Preparing for analysis: a practical guide for a critical step for procedural rigor in large-scale multisite qualitative research studies

Despite attention to technical aspects of conducting qualitative research, few studies describe procedures for managing pre-analysis activities in large-scale multisite qualitative projects. As part of the data collection for the Criminal Justice Drug Abuse Treatment Studies, a national multisite research cooperative with nine research centers (RCs) conducted 700 semi-structured interviews to evaluate interorganizational strategies in three protocols focused on improving addiction- and health related service delivery in criminal justice settings. Guided by the research cooperative, RCs collaborated on many aspects of the qualitative data activities (e.g., codebook development and coding activities), however, pre-analysis procedures, such as organizing and managing resources, were primarily managed at the RC level. The present study examines these various practices and describes two exemplary approaches to pre-analysis, with emphasis on lessons learned and recommendations for coordinating resources, managing data, and maintaining fidelity to the study procedures for large-scale qualitative projects.     

When Lying Does Not Pay: How Experts Detect Insurance Fraud

A growing literature has focused on understanding how to detect and deter unethical consumer behavior. In this work, we focus on a particularly important type of unethical consumer behavior, consumer insurance fraud, and we analyze a unique dataset to understand how experts investigate suspicious claims. Two separate but related literatures inform the process of investigating suspicious insurance claims. The first literature is grounded in field research and emphasizes the importance of secondary sources. The second literature is grounded in laboratory studies that emphasize the importance of interpersonal interactions. Here we draw upon both literatures to consider the importance of claimant interviews within the context of many investigative actions and the potential for claimants to avoid interviews. In an empirical study using qualitative and quantitative data from auto insurance claim investigations, we analyze investigative chronologies conducted by skilled experts. In doing so, we find that even when investigators can access information from a variety of sources such as witnesses, databases, and physical evidence, claimant interviews are the most important step in determining whether or not claims are denied or paid. Furthermore, we identify interpersonal avoidance as an important signal of unethical claimant behavior. Our findings inform deception detection theory and practice. We identify implications for deception detection in business, particularly for consumer unethical behavior and insurance fraud investigations.     

Visitor and non‐visitor images of Central and Eastern Europe: a qualitative analysis

This study examines the image of Central and Eastern Europe (CEE) as a holiday destination. The countries are linked by having had communist governments and being inaccessible to tourists from outside the communist bloc. Currently, they seek new tourist markets and this study examines the views of a number of UK residents about destination image of CEE. The study examines, through semi‐structured interviews, images held by people who have and who have not visited CEE. The data is analysed qualitatively. Few significant differences were found between views of visitors and non‐visitors; most views were positive and associated favourably with ‘culture’. Negative images were usually associated with the eastern part of the area especially ex‐Yugoslavia. Copyright © 2007 John Wiley & Sons, Ltd.     

Championing change: lessons learned from one unit's struggle

In an era that is primarily focused on cost reduction and outpatient facility development, justification for inpatient unit expansion projects is an issue that plagues most nurse managers. Championing Change encourages nursing leaders to develop business plans that highlights their endeavors. This concept was developed after witnessing first-hand a futile attempt to expand intermediate intensive care beds and telemetry monitoring capabilities on a neurology/neurosurgical unit. The experience of one unsuccessful quest of an expansion endeavor is discussed.     

A SHOCK ABSORPTION INDEX FOR INOPERABILITY INPUT–OUTPUT MODELS

Recent disasters have underscored the importance of enhancing resilience in economic systems. In this work, we propose a novel shock absorption index, which provides a measure of the ability of an economic system to tolerate disruptions. It is assumed that there are externally defined initial levels of system failure or disruption, as well as maximum allowable levels of inoperability for each sector. The shock absorption index is defined as the largest fraction of the anticipated initial disruption that can be absorbed by the predefined robustness limits. It provides an overall measure of the robustness of an economic system towards a disruptive event, which is driven by both the economic structure and the individual robustness of different sectors. The results of two case studies illustrate policy-making insights in identifying and prioritizing risk management strategies for critical systems.     

Focal points for improving communications about electromagnetic fields and health: a mental models approach

Central to the precautionary policy is the provision of information about electromagnetic fields (EMF) technology, exposures, potential health risks and exposure management actions to the public. To meet this need at the broadest level, beyond the specific technology foci of previous research, a research project was commissioned as part of Dutch Electromagnetic Fields and Health Research Programme. This study provides an assessment of Dutch EMF information needs from an ensemble of sources by addressing people’s existing ideas and beliefs, using a mental models approach. A summary expert model of influences on and consequences of exposure derived from search of the relevant literature is informed by interviews with 15 scientists and professionals with diverse expertise. Although the professionals characterize the physical characteristics and psychological aspects of exposure to EMF in daily life similarly, there is no consensus regarding potential health effects. Interviews with 12 lay people followed by a confirmatory survey of the general Dutch public (n = 403) reveal not only wide variation in beliefs regarding potential health effects of EMF, but also overestimation of the amount of radiation from public sources relative to personal sources of EMF. People do not feel adequately informed by the government about EMF, and knowledge of government policies on EMF is limited. Together, the evidence suggests three focal points for improving EMF risk communications: providing more clarity regarding the uncertainty of evidence for health effects, illuminating personal EMF exposures in daily life and providing more accessible and transparent information on governmental policies.     

Bags for Life: The Embedding of Ethical Consumerism

The aim of this paper is to understand why some ethical behaviours fail to embed, and importantly what can be done about it. We address this by looking at an example where ethical behaviour has not become the norm, i.e. the widespread, habitual, use of ‘bags for life’. This is an interesting case because whilst a consistent message of ‘saving the environment’ has been the basis of the promotion of ‘bags for life’ in the United Kingdom for many years, their uptake has only recently become more widespread and still remains at low levels. Through an exploratory study, we unpack some of the contextual barriers which may influence ethical consumerism. We do this by examining the attitudes which influenced people to start using ‘bags for life’, and how people persuade others to use ‘bags for life’. We use a case study analysis to try and understand why ethical behaviour change has stalled and not become sustained. We find that both individuals and institutions play a significant interaction role in encouraging a sustained behavioural change towards ethical consumerism.     

Costs,culture and life decisions: analysing the factors that influence enrolment in master's level education in Germany

Through evaluation of current literature and survey data, this exploratory study aimed to determine factors that influence enrolment in master's level education and attendant delay of life decisions. A total of 134 master's students at a German university were surveyed. The mean age was 25 years and respondents were nearly equal parts German and non‐German nationalities. Results show how cultural factors motivate enrolment in master's programmes and how enrolment influences the timing of other important life decisions. Respondents expected significant benefits to social status, job placement and income. While this small‐scale study does not include all decision factors and its findings are not fully generalizable, we hope it motivates further research in this area.     

Understanding the economic,daily functioning,and diabetes management burden of non-severe nocturnal hypoglycemic events in Canada: differences between type 1 and type 2

Objective:

To examine the daily functioning, diabetes management, and economic burden of non-severe nocturnal hypoglycemic events (NSNHEs) in Canada and differences in impacts by diabetes type.

Research design and methods:

A 20-min web-based survey, with items derived from the literature, expert and patient interviews, assessing the impact of NSNHEs, was administered to patients with self-reported diabetes aged ≥18 having an NSNHE in the past month.

Results:

Two thousand, two hundred and seventy-nine Canadian persons with diabetes were screened with 200 respondents meeting criteria and included in the analysis sample. Out of 87 working respondents, 15 reported on average 3.5?h of lost work (absenteeism). The reduction in work productivity (presenteeism) reported was comparable to the impact of arthritis. Other functional impacts included sleep and daily activities. Additionally, respondents’ increased their usual blood sugar monitoring practice, on average, 4.2 (SD?=?7.5) extra tests were conducted in the week following the event and reduced their insulin over the following 4.8 days. Increased healthcare utilization was also reported. Increased costs as a result of NSNHE for lost work productivity, increased diabetes management, and resource utilization was CAD 70.67 per person per year in this sample. Limitations of the study include the biases which are associated with a web-based survey and self-reported data.

Conclusions:

NSNHEs have serious consequences for patients and diabetes management practices. Greater attention to treatments which reduce NSNHEs can have a major impact on improving functioning while reducing the economic burden of diabetes.