Issues Encountered in a Qualitative Secondary Analysis of Help-Seeking in the Prodrome to Psychosis

Community Health Systems Resource Group, The Hospital for Sick Children, 555 University Avenue, Toronto, Ontario, M5G 1X8, Canada.
The Journal of Behavioral Health Services & Research (Impact Factor: 1.37). 11/2007; 34(4):431-42. DOI: 10.1007/s11414-007-9079-x
Source: PubMed


Primary data are rarely used explicitly as a source of data outside of the original research purpose for which they were collected. As a result, qualitative secondary analysis (QSA) has been described as an "invisible enterprise" for which there is a "notable silence" amongst the qualitative research community. In this paper, we report on the methodological implications of conducting a secondary analysis of qualitative data focusing on parents' narratives of help-seeking activities in the prodrome to psychosis. We review the literature on QSA, highlighting the main characteristics of the approach, and discuss issues and challenges encountered in conducting a secondary analysis. We conclude with some thoughts on the implications for conducting a QSA in children's mental health services and research.

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Available from: Brenda M Gladstone, Oct 03, 2015
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    • "There was a wide range in sample size amongst the studies. The smallest (n = 10) was from a qualitative study comprising interviews with parents who had sought help for children with early signs of mental disorder in Canada;17 the largest was a nationwide epidemiological study, known as the Canadian Community Health Survey (n = 123,543).18 The majority of studies were cross-sectional designs (73%), followed by qualitative studies (14%). "
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    ABSTRACT: Despite a high level of research, policy, and practice interest in help-seeking for mental health problems and mental disorders, there is currently no agreed and commonly used definition or conceptual measurement framework for help-seeking. A systematic review of research activity in the field was undertaken to investigate how help-seeking has been conceptualized and measured. Common elements were used to develop a proposed conceptual measurement framework. The database search revealed a very high level of research activity and confirmed that there is no commonly applied definition of help-seeking and no psychometrically sound measures that are routinely used. The most common element in the help-seeking research was a focus on formal help-seeking sources, rather than informal sources, although studies did not assess a consistent set of professional sources; rather, each study addressed an idiosyncratic range of sources of professional health and community care. Similarly, the studies considered help-seeking for a range of mental health problems and no consistent terminology was applied. The most common mental health problem investigated was depression, followed by use of generic terms, such as mental health problem, psychological distress, or emotional problem. Major gaps in the consistent measurement of help-seeking were identified. It is evident that an agreed definition that supports the comparable measurement of help-seeking is lacking. Therefore, a conceptual measurement framework is proposed to fill this gap. The framework maintains that the essential elements for measurement are: the part of the help-seeking process to be investigated and respective time frame, the source and type of assistance, and the type of mental health concern. It is argued that adopting this framework will facilitate progress in the field by providing much needed conceptual consistency. Results will then be able to be compared across studies and population groups, and this will significantly benefit understanding of policy and practice initiatives aimed at improving access to and engagement with services for people with mental health concerns.
    Psychology Research and Behavior Management 12/2012; 5:173-83. DOI:10.2147/PRBM.S38707
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    • "A secondary analysis of the qualitative data was determined to be the most effective approach to meet the study's goal. Secondary analyses of qualitative data focus on more in-depth explorations of a specific theme or new question generated from a larger, parent study (Gladstone et al., 2007; Hinds et al., 1997). At the time the secondary data analysis occurred for this study, the IRB approvals from the second phase of the study (2008) remained active and covered the secondary analysis. "
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    ABSTRACT: Studies of the nursing work environment are increasingly common in developed countries, but few exist in developing countries. Because of resource differences between the two contexts, researchers need to clarify what aspects of the work environments are similar and different. To study the perspectives of Mexican nurses about their work environments to determine similarities and differences to results from developed world studies. A secondary, directed content analysis of qualitative data from 46 Spanish language interviews using workplace-oriented themes. Purposively selected Mexican states from four regions of the country that reflect the country's socioeconomic differences. Practicing Mexican nurses with at least 1 year of clinical experience and currently working in nursing. Participants were recruited through convenience and snowball sampling techniques. Initial data collection occurred in 2006 and 2008 during a broader study about professionalization processes that occurred in Mexican nursing between 1980 and 2005. The secondary, directed content analysis focused on an in-depth exploration of a central theme that emerged from the two original studies: the workplace. The directed content analysis used themes from the global nursing work environment literature to structure the analysis: professional relationships, organizational administrative practices, and quality of care and services. The three themes from the global literature were relevant for the Mexican context and a new one emerged related to hiring practices. By category, the same factors that created positive or negative perceptions of the work environment matched findings from other international studies conducted in developed countries. The descriptors of the category, however, had different conceptual meanings that illustrate the health system challenges in Mexico. Findings from this study suggest that studies that seek to measure nursing work environments will most likely apply in Mexico and other Latin American or middle-income countries. Instruments designed to measure the work environment of nurses in these countries may prove relevant in those contexts, but require careful adaptation and systematic translations to ensure it.
    International journal of nursing studies 03/2012; 49(7):793-802. DOI:10.1016/j.ijnurstu.2012.02.001 · 2.90 Impact Factor
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    • "The most common reason why researchers conduct a secondary data analysis, according to Fielding (2004), is in order to re-analyse the data from a new perspective with a view to gaining new insights. Most instances of qualitative secondary data analysis tend to be those where the primary researcher re-analyses his/her original work (Parry & Mauthner, 2005; Gladstone, Volpe & Boydell, 2007). "
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