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Using integrated mixed methods to develop behavioral measures of factors associated with microbicide acceptability.
Kathleen M Morrow1, Rochelle K Rosen, Liz Salomon
1The Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA. kmorrow@lifespan.org
Qualitative Health Research
|March 31, 2011
Summary
Developing reliable measures for microbicide acceptability and use is crucial. This study introduces an integrated mixed-methods approach to create and validate behavioral measures, enhancing understanding of factors influencing microbicide use.
Area of Science:
- Public Health
- Behavioral Science
- Methodology
Background:
- Understanding factors influencing microbicide acceptability and consistent use has relied on separate qualitative or quantitative studies.
- Integrated mixed-methods designs for developing and validating behavioral measures are rarely employed.
Purpose of the Study:
- To present an integrated mixed-methods design for developing and validating behavioral measures.
- To illustrate this methodology through the development of the Relationship Context Scale.
Main Methods:
- Qualitative metasyntheses
- Cognitive interviews and expert reviews
- Psychometric evaluation
- Confirmatory qualitative analyses linking quantitative items to original qualitative data
Main Results:
- Demonstrated that survey items within the same subscales were often thematically related and double-coded within qualitative passages.
- Identified unique factor structures within subscales due to these associations.
- Successfully developed a psychometrically validated behavioral measure.
Conclusions:
- The integrated mixed-methods design is critical for developing psychometrically validated behavioral measures.
- This methodology can serve as a model for future research in measure development for microbicide acceptability and use.
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