Qualitative Health Research最新文献

{"title":"Exploring the Experiences of Mental Health Service Providers in Delivering Services to International Graduate Students in Canada: An Interpretive Phenomenological Study.","authors":"Elham Javadizadeh, Lori Letts, Skye Barbic, Setareh Ghahari, Carrie Anne Marshall","doi":"10.1177/10497323261438719","DOIUrl":"https://doi.org/10.1177/10497323261438719","url":null,"abstract":"<p><p>International graduate students contribute significantly to Canadian universities through their roles in research, teaching, and the enrichment of academic and cultural life. Despite these contributions, they face distinct mental health challenges related to cultural adjustment, financial pressures, and social isolation. Campus-based mental health services are often their primary source of support, yet little is known about the experiences of those providing this care. This study employed interpretative phenomenological analysis to explore the lived experiences of 13 campus-based mental health service providers across two Ontario universities. Semi-structured interviews revealed the complex, emotionally layered realities of supporting international graduate students in resource-constrained and culturally diverse contexts. Four interrelated themes emerged: witnessing intersecting pressures and cultural transitions; building trust and connection; embracing linguistic and cultural diversity; and navigating structural and cultural dimensions of care. Providers described the intensity of working with students balancing academic demands, familial expectations, and immigration uncertainties, often compounded by stigma and systemic limitations such as session caps and wait times. They emphasized the relational work of trust-building, the challenge of bridging linguistic and cultural gaps, and the tension of operating within predominantly Western models of therapy. Many also extended their responsibilities beyond traditional counseling, acting as advocates, navigators, and informal case managers, while reflecting critically on their own positionality and the limits of cultural understanding. By centering service providers' perspectives, this study underscores the need for institutional investment in culturally responsive, flexible, and accessible campus-based mental health care, alongside policy reforms addressing systemic barriers.</p>","PeriodicalId":48437,"journal":{"name":"Qualitative Health Research","volume":" ","pages":"10497323261438719"},"PeriodicalIF":2.4,"publicationDate":"2026-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How and Why Do Multimorbid Patients Decide to Follow Their Multiple Medication Prescriptions? Looking Beyond the Risk-Benefit Scale.","authors":"Juliette Artignan, Kevin Diter, Pascal Clerc, Perrine Capmas, Nathalie Pelletier-Fleury","doi":"10.1177/10497323241311508","DOIUrl":"10.1177/10497323241311508","url":null,"abstract":"<p><p>Current public health guidelines emphasize the necessity to optimize medication prescriptions for multimorbid patients with multiple medications to ensure patient adherence while minimizing harm and waste. Nevertheless, there is limited understanding of how these patients choose to follow their medication regimen. This study aimed to describe the variations in the way patients account for their adherence (and non-adherence) to multiple medications and to draw links between these variations and patients' socioeconomic status. Twenty semi-structured interviews were conducted with patients aged 47-82 years with cardiovascular disease and multiple medically treated chronic conditions. They were transcribed and analyzed using reflexive thematic analysis. We first describe shared concerns about multiple medication taking and situations of medical uncertainty which arose when patients encounter conflicting medical instructions. We then highlight two overarching approaches through which patients conceptualized following their medical prescriptions. Some patients predominantly deferred the choice of medication to their physicians, while others steered the decision-making process and closely monitored what they were prescribed. These styles reflected different ways of engaging with doctors, dealing with side effects, and evaluating prescriptions and were linked to patients' socioeconomic status. We discuss our results by borrowing from Hirschman's theory of voice, exit, and loyalty. Findings argue in favor of better coordinated care to reduce prescription ambiguities and highlight the importance of patients with multimorbidity being given sufficient time and space to voice their concerns.</p>","PeriodicalId":48437,"journal":{"name":"Qualitative Health Research","volume":" ","pages":"578-592"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143736227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Healthcare Provider Strategies and Approaches to Supporting People Living With HIV Who Are Experiencing HIV Treatment Disengagement in British Columbia, Canada.","authors":"Tatiana E Pakhomova, Rebeccah Parry, Tim Wesseling, David M Moore, Claudette Cardinal, Nicole Dawydiuk, Valerie Nicholson, Clara Tam, Surita Parashar, Robert Hogg, Rolando Barrios, Julio S G Montaner, Kate Salters","doi":"10.1177/10497323251318218","DOIUrl":"10.1177/10497323251318218","url":null,"abstract":"<p><p>We conducted a strengths-based, qualitative study to elucidate the approaches and strategies utilized by healthcare providers (HCPs) to support HIV treatment engagement in British Columbia (BC), Canada. Healthcare providers (e.g., nurses, peer navigators, and pharmacists) across the province of BC were recruited through regional HIV programs and by word of mouth through purposive sampling strategies. An academic and community researcher co-conducted semi-structured phone interviews with HCPs providing HIV-specific healthcare. Emergent coding and participatory analysis, guided by interpretive description and the socio-ecological model, were used to uncover themes. Across all provincial health regions, 19 HCPs were interviewed between November 2020 and May 2021. Narratives centered around HIV care as a relational practice and the importance of person-centered care approaches. HCPs underscored the need to foster long-term, trusting relationships with clients, founded on respect, compassion, and non-judgmental approaches, which acknowledged the unique care engagement needs and experiences of people living with HIV (PLWH) experiencing treatment breaks. Successful engagement approaches supported clients' overall stability, which directly support treatment adherence. This includes strategies tailored to address unique client contexts and priorities related to psychosocial and other intersecting health needs. Collaborative relationships with other providers, both formal multidisciplinary team-based care and partnerships with ancillary service staff, were found to improve care continuity. Our study highlights the importance of relationship-building, person-centered care, and collaborative care to support PLWH experiencing breaks in treatment. HIV HCPs emphasized holistic, community-centered approaches as crucial to successful and long-term engagement of PLWH in care.</p>","PeriodicalId":48437,"journal":{"name":"Qualitative Health Research","volume":" ","pages":"630-644"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Paradoxes in Mental Healthcare: Exploring Service Gaps in Treatment and Care for Patients With Extensive Hospitalization Experience.","authors":"Henrik Wang Iversen, Henriette Riley, Geir Fagerjord Lorem","doi":"10.1177/10497323241309259","DOIUrl":"10.1177/10497323241309259","url":null,"abstract":"<p><p>Patients with extensive hospitalization experience present challenges for mental healthcare by disrupting continuity of care across service systems. This study explores how mental healthcare services address the needs of these patients, focusing on service gaps between hospitalization and community services. By examining the underlying reasons for their reliance on hospitals, the study offers insights into the lived experiences of this marginalized group. The study aims to provide knowledge that can enhance treatment and care for patients with severe mental disorders. Using a narrative explanatory design, we interviewed 14 patients with extensive hospitalization experience. A holistic-content analysis revealed shortcomings in community services that contributed to frequent hospitalizations. These inconsistencies contributed to paternalistic treatment and collaboration issues, misaligning services with patients' needs. Patients were frequently labeled as \"difficult\" and placed at inappropriate levels of care, sometimes resorting to extreme measures to access the care they required. The study highlights paradoxes and contradictions between goals, policies, and service provision in mental healthcare. Patients were caught between two extremes entrenched in a struggle with services, either to gain access to support or to break free from service constraints. We argue that better access to institution-based treatment and care could provide benefits to these patients and help bridge service gap. Establishing long-term, well-staffed residential facilities would not only relieve hospitals of the burden of frequent readmissions but also enhance service integration. This would provide a much-needed middle ground, ensuring that patients receive the appropriate level of care while preventing unnecessary hospitalization.</p>","PeriodicalId":48437,"journal":{"name":"Qualitative Health Research","volume":" ","pages":"607-618"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143736229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Navigating the Digital Divide: Utilization of Patient Portals Among Older Adults During the COVID-19 Pandemic in the United States.","authors":"Chung Hyeon Jeong, BoRin Kim, Maria Bessette","doi":"10.1177/10497323251316194","DOIUrl":"10.1177/10497323251316194","url":null,"abstract":"<p><p>The COVID-19 pandemic has accelerated the adoption of patient portals, which enhance patient-provider communication, streamline medical records management, and provide tailored educational materials. However, older patients face challenges in adopting these technologies, potentially exacerbating health and healthcare disparities. Guided by the Senior Technology Acceptance and Adoption Model (STAM), this study explores older adults' experiences with patient portals during the pandemic to gain an in-depth understanding of the factors influencing their adoption. We conducted semi-structured virtual interviews in 2021 with 31 older adults aged 60 or older with healthcare needs. The interviews were thematically coded and analyzed using the constant comparative method in grounded theory. The three phases of technology acceptance in STAM-objectification, incorporation, and conversion-served as sensitizing concepts in our analysis. The findings showed that some older patients felt compelled to use patient portals during the pandemic, bypassing the objectification phase, which is crucial for building an intention to use new technology. Older patients who lack a strong intention to use patient portals tended to report challenges in the incorporation phase, focusing more on the difficulties rather than the usefulness. These themes highlight obstacles to the adoption of patient portals during the conversion phase. Various suggestions for patient portal training and educational programs tailored to the needs of older adults were proposed to facilitate their adoption of patient portals. The study suggests areas for improvement to increase patient portal adoption among older patients, offering valuable insights for healthcare providers and policymakers to enhance equitable access to digital healthcare services.</p>","PeriodicalId":48437,"journal":{"name":"Qualitative Health Research","volume":" ","pages":"565-577"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143736228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Constructing Research Quality: On the Performativity of the COREQ Checklist.","authors":"Niels Buus, Ben Ong, Rochelle Einboden, Anette Juel, Amelie Perron","doi":"10.1177/10497323251323225","DOIUrl":"10.1177/10497323251323225","url":null,"abstract":"<p><p>The Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist was designed to enhance quality in the reporting of interview and focus group studies, and it is widely endorsed by journals and publishers. However, it has also been heavily critiqued for its design and application in qualitative health research communities. In this article, we conduct detailed critical text analyses of eight articles and their accompanying self-reported COREQ responses and discuss the performative force of the checklist on the appearance of research quality. The analyses of authors' rhetorical strategies in articles and checklist responses indicated that they sometimes provide misleading, inconsistent, or excessive information, prioritizing checklist completion over substantive engagement with quality principles. While intended to standardize reporting, COREQ's rigid structure often led to overcompliance or inappropriate responses from authors, who strived to meet its criteria, even when they were irrelevant or unsuitable. This \"overobedience\" reflects a desire to maintain credibility and avoid scrutiny, yet it undermines the depth and rigor of qualitative research. COREQ is an epistemic device, shaping researcher practices and identities beyond its stated purpose, and while COREQ aims to enhance accountability, it perpetuates epistemic dominance, eroding authenticity and critical reflection in qualitative research, ultimately exacerbating the very problems it seeks to solve.</p>","PeriodicalId":48437,"journal":{"name":"Qualitative Health Research","volume":" ","pages":"619-629"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13049214/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Participatory Action Research and Knowledge Dissemination in Virtual Photovoice: Methodological Insights.","authors":"John L Oliffe, Nina Gao, Calvin C Fernandez, Matthew Sha, Celene Y L Yap, Paul Sharp, Sarah McKenzie","doi":"10.1177/10497323241290956","DOIUrl":"10.1177/10497323241290956","url":null,"abstract":"<p><p>Despite the methodological spread of virtual photovoice, alignments to and potential advances for the participatory action research (PAR) and knowledge dissemination (KD) components of in-person photovoice are poorly understood. Detailing the PAR and KD processes, practices, and products drawn from a virtual photovoice study examining men's experiences of and perspectives about equitable intimate partner relationships, the current article offers three thematic findings. The first theme <i>Processes and pragmatics for selecting representative photographs</i> describes adapting established analytics of preview, review, and cross-photo comparisons to categorize and select images from a large collection of participant-produced photographs (<i>n</i> = 714). Specifically, detailed are the reconciling of researchers deciding which images and accompanying narratives to include guided by PAR principles. Theme 2, <i>Democratizing and disrupting in-person PAR with virtual focus group polls (VFGPs)</i>, chronicles participant voting through Zoom to collectively decide and subsequently discuss their favorite photographs. While anonymity for the poll was democratizing in terms of participant equality for voting on the photographs, connecting men virtually from diverse locales could differentiate cultural norms. The third theme <i>KD pledges and pitfalls with online photovoice exhibitions</i> details the potential benefits and challenges for reaching diverse end-users. Evident was the importance of marketing and media for driving traffic to the online exhibition, and the centrality of interactivity for fostering engagement to build and adjust photovoice e-health interventions. With virtual photovoice continuing to grow in popularity post COVID-19, this article offers important methodological lessons for adapting and advancing components of in-person PAR and KD.</p>","PeriodicalId":48437,"journal":{"name":"Qualitative Health Research","volume":" ","pages":"519-533"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13049221/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Wishes, Perceived Barriers, and Support Needs of People Living in Persistent Poverty.","authors":"Lincy Scholten, Sandra H H Schel, Linda van den Dries, Gerdine A J Fransen-Kuppens, Renée de Vet, Judith R L M Wolf","doi":"10.1177/10497323241309803","DOIUrl":"10.1177/10497323241309803","url":null,"abstract":"<p><p>This study explores the wishes, perceived barriers, and support needs of people living in persistent poverty. These remain undetermined, yet are essential for developing effective support for this group. We conducted semi-structured video call interviews with people living in persistent poverty (<i>n</i> = 14), peer workers (<i>n</i> = 5), and practitioners (<i>n</i> = 5) in five municipalities in the Netherlands. The findings show that wishes revolve around improving individuals' socio-economic security, their (loved-ones') well-being, and relatedness. The realization of these wishes is hindered by socio-economic barriers, support structures, psychological processes, and an intergroup reality gap. Participants therefore advocated for structural changes in policy and practice. These include more income, a focus on poverty prevention, easily accessible and tailor-made support, and bridging the gap between the living and system world. In addition, service provision for people living in persistent poverty should prioritize the quality of the working alliance, self-direction, a holistic approach, and the engagement of peer workers.</p>","PeriodicalId":48437,"journal":{"name":"Qualitative Health Research","volume":" ","pages":"593-606"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13049215/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143736230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Family Coping Among Patients With Heart Failure: A Qualitative Study.","authors":"Xiong Zhang, Min Zhou, Huilin Zhou, Yimei Zhang, Xiaorong Jin, Xu Su, Wei Wei, Yangjuan Bai, Fang Ma","doi":"10.1177/10497323241290379","DOIUrl":"10.1177/10497323241290379","url":null,"abstract":"<p><p>Heart failure is a severe and terminal stage of various heart diseases characterized by complex clinical syndromes. With regard to the management of HF, the patient's family is the most common and essential resource. The manner in which the family copes with the disease can lead to effective or ineffective management. It is necessary to explore how families of patients with heart failure as a whole are coping with the disease. Our qualitative descriptive study involved 18 families of patients with HF, including 18 patients and 13 family members. Based on the trichotomy of coping strategies proposed by Weiten, the text of the interviews was analyzed via content analysis. Four categories emerged from the data: (1) problem-oriented coping, (2) appraisal-oriented coping, (3) emotion-oriented coping, and (4) family dynamic-oriented coping. Nine subcategories were extracted: fighting the disease during an episode; managing the disease in daily life; embarking on a journey for support; understanding the disease in a diverse way; accepting the disease or not, optimistic; worried and powerlessness; alternating role responsibilities; and adjusting family interactions. The identification of the predominant category of 'family dynamic-oriented coping' in our study has significant implications for health care professionals. By recognizing and addressing the unique dynamics of family interactions and coping mechanisms, health care providers can develop targeted strategies to improve overall outcomes for both patients and their families impacted by HF.</p>","PeriodicalId":48437,"journal":{"name":"Qualitative Health Research","volume":" ","pages":"534-547"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unreachable Loneliness: Informal Supports Role Amid Low Belonging Perceptions of Suicide-Vulnerable Youth.","authors":"Matt Drabenstott, Nishad Khanna, Tanya Halsall","doi":"10.1177/10497323251316192","DOIUrl":"10.1177/10497323251316192","url":null,"abstract":"<p><p>Suicide remains a leading cause of death for young people. This study explores the critical role of informal supports in the lives of youth facing suicidal crises by tracing the role of belonging throughout suicidal episodes. Using interpretative phenomenological analysis, this study aims to provide a holistic view of belongingness couched in the rich context of lived experience, broadening the scope of belongingness while taking into account the acute nature of the construct. Three young adults who experienced suicidal episodes during adolescence were interviewed. Participants described how their suicidal thoughts often overshadowed their ability to perceive support from family and friends, rendering them emotionally unreachable at crucial moments. Yet, these significant others played critical roles at every level of analysis. The study identifies key strategies for informal supports, including persistent engagement, non-abandonment, openness, and reciprocal support, to effectively address suicidal episodes. Additionally, this work draws out upstream policy recommendations for communities and policy makers. Findings underscore the importance of understanding and navigating the complex dynamics of belongingness and informal support during suicidal episodes. This research contributes to suicide prevention by emphasizing the need for informal supports, as key links of a social safety net, in bridging the gap between perceived and actual care.</p>","PeriodicalId":48437,"journal":{"name":"Qualitative Health Research","volume":" ","pages":"548-564"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143743503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}