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Focus Groups 101
  A self-learning module




                           Emily Carley
                            RSOT547
Module Purpose
This self-learning module is designed to:

1. Introduce learners to focus groups as a
   research methodology,

2.Explore the usefulness of focus groups to
  occupational therapy research,

3.Provide resources to further students’
  learning.
Learning objectives
1. To describe focus groups, their purpose, and defining characteristics.
2. To understand where focus groups are anchored as a research
   methodology.
3. To compare and contrast focus groups with other qualitative research
   methods.
4. To introduce different types of focus group studies, to describe how
   they differ, and to become familiar with common uses.
5. To explore how the focus group method can be applied to
   occupational therapy research.
6. To identify strengths and weaknesses of the focus group approach.
7. To become familiar with the key elements to consider when planning
   and conducting focus groups.
What is a focus group?

A FOCUS GROUP DISCUSSION (FGD) is a group
discussion of approximately 6 - 12 persons guided
by a moderator, during which group members talk
freely and spontaneously about a certain topic
determined by the researcher. The researcher’s
interest provides the focus and the group
interaction produces data.
Morgan (1997) definition:

“The explicit use of group interactions to produce data
and insights that would be less accessible without the
interaction found in a group.”

Krueger & Casey (2000) definition:

“A carefully planned series of discussions designed to
obtain perceptions on a defined area of interest in a
permissive, non-threatening environment.”
Purpose of a focus
 group discussion
To promote self-disclosure among
participants

To obtain in-depth information on concepts,
perceptions and ideas of a group

While primarily a group interview technique,
the observations of interactions among group
members are considered a major part of the
data collection
Characteristics
              Krueger & Casey (2000)



1. 5-10 participants
2. Composed of participants who are similar to
   each other (e.g. homogeneous)
3. Provide qualitative data
4. Involve a focused discussion of a topic of
   interest that has been carefully planned in
   advance
5. Session length is under two hours
What are we focused
           on?
Participants, chosen for their knowledge or
experience of the topic

Questions and probes planned in advance to direct
attention to the topic

Discussion, or collective activity, planned to
encourage spontaneous dynamic interaction between
participants in order to explore ideas

Outcomes, based on group responses and in some
cases based on analyses of the actual interactions
Quick summary

  group interview

  homogeneous people

  collect qualitative data
Focus groups as a
    Research
  Methodology
Focus groups are a
qualitative data collection
         strategy.
Why qualitative?

Because focus groups combine two qualitative
techniques

FG = an interview (group) + observational approach

Interview questions are open-ended and generate
narrative data
Compared to Participant
    Observation
 Allow access to processes qualitative
 researchers are interested in - interaction

 Focus group advantage: observe a
 concentrated amount of interaction in a
 limited time period

 Participant observation advantage: natural
 social setting and interaction, not limited to
 verbal behaviour and self-reported data
Compared to Individual
       Interviews
Allow access to content qualitative researchers are interested in - the
attitudes and experiences of our informants

Focus group advantage:

 a) The ability to access and observe group interactions on a topic
 b) Group discussions provide direct evidence about similarities and
     differences in participants opinions and experiences

Individual interview advantages:

 a) Interviewer has more control
 b) Volume of information each informant has time to share is greater
Compared to other
  group interviews

E.g. Nominal and Delphi Groups
 neither involve group interactions

 typically involve trained experts as opposed
 to lay people as participants
QUESTION

   Which qualitative research
method would you choose if you
 had unlimited resources (time
and money) and were interested
     in natural, observable
          interactions?
QUESTION

If the goal of the research is to
gain an in-depth understanding
   of a person’s opinions and
 experiences, which qualitative
  research method would you
        choose and why?
Types of focus group
      studies
         and
uses of focus groups
Focus Groups as:
A self-contained research method where
the focus group serves as the primary
means of collecting qualitative data
A supplementary source of data in studies
that rely on some other primary method
Part of multimethod studies that combine
two or more means of data collection, and no
one primary method determines the use of
others.
When to use
           focus groups
You are looking for a range of ideas or feelings that people have
about something
You are trying to understand differences in perspectives between
groups or categories of people
You wish to uncover factors that influence opinions, behaviours, or
motivation
You want ideas to emerge from the group
You want to pilot test ideas, materials, plans, or policies
The researcher needs information to design a large-scale
quantitative study
The researcher needs information to help shed light on quantitative
data already collected
When NOT to use
        focus group
You want people to come to consensus
You want to educate people
You don’t intend to use the results but want to give the appearance of
listening
You are asking for sensitive information
You can’t ensure the confidentiality of sensitive information
You need statistical projections
The environment is emotionally charged
Other methodologies can produce better quality information
Other methodologies can produce the same quality information more
economically
Common uses
1) Market research
2) Decision making
3) Planning and goal setting
4) Policy making and testing
5) Health related applications:
   Investigation of health issues
   Programme development (e.g. needs assessment, asset analysis)
   Service evaluation
   Quality assurance monitoring
   Research (e.g. generation of hypotheses, interpretation of previously
   obtained quantitative results)
Example 1

As a monitoring and evaluation tool, focus groups
could be used:
   in planning a programme to identify
   stakeholders’ needs,
   during a programme to examine service
   quality, and
   on completion of a programme to assess
   outcomes.
Example 2

    FGD could be used to focus
   research and develop relevant
research hypotheses by exploring in
  greater depth the problem to be
investigated and its possible causes.
Example 3


FGD could be used to formulate
 appropriate questions for more
structured, larger scale surveys.
How can OTs use
 focus groups?
1. When the identification of major themes is
   important. For example,
  occupational therapy practitioners may find them useful for
  discerning the variety of client perceptions of a particular service or
  intervention, in order to make quality improvements
  occupational therapy educators may find them useful for
  understanding what factors have an impact on a course or
  programme of study for participating students
  service managers may find them useful for identifying the range of
  staff views on aspects of service delivery or for exploring staff needs
  and feelings

2.To explain results obtained from other sources
  (e.g. survey, individual interview)
OT research using
           focus groups
Laliberte-Rudman et al (2000) explored quality of life issues from the
perspectives of consumers with schizophrenia.

Calnan et al (2000) used focus groups with service users, in order to adapt
a postal questionnaire for evaluating and monitoring the quality of care of a
local occupational therapy service.

Yallop (2000) used data from a focus group to evaluate and direct future
provision for people attending a new occupational therapy service
developed for those living with HIV/AIDS.
Strengths
    and
Weaknesses
STRENGTHS

flexible and versatile
produce concentrated amounts of data
useful for exploring attitudes and experiences
useful for generating ideas
group dynamic stimulates conversation and reactions
allows probing
more efficient than conducting individual interviews
more controlled than participant observation and less
controlled than individual interviewing
useful to complement other qualitative research methods
Weaknesses
can be expensive
complicated logistics may favour individual interviews
may be dominated by 1 or 2 participants
driven by the researchers interests; less naturalistic than participant
observation
moderator may be biased and may influence the group’s interactions
and data
the group itself may influence the data collected because of
tendencies towards conformity or censoring
participants may limit their responses to questions on topics of a
sensitive nature
topics may be limited by ethical issues such as invasion of privacy
concerns
Essential elements
to guarantee success
Key informants
Discussion Guide
Ambience
Moderator
Learning objectives
1. To describe focus groups, their purpose, and defining characteristics.
2. To understand where focus groups are anchored as a research
   methodology.
3. To compare and contrast focus groups with other qualitative research
   methods.
4. To introduce different types of focus group studies, to describe how
   they differ, and to become familiar with common uses.
5. To explore how the focus group method can be applied to
   occupational therapy research.
6. To identify strengths and weaknesses of the focus group approach.
7. To become familiar with the key elements to consider when planning
   and conducting focus groups.
Additional Resources
Greenbaum, T.L. (1998). The Handbook for Focus Group Research (2nd ed.). New York: Lexington
Books.

Krueger R.A. (1997). Moderating focus groups (Focus Group Kit). Thousand Oaks, CA: Sage
Publications.

Krueger, R.A. (1998). Developing questions for focus groups (Focus Group Kit). Thousand Oaks, CA:
Sage Publications.

Krueger, R.A., & Casey, M.A. (2009). Focus Groups: A practical guide for applied research (4th ed.).
Thousand Oaks, CA: Sage Publications.

Krueger, R.A., & King, J.A. (1998). Involving community members in focus groups (Focus Group Kit).
Thousand Oaks, CA: Sage Publications.

Morgan, D.L. (1997). Focus groups as qualitative research (2nd ed.) London: Sage Publications.

Morgan, D.L. (1998). The focus group guidebook (Focus Group Kit). Thousand Oaks, CA: Sage
Publications.

Morgan, D.L., Krueger, R.A., & King, J.A. (1998). Analysing and reporting focus group results (Focus
Group Kit). Thousand Oaks, CA: Sage Publications.

Morgan, D.L., & Scannell, A.U. (1997). Planning focus groups (Focus Group Kit). Thousand Oaks, CA:
Sage Publications.
That’s all folks!

  Thank you!
References
Greenbaum, T.L. (1998). The handbook for focus group research (2nd ed.). New
York: Lexington Books.

Hollis, V., Openshaw, S., & Goble, R. (2002). Conducting focus groups: Purpose
and practicalities. British Journal of Occupational Therapy, 65(1), 2-8.

Krueger, R.A., & Casey, M.A. (2009). Focus groups: A practical guide for applied
research (4th ed.). Thousand Oaks, CA: Sage Publications.

Morgan, D.L. (1997). Focus groups as qualitative research (2nd ed.) London: Sage
Publications.

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Focus groups-101.key

  • 1. Before we begin, please make sure you are in audio mode by adjusting your volume.
  • 2. Focus Groups 101 A self-learning module Emily Carley RSOT547
  • 3. Module Purpose This self-learning module is designed to: 1. Introduce learners to focus groups as a research methodology, 2.Explore the usefulness of focus groups to occupational therapy research, 3.Provide resources to further students’ learning.
  • 4. Learning objectives 1. To describe focus groups, their purpose, and defining characteristics. 2. To understand where focus groups are anchored as a research methodology. 3. To compare and contrast focus groups with other qualitative research methods. 4. To introduce different types of focus group studies, to describe how they differ, and to become familiar with common uses. 5. To explore how the focus group method can be applied to occupational therapy research. 6. To identify strengths and weaknesses of the focus group approach. 7. To become familiar with the key elements to consider when planning and conducting focus groups.
  • 5. What is a focus group? A FOCUS GROUP DISCUSSION (FGD) is a group discussion of approximately 6 - 12 persons guided by a moderator, during which group members talk freely and spontaneously about a certain topic determined by the researcher. The researcher’s interest provides the focus and the group interaction produces data.
  • 6. Morgan (1997) definition: “The explicit use of group interactions to produce data and insights that would be less accessible without the interaction found in a group.” Krueger & Casey (2000) definition: “A carefully planned series of discussions designed to obtain perceptions on a defined area of interest in a permissive, non-threatening environment.”
  • 7. Purpose of a focus group discussion To promote self-disclosure among participants To obtain in-depth information on concepts, perceptions and ideas of a group While primarily a group interview technique, the observations of interactions among group members are considered a major part of the data collection
  • 8. Characteristics Krueger & Casey (2000) 1. 5-10 participants 2. Composed of participants who are similar to each other (e.g. homogeneous) 3. Provide qualitative data 4. Involve a focused discussion of a topic of interest that has been carefully planned in advance 5. Session length is under two hours
  • 9. What are we focused on? Participants, chosen for their knowledge or experience of the topic Questions and probes planned in advance to direct attention to the topic Discussion, or collective activity, planned to encourage spontaneous dynamic interaction between participants in order to explore ideas Outcomes, based on group responses and in some cases based on analyses of the actual interactions
  • 10. Quick summary group interview homogeneous people collect qualitative data
  • 11. Focus groups as a Research Methodology
  • 12. Focus groups are a qualitative data collection strategy.
  • 13. Why qualitative? Because focus groups combine two qualitative techniques FG = an interview (group) + observational approach Interview questions are open-ended and generate narrative data
  • 14. Compared to Participant Observation Allow access to processes qualitative researchers are interested in - interaction Focus group advantage: observe a concentrated amount of interaction in a limited time period Participant observation advantage: natural social setting and interaction, not limited to verbal behaviour and self-reported data
  • 15. Compared to Individual Interviews Allow access to content qualitative researchers are interested in - the attitudes and experiences of our informants Focus group advantage: a) The ability to access and observe group interactions on a topic b) Group discussions provide direct evidence about similarities and differences in participants opinions and experiences Individual interview advantages: a) Interviewer has more control b) Volume of information each informant has time to share is greater
  • 16. Compared to other group interviews E.g. Nominal and Delphi Groups neither involve group interactions typically involve trained experts as opposed to lay people as participants
  • 17. QUESTION Which qualitative research method would you choose if you had unlimited resources (time and money) and were interested in natural, observable interactions?
  • 18. QUESTION If the goal of the research is to gain an in-depth understanding of a person’s opinions and experiences, which qualitative research method would you choose and why?
  • 19. Types of focus group studies and uses of focus groups
  • 20. Focus Groups as: A self-contained research method where the focus group serves as the primary means of collecting qualitative data A supplementary source of data in studies that rely on some other primary method Part of multimethod studies that combine two or more means of data collection, and no one primary method determines the use of others.
  • 21. When to use focus groups You are looking for a range of ideas or feelings that people have about something You are trying to understand differences in perspectives between groups or categories of people You wish to uncover factors that influence opinions, behaviours, or motivation You want ideas to emerge from the group You want to pilot test ideas, materials, plans, or policies The researcher needs information to design a large-scale quantitative study The researcher needs information to help shed light on quantitative data already collected
  • 22. When NOT to use focus group You want people to come to consensus You want to educate people You don’t intend to use the results but want to give the appearance of listening You are asking for sensitive information You can’t ensure the confidentiality of sensitive information You need statistical projections The environment is emotionally charged Other methodologies can produce better quality information Other methodologies can produce the same quality information more economically
  • 23. Common uses 1) Market research 2) Decision making 3) Planning and goal setting 4) Policy making and testing 5) Health related applications: Investigation of health issues Programme development (e.g. needs assessment, asset analysis) Service evaluation Quality assurance monitoring Research (e.g. generation of hypotheses, interpretation of previously obtained quantitative results)
  • 24. Example 1 As a monitoring and evaluation tool, focus groups could be used: in planning a programme to identify stakeholders’ needs, during a programme to examine service quality, and on completion of a programme to assess outcomes.
  • 25. Example 2 FGD could be used to focus research and develop relevant research hypotheses by exploring in greater depth the problem to be investigated and its possible causes.
  • 26. Example 3 FGD could be used to formulate appropriate questions for more structured, larger scale surveys.
  • 27. How can OTs use focus groups?
  • 28. 1. When the identification of major themes is important. For example, occupational therapy practitioners may find them useful for discerning the variety of client perceptions of a particular service or intervention, in order to make quality improvements occupational therapy educators may find them useful for understanding what factors have an impact on a course or programme of study for participating students service managers may find them useful for identifying the range of staff views on aspects of service delivery or for exploring staff needs and feelings 2.To explain results obtained from other sources (e.g. survey, individual interview)
  • 29. OT research using focus groups Laliberte-Rudman et al (2000) explored quality of life issues from the perspectives of consumers with schizophrenia. Calnan et al (2000) used focus groups with service users, in order to adapt a postal questionnaire for evaluating and monitoring the quality of care of a local occupational therapy service. Yallop (2000) used data from a focus group to evaluate and direct future provision for people attending a new occupational therapy service developed for those living with HIV/AIDS.
  • 30. Strengths and Weaknesses
  • 31. STRENGTHS flexible and versatile produce concentrated amounts of data useful for exploring attitudes and experiences useful for generating ideas group dynamic stimulates conversation and reactions allows probing more efficient than conducting individual interviews more controlled than participant observation and less controlled than individual interviewing useful to complement other qualitative research methods
  • 32. Weaknesses can be expensive complicated logistics may favour individual interviews may be dominated by 1 or 2 participants driven by the researchers interests; less naturalistic than participant observation moderator may be biased and may influence the group’s interactions and data the group itself may influence the data collected because of tendencies towards conformity or censoring participants may limit their responses to questions on topics of a sensitive nature topics may be limited by ethical issues such as invasion of privacy concerns
  • 38. Learning objectives 1. To describe focus groups, their purpose, and defining characteristics. 2. To understand where focus groups are anchored as a research methodology. 3. To compare and contrast focus groups with other qualitative research methods. 4. To introduce different types of focus group studies, to describe how they differ, and to become familiar with common uses. 5. To explore how the focus group method can be applied to occupational therapy research. 6. To identify strengths and weaknesses of the focus group approach. 7. To become familiar with the key elements to consider when planning and conducting focus groups.
  • 39. Additional Resources Greenbaum, T.L. (1998). The Handbook for Focus Group Research (2nd ed.). New York: Lexington Books. Krueger R.A. (1997). Moderating focus groups (Focus Group Kit). Thousand Oaks, CA: Sage Publications. Krueger, R.A. (1998). Developing questions for focus groups (Focus Group Kit). Thousand Oaks, CA: Sage Publications. Krueger, R.A., & Casey, M.A. (2009). Focus Groups: A practical guide for applied research (4th ed.). Thousand Oaks, CA: Sage Publications. Krueger, R.A., & King, J.A. (1998). Involving community members in focus groups (Focus Group Kit). Thousand Oaks, CA: Sage Publications. Morgan, D.L. (1997). Focus groups as qualitative research (2nd ed.) London: Sage Publications. Morgan, D.L. (1998). The focus group guidebook (Focus Group Kit). Thousand Oaks, CA: Sage Publications. Morgan, D.L., Krueger, R.A., & King, J.A. (1998). Analysing and reporting focus group results (Focus Group Kit). Thousand Oaks, CA: Sage Publications. Morgan, D.L., & Scannell, A.U. (1997). Planning focus groups (Focus Group Kit). Thousand Oaks, CA: Sage Publications.
  • 40. That’s all folks! Thank you!
  • 41. References Greenbaum, T.L. (1998). The handbook for focus group research (2nd ed.). New York: Lexington Books. Hollis, V., Openshaw, S., & Goble, R. (2002). Conducting focus groups: Purpose and practicalities. British Journal of Occupational Therapy, 65(1), 2-8. Krueger, R.A., & Casey, M.A. (2009). Focus groups: A practical guide for applied research (4th ed.). Thousand Oaks, CA: Sage Publications. Morgan, D.L. (1997). Focus groups as qualitative research (2nd ed.) London: Sage Publications.

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