Skip to main content
Top
Gepubliceerd in: Quality of Life Research 2/2012

01-03-2012

Individual interviews and focus groups in patients with rheumatoid arthritis: a comparison of two qualitative methods

Auteurs: Michaela Coenen, Tanja A. Stamm, Gerold Stucki, Alarcos Cieza

Gepubliceerd in: Quality of Life Research | Uitgave 2/2012

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Purpose

To compare two different approaches to performing focus groups and individual interviews, an open approach, and an approach based on the International Classification of Functioning, Disability and Health (ICF).

Methods

Patients with rheumatoid arthritis attended focus groups (n = 49) and individual interviews (n = 21). Time, number of concepts, ICF categories identified, and sample size for reaching saturation of data were compared. Descriptive statistics, Chi-square tests, and independent t tests were performed.

Results

With an overall time of 183 h, focus groups were more time consuming than individual interviews (t = 9.782; P < 0.001). In the open approach, 188 categories in the focus groups and 102 categories in the interviews were identified compared to the 231 and 110 respective categories identified in the ICF-based approach. Saturation of data was reached after performing five focus groups and nine individual interviews in the open approach and five focus groups and 12 individual interviews in the ICF-based approach.

Conclusion

The method chosen should depend on the objective of the study, issues related to the health condition, and the study’s participants. We recommend performing focus groups if the objective of the study is to comprehensively explore the patient perspective.
Literatuur
1.
go back to reference Giacomini, M., & Cook, D. (2000). Users’ guides to the medical literature: XXIII. Qualitative research in health care, a. Are the results of the study valide. Journal of the American Medical Association, 284, 357–362.PubMedCrossRef Giacomini, M., & Cook, D. (2000). Users’ guides to the medical literature: XXIII. Qualitative research in health care, a. Are the results of the study valide. Journal of the American Medical Association, 284, 357–362.PubMedCrossRef
2.
go back to reference Mays, N., & Pope, C. (2000). Qualitative research in health care: Assessing quality in qualitative research. British Medical Journal, 320, 50–52.PubMedCrossRef Mays, N., & Pope, C. (2000). Qualitative research in health care: Assessing quality in qualitative research. British Medical Journal, 320, 50–52.PubMedCrossRef
3.
go back to reference Murphy, E., Dingwall, R., Greatbatch, D., Parker, S., & Watson, P. (1998). Qualitative research methods in health technology assessment: A review of the literature (Vol. 2, no. 16). Southampton: Health Technology Assessment. Murphy, E., Dingwall, R., Greatbatch, D., Parker, S., & Watson, P. (1998). Qualitative research methods in health technology assessment: A review of the literature (Vol. 2, no. 16). Southampton: Health Technology Assessment.
4.
go back to reference Oehman, A. (2005). Qualitative methodology for rehabilitation research. Journal of Rehabilitation Medicine, 37, 273–280.CrossRef Oehman, A. (2005). Qualitative methodology for rehabilitation research. Journal of Rehabilitation Medicine, 37, 273–280.CrossRef
5.
go back to reference Moffatt, S., White, M., Mackintosh, J., & Howel, D. (2007). Using quantitative and qualitative data in health service research—what happens when mixed method findings conflict? Health Service Research, 6. doi: 10.1186/1472-6963-1186-1128. Moffatt, S., White, M., Mackintosh, J., & Howel, D. (2007). Using quantitative and qualitative data in health service research—what happens when mixed method findings conflict? Health Service Research, 6. doi: 10.​1186/​1472-6963-1186-1128.
6.
go back to reference Fern, E. (1982). The use of focus groups for idea generation: The effects of group size, acquaintanceship, and moderator on response quantity and quality. Journal of Marketing Research, 19(1), 1–13.CrossRef Fern, E. (1982). The use of focus groups for idea generation: The effects of group size, acquaintanceship, and moderator on response quantity and quality. Journal of Marketing Research, 19(1), 1–13.CrossRef
7.
go back to reference Kroll, T., Neri, M., & Miller, K. (2005). Using mixed methods in disability and rehabilitation research. Rehabilitation Nursing, 30(3), 106–113.PubMed Kroll, T., Neri, M., & Miller, K. (2005). Using mixed methods in disability and rehabilitation research. Rehabilitation Nursing, 30(3), 106–113.PubMed
8.
go back to reference Morgan, D. (1997). Focus groups as qualitative research (2nd ed.). Newbury Park: Sage Publications. Morgan, D. (1997). Focus groups as qualitative research (2nd ed.). Newbury Park: Sage Publications.
9.
go back to reference Vaughn, S., Schumm, J., & Sinagub, J. (1996). Focus group interviews in education and psychology. Thousand Oaks: Sage Publications. Vaughn, S., Schumm, J., & Sinagub, J. (1996). Focus group interviews in education and psychology. Thousand Oaks: Sage Publications.
10.
go back to reference Sim, J. (1998). Collecting and analysing qualitative data: Issues raised by the focus group. Journal of Advanced Nursing, 28(2), 345–352.PubMedCrossRef Sim, J. (1998). Collecting and analysing qualitative data: Issues raised by the focus group. Journal of Advanced Nursing, 28(2), 345–352.PubMedCrossRef
11.
go back to reference Kvale, S. (1996). Interviews—an introduction to qualitative research interviewing. California: Sage. Kvale, S. (1996). Interviews—an introduction to qualitative research interviewing. California: Sage.
12.
go back to reference Wengraf, T. (2001). Qualitative research interviewing: Biographic narratives and semi-structured methods. London: Sage. Wengraf, T. (2001). Qualitative research interviewing: Biographic narratives and semi-structured methods. London: Sage.
13.
go back to reference Stewart, D., & Shamdasani, P. (1990). Focus groups: Theory and practice. Newbury Park: Sage. Stewart, D., & Shamdasani, P. (1990). Focus groups: Theory and practice. Newbury Park: Sage.
14.
go back to reference Morgan, D. (1998). The focus group guidebook. Focus group kit I. Thousand Oak: Sage. Morgan, D. (1998). The focus group guidebook. Focus group kit I. Thousand Oak: Sage.
15.
go back to reference Carey, M. (Ed.). (1994). Issues in qualitative research methods. Thousand Oaks: Sage. Carey, M. (Ed.). (1994). Issues in qualitative research methods. Thousand Oaks: Sage.
16.
go back to reference Kitzinger, J. (1995). Qualitative research. Introducing focus groups. British Medical Journal, 311(7000), 299–302.PubMedCrossRef Kitzinger, J. (1995). Qualitative research. Introducing focus groups. British Medical Journal, 311(7000), 299–302.PubMedCrossRef
17.
go back to reference Morgan, D. (1988). Focus groups as qualitative research. London: Sage. Morgan, D. (1988). Focus groups as qualitative research. London: Sage.
18.
go back to reference Kingry, M., Tiedje, L., & Friedman, L. (1990). Focus groups: A research technique for nursing. Nursing Research, 39(2), 124–125.PubMedCrossRef Kingry, M., Tiedje, L., & Friedman, L. (1990). Focus groups: A research technique for nursing. Nursing Research, 39(2), 124–125.PubMedCrossRef
19.
go back to reference Thomas, L., MacMillan, J., McColl, E., Hale, C., & Bond, S. (1995). Comparison of focus group and individual interview methodology in examining patient satisfaction with nursing care. Social Sciences in Health, 1(4), 206–220. Thomas, L., MacMillan, J., McColl, E., Hale, C., & Bond, S. (1995). Comparison of focus group and individual interview methodology in examining patient satisfaction with nursing care. Social Sciences in Health, 1(4), 206–220.
20.
go back to reference World Health Organisation. (2001). International Classification of Functioning, Disability and Health: ICF. Geneva: WHO. World Health Organisation. (2001). International Classification of Functioning, Disability and Health: ICF. Geneva: WHO.
21.
go back to reference Coenen, M., Cieza, A., Stamm, T., Amann, E., Kollerits, B., & Stucki, G. (2006). Validation of the International Classification of Functioning, Disability and Health (ICF) Core Set for rheumatoid arthritis from the patient perspective using focus groups. Arthritis Research & Therapy, 8, R84. doi:10.1186/ar1956. Coenen, M., Cieza, A., Stamm, T., Amann, E., Kollerits, B., & Stucki, G. (2006). Validation of the International Classification of Functioning, Disability and Health (ICF) Core Set for rheumatoid arthritis from the patient perspective using focus groups. Arthritis Research & Therapy, 8, R84. doi:10.​1186/​ar1956.
22.
go back to reference Stamm, T., Cieza, A., Coenen, M., Machold, K., Nell, V., Smolen, J., et al. (2005). Validating the International Classification of Functioning, Disability and Health Comprehensive Core Set for rheumatoid arthritis from the patient perspective: A qualitative study. Arthritis and Rheumatism, 53(3), 431–439.PubMedCrossRef Stamm, T., Cieza, A., Coenen, M., Machold, K., Nell, V., Smolen, J., et al. (2005). Validating the International Classification of Functioning, Disability and Health Comprehensive Core Set for rheumatoid arthritis from the patient perspective: A qualitative study. Arthritis and Rheumatism, 53(3), 431–439.PubMedCrossRef
23.
go back to reference Arnett, F., Edworthy, S., Bloch, D., McShane, D., Fries, J., Cooper, N., et al. (1988). The American rheumatism association 1987 revised criteria for the classification of rheumatoid arthritis. Arthritis and Rheumatism, 31(3), 315–324.PubMedCrossRef Arnett, F., Edworthy, S., Bloch, D., McShane, D., Fries, J., Cooper, N., et al. (1988). The American rheumatism association 1987 revised criteria for the classification of rheumatoid arthritis. Arthritis and Rheumatism, 31(3), 315–324.PubMedCrossRef
24.
go back to reference Patton, M. (1990). Qualitative evaluation and research methods (2nd ed.). Newbury Park: Sage Publications. Patton, M. (1990). Qualitative evaluation and research methods (2nd ed.). Newbury Park: Sage Publications.
25.
go back to reference Krueger, R., & Casey, M. (2000). Focus groups: A practical guide for applied research. Thousand Oaks: Sage. Krueger, R., & Casey, M. (2000). Focus groups: A practical guide for applied research. Thousand Oaks: Sage.
26.
go back to reference Cieza, A., Geyh, S., Chatterji, S., Kostanjsek, N., Ustun, B., & Stucki, G. (2005). ICF linking rules: An update based on lessons learned. Journal of Rehabilitation Medicine, 37(4), 212–218.PubMedCrossRef Cieza, A., Geyh, S., Chatterji, S., Kostanjsek, N., Ustun, B., & Stucki, G. (2005). ICF linking rules: An update based on lessons learned. Journal of Rehabilitation Medicine, 37(4), 212–218.PubMedCrossRef
27.
go back to reference Cieza, A., Brockow, T., Ewert, T., Amman, E., Kollerits, B., Chatterji, S., et al. (2002). Linking health-status measurements to the International Classification of Functioning, Disability and Health. Journal of Rehabilitation Medicine, 34(5), 205–210.PubMedCrossRef Cieza, A., Brockow, T., Ewert, T., Amman, E., Kollerits, B., Chatterji, S., et al. (2002). Linking health-status measurements to the International Classification of Functioning, Disability and Health. Journal of Rehabilitation Medicine, 34(5), 205–210.PubMedCrossRef
28.
go back to reference Cieza, A., & Stucki, G. (2004). New approaches to understanding the impact of musculoskeletal conditions. Best Practice & Research in Clinical Rheumatology, 18(2), 141–154.CrossRef Cieza, A., & Stucki, G. (2004). New approaches to understanding the impact of musculoskeletal conditions. Best Practice & Research in Clinical Rheumatology, 18(2), 141–154.CrossRef
29.
go back to reference Stucki, G., Cieza, A., Geyh, S., Battistella, L., Lloyd, J., Symmons, D., et al. (2004). ICF Core Sets for rheumatoid arthritis. Journal of Rehabilitation Medicine, 44(Suppl), 87–93.PubMedCrossRef Stucki, G., Cieza, A., Geyh, S., Battistella, L., Lloyd, J., Symmons, D., et al. (2004). ICF Core Sets for rheumatoid arthritis. Journal of Rehabilitation Medicine, 44(Suppl), 87–93.PubMedCrossRef
30.
go back to reference Thornton, C. (1996). A focus group inquiry into the perceptions of primary health care teams and the provision of health care for adults with a learning disability living in the community. Journal of Advanced Nursing, 23(6), 1168–1176.PubMedCrossRef Thornton, C. (1996). A focus group inquiry into the perceptions of primary health care teams and the provision of health care for adults with a learning disability living in the community. Journal of Advanced Nursing, 23(6), 1168–1176.PubMedCrossRef
31.
go back to reference Basch, C. (1987). Focus group interviews: An under-utilized research technique for improving theory and practice in health education. Health Education Quarterly, 14(4), 411–448.PubMedCrossRef Basch, C. (1987). Focus group interviews: An under-utilized research technique for improving theory and practice in health education. Health Education Quarterly, 14(4), 411–448.PubMedCrossRef
32.
go back to reference Krueger, R. (1995). The future of focus groups. Qualitative Health Research, 5, 524–530.CrossRef Krueger, R. (1995). The future of focus groups. Qualitative Health Research, 5, 524–530.CrossRef
33.
go back to reference Parsons, M., & Greenwood, J. (2000). A guide to the use of focus groups in health care research: Part 1. Contemporary Nurse, 9(2), 169–180.PubMedCrossRef Parsons, M., & Greenwood, J. (2000). A guide to the use of focus groups in health care research: Part 1. Contemporary Nurse, 9(2), 169–180.PubMedCrossRef
34.
go back to reference Rat, A.-C., Pouchot, J., Guillemin, F., Baumann, M., Retel-Rude, N., Spitz, E., et al. (2007). Content of quality-of-life instruments is affected by item-generation methods. International Journal for Quality in Health Care, 19(6), 390–398.PubMedCrossRef Rat, A.-C., Pouchot, J., Guillemin, F., Baumann, M., Retel-Rude, N., Spitz, E., et al. (2007). Content of quality-of-life instruments is affected by item-generation methods. International Journal for Quality in Health Care, 19(6), 390–398.PubMedCrossRef
35.
go back to reference Powell, R., Single, H., & Lloyd, K. (1996). Focus groups in mental health research: Enhancing the validity of user and provider questionnaires. International Journal of Social Psychiatry, 42, 193–206.PubMed Powell, R., Single, H., & Lloyd, K. (1996). Focus groups in mental health research: Enhancing the validity of user and provider questionnaires. International Journal of Social Psychiatry, 42, 193–206.PubMed
36.
go back to reference Coté-Arsenault, D., & Morrison-Beedy, D. (2005). Maintaining your focus in focus groups: Avoiding common mistakes. Research in Nursing and Health, 28, 172–179.PubMedCrossRef Coté-Arsenault, D., & Morrison-Beedy, D. (2005). Maintaining your focus in focus groups: Avoiding common mistakes. Research in Nursing and Health, 28, 172–179.PubMedCrossRef
37.
go back to reference Carey, A. (1994). The group effect in focus groups: Planning, implementing, and interpreting focus group research. In J. Morse (Ed.), Critical issues in qualitative research methods (pp. 225–241). Thousand Oaks: Sage. Carey, A. (1994). The group effect in focus groups: Planning, implementing, and interpreting focus group research. In J. Morse (Ed.), Critical issues in qualitative research methods (pp. 225–241). Thousand Oaks: Sage.
38.
go back to reference Greenbaum, T. (2000). Moderating focus groups. Thousand Oaks: Sage Publications. Greenbaum, T. (2000). Moderating focus groups. Thousand Oaks: Sage Publications.
39.
go back to reference Kitzinger, J., & Barbour, R. (Eds.). (1999). Introduction: The challenge and promise of focus groups (Vol. 1–20). London: Sage. Kitzinger, J., & Barbour, R. (Eds.). (1999). Introduction: The challenge and promise of focus groups (Vol. 1–20). London: Sage.
40.
go back to reference Ezzy, D. (2001). Are qualitative methods misunderstood? Australian and New Zealand Journal of Public Health, 25(4), 294–297.PubMedCrossRef Ezzy, D. (2001). Are qualitative methods misunderstood? Australian and New Zealand Journal of Public Health, 25(4), 294–297.PubMedCrossRef
41.
go back to reference Ward, V., Bertrand, J., & Brown, L. (1994). The comparability of focus groups and survey results. Evaluative Reviews, 15(2), 266–283.CrossRef Ward, V., Bertrand, J., & Brown, L. (1994). The comparability of focus groups and survey results. Evaluative Reviews, 15(2), 266–283.CrossRef
42.
go back to reference Clarke, A. (1999). Focus group interviews in health-care research. Professional Nurse, 14(6), 395–397. Clarke, A. (1999). Focus group interviews in health-care research. Professional Nurse, 14(6), 395–397.
43.
go back to reference Westhoff, G., Listing, J., & Zink, A. (2000). Loss of physical independence in rheumatoid arthritis: Interview data from a representative sample of patients in rheumatologic care. Arthritis Care & Research, 13, 11–22.CrossRef Westhoff, G., Listing, J., & Zink, A. (2000). Loss of physical independence in rheumatoid arthritis: Interview data from a representative sample of patients in rheumatologic care. Arthritis Care & Research, 13, 11–22.CrossRef
44.
go back to reference Zink, A., Listing, J., Klindworth, C., & Zeidler, H. (2001). The national database of the german collaborative arthritis centres: I. Structures, aims, and patients. Annals of the Rheumatic Diseases, 60, 199–206.PubMedCrossRef Zink, A., Listing, J., Klindworth, C., & Zeidler, H. (2001). The national database of the german collaborative arthritis centres: I. Structures, aims, and patients. Annals of the Rheumatic Diseases, 60, 199–206.PubMedCrossRef
45.
go back to reference Ahlmén, M., Nordenskiöld, U., Archenholtz, B., Thyberg, I., Rönnqvist, T., Lindén, L., et al. (2005). Rheumatology outcomes: The patient’s perspective. A multicentre focus group interview study of Swedish rheumatoid arthritis patients. Rheumatology, 44, 105–110.PubMedCrossRef Ahlmén, M., Nordenskiöld, U., Archenholtz, B., Thyberg, I., Rönnqvist, T., Lindén, L., et al. (2005). Rheumatology outcomes: The patient’s perspective. A multicentre focus group interview study of Swedish rheumatoid arthritis patients. Rheumatology, 44, 105–110.PubMedCrossRef
46.
go back to reference Albers, J., Kuper, H., van Riel, P., Prevoo, M., ‘t Hof, M., van Gestel, A., et al. (1999). Socio-economic consequences of rheumatoid arthritis in the first years of the disease. Rheumatology, 38, 423–430. Albers, J., Kuper, H., van Riel, P., Prevoo, M., ‘t Hof, M., van Gestel, A., et al. (1999). Socio-economic consequences of rheumatoid arthritis in the first years of the disease. Rheumatology, 38, 423–430.
47.
go back to reference Jackson, P. (1998). Focus group interviews as a methodology. Nurse Researcher, 6(1), 72–84. Jackson, P. (1998). Focus group interviews as a methodology. Nurse Researcher, 6(1), 72–84.
48.
go back to reference Clark, J. M., Maben, J., & Jones, K. (1996). The use of focus group interviews in nursing research: Issues and challenges. Nursing Times Research, 1(2), 143–153. Clark, J. M., Maben, J., & Jones, K. (1996). The use of focus group interviews in nursing research: Issues and challenges. Nursing Times Research, 1(2), 143–153.
49.
go back to reference Andrich, D. (1988). Rasch models for measurement. Newbury Park, CA: Sage. Andrich, D. (1988). Rasch models for measurement. Newbury Park, CA: Sage.
50.
go back to reference Rasch, G. (1992). Probabilistic models for some intelligence and attainment tests. Chicago: MESA Press. Rasch, G. (1992). Probabilistic models for some intelligence and attainment tests. Chicago: MESA Press.
Metagegevens
Titel
Individual interviews and focus groups in patients with rheumatoid arthritis: a comparison of two qualitative methods
Auteurs
Michaela Coenen
Tanja A. Stamm
Gerold Stucki
Alarcos Cieza
Publicatiedatum
01-03-2012
Uitgeverij
Springer Netherlands
Gepubliceerd in
Quality of Life Research / Uitgave 2/2012
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-011-9943-2

Andere artikelen Uitgave 2/2012

Quality of Life Research 2/2012 Naar de uitgave