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Rapid qualitative analysis:
does it deliver?
Beck Taylor, Clinical Research Fellow
Theme 1
06/07/2016
The team
Beck Taylor
Cathy Henshall
Ian Litchfield
Louise Bentham
Sara Kenyon
Sheila Greenfield
Our partners
Birmingham Women’s Hospital, particularly the Home Birth Team
Birmingham South Central Clinical Commissioning Group
Evaluation of a service innovation
• Asked by NHS to evaluate dedicated Home Birth Service
• Model and its implementation evolving, not well-defined
• Designed project based on Evaluability Assessment
methodology
– Interviews (n=21) and focus group (n=13) with key stakeholders, plus
documentary analysis (n=9)
– Explores: programme theory and fidelity; barriers/facilitators; available
data; areas for evaluation; recommendations for changes and further
evaluation
My background
• Public health physician, working in predominantly
qualitative research since 2008
• Pre-2008 conducted pragmatic evaluations and
assessments with key stakeholders in short timescales,
not methodologically robust!
• Considerations
– Desire to inform practice in real time
– Understanding that stakeholders want key findings
rather than fine detail
– BUT not at expense of academic rigour
Was there a way to analyse data and
deliver findings more quickly?
– Sharing of model/lack of model quickly
– Inform ongoing development and decision-making
– Information not out of date, useful
What we did
• Data gathered predominantly by BT
• Analysed ‘rapidly’ by BT and CH with input from SK
• No coding – ‘summary templates’ used to manage
data (Alison Hamilton. Qualitative Methods in Rapid Turn-Around Health Services Research.
Presented online for the US Department of Veterans’ Affairs (2013) )
Our Rapid Analysis approach
Summary template example
Questions arising…
• How does this approach work in practice?
• Does it deliver findings more quickly than ‘traditional’
qualitative analysis?
• Does it elicit similar findings to traditional approaches?
If not, how do they differ?
• What impact might any differences in findings have?
• What might the applications of this approach be?
“Can’t we do it the ‘normal’ way and
see how the two compare?”
(Thank you Dr Kenyon!)
Comparative analysis project
• Repeat analysis of data using in-depth analysis,
Framework method
• Independent, blinded researcher (Ian Litchfield)
• Input from second researcher (Louise Bentham)
• Oversight and methodological support from Prof Sheila
Greenfield
Comparison research questions
Qualitative
data
Rapid
analysis
In-depth
analysis
Comparison research questions
Qualitative
data
Rapid
analysis
In-depth
analysis
??
Comparison research questions
Qualitative
data
Rapid
analysis
Findings and
recommendations
In-depth
analysis
??
Comparison research questions
Qualitative
data
Rapid
analysis
Findings and
recommendations
In-depth
analysis
Similarities / differences
Importance
?
??
?
Approach to comparison
(not much in the literature)*
1) Time
Researcher timesheets
Total time + time for specific tasks
2) Findings and recommendations
Independent review – match/partial match/no match
Check as a team
Quantitative and qualitative summaries of similarities/differences
*Burgess-Allen J, Owen-Smith V. Using mind mapping techniques for rapid qualitative data analysis in
public participation processes. Health expectations : an international journal of public participation in
health care and health policy. 2010;13(4):406-15.
*Putten JV, Nolen AL. Comparing Results from Constant Comparative and Computer Software Methods:
A Reflection about Qualitative Data Analysis. Journal of Ethnographic & Qualitative Research.
2010;5(2):99-112.
Results: time
• Data management was much faster in rapid analysis (RA)
(In-depth analysis (IDA) 3x longer)
• Interpretation took much longer in RA, but we think other
factors influenced this
(RA 6x longer than IDA)
Results: overlap in recommendations
and findings
SPECIFIC,
DETAILED
KEY
ISSUES
CONTEXT-
INFORMED,
INTERPRETIVE
In-depth
Analysis
Rapid
Analysis
Comparing the two methods
Rapid Analysis In Depth Analysis
Clinical Not clinical
Embedded in the field No prior exposure to field
BT collected the data Did not collect data
Using RA for first time – learning time,
need to avoid usual practice
Experienced in method – no method to
‘learn’, doing what comes naturally
Shared office No space for informal reflection
Equal workload IL did the lion’s share of analysis
Main focus of work over short period Project ‘squeezed in’ among other
commitments
Focused on producing and ‘crafting’
outputs for known stakeholders
Much less focused on the stakeholder
team
Reflections – rapid analysis
• Requires time discipline
• Uncomfortable at times – true to data?
• How would this work for novice researchers?
• How would this work in larger teams? Would it take longer
to synthesise data?
• Would this work if we were not embedded/clinical?
Reflections – comparing methods
• Very time consuming
• Defining and interpreting ‘outcomes’ is not
straightforward – what constitutes a ‘finding’ or a
‘recommendation’?
• Comparing apples with oranges – further work needed
• Ideally need to compare two similar research teams
using different methods, but cost/capacity implications
Reflections – applications of RA
• Identifying headline/priority issues – how much of the
detail do stakeholders actually use in practice?
• Providing rapid findings where time of the essence
(provided it is truly rapid)
• Identifying areas for more in-depth analysis
Further work
• ‘More comparable’ comparisons
• Repeat comparisons in other contexts
• Comparisons of other rapid approaches
• Consultation with users of research outputs
Feedback and comments
very welcome
(feedback slips on your tables)

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Rapid qualitative analysis: does it deliver? - Beck Taylor

  • 1. Rapid qualitative analysis: does it deliver? Beck Taylor, Clinical Research Fellow Theme 1 06/07/2016
  • 2. The team Beck Taylor Cathy Henshall Ian Litchfield Louise Bentham Sara Kenyon Sheila Greenfield Our partners Birmingham Women’s Hospital, particularly the Home Birth Team Birmingham South Central Clinical Commissioning Group
  • 3. Evaluation of a service innovation • Asked by NHS to evaluate dedicated Home Birth Service • Model and its implementation evolving, not well-defined • Designed project based on Evaluability Assessment methodology – Interviews (n=21) and focus group (n=13) with key stakeholders, plus documentary analysis (n=9) – Explores: programme theory and fidelity; barriers/facilitators; available data; areas for evaluation; recommendations for changes and further evaluation
  • 4. My background • Public health physician, working in predominantly qualitative research since 2008 • Pre-2008 conducted pragmatic evaluations and assessments with key stakeholders in short timescales, not methodologically robust! • Considerations – Desire to inform practice in real time – Understanding that stakeholders want key findings rather than fine detail – BUT not at expense of academic rigour
  • 5. Was there a way to analyse data and deliver findings more quickly? – Sharing of model/lack of model quickly – Inform ongoing development and decision-making – Information not out of date, useful
  • 6. What we did • Data gathered predominantly by BT • Analysed ‘rapidly’ by BT and CH with input from SK • No coding – ‘summary templates’ used to manage data (Alison Hamilton. Qualitative Methods in Rapid Turn-Around Health Services Research. Presented online for the US Department of Veterans’ Affairs (2013) )
  • 9. Questions arising… • How does this approach work in practice? • Does it deliver findings more quickly than ‘traditional’ qualitative analysis? • Does it elicit similar findings to traditional approaches? If not, how do they differ? • What impact might any differences in findings have? • What might the applications of this approach be?
  • 10. “Can’t we do it the ‘normal’ way and see how the two compare?” (Thank you Dr Kenyon!)
  • 11. Comparative analysis project • Repeat analysis of data using in-depth analysis, Framework method • Independent, blinded researcher (Ian Litchfield) • Input from second researcher (Louise Bentham) • Oversight and methodological support from Prof Sheila Greenfield
  • 15. Comparison research questions Qualitative data Rapid analysis Findings and recommendations In-depth analysis Similarities / differences Importance ? ?? ?
  • 16. Approach to comparison (not much in the literature)* 1) Time Researcher timesheets Total time + time for specific tasks 2) Findings and recommendations Independent review – match/partial match/no match Check as a team Quantitative and qualitative summaries of similarities/differences *Burgess-Allen J, Owen-Smith V. Using mind mapping techniques for rapid qualitative data analysis in public participation processes. Health expectations : an international journal of public participation in health care and health policy. 2010;13(4):406-15. *Putten JV, Nolen AL. Comparing Results from Constant Comparative and Computer Software Methods: A Reflection about Qualitative Data Analysis. Journal of Ethnographic & Qualitative Research. 2010;5(2):99-112.
  • 17. Results: time • Data management was much faster in rapid analysis (RA) (In-depth analysis (IDA) 3x longer) • Interpretation took much longer in RA, but we think other factors influenced this (RA 6x longer than IDA)
  • 18. Results: overlap in recommendations and findings SPECIFIC, DETAILED KEY ISSUES CONTEXT- INFORMED, INTERPRETIVE In-depth Analysis Rapid Analysis
  • 19. Comparing the two methods Rapid Analysis In Depth Analysis Clinical Not clinical Embedded in the field No prior exposure to field BT collected the data Did not collect data Using RA for first time – learning time, need to avoid usual practice Experienced in method – no method to ‘learn’, doing what comes naturally Shared office No space for informal reflection Equal workload IL did the lion’s share of analysis Main focus of work over short period Project ‘squeezed in’ among other commitments Focused on producing and ‘crafting’ outputs for known stakeholders Much less focused on the stakeholder team
  • 20. Reflections – rapid analysis • Requires time discipline • Uncomfortable at times – true to data? • How would this work for novice researchers? • How would this work in larger teams? Would it take longer to synthesise data? • Would this work if we were not embedded/clinical?
  • 21. Reflections – comparing methods • Very time consuming • Defining and interpreting ‘outcomes’ is not straightforward – what constitutes a ‘finding’ or a ‘recommendation’? • Comparing apples with oranges – further work needed • Ideally need to compare two similar research teams using different methods, but cost/capacity implications
  • 22. Reflections – applications of RA • Identifying headline/priority issues – how much of the detail do stakeholders actually use in practice? • Providing rapid findings where time of the essence (provided it is truly rapid) • Identifying areas for more in-depth analysis
  • 23. Further work • ‘More comparable’ comparisons • Repeat comparisons in other contexts • Comparisons of other rapid approaches • Consultation with users of research outputs
  • 24. Feedback and comments very welcome (feedback slips on your tables)