Group Method
"Susan
Eliot's work conducting focus groups with our physician specialists has
been of great value for our project team. I'm impressed with her talent
for
synthesizing useful information, insights, and perspectives into
meaningful and concise reports. In our initial work meetings, it was
evident she had extensive knowledge with focus group research which she
successfully applied to our project needs and objectives.
Collaborating and working with her was easy and, most importantly, she
made it an enjoyable experience for our team." --Mirsa Douglas, Texas Newborn Screening Performance Measure Project, Texas Department of Health Services
Focus Group vs Survey
Surveys are good for capturing spontaneous responses but it takes the safe and nurturing environment of a focus group before
people can tap into deeper thoughts, opinions, and insights. When
well-executed, a focus group creates an accepting environment that puts
people at ease, allowing them to answer questions in their own words
and add meaning to their answers.
Focus groups have an advantage
over surveys in their ability to capture people's underlying
explanations and motivations - often critical to understanding issues
and making wise decisions. A focus group is a better tool to use when
you don't, and can't, know all the questions to ask until you start
asking a few. The possibility of discovering something not thought
of before is a clear advantage of focus groups. What focus groups lack in
breadth, they make up for in depth.
More Than a Casual Group
A
good focus group requires detailed planning - a lot more than it takes
to merely invite a few key individuals to share their thoughts about a
particular topic in a casual group format. I rigorously implement the
little understood structures that underlie quality focus groups to
create the "right conditions"
for smart groups. When it's done right, participants never realize what
it takes to create the relaxed, comfortable environment they experience.
Design
An ideal focus group is comprised of six to ten individuals. I lead participants through an open discussion with
the goal of generating the maximum number of ideas from as many
different people in the time allotted. Focus groups run anywhere from 45
to 120 minutes.
I work with
you to craft a set of focus group questions that are open-ended, short
and to the point, non-threatening, and unambiguously worded. Ten is the
maximum number of questions I recommend. All groups are
asked to answer the same set of questions in an open
and spontaneous format.
It takes
more than one focus group on any one topic to produce valid results. I've found that it usually requires a minimum of three focus groups on
any one topic to reach saturation - the point where we no longer hear
anything new. The number of groups required for valid findings also
depends on the number of subsets you would like me to analyze within
each group.
Arrangement
I consider
several variables in helping you determine the composition of every
focus group. Upfront, we will sit down together to establish a list of
inclusion and exclusion criteria. Once criteria are established, we
will discuss a number of different recruitment methods that we can consider to attract an
adequate pool of qualified individuals. To ensure adequate
participation, we will over-invite by approximately 20 percent.
Facilitation
Though
counter-intuitive, the best focus group moderator is one who is a good
listener - not a good talker. I pride myself on my
ability to simultaneously listen with sensitivity, probe and prompt
until responses are exhausted, manage challenging group dynamics, and keep my
personal views outside of the discussion.
Sometimes
the best way to get participants to open up is to have someone who is
indigenous to the group facilitate the discussion. In those situations, I will work with you to select an appropriate candidate who I will train to
facilitate the focus group while I co-facilitate.
Analysis
In order for
participant thoughts and opinions to be useful, they must be culled
into essential meaning units using a systematic and verifiable
process. To accomplish that, each separate thought or idea is entered line by line into a computerized program
to facilitate the organization and coding of each. As major themes and categories are
distilled, the data is re-coded and re-sorted until a clear picture
emerges.
Because
those who conduct focus groups are the ones best equipped to analyze the
data, I do for both. Physical presence provides the subtle
cues and tacit information unavailable to those outside the room. This
inevitably engenders a richer and more thoughtful analysis.
Report
My goal is to give voice to participants in a way that conveys the spirit and integrity of their
contributions. I leave myself and my interpretations out of the report in trying to make sense of the findings. My reports are heavily strewn with direct quotes because I believe participants are their own best spokespersons.
Depending on
your intended use, I can produce the type of report that best meets your
needs:
Full
Written Report: Includes executive summary, background,
purpose, methodology, group demographics, findings, limitations, and
recommendations.
Categorical
Report: Includes bulleted findings with substantiating quotes
organized by major themes and categories.
Transcript
Report: Includes unanalyzed data in the format you prefer.
An Example
Below is an example of a focus group study I conducted, including the report. (See more examples of focus group work I've done.)
Physician Perspectives on Inadequate Pregnancy Weight Gain, A Study Conducted for the Colorado Department of health and Environment
- Study Participants: Obstetricians and Family Practitioners
- Use: Inform strategies targeting improved birth weights in Colorado
Inadequate weight gain during pregnancy is a potentially
modifiable risk factor. In an
effort to better understand how to ameliorate this risk factor among
Colorado's pregnant women, public health officials within the Womens
Health Section of the Colorado Department of Public Health and
Environment decided
to solicit information from physicians who provide prenatal care. They wanted to understand current physician practices
in managing inadequate weight gain during pregnancy and to identify types of assistance or
support that physicians might find beneficial in addressing this issue with their
pregnant clients. I conducted a mix of focus groups and personal interviews with 20 physicians to find out.