International Journal of Qualitative Methods ( IF 4.828 ) Pub Date : 2021-02-27 , DOI: 10.1177/1609406920987954 Mandy Archibald 1, 2, 3 , John Blines 4
Background:
The potentials of arts-based health research are increasingly being realized as an approach to understanding and communicating the complexities of the human experience of health and illness. Despite this, arts-based health research often remains shrouded in obscurity, limiting its potential utility. Arts-based health research offers unique opportunities to integrate evidence of patients’ lived experience with other forms of research evidence to improve understanding and knowledge translation, but transparent descriptions of this praxis are generally lacking. In response, this article offers methodological insight and guidance through an in-depth case exemplar of an arts-based health research process linking qualitative research with diverse evidence sources in the context of frailty research.
Methods:
Responding to research data generated within a Centre of Research Excellence in Frailty and Healthy Ageing, we adopted a researcher-as-practitioner stance to produce research-based artworks to integrate and communicate conflicting research findings. We structure this process according to Ecker’s seven domains of qualitative inquiry, demonstrating parallels between the arts-based research and qualitative inquiry processes and offering opportunities for engaging with “evidence misalignments” resulting from incongruent evidence sources.
Findings:
Arts-based health research can enable meaningful reflection upon, integration, and communication of “evidence-misalignments” in research spanning the health and social sciences. Such misalignments are problematic when the lived experience of health and illness conflicts with other empirical evidence, including gold standard evidence guiding treatment decisions. These in turn, can function as plausible barriers to self management and to achievement of health outcomes.
Interpretation:
Through the researcher-as-practitioner lens, and with an orientation to production, this work engaged with a new means of materiality—one that extends beyond text and numerical representations—and whose meaning and connections may not be immediately apparent. These relationships change how the researchers-practitioner engages with, understands, explores, and represents concepts, enabling epistemological and ontological gains of benefit to the health and social sciences.
中文翻译:
制作中的隐喻:通过案例范例将基于艺术的,定性和定量的研究数据联系起来,阐明基于艺术的健康研究过程
背景:
基于艺术的健康研究的潜力越来越多地被理解为一种理解和交流人类健康和疾病经历的复杂性的方法。尽管如此,基于艺术的健康研究通常仍然笼罩在晦涩难懂的地方,限制了其潜在用途。基于艺术的健康研究提供了独特的机会,可以将患者的生活经验证据与其他形式的研究证据相结合,以增进理解和知识转化,但是通常缺乏这种实践的透明描述。作为回应,本文通过基于艺术的健康研究过程的深入案例示例,提供了方法学上的见识和指导,该过程将定性研究与脆弱研究背景下的各种证据来源联系起来。
方法:
针对脆弱与健康老龄化研究卓越中心所产生的研究数据,我们采用从研究者到从业者的立场来制作基于研究的艺术品,以整合和交流相互矛盾的研究结果。我们根据Ecker的定性探究的七个领域来构建此过程,展示了基于艺术的研究与定性探究过程之间的相似之处,并提供了处理因证据来源不统一而导致的“证据错位”的机会。
发现:
基于艺术的健康研究可以使健康和社会科学领域的研究中的“证据错位”得到有意义的反思,整合和交流。当健康和疾病的生活经验与其他经验证据(包括指导治疗决策的金标准证据)相抵触时,这种错位是有问题的。这些反过来可能会成为自我管理和实现健康结果的合理障碍。
解释:
通过从研究者到从业者的视角,并以生产为导向,这项工作采用了一种新的物质手段,一种超越了文本和数字表示形式的物质手段,其含义和联系可能不会立即显现出来。这些关系改变了研究者与从业者互动,理解,探索和代表概念的方式,从而使认识论和本体论获得了有益于健康和社会科学的收益。