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Full-Text Articles in Quantitative, Qualitative, Comparative, and Historical Methodologies

Getting Change-Space: A Grounded Theory Study Of Automated Ehealth Therapy, Marianne T. S. Holter, Ottar Ness, Ayna Johansen, Håvar Brendryen Jul 2019

Getting Change-Space: A Grounded Theory Study Of Automated Ehealth Therapy, Marianne T. S. Holter, Ottar Ness, Ayna Johansen, Håvar Brendryen

The Qualitative Report

A promising tool for bettering people’s health is eHealth (or “mHealth”) programs: fully automated, web-based health interventions. However, we know surprisingly little about eHealth’s working mechanisms. One possible working mechanism is that program users benefit from a collaborative “relationship”—a “working alliance”—with the program. Although evidence support the existence of a person-to-program alliance it is unclear if and how it influences change. Therefore, we conducted a grounded theory study of how relating to an eHealth program for quitting smoking influenced the participants’ change processes. The ensuing model focuses on how participants got change-space—feeling free from social forcing and able to work …


Putting The Patient Back In Patient Care: Health Decision-Making From The Patient’S Perspective, Bill R. Garris, Amy J. Weber Oct 2018

Putting The Patient Back In Patient Care: Health Decision-Making From The Patient’S Perspective, Bill R. Garris, Amy J. Weber

Bill R. Garris

This research explored health decision-making processes among people recently diagnosed with type 2 diabetes. Our analysis suggested that diagnosis with type 2 was followed by a period of intense emotional and cognitive disequilibrium. Subsequently, the informants were observed to proceed to health decision-making which was affected by three separate and interrelated factors: knowledge, self-efficacy, and purpose. Knowledge included cognitive or factual components and emotional elements. Knowledge influenced the degree of upset or disequilibrium the patient experienced, and affected a second category, agency: the informants’ confidence in their ability to enact lifestyle changes. The third factor, purpose, summarized the personal and …


"Born Out Of Fear": A Grounded Theory Study Of The Stigma Of Bipolar Disorder For New Mothers, Walker Ladd Ph.D. Sep 2018

"Born Out Of Fear": A Grounded Theory Study Of The Stigma Of Bipolar Disorder For New Mothers, Walker Ladd Ph.D.

The Qualitative Report

Childbirth is an established trigger for the onset of bipolar disorders (BD) in the postpartum period, causing significant pathology and disability. Research has shown that the stigma of mental illness for new mothers is a powerful obstacle to care, preventing women from accessing critical treatment and social support. However, the majority of research has examined the relationship between the stigma and postpartum depression, leaving a gap in knowledge regarding stigma and postpartum bipolar disorder. The problem addressed in this grounded theory study was the lack of knowledge regarding the stigma of a diagnosis of bipolar disorder (BD) in the first …


Putting The Patient Back In Patient Care: Health Decision-Making From The Patient’S Perspective, Bill R. Garris, Amy J. Weber Feb 2018

Putting The Patient Back In Patient Care: Health Decision-Making From The Patient’S Perspective, Bill R. Garris, Amy J. Weber

The Qualitative Report

This research explored health decision-making processes among people recently diagnosed with type 2 diabetes. Our analysis suggested that diagnosis with type 2 was followed by a period of intense emotional and cognitive disequilibrium. Subsequently, the informants were observed to proceed to health decision-making which was affected by three separate and interrelated factors: knowledge, self-efficacy, and purpose. Knowledge included cognitive or factual components and emotional elements. Knowledge influenced the degree of upset or disequilibrium the patient experienced, and affected a second category, agency: the informants’ confidence in their ability to enact lifestyle changes. The third factor, purpose, summarized the personal and …


From Combat Zones To The Classroom: Transitional Adjustment In Oef/Oif Student Veterans, Lorrie Kato, Jeremy D. Jinkerson, Sarah C. Holland, Henry V. Soper Nov 2016

From Combat Zones To The Classroom: Transitional Adjustment In Oef/Oif Student Veterans, Lorrie Kato, Jeremy D. Jinkerson, Sarah C. Holland, Henry V. Soper

The Qualitative Report

With 600,000 veterans of Operations Enduring Freedom and Iraqi Freedom enrolled in higher education with the Post-9/11 GI Bill, recognizing and responding to their predictable adjustment issues is imperative. Existing qualitative research has identified some transitional issues encountered by small groups of veterans. Because of qualitative research’s limited generalizability, however, themes may be viewed as more generalizable when corroborated by student veterans in different regions. In order to provide an in-depth description of the themes related to the post-deployment adjustment process, the first author conducted semi-structured interviews with 19 student veterans from a Southwestern community college who were returning to …


Exploring Parental Experiences And Decision-Making Processes Following A Fetal Anomaly Diagnosis, Ramona L. Fernandez May 2013

Exploring Parental Experiences And Decision-Making Processes Following A Fetal Anomaly Diagnosis, Ramona L. Fernandez

Electronic Thesis and Dissertation Repository

Often the first indication that something may be wrong in a seemingly normal pregnancy occurs during the first detailed ultrasound appointment between 16 and 20 weeks gestation. Even the most tentative suspicions of fetal anomalies is jarring. Parent’s default reality of a normal pregnancy and a ‘perfect child’ changes to one of risk factors and the possibility of an ‘unhealthy child’. This study begins with the realization of this first loss in a series of losses that follow for parents as they grapple with diagnostic information to be able to make informed medical decisions regarding their fetus and pregnancy. The …