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Qualitative Health Research
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Ethnography and Measurement in Mental Health: Qualitative Validation of a Measure of Continuity of Care (CONNECT)

Norma C. Ware

Harvard Medical School, Boston, Massachusetts

Toni Tugenberg

Department of Social Medicine at Harvard Medical School, Boston, Massachusetts

Barbara Dickey

Cambridge Health Alliance, Harvard Medical School, Boston, Massachusetts

Ethnography contributes to measure development by enhancing validity and providing a basis for qualitative validation. Validating research measures means making cases for their "trustworthiness." The authors argue for the trustworthiness of CONNECT, a measure of continuity of care, by presenting the interpretive logic through which they elaborated continuity for measure construction purposes. They used category construction methods to identify mechanisms of continuity in ethnographic data. Mechanisms suggested five measurement domains: (a) knowledge, (b) flexibility, (c) availability, (d) coordination, and (e) transitions. Validation rationales summarize the ethnographic evidence and explain how the domain relates to continuity. In making explicit the data and the reasoning used, the authors argue for the trustworthiness of their interpretation. The arguments for trustworthiness demonstrate a qualitative validation process.

Key Words: continuity of care • qualitative research • measurement • mental health services research

Qualitative Health Research, Vol. 13, No. 10, 1393-1406 (2003)
DOI: 10.1177/1049732303258316
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