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Published Article / The epistemological and ontological orientations relevant for this research are positivism, interpretivism and pragmatism. These paradigms of inquiry are associated with quantitatively oriented research traditions, qualitatively oriented research traditions and mixed methods research respectively. Researchers who use mixed methods build on the strengths of quantitative and qualitative methods and minimize their weaknesses. Since educational research is primarily evidence-based, the aim of the study was to explore the extent to which mixed methods research was reflected in two eminent South African educational research journals during the 11 year period, 2000 to 2010. To this end 1392 articles were analysed. Of the research articles published in the two journals, 17.8% and 15.1% respectively reported on the use of mixed methods. Quantitative methods dominated between 2000 and 2002, followed by a paradigm war in 2003 to 2007, and mainly qualitative methods from 2008 onwards. Mixed methods research was mostly used in the educational domains of didactics (inclusive of curriculum studies), management and social studies. The most dominant themes investigated in these fields were related to curricula and the NQF/OBE, transformation, staff diversity, e-learning and other teaching methods. The need to develop mixed methods research in all branches of social research in South Africa is indicated.

Interest in the concept of 'wellbeing' is gaining prominence among academic researchers, policy makers and planning bodies within the UK and internationally. This emerging agenda is often in the context of efforts to promote sustainable communities through environmental initiatives, such as community gardening, which aim to link communal activities with individualised lifestyle preferences and behaviours. This thesis explores the ways in which health, wellbeing and social development are intricately implicated in sustainable living initiatives, and how such initiatives can be applied to enhance health, wellbeing and social development at both individual and community levels through exposure to greenspace in the form of community gardens. This thesis takes an ethnographic approach into the study of community gardens in areas of social disadvantage in Plymouth. Findings provide empirical evidence showing that active participation in the community gardens result in health, wellbeing and social development impacts for individual participants directly involved within the garden. Findings at the community level were more mixed, providing insights into barriers to exclusion and inequalities in and across communities within the study area. The results of this thesis provide a greater appreciation of how sustainable living initiatives can provide social and economic opportunities which can promote health and wellbeing for individuals and communities and contribute towards sustainable design of urban areas with the use of green infrastructure. Stemming from these results is the call for increased collaboration between public health officials and spatial planners to incorporate and utilise green space community initiatives in urban areas to enable health and wellbeing impacts to become realised and sustained at an individual and community level.

Nurses are at increased risk for job burnout, which can lead to psychological and physical problems, decreased quality of care, and premature exit from the profession. Studies have found common predictors of burnout in multiple service occupations, but there are important differences across settings. The current study used embedded mixed-method analyses to explore burnout in a sample of nurses that work with patients with chronic abdominal pain. Thirty-two nurses participated in focus groups and data analyses revealed the following six themes: negative pain beliefs, barriers to effective pain management, nurse empathy/compassion, moral distress, coping methods, and burnout. These themes were evaluated with proposed theoretical frameworks and the extant literature to build the Pediatric Chronic Pain Nurse Burnout model. The constructs in this model were then evaluated quantitatively via measures completed by 41 nurses. Analyses provided partial support for the model and highlighted areas for further evaluation of burnout in nursing.

Despite their long trajectory in the social sciences, few systematic works analyze how often and for what purposes focus groups appear in published works. This study fills this gap by undertaking a meta-analysis of focus group use over the last 10 years. It makes several contributions to our understanding of when and why focus groups are used in the social sciences. First, the study explains that focus groups generate data at three units of analysis, namely, the individual, the group, and the interaction. Although most researchers rely upon the individual unit of analysis, the method’s comparative advantage lies in the group and interactive units. Second, it reveals strong affinities between each unit of analysis and the primary motivation for using focus groups as a data collection method. The individual unit of analysis is appropriate for triangulation; the group unit is appropriate as a pretest; and the interactive unit is appropriate for exploration. Finally, it offers a set of guidelines that researchers should adopt when presenting focus groups as part of their research design. Researchers should, first, state the main purpose of the focus group in a research design; second, identify the primary unit of analysis exploited; and finally, list the questions used to collect data in the focus group.

Aim: A study to investigate the potential feasibility (including estimated effect-size), acceptability and health benefits of DEFO and physiotherapy in treatment of spasticity following intramuscular injection of BT. Participants: Adults living in the community with focal spasticity of the upper or lower limb (Modified Ashworth Scale 2-3) recruited at a regional Spasticity Clinic. Intervention: provision of an individually fitted DEFO (worn daily up to 8 hours) usual care and physiotherapy (as required) for 6 weeks. Methods: Mixed methods embedded design feasibility study: Quantitative: Feasibility single-blind RCT: Intervention Group: DEFO intervention protocol, usual care and physiotherapy, Control Group: usual care and physiotherapy. Qualitative: Topic guided interviews of the intervention group and clinicians. Measures: Goal Attainment Scale (GAS) primary measure and secondary measures for function and care benefit; Arm Activity measure (ArmA), Leeds Arm Impact Score (LASIS), VAS for pain, European Quality of Life-5 Dimensions (EQ-5D), gait velocity (10MTT). Variance and fidelity was captured with: DEFO wearing record, Activity Log, clinical records and Physiotherapy modalities. Analysis: ANCOVA adjusted means and statistical comparison for significance of measures (at baseline, after six weeks and twelve weeks) between groups and to inform power calculations. Thematic Analysis of clinician and participant transcribed interviews. Quantitative and qualitative findings were integrated and triangulated to inform a larger study. Results: Participants (n=25) recruited over twelve months, (n=22) completed study. Statistical analysis showed improvements in both groups with greater health benefit in the intervention group with mean difference in the GAS of 12.17 (95% CI: 3.16 to 21.18; p = 0.014) but no statistical significance in the secondary measures. Effect-size was estimated from the GAS findings for 200 per group for a larger study. Physiotherapy modalities for spasticity were linked to 'passive' and 'active' function. Feasibility and acceptability was established with Thematic Analysis providing valuable insight into patient and clinician perspectives on disability. Conclusions: Findings indicated potential added health benefits including carer benefit. Feasibility, acceptability and clinical application of DEFO as a potential new intervention were established. This has implications for future spasticity management with patient benefit for passive and active function. Further research is indicated with a fully powered study (based on the GAS sample results) to evaluate DEFO efficacy in people with spasticity following BT.

In the UK, urban parks face a precarious future and, with projected cuts of over 65% to local authority discretionary funding (Local Government Association, 2012:2), it is ever more important to understand their value. This study interrogates the value of these resources from the perspective of the individual and, through a mixed method comparative case study of two community parks in Leeds, West Yorkshire, identifies four key challenges to existing framings of their significance. Drawing on primary observational, social survey and interview data, boundaries constructed between forms of value are, firstly, problematized with fluidity recognised between use and non-use aspects. Secondly, a range of previously-omitted past-related values are identified. Negative elements of significance are, then, thirdly, highlighted as heavily interwoven with positive accounts of importance and emphasised as key omissions in prior representations of value. Before, finally, value is stressed as spatially relative, with comparison with other leisure resources noted as an inherent facet of accounts. Taken together, these challenges demarcate an individual perspective of value as notably distinct from those levelled at other scales, such as the firm or community, as it emphasised that, from this perspective, the value of a resource must be rethought as a relational property created in the interaction between people and their environment, rather than an absolute property assigned to a space. Organisations, such as Nesta (Neal, 2013:21) have emphasised a need to ‘rethink' the funding and management of urban parks, moving towards “mixed funding models”, incorporating some level of community voluntarism. This assumed involvement is, however, premised on community engagement which is far from certain. As such, there is a pressing need to understand the value attached to urban parks to understand the scope for expectations of voluntarism to be truly fulfilled.

The majority of children in the UK live in households with two parents, yet most of the academic research on parenting focuses on the relationship between one parent and one child. More often than not, this one parent has been the mother. There is an expectation of father involvement in contemporary parenting, but the literature still tends to emphasise parenting as a one parent-one child interaction, measuring involvement of the father in terms of time spent with his child. The idea of collaboration, or collaborative parenting, drawing on research into coparenting in the US, considers the involvement of both parents with each other, with respect to the child, as an alternative way of conceptualising parental involvement. Collaboration is considered a useful concept, as it goes beyond the idea of parenting as being about time spent directly with the child. Unlike many factors which may predict child outcomes, a lack of collaboration could be addressed at the family level, through counselling or education. The aims of the research were to develop an understanding of the way in which parents work together, looking in particular at how this is affected by social support; whether there are associations between parental collaboration and the availability of time for family and leisure activities, and feelings about the balance between work and home life; whether parents who collaborate are more likely to adhere to expert advice on parenting matters; and whether there are associations with a child’s social, emotional and behavioural development. Emphasis was also placed on the methodology, as it entailed the development of a method for measuring the concept of collaboration, using data that was not designed for the purpose. The research was conducted through a combination of methods, comprising secondary analysis of data from the first four sweeps of the Growing Up in Scotland (GUS) study, and the conduct and analysis of 20 pairs of semi-structured interviews with parents who had previously taken part in this study. A condition of the funding received from the Scottish Government was to make use of the GUS data. The research found social support affected the process of collaboration in a number of ways: by enabling collaboration to take place; by removing the need for collaboration; by increasing the time available to collaborative couples; and by removing the need to plan ahead. Of particular note were the problems that were more likely to occur when couples neither collaborated, nor had support from outside the home. These are the couples who find that work impacts on their family the most. They are also the ones who are least likely to have time away from their children to do something for their own interest, and are the ones who are most likely to find it difficult to access advice. Collaborative couples tended to find more time available for activities with their children, as well as time for themselves. Positive associations were demonstrated between collaboration and a child’s social, emotional and behavioural development, but the strength of the association was not equal in all situations. When the mother was employed full-time, relatively strong associations were evident. When she was not in employment, and a number of other risk factors were present, relatively strong associations could again be seen. However, when the mother worked part-time, there did not appear to be any association between child behavioural development and collaboration. Associations were also demonstrated with the work-life balance of parents. Collaborative fathers professed less of an impact of the family on their work than non-collaborative ones. Similarly, collaborative fathers were less likely to say that long hours impacted on the time they had with their children than non-collaborative fathers, but there was no equivalent association for mothers. The impact of work on family was more likely to be lower for both parents when they acted collaboratively.

The percentage of obese adults in the U.S. has more than doubled since the late 1970.s. A large percentage of adults, especially women, are trying to lose weight at any given time. Although recommended weight-loss strategies combine reduced caloric intake with physical activity, the actual strategies used can vary. This dissertation uses a mixed-methods approach to investigate weight, weight loss, and body image in post-menopausal women ages 50 to 64. Quantitative data were analyzed from the National Health and Nutrition Examination Survey (NHANES) and semi-structured interviews with 81 women in Kentucky. Qualitative data was gathered from in-depth interviews with eight Kentucky women focusing on life-course factors that affect weight and perception of weight. Over 70% of the Kentucky subjects had attempted weight loss in the last year; 47% of the NHANES women had done so. The most common weight-loss strategies of the Kentucky sample were .ate less food. and .exercised.; in the NHANES samples, the most common choices were .ate less food. and .ate less fat.. In the Kentucky sample, feeling that one is in control of one.s own weight was associated with having joined a weight loss program. Exercise and restaurant frequency and were the most significant predictors of the weight outcomes investigated. Increased exercise was associated with an increased likelihood of being normal weight, gaining less than 10 pounds in the last 10 years, and gaining less than 30 pounds since age 25; decreased restaurant frequency was associated with all of these outcomes in the Kentucky sample. The in-depth interviews revealed that making good food choices, having others as role models, and the desire to be attractive were seen as positive influences on weight. The consumption of .bad. foods, stress, health problems that prevent exercise, menopause, and age were seen as negative influences. The qualitative data also strongly suggested that childhood weight, and past reactions of others to one.s weight, influence perception of current weight. It is the responsibility of women and the public health sector to make the most of these acknowledged motivators and minimize the perceived barriers to reverse the increasing obesity levels in the U.S.

The present study examined the effect of family of origin characteristics on current marital satisfaction, within a sample of newlywed couples, using dyadic and mixed methods approaches to conceptualization, data collection, and data analysis.The data used to investigate this process--sometimes called intergenerational transmission--was collected in two phases. First, quantitative data in the form of close-ended questions was collected separately from each member of 190 newlywed couples via hard-copy questionnaires. These questionnaires included measures of family of origin characteristics (e.g., interparental conflict), current marital processes (e.g., conflict resolution style), and marital outcomes (e.g., marital satisfaction). Second, in-depth and open-ended questions were asked of 18 couples in semi-structured couple interviews. The 18 couples who were interviewed in phase two of the data collection represent a purposive sub-sample of the original 190 couples from phase one of data collection.Results of structural equation modeling of a conceptual model based on the Actor-Partner Interdependence Model (APIM; Cook & Kenny, 2005) indicated that the family or origin characteristics measured predicted a decrease in marital satisfaction, especially for wives. In addition, mixed evidence was found for the potential meditational role of conflict resolution style. Results of thematic coding of the interview data revealed that: a) families of origin serve as marriage role models in complex and multifaceted ways; b) there are other important models of marriage, aside from families of origin, that influence marital outcomes; c) it is likely that couples use a combination of different marriage role models to form their ideas of marriage (and therefore their marital outcomes); and d) it is possible that in some cases families of origin do not provide a marriage role model at all.Finally, results of a configural comparative analysis utilizing both the quantitative and qualitative data revealed that couples negotiate the pathway from their families of origin to their own marriages in diverse ways. Three distinct pathways were identified, including a "modeling" pathway, a "modified modeling" pathway, and a "compensation" pathway. Interpretations and implications of these findings are discussed. In addition, future directions for research in this area are suggested.