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A Strategy to Identify Critical Appraisal Criteria for Primary Mixed-Method Studies

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Abstract

The practice of mixed-methods research has increased considerably over the last 10 years. While these studies have been criticized for violating quantitative and qualitative paradigmatic assumptions, the methodological quality of mixed-method studies has not been addressed. The purpose of this paper is to identify criteria to critically appraise the quality of mixed-method studies in the health literature. Criteria for critically appraising quantitative and qualitative studies were generated from a review of the literature. These criteria were organized according to a cross-paradigm framework. We recommend that these criteria be applied to a sample of mixed-method studies which are judged to be exemplary. With the consultation of critical appraisal experts and experienced qualitative, quantitative, and mixed-method researchers, further efforts are required to revise and prioritize the criteria according to importance.

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References

  • Altheide, D. L. & Johnson, J. M. (1994). Criteria for assessing interpretive validity in qualitative research. In: N. K. Denzin & Y. S. Lincoln (eds.), Handbook of Qualitative Research.Thousand Oaks, CA: Sage Publications, pp. 485–499.

    Google Scholar 

  • Berger, P. L. & Luckmann, T. (1996). The Social Construction of Reality: A Treatise in the Sociology of Knowledge.Garden City, NY: Doubleday.

    Google Scholar 

  • Berk, R. A. (1979). The construction of rating instruments for faculty evaluation: A review of the methodological issues. J. High Educ. 50(5): 650–670.

    Google Scholar 

  • Burns, N. (1989). Standards for qualitative research. Nurs.Sci.Q.2(1): 44–52.

    Google Scholar 

  • Caracelli, V. J. & Greene, J. C. (1993). Data analysis strategies for mixed-method evaluation designs. Educ. Eval. Policy. An. 15: 195–207.

    Google Scholar 

  • Caracelli, V. J. & Riggin, L. J. C. (1994). Mixed method evaluation: Developing quality criteria through concept mapping. Eval. Pract. 15: 139–152.

    Google Scholar 

  • Casebeer, A. L. & Verhoef, M. J. (1997). Combining qualitative and quantitative research methods: Considering the possibilities for enhancing the study of chronic diseases. Chronic Dis. Can. 18: 130–135.

    Google Scholar 

  • Cobb, A. K. & Hagemaster, J. N. (1987). Ten criteria for evaluating qualitative research proposals. J. Nurs. Educ. 26(4): 138–143.

    Google Scholar 

  • Creswell, J. (1998). Qualitative Inquiry and Research Design: Choosing Among Five Traditions.Thousand oaks, CA: Sage Publications.

    Google Scholar 

  • Datta, L. (1997). Multimethod evaluations: Using case studies together with other methods. In: E. Chelimsky & W. R. Shadish (eds), Evaluation for the 21st Century: A Handbook.Thousand Oaks, CA: Sage Publications, pp. 344–359.

    Google Scholar 

  • Denzin, N. K. & Lincoln, Y. S. (1994). Introduction: Entering the field of qualitative research. In: N. K. Denzin & Y. S. Lincoln (eds), Handbook of Qualitative Research.Thousand Oaks, CA: Sage Publications, pp. 1–17.

    Google Scholar 

  • Department of Clinical Epidemiology and Biostatistics, McMaster University Health Sciences Centre (1981a). How to read clinical journals: II. To learn about a diagnostic test. CMAJ 124: 703–710.

    Google Scholar 

  • Department of Clinical Epidemiology and Biostatistics, McMaster University Health Sciences Centre (1981b). How to read clinical journals: III To learn the clinical course and prognosis of disease. CMAJ 124: 869–872.

    Google Scholar 

  • Department of Clinical Epidemiology and Biostatistics, McMaster University Health Sciences Centre (1981c). How to read clinical journals: V: To distinguish useful from useless or even harmful therapy. CMAJ 124: 1156–1162.

    Google Scholar 

  • Devers, K. J. (1999). How will we know 'good' qualitative research when we see it? Beginning the dialogue in health services research. Health Serv. Res. 45(5 Part II): 1153–1188.

    Google Scholar 

  • Droitcour, J. A. (1997). Cross design synthesis: Concept and application. In: E. Chelimsky & W. R. Shadish (eds), Evaluation for the 21st Century: A Handbook.Thousand Oaks, CA: Sage Publications, pp. 360–372.

    Google Scholar 

  • Dunn, E. V. (1991). Basic standards for analytic studies in primary care research. In: P. G. Norton, M. Stewart, F. Tudiver, M. J. Bass & E. V. Dunn (eds), Primary Care Research. Newbury Park CA: Sage Publications, pp. 78–96.

    Google Scholar 

  • Elliott, R., Fischer, C. T. & Rennie, D. L. (1999). Evolving guidelines for publication of qualitative research studies in psychology and related fields. Br.J.Clin.Psychol.38(3): 215–229.

    Google Scholar 

  • Ford-Gilboe, M, Campbell, J. & Berman, H. (1995). Stories and numbers: Coexistence without compromise. Adv. Nurs. Sci. 13(1): 14–26.

    Google Scholar 

  • Forchuk, C. & Roberts, J. (1993). How to critique qualitative research articles. Can. J. Nurs. Res. 25(4): 47–56.

    Google Scholar 

  • Foster, R. L. (1997). Addressing epistemological and practical issues in multimethod research: A procedure for conceptual triangulation. Adv. Nurs. Sci. 20(2): 1–12.

    Google Scholar 

  • Fowkes, F. G. R. & Fulton, P. M. (1991). Critical appraisal of published research: Introductory guidelines. BMJ 302: 1136–1140.

    Google Scholar 

  • Gardner, M. J., Machin, D. & Campbell, M. J. (1986). Use of check lists in assessing the statistical content of medical studies. BMJ 292: 810–812.

    Google Scholar 

  • Garratt, D. & Hodkinson, P. (1998). Can there be criteria for selecting research criteria?-A hermeneutical analysis of an inescapable dilemma. Qualitative Inquiry 4(4): 515–539.

    Google Scholar 

  • Greene, J. C. & Caracelli, V. J. (eds) (1997). Advances in mixed-method evaluation: The challenges and benefits of integrating diverse paradigms. New Directions for Program Evaluation.San Francisco: Jossey-Boss Publishers.

  • Greenhalgh, T. (1997a). Assessing the methodological quality of published papers. BMJ 315(7103): 305–308.

    Google Scholar 

  • Greenhalgh, T. (1997b). Statistics for the nonstatistician. II: 'Significant' relations and their pitfalls. BMJ 315(7105): 422–425.

    Google Scholar 

  • Greenhalgh, T. & Taylor, R. (1997). Papers that go beyond numbers (qualitative research). BMJ 315: 740–743.

    Google Scholar 

  • Guba, E G. (1990), The alternative paradigm dialog. In: E. G. Guba (ed.), The Paradigm Dialog.Newbury Park, CA: Sage Publications, pp. 17–30.

    Google Scholar 

  • Guba, E. G. & Lincoln, Y. S. (1994a). Competing paradigms in qualitative research. In: N. K. Denzin & Y. S. Lincoln (eds). Handbook of Qualitative Research.Thousand Oaks, CA: Sage Publications, p. 110.

    Google Scholar 

  • Guba, E. G. & Lincoln, Y. S. (1994b). Competing paradigms in qualitative research. In: N. K. Denzin & Y. S. Lincoln (eds), Handbook of Qualitative Research.Thousand Oaks, CA: Sage Publications, pp. 105–117.

    Google Scholar 

  • Guba, E. G. & Lincoln, Y. S. (1994c). Competing paradigms in qualitative research. In: N. K. Denzin & Y. S. Lincoln (eds), Handbook of Qualitative Research.Thousand Oaks, CA: Sage Publications.

    Google Scholar 

  • Guyatt, G. H., Sackett, D. L., Cook, D.J., for the Evidence-Based Working Group. (1994). Users' guide to the medical literature. II: How to use an article about therapy or prevention, B. What were the results and will they help me in caring for my patients? JAMA 271(1): 59–63.

    Google Scholar 

  • Haughey, B. P. (1994a). Evaluating quantitative research designs: Part 1. Crit. Care Nurse 14(5): 100–102.

    Google Scholar 

  • Haughey, B. P. (1994b). Evaluating quantitative research designs: Part 2. Crit. Care Nurse 14(6): 69–72.

    Google Scholar 

  • Health Services Research (1999). 34(5).

  • Health Educational Quarterly (1992). 19(1).

  • House, E. R. (1994). Integrating the qualitative and quantitative. In: C. S. Reichardt & S. F. Rallis (eds), The Qualitative-Quantitative Debate: New Perspectives.San Francisco: Jossey-Boss Publishers.

    Google Scholar 

  • Inui, T. S. & Frankel, R. M. (1991). Evaluating the quality of qualitative research. J. Gen. Internal. Med.6: 485–486.

    Google Scholar 

  • Koch, T. (1994). Establishing rigour in qualitative research: The decision trail. J. Adv. Nurs. 19: 976–986.

    Google Scholar 

  • Kuzel, A. J. & Like, R. C.(1991). Standards of trustworthiness for qualitative studies in primary care. In: P. G. Norton, M. Steward, F. Tudiver, M. J. Bass & E. V. Dunn (eds), Primary Care Research. Newbury Park, CA: Sage Publications; pp. 138–158.

    Google Scholar 

  • Laupacis. A., Wells, G., Richardson, S. & Tugwell, P., for the Evidence-Based Medicine Working Group (1994). Users' guides to the medical literature: V. How to use an article about prognosis. JAMA 272(3): 234–237.

    Google Scholar 

  • Levine, M., Walter, S., Lee, H., Haines, T., Holbrook, A., Moyer, V., for the Evidence-Based Working Group. (1994). Users' guide to the medical literature. IV. How to use an article about harm. JAMA 271(20): 1615–1619.

    Google Scholar 

  • Lincoln, Y.S. & E. G. Guba. (1985). Naturalistic Inquiry.Newbury Park, CA: Sage Publications.

    Google Scholar 

  • Lincoln, Y. S. & Guba, E. G. (1986). But is it rigorous? Trustworthiness and authenticity in natural-istic evaluation. In: D. D. Williams (ed.), Naturalistic Evaluation. New Directions for Program Evaluation, No. 90.San Francisco: Jossey-Boss, pp. 78–84.

    Google Scholar 

  • Marshall C. (1990). Goodness criteria: Are they objective or judgement calls? In: E. G. Guba (ed.), The Paradigm Dialog.Newbury Park, CA: Sage Publications, pp. 188–197.

    Google Scholar 

  • Morgan, D. L. (1998). Practical strategies for combining qualitative and quantitative methods: Applications to health research. Qual. Health Res. 8: 362–376.

    Google Scholar 

  • Morse, J. M. (1991). Evaluating qualitative research. Qual. Health Res. 1(3): 283–286.

    Google Scholar 

  • Morse, J. M. (1986). Quantitative and qualitative research: Issues in sampling. In: P. L. Chin (ed.), Nursing Research Methodology: Issues and Implementation.Rockville, MA: Aspen Publishers.

    Google Scholar 

  • New Directions for Evaluation: Advances in Mixed-Method Evaluation: The Challenges and Benefits of Integrating Diverse Paradigms 1997; p. 74.

  • Oxman, A.D., Sackett, D. L. & Guyatt, G. H. (1993). For the Evidence-Based Medicine Working Group. Users' guides to the medical literature: 1. How to get started. JAMA 270(17): 2093–2095.

    Google Scholar 

  • Patton, M. Q. (1990). Enhancing the quality and credibility of qualitative analysis. In: Qualitative Evaluation and Research Methods, 2nd edn. Newbury Park, CA: Sage Publications.

    Google Scholar 

  • Patton, M. Q. (1999). Enhancing the quality and credibility of qualitative analysis. Health Serv. Res. 34(5 Part II): 1189–1208.

    Google Scholar 

  • Popay, J., Rogers, A. & Williams, G. (1998). Rationale and standards for the systematic review of qualitative literature in health services research. Qual. Health Res. 8(3): 341–351.

    Google Scholar 

  • Popper, K. R. (1959). The Logic of Scientific Discovery.New York: Basic Books

    Google Scholar 

  • Reichardt, C. S. & Rallis, S.F. (1994). Qualitative and quantitative inquiries are not incompatible: A call for a new partnership. In: C. S. Reichardt & S. F. Rallis (eds), The Qualitative-Quantitative Debate: New Perspectives.San Francisco: Jossey-Boss Publishers, pp. 85–92.

    Google Scholar 

  • Reid. A. (1996). What we want: Qualitative research. Can. Fam. Physician 42: 387–389.

    Google Scholar 

  • Sale, J. E. M, Lohfeld, L. & Brazil, K. (2002). Revisiting the quantitative-qualitative debate: Implications for mixed-methods research. Quality & Quantity 36: 43–53.

    Google Scholar 

  • Secker, J., Wimbush, E., Watson, J. & Milburn, K. (1995). Qualitative methods in health promotion research: Some criteria for quality. Health Educ. J. 54: 74–87.

    Google Scholar 

  • Smith, J. K. (1983). Quantitative versus qualitative research: An attempt to clarify the issue. Educational Researcher 12: 6–13.

    Google Scholar 

  • Smith, J. K. (1990). Alternative research paradigms and the problem of criteria. In: E. G. Guba (ed.), The Paradigm Diaolog.Newbury Park, CA: Sage Publications, pp. 167–187.

    Google Scholar 

  • Sparkes, A. C. (2001). Myth 94: Qualitative health researchers will agree about validity. Qual. Health Res. 11(4): 538–552.

    Google Scholar 

  • Tashakkori, A. & Teddlie, C. (1998). Mixed Methodology: Combining Qualitative and Quantitative Approaches.Thousand Oaks, CA: Sage Publications.

    Google Scholar 

  • Wilson, H. S. (1985). Qualitative studies: From observations to explanations. Journal Nurs. Adm. 8–10.

  • Yin, R. K. (1999). Enhancing the quality of case studies in health services research. Health Serv. Res. 34(5 Part II): 1209–1224.

    Google Scholar 

  • Yonge, O. & Slewin, L. (1988). Reliability and validity: Misnomers for qualitative research. Can. J Nurs. Res.20(2): 61–67.

    Google Scholar 

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Sale, J.E.M., Brazil, K. A Strategy to Identify Critical Appraisal Criteria for Primary Mixed-Method Studies. Quality & Quantity 38, 351–365 (2004). https://doi.org/10.1023/B:QUQU.0000043126.25329.85

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