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    Focus Groups

    Discussions

    Gaynor Heading PhD

    Broken Hill Centre for Remote Health Research

    NSW PHCRED Research Method Short Course

    June 2005

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    Learning ObjectivesAt the end of this session you will be able to:

    Explain when to use focus groups

    Explain the FG planning process

    Write focus group questions

    Describe facilitation techniques

    List the steps associated with data analysis

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    Different Types of Groups

    Delphi (consensus) Nominal groups (agreeable solutions)

    Brain storming groups (solution focused)

    Advisory groups / Reference groups (expertise)

    Focus Groups (Interested in a range of views)NOT consensus or decision focused

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    Focus Group Considerations

    ConsiderResearch /Evaluation question

    Method

    assumptions

    Resources / time

    Method advantages/ disadvantages

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    Advantages andDisadvantages of FG

    Advantages Disadvantages

    Explore / probeGroup dynamics

    Low cost

    SpeedyHigh face validity

    Explore / probeGroup dynamics

    Low cost

    SpeedyHigh face validity

    DominantShy

    Trained facilitator

    Less controlDifficult to assembleVenue suitability

    DominantShy

    Trained facilitator

    Less controlDifficult to assembleVenue suitability

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    Focus Group Characteristics?

    Respondents possess certain characteristics

    Group interaction (benefit)

    Focused on a few main topics

    Looking for a range of views

    A series of groups (not one)

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    Focus Group Design Issues

    How structured Highly structured

    How large 6 - 12

    Group composition Homogeneous strangers

    Number of groups 3 minimum (4-6)

    Design DimensionDesign Dimension Rule of ThumbRule of Thumb

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    Planning Focus Groups

    Most complex part Purpose clear

    Describe problem and purpose of study

    Sampling issues

    Use of information / results

    Resources (timeline / budget)

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    Planning - Issues to Address

    Process issues

    zTo tape / note-take / flip chart

    Timing of data analysisz Before second focus group

    Facilitator skillsz Rapport; listening; pause;z Probe; neutral; observation;z Leadership; adequate knowledge;zTime management

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    Planning cont.

    Lists (participants / sample)

    The common characteristic (homogeneity)

    Venue (suitability / layout)

    Team (facilitator / note taker)

    Preparation(rapport, equipment, food,demographic survey, reminders)

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    Field Note Reporting Form

    Information about the Focus Group

    Note takers name

    Facilitators name

    Number and descriptionof participants

    Location of FG

    Date of Focus Group

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    Demographic Survey

    Should you use a survey? If yes, what types of questions?

    Fill in before focus group commences

    ORCapture demographics on tape

    Include description of participants in report

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    Focus Group Questions

    Topics (predetermined)

    Topic guide format or actual questions

    Number of questions (limit)

    Asking questions

    (type, open, structured, number)

    Probes (not predetermined)

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    Types of Questions

    1. Opening question 20 seconds2. Introductory question foster conversation

    3. Transition questions move to key questions

    4. Key questions 2 to 5 typically

    5. Ending questions bring closurez All things considered question

    z Summary question after oral summaryz Final question - missed anything

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    Questions to Avoid

    Avoid dichotomous questions

    z Did you like the program

    Avoid whyquestions

    z Imply a rational answer is required

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    Facilitating a Focus Group

    Welcome (why they were chosen) Overview of the topic

    Ground rules (facilitator role, tape /

    confidentiality) Demographic survey

    Overview of questions

    Introductions

    The first question

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    Other issues to mention

    Time commitment

    Taping (turning tape on)

    Time to ask questions

    Structure (whiteboard / cards)

    Final comments

    Final summary

    Forms

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    FG Discussion Issues

    Card as aide-memoire (optional)

    Response from everyone for each question

    Phases (introduction, questions, summary)

    Ask for participant summary Whiteboard summary

    z Group checks main points

    Check cards

    Call for final comments

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    Reinforce Homogeneity

    We have invited people with similar

    experiences to share their perceptions andideas on this topic

    You were invited to the focus group becauseyou all participated in the xxx program

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    Facilitator Comments

    There are no right or wrong answers

    Different points of view

    Share your view even if it differs

    J ust as interested in negativecomments

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    Analysing Focus Group Data

    Systemic investigation Rigorous

    Skills required (manifest / latent coding / when to use literature)

    When to start coding (on field entry before the 2nd FG)z Late coding weakens the analysis

    Focus on words (not numbers)

    Major themes(word, phrase, sentence, paragraph, entire document)

    Not micro analysis (as with indepth interviewing)

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    Field Note Reporting Form

    Information about the Focus Group

    Note takers name

    Facilitators name

    Number and descriptionof participants

    Location of FG

    Date of Focus Group

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    Field note reporting continued- Responses to Questions

    Q1. The most serious problems facing

    Notable QuotesBrief summary /

    Key Points

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    Coding Steps

    Read transcript for familiarity Interactive reading

    Developing codes

    (derived from informant, research question, theoretical framework)

    Code book

    Developing typologies

    Computer assisted coding or hand coding

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    Focus Group Analyses

    Comparisons

    T h e m e s G r o u p 1 G r o u p 2 G r o u p 3

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    Reporting 3 Models

    Three different reporting styles

    1. Raw data model(The question followed by all participant comments)

    2. Descriptive model(Summary description followed by illustrative quotes)

    3. Interpretative model(Summary description followed by illustrative quotes andinterpretation)

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    Reporting

    Method

    zTopic guidez Sampling

    zTime

    Results

    z Describe groups (number, participants, timing)

    z Dataz Organise around key questions (narrative)

    z Summary of themes (not limited to questions)

    z Interpretation

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    References

    Morgan, D. L. (1997) Focus Groups asQualitative Research. Thousand Oaks, Sage.

    Morgan, D. L. (ed) (1993) Successful FocusGroups: Advancing the State of the Art.Newbury Park, Sage.

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    Summary

    Homogeneous or heterogeneity Level of structure

    Working along or with notetaker

    Facilitator skills (ease or difficulty)

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    Exercise Theoretical Issues

    Matrix

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    Exercise

    Nominate a topic for investigation.

    Write:

    Key questions Probes

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    Facilitation Exercise

    1. Amount of Structure: (Group agreement)

    2. Feedback - Note:

    question format

    body language

    group engagement

    feelings