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      Quality of reporting in chiropractic mixed methods research: a methodological review protocol

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          Abstract

          Background

          Mixed methods designs are increasingly used in health care research to enrich findings. However, little is known about the frequency of use of this methodology in chiropractic research, or the quality of reporting among chiropractic studies using mixed methods.

          Objective

          To quantify the use and quality of mixed methods in chiropractic research, and explore the association of study characteristics (e.g., authorship, expertise, journal impact factor, country and year of publication) with reporting quality.

          Methods

          We will conduct a systematic search of MEDLINE, EMBASE, CINAHL, and the Index to Chiropractic Literature to identify all chiropractic mixed methods studies published from inception of each database to December 31, 2020. Articles reporting the use of both qualitative and quantitative methods, or mixed qualitative methods, will be included. Pairs of reviewers will perform article screening, data extraction, risk of bias with the Mixed Methods Appraisal Tool (MMAT), and appraisal of reporting quality using the Good Reporting of A Mixed Methods Study (GRAMMS) guideline. We will explore the correlation between GRAMMS and MMAT scores, and construct generalized estimating equations to explore factors associated with reporting quality.

          Discussion

          This will be the first methodological review to examine the reporting quality of published mixed methods studies involving chiropractic research. The results of our review will inform opportunities to improve reporting in chiropractic mixed methods studies. Our results will be disseminated in a peer-reviewed publication and presented publicly at conferences and as part of a doctoral thesis.

          Supplementary Information

          The online version contains supplementary material available at 10.1186/s12998-021-00395-0.

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          Most cited references27

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          The Measurement of Observer Agreement for Categorical Data

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            Achieving integration in mixed methods designs-principles and practices.

            Mixed methods research offers powerful tools for investigating complex processes and systems in health and health care. This article describes integration principles and practices at three levels in mixed methods research and provides illustrative examples. Integration at the study design level occurs through three basic mixed method designs-exploratory sequential, explanatory sequential, and convergent-and through four advanced frameworks-multistage, intervention, case study, and participatory. Integration at the methods level occurs through four approaches. In connecting, one database links to the other through sampling. With building, one database informs the data collection approach of the other. When merging, the two databases are brought together for analysis. With embedding, data collection and analysis link at multiple points. Integration at the interpretation and reporting level occurs through narrative, data transformation, and joint display. The fit of integration describes the extent the qualitative and quantitative findings cohere. Understanding these principles and practices of integration can help health services researchers leverage the strengths of mixed methods. © Health Research and Educational Trust.
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              Designing and conductiong mixed methods research

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                Author and article information

                Contributors
                emaryp@mcmaster.ca
                Journal
                Chiropr Man Therap
                Chiropr Man Therap
                Chiropractic & Manual Therapies
                BioMed Central (London )
                2045-709X
                15 September 2021
                15 September 2021
                2021
                : 29
                : 35
                Affiliations
                [1 ]GRID grid.25073.33, ISNI 0000 0004 1936 8227, Department of Health Research Methods, Evidence and Impact, , McMaster University, ; Hamilton, ON Canada
                [2 ]GRID grid.417733.5, ISNI 0000 0000 9420 4549, Chiropractic Department, , D’Youville College, ; Buffalo, NY USA
                [3 ]Private Practice, Cambridge, ON Canada
                [4 ]GRID grid.418591.0, ISNI 0000 0004 0473 5995, Department of Graduate Education and Research, , Canadian Memorial Chiropractic College, ; Toronto, ON Canada
                [5 ]GRID grid.416721.7, ISNI 0000 0001 0742 7355, Biostatistics Unit, Father Sean O’Sullivan Research Centre, , St. Joseph’s Healthcare-Hamilton, ; Hamilton, ON Canada
                [6 ]Centre for the Development of Best Practices in Health, Yaundé, Cameroon
                [7 ]GRID grid.11956.3a, ISNI 0000 0001 2214 904X, Division of Global Health, , Stellenbosch University, ; Stellenbosch, South Africa
                [8 ]GRID grid.46078.3d, ISNI 0000 0000 8644 1405, School of Public Health and Health Systems, , University of Waterloo, ; Waterloo, ON Canada
                [9 ]GRID grid.5012.6, ISNI 0000 0001 0481 6099, Care and Public Health Research Institute, , Maastricht University, ; Maastricht, Netherlands
                [10 ]GRID grid.25073.33, ISNI 0000 0004 1936 8227, Department of Anesthesia, , McMaster University, ; Hamilton, ON Canada
                [11 ]GRID grid.25073.33, ISNI 0000 0004 1936 8227, Department of Family Medicine, , McMaster University, ; Hamilton, ON Canada
                [12 ]GRID grid.498744.2, The Centre for Family Medicine Family Health Team, ; Kitchener, ON Canada
                [13 ]GRID grid.25073.33, ISNI 0000 0004 1936 8227, Michael G. DeGroote National Pain Centre, , McMaster University, ; Hamilton, ON Canada
                [14 ]Chronic Pain Centre of Excellence for Canadian Veterans, Hamilton, ON Canada
                Author information
                http://orcid.org/0000-0003-3044-8415
                Article
                395
                10.1186/s12998-021-00395-0
                8442283
                c8b23dcd-85cb-4df7-a567-8cc49fa7f9b5
                © The Author(s) 2021

                Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

                History
                : 31 May 2021
                : 7 September 2021
                Funding
                Funded by: D'Youville College
                Categories
                Study Protocol
                Custom metadata
                © The Author(s) 2021

                Complementary & Alternative medicine
                study protocol,mixed methods research,reporting quality,chiropractic,methodological review

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