The Framework Method is becoming an increasingly popular approach to the management and analysis of qualitative data in health research. However, there is confusion about its potential application and limitations. The article discusses when it is appropriate to adopt the Framework Method and explains the procedure for using it in multi-disciplinary health research teams, or those that involve clinicians, patients and lay people. The stages of the method are illustrated using examples from a published study. Used effectively, with the leadership of an experienced qualitative researcher, the Framework Method is a systematic and flexible approach to analysing qualitative data and is appropriate for use in research teams even where not all members have previous experience of conducting qualitative research.

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Using the framework method for the analysis of qualitative data in multi-disciplinary health research

http://science.sciencemag.org/content/sci/201/4359/899.2.full.pdf

Phenomenology of perception.

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Narrative Methods for the Human Sciences

This chapter explores the ecology of human development, those forces in the person's environment that affect and influence development. Urie Bronfenbrenner's model of the human ecosystem guides the discussion, making connections between children in families and in communities and the larger society that surrounds them. The human ecosystem model is much like the study of the natural ecology, focusing on the interactions between subjects at various levels of the environment as they affect each other. The interaction between individual and environment forms the basis of an ecological approach to human development. This view sees the process of development as the expansion of the child's conception of the world and the child's ability to act on that world. Risks to development can come from both direct threats and the absence of opportunities for development. Sociocultural risk refers to the impoverishment in the child's world of essential experiences and relationships.

The Ecology of Human Development

Developing a universal quality standard for thematic analysis (TA) is complicated by the existence of numerous iterations of TA that differ paradigmatically, philosophically and procedurally. This ...

One size fits all? What counts as quality practice in (reflexive) thematic analysis?

Parental-asthma related anxiety and feeding practices in families of children living with controlled and inadequately controlled asthma

This review aimed to explore how wish-granting interventions impact on the health and well-being of children with life-threatening health conditions and their families, using any study design. Six ...

/pdf/understanding-the-impact-of-wish-granting-interventions-on-1ti8df12m0.pdf

Understanding the impact of 'wish-granting' interventions on the health and well-being of children with life-threatening health conditions and their families: A systematic review.

Background: Non-attendance at healthcare appointments may have serious consequences for patients in delayed diagnosis or treatment and implications for waiting times, patient-provider relationships and financial resources. This study explored non-attendance at paediatric outpatient clinics from the service provider and parent perspective. Methods: Semi-structured interviews were conducted with 37 NHS staff and stakeholders from secondary or primary care and 22 parents of children referred for a paediatric outpatient appointment. Data were analysed using a thematic framework method. Findings: All respondents discussed the importance of parents’ motivations, values and beliefs about appointments and their child’s health. Organisational and procedural problems were also emphasised e.g. forgetting; travel, financial or time barriers; communication issues. However staff focused on perceived characteristics of families who missed appointments. Discussion: There are parallels in these findings with models of non-adherence to medication. Developing a model of non-attendance may contribute to more effective strategies for managing missed appointments.

A qualitative study of staff, stakeholder and parental perspectives of non-attendance at paediatric outpatient clinics

BACKGROUND
Attending a sexual health consultation is integral to the effective prevention and treatment of sexually transmitted infections (STIs). However, individuals who may be at risk of STIs do not always do so, leading to an increased risk of STI complications and transmission of infection to others. This systematic review aimed to identify interventions implemented to increase attendance at a pre-booked sexual health clinic appointment and to identify behavioural theory and behaviour change techniques (BCTs), which form the basis for such interventions.


METHODS
Articles were identified through a systematic search of four electronic databases (Web of Science; ProQuest; Scopus; PubMed) and included if they aimed to increase attendance at a pre-booked, synchronous sexual health consultation. The quality of included studies was assessed independently by two researchers. Findings were synthesised narratively.


RESULTS
Thirteen studies were included from three countries; eight non-randomised before-after study designs and five randomised controlled trials. Behavioural interventions increased attendance at pre-booked sexual health consultations. Text messages were the most frequently used mode for intervention delivery. A total of 19 BCTs were identified, but only three studies mentioned behavioural theory. The most frequently used BCTs in effective interventions were: using credible sources, employing prompts/cues and the provision of information about health consequences. However, these BCTs were also identified in interventions that were not effective, meaning that optimal content and theoretical underpinning of effective interventions remains unclear.


CONCLUSIONS
Behavioural interventions can increase attendance at sexual health consultations. Further research is needed to examine the effectiveness of different BCT combinations.

Increasing attendance at pre-booked sexual health consultations: a systematic review.

<h3>Introduction</h3> The Black Caribbean population have a disproportionately high burden of Sexually Transmitted Infections (STIs) compared with other ethnic groups (Public Health England, 2020). The aim of this study was to explore barriers to engagement with STI testing within a UK-based Young Adult Black Caribbean community. <h3>Methods</h3> Semi-structured interviews were carried out with 14 young adults from the Black Caribbean community and six sexual health professionals recruited via a UK-based NHS sexual health clinic and local University. Data were audio-recorded, transcribed verbatim and analysed thematically. A focus group of 5 young adults was conducted to refine themes generated from interviews. <h3>Results</h3> Data analysis generated four themes (1) culturally embedded stigma, (2) historically embedded mistrust, (3) limitations in knowledge, (4) STI-testing as a forbidden subject. Perceived as “dirty”, particularly for females, STI-testing was stigmatised by religious conceptions of “purity” and shame. Legacies of colonialism, medical racism and malpractice informed young people’s mistrust of medical intervention and trust in confidentiality of data management. A lack of knowledge related to STIs and treatment and accessing and performing STI tests further served as a barrier. Finally, young people identified challenges in terms of cultural acceptability of talking about STI testing with partners, friends, and family. <h3>Discussion</h3> Historically and culturally embedded experiences and beliefs, often passed down through generations, impacted engagement with STI testing for young adults from the Black Caribbean community. Targeting these factors within culturally tailored interventions may be more effective for increasing STI-testing (and thus reducing rates of STI-infection) in this population. 

Gemma Heath

Papers

Parental-asthma related anxiety and feeding practices in families of children living with controlled and inadequately controlled asthma

Understanding the impact of 'wish-granting' interventions on the health and well-being of children with life-threatening health conditions and their families: A systematic review.

A qualitative study of staff, stakeholder and parental perspectives of non-attendance at paediatric outpatient clinics

Increasing attendance at pre-booked sexual health consultations: a systematic review.

O05 Engagement with testing for sexually transmitted infections within the young adult Black Caribbean community