METHODOLOGICAL PATH OF QUALITATIVE RESEARCH IN PROVEN-DIA CLINICAL RESEARCH: EPISTEMOLOGICAL CHALLENGES AND EMPIRICAL POTENTIALITIES
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https://orcid.org/0000-0003-2130-724X
Thatiane Lopes Valentim Di Paschoale Ostolin
https://orcid.org/0000-0002-8492-2840
Larissa Jucá de Moraes Sales
https://orcid.org/0000-0001-5456-1709
Danielle Cristina Fonseca
https://orcid.org/0000-0002-9667-918X
Maria das Graças Guerra Lessa
https://orcid.org/0000-0001-8452-2962
Raira Pagano
https://orcid.org/0000-0002-7663-1787
Ângela Cristine Bersch Ferreira
https://orcid.org/0000-0003-3478-781X
Abstract
Randomized Clinical Trials (RCTs) have been consolidated as a paradigmatic and hegemonic model of level of evidence. However, an integrated quantitative and qualitative approach has gained visibility on the international agenda given its contributions to health research and practice. To discuss the epistemological challenges and empirical learning of qualitative research and the integration of clinical and qualitative data within the scope of the Brazilian Diabetes Prevention Program (PROVEN-DIA). This is an experience report on the epistemological challenges and empirical potential of conducting qualitative research (method: Comparative Case Study) and a clinical study (method: Multicenter Randomized Clinical Trial) in parallel within PROVEN-DIA. PROVEN-DIA is a lifestyle change program for diabetes prevention. From this perspective, the RCT aimed to evaluate the program's effectiveness, while the case study identified barriers and facilitators of the initiative. The main challenges identified included epistemological and methodological communication limits between researchers from a clinical and qualitative perspective, as well as aligning the timeframes of each methodological approach. The collaborative organization of the investigative process, mainly the synchronous online interactions inter-team interactions, and the incorporation of subjectivities identified through qualitative research into the Program's expansion and new phase of the RCT. Aligning demands and discourses was a need throughout the investigative process with communication as an essential strategy to address limitations and enable complementary qualitative and quantitative findings.
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