Qualitative Evaluation Methods in Ethics Education: A Systematic Review and Analysis of Best Practices

Although qualitative research offers some unique advantages over quantitative research, qualitative methods are rarely employed in the evaluation of ethics education programs and are often criticized for a lack of rigor. This systematic review investigated the use of qualitative methods in studies of ethics education. Following a review of the literature in which 24 studies were identified, each study was coded based on 16 best practices characteristics in qualitative research. General thematic analysis and grounded theory were found to be the dominant approaches used. Researchers are effectively executing a number of best practices, such as using direct data sources, structured data collection instruments, non-leading questioning, and expert raters. However, other best practices were rarely present in the courses reviewed, such as collecting data using multiple sources, methods, raters, and timepoints, evaluating reliability, and employing triangulation analyses to assess convergence. Recommendations are presented for improving future qualitative research studies in ethics education.     

An investigation into the two‐stage meta‐analytic copula modelling approach for evaluating time‐to‐event surrogate endpoints which comprise of one or more events of interest

Clinical trials of experimental treatments must be designed with primary endpoints that directly measure clinical benefit for patients. In many disease areas, the recognised gold standard primary endpoint can take many years to mature, leading to challenges in the conduct and quality of clinical studies. There is increasing interest in using shorter‐term surrogate endpoints as substitutes for costly long‐term clinical trial endpoints; such surrogates need to be selected according to biological plausibility, as well as the ability to reliably predict the unobserved treatment effect on the long‐term endpoint. A number of statistical methods to evaluate this prediction have been proposed; this paper uses a simulation study to explore one such method in the context of time‐to‐event surrogates for a time‐to‐event true endpoint. This two‐stage meta‐analytic copula method has been extensively studied for time‐to‐event surrogate endpoints with one event of interest, but thus far has not been explored for the assessment of surrogates which have multiple events of interest, such as those incorporating information directly from the true clinical endpoint. We assess the sensitivity of the method to various factors including strength of association between endpoints, the quantity of data available, and the effect of censoring. In particular, we consider scenarios where there exist very little data on which to assess surrogacy. Results show that the two‐stage meta‐analytic copula method performs well under certain circumstances and could be considered useful in practice, but demonstrates limitations that may prevent universal use.     

“Jesus Would Turn the Tables Over”: Five Dimensions of Authenticity Applied to Countercultural Christianity

This paper draws on extant literature to identify five dimensions that are deployed by a wide range of social groups to claim and achieve authenticity in variety of social settings: being honest or real, forgoing external rewards or compensation, coming from or living in the right place or time, embodying or participating in something, and consuming correctly. We then demonstrate the utility of these five dimensions of authenticity in action by applying them to two different qualitative studies of countercultural Christians. Our analysis of these data shows that different communities have different understandings of what makes one authentic, but the five dimensions that we outline in this article make comparisons across different groups possible.     

The framing of nothing and the psychology of choice

Journal of Risk and Uncertainty - Zero outcomes are inconsequential in most models of choice. However, when disclosing zero outcomes they must be designated. It has been shown that a gamble is...     

THE IMPACT OF HUMAN ERROR ON DELIVERING SERVICE QUALITY

This paper opens a new avenue for investigation of quality issues in services. We take the viewpoint that a substantial portion of service failures is the result of human error in the delivery process. Drawing upon the Generic Error Modeling System (gems) from the cognitive science literature, we develop a framework for understanding the role of human error in service failures. An empirical investigation assesses the applicability of this framework to services, identifies which error mechanisms are important sources of service failure, and clarifies how the different roles of customers and providers affect the errors made by each.     

Undercounting Medicaid Enrollment in Maryland: Testing the Accuracy of the Current Population Survey

The U.S. Census Bureau’s Current Population Survey is the most commonly cited source for estimates of the insurance status of Americans, but there are concerns that the data may undercount participation in public programs such as Medicaid. Such a Medicaid undercount may result from survey respondents not acknowledging Medicaid coverage because they are unaware that they are enrolled in Medicaid, because they have not recently received health services, due to the stigma associated with receiving public assistance programs, or due to simple recall bias. This paper estimates the extent to which the Current Population Survey undercounts Medicaid participation in a single mid-Atlantic state, Maryland. We administered the Current Population Survey questionnaire to a random selection of known Medicaid participants. We find evidence that the Current Population Survey significantly undercounts Medicaid participation in Maryland and that much of the undercount could be corrected if the survey better identified the Maryland Medicaid program. We also find that recall bias may contribute to the undercount as well. There was no indication that stigma contributed to any undercount. Though not an aim of this study, we find that the Medicaid undercount may contribute to an over count of the number of uninsured.

Evaluating the Efficacy of the Prodigy Prevention Program across Urban and Rural Locales

Comorbid juvenile offenders are an overlooked, vulnerable population which tend to present with a more diagnostically serious picture. Their arrest rates have dramatically increased over the last 10 years, yet there is a dearth of prevention and intervention programs available. This study examined the effects of the Prodigy Cultural Arts Program on at-risk and adjudicated youth in a rural and an urban locale. Results suggest a significant improvement in family functioning overall as well as statistically significant changes in mental health symptoms including Depression/Anxiety, Somatic, and Suicidal symptoms for both males and females at urban and rural locales. Females appeared to especially benefit from the program. The findings here extend our knowledge regarding viable alternatives for juvenile offenders with mental health symptoms, particularly females.     

Buffering the Negative Impact of Poverty on Youth: The Power of Purpose in Life

Adolescent poverty is associated with increased antisocial and decreased prosocial behaviors. Attenuating these negative effects is relevant for both individual and societal well-being. Research exploring how youth in poverty can escape antisocial behaviors and move toward prosocial behaviors has been limited primarily to risk factors. From a strengths perspective, we sought to understand how a potential resiliency factor—purpose in life—could protect youngsters from the deleterious effects of poverty. We conceptualized purpose in life as a central, future-oriented, goal-organizing framework that provides adolescents reasons to resist antisocial behavior and engage in prosocial behaviors. In moderation analyses, purpose in life mitigated the effects of poverty on antisocial behavior (i.e., disobedience and bullying), but failed to boost prosocial traits and behaviors for youth in poverty. We emphasize the importance of developing a sense of purpose in economically disadvantaged youth for bettering their lives and communities.