Seeking Help From Everyone and No-One: Conceptualizing the Online Help-Seeking Process Among Adolescent Males
This study aims to conceptualize the process of online help-seeking among adolescent males. Modified photo-elicitation techniques were employed within eight semi-structured focus group sessions with adolescent males aged 14 to 15 years (n = 56) across seven schools in Northern Ireland. Thematic analyses were conducted within an ontological framework of critical realism and an epistemological framework of contextualism. Informal online help-seeking pathways increased opportunity for social support and reduced stigma but also included loss of control and reduced anonymity. Formal pathways offered increased anonymity but conc...
Source: Qualitative Health Research - May 31, 2016 Category: Global & Universal Authors: Best, P., Gil-Rodriguez, E., Manktelow, R., Taylor, B. J. Tags: Photovoice Source Type: research

Picture This: Exploring the Lived Experience of High-Functioning Stroke Survivors Using Photovoice
An increasing number of high-functioning stroke survivors are present with minimal functional impairments and are often discharged with reduced access to community reintegration. Our objectives were to explore the lived experience of high-functioning stroke survivors and to identify gaps in community and rehabilitation services. Photovoice was used with five high-functioning stroke survivors to photo-document their experiences. A modified inductive thematic analysis was used, and meanings behind the photographs were elicited through four focus group sessions followed by photography exhibitions. Five themes emerged: lack of...
Source: Qualitative Health Research - May 31, 2016 Category: Global & Universal Authors: Maratos, M., Huynh, L., Tan, J., Lui, J., Jarus, T. Tags: Photovoice Source Type: research

The Experiences of Korean Young Adult Survivors of Childhood Cancer: A Photovoice Study
This study on Korean childhood cancer survivors sheds light on their perspectives about the impact of cancer. Using an innovative methodology that takes the participants’ point of view, this study contributes to the literature on young adult cancer survivors’ quality of life and their psychosocial adjustment. The results can inform educational programs and increase public awareness by providing survivors’ schoolteachers and peers with knowledge about childhood cancer. (Source: Qualitative Health Research)
Source: Qualitative Health Research - May 31, 2016 Category: Global & Universal Authors: Yi, J., Kim, M. A., An, S. Tags: Photovoice Source Type: research

Metaphors of Distress: Photo-Elicitation Enhances a Discourse Analysis of Parents Accounts
In research on sensitive topics, photo-elicitation can be a profound aid to data collection and interpretation processes. Photo-elicitation methods were used in this manner in a discourse analysis of parents’ distress at least 6 months after preterm birth. After an initial interview, participants were asked to take digital photographs representing their distress and to return for a second interview to discuss the photographs. The elicited photo representations supported participants’ engagement with their current or past distress and generated new meanings from the reappraisal of old photographs. Photo-elicitat...
Source: Qualitative Health Research - May 31, 2016 Category: Global & Universal Authors: Kantrowitz-Gordon, I., Vandermause, R. Tags: Photovoice Source Type: research

Questioning Photovoice Research: Whose Voice?
Photovoice is an important participatory research tool for advancing health equity. Our purpose is to critically review how participant voice is promoted through the photovoice process of taking and discussing photos and adding text/captions. PubMed, Scopus, PsycINFO, and Web of Science databases were searched from the years 2008 to 2014 using the keywords photovoice, photonovella, photovoice and social justice, and photovoice and participatory action research. Research articles were reviewed for how participant voice was (a) analyzed, (b) exhibited in community forums, and (c) disseminated through published manuscripts. O...
Source: Qualitative Health Research - May 31, 2016 Category: Global & Universal Authors: Evans-Agnew, R. A., Rosemberg, M.-A. S. Tags: Photovoice Source Type: research

The Concept of Peritraumatic Dissociation: A Qualitative Approach
Peritraumatic dissociation has been considered an important feature for the development of post-traumatic stress disorders, but this concept remains widely unclear. To explore the peritraumatic experience, we interviewed eight victims of urban violence shortly after their traumatic events. The data collected were compared and analyzed according to the systematic set of procedures of Grounded Theory (GT). The alterations reported by participants were coded and categorized according to their perceptions of their inner and outer world, and the impressions of others involved, including the examiner’s observations. The th...
Source: Qualitative Health Research - May 9, 2016 Category: Global & Universal Authors: Mattos, P. F., Pedrini, J. A., Fiks, J. P., de Mello, M. F. Tags: General Articles Source Type: research

"Protect Your Loved Ones From Fataki": Discouraging Cross-Generational Sex in Tanzania
The Fataki campaign aired in Tanzania via radio from 2008 to 2011 to address cross-generational sex, a major driver of HIV in the region. The campaign sought to incite social disapproval of men who engage in such relationships, generate dialogue around the issue, and encourage community interventions in these relationships through social learning. Using qualitative methods, we explored campaign reactions, use of the term Fataki to describe men in relationships with much younger women, and the nature of discussions spurred by the campaign. We conducted focus group discussions and individual interviews in Iringa and Pwani re...
Source: Qualitative Health Research - May 9, 2016 Category: Global & Universal Authors: Kaufman, M. R., Tsang, S. W., Mooney, A., McCartney-Melstad, A., Mushi, A. K., Kamala, B. Tags: General Articles Source Type: research

Researching Reflexively With Patients and Families: Two Studies Using Video-Reflexive Ethnography to Collaborate With Patients and Families in Patient Safety Research
This article describes our collaboration with patients and families in two separate studies, involving end-of-life care and infection control in acute care. We used the collaborative methodology of video-reflexive ethnography, which has been primarily used with clinicians, to involve patients and families as active participants and collaborators in our research. The purpose of this article is to share our experiences and findings that iterative researcher reflexivity in the field was critical to the progress and success of each study. We present and analyze the complexities of reflexivity-in-the-field through a framework o...
Source: Qualitative Health Research - May 9, 2016 Category: Global & Universal Authors: Collier, A., Wyer, M. Tags: Ethnography Source Type: research

Addressing Underrepresentation in Sex Work Research: Reflections on Designing a Purposeful Sampling Strategy
Men, transgender people, and those working in off-street locales have historically been underrepresented in sex work health research. Failure to include all sections of sex worker populations precludes comprehensive understandings about a range of population health issues, including potential variations in the manifestation of such issues within and between population subgroups, which in turn can impede the development of effective services and interventions. In this article, we describe our attempts to define, determine, and recruit a purposeful sample for a qualitative study examining the interrelationships between sex w...
Source: Qualitative Health Research - May 9, 2016 Category: Global & Universal Authors: Bungay, V., Oliffe, J., Atchison, C. Tags: Ethnography: Methods Source Type: research

The Influence of Organizational Systems on Information Exchange in Long-Term Care Facilities: An Institutional Ethnography
Person-centered care is heavily dependent on effective information exchange among health care team members. We explored the organizational systems that influence resident care attendants’ (RCAs) access to care information in long-term care (LTC) settings. We conducted an institutional ethnography in three LTC facilities. Investigative methods included naturalistic observations, in-depth interviews, and textual analysis. Practical access to texts containing individualized care-related information (e.g., care plans) was dependent on job classification. Regulated health care professionals accessed these texts daily. RCA...
Source: Qualitative Health Research - May 9, 2016 Category: Global & Universal Authors: Caspar, S., Ratner, P. A., Phinney, A., MacKinnon, K. Tags: Ethnography Source Type: research

An Ethnographic-Discursive Approach to Parental Self-Help Groups: The Case of ADHD
Mutual aid groups have become a common form of help in the mental health field. Although self-help groups are associated with a range of health and social benefits, they remain poorly understood in terms of the dynamics of their interactions. Adopting an ethnographic-discursive approach, we conducted a 6-month observation of the meetings of a self-help group of parents with children diagnosed with attention deficit/hyperactivity disorder (ADHD) to analyze the discursive dynamics of the interactions that characterized the group. Using a set of discursive strategies and practices, the parents promoted a homogeneity of viewpo...
Source: Qualitative Health Research - May 9, 2016 Category: Global & Universal Authors: Frigerio, A., Montali, L. Tags: Ethnography Source Type: research

"Live It to Understand It": The Experiences of Mothers of Children With Autism Spectrum Disorder
Mothers of children with an autism spectrum disorder (ASD) variably experience challenges in their caregiving role. This ethnographic study examined the caregiving experiences of mothers of a young person with ASD (aged ≤25 years). Semistructured interviews were conducted with 85 mothers across three Canadian regions. A follow-up subsample of 10 mothers took part in participant observation sessions in the home and/or other environments within the community. Analysis yielded themes that depicted the following: redefining child and family aspirations, forging a shifted identity, and the need to "live it" to understand mot...
Source: Qualitative Health Research - May 9, 2016 Category: Global & Universal Authors: Nicholas, D. B., Zwaigenbaum, L., Ing, S., MacCulloch, R., Roberts, W., McKeever, P., McMorris, C. A. Tags: Ethnography Source Type: research

Gendered Processes in Hospice Palliative Home Care for Seniors With Cancer and Their Family Caregivers
There has been limited investigation into the processes that shape gender (in)equities in hospice palliative home care. As part of a larger critical ethnographic study, we examined how and why gender relations occur in this context. Using a critical feminist lens, we conducted in-depth interviews with clients living with terminal cancer, their family caregivers and primary nurses; observations of agency home visits; and review of institutional documents. A gender-based analysis revealed that gender enactments of Regulating Gender Relations were legitimized through ideological processes of Normalizing Gender Relations and E...
Source: Qualitative Health Research - May 9, 2016 Category: Global & Universal Authors: Sutherland, N., Ward-Griffin, C., McWilliam, C., Stajduhar, K. Tags: Ethnography Source Type: research

Communication and Culture in the Surgical Intensive Care Unit: Boundary Production and the Improvement of Patient Care
This ethnography explores communication around critically ill surgical patients in three surgical intensive care units (ICUs) in Canada. A boundary framework is used to articulate how surgeons’, intensivists’, and nurses’ communication practices shape and are shaped by their respective disciplinary perspectives and experiences. Through 50 hours of observations and 43 interviews, these health care providers are found to engage in seven communication behaviors that either mitigate or magnify three contested symbolic boundaries: expertise, patient ownership, and decisional authority. Where these boundaries a...
Source: Qualitative Health Research - May 9, 2016 Category: Global & Universal Authors: Conn, L. G., Haas, B., Cuthbertson, B. H., Amaral, A. C., Coburn, N., Nathens, A. B. Tags: Ethnography Source Type: research

HIVs Syndemic Links With Mental Health, Substance Use, and Violence in an Environment of Stigma and Disparities in Japan
A syndemics orientation has become a valuable lens through which to understand the complex system dynamics of HIV, HIV’s links to other social and health problems, and the design of effective, comprehensive interventions. Using data from a broader ethnographic study of HIV epidemics in the Kansai Region and Tokyo Metropolitan Area of Japan, I found that HIV was synergistically linked with poor mental health, substance use, and violence, suggesting the existence of at least three syndemics. These occurred in an environment of stigma and social and health disparities, particularly for men who have sex with men, transge...
Source: Qualitative Health Research - May 9, 2016 Category: Global & Universal Authors: DiStefano, A. S. Tags: Ethnography Source Type: research