Using mixed methods research designs in health psychology: An illustrated discussion from a pragmatist perspective

• Published in: British journal of health psychology Vol. 20; no. 1; pp. 5 - 20
• Main Author: Bishop, Felicity L.
• Format: Journal Article
• Language: English
• Published: England Blackwell Publishing Ltd 01.02.2015; Wiley Subscription Services, Inc
• Subjects: Applied psychology; Behavioral Medicine; Challenges; embedded; explanatory; exploratory; Health psychologists; Health psychology; Humans; Literature reviews; mixed methods; Mixed methods research; Pragmatism; Psychologists; Quantitative analysis; Research Design; triangulation; exploratory; triangulation; explanatory; mixed methods; research design; pragmatism; embedded; health psychology
• ISSN: 1359-107X; 2044-8287; 2044-8287
• DOI: 10.1111/bjhp.12122

Purpose To outline some of the challenges of mixed methods research and illustrate how they can be addressed in health psychology research. Methods This study critically reflects on the author's previously published mixed methods research and discusses the philosophical and technical challenges of mixed methods, grounding the discussion in a brief review of methodological literature. Results Mixed methods research is characterized as having philosophical and technical challenges; the former can be addressed by drawing on pragmatism, the latter by considering formal mixed methods research designs proposed in a number of design typologies. There are important differences among the design typologies which provide diverse examples of designs that health psychologists can adapt for their own mixed methods research. There are also similarities; in particular, many typologies explicitly orient to the technical challenges of deciding on the respective timing of qualitative and quantitative methods and the relative emphasis placed on each method. Characteristics, strengths, and limitations of different sequential and concurrent designs are identified by reviewing five mixed methods projects each conducted for a different purpose. Conclusions Adapting formal mixed methods designs can help health psychologists address the technical challenges of mixed methods research and identify the approach that best fits the research questions and purpose. This does not obfuscate the need to address philosophical challenges of mixing qualitative and quantitative methods. Statement of contribution What is already known on this subject? Mixed methods research poses philosophical and technical challenges. Pragmatism in a popular approach to the philosophical challenges while diverse typologies of mixed methods designs can help address the technical challenges. Examples of mixed methods research can be hard to locate when component studies from mixed methods projects are published separately. What does this study add? Critical reflections on the author's previously published mixed methods research illustrate how a range of different mixed methods designs can be adapted and applied to address health psychology research questions. The philosophical and technical challenges of mixed methods research should be considered together and in relation to the broader purpose of the research.