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Sari L Reisner - One of the best experts on this subject based on the ideXlab platform.
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computer mediated communication to facilitate synchronous online Focus Group discussions feasibility study for qualitative hiv research among transgender women across the united states
Journal of Medical Internet Research, 2019Co-Authors: Andrea L Wirtz, Erin E Cooney, Aeysha Chaudhry, Sari L ReisnerAbstract:BACKGROUND: Novel, technology-based methods are rapidly increasing in popularity across multiple facets of quantitative research. Qualitative research, however, has been slower to integrate technology into research methodology. One method, computer-mediated communication (CMC), has been utilized to a limited extent for Focus Group discussions. OBJECTIVE: This study aimed to assess feasibility of an online video conferencing system to further adapt CMC to facilitate synchronous Focus Group discussions among transgender women living in six cities in eastern and southern United States. METHODS: Between August 2017 and January 2018, Focus Group discussions with adult transgender women were conducted in English and Spanish by research teams based in Boston, MA, and Baltimore, MD. Participants were sampled from six cities: Baltimore, MD; Boston, MA; New York, NY; Washington, DC; Atlanta, GA; and Miami, FL. This was formative research to inform a technology-enhanced cohort study to assess HIV acquisition among transgender women. This analysis Focused on the methodologic use of CMC Focus Groups conducted synchronously using online software that enabled video or phone discussion. Findings were based on qualitative observations of attendance and study team debriefing on topics of individual, social, technical, and logistical challenges encountered. RESULTS: A total of 41 transgender women from all six cities participated in seven online Focus Group discussions-five English and two Spanish. There was equal racial distribution of black/African American (14/41, 34%) and white (14/41, 34%) attendees, with 29% (12/41) identifying as Hispanic/Latina ethnicity. Overall, 29 of 70 (41%) eligible and scheduled transgender women failed to attend the Focus Group discussions. The most common reason for nonattendance was forgetting or having a scheduling conflict (16/29, 55%). A total of 14% (4/29) reported technical challenges associated with accessing the CMC Focus Group discussion. CMC Focus Group discussions were found to facilitate geographic diversity; allow participants to control anonymity and privacy (eg, use of pseudonyms and option to use video); ease scheduling by eliminating challenges related to travel to a data collection site; and offer flexibility to join via a variety of devices. Challenges encountered were related to overlapping conversations; variable audio quality in cases where Internet or cellular connection was poor; and distribution of incentives (eg, cash versus gift cards). As with all Focus Group discussions, establishment of ground rules and employing both a skilled facilitator and a notetaker who could troubleshoot technology issues were critical to the success of CMC Focus Group discussions. CONCLUSIONS: Synchronous CMC Focus Group discussions provide a secure opportunity to convene participants across geographic space with minimal time burden and without losing the standardized approach that is expected of Focus Group discussions. This method may provide an optimal alternative to engaging hard-to-reach participants in Focus Group discussions. Participants with limited technological literacy or inconsistent access to a phone and/or cellular data or service, as well as circumstances necessitating immediate cash incentives may, however, require additional support and accommodation when participating in CMC Focus Group discussions.
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sensitive health topics with underserved patient populations methodological considerations for online Focus Group discussions
Qualitative Health Research, 2018Co-Authors: Sari L Reisner, Renee Randazzo, Jaclyn White M Hughto, Sarah M Peitzmeier, Zachary L Dubois, Dana J Pardee, Elliot Marrow, Sarah McleanAbstract:Online Focus Group discussions provide an anonymous environment to assess sensitive, health-related experiences that may be difficult to discuss utilizing traditional face-to-face modalities, parti...
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sensitive health topics with underserved patient populations methodological considerations for online Focus Group discussions
Qualitative Health Research, 2018Co-Authors: Sari L Reisner, Renee Randazzo, Jaclyn White M Hughto, Sarah M Peitzmeier, Zachary L Dubois, Dana J Pardee, Elliot Marrow, Sarah McleanAbstract:Online Focus Group discussions provide an anonymous environment to assess sensitive, health-related experiences that may be difficult to discuss utilizing traditional face-to-face modalities, particularly for marginalized populations such as female-to-male trans masculine (TM) transgender individuals. This article reviews the history, advantages, and disadvantages of online Focus Groups, with an emphasis for research about sensitive issues with stigmatized, rare, and/or geographically dispersed patient populations. The article then evaluates the success of online Focus Group discussions as a case study using data from four asynchronous online Focus Groups conducted between September 2015 and February 2016 that explored topics related to sexual health care access with U.S. TM adults ( N = 29). The rationale for selecting an asynchronous online methodology is described along with the unique methodological considerations that emerged in developing the study protocol. We conclude by sharing lessons learned, including innovations for maximizing participant engagement and comfort to elicit rich qualitative data.
Genevieve Daudelin - One of the best experts on this subject based on the ideXlab platform.
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Focus Group research and the patient s view
Social Science & Medicine, 2006Co-Authors: Pascale Lehoux, Blake Poland, Genevieve DaudelinAbstract:A clear emphasis on the patient's view is discernible in the health services research literature of the past decades. Such a switch to patients' perspectives has been greatly facilitated by a wider acceptance and use of qualitative methods. In particular, Focus Groups are often used to uncover the range and depth of experiences of health services users and chronically ill individuals. Although this method contributes to a better understanding of patients' perspectives and practices, a number of analytical considerations have been overlooked. The aim of this paper is to consider how to conceptualise and analyse interactions in Focus Group research. We argue that Focus Groups are social spaces in which participants co-construct the "patient's view" by sharing, contesting and acquiring knowledge. Focus Groups conducted with home care patients in Quebec, Canada (on antibiotic intravenous therapy, parenteral nutrition, peritoneal dialysis and oxygen therapy) are used to illustrate three interactive processes at work in Focus Groups: (1) establishing oneself as experienced and knowledgeable; (2) establishing oneself as in search of information and advice; and (3) validating or challenging one another's knowledge claims. We develop an analytical template Focused on the subtle dynamics underpinning the various and at times competing claims of patients. This template acknowledges the processes through which participants attribute authority to the claims of others, including the Focus Group moderator. We find that Focus Group research does not derive epistemological authority simply from the identity of its participants. Rather, an emerging consensus about what constitutes the patient's view is the result of context-dependent social interactions that need to be scrutinised.
Phillip Newman - One of the best experts on this subject based on the ideXlab platform.
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barriers to exercise behavior among older adults a Focus Group study
Journal of Aging and Physical Activity, 2005Co-Authors: Faith D Lees, Claudio R. Nigg, Phillip G Clarkr, Phillip NewmanAbstract:Longer life expectancy, rapid population growth, and low exercise-participation rates of adults 65 and older justify the need for better understanding of older adults' exercise behavior. The objectives of this Focus-Group study were to determine barriers to the exercise behavior of older adults. Six Focus Groups, three with exercisers and three with nonexercisers, were conducted at various sites throughout Rhode Island. The majority (n = 57) of the 66 individuals who participated were women, and all stated that they were 65 and older. Results from the Focus-Group data identified 13 barriers to exercise behavior. The most significant barriers mentioned by nonexercisers were fear of falling, inertia, and negative affect. Exercisers identified inertia, time constraints, and physical ailments as being the most significant barriers to exercise. Implications from these Focus-Group data can be useful in the development of exercise interventions for older adults, which could increase exercise participation.
Lee Johnson - One of the best experts on this subject based on the ideXlab platform.
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comparing hospital staff and patient perceptions of customer service a pilot study utilizing survey and Focus Group data
Health Services Management Research, 2006Co-Authors: Myron D Fottler, Duncan Dickson, Robert C Ford, Kenneth Bradley, Lee JohnsonAbstract:The measurement of patient satisfaction is crucial to enhancing customer service and competitive advantage in the health-care industry. While there are numerous approaches to such measurement, this paper provides a case study which compares and contrasts patient and staff perceptions of customer service using both survey and Focus Group data. Results indicate that there is a high degree of correlation between staff and patient perceptions of customer service based on both survey and Focus Group data. However, the staff and patient subGroups also provided complementary information regarding patient perceptions of their service experience. Staff members tended to have more negative perceptions of service attributes than did the patients themselves. The Focus Group results provide complementary information to survey results in terms of greater detail and more managerially relevant information. While these results are derived from a pilot study, they suggest that diversification of data sources beyond patient...
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comparing hospital staff and patient perceptions of customer service a pilot study utilizing survey and Focus Group data
Health Services Management Research, 2006Co-Authors: Myron D Fottler, Duncan Dickson, Robert C Ford, Kenneth Bradley, Lee JohnsonAbstract:The measurement of patient satisfaction is crucial to enhancing customer service and competitive advantage in the health-care industry. While there are numerous approaches to such measurement, this paper provides a case study which compares and contrasts patient and staff perceptions of customer service using both survey and Focus Group data. Results indicate that there is a high degree of correlation between staff and patient perceptions of customer service based on both survey and Focus Group data. However, the staff and patient subGroups also provided complementary information regarding patient perceptions of their service experience. Staff members tended to have more negative perceptions of service attributes than did the patients themselves. The Focus Group results provide complementary information to survey results in terms of greater detail and more managerially relevant information. While these results are derived from a pilot study, they suggest that diversification of data sources beyond patient surveys may enhance the utility of customer service information. If further research can affirm these findings, they create exciting possibilities for gathering valid, reliable and cost-effective customer service information.
F Rabiee - One of the best experts on this subject based on the ideXlab platform.
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Focus-Group interview and data analysis
The Proceedings of the Nutrition Society, 2004Co-Authors: F RabieeAbstract:In recent years Focus-Group interviews, as a means of qualitative data collection, have gained popularity amongst professionals within the health and social care arena. Despite this popularity, analysing qualitative data, particularly Focus-Group interviews, poses a challenge to most practitioner researchers. The present paper responds to the needs expressed by public health nutritionists, community dietitians and health development specialists following two training sessions organised collaboratively by the Health Development Agency, the Nutrition Society and the British Dietetic Association in 2003. The Focus of the present paper is on the concepts and application of framework analysis, especially the use of Krueger's framework. It provides some practical steps for the analysis of individual data, as well as Focus-Group data using examples from the author's own research, in such a way as to assist the newcomer to qualitative research to engage with the methodology. Thus, it complements the papers by Draper (2004) and Fade (2004) that discuss in detail the complementary role of qualitative data in researching human behaviours, feelings and attitudes. Draper (2004) has provided theoretical and philosophical bases for qualitative data analysis. Fade (2004) has described interpretative phenomenology analysis as a method of analysing individual interview data. The present paper, using framework analysis concentrating on Focus-Group interviews, provides another approach to qualitative data analysis.
