Research In Social Work Practice Salem State University School of Social Work Session Four Jeff Driskell, MSW, PhD Today’s class • Check-in/Announcements • Lecture ▫ Problem formulation/statements ▫ Theory in research Theory and Research What is a Theory? “systematically organized knowledge applicable in a relatively wide variety of circumstances devised to analyze, predict, or otherwise explain the nature or behavior of a specified set of phenomena that could be used as the basis of action” ( Van Ryn and Henry, 1992) Theories • Composed of concepts/constructs and assumptions • Not static- evolving and undergo modification • A good theory- can be tested, is parsimonious, generalizable and has a level of predictive power • Helps frame interventions, programs and evaluation design • Cost effective – Theory can show us what works Theories cont… • Help identify which factors/variables/concepts should be targeted a • Assist in defining expected outcomes • Basing programs on tested theory gives scientific support • Assist in developing useful implications for practice, research and policy Theory in a nut shell • WHY people are making decisions that put their health at risk • WHAT you need to know before developing/implementing a program • HOW to shape program strategies to make an impact on individuals, groups, communities • WHAT should be monitored, measured, or compared in program evaluation Social Cognitive Theory • Concepts associated with this theory? • Has this theory evolved over time? That is where did it originate? Application Example- What Theory? • Pathways to Housing Program Theory Application: Reading Assignments • Eyrich, K., Pollio, D. and C. North. (2003). An exploration of alienation and replacement theories of social support in homelessness. Social Work Research. Volume 27: Issue 4. • Kriz, K., Slayter E., Iannicelli, A. and J. Lourie (2012). Fear management: How child protection workers engage with non-citizen immigrant families. Children and Youth Services Review. 34(1), 316-323. Problem Focus The Research Process Choose Topic/Prob. Present Findings Research Questions Interpret Data Design Study Analyze Data Collect Data Introduction to Problem Formulation Social work research and evidence-based practice follow a similar process. Both: ▫ Begin with problem formulation − Generate, explore, and select alternative strategies for solving problems − Implement a chosen approach − Evaluate − Disseminate findings Think of the Process as a Funnel Broad Problem Area Narrowing Steps Hypotheses Problem statement/Rationale Communicates the following; (these will vary from research to research) • The focus & importance of the problem (purpose and rational) • Population under investigation • The context & scope of the problem (statistics) • Additional information ▫ The variables under investigation ▫ Research questions/hypotheses (sometimes stated) ▫ Supported research design Problem Area- FOCUS Identify Refine Evaluate Identifying a Problem Area • Consider the following for guidance: ▫ Personal experience Parental divorce Grief- Loss of a family member ▫ Professional experience Volunteering DCF, Hospice ▫ Research Discussion section- future research and limitations Refining a Problem Area • Identify a specific population ▫ Teenage Homeless mothers ages 15-19 ▫ Men in recovery from crystal meth ▫ Elders living in retirement communities • Limit the number of research questions you want to explore • Select a theory/theories or model to provide you with a framework ▫ Stress and coping theory ▫ Health Belief Model Evaluating a Problem Area • Feasibility ▫ Time ▫ Access to a population ▫ Funding • Social importance ▫ Are your study questions geared towards improving the well-being of others? Evaluating a Problem Area cont… • Is the problem of current interest? • Will more information about the problem have practical application? • Will more information about the problem have theoretical importance? • How large is the population affected by the problem? Evaluating a Problem Area cont… • Would this study substantially revise or extend existing knowledge? • Would research findings lead to some useful change in best practice? • Is there evidence or authoritative opinion from others to support the need for this research? Feasibility ©2011, Brooks/ Cole Publishing, A Division of Cengage Learning, Inc. Refers to the extent to which a study may be done practically and successfully Feasibility is not always synonymous with methodological rigor or inferential capacity Researchers must consider: − Scope − Time − Fiscal cost − Ethical issues − Cooperation with research partners − Study participants 24 In a Nut Shell • Research should build on and move beyond existing work – or ask unanswered questions • Think about: • What you are passionate about in your work • What bothers, worries or confuses you most? • Particular populations you are interested in • Hot issues in your area practice? • Is there substantial literature on your problem area? • Is the problem timely? Problems to Questions Research Questions • Research questions provide a framework/ navigational path for your research. • Research questions are questions you seek to answer through the collection of data. • Research questions will guide which research design you will use, i.e. qualitative or quantitative Techniques for Narrowing A Problem into a Research Question • Examine the literature ▫ What are the gaps in knowledge? • • • • Talk over ideas with others Apply to a specific context and/or population Identify specific variables of interest Define the aims of the study Problem Focus Example- HIV Disclosure 1. Broad Problem area: HIV/AIDS 2. HIV among MSM 3. HIV infected MSM (access) 4. Prevention of HIV infected among MSM 5. HIV Disclosure (via counseling with these men) 6. (Self-efficacy) 7. (HIV Disclosure self-efficacy) 8. Barriers and facilitators of HIV disclosure Example- HIV Disclosure • Overarching research question: What are the characteristics associated with HIV disclosure and TRB among HIV-infected MSM? • Research Question (quantitative) ▫ What are the characteristics associated with HIV disclosure and transmission risk among HIV-infected MSM? ▫ What is the relationship between HIV disclosure and transmission risk in high-risk HIV-infected MSM? ▫ How does HIV disclosure among HIV-infected MSM vary by demographics, health characteristics, psychosocial factors and sex partner characteristics? Example cont… • Research Question (qualitative) ▫ How do HIV infected MSM make decisions about HIV disclosure to their sex partners? ▫ What are the barriers to HIV disclosure? ▫ What are the facilitators of HIV disclosure? Study AIMS • To examine the relationship between HIV disclosure and transmission risk among HIV-infected MSM. • To examine the relationship between participant demographics, health characteristics, psychosocial factors and sexual partner characteristics upon HIV disclosure. • To examine the relationship between participant demographics, health characteristics, psychosocial factors, and sexual partner characteristics upon transmission risk. Variables Types of Variables • Variable- A characteristic or property that can vary. ▫ Independent (IV)- a variable that is hypothesized to cause or lead a variation in another variable. ▫ Dependent (DV)- a variable that is hypothesized to vary depending on or under the influence of another variable. Types of Independent and Dependent Variables IV and DV VARIABLES Discrete Continuous Identifying Variables Variables tend to be based on: • • • • • Knowledge Opinions, feelings, attitudes Behaviors Demographics Others? Activity- Variable Application Scenario: You are crafting a survey tool that can be administered to individuals who are participating in a study on substance use. ▫ First, identify at least 3 variables you would want to assess as part of the survey tool. ▫ Second, develop 3 questions you might ask on the survey that assesses those variables. Mediating and Moderating Variables A mediating variable is the mechanism by which an independent variable affects a dependent variable Mediating Variable Diagram Mediator Variable Example Disclosure Selfefficacy HIV Disclosure HIV transmission Risk Behavior Hypotheses Definition of Hypothesis Hypothesis- testable statements of presumed relationships between two or more variables. Types of relationships Positive Negative/Inverse Curvilinear Types of Relationships between Variables Null Hypothesis…Huh? “Postulates that the relationship being tested is explained by chance…it does not actually exist in a population or in a theoretical sense. Thus, when our findings are show to be statistically significant, we then reject the null hypothesis because the probability that it is true…that our results were caused by chance is less than our level of significance”. (pp 578-579.) Hypotheses in Action Example 1- Wilkinson et al., (2008) Hypotheses in Action cont… Example 2- Driskell, (2007) Hypothesis: Among HIV infected MSM HIV disclosure selfefficacy will be significantly and positively related to HIV disclosure. HIV infected MSM who have a stronger sense of HIV disclosure self-efficacy will be more likely to disclose to their sex partners. Your Turn…. Example 3- As the number of stressors increase, the number of depressive symptoms increases. Example 4- As social support increases, caregiver stress decreases. Example 5- As years of education decreases, income decreases. Other Approaches to Hypothesis Testing • In stating hypotheses, you will not always be required to indicate direction. For example: ▫ There will be a relationship between exam scores and student anxiety. Reading Reflection • Meadows, L. A., Kaslow, J. J., Thompson, M. P. & Jurkovic, G.J. (2005). Protective factors against suicide attempt risk among African American women experiencing intimate partner violence. American Journal of Community Psychology, 36(1/2), 109-121 Meadows et al., (2005) An Example: Study aims, research questions, and hypotheses: Study AIMS • To examine the relationship between HIV disclosure and transmission risk among HIV-infected MSM. • To examine the relationship between participant demographics, health characteristics, psychosocial factors and sexual partner characteristics upon HIV disclosure. • To examine the relationship between participant demographics, health characteristics, psychosocial factors, and sexual partner characteristics upon transmission risk. Primary Hypotheses • Primary Hypotheses • H1. Among HIV-infected MSM disclosure of HIV status to sex partners will be significantly and negatively related to HIV transmission risk behavior. Such that, HIV-infected MSM who disclose their HIV status to sex partners will be related to less transmission risk behavior. • H2. Among HIV-infected MSM HIV disclosure self-efficacy will be significantly and positively related to HIV disclosure. HIV infected MSM who have a stronger sense of HIV disclosure self-efficacy are more likely to disclose to sex partners. Exploratory Hypotheses • Exploratory Hypotheses • H3. Among HIV-infected MSM, HIV disclosure will be significantly and positively related to age, education level and income. Such that, those who are older, have more education and higher income will be related to greater HIV disclosure to sex partners. • H4. Among HIV-infected MSM, HIV disclosure will be significantly related to indices of disease progression and antiretroviral treatment. It is hypothesized that those with more advanced disease (i.e., lower CD4, higher viral load, and longer time since diagnosis) and not receiving ART will have significantly lower rates of HIV disclosure. Exploratory hypotheses cont… • H5. Among HIV-infected MSM, age, education and substance use will be significantly and negatively related to transmission risk behaviors. Such that, those who report substance use, are younger, are less educated will be associated with an increase in transmission risk. • H6. Among HIV-infected MSM, viral load and HAART will be significantly and positively related to transmission risk. Such that those with an undetectable viral load and on HAART will be associated with an increase in transmission risk behaviors. • H7: Men of color will report higher rates of transmission risk behaviors compared to Caucasian men. • H8: HIV-infected MSM who are single will be less likely to disclose to their sex partners than HIV-infected MSM who are partnered.
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