In-depth Interviews: A Preferred Method in Health Care & Social Sciences

The following is a modified excerpt from Applied Qualitative Research Design: A Total Quality Framework Approach (Roller & Lavrakas, 2015, pp. 54-55), a qualitative methods text discussing a quality approach to in-depth interviews, focus group discussions, ethnography, qualitative content analysis, case study, and narrative research.

IDI method in HC and SS researchThe in-depth interview (IDI) method has been the method of choice for various purposes across the health care and social sciences. Compared to focus group discussions, IDIs enable a thorough examination of a topic unencumbered by social pressure or influence from a group of individuals. This freedom to speak candidly has made individual interviews (i.e., IDIs) the preferred method for investigating complex, sensitive, and unexplored topics. Whether it is a study concerning the perceptions and behaviors associated with caring for a spouse with early-onset Alzheimer’s disease, environmental hazards, contraception use among urban adolescents, the communication needs among cancer patients, the teaching of children with autism, consumer preference for one product brand over another, or the usability of a company’s website, an IDI approach provides the researcher with a distinct opportunity to try to unravel the experiences and thoughts of an individual that led to particular needs, motivations, and behavior.

In-depth interviews can be particularly effective when the subject matter is sensitive and/or the target population is not easily accessible. This is why, for example, the IDI method is well suited for health and health-care-related issues, such as the attitudes and ways of coping among cancer survivors, patients, and their caregivers.3 The IDI method is often the preferred approach over group discussions for these types of studies, given that (a) people may be more likely to participate in a one-on-one study due to the delicate nature of the research topic (e.g., asking about patients’ experiences with cancer treatment); (b) the particular sensitivity required of the researcher with hard-to-reach and/or vulnerable populations (e.g., people who are physically and emotional affected by their cancer treatment); and (c) the need for a “safe” context or environment that fosters a meaningful conversation about the interviewees’ personal experiences related to the disease. For these reasons, researchers in the medical field have successfully used the qualitative IDI method to examine not only patients’ responses to cancer and its treatments but to a variety of other physical and mental health issues.4

The IDI method is also highly relevant to, and widely used in, the social sciences. Researchers in the following, and other social science disciplines, benefit greatly from the one-on-one approach of the IDI research method:

  • Education (e.g., to explore school leadership, policy reforms, teaching practices, or minority student issues).
  • Psychology (e.g., to understand coping strategies among women who have survived childhood sexual abuse, the emotional effects following a natural disaster, and age-related memory function).
  • Communication (e.g., to investigate attitudes toward negative political advertising on television, the impact of magazine content on consumer behavior, online communication networks, and audience perceptions of information bias).
  • Social work (e.g., to understand the barriers in disclosing domestic violence, the educational needs within a child welfare program, and the effect of cultural programs on parental well-being).
  • Marketing (e.g., to examine shopping preferences among consumers, the corporate financial services needs among executives, the viability of new product lines, the usability of a newly designed retail website, and the effectiveness of communication strategies).

3. There are many examples of IDI studies among cancer survivors, patients, and caregivers, including Leydon et al., 2000; Mancini et al., 2011; Murray et al., 2002; Johansson et al., 2003; Osse et al., 2002.

4. There are many examples of using the IDI method to examine health-related issues outside of those pertaining to cancer: for example, Mollen et al., 2008; Wahl, Gjengedal, & Hanestad, 2002; Veseth, Binder, Borg, & Davidson, 2012; Karp & Tanarugsachock, 2000; Provoost et al., 2010.

Johansson, K., Holmström, H., Nilsson, I., Ingvar, C., Albertsson, M., & Ekdahl, C. (2003). Breast cancer patients’ experiences of lymphoedema. Scandinavian Journal of Caring Sciences, 17(1), 35–42. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/12581293

Karp, D. A., & Tanarugsachock, V. (2000). Mental illness, caregiving, and emotion management. Qualitative Health Research, 10(1), 6–25. https://doi.org/10.1177/104973200129118219

Leydon, G. M., Boulton, M., Moynihan, C., Jones, A., Mossman, J., Boudioni, M., & McPherson, K. (2000). Cancer patients’ information needs and information seeking behaviour: In-depth interview study. BMJ, 320(7239), 909–913. Retrieved from http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=27332&tool=pmcentrez&rendertype=abstract

Mancini, J., Baumstarck-Barrau, K., Simeoni, M.-C., Grob, J.-J., Michel, G., Tarpin, C., … Auquier, P. (2011). Quality of life in a heterogeneous sample of caregivers of cancer patients: An in-depth interview study. European Journal of Cancer Care, 20(4), 483–492. https://doi.org/10.1111/j.1365-2354.2010.01227.x

Mollen, C. J., Barg, F. K., Hayes, K. L., Gotcsik, M., Blades, N. M., & Schwarz, D. F. (2008). Assessing attitudes about emergency contraception among urban, minority adolescent girls: An in-depth interview study. Pediatrics, 122(2), e395–e401. https://doi.org/10.1542/peds.2008-0009

Murray, S. A., Boyd, K., Kendall, M., Worth, A., Benton, T. F., & Clausen, H. (2002). Dying of lung cancer or cardiac failure: Prospective qualitative interview study of patients and their carers in the community. British Medical Journal, 325(7370), 929.

Osse, B. H. P., Vernooij-Dassen, M. J. F. J., Schadé, E., de Vree, B., van den Muijsenbergh, M. E. T. C., & Grol, R. P. T. M. (2002). Problems to discuss with cancer patients in palliative care: A comprehensive approach. Patient Education and Counseling, 47(3), 195–204. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/12088597

Provoost, V., Pennings, G., De Sutter, P., Gerris, J., Van de Velde, A., & Dhont, M. (2010). Patients’ conceptualization of cryopreserved embryos used in their fertility treatment. Human Reproduction, 25(3), 705–713. https://doi.org/10.1093/humrep/dep387

Veseth, M., Binder, P.-E., Borg, M., & Davidson, L. (2012). Toward caring for oneself in a life of intense ups and downs: A reflexive-collaborative exploration of recovery in bipolar disorder. Qualitative Health Research, 22(1), 119–133. https://doi.org/10.1177/1049732311411487

Wahl, A. K., Gjengedal, E., & Hanestad, B. R. (2002). The bodily suffering of living with severe psoriasis: In-depth interviews with 22 hospitalized patients with psoriasis. Qualitative Health Research, 12(2), 250–261. https://doi.org/10.1177/104973202129119874

Credibility: A Quality Approach to Qualitative Data Collection

Credibility - A quality approach to qualitative data collectionAmong the 310+ articles in Research Design Review there are many that discuss various facets of data collection in qualitative research. Directly or indirectly these articles draw upon the Credibility component of the Total Quality Framework (TQF). The Credibility component of the TQF enables the qualitative researcher to focus on two critical areas of data collection — Scope and Data Gathering.

“Credibility: A Quality Approach to Qualitative Data Collection” is a compilation of 10 articles appearing in RDR that speak directly to the Credibility component, including articles on sample design, participant cooperation, rapport building, question design, and quality impacts associated with mobile, online, and tech solutions.

This compilation — “Credibility: A Quality Approach to Qualitative Data Collection” — is available for download here.

Ten other compilations of RDR articles — devoted to particular methods, techniques, or ways of thinking about qualitative research — are also available:

“Beyond Paradigm & Method: 5 Articles on the Fundamental Role of Quality Principles in Qualitative Research Design” is available for download here.

“Learning to Find Meaning: 6 Articles on the Importance of & Techniques to Finding Meaning in Qualitative Research” is available for download here.

“Qualitative Content Analysis: 6 Articles on the Definition & Quality Design Considerations” is available for download here.

“Unique Attributes of Qualitative Research: 16 Articles on the 10 Unique Attributes of Qualitative Research” is available for download here.

“Ethnography & the Observation Method: 15 Articles on Design, Implementation, & Uses” is available for download here.

“The Focus Group Method: 18 Articles on Design & Moderating” is available for download here.

“The In-depth Interview Method: 12 Articles on Design & Implementation” is available for download here.

“Reflexivity: 10 Articles on the Role of Reflection in Qualitative Research” is available for download here.

“Qualitative Data Analysis: 16 Articles on Process & Method” is available for download here.

“Qualitative Research: Transparency & Reporting” is available for download here.

 

Qualitative Sample Design: Making the Most of Diversity & Inclusion

Diversity and inclusion in qualitative research is an important topic of discussion in Research Design Review. It is Making use of diversity and inclusiona topic closely related to the broader subject of sample design which has been discussed, directly or indirectly, in many RDR articles. One such article — “Sample Size in Qualitative Research & the Risk of Relying on Saturation” — talks about the many factors to be considered when determining sample size, including the diversity of participants.

“A TQF Approach to Choosing a Sample Design” discusses the Credibility component of the Total Quality Framework and specifically the area of Scope. This article emphasizes a systematic approach to sampling when recruiting from a large population to ensure an inclusive sample of participants who “share defining characteristics.”

In “Exploring Human Realities: A Quality & Fair Approach,” the focus is on the manner in which quality approaches to qualitative research design — including the scope of the sample design — enable researchers to “embrace diversity in our participants” by “giving participants a fair voice in the research.”

An all-important yet often overlooked consideration when building inclusive sample designs is quality data analysis. That is, the ability to account for and interpret the diversity embedded in the data. When the population of interest is large and diverse (e.g., parents and children participating in a state-wide youth program spanning five communities), the researcher needs to think carefully about the collected data and, specifically, about what can and cannot be interpreted from the final data set.

There are two broad scenarios when this consideration comes into play. In one instance, qualitative researchers may pride themselves with the inclusiveness and diversity of their research participants yet ignore the impact this diversity may have on the resulting data. If 30 in-depth interviews (IDIs) Read Full Text