AguilarT PSY 7103-11

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Integrate Feasibility Issues and Ethical Considerations for Proposed Research Tanya Aguilar Assignment 12 Research Methods – PSY 7103 Northcentral University July 2023

Research Outline Table Part 1 Table 1 Qualitatively-focused Outline (Sharif et al., 2021) Problem Gap The problem gap refers to a lack of understanding or knowledge about the experiences, challenges, and perspectives of assertive community treatment (ACT) providers in addressing trauma and PTSD in individuals with severe mental illness. The article aims to fill this gap by conducting a qualitative study to explore the specific issue of a "trauma avoidant culture" within the context of ACT providers' work. The authors seek to gain insights into the barriers, difficulties, and cultural dynamics that ACT providers encounter when working with trauma and PTSD in this population. By examining the perspectives of ACT providers, the article intends to provide valuable information that can inform clinical practice and help bridge the gap in knowledge regarding trauma-informed care for individuals with severe mental illness. The findings of the study will contribute to a better understanding of the challenges faced by ACT providers and may potentially lead to the development of more effective interventions and support systems for this population. Purpose of the Study (including method and design) To understand the perspectives of assertive community treatment (ACT) providers regarding their experiences and challenges in working with trauma and post-traumatic stress disorder (PTSD) in individuals with severe mental illness. The article aims to explore the specific issue of a "trauma avoidant culture" within the context of ACT providers' work. It seeks to examine the barriers and difficulties these providers encounter when addressing trauma and PTSD in individuals with severe mental illness, as well as their perspectives on the existing cultural dynamics surrounding trauma within their work environment. By conducting a qualitative study, the authors aim to shed light on the experiences, insights, and perceptions of ACT providers, with the ultimate goal of informing and improving clinical practice in addressing trauma and PTSD in this population. Research Questions/Hypotheses What are the experiences and perspectives of assertive community treatment (ACT) providers regarding the presence of trauma and PTSD in individuals with severe mental illness? What are the perceived challenges and barriers faced by ACT providers

when working with trauma and PTSD in this population? How do ACT providers navigate the cultural dynamics and organizational structures that contribute to a "trauma avoidant culture" in their work settings? What strategies or approaches do ACT providers utilize to address trauma and PTSD in individuals with severe mental illness? How do ACT providers perceive the impact of addressing trauma and PTSD on the overall treatment outcomes and well-being of individuals with severe mental illness? What recommendations or changes do ACT providers suggest to improve the cultural responsiveness and trauma-informed care within their work environments? These research questions would help to explore the experiences, perspectives, and challenges faced by ACT providers when working with trauma and PTSD in individuals with severe mental illness. They can provide valuable insights into the need for trauma-informed care and inform interventions and support systems to better address the trauma- related needs of this population. Population, Sampling and Recruitment Population: The population includes ACT providers who are directly involved in providing care and support to individuals with severe mental illness in community-based settings. This may include professionals such as psychiatrists, psychologists, social workers, nurses, and other mental health professionals. Sampling: Depending on the research goals and resources available, different sampling techniques can be employed, such as: Purposeful sampling: Selecting ACT providers who have extensive experience in working with trauma and PTSD or those who represent a range of perspectives within the field. Snowball sampling: Asking initially identified participants to recommend other ACT providers who may have valuable insights on the topic. Maximum variation sampling: Selecting participants with diverse characteristics (e.g., professional backgrounds, years of experience, geographic locations) to ensure a broader range of perspectives. Recruiting: The researchers can reach out to potential participants using various methods, such as: Direct contact: Contacting ACT providers directly via phone, email, or in- person to explain the purpose of the study and invite them to participate. Professional networks: Utilizing professional networks or organizations involved in ACT to disseminate information about the study and recruit interested participants. Collaborations with ACT programs: Collaborating with ACT programs or

organizations to gain access to potential participants and seek their participation. Recruitment advertisements: Placing recruitment advertisements in relevant professional forums, newsletters, or online platforms frequented by ACT providers. During the recruitment process, it is essential to provide potential participants with clear information about the study, including its purpose, methods, confidentiality measures, and any potential risks or benefits. Informed consent should be obtained from those who express interest in participating. Data Collection Strategy Interviews: Conduct individual semi-structured interviews with the ACT providers. Use an interview guide with open-ended questions that allow participants to freely express their perspectives, experiences, and challenges related to working with trauma and PTSD. Observations: Consider conducting observations of ACT providers' interactions with clients or within the treatment settings. This can provide additional context and insights into their experiences and challenges. Operationalization and Instruments Operationalization: Operationalization refers to defining and translating abstract concepts into measurable variables or indicators in order to facilitate data collection and analysis. In this study, some concepts that might require operationalization include trauma, PTSD, trauma avoidant culture, and perspectives of ACT providers. Instruments: Qualitative research often involves data collection through interviews, observations, and field notes. Here are some potential instruments that could be used: Semi-structured interviews: Conducting individual interviews with ACT providers using an interview guide consisting of open-ended questions. The guide could cover topics such as the experiences of working with trauma and PTSD, challenges faced, perspectives on trauma-informed care, and organizational culture. The interviews can be audio-recorded and transcribed for analysis. Observations: Observing ACT providers in their work settings, such as team meetings or client interactions. Field notes can be taken during the observations, capturing contextual information, non-verbal cues, and other relevant observations related to trauma and PTSD care. Document analysis: Reviewing relevant documents, such as organizational policies, treatment guidelines, or previous research on trauma and mental health, to gain insights into the existing context and culture of trauma care within ACT programs.

These instruments can help gather rich qualitative data that capture the perspectives, experiences, and challenges faced by ACT providers in addressing trauma and PTSD. The data collected can then be analyzed using qualitative analysis techniques, such as thematic analysis or content analysis, to identify patterns, themes, and key findings. Data Analysis The interviews were recorded and transcribed verbatim before being evaluated thematically to determine recurring themes relevant to the study's overarching question. The first author had four research assistants read all of the transcript data, and then organized the responses into 21 categories. Codes were developed, modified, or discarded based on the similarities and differences between the transcribed interview texts. There are five main ideas that these subthemes fall under. Table 2 Quantitatively-focused Outline (Qasim et al., 2022) Problem Gap The problem gap in the article refers to a gap in the existing knowledge regarding the phenomenon of post-traumatic growth following the death of a parent in adulthood. The article aims to investigate whether individuals who experience the death of a parent in adulthood can undergo post-traumatic growth, which refers to positive psychological changes and personal development that occur as a result of the struggle with significant life challenges or traumatic events. The specific focus on parental death in adulthood is crucial because it explores a specific context and relationship that has received relatively less attention in the literature on post-traumatic growth. By addressing this gap, the article aims to contribute to a better understanding of the potential for personal growth and positive changes in individuals who experience the death of a parent in adulthood. The findings of the study may have implications for bereavement support, counseling, and interventions for individuals facing this specific type of loss, ultimately leading to more targeted and effective support systems for those who are grieving. Purpose of the Study (including method and design) The purpose of the study in the article is to investigate whether individuals who experience the death of a parent in adulthood can experience post-traumatic growth. The study aims to explore the potential positive psychological changes and personal development that may occur as a result of the struggle with the significant life event of parental death. Specifically, it seeks to examine whether individuals who have lost a parent in adulthood can

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