Nancy J Moules’s research while affiliated with University of Calgary and other places

The expression of grief in social media is a complex and multi-layered issue that is ever present in our lives, especially with the increase in social media engagement. In this study, we interviewed 10 bereaved parents around their experiences of social media as vehicle to express their grief following the death of a child. We also interviewed 10 people who posted on sites offering bereavement support and examined multiple social media sites dedicated to grief and loss of a child. Guided by Gadamerian philosophical hermeneutics, we developed several interpretations of this complex and complicated relationship of grief and social media. In this paper, we discuss some of our findings around interpretations of relevant emotion, honoring the deceased, and seeking orientation in a changed world. Advice from bereaved parents is offered to others with similar losses and to those posting on bereavement sites. In the end, we are faced with the interpretation that this relationship of social media and grief is many things, but it is never “neutral.” Keywords: Grief, social media, hermeneutics, Gadamer

Postpartum depression (PPD) symptoms can negatively influence mother-infant interactions. Video-Feedback Interaction Guidance for Improving Interactions Between Depressed Mothers and their Infants (VID-KIDS) is a parenting intervention that allows mothers experiencing PPD symptoms to observe and improve their interactions with their infants. VID-KIDS has also positively influenced infants’ stress (cortisol) patterns. There is limited research on maternal perspectives of interventions like VID-KIDS. In this hermeneutic study, four mothers were interviewed to increase understanding of the VID-KIDS experience. Key findings included: 1) VID-KIDS provided an opportunity for mothers with PPD symptoms to positively transform their identity; 2) VID-KIDS provided a chance to witness the mother-infant relationship forming and improve maternal mental health and; 3) VID-KIDS provided a space for mothers to dialogue about their experience with PPD symptoms authentically. VID-KIDS promoted healing from PPD as mothers experienced a transformation in how they perceived themselves and their relationships with their infants.

This editorial discusses how questions can be overused and serve to distance rather than engage as intended.

As mixed methods research approaches become increasingly more common, it is imperative they are conducted in a thoughtful and rigorous manner to yield useful results. While researchers have begun to explore the use of various qualitative research methodologies in mixed methods research, there is a gap in literature discussing the philosophical congruence of using interpretive description in mixed method studies, and how to ensure rigor while integrating interpretive description results. Our purpose in writing this article is to discuss the issues of fit, purpose, process, context, and design when using interpretive description in mixed methods research approaches by drawing on examples from the literature. Further, we explore the contributions that interpretive description can make in a mixed methods inquiry. This article offers a first step in using a purposeful approach to mixed methods interpretive description studies to increase transparency and rigor in this relatively new methodology.

Purpose In Western society, the measurement of weight is prioritized over a person’s bodily experience. Hermeneutic philosopher Gadamer warned against the emphasis on measurement, rather than experience, in the medical sciences. An examination of the complexity of the experience of weight provides the opportunity to shift focus from quantifying the connection between health and weight to the experience of the person being weighed. Methods This qualitative hermeneutic study aims to understand people’s experiences of weight from the interviews of professionals (n = 7) and lay experts (n = 10). Interviews were analyzed using an interpretive hermeneutic method. Results The interviews revealed that weight was experienced as a number imbued with meaning and bias, as a number that could be manipulated, and as a constant and anticipated bodily change. Weight change was expected and often unwelcomed, despite weight being a quality of the body that is always in flux. External measures of weight meant to monitor wellness and health inadvertently became an unhealthy fixation that prevented some participants from fully participating in life events and appreciating the stages their bodies were in. Conclusion Weight change is a necessary condition of being human, and bodies are and will be constantly changing. To achieve health and harmony, one must fit together the acceptance of change and their bodily experience of weight. It is often the preoccupation with weight, not weight itself, that gets in the way of living.

Objective: That we all weigh something is a fact of life, yet the material reality of weight is refracted through multiple layers of surveillance revealing contradictions in experience and understanding, depending on one’s vantage point. We explored the complexities of weight with the specific aim of furthering understanding of this multifaceted surveillance. Methods and Measures: We used hermeneutics, the philosophy and practice of interpretation, as the method of inquiry. Ten experts by experience and seven professional experts participated in interviews, which were audio- recorded, transcribed, and analyzed. Interpretations were developed through group discussions among the eight authors and reiterative writing. Results: Using the metaphor of optics, we demonstrate how the interplay of the panopticon (the few watching the many) and synopticon (the many watching the few) help us gain a deeper understanding of weight through “fitting in,” being “captured by numbers,” “dieting: the tyrannic tower,” and “the male gaze.” Conclusion: Monitoring and judging body weight have become so normative in Western society that “weight watching” practices are synonymous with good citizenship and moral character. This study offers insight about how weight is conceptualized in personal and professional contexts, with implications for body image, dieting, eating disorders, public health, and weight bias.

Background Randomized controlled trials (RCTs) are the gold standard for generating evidence to inform clinical oncology practice. Knowledge gained through qualitative research methodologies can be complementary to that gained through RCTs. How qualitative research has been combined with RCTs in oncology has not been previously characterized. Objective This scoping review was conducted to summarize how qualitative research associated with RCTs in the oncology setting has been conducted and examine the quality of reporting. Eligibility Criteria Manuscripts reporting on qualitative research linked with RCTs in the cancer context that involved patients (both adult and pediatric) and/or informal caregiver (friends/family) were included. Sources of Evidence Peer-reviewed manuscripts indexed in MEDLINE (OVID) and CINAHL, published in English between 2008 and January 2019. Charting Methods Formal scoping review methods were followed. A data extraction tool informed by the research questions as well as the COnsolidated criteria for REporting Qualitative research (COREQ) was utilized. Extraction was conducted independently by two authors, with disagreements resolved by a third. Results Fifty-four articles were included. Assessing information sharing, diet/exercise, and psychotherapeutic interventions were the most common focuses of the RCTs. The most common focus of the qualitative component was on gaining insight into the experience of receiving the intervention or participating in RCT procedures. How the intervention impacted the cancer experience was not a common focus of the qualitative components. Some reports provided insufficient information to understand how the qualitative components aligned with the RCT components. The results of the qualitative and RCT components were not integrated to draw meaningful conclusions about the efficacy of the intervention under study in most cases. Reports focusing on only qualitative methods had higher median (Mdn) reporting of COREQ items compared to reports that included both the qualitative and RCT components (Mdn = 18 vs. Mdn = 14, respectively; p <.001). Conclusions This review identified that qualitative research has been combined with RCTs in the cancer context in a number of ways, most commonly to understand the experience of receiving study interventions or participating in trial procedures. Exploring how interventions impact other aspects of the cancer experience is an approach that should be considered in future work. Formalized guidelines for the design and reporting of investigations that combine qualitative and RCT approaches in the cancer context are expected to be of value. Tweetable Abstract: Combining qualitative research with randomized controlled trials in oncology: an important opportunity for discovery.

Purpose: In professional practice, body weight issues are typically considered from an individual-level standpoint. In contrast to this dominant perspective, we highlight that body weight has prominent social, economic, and political influences and connotations. An examination of the social complexity of weight provides opportunity to shift focus from individual to societal and structural influences on perceptions of weight. Methods: Seven renowned experts in weight-related issues with at least 10-years-experience in various fields from across Europe, Australia, the United States, and Canada participated in interviews about their professional experience with weight. Interviews were analyzed using hermeneutic methods via an iterative interpretive process. Results: The interviews revealed a battlefield, a war waged on weight. War emerged as an overall metaphor that included aspects of: war on obesity, bodies as battlefields, war camps, war fronts, entrenchment and negotiation and, finally, the phenomenon of “no man’s land.” Conclusions: In many ways, language itself limits us from capturing the complexities of weight. The war metaphor provides a way of understanding the intensity of the firestorm surrounding the construct of weight. New understandings from what we might refer to as veterans of the war on weight offer hope for transformation, not just win or lose, but a hermeneutic wager of possibility.

In professional practice, body weight issues are typically considered from an individual-level standpoint. In contrast to this dominant perspective, we highlight that body weight has prominent social, economic, and political influences and connotations. An examination of the social complexity of weight provides opportunity to shift focus from individual to societal and structural influences on perceptions of weight. Seven renowned experts in weight-related issues with at least 10-years-experience in various fields from across Europe, Australia, the United States, and Canada participated in interviews about their professional experience with weight. Interviews were analyzed using hermeneutic methods via an iterative interpretive process. The interviews revealed a battlefield, a war waged on weight. War emerged as an overall metaphor that included aspects of war on obesity, bodies as battlefields, war camps, war fronts, entrenchment and negotiation and, finally, the phenomenon of “no man’s land.” In many ways, language itself limits us from capturing the complexities of weight. The war metaphor provides a way of understanding the intensity of the firestorm surrounding the construct of weight. New understandings from what we might refer to as veterans of the war on weight offer hope for transformation, not just win or lose, but a hermeneutic wager of possibility.