Dr.A.P. Kulkarni
Professor
Community Medicine
Rural Medical College, LONI
Pune
QualitativeResearch Methods
“Not everything that counts can be counted, and
not everything that can be counted counts”
--- Albert Einstein
Quantitative methods cannot answer all questions
Indications
Primarily exploratory research: Provides
insights into the problem or helps to develop
ideas or hypotheses for potential quantitative
research.
To gain an understanding of underlying reasons,
opinions, and motivations -> Behavior
To uncover trends in thought and opinions, and
dive deeper into the problem.
Situationswherequalitativemethods
required
Understanding behavior
- People not utilizing health services
- Irregularity observed in patient compliance
Understanding attitude
- People oppose some service
What is people’s perception about health
services provided
- Health center completes one year
Why qualitativeresearch?
Qualitative questions:
How
Why
What
When
May not answer HOW MANY
Focus on PROCESS rather than
OUTCOME
Misconceptions
Free form of research technique
Generates non-numerical data
Way to study people or systems by
interacting with and observing the
participants regularly
Common methods
Methods
Interview
Observation
Study of records
Approaches
Direct interaction
with individuals on a
one to one basis
Direct interaction
with individuals in a
group setting
Common methods
Individual interviews
Focus group discussion / interview (FGD)
Key Informant Interview
 Ethnography
Case Study
Observation
Interview in Qualitativestudy
Attempt to keep environment informal
Participants co-operation important:
Depends on trust built by investigator
Participant feels involved in project
Interview: Un-structured
Can be referred to as 'in depth' interviews
Very little structure/ plan at all
Framing the interview questions based on the
interviewee and his/her previous response
Allows the discussion to cover areas in great
detail
No preconceived plan
Response recorded in respondent’s words
Interview: Semi-structured
Called focused interviews
A series of open ended questions based on the
topic areas the researcher wants to cover
Questions may have some prompts to help the
interviewee
'The open ended provides opportunities for
both interviewer and interviewee to discuss
some topics in more detail
……….. Continued
Interview: Semi-structured
Allow the researcher to prompt or encourage
the interviewee if they are looking for more
information or find what they are saying
interesting
Freedom to probe the interviewee to elaborate
or to follow a new line of inquiry introduced by
what the interviewee is saying
Work best when the interviewed has a number
of areas he/she wants to be sure to be addressing
Interview: Structured
Tightly structured schedule
Same questions in the same way
Limited range / options:Very good, good
or poor‘
Rarely used in qualitative research
Focused Group Discussion: What isit?
A carefully planned discussion
To obtain perceptions of a defined
interest area
In a permissive, non-threatening
environment
Group consists of small number (7-10)
Share common characteristics relating
to discussion topic
Focused Group Discussion
Indications
Limited resources (time, manpower, finances)
The phenomena being researched requires a
collective discussion
Greater insights may be developed of the group
dynamic - or cause and consequence
FGD purposes
Helps in quick initial data gathering in first go
Helps supplement information in situations
when quantitative data is inadequate to explain
the phenomenon/process
FGD: When?
Before a program begins, during a program
or after a program ends
Focus groups are effective when
o People have something to share (motivations)
o The goal is to understand human behavior
Focus groups are not effective when
o People are divided or angry
o The goal is to gather factual information
o Organization is trying to improve its image
FGD: Participants
Participants share some characteristic
General selection rules:
Set exact specification
Maintain control of the selection process
Use the resources of the sponsoring
organization in recruiting
Beware of bias
Develop a pool of eligible participants and
then randomly select
INCENTIVES
Focused Group Discussion
Characteristics of a focus group:
Size of the group is 7 - 10 people
Several focus groups if more than one objective,
adds to breadth
Members have something in common which is
important to the investigation
Co-ordinator / Reporter
Focused Group Discussion
Skills of Coordinator/ Moderator
Facilitator
Moderator
Listener
Observer
Analyzer
FGD: Moderator
 Is mentally prepared
 Selects appropriate
location
 Records the
discussion
 Uses purposeful
small talk
 Has a smooth &
snappy introduction
 Uses pauses and
probes
 Uses subtle group
control methods
 Controls reactions
 Uses an assistant
moderator
FGD Process
1. Set meeting
times for
interviews
2. Contact
potential
participants
fairly in
advance
3. Give an idea
about purpose
 The first few moments in focus
group discussion are critical.
 Create a thoughtful,
permissive atmosphere
 Provide the ground rules
 Set the tone
 Recommended introduction
pattern:
 Welcome
 Overview and topic
 Ground rules
 First question
FGD- Process
Use open-ended questions
Avoid dichotomous questions
"Why?" is rarely asked
Use "think back" questions
Carefully prepare focus questions
Ask un-cued questions first, cued
questions second
Consider standardized questions
FGD-Process
 Summary question
"Is this an adequate summary?"
 All things considered question
Ask participants to reflect on the entire
discussion and then offer their
positions or opinions
 Final question
"Have we missed anything”?
Key Informant Interview
Special type of interview of a person well versed
with the situation and is a local influencer
Better understanding of problem
Not complete method, need to be coupled with
other methods
Ethnography
Ethno – refers to human culture
Graphy – means description of
A research process used in the scientific study of
human interactions in social settings
Used extensively in anthropology
Popular in educational research over the past
few years
Ethnography: Indications
To define a problem when the problem itself is
not clear
To define a problem that is complex and
embedded in multiple systems or sectors
To clarify the range of settings where the
problem or situation occurs at times when the
settings are not fully identified, known, or
understood
Ethnography
Hypotheses and questions – begin as a broad
statement about the purpose of the research,
then are allowed to emerge more specifically as
data are amassed.
Data - verbal descriptions of people,
interactions, settings, objects and phenomena
within the context being studies
Data Sources – the people, settings, and
relevant objects being observed
Ethnography- Process
A question or concern is identified for study
A group to study is identified
Typically small
Typically purposively selected
Permission to study the group is obtained
The researcher observes the group
Privileged observer – just observes
Participant observer – functions as part of the group
(has to spend some time in group)
Ethnography- Process
Researcher watches and listens attentively and
records as much detail as possible (this is called
naturalistic observation). Large amounts of notes
are typically generated.
Last a week or two or could be years
The researcher analyzes the notes, identifies
themes, looks for answers to research questions,
and makes logical inferences
Casestudy
In depth analysis of a single or small number of
units
Unit: Single person / Single organization/ Single
event
Illustrative description of a single event or
occurrence
Explanation of complex circumstances in which a
single event occurred
Capturing multiple variables
Casestudies
Valuable when broad, complex questions have to be
answered in complex circumstances
When the question being posed required an
investigation of a real life intervention in detail
Where the focus is on how and why intervention
succeeds or fails
Where the general context will influence the outcome
Where researchers do not have control over events
In situations where number of relevant possibilities can exist and
experimental approaches can not provide answer
Ethnography
Data Collection – done by the researcher
through observation, sometimes combined with
interview
Data treatment and analysis – presentation
of verbal descriptions and/or logical analysis of
information to discover salient patterns and
themes
Observation
Observation of phenomenon
In natural setting
Researcher takes notes
Analyses notes at leisure
Observation: Tools
Written description / notes
Audio /Video recording
Photographs
Observations
Limitations
Behavior changes
while being observed
Missing something
while watching and
taking notes
Snap –shot picture
Strengths
On the spot report
Insight into the
bigger picture
Can be used to assist
in the design of the
rest of the research
Roleof Investigator
Researcher is observer only
Researcher is observer & participant
Sampling in QualitativeStudies
Purposive sampling
Selection according to pre -determined criteria
relevant to study
Sample size may or may not be fixed
Size depends on theoretical saturation (a point
when no additional new information is
emerging)
Most useful when data collection and analysis
are done concurrently.
Sampling in QualitativeStudies
Quota sampling
Number of participants with each pre- decided
characteristics is fixed e.g. males, profession,
marital status, etc
Allows focusing on people with pre decided
characteristics
Quota sampling is more specific with respect to
sizes and proportions of sub samples.Then
recruitment is done.
Sampling in QualitativeStudies
Snowball sampling
Also known as chain referral sampling
Initial participants refer the more eligible
participants to investigator
Used to find and recruit “hidden populations,”
that is, groups not easily accessible to researchers
like drug abusers.
AnalysisMethods: QualitativeStudies
Content analysis
Narrative analysis
Recursive analysis
Content analysis
A research tool used to determine the presence
of certain words or concepts within texts or sets
of texts.
Researchers quantify and analyze the presence,
meanings and relationships of such words and
concepts,
Then make inferences about the messages within
the texts, the writer(s), the audience, and even
the culture and time of which these are a part.
Content analysis
Coding of text
Manageable categories
Identification of themes
Narrativeanalysis
 Analysis of a chronologically told story/ stories
 Focus on how elements are sequenced,
Why some elements are evaluated differently
How the past shapes perceptions of the present,
How the present shapes perceptions of the past,
And how both shape perceptions of the future.
1
2
5
36
4
7
1 2 3 4 5 6 7
Recursiveanalysis
In cases where data sets are analyzed without coding,
datasets are summarized, those summaries are then
further summarized and so on.
The end result is more compact summary that would
have been difficult to accurately discern without the
preceding steps of distillation.
Need of analysis
“Soft data” because the data collected through
this method are subjective as well as
interpretation of expression and belief as well as
values.
 The interpretation and analysis mostly
dependent on the skill of the researcher.
A researcher can not have free fall while
interpreting a phenomena or occurrence.
Comparison
Comparison
Qualitative Quantitative
Explore & Explain the problem Quantify the problem
Unstructured, semi structured Structured
Helps to develop ideas, hypothesis Help to test hypothesis
Uncover trends in thought and opinions Quantify attitudes, opinions, behaviors,
and other defined variables – and
generalize results from a larger sample
population.
Data may NOT be measurable Uses measurable data to formulate facts
and uncover patterns in research. 
Interview, FGD, Observation Descriptive, Analytical and
Experimental
Participant observation Non-Participant observation
Important for analysis
50
Thank You !

13. qualitative research

  • 1.
    Dr.A.P. Kulkarni Professor Community Medicine RuralMedical College, LONI Pune QualitativeResearch Methods
  • 2.
    “Not everything thatcounts can be counted, and not everything that can be counted counts” --- Albert Einstein Quantitative methods cannot answer all questions
  • 3.
    Indications Primarily exploratory research:Provides insights into the problem or helps to develop ideas or hypotheses for potential quantitative research. To gain an understanding of underlying reasons, opinions, and motivations -> Behavior To uncover trends in thought and opinions, and dive deeper into the problem.
  • 4.
    Situationswherequalitativemethods required Understanding behavior - Peoplenot utilizing health services - Irregularity observed in patient compliance Understanding attitude - People oppose some service What is people’s perception about health services provided - Health center completes one year
  • 5.
    Why qualitativeresearch? Qualitative questions: How Why What When Maynot answer HOW MANY Focus on PROCESS rather than OUTCOME
  • 6.
    Misconceptions Free form ofresearch technique Generates non-numerical data Way to study people or systems by interacting with and observing the participants regularly
  • 7.
    Common methods Methods Interview Observation Study ofrecords Approaches Direct interaction with individuals on a one to one basis Direct interaction with individuals in a group setting
  • 8.
    Common methods Individual interviews Focusgroup discussion / interview (FGD) Key Informant Interview  Ethnography Case Study Observation
  • 9.
    Interview in Qualitativestudy Attemptto keep environment informal Participants co-operation important: Depends on trust built by investigator Participant feels involved in project
  • 10.
    Interview: Un-structured Can bereferred to as 'in depth' interviews Very little structure/ plan at all Framing the interview questions based on the interviewee and his/her previous response Allows the discussion to cover areas in great detail No preconceived plan Response recorded in respondent’s words
  • 11.
    Interview: Semi-structured Called focusedinterviews A series of open ended questions based on the topic areas the researcher wants to cover Questions may have some prompts to help the interviewee 'The open ended provides opportunities for both interviewer and interviewee to discuss some topics in more detail ……….. Continued
  • 12.
    Interview: Semi-structured Allow theresearcher to prompt or encourage the interviewee if they are looking for more information or find what they are saying interesting Freedom to probe the interviewee to elaborate or to follow a new line of inquiry introduced by what the interviewee is saying Work best when the interviewed has a number of areas he/she wants to be sure to be addressing
  • 13.
    Interview: Structured Tightly structuredschedule Same questions in the same way Limited range / options:Very good, good or poor‘ Rarely used in qualitative research
  • 14.
    Focused Group Discussion:What isit? A carefully planned discussion To obtain perceptions of a defined interest area In a permissive, non-threatening environment Group consists of small number (7-10) Share common characteristics relating to discussion topic
  • 15.
    Focused Group Discussion Indications Limitedresources (time, manpower, finances) The phenomena being researched requires a collective discussion Greater insights may be developed of the group dynamic - or cause and consequence
  • 16.
    FGD purposes Helps inquick initial data gathering in first go Helps supplement information in situations when quantitative data is inadequate to explain the phenomenon/process
  • 17.
    FGD: When? Before aprogram begins, during a program or after a program ends Focus groups are effective when o People have something to share (motivations) o The goal is to understand human behavior Focus groups are not effective when o People are divided or angry o The goal is to gather factual information o Organization is trying to improve its image
  • 18.
    FGD: Participants Participants sharesome characteristic General selection rules: Set exact specification Maintain control of the selection process Use the resources of the sponsoring organization in recruiting Beware of bias Develop a pool of eligible participants and then randomly select INCENTIVES
  • 19.
    Focused Group Discussion Characteristicsof a focus group: Size of the group is 7 - 10 people Several focus groups if more than one objective, adds to breadth Members have something in common which is important to the investigation Co-ordinator / Reporter
  • 20.
    Focused Group Discussion Skillsof Coordinator/ Moderator Facilitator Moderator Listener Observer Analyzer
  • 21.
    FGD: Moderator  Ismentally prepared  Selects appropriate location  Records the discussion  Uses purposeful small talk  Has a smooth & snappy introduction  Uses pauses and probes  Uses subtle group control methods  Controls reactions  Uses an assistant moderator
  • 22.
    FGD Process 1. Setmeeting times for interviews 2. Contact potential participants fairly in advance 3. Give an idea about purpose  The first few moments in focus group discussion are critical.  Create a thoughtful, permissive atmosphere  Provide the ground rules  Set the tone  Recommended introduction pattern:  Welcome  Overview and topic  Ground rules  First question
  • 23.
    FGD- Process Use open-endedquestions Avoid dichotomous questions "Why?" is rarely asked Use "think back" questions Carefully prepare focus questions Ask un-cued questions first, cued questions second Consider standardized questions
  • 24.
    FGD-Process  Summary question "Isthis an adequate summary?"  All things considered question Ask participants to reflect on the entire discussion and then offer their positions or opinions  Final question "Have we missed anything”?
  • 25.
    Key Informant Interview Specialtype of interview of a person well versed with the situation and is a local influencer Better understanding of problem Not complete method, need to be coupled with other methods
  • 26.
    Ethnography Ethno – refersto human culture Graphy – means description of A research process used in the scientific study of human interactions in social settings Used extensively in anthropology Popular in educational research over the past few years
  • 27.
    Ethnography: Indications To definea problem when the problem itself is not clear To define a problem that is complex and embedded in multiple systems or sectors To clarify the range of settings where the problem or situation occurs at times when the settings are not fully identified, known, or understood
  • 28.
    Ethnography Hypotheses and questions– begin as a broad statement about the purpose of the research, then are allowed to emerge more specifically as data are amassed. Data - verbal descriptions of people, interactions, settings, objects and phenomena within the context being studies Data Sources – the people, settings, and relevant objects being observed
  • 29.
    Ethnography- Process A questionor concern is identified for study A group to study is identified Typically small Typically purposively selected Permission to study the group is obtained The researcher observes the group Privileged observer – just observes Participant observer – functions as part of the group (has to spend some time in group)
  • 30.
    Ethnography- Process Researcher watchesand listens attentively and records as much detail as possible (this is called naturalistic observation). Large amounts of notes are typically generated. Last a week or two or could be years The researcher analyzes the notes, identifies themes, looks for answers to research questions, and makes logical inferences
  • 31.
    Casestudy In depth analysisof a single or small number of units Unit: Single person / Single organization/ Single event Illustrative description of a single event or occurrence Explanation of complex circumstances in which a single event occurred Capturing multiple variables
  • 32.
    Casestudies Valuable when broad,complex questions have to be answered in complex circumstances When the question being posed required an investigation of a real life intervention in detail Where the focus is on how and why intervention succeeds or fails Where the general context will influence the outcome Where researchers do not have control over events In situations where number of relevant possibilities can exist and experimental approaches can not provide answer
  • 33.
    Ethnography Data Collection –done by the researcher through observation, sometimes combined with interview Data treatment and analysis – presentation of verbal descriptions and/or logical analysis of information to discover salient patterns and themes
  • 34.
    Observation Observation of phenomenon Innatural setting Researcher takes notes Analyses notes at leisure
  • 35.
    Observation: Tools Written description/ notes Audio /Video recording Photographs
  • 36.
    Observations Limitations Behavior changes while beingobserved Missing something while watching and taking notes Snap –shot picture Strengths On the spot report Insight into the bigger picture Can be used to assist in the design of the rest of the research
  • 37.
    Roleof Investigator Researcher isobserver only Researcher is observer & participant
  • 38.
    Sampling in QualitativeStudies Purposivesampling Selection according to pre -determined criteria relevant to study Sample size may or may not be fixed Size depends on theoretical saturation (a point when no additional new information is emerging) Most useful when data collection and analysis are done concurrently.
  • 39.
    Sampling in QualitativeStudies Quotasampling Number of participants with each pre- decided characteristics is fixed e.g. males, profession, marital status, etc Allows focusing on people with pre decided characteristics Quota sampling is more specific with respect to sizes and proportions of sub samples.Then recruitment is done.
  • 40.
    Sampling in QualitativeStudies Snowballsampling Also known as chain referral sampling Initial participants refer the more eligible participants to investigator Used to find and recruit “hidden populations,” that is, groups not easily accessible to researchers like drug abusers.
  • 41.
  • 42.
    Content analysis A researchtool used to determine the presence of certain words or concepts within texts or sets of texts. Researchers quantify and analyze the presence, meanings and relationships of such words and concepts, Then make inferences about the messages within the texts, the writer(s), the audience, and even the culture and time of which these are a part.
  • 43.
    Content analysis Coding oftext Manageable categories Identification of themes
  • 44.
    Narrativeanalysis  Analysis ofa chronologically told story/ stories  Focus on how elements are sequenced, Why some elements are evaluated differently How the past shapes perceptions of the present, How the present shapes perceptions of the past, And how both shape perceptions of the future. 1 2 5 36 4 7 1 2 3 4 5 6 7
  • 45.
    Recursiveanalysis In cases wheredata sets are analyzed without coding, datasets are summarized, those summaries are then further summarized and so on. The end result is more compact summary that would have been difficult to accurately discern without the preceding steps of distillation.
  • 46.
    Need of analysis “Softdata” because the data collected through this method are subjective as well as interpretation of expression and belief as well as values.  The interpretation and analysis mostly dependent on the skill of the researcher. A researcher can not have free fall while interpreting a phenomena or occurrence.
  • 47.
  • 48.
    Comparison Qualitative Quantitative Explore &Explain the problem Quantify the problem Unstructured, semi structured Structured Helps to develop ideas, hypothesis Help to test hypothesis Uncover trends in thought and opinions Quantify attitudes, opinions, behaviors, and other defined variables – and generalize results from a larger sample population. Data may NOT be measurable Uses measurable data to formulate facts and uncover patterns in research.  Interview, FGD, Observation Descriptive, Analytical and Experimental Participant observation Non-Participant observation
  • 49.
  • 50.