A Novel Mixed Methods Approach Combining Geospatial Mapping and Qualitative Inquiry to Identify Multilevel Policy Targets: The Focused Rapid Assessment Process (fRAP) Applied to Cancer Survivorship

Overview

Journal J Mix Methods Res

Publisher Sage Publications

Specialty Social Sciences

Date 2022 May 23

PMID 35603123

Authors

Autumn M Kieber-Emmons

William L Miller

Ellen B Rubinstein

Jenna Howard

Jennifer Tsui

Jennifer L Rankin

Benjamin F Crabtree

Affiliations

Soon will be listed here.

Abstract

Multi-level perspectives across communities, medical systems and policy environments are needed, but few methods are available for health services researchers with limited resources. We developed a mixed method health policy approach, the , that is designed to uncover multi-level modifiable barriers and facilitators contributing to public health issues. We illustrate with a study applying fRAP to the issue of cancer survivorship care. Through this multi-level investigation we identified two major modifiable areas impacting high-quality cancer survivorship care: 1) the importance of cancer survivorship guidelines/data, 2) the need for improved oncology-primary care relationships. This article contributes to the mixed methods literature by coupling geospatial mapping to qualitative rapid assessment to efficiently identify policy change targets.

Citing Articles

Clinician and Patient Perspectives on the Exchange of Sensitive Social Determinants of Health Information.

DesRoches C, Wachenheim D, Garcia A, Harcourt K, Henry J, Shah R JAMA Netw Open. 2024; 7(10):e2444376.

PMID: 39480419 PMC: 11528312. DOI: 10.1001/jamanetworkopen.2024.44376.

fRAP 2.0: a community engagement method applied to cervical cancer disparities among Hispanic women.

Kieber-Emmons A, Hansen S, Topmiller M, Grewal J, Jaen C, Crabtree B Fam Med Community Health. 2024; 12(Suppl 2).

PMID: 39182927 PMC: 11664375. DOI: 10.1136/fmch-2023-002601.

Approaches to enabling rapid evaluation of innovations in health and social care: a scoping review of evidence from high-income countries.

Norman G, Mason T, Dumville J, Bower P, Wilson P, Cullum N BMJ Open. 2023; 12(12):e064345.

PMID: 36600433 PMC: 10580278. DOI: 10.1136/bmjopen-2022-064345.

Qualitative Exploration of Geospatially Identified Bright Spots and Priority Areas to Improve Diabetes Management.

Banerjee E, Hansen S, Burgess N, Shaak K, Johnson M, Kieber-Emmons A J Prim Care Community Health. 2022; 13:21501319221126281.

PMID: 36345171 PMC: 9647283. DOI: 10.1177/21501319221126281.

"Let's Use This Mess to Our Advantage": Calls to Action to Optimize School Nutrition Program beyond the Pandemic.

Katz B, Soldavini J, Grover K, Jilcott Pitts S, Martin S, Thayer L Int J Environ Res Public Health. 2022; 19(13).

PMID: 35805309 PMC: 9265650. DOI: 10.3390/ijerph19137650.

References

Levesque J, Harris M, Scott C, Crabtree B, Miller W, Halma L . Dimensions and intensity of inter-professional teamwork in primary care: evidence from five international jurisdictions. Fam Pract. 2017; 35(3):285-294. PMC: 5965094. DOI: 10.1093/fampra/cmx103. View

Miller K, Siegel R, Lin C, Mariotto A, Kramer J, Rowland J . Cancer treatment and survivorship statistics, 2016. CA Cancer J Clin. 2016; 66(4):271-89. DOI: 10.3322/caac.21349. View

Katz M, Young G, Zimmermann B, Tatum C, Paskett E . Assessing Colorectal Cancer Screening Barriers by Two Methods. J Cancer Educ. 2016; 33(3):536-543. PMC: 7076560. DOI: 10.1007/s13187-016-1148-5. View

Paskett E, Thompson B, Ammerman A, Ortega A, Marsteller J, Richardson D . Multilevel Interventions To Address Health Disparities Show Promise In Improving Population Health. Health Aff (Millwood). 2016; 35(8):1429-34. PMC: 5553289. DOI: 10.1377/hlthaff.2015.1360. View

Tsui J, Hudson S, Rubinstein E, Howard J, Hicks E, Kieber-Emmons A . A mixed-methods analysis of the capacity of the Patient-Centered Medical Home to implement care coordination services for cancer survivors. Transl Behav Med. 2018; 8(3):319-327. PMC: 6454454. DOI: 10.1093/tbm/ibx059. View

Coughlin S, Smith S . The Impact of the Natural, Social, Built, and Policy Environments on Breast Cancer. J Environ Health Sci. 2015; 1(3). PMC: 4597477. DOI: 10.15436/2378-6841.15.020. View

Praestegaard C, Jensen A, Jensen S, Nielsen T, Webb P, Nagle C . Cigarette smoking is associated with adverse survival among women with ovarian cancer: Results from a pooled analysis of 19 studies. Int J Cancer. 2017; 140(11):2422-2435. PMC: 5489656. DOI: 10.1002/ijc.30600. View

Shariff-Marco S, Gomez S, Sangaramoorthy M, Yang J, Koo J, Hertz A . Impact of neighborhoods and body size on survival after breast cancer diagnosis. Health Place. 2015; 36:162-72. PMC: 4684167. DOI: 10.1016/j.healthplace.2015.10.003. View

Russell G, Miller W, Gunn J, Levesque J, Harris M, Hogg W . Contextual levers for team-based primary care: lessons from reform interventions in five jurisdictions in three countries. Fam Pract. 2017; 35(3):276-284. PMC: 5965082. DOI: 10.1093/fampra/cmx095. View

10.

Simmons V, Pineiro B, Hooper M, Gray J, Brandon T . Tobacco-Related Health Disparities Across the Cancer Care Continuum. Cancer Control. 2016; 23(4):434-441. PMC: 5972388. DOI: 10.1177/107327481602300415. View

11.

Gorin S, Badr H, Krebs P, Das I . Multilevel interventions and racial/ethnic health disparities. J Natl Cancer Inst Monogr. 2012; 2012(44):100-11. PMC: 3482960. DOI: 10.1093/jncimonographs/lgs015. View

12.

Taylor B, Henshall C, Kenyon S, Litchfield I, Greenfield S . Can rapid approaches to qualitative analysis deliver timely, valid findings to clinical leaders? A mixed methods study comparing rapid and thematic analysis. BMJ Open. 2018; 8(10):e019993. PMC: 6194404. DOI: 10.1136/bmjopen-2017-019993. View

13.

Topmiller M, Kieber-Emmons A, Shaak K, McCann J . Identifying Bright Spot Counties for Appropriate Diabetes Preventive Care: A Geospatial, Positive Deviance Approach. J Prim Prev. 2020; 41(5):431-443. DOI: 10.1007/s10935-020-00601-4. View

14.

Resnicow K, Page S . Embracing chaos and complexity: a quantum change for public health. Am J Public Health. 2008; 98(8):1382-9. PMC: 2446457. DOI: 10.2105/AJPH.2007.129460. View

15.

Crabtree B, Miller W . A qualitative approach to primary care research: the long interview. Fam Med. 1991; 23(2):145-51. View

16.

Meneses K, Benz R, Bail J, Vo J, Triebel K, Fazeli P . Speed of processing training in middle-aged and older breast cancer survivors (SOAR): results of a randomized controlled pilot. Breast Cancer Res Treat. 2017; 168(1):259-267. PMC: 5823754. DOI: 10.1007/s10549-017-4564-2. View

17.

Cohen D, Crabtree B . Evaluative criteria for qualitative research in health care: controversies and recommendations. Ann Fam Med. 2008; 6(4):331-9. PMC: 2478498. DOI: 10.1370/afm.818. View

18.

DiCicco-Bloom B, Crabtree B . The qualitative research interview. Med Educ. 2006; 40(4):314-21. DOI: 10.1111/j.1365-2929.2006.02418.x. View

19.

Stange K, Breslau E, Dietrich A, Glasgow R . State-of-the-art and future directions in multilevel interventions across the cancer control continuum. J Natl Cancer Inst Monogr. 2012; 2012(44):20-31. PMC: 3482971. DOI: 10.1093/jncimonographs/lgs006. View

20.

Kim T, Chang J, Kong I . Effects of Exercise Training on Physical Fitness and Biomarker Levels in Breast Cancer Survivors. J Lifestyle Med. 2017; 7(2):55-62. PMC: 5618735. DOI: 10.15280/jlm.2017.7.2.55. View