Concurrent Designs Behavioral Intervention Research: Designing, Evaluating, and Implementing
Table Of Content
Watson and Workman did not explicitly address threats to internal validity other than coincidental events. Recognizing these three dimensions of lag has implications for reporting multiple baseline designs. The vast majority of contemporary published multiple baseline designs describe the timing of phases in terms of sessions rather than days or dates. This provides clear information about the number of sessions that precede the phase change in each tier, and therefore constitutes a strong basis for controlling the threat of testing and session experience.
Independent Measures
That is, if the baseline survey data are analyzed, and then the participants sampled based on findings from the analysis, then the design is explanatory sequential. In contrast, the design is convergent if the data collection and analyses occur at the same time for the baseline survey and interviews of all or a subsample of the participants of the survey. A key defining factor in sequential or convergent is how the analysis occurs, either through building or merging, respectively.
Maturation
The following mixed methods designs listed below are not exhaustive but only highlight common designs used in health care. Convergent, sequential and embedded are the basic designs, while multiphase goes beyond these basic designs but has been included here for your knowledge.25 It is important to note that there are more complex designs, and the research question drives them. A major limiting factor to studying loneliness in large-scale studies is the difficulty of measuring loneliness in a telephone survey, a typical mode of data collection in large studies. The standard measure of loneliness, the Revised UCLA Loneliness Scale (R-UCLA; Russell et al. 1980), is not well suited to a telephone survey. The R-UCLA was designed to be self-administered; it has 20 items with four response categories each.
Dimension of complexity
For example, in a conversion design, qualitative categories and themes might be first obtained by collection and analysis of qualitative data, and then subsequently quantitized (Teddlie and Tashakkori 2009). Likewise, with Greene et al.’s (1989) initiation purpose, the initiation strand follows the unexpected results that it is supposed to explain. G., to collect interview data and survey data of one inquiry simultaneously; in that case, the research activities would be concurrent. It is also possible to conduct the interviews after the survey data have been collected (or vice versa); in that case, research activities are performed sequentially. Similarly, a study with the purpose of expansion can be designed in which data on an effect and the intervention process are collected simultaneously, or they can be collected sequentially. Having organized the quantitative and the qualitative data in a format based on thematic relevance to allow merging, higher order integration interpretation was needed.
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In this article, we describe the scale and document its psychometric properties in two studies. We then assess the relationship between loneliness and several commonly used measures of objective social isolation. This result suggests the importance of studying both aspects of social relationships in the aging process. In both forms of multiple baseline designs, a potential treatment effect in the first tier would be vulnerable to the threat that the changes in data could be a result of testing or session experience. However, if this within-tier pattern is replicated in multiple tiers after differing numbers of baseline sessions, this threat becomes increasingly implausible.
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The modules are given after the main body of the interview is complete and are limited to three minutes of interview time. Each member of the sample is assigned a module at random before interviewing for a wave begins. At the end of the (hour plus) telephone interview, respondents are asked if they would be willing to answer a few supplemental questions, and if they agree, they are administered their assigned module. Data for Study 1 were collected within the 2002 wave of the Health and Retirement Study (HRS), a nationally representative, longitudinal study of persons born 1947 or earlier. At each interview, detailed information is collected about the respondent's health, family relationships, employment, income and wealth, and demographic background.
Qualitative data can be transformed to quantitative data, then integrated with illustrative examples from the original qualitative dataset. For example, Ruffin and colleagues transformed qualitative responses from focus group data about colorectal cancer (CRC) screening preferences into quantitative variables, and then integrated these findings with representative quotations from three different constituencies (Ruffin et al. 2009). Quantitative data can also be transformed into a qualitative format that could be used for comparison with qualitatively accessed data.
The Benefits of Repeated Measures Designs
This would align the definition with the critical features required to demonstrate experimental control and thereby allow strong causal statements based on multiple baseline designs. Without these dimensions of lag explicitly stated in the definition, we cannot claim that multiple baseline designs will necessarily include the features required to establish experimental control. An important question for researchers, reviewers, and readers of research is whether the amount of lag is sufficient for a specific study.
A Second Methodological Criticism of Nonconcurrent Designs: Prediction, Verification, Replication
By including the subject block in the analysis, you can control for factors that cause variability between subjects. The result is that only the variability within subjects is included in the error term, which usually results in a smaller error term and a more powerful analysis. Integration through building occurs when results from one data collection procedure informs the data collection approach of the other procedure, the latter building on the former. Items for inclusion in a survey are built upon previously collected qualitative data that generate hypotheses or identify constructs or language used by research participants.
These results also suggest that embedding the Three-Item Loneliness Scale within the R-UCLA is possible. However, subjective interpretations of social relationships are likely to be key to understanding the impact of social connections on well-being. When one's intimate and social needs are not adequately met, a complex set of feelings termed loneliness occurs that motivates one to seek the fulfillment of these needs (Baumeister and Leary 1995; Weiss 1973). The core experience is being isolated socially and absent both relational and collective connectedness (Russell, Peplau, and Cutrona 1980; Hawkley et al. 2004).
An example of concurrent validity would be comparing survey responses to a personality inventory with ratings given by supervisors at work. A block is a categorical variable that explains variation in the response variable that is not caused by the factors that you really want to know about. You use blocks in designed experiments to minimize bias and variance of the error because of these nuisance factors. Advanced frameworks encompass adding to one of the three basic designs a larger framework that incorporates the basic design. The larger framework may involve (1) a multistage; (2) an intervention; (3) a case study; or (4) a participatory research framework.
Second, in a remarkably understated reference to the across-tier comparison, Baer et al. write that after implementing the treatment in an initial tier, the experimenter “perhaps notes little or no change in the other baselines” (p. 94). In an explanatory sequential design, the researcher first collects and analyzes quantitative data, then the findings inform qualitative data collection and analysis (Ivankova, Creswell, and Stick 2006). For example, Carr explored the impact of pain on patient outcomes following surgery by conducting initial surveys about anxiety, depression, and pain that were followed by semistructured interviews to explore further these concepts (Carr 2000). In addition, functionally isolating tiers (e.g., across settings) such that they are highly unlikely to be subjected to the same instances of a threat can also contribute to this goal. Longer lags and more isolated tiers can reduce the number of tiers necessary to render extraneous variables implausible explanations of results.
The quantitative and qualitative data were collected concurrently, and the approach to integration involved merging. With the content of the scales on the survey in mind, the mixed methods team developed the open-ended responses on the survey and interview questions for mini focus groups to parallel visual analog scale (VAS) questions about ethical advantages and disadvantages. By making this choice intentionally during the design, integration through merging would naturally follow. The research team conducted separate analyses of the quantitative and qualitative data in parallel. For the quantitative analytics, the team calculated descriptive statistics, mean scores, and standard deviations across the four stakeholder groups. Box plots of the data by group were developed to allow intra- and intergroup comparisons.
If a potential treatment effect is seen in one tier, the researcher cannot refer to data from the same day in an untreated tier because the tiers are not synchronized in real time and may not even overlap in real time. Integration through embedding occurs when data collection and analysis are being linked at multiple points and is especially important in interventional advanced designs, but it can also occur in other designs. Embedding may involve any combination of connecting, building, or merging, but the hallmark is recurrently linking qualitative data collection to quantitative data collection at multiple points.
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