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Barriers to Adoption of Wellness Programs: A Worked Example of an Augmented Best-Fit Framework Synthesis
Title
Barriers to Adoption of Wellness Programs: A Worked Example of an Augmented Best-Fit Framework Synthesis.
Creator
Oliver, Dalton, Fisher, Thomas, Boote, David, Valdes, Anna, Swan, Bonnie, University of Central Florida
Abstract / Description
Background: Qualitative syntheses have the potential to offer a great deal of insight into complex problems of practice. However, their methods often appear unclear and warrant ongoing scrutiny by the research community. Aim: This study introduces a novel combination of methods for synthesizing qualitative literature and explores the utility of these methods through a worked example of a real-world problem of practice. Methods: Qualitative studies that investigated barriers to adoption of...
Show moreBackground: Qualitative syntheses have the potential to offer a great deal of insight into complex problems of practice. However, their methods often appear unclear and warrant ongoing scrutiny by the research community. Aim: This study introduces a novel combination of methods for synthesizing qualitative literature and explores the utility of these methods through a worked example of a real-world problem of practice. Methods: Qualitative studies that investigated barriers to adoption of wellness programs through the perspectives of key informants were systematically collected for synthesis. Key informants were identified as decision makers at small- to medium-sized businesses. The primary method used in this study was the Best-Fit Framework Synthesis (BFS). The BFS was augmented with Alignment Scores, CERQual Analysis, and a novel Saturation of Inquisition Test. Dedoose software was used to support data analysis. Results: The systematic search returned 4 studies that met the inclusion criteria. Diffusion Theory was systematically selected to develop a framework for analyzing qualitative findings. The synthesis generated four analytical themes and led to the development of a contextually rich conceptual framework. Analytical themes deeply informed the research questions while the framework offered a broader view of the overall problem. CERQual Analysis provided an added dimension of ranking amongst findings based on their level of confidence. The Saturation of Inquisition Test identified gaps in current research and validated decisions made during the synthesis. Alignment Scores identified specific points of misalignment and supported decision-making during the synthesis. Conclusion: The augmented BFS was a valuable method for synthesizing qualitative findings in a manner that informs practitioners and builds on relevant theory. The additional methods integrated seamlessly with the original BFS while enhancing transparency, reliability, and practical value of the synthesis. Further replication and critical evaluation of the overall methodology and its individual components is warranted.
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Date Issued
2017
Identifier
CFE0006632, ucf:51293
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFE0006632
CLAIMS OF MISTAKEN IDENTITY:AN EXAMINATION OF U.S. TELEVISION FOOD COMMERCIALS AND THE ADULT OBESITY ISSUE
Title
CLAIMS OF MISTAKEN IDENTITY:AN EXAMINATION OF U.S. TELEVISION FOOD COMMERCIALS AND THE ADULT OBESITY ISSUE.
Creator
Delgado, Cristina, DeLorme, Denise, University of Central Florida
Abstract / Description
Obesity is one of the major public health issues in the United States, often regarded as part of a global crisis. Companies invest billions of dollars each year towards television advertising campaigns aimed at convincing audiences how their ground-breaking discovery 'battles the bulge' or somehow offers an increased health benefit. This study examined how advertisers presented health-related claims, including health and nutrient-content claims, in U.S. adult-targeted television food...
Show moreObesity is one of the major public health issues in the United States, often regarded as part of a global crisis. Companies invest billions of dollars each year towards television advertising campaigns aimed at convincing audiences how their ground-breaking discovery 'battles the bulge' or somehow offers an increased health benefit. This study examined how advertisers presented health-related claims, including health and nutrient-content claims, in U.S. adult-targeted television food commercials. The claims were compared to FTC, FDA, and USDA laws, regulations, and recommendations. A content analysis of food advertising was conducted of commercials from major and cable network programs broadcast during prime-time in the first quarter of 2009. The majority of claims match current regulations when compared to Federal references. The results show that Nutrient and Wellness claims were the most frequently cited. The type of benefit, Healthy Eating, emerged almost 3 times more than any other benefit type. This is also similar to those results which suggest advertisers' intentions were to promote overall wellness in their content delivery. As such, the Wellness Approach was identified and conceptualized, leading towards full development of a Wellness Effect theory. Implications and future research opportunities are discussed on both a theoretical and practical level.
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Date Issued
2009
Identifier
CFE0002565, ucf:48260
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFE0002565