Section VI-B, Fast stream rehabilitation group (N=12)
4.12 Integrated process for research questions
4.12.1 Mapping of the research process
Research question 1 Does collaborative goal setting
through OT-MCS optimise occupational performance for stroke
clients?
Quantitative method Qualitative method
Survey 60 OTs Evaluation (Slow stream rehab) 60 stroke participants Evaluation (Fast stream rehab) 60 stroke participants Research philosophy Activity catalogue checklist & selecting activity into 4 domains of ACS Attitude of stroke assessment test & selecting activity into 4 domains of ACS Activity catalogue checklist & selecting activity into 4 domains of ACS SPSS Package statistical Descriptive Analysis Research strategy Data collection Data interpretation Interview Semi-structured interview Thematic analysis
Figure 4.12: The research process of research question 1
Research question one represents the process of investigation the overall outcome of the OT-MCS approach. Research philosophy contains two parts (quantitative and qualitative methods). In research strategies, quantitative methods included the survey of 60 OTs and evaluated the attitude of stroke participants (slow stream rehabilitation) and the level of engagement of stroke participants (fast stream rehabilitation), whilst qualitative inquiry was utilised by the interview. In data
collection, part of the quantitative approach comprised of the activity catalogue
checklist and selection of activity into 4 domains, whereas a semi-structured interview was used as part of the qualitative means. Data interpretation involved SPSS (version 18) and descriptive analysis in the quantitative methods, while qualitative processes used thematic analysis.
A.Kaunnil 103 Research question 2
How can OT-MCS assist OTS to identify and recognise the individual’s attitude to
therapeutic activity engagement?
Quantitative method Qualitative method
Research philosophy SPSS Descriptive analysis (Box plot) Research strategy Data collection Data interpretation Interview 6 regional representatives
(Slow stream rehabilitation) 12 stroke participants
Semi-structured interview
Thematic analysis Comparative evaluation
(slow stream rehabilitation) 60 stroke participants
Attitude of stroke assessment test Attitude of ‘SATISFACTION’’ in 40 activity items Attitude of ‘IMPORTANCE’’ in 40 activity items
Figure 4.13: The research process of research question 2
In research question two, research philosophy consists of quantitative and qualitative methods. Research strategies reflect quantitative methods providing evaluation of the attitudes of satisfaction and importance in 40 activity items for 60 stroke participants (slow stream rehabilitation), while qualitative discovery comes from the interviews with 12 stroke participants from 6 regional hospitals who are in slow stream rehabilitation. Data collection involves a quantitative tool of an attitude of stroke assessment test; meanwhile the qualitative method uses semi-structured interview. The data interpretation, SPSS (version 18) and descriptive analysis (Box plot) are used to analyse the quantitative evaluation, whilst qualitative examination uses thematic analysis.
A.Kaunnil 104 Research question 3
How can OT-MCS using a new resource (ACS) develop occupational performance
skills for stroke clients?
Quantitative method Qualitative method
Research philosophy SPSS Cluster analysis Research strategy Data collection Data interpretation
Face-to-face therapeutic interaction and interview
Semi-structured interview
Thematic analysis Survey
(180 participants) 120 stroke participants+60 OTS
Item determination
Grouping domain area
Item reduction
Delphi method and participant’s selection into domain area
Item generation
AC(2008) + survey 6 regions
Figure 4.14: The research process of research question 3
In research question three, research philosophy includes both quantitative and qualitative methods. In research strategies, quantitative method involves a survey of 180 participants [stroke clients (n=120); and OTs (n=60)], whilst qualitative exploration involves face-to-face therapeutic interaction and interviews. Data
collection involves quantitative methods which provide the mean of item generation
(Activity catalogue) adding new therapeutic activities from 6 regions; item reduction is utilised by a Delphi method and participants’ activity section into domain areas (see detail in Chapter 6); item determination is to group and blend domain areas. A part of qualitative inquiry uses semi-structured interviews. In data interpretation, SPSS (version 18) offers hierarchical cluster analysis of the data, meanwhile qualitative assessment is analysed using thematic analysis.
A.Kaunnil 105 Research question 4
How can OT-MCS help stroke clients to develop their occupational performance skills?
Quantitative method Qualitative method
Research philosophy
Radar Plot Analysis
Research strategy Data collection Data interpretation Interview 6 regional representatives
(Fast stream rehabilitation) 12 stroke participants
Semi-structured interview
Thematic analysis Comparative evaluation
(fast stream rehabilitation) 60 stroke participants
Activity of occupational therapy programme recording document
Level of activity engagement
1. Therapist structured programme
2. Therapist-client/family cooperative programme 3. Client participation programme
4. Home programme
Figure 4.15: The research process of research question 4
In research question four, the research philosophy embraces quantitative and qualitative methods. In research strategies the quantitative approach uses a comparative evaluation for 60 stroke participants (fast stream rehabilitation) in the level of activity engagement, whilst qualitative discovery plans to interview 12 stroke participants from 6 regional hospitals who are in fast stream rehabilitation.
Data collection quantitative instrument is an OT programme recording document;
while the qualitative method uses semi-structured interviews. For data
interpretation, radar plot analysis is used to analyse the evaluation, whereas a
A.Kaunnil 106 Research question 5
Are the perspectives of OTs and stroke clients similar or dissimilar with respect to
the range of therapeutic activities?
Quantitative method Qualitative method
Research philosophy
SPSS Package statistical
Mann Whitney U test
Research strategy Data collection Data interpretation 6 regional representatives
(Slow stream rehabilitation) 12 stroke participants for the interview
Semi-structured interview
Thematic analysis Comparative evaluation
Comparison
attitude of stroke group and OT group 60 OTS
In terms of ‘Satisfaction and Importance in 40 activity items
60 stroke participants
(slow stream rehab)
in terms of ‘Satisfaction and Importance in 40 activity items
Figure 4.16: The research process of research question 5
In research question five, the research philosophy includes of quantitative and qualitative methods. In research strategies, quantitative methods provide tools to evaluate the attitude of satisfaction and importance via 40 therapeutic items between stroke participants (n=60) and OTs (n=60). In the qualitative investigation interviews are held with 6 regions (n=12) stroke participants in slow stream rehabilitation. Data
collection involves a quantitative tool of the attitude of stroke assessment test for
stroke participants and activity catalogue checklist for therapists. In data
interpretation, Mann Whitney U test is used to analyse the data, meanwhile
A.Kaunnil 107