Research
Perspectives in Practice
The Use of the Pile Sort Method in Identifying Groups of Healthful Lifestyle Behaviors among Female Community College Students

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Abstract

When encountering new or understudied populations, it is useful to build an understanding of the needs and perceptions of the target audience. This study investigated the application of the qualitative pile sort method for gaining information about nutrition and physical activity behaviors. In a pile sort, individuals make a list of topics relevant to a particular subject, and then they group these topics into related piles. This study investigated whether there was consistency in the ways in which participants grouped behaviors related to having a healthful lifestyle. Pile sorts were conducted during six focus groups among 28 female community college students (46% white; 39% had a 2-year degree or higher). A total of 74 piles of grouped behaviors were coded from the transcripts. Analyses revealed good consistency (identified nine to 12 times) for four groupings: exercise, lifestyle, how you eat, and positive foods. The pile sort method represents an activity that can be incorporated into formative research for interventions focused on complex behaviors with multiple components; in addition, this method may provide structure to counseling sessions and facilitate a better understanding of the perceptions of healthful eating and physical activity from patients' perspectives.

Section snippets

Methods

Female students were recruited to participate in one of six focus groups conducted in 2005 through posted flyers and in person at the cafeteria or lobby on two community college campuses in North Carolina. Eligibility criteria included female sex, age 18 years or older, and the ability read and write in English. Thus, groups were homogeneous for sex and college status, but not race/ethnicity or age. The University of North Carolina at Chapel Hill Public Health Institutional Review Board

Participant Characteristics

The 28 female student participants were white (n=13), black or African American (n=11), or other races (n=4). There was substantial variability in age: nine participants were 18 to 25 years age, seven were 26 to 35 years, six were 36 to 45 years, and six were older than 45 years. All participants were high school graduates or had earned a general equivalency diploma; some also had a 2-year degree (n=4), or a 4-year degree or more (n=7). Approximately half were married (n=17) and had no children

Discussion

The pile sort method revealed good consistency across individuals for four main behavior groups: exercise, positive foods to eat, lifestyle, and how you eat. These groups may offer a potential starting point for designing intervention materials in this population. To illustrate the application of these pile sort results to the design of intervention content, assume a research team would like to design a set of tailored messages to promote healthful eating and physical activity. One tailored

Conclusions

In a broad context, the pile sort method is another resource to add to the “qualitative toolbox” available to researchers. Compared with other qualitative methods, the pile sort method represents a structured method that may offer several beneficial applications for formative research protocols and dietetics practice. This approach of identifying relevant behaviors and groupings can be applied to interventions focusing on a variety of health conditions, new populations, and complex behaviors

L. M. Quintiliani is a research fellow, Dana-Farber Cancer Institute and the Harvard School of Public Health, Boston, MA; at the time of the study, she was a doctoral student, Department of Nutrition, University of North Carolina at Chapel Hill.

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Cited by (0)

L. M. Quintiliani is a research fellow, Dana-Farber Cancer Institute and the Harvard School of Public Health, Boston, MA; at the time of the study, she was a doctoral student, Department of Nutrition, University of North Carolina at Chapel Hill.

M. K. Campbell is a professor, and P. S. Haines is an associate professor, Department of Nutrition University of North Carolina at Chapel Hill.

K. H. Webber is an assistant professor, Nutrition and Food Science, University of Kentucky, Lexington; at the time of the study, she was a doctoral student, Department of Nutrition, University of North Carolina at Chapel Hill.

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