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Qualitative Analysis Boot CampSession F48Friday, 2/1/13 - 4:30 - 5:30 pm PSTYerba Buena 3-4/Lower B238th ACEHP Annual Conf...
Today!   Qualitative Research Introduction   Data Collection   Coding and Analysis   Reporting   Resources   Coding ...
Qualitative Research“Not everything that can be counted counts, andnot everything that counts can be counted.”- William Br...
Exploration   Unearth a complete and detailed description of the    how and why behind physician, allied healthcare    pr...
Qualitative vs. Quantitative                    Qualitative Research          Quantitative Research                    Pro...
Why Qualitative?   Patient care is complex   Semi-structured, open ended approach to inquiry   Less limiting - explores...
Applications in CEHP   Research Phases                       Research Subjects       Needs Assessment                  ...
Data Collection
Sample Methodologies/Tools•   Interviews (in person, virtual/online, telephonic)•   Focus Groups (in person, virtual/onlin...
Online Methodologies   Research methodologies = evolving with    communication styles   Widely-used, often preferred opt...
One-on-One In-Depth Interviews  Webcam-  enabled  images.Text based chat       & audio capable
One-on-One In-Depth InterviewsWhiteboard mayalso be filledwith text, video,images, orinteractive ranking,posting, or writi...
Online Research Community
Coding and Analysis
Coding Breaking down data into units which are then  grouped according to characteristics Proceeds linking diverse  obse...
Coding   1st phase: review data:     What’s happening?     What’s important?     What patterns are emerging?   2nd st...
Grounded Theory   Glaser & Straus (1967) – emphasis on developing    theory/explanation from data versus gathering    dat...
How can Software Assist?               Methodology        GATHER        ORGANIZE   ANALYZE   VISUALIZE   RESULTS• Rigor• V...
How can Software Assist?          -Review                                           -Key Ideas          -Merge            ...
Visualizing Data
Visualizing Data                   Word Clouds
Visualizing Data
“Many who had once supported lobotomy beganto disavow it. "It is inconceivable," reported theAmerican Medical Association,...
Analysis: Coding with Software
Reporting
Reporting  Reports = based on trends and relationships  found within the data  Includes:      Trend  Description      ...
Reporting: DescriptivePatient Concern about high blood pressure:The overwhelming response to the question "Should aperson ...
Reporting: TrendsPatients‟ opinions on how well providers explain amedication varies from “satisfied” to “very well”For so...
Reporting: Giving VoiceProvider: “After their bypass surgery, when they have seenGod and all that, they listen, but after ...
Reporting: Quote IntegrationHaving a normal blood pressure level:Living a calm life, feeling relaxed, and avoiding or solv...
Resources
Software Resources: Coding &Organization   Free (QDA Miner Lite)     http://provalisresearch.com/products/qualitative-da...
Resources Cont.   Hopkins Open Coursework: http://ocw.jhsph.edu/   Qualitative course materials:     http://ocw.jhsph.e...
Resources Cont.   Cater JK. SKYPE: a cost-effective method for qualitative    research. Rehab, Counselors + Educators Jou...
Coding Exercise What’s happening? What’s important? What patterns are  emerging?
For Additional Information or Questions:   wendy@contextiveresearch.com   alexhowson@thistleeditorial.com
Qualitative analysis boot camp final presentation slides
Qualitative analysis boot camp final presentation slides
Qualitative analysis boot camp final presentation slides
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Qualitative analysis boot camp final presentation slides

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Do you have responses to open-ended questions or want to use qualitative data to evaluate CE/QI interventions? Qualitative Analysis Boot Camp at the ACEHP 2013 meeting in San Francisco on 1 February has tools to get you started.

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Qualitative analysis boot camp final presentation slides

  1. 1. Qualitative Analysis Boot CampSession F48Friday, 2/1/13 - 4:30 - 5:30 pm PSTYerba Buena 3-4/Lower B238th ACEHP Annual ConferencePresenters:Wendy Turell, DrPH, CCMEPContextive Research LLCAlexandra Howson, MA(Hons) PhD, CCMEPThistle Editorial LLC
  2. 2. Today! Qualitative Research Introduction Data Collection Coding and Analysis Reporting Resources Coding Practice! Questions/Discussion
  3. 3. Qualitative Research“Not everything that can be counted counts, andnot everything that counts can be counted.”- William Bruce Cameron
  4. 4. Exploration Unearth a complete and detailed description of the how and why behind physician, allied healthcare provider, and patient behavior. Produce deep answers to research questions that give voice and layered explanation to the answers you seek.
  5. 5. Qualitative vs. Quantitative Qualitative Research Quantitative Research Probing; allowing Limited probing; pre-Type of Questions immediate interactive determined questions follow up & adjustmentSample Size Small Any size including largeInformation per Varies; Limited to answer Muchrespondent choices Fewer specialist skillsAdministration Requires skilled researcher required Follows structured steps;Type of Analysis subjective and Statistical; objective interpretativeType of Research Exploratory, descriptive Descriptive or Causal
  6. 6. Why Qualitative? Patient care is complex Semi-structured, open ended approach to inquiry Less limiting - explores beyond pre-selected answer choices Interaction - researchers probe and react to study subject comments Mixed methods
  7. 7. Applications in CEHP Research Phases  Research Subjects  Needs Assessment  Physicians  Intervention Development  Allied Healthcare Providers  Formative Evaluation  Healthcare Staff  Post Intervention Assessment  Patients/Caregivers (“Outcomes”)  Instrument Development Methodological Focus  Help inform development of  Pure Qualitative quantitative tools  Mixed Methods
  8. 8. Data Collection
  9. 9. Sample Methodologies/Tools• Interviews (in person, virtual/online, telephonic)• Focus Groups (in person, virtual/online facilities)• Message Boards/Social Media Analysis• Observation• Document Analysis• Mixed-Methods (Qualitative and Quantitative combination)
  10. 10. Online Methodologies Research methodologies = evolving with communication styles Widely-used, often preferred options for researchers and respondents Benefits Cost Savings Ease for wide geographical representation Ease for scheduling (no need for travel, sessions tailored to their availability) Anonymity = less inhibition / more honesty
  11. 11. One-on-One In-Depth Interviews Webcam- enabled images.Text based chat & audio capable
  12. 12. One-on-One In-Depth InterviewsWhiteboard mayalso be filledwith text, video,images, orinteractive ranking,posting, or writingactivities. Theinterviewee canmove objectsonscreen, as in thiscard-sortingexercise.
  13. 13. Online Research Community
  14. 14. Coding and Analysis
  15. 15. Coding Breaking down data into units which are then grouped according to characteristics Proceeds linking diverse observations Helps with understanding It’s practical! Organization = quick access when you need it for analysis/description.
  16. 16. Coding 1st phase: review data:  What’s happening?  What’s important?  What patterns are emerging? 2nd stage: repeat, refine, expand/reject categories Text can be tagged with >1 code
  17. 17. Grounded Theory Glaser & Straus (1967) – emphasis on developing theory/explanation from data versus gathering data to test a theory/hypothesis. The theory is grounded in reality as represented in the data Benefits:  Theory is derived from what speakers do, vs. what is believed they should do  Ensures the researchers maintain an open mind towards inquiry vs. imposing existing beliefs on data
  18. 18. How can Software Assist? Methodology GATHER ORGANIZE ANALYZE VISUALIZE RESULTS• Rigor• Validity• Saturation
  19. 19. How can Software Assist? -Review -Key Ideas -Merge -Reflect -Refine -Link Coding Memoing Visuals Queries -Models -Text Search -Matrices -Word Frequency -Charts -Matrix -Coding ComparisonSource: Nvivo (QSR)
  20. 20. Visualizing Data
  21. 21. Visualizing Data Word Clouds
  22. 22. Visualizing Data
  23. 23. “Many who had once supported lobotomy beganto disavow it. "It is inconceivable," reported theAmerican Medical Association, "that anyprocedure that effectively destroys the brain couldpossibly restore the patient to a normal state."Lobotomy, one former supporter declared, wasreally no more subtle than a gunshot to the head.Especially vehement were Freudianpsychoanalysts, who condemned lobotomy as abrutal assault on the brain. But Walter Freemanhad little patience for his critics.”
  24. 24. Analysis: Coding with Software
  25. 25. Reporting
  26. 26. Reporting  Reports = based on trends and relationships found within the data Includes:  Trend Description  Respondent Quotes  Visualizations (themes, their relationships, demographic elements)  Interpretation
  27. 27. Reporting: DescriptivePatient Concern about high blood pressure:The overwhelming response to the question "Should aperson be concerned about having high bloodpressure?" was "yes." Most people believed thatbeing unconcerned could result in serious healthproblems, specifically heart disease or even death."A person can die if they have high blood pressurebecause it can cause a stroke or it can cause heartproblems."
  28. 28. Reporting: TrendsPatients‟ opinions on how well providers explain amedication varies from “satisfied” to “very well”For some patients, the nurse practitioner provides moredetail, as does the pharmacist and the information thataccompanies the medication.Between the nurse practitioner and the physician,respondents tend to trust the physician more. In manycases, it appears that patients with a strong, long, andtrusting relationship with their providers perceive them asexplaining the medication better than those withoutan established relationship or who distrust their providers.
  29. 29. Reporting: Giving VoiceProvider: “After their bypass surgery, when they have seenGod and all that, they listen, but after they are out of thehospital and they are going through rehab and they arefine, that period of after the bypass, they are invincible.”Patient: “I took [the prescription] to the pharmacy and……they were only going to give me four pills because it isso expensive, and I am saying to myself, „why did they giveme this, I am going to die because I will not be able toafford it?‟In my head, I said „Oh Lord; please make this work withoutany side effects so I can take it.‟”
  30. 30. Reporting: Quote IntegrationHaving a normal blood pressure level:Living a calm life, feeling relaxed, and avoiding or solvingproblems were seen as very effective ways to keep bloodpressure normal. "Be calm in everything. Do not get angry oversomething small.""I try not to have problems with anyone at home, in the street, oranywhere else. If I were to have a problem with anyone here, myblood pressure would go up immediately. A person can burst."
  31. 31. Resources
  32. 32. Software Resources: Coding &Organization Free (QDA Miner Lite)  http://provalisresearch.com/products/qualitative-data- analysis-software/freeware/ Low Cost: dedoose ($10 per month)  http://www.dedoose.com/ Bells and Whistles software: Nvivo or Atlas Ti  http://www.qsrinternational.com/products_nvivo.aspx  http://www.atlasti.com/index.html
  33. 33. Resources Cont. Hopkins Open Coursework: http://ocw.jhsph.edu/ Qualitative course materials:  http://ocw.jhsph.edu/index.cfm/go/viewCourse/course /qualitativedataanalysis/coursePage/index/ Online Qual. Textbook: http://onlineqda.hud.ac.uk/Introduction/index.php
  34. 34. Resources Cont. Cater JK. SKYPE: a cost-effective method for qualitative research. Rehab, Counselors + Educators Journal. 20011;4: Cohen DJ, Crabtree BF. Evaluative criteria for qualitative research in health care: controversies and recommendations. Ann Fam Med. 2008;6:331-339. Curry L, Nembhard IM, Bradley EH. Qualitative and mixed methods provide unique contributions to outcomes research. Circulation. 2009. 119:1442-1452.
  35. 35. Coding Exercise What’s happening? What’s important? What patterns are emerging?
  36. 36. For Additional Information or Questions: wendy@contextiveresearch.com alexhowson@thistleeditorial.com

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