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In this article, we explore how Long-Term Residential Care (LTRC) features contribute to violence against staff.
Methods:
Data were collected using a mixed-methods case study in LTRC, including an online survey (N = 240) and interviews with staff (N = 29) in two Canadian provinces.
Findings:
Survey data showed 97.2% of staff reported experiencing at least one form of violence from residents, and 53.2% experienced one or more forms of violence from family carers. Severe physical violence from residents was significantly correlated with the number of different types of training staff received and working with a higher proportion of residents with cognitive impairment. Staff attributed violence from family carers to mistrust, lack of understanding, and ‘unrealistic expectations’ while they attributed violence from residents to insufficient resources.
Discussion:
Violence in LTRC occurs across multiple relationships. To address this, structural changes to staffing and working conditions that enhance trust and relational care are essential.
The use of observational methodology has become increasingly more common in psychological research, highlighting the need for tools that ensure methodological rigor. This study presents evidence of convergent/discriminant validity for the Methodological Quality Scale for Studies Based on Observational Methodology (MQSOM). A multitrait-multimethod (MTMM) analysis with Spearman’s correlations was used to examine the relationship between MQSOM dimensions and those of three instruments: the Methodological Rigor in Mixed Methods (MRMM), the Guidelines for Reporting Evaluations Based on Observational Methodology (GREOM), and the Mixed Methods Appraisal Tool (MMAT). Ninety-six articles were coded using MQSOM and the instruments for comparison. The MQSOM’s design converged with the MRMM’s mixed-methods design (ρ = .217, p = .034), GREOM’s design (ρ = .217, p = .034), and MMAT’s qualitative (QUAL) component (ρ = .212, p = .038). The MQSOM’s measurement and analysis aligned with MRMM’s data analysis (ρ = .611, p < .001), GREOM’s data quality control (ρ = .423, p < .001) and results (ρ = .328, p = .001), and MMAT’s quantitative (QUANT) (ρ = .214, p = .037) and mixed-methods (ρ = .643, p < .001) components. MQSOM’s design exhibited discriminant validity from MRMM’s data collection (ρ = .025, p = .807) and data analysis (ρ = −.051, p = .620), GREOM’s data quality control (ρ = .025, p = .812) and results (ρ = −.032, p = .759), and MMAT’s QUANT component (ρ = −.035, p = .733). This study reinforces the validity of MQSOM as a useful methodological quality scale.
This paper presents an illustrated tutorial for conducting an embedded Mixed-Method Social Network Analysis (MMSNA) to examine the dynamic interplay between human agency and social networks. We draw on an empirical study in education that investigated how teachers enact relational agency within their school networks to support the integration of migrant students. We propose a replicable method and stepwise procedure for designing, implementing and evaluating an embedded MMSNA. While the potential of MMSNA has long been recognized across disciplines, its purpose and operationalization are often underexplained. We illustrate how MMSNA can be used to analyze both network structures and the agency of actors embedded within them, in alignment with specific research objectives and theoretical perspectives.
To examine the Indigenous Nourishment Scales (INS), a set of community-developed strengths-based measures of nourishment, for psychometric validity and reliability through community-based research with two urban American Indian/Alaska Native (AI/AN) communities.
Design:
Cross-sectional survey of health measures and INS. Descriptive statistics, exploratory factor analysis (EFA), correlation analysis and regression were used to determine the psychometric properties of the INS and their relationship with Physical (Fruit and Vegetable Intake), Spiritual (Spiritual Well-being), Emotional (Emotional Well-being) and Relational (Social Well-being) health outcomes.
Setting:
Two urban cities in the USA.
Participants:
249 urban AI/AN adults.
Results:
EFA revealed two unidimensional scales (Connectedness to Food; Indigenous Food Identity) and one two-factor scale (Access to and Participation in Indigenous Foodways). The INS demonstrated strong internal consistency reliability and convergent construct validity as evidenced by their association with fruit and vegetable intake and other related concepts. Regression models showed that Access to Indigenous Foodways and Participation in Indigenous Foodways were significantly and positively associated with all four domains of well-being. Food Connectedness was positively and significantly associated with spiritual, emotional and relational well-being, while Indigenous Food Identity was positively and significantly associated with spiritual and emotional well-being.
Conclusions:
Positive associations between scale scores and multiple domains of well-being indicate the potential relevance of Indigenous nourishment as a meaningful determinant of health. By establishing the psychometric validity of community-developed measures, this study offers a pathway for Indigenizing assessments of nutrition and well-being among AI/AN peoples.
Chapter 4 introduces the second section of the book by situating the theoretical framework of protest brokers within the South African context. Often referred to as the “protest capital of the world,” South Africa offers a rich and complex setting for studying protest dynamics and the role of intermediaries. The chapter begins by justifying the choice of South Africa as the primary case study location, highlighting its history of protest from the apartheid era through the democratic transition and into the present day. It provides a concise historical overview of protest in South Africa, emphasizing how evolving political conditions have shaped the forms, frequency, and actors involved in collective action. The chapter also outlines the empirical foundation of the book, detailing the case selection process and introducing the twelve communities at the heart of the study, as well as providing an overview of the data collected. This groundwork sets the stage for the chapters that follow. By anchoring the study in South Africa, this book demonstrates the value of contextually grounded research in developing and testing new theoretical insights.
This study evaluated the impact of a novel social prescribing service designed specifically for the Armed Forces Community (AFC) and its influence on service users’ wellbeing.
Background:
Social prescribing connects individuals with non-clinical, community-based support to address loneliness, long-term conditions, and mental health. Despite advances in social prescriber training, a gap remains in resources for working with the AFC, who present distinct wellbeing needs. A two-year project, funded by the NHS Armed Forces Health and the Armed Forces Covenant Fund Trust, sought to enhance provision by equipping Social Prescriber Link Workers with specialist skills.
Methods:
A sequential mixed-method design was adopted. Quantitatively, changes in wellbeing for 259 AFC service users were measured using the Short Warwick and Edinburgh Wellbeing Scale before and after consultations with Armed Forces Social Prescriber Link Workers (AFCSPLWs). Qualitatively, semi-structured interviews were undertaken with AFCSPLWs, general social prescribers, General Practitioners, and AFCSPLW line managers to explore experiences of service delivery.
Findings:
Wellbeing scores significantly increased from initial (mean = 15.3) to final consultations (mean = 18.79), indicating positive effects; however, scores remained lower than national averages, reflecting the complex needs within the AFC population. Thematic analysis identified four themes: Armed Forces Experience and Perspective, Challenges and Barriers, Service Delivery and Effectiveness, and Skill Development and Attributes. Subthemes highlighted AFC-specific challenges, the practical complexity of the AFCSPLW role, and the importance of cultural competence. Advocacy, navigation, and relationship-building emerged as central mechanisms, with AFCSPLWs acting as vital connectors across primary care, third-sector services, and professional networks.
Expert-produced information and data hold significant potential for adoption by decision-makers; however, this potential can be compromised by barriers related to language, communication channels, and formats. The literature emphasizes the differing languages, timelines, and incentives between specialists and lay decision-makers who seek practical solutions to real-world issues, rather than theoretical dilemmas. We conducted a mixed-method study, based on a survey and interviews with Italian regional lawmakers and local decision-makers in land-use planning. This is an area characterized by high levels of technicality and hence appears challenging to most decision-makers. We discovered that when they easily grasp the meaning and implications of policy documents, their understanding seems more influential in their legislative behavior. Consequently, a key challenge in promoting evidence-informed policy-making seems to translate expert knowledge into accessible languages and codes for laypeople and to present it in practical and concise ways.
To examine how race, income and food insecurity (FI) interact during pregnancy and whether FI contributes to disparities in maternal and infant health outcomes.
Design:
Observational cohort study employed sequential explanatory a mixed-methods design, with a survey phase (including Household Food Security Survey Module [HFSSM] six-item) and medical record abstraction followed by semi-structured interviews.
Setting:
Online survey, virtual interviews.
Participants:
The participants were individuals who gave birth in Louisiana, USA, between June 2020 and June 2021. The quantitative phase comprised 1691 individuals who completed the survey. A nested cohort of forty individuals (evenly split by race (Black v. White) and income (low v. high)) subsequently completed semi-structured interviews.
Results:
Race and income were independently associated with both FI and maternal and infant health outcomes. When considering both income and FI, low-income individuals with FI were 1·73 times more likely to deliver low birthweight (LBW) infants (adjusted Odds Ratio [aOR] 95 % CI: 1·07, 2·82) and 1·43 times more likely to experience adverse infant outcomes (aOR 95 % CI: 1·02, 2·00) than high-income individuals without FI. Black individuals with FI were 2·49 times more likely to deliver LBW infants (aOR 95 % CI: 1·45, 4·29) than White individuals without FI. Interview findings revealed low-income individuals faced disproportionate barriers to accessing healthy food and making dietary choices, which were further complicated by pregnancy-related conditions.
Conclusions:
The interplay between race, income and FI significantly increases the risk of adverse infant health outcomes, demonstrating a synergistic effect. Targeted efforts to address FI, particularly among low-income pregnant individuals, are essential to improving maternal and infant health outcomes.
Literature reviews are core parts of the research process with most conducted in the early research stages. The way a literature review is done can differ depending on the type of research, its aims and goals. This means some view literature reviews as best being done through a systematic approach that has set stages and ways to analyse the literature. This editorial article discusses the main reasons for literature reviews in terms of being helpful, educative and progressive. This is useful in furthering the way researchers collect, interpret and analyse data. As more business management researchers and practitioners utilise review articles it is important to remain vigilant about their purpose and usefulness to business practices.
The key question posed by this volume’s Introduction is: What happens when Western law is no longer the default referent for legal modernity? This question has implications for such fields as comparative law, international law, and law and technology. “Inter-Asian Law” points to an emerging field of comparative and international law that explores the legal interactions – historical and contemporary – between and among Asian jurisdictions. These interactions – through diverse actors, intermediaries, processes, and methods – may lead to several important formations including legal transplantation, law and development, multilateralism and trade blocks, global value chains, transnational orders, judicial networks, legal educational exchange, and digital integration, to name a few. After providing definitions for core terms, the Introduction provides an analytical framework that guides the subsequent chapters including types and methods of interactions, actors and intermediaries, and effects, consequences, and conflicts. A description of the organization of the book follows.
In a recent article in this journal, Stockemer characterizes fuzzy-set Qualitative Comparative Analysis (fsQCA) in comparison with Ordinary Least Squares regression as a ‘poor methodological choice’ because of its ‘suboptimal nature’ for the study of descriptive female representation in national assemblies across the globe. This article seeks to demonstrate that his judgments are based on two misconceptions: first, a misunderstanding of set-theoretical thinking in general, and specifically Qualitative Comparative Analysis; and second, a misinformed application throughout various steps of the fsQCA, for example, the calibration process, the analysis of necessary and sufficient conditions, and the interpretation of the results. In pointing out the weaknesses of Stockemer’s application of OLS, we argue – in contrast to Stockemer – that fsQCA can be a valuable tool for the comparative study of social phenomena, which offers a fundamentally different analytical perspective from standard quantitative techniques.
Non-market economy including volunteer work is often ignored in estimations of the shadow economy because no money changes hands. Whilst volunteers stricto sensu are not paid for their activities, a tendency is noted that legal frameworks do allow for reimbursement for actual expenses incurred. However, if the latter receive reimbursements beyond the scope of regulations and labour law this can also be regarded as undeclared work. In this article, the size and motives of this type of undeclared work in non-profit sports clubs in Flanders (Belgium) are explored. As this kind of informal work, by its nature, is difficult to measure, a mixed method approach was used. The results show that at least 10% of volunteers can be considered as undeclared workers. The tax and social security contribution burdens are considered as the main causes for this undeclared work. It is argued that a new employment status for paid volunteers in sports is necessary to guarantee the provision of qualitative sports services.
The study of nonprofit finance and financial management is growing in popularity. The numerical focus and availability of archival U.S. data have fueled the growth of the field; however, this availability has also influenced the research questions and methods utilized by researchers. Despite the dominance of large-scale quantitative analysis in the literature, there are a wide variety of research methods available in the field. Each approach has strengths and limitations that should be utilized to answer different research questions in different ways. We catalog these techniques and include recommendations on how and why to deliberately cultivate methodological pluralism in nonprofit finance and financial management research.
This article proposes a mixed-methods measurement of the mass-elite congruence of opinions on the EU based on a combination of speech and survey data. It focuses on two countries (Bulgaria and Romania) that were known for their pro-European profile until their EU accession, but which faced many political difficulties afterwards. The analysis covers the 2013–2017 period that includes a great deal of these post-accession difficulties. The article illustrates how we can make meaningful comparisons between short-term, dichotomous mass, and elite attitudes with timeframes determined by non-electoral events.
Many volunteer organizations offer short-term international voluntary service (IVS) opportunities as an avenue for participants to provide aid and humanitarian relief in international communities. This study empirically examines four potential antecedents of IVS performance among short-term IVS participants in developing countries: IVS participants’ intention to serve in similar IVS roles in the future, whether their IVS is at their preferred geographic location, IVS participants’ prior experience in the host country, and their performance in the sending organization’s trainings prior to the IVS. Utilizing both analyses of variance and OLS regression analysis of 147 IVS participants across 18 developing countries, we find evidence that short-term IVS performance is positively associated with future intentions to participate in IVS, previously having visited the host country, and performance during pre-travel trainings. Further, we analyze 158 blog posts written by 19 sample IVS participants, which provides a unique ‘inside look’ into the relationship between host country language skills and IVS performance.
This paper presents a critical analysis of present approaches to studying not-for-profit performance reporting, and implications of research in this area. Focusing on three approaches: content analysis of publicly available performance reporting; quantitative analysis of financial data; and (rarer) mixed/other methods, we consider the impact of these on our knowledge of not-for-profit performance reporting, highlighting gaps and suggesting further research questions and methods. Our analysis demonstrates the important role of regulation in determining the research data available, and the impact of this on research methods. We inter-connect the methods, results and prevailing view of performance reporting in different jurisdictions and argue that this reporting has the potential to influence both charity practices and regulators’ actions. We call for further research in this interesting area. Contribution is made to the methodological literature on not-for-profits, and ongoing international conversations on regulating not-for-profit reporting.
Volunteering can be a catalyst for career development, yet little is known about the specific skills event volunteers acquire or the personal and situational factors that shape these outcomes. This research assessed skill development in 545 volunteers at a major sporting event in North America. Using a mixed-methods approach, we analyzed qualitative and quantitative survey data. Qualitative analyses identified 12 skill themes divided equally into ‘soft skills’ (adaptability, communication, thinking, relationship building, work ethic/professionalism, and work management) and ‘hard skills’ (professional expertise, specific language and communication proficiency, knowledge of sport, management and operations, innovation and technology, and manual labor). Quantitative analyses revealed the total number of skills developed depended on volunteers' motives and levels of supervisor support. High supervisor support offset the effects of low motives on volunteer skill development.
In this final chapter of Part I of the book I suggest various methods appropriate to genetic social psychology and demonstrate two possible complementary methods of articulating microgenetic, ontogenetic and sociogenetic processes at different levels of analysis. This is the qualitative method of analysis of autobiographical narratives and the quantitative method of disentangling age, period and cohort effects. The application of Hierarchical Age, Period, Cohort (HAPC) analysis also allows for testing the role of various sociodemographic and time variables (age, period, cohort, education, urbanisation, gender and IDP status) along social psychological factors discussed in the previous chapters (intergroup contact, friendships, threats, communal identification, prejudice and trust) in predicting the wish for renewed cohabitation in Cyprus between the two communities and acceptance of Bizonal Bicommunal Federation (BBF). Reflecting on these findings, some policy implications relating to the Cyprus issue are discussed at the end of the chapter.
Children’s Advocacy Centers (CACs) use multidisciplinary teams to respond to child abuse allegations. These fluid teams can benefit from team training to enhance team functioning and performance and strengthen the workforce, but they need guidance and resources to support the implementation of team training.
Methods:
We conducted a cluster-randomized hybrid effectiveness-implementation trial to test the effectiveness of team training and evaluate a self-guided implementation process. Six rural CACs (N = 172 team members) were randomized to TeamTRACS (Team Training in Roles, Awareness, Communication, & Support; n = 4) or a waitlist comparison (n = 2). Simultaneous mixed methods evaluated the effectiveness of TeamTRACS (QUAN + qual) and the implementation process (quan + QUAL).
Results:
Reactions to TeamTRACS were positive (mean ratings > 4.5 on 1–5 scale), and TeamTRACS significantly increased teamwork knowledge (estimated marginal means = 80% vs. 75% [intent-to-treat]; 85% vs. 76% [training attendance]). There were no effects on skill use or work-related outcomes. Changes in team-level outcomes were small and inconsistent; one TeamTRACS team made substantial improvements. Reactions to self-guided implementation were positive (mean ratings > 4 on 1–5 scale). However, only one team completed the implementation process. Challenges included difficulty forming and maintaining a change team, turnover and understaffing, and competing priorities and a short timeframe.
Conclusions:
Overall, TeamTRACS and its self-guided implementation process were positively received. Incomplete implementation may have limited TeamTRACS’ effectiveness. Longer timeframes and external support may improve the implementation of team training in low-resource settings.
Dementia care is often fragmented and difficult to navigate. Patient navigation is a promising solution to support individuals with dementia and their care partners.
Objective
A bilingual patient navigation program was piloted in New Brunswick, Canada, embedding six patient navigators in primary care clinics across the province.
Methods
A mixed-methods study explored participant characteristics, satisfaction, and experiences with the program.
Findings
Among 150 navigation cases, primary needs included access to informational resources and social services. Survey results showed high overall satisfaction with the program, along with improved knowledge and access to dementia-related health and social services. Qualitative findings further emphasized that patient navigators successfully linked participants to appropriate resources and services while also reducing care partner burden. However, systemic barriers such as long wait times and financial constraints persisted.
Discussion
This study highlights the need for early intervention and sustained navigation support to enhance dementia care coordination and accessibility in aging populations.