse JM. Qualitative health research: creating a new discipline. Routledge; 2012.
Johnston BC, Seivenpiper JL, Vernooij RWM, de Souza RJ, Jenkins DJA, Zeraatkar D, et al. The philosophy of evidence-based principles and practice in nutrition. Mayo Clin Proc Innov Qual Outcomes. 2019;3:189-99.
Jack SM, Campbell K, Landeen J & Strachan P Development of a focused overarching qualitative research study question: application of the EPPiC framework. Presented at the Qualitative Report 10th Annual Conference; 2019.
Luciani M, Campbell K, Tschirhart H, Ausili D, Jack SM. How to design a qualitative health research study. Part 1: design and purposeful sampling considerations. Prof Inferm. 2019;72(2):152-61.
O'Brien BC, Harris IB, Beckman TJ, Reed DA, Cook DA. Standards for reporting qualitative research. Acad Med. 2014;89:1245-51.
Hammond GK, Chapman GE, Barr SI. Healthy midlife Canadian women: how bone health is considered in their food choice systems. J Hum Nutr Diet. 2011;24:61-7.
McMahon AT, O'Shea J, Tapsell L, Williams P. What do the terms wellness and wellbeing mean in dietary practice: an exploratory qualitative study examining women's perceptions. J Hum Nutr Diet. 2014;27:401-10.
Satherley R-M, Higgs S, Howard R. Disordered eating patterns in coeliac disease: a framework analysis. J Hum Nutr Diet. 2017;30:724-36.
Bradshaw C, Atkinson S, Doody O. Employing a qualitative description approach in health care research. Global Qual Nurs Res. 2017;4:2333393617742282.
Sandelowski M. What's in a name? Qualitative description revisited. Res Nurs Health. 2010;33:77-84.
Chafe R. The value of qualitative description in health services and policy research. Healthc Policy Politiques De Sante. 2017;12:12-8.
Collins J, Huggins CE, Porter J, Palermo C. Factors influencing hospital foodservice staff's capacity to deliver a nutrition intervention. Nutr Diet. 2017;74:129-37.
Endevelt R, Gesser-Edelsburg A. A qualitative study of adherence to nutritional treatment: perspectives of patients and dietitians. Patient Prefer Adher. 2014;8:147-54.
Morgan K, Reidlinger DP, Sargeant S, Crane L, Campbell KL. Challenges in preparing the dietetics workforce of the future: an exploration of dietetics educators’ experiences. Nutr Diet. 2019;76:382-91.
Patton ME. Qualitative research and evaluation methods. 4th ed. Sage Publications; 2014.
Sandelowski M. Whatever happened to qualitative description? Res Nurs Health. 2000;23:334-40.
Colorafi KJ, Evans B. Qualitative descriptive methods in health science research. Herd Heal Environ Res Des J. 2016;9:16-25.
Hsieh H-F, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res. 2005;15:1277-88.
Vaismoradi M, Turunen H, Bondas T. Content analysis and thematic analysis: implications for conducting a qualitative descriptive study. Nurs Amp Heal Sci. 2013;15:398-405.
Hamilton AB, Finley EP. Qualitative methods in implementation research: an introduction. Psychiat Res. 2019;280:112516.
Hamilton AB, Brunner J, Cain C, Chuang E, Luger TM, Canelo I, et al. Engaging multilevel stakeholders in an implementation trial of evidence-based quality improvement in VA women's health primary care. Transl Behav Med. 2017;7:478-85.
Thorne SE. Interpretive description: qualitative research for applied practice. Routledge Taylor & Francis Group; 2016.
Thorne S, Kirkham SR, O'Flynn-Magee K. The analytic challenge in interpretive description. Int J Qual Meth. 2004;3:1-11.
Kandasamy S, Nguyen L, Desai D, Anand SS, Sherifali D, de Souza RJ. Barriers to, and facilitators of, lifestyle changes to prevent gestational diabetes: an interpretive description of South Asian women and health-care providers living and working in Southern Ontario, Canada. Can J Diabetes. 2021;45:144-54.
Ng B, Chapman GE, Levy-Milne R, Balneaves LG. Exploring the dietary choices of Chinese women living with breast cancer in Vancouver, Canada. Support Care Cancer. 2021;29:1675-81.
Woodruff K, Clark L, Joy E, Summers SA, Metos JM, Clark N, et al. An interpretive description of women's experience in coordinated, multidisciplinary treatment for an eating disorder. Global Qual Nurs Res. 2020;7:2333393620913271.
Thorne SE. (2014). Applied interpretive approaches. In: Leavy P, editor. The Oxford handbook of qualitative research, 2nd ed. Oxford University Press; 2014. https://doi.org/10.1093/oxfordhb/9780190847388.013.14
Burdine JT, Thorne S, Sandhu G. Interpretive description: a flexible qualitative methodology for medical education research. Med Educ. 2021;55:336-43.
Faulkner SL, Trotter SP. (2017). Theoretical saturation. In: Matthes J, Davis CS, Potter RF, editors. The international encyclopedia of communication research methods. Hoboken, NJ, USA: John Wiley & Sons, Inc. 2017. pp. 1-2. https://doi.org/10.1002/9781118901731.iecrm0250
Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3:77-101.
Clarke V, Braun V. Using thematic analysis in counselling and psychotherapy research: a critical reflection. Couns Psychotherapy Res. 2018;18:107-10.
Campbell K, Orr E, Durepos P, Nguyen L, Li L, Whitmore C, et al. Reflexive thematic analysis for applied qualitative health research. Qual Rep. 2021. https://doi.org/10.46743/2160-3715/2021.5010
Creswell JW, Poth CN. Qualitative inquiry and research design: choosing among five approaches. Sage Publication; 2018.
Baxter P, Jack S. Qualitative case study methodology: study design and implementation for novice researchers. Qual Rep. 2008;13:544-59.
Yin RK. Case study researcher design and methods. 5th ed. Sage Publications; 2014.
Stake RE. Multiple case study analysis. Guilford Press; 2006.
Merriam SB. Qualitative research: A guide to design and implementation. John Wiley & Sons; 2009.
Sibbald SL, Paciocco S, Fournie M, Van Asseldonk R, Scurr T. Continuing to enhance the quality of case study methodology in health services research. Healthc Manage Forum. 2021;34:291-96.
Yazan B. Three approaches to case study methods in education: Yin, Merriam, and Stake. Qual Rep. 2015;20:134-52.
Hancock DR, Algozzine B. Doing case study research: a practical guide for beginning researchers. 3rd ed. Teachers College Press; 2016.
Jones NE, Suurdt J, Ouelette-Kuntz H, Heyland DK. (2007). Implementation of the Canadian clinical practice guidelines for nutrition support: a multiple case study of barriers and enablers. Nutr Clin Pract. 2007;22:449-57.
Pelly FE, Tweedie J. Inclusion of nutrition expertise in catering operations at a major global sporting event: a qualitative case study using a foodservice systems approach. J Acad Nutr Diet. (in press) 2021;121:121-133.e1.
Abery E, Drummond C. Implementation of mandatory nutritional guidelines in South Australian primary school canteens: a qualitative study. Improving Schools. 2014;17:41-53.
Whitmore C, Baxter PE, Kaasalainen S, Ploeg J. Protocol for a case study to explore the transition to practice of new graduate nurses in long-term care. SAGE Open Nurs. 2018;4: 1-11. https://doi.org/10.1177/2377960818797251
Miles MB, Huberman AM, Saldaña J. Qualitative data analysis: a methods sourcebook. 3rd ed. Sage Publications; 2014.
Stahlke Wall S. Focused ethnography: a methodological adaptation for social research in emerging contexts. Forum Qual Sozialforsch. 2014;16. https://doi.org/10.17169/fqs-16.1.2182.
Reeves S, Kuper A, Hodges BD. Qualitative research methodologies: ethnography. BMJ. 2008;337:a1020.
Knoblauch H. Focused ethnography. Forum Qual Sozialforsch. 2005;6. https://doi.org/10.17169/fqs-6.3.20.
Andreassen P, Christensen MK, Møller JE. Focused ethnography as an approach in medical education research. Med Educ. 2020;54:296-302.
Pelto GH, Armar-Klemesu M, Siekmann J, Schofield D. The focused ethnographic study 'assessing the behavioral and local market environment for improving the diets of infants and young children 6 to 23 months old' and its use in three countries. Matern Child Nutr. 2013;9(Suppl 1):35-46.
Higginbottom GM, Pillay JJ, Boadu NY. Guidance on performing focused ethnographies with an emphasis on healthcare research. Qual Rep. 2013;18:1-6.
Palinkas LA, Horwitz SM, Green CA, Wisdom JP, Duan N, Hoagwood K. Purposeful sampling for qualitative data collection and analysis in mixed method implementation research. Adm Policy Ment Health. 2015;42(5):533-44.
Malterud K, Siersma VD, Guassora AD. Sample size in qualitative interview studies: guided by information power. Qual Health Res. 2016;26(13):1753-60.