A Framework for Integrating Qualitative and Quantitative Data in Knowledge, Attitude, and Practice Studies: A Case Study of Pesticide Usage in Eastern Uganda
A Framework for Integrating Qualitative and Quantitative Data in Knowledge, Attitude, and Practice Studies: A Case Study of Pesticide Usage in Eastern Uganda
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DOI：
10.3389/fpubh.2017.00318
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发表时间：
2017-12-08
影响因子：
5.2
通讯作者：
Muwonge, Adrian
中科院分区：
文献类型：
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作者：
Muleme, James;Kankya, Clovice;Muwonge, Adrian
知识、态度和实践(KAP)研究指导公共卫生干预(PHI)的实施，它们是政治说服的重要工具。公共卫生信息系统的设计和实施假设了一个线性的KAP关系，即，一场意识运动导致了理想的社会行为变化。然而，在PHI之前和之后，没有一个强大的框架来测试这种关系。在这里，我们使用关于农药使用的定性和定量数据来检验这种线性关系，确定相关的特定背景因素，以及组装一个可用于指导和评估PHI的框架。我们使用了关于杀虫剂使用的横断面混合方法研究的数据。使用结构化问卷从代表1,002个人的167个家庭收集了定量数据。定性数据是从关键信息提供人和焦点小组讨论中收集的。在R3.2.0中分别进行了定量和定性的数据分析以及定性的主题分析。我们的框架显示，KAP线性关系只存在于知识得分较低的家庭，这表明意识运动只对类似37%的家庭有效。特定背景的社会经济因素解释了为什么这种关系不适用于知识得分较高的家庭。这些研究结果对于制定有针对性、成本效益高和可持续的杀虫剂使用干预措施和其他针对具体情况进行修改的潜在危险物质至关重要。
Knowledge, attitude, and practice (KAP) studies guide the implementation of public health interventions (PHIs), and they are important tools for political persuasion. The design and implementation of PHIs assumes a linear KAP relationship, i.e., an awareness campaign results in the desirable societal behavioral change. However, there is no robust framework for testing this relationship before and after PHIs. Here, we use qualitative and quantitative data on pesticide usage to test this linear relationship, identify associated context specific factors as well as assemble a framework that could be used to guide and evaluate PHIs. We used data from a cross-sectional mixed methods study on pesticide usage. Quantitative data were collected using a structured questionnaire from 167 households representing 1,002 individuals. Qualitative data were collected from key informants and focus group discussions. Quantitative and qualitative data analysis was done in R 3.2.0 as well as qualitative thematic analysis, respectively. Our framework shows that a KAP linear relationship only existed for households with a low knowledge score, suggesting that an awareness campaign would only be effective for similar to 37% of the households. Context specific socioeconomic factors explain why this relationship does not hold for households with high knowledge scores. These findings are essential for developing targeted cost-effective and sustainable interventions on pesticide usage and other PHIs with context specific modifications.