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主题分析在健康心理学中应用得好吗?对已发表研究的批判性评价,以及对质量实践和报告的建议。

Is thematic analysis used well in health psychology? A critical review of published research, with recommendations for quality practice and reporting.

机构信息

Te Kura Mātai Hinengaro/School of Psychology, Waipapa Taumata Rau/The University of Auckland, Auckland, Aotearoa/New Zealand.

School of Social Sciences, University of the West of England, Bristol, UK.

出版信息

Health Psychol Rev. 2023 Dec;17(4):695-718. doi: 10.1080/17437199.2022.2161594. Epub 2023 Jan 19.

Abstract

Despite the persistent dominance of a 'scientific psychology' paradigm in health psychology, the use of qualitative research continues to grow. Qualitative approaches are often based on fundamentally different values from (post)positivistempiricism, raising important considerations for quality, and whether qualitative work adheres to, and is judged by, appropriate publication standards. Thematic analysis (TA) has become a particularly popular method in qualitative health psychology, but poor practice is widespread. To support high quality, methodologically coherent TA practice and reporting, we critically reviewed 100 systematically selected papers reporting TA, published in five prominent health psychology journals. Our review assessed reported practice, and considered this in relation to methodological and quality recommendations. We identified 10 common areas of problematic practice in the reviewed papers, the majority citing reflexive TA. Considering the role of three 'arbiters of quality' in a peer review publication system - authors, reviewers, and editors - we developed 20 recommendations for authors, to support them in conducting and reporting high quality TA research, with associated questions for reviewers and editors to consider when evaluating TA manuscripts for publication. We end with considerations for facilitating better qualitative research, and enriching the understandings and knowledge base from which health psychology is practiced.

摘要

尽管“科学心理学”范式在健康心理学中一直占据主导地位,但定性研究的应用仍在不断增加。定性方法通常基于与(后)实证主义经验主义根本不同的价值观,这就对质量提出了重要的考虑因素,也对定性工作是否遵循并由适当的出版标准来评判提出了重要的考虑因素。主题分析(TA)已成为定性健康心理学中一种特别流行的方法,但实践中存在很多问题。为了支持高质量、方法一致的 TA 实践和报告,我们对五本著名的健康心理学期刊上发表的 100 篇系统选择的报告 TA 的论文进行了批判性回顾。我们的综述评估了报告的实践,并考虑了这些实践与方法和质量建议的关系。我们在审查的论文中确定了 10 个常见的有问题的实践领域,其中大多数都引用了反思性 TA。考虑到同行评审出版系统中三个“质量仲裁者”的作用——作者、评审者和编辑——我们为作者制定了 20 条建议,以支持他们进行和报告高质量的 TA 研究,并为评审者和编辑提供了在评估 TA 手稿以供出版时需要考虑的相关问题。最后,我们还考虑了促进更好的定性研究的因素,以及丰富健康心理学实践所依据的理解和知识库。

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