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Sample records for 90-minute focus groups

  1. Deliberative Discussion Focus Groups.

    PubMed

    Rothwell, Erin; Anderson, Rebecca; Botkin, Jeffrey R

    2016-05-01

    This article discusses a new approach for the conduct of focus groups in health research. Identifying ways to educate and inform participants about the topic of interest prior to the focus group discussion can promote more quality data from informed opinions. Data on this deliberative discussion approach are provided from research within three federally funded studies. As healthcare continues to improve from scientific and technological advancements, educating the research participants prior to data collection about these complexities is essential to gather quality data. PMID:26078330

  2. Qualitative research. Introducing focus groups.

    PubMed Central

    Kitzinger, J.

    1995-01-01

    This paper introduces focus group methodology, gives advice on group composition, running the groups, and analysing the results. Focus groups have advantages for researchers in the field of health and medicine: they do not discriminate against people who cannot read or write and they can encourage participation from people reluctant to be interviewed on their own or who feel they have nothing to say. Images p301-a PMID:7633241

  3. Computer-mediated focus groups.

    PubMed

    Walston, J T; Lissitz, R W

    2000-10-01

    This article discusses the feasibility and effectiveness of computer-mediated (CM) focus groups. The study describes technological and practical considerations the authors learned from conducting such groups and reports on a comparison of the reactions of CM and face-to-face (FTF) participants in focus groups discussing academic dishonesty. The results suggest that the CM environment, in comparison to FTF, may lessen members' concern about what the moderator thinks of them and discourage participants from withholding embarrassing information. The article concludes with a list of suggestions for this technique and a discussion of the potential advantages and limitations associated with CM focus groups. PMID:11183483

  4. Findings: LANL outsourcing focus groups

    SciTech Connect

    Jannotta, M.J.; McCabe, V.B.

    1996-12-31

    In March 1996, a series of 24 3-hour dialog focus groups were held with randomly selected Laboratory employees and contractors to gain their perceptions regarding potentials and problems for privatization and consolidation. A secondary goal was to educate and inform the workforce about potentials and issues in privatization and consolidation. Two hundred and thirty-six participants engaged in a learning session and structured input exercises resulting in 2,768 usable comments. Comments were categorized using standard qualitative methods; resulting categories included positive and negative comments on four models (consolidation, spin offs, outsourcing, and corporate partnering) and implications for the workforce, the Laboratory, and the local economy. Categories were in the areas of increasing/decreasing jobs, expertise, opportunity/salary/benefits, quality/efficiency, and effect on the local area and economy. An additional concern was losing Laboratory culture and history. Data were gathered and categorized on employee opinion regarding elements of successful transition to the four models, and issues emerged in the areas of terms and conditions of employment; communication; involvement; sound business planning; ethics and fairness; community infrastructure. From the aggregated opinion of the participants, it is recommended that decision-makers: Plan using sound business principles and continually communicate plans to the workforce; Respect workforce investments in the Laboratory; Tell the workforce exactly what is going on at all times; Understand that economic growth in Northern New Mexico is not universally viewed as positive; and Establish dialog with stakeholders on growth issues.

  5. Focus groups reveal consumer ambivalence.

    PubMed

    1983-01-01

    According to qualitative research, Salvadoreans are ambivalent about the use of contraceptives. Since complete responsibility for management of the CSM project was accepted by the Association Demografica Salvadorena (ADS), the agency which operates the contraceptive social marketing project in El Salvador, in November 1980, the need for decisions in such areas as product price increases, introduction of new condom brands, promotion of the vaginal foaming tablet, and assessment of product sales performance had arisen. The ICSMP funded market research, completed during 1983, was intended to provide the data on which such decisions by ADS could be based. The qualitative research involved 8 focus groups, comprised of men and women, aged 18-45, contraceptive users and nonusers, from the middle and lower socioeconomic strata of the city of San Salvador and other suburban areas. In each group a moderator led discussion of family planning and probed respondents for specific attitudes, knowledge, and behavior regarding the use of contraceptives. To assess attitudes at a more emotional level, moderators asked respondents to "draw" their ideas on certain issues. A marked discrepancy was revealed between respondents' intellectual responses to the issues raised in group discussion, as opposed to their feelings expressed in the drawings. Intellectually, participants responded very positively to family planning practice, but when they were asked to draw their perceptions, ambivalent feelings emerged. Drawings of both the user and the nonuser convey primarily negative aspects for either choice. The user is tense and moody toward her children; the nonuser loses her attractiveness and "dies." Figures also show drawings of some of the attitudes of single and married male participants. 1 drawing shows an incomplete and a complete circle, symbolizing a sterilized man (incomplete) and a nonsterilized man (complete). Another picture depicts a chained man who has lost his freedom

  6. The Unfocused Focus Group: Benefit or Bane?

    ERIC Educational Resources Information Center

    Franz, Nancy K.

    2011-01-01

    Facilitating successful focus groups requires both science and art. One element that can fully challenge focus group facilitators includes how to handle the unfocused focus group. This article describes "unfocus" and the benefits and disadvantages of unfocus in focus groups. Lessons learned from and approaches taken on this journey are shared to…

  7. Conducting the Computer-Mediated Focus Group.

    ERIC Educational Resources Information Center

    Saban, Kenneth A.

    The growing popularity of focus group measurements can be traced to any one of four factors: (1) the economics associated with focus groups; (2) the speed at which data can now be collected; (3) the need to understand customer motivations; and (4) the desire to improve subsequent qualitative research activities and programs. Market researchers are…

  8. Teaching Focus Group Interviewing: Benefits and Challenges

    ERIC Educational Resources Information Center

    George, Molly

    2013-01-01

    Focus group interviewing is widely used by academic and applied researchers. Given the popularity and strengths of this method, it is surprising how rarely focus group interviewing is taught in the undergraduate classroom and how few resources exist to support instructors who wish to train students to use this technique. This article fills the gap…

  9. Focus Groups with Linguistically Marginalized Populations.

    ERIC Educational Resources Information Center

    Pardi, Marco M.

    The focus group method has rapidly gained credibility among researchers in many fields, including public health researchers. The increased use of focus groups by public health researchers has underscored the demonstrable need for the capacity to apply this method of research among populations with limited abilities in or cultural resistance to…

  10. Using Focus Group Research in Public Relations.

    ERIC Educational Resources Information Center

    Grunig, Larissa A.

    1990-01-01

    Analyzes a recent instance of focus group research applied to a public relations case (rather than a marketing case). Reviews the advantages and disadvantages of this qualitative method, and describes the case of a county department of mental health relying on focus group research to help plan a program aimed at reducing the stigma of mental…

  11. How I Learned to Conduct Focus Groups

    ERIC Educational Resources Information Center

    Del Rio-Roberts, Maribel

    2011-01-01

    The use of focus groups may provide researchers with important insights into research questions via participant discussion and interaction. As a human services practitioner and researcher, I became interested in learning how to conduct focus groups in order to apply these steps to my research and gain valuable insights about the human experience…

  12. Focus group research and "the patient's view".

    PubMed

    Lehoux, Pascale; Poland, Blake; Daudelin, Genevieve

    2006-10-01

    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. PMID:16797811

  13. Young Women with Breast Cancer: A Focus Group Study of Unmet Needs

    PubMed Central

    Greaney, Mary L.; Sprunck-Harrild, Kim; Meyer, Meghan E.; Emmons, Karen M.; Partridge, Ann H.

    2013-01-01

    Purpose: Young women with breast cancer suffer distress both at the time of diagnosis and afterwards. This study aimed to elucidate which issues are most disturbing to this population and which might be amenable to intervention. Methods: English-speaking women treated or involved in research at the Dana–Farber Cancer Institute for stage I–III breast cancer while aged 18–42 years were invited to participate in one of four focus groups. A trained moderator led each 90-minute audio-recorded group using a semi-structured interview guide. All transcripts were coded using thematic content analysis with NVivo software. Results: Thirty-six women participated. Three major themes emerged from the analyses of these focus groups' data: (1) participants felt different from older breast cancer patients with regard to relationships, fertility, menopausal symptoms, treatment side effects, and work/finances; (2) participants faced unique challenges transitioning into the survivorship phase of care; and (3) participants desired assistance, including connections with other young patients, help navigating the healthcare system, educational materials, and lists of appropriate counselors. Conclusion: Young women with breast cancer have unmet needs for psychosocial support, education, and symptom management, and can identify potential support that may help meet these needs. PMID:24380034

  14. Exploring Institutional Images Through Focus Group Interviews.

    ERIC Educational Resources Information Center

    Bers, Trudy H.

    1987-01-01

    Focus group interviewing is a qualititative research technique in which a small number of respondents and a moderator have an unstructured discussion about selected subjects. As a market research technique, it could generate new insights and provide a deeper understanding of institutional image. (MSE)

  15. Consumer focus can spur group practice turnaround.

    PubMed

    Foreman, M S; Draper, A

    2001-06-01

    Many healthcare organizations have lost money on their employed group practices. The solution to this dilemma is not necessarily divestment of the group practices. Instead, some healthcare organizations should view their physicians as an asset. Healthcare organizations and physicians need to develop a new framework for their relationship to optimize their competitive advantage. Three guiding principles that will help accomplish this objective are to recast the healthcare organization-physician relationship to focus on the consumer, reconfigure the economic model to exceed consumer demands, and restructure the group practice to encourage fiscal and service excellence. In developing a new relationship framework, the stakeholders need to define the group practice's mission, strategic direction, composition, infrastructure, compensation model, and structure. PMID:11407124

  16. The focus group method: insights from focus group interviews on sexual health with adolescents.

    PubMed

    Hyde, Abbey; Howlett, Etaoine; Brady, Dympna; Drennan, Jonathan

    2005-12-01

    This article concerns the manner in which group interaction during focus groups impacted upon the data generated in a study of adolescent sexual health. Twenty-nine group interviews were conducted with secondary school pupils in Ireland, and data were subjected to a qualitative analysis. In exploring the relationship between method and theory generation, we begin by focusing on the ethnographic potential within group interviews. We propose that at times during the interviews, episodes of acting-out, or presenting a particular image in the presence of others, can be highly revealing in attempting to understand the normative rules embedded in the culture from which participants are drawn. However, we highlight a specific problem with distinguishing which parts of the group interview are a valid representation of group processes and which parts accurately reflect individuals' retrospective experiences of reality. We also note that at various points in the interview, focus groups have the potential to reveal participants' vulnerabilities. In addition, group members themselves can challenge one another on how aspects of their sub-culture are represented within the focus group, in a way that is normally beyond reach within individual interviews. The formation and composition of focus groups, particularly through the clustering of like-minded individuals, can affect the dominant views being expressed within specific groups. While focus groups have been noted to have an educational and transformative potential, we caution that they may also be a source of inaccurate information, placing participants at risk. Finally, the opportunities that focus groups offer in enabling researchers to cross-check the trustworthiness of data using a post-interview questionnaire are considered. We conclude by arguing that although far from flawless, focus groups are a valuable method for gathering data about health issues. PMID:15955604

  17. A biphasic daily pattern of slow wave activity during a two-day 90-minute sleep wake schedule.

    PubMed

    Duncan, W C; Barbato, G; Fagioli, I; Garcia-Borreguero, D; Wehr, T A

    2009-12-01

    Twenty-four hour sleep patterns were measured in six healthy male volunteers during a 90-minute short sleep-wake (SW 30:60) cycle protocol for 48 hours. Sleep pressure estimates (amount of Slow Wave Sleep [SWS], SWA, and Rate of Synchronization [RoS: the rate of SWA build-up at the beginning of the NREM period]) were compared with the 24-hour patterns of body temperature (Tb24) and sleep propensity. A moderate sleep debt was incurred over the 48 hour study as indicated by decreased levels of 24 hour sleep. On day 1, ultradian patterns of REM and SWS sleep were prominent; on day 2, more prominent were circadian patterns of REM sleep, SWS, Sleep Latency, TST and Tb24. Also on Day 2, biphasic patterns of SWA and RoS were expressed, with peaks occurring during the falling and rising limbs of Tb24. The biphasic peaks in SWA and RoS may be associated with phase-specific interactions of the circadian pacemaker with the sleep homeostat during conditions of moderate sleep pressure. Further research is needed to replicate the finding and to identify biological factors that may underlie the twelve hour pattern in SWA. PMID:20162861

  18. Reflections on Focus Group Sessions Regarding Inclusive Education: Reconsidering Focus Group Research Possibilities

    ERIC Educational Resources Information Center

    Nel, Norma M.; Romm, Norma R. A.; Tlale, L. D. N.

    2015-01-01

    In this article we deliberate upon our way of facilitating focus group sessions with teachers concerning their views on inclusive education, by referring also to feedback that we received from the participants when they commented upon their experiences of the sessions. (The teacher participants were from three separate primary schools in South…

  19. Using a Professional Moderator in Library Focus Group Research.

    ERIC Educational Resources Information Center

    Shoaf, Eric C.

    2003-01-01

    Describes the use of a professional marketing and opinion research firm at Brown University Library to conduct focus group meetings with users and to provide data analysis. Highlights include a review of library literature on focus group use; focus group methodology; benefits of employing professionals; logistics of focus group preparation; and…

  20. Focus Group Evidence: Implications for Design and Analysis

    ERIC Educational Resources Information Center

    Ryan, Katherine E.; Gandha, Tysza; Culbertson, Michael J.; Carlson, Crystal

    2014-01-01

    In evaluation and applied social research, focus groups may be used to gather different kinds of evidence (e.g., opinion, tacit knowledge). In this article, we argue that making focus group design choices explicitly in relation to the type of evidence required would enhance the empirical value and rigor associated with focus group utilization. We…

  1. Solution-Focused Group Therapy for Level 1 Substance Abusers

    ERIC Educational Resources Information Center

    Smock, Sara A.; Trepper, Terry S.; Wetchler, Joseph L.; McCollum, Eric E.; Ray, Rose; Pierce, Kent

    2008-01-01

    The present study compared solution-focused group therapy (SFGT) with a traditional problem-focused treatment for level 1 substance abusers. Outcome research on the effectiveness of solution-focused group therapy is minimal, especially in treating substance abusers. In the present study, clients were measured before and after treatment to…

  2. Focus Groups among Latino Farmworker Populations: Recommendations for Implementation.

    ERIC Educational Resources Information Center

    Perez, Miguel A.; Pinzon, Helda L.; Luquis, Raffy R.

    1998-01-01

    Presents suggestions for the implementation of focus groups among Latino farmworkers in the United States. Recommendations are based on a study of risk factors for HIV and AIDS among Latino farmworkers. They center on group membership, facilitation, and the focus group process. (SLD)

  3. Focus Group Method And Methodology: Current Practice And Recent Debate

    ERIC Educational Resources Information Center

    Parker, Andrew; Tritter, Jonathan

    2006-01-01

    This paper considers the contemporary use of focus groups as a method of data collection within qualitative research settings. The authors draw upon their own experiences of using focus groups in educational and "community" user-group environments in order to provide an overview of recent issues and debates surrounding the deployment of focus…

  4. A Focus Group Assessment to Determine Motivations, Barriers and Effectiveness of a University-Based Worksite Wellness Program

    PubMed Central

    Hill-Mey, Patricia E.; Merrill, Ray M.; Kumpfer, Karol L.; Reel, Justine; Hyatt-Neville, Beverly

    2013-01-01

    Background: This study explores university employee perceptions and under­standing about its Worksite Health Promotion Program (WHPP). The WHPP included a Health Risk Appraisal (HRA), biometric screening, publicity for on-campus health programs and facilities, and health coaching. Methods: A qualitative design was used based on a grounded theory ap­proach. Four 90 minutes focus groups with 6-8 participants in each were conducted within a two 2 week period among employees, representing fac­ulty/participants, fac­ulty/nonparticipants, staff/participants, and staff/nonparticipants. Responses to questions about motivations, barriers, and perceived health benefits that impacted participation in the WHPP were digi­tally recorded, transcribed and coded for themes. Results: Incentives effectively motivated participation. Biometric screening had the largest impact on behavior change, followed by the information learned from the HRA. However, despite two-thirds of the employees partici­pating in the pro­gram, lack of a full understanding of WHPP benefits and services lowered partici­pation in follow-up services and supplemental pro­grams. Conclusions: Biometric screening and HRAs effectively motivate program par­ticipation. Communication of benefits and services are important when providing WHPPs. PMID:24688965

  5. Focus of Attention in Groups: A Self-Attention Perspective.

    ERIC Educational Resources Information Center

    Mullen, Brian; And Others

    1989-01-01

    Reports on three research studies that tested the hypothesis that the focus of attention of individuals in groups varies as a function of the group composition. The populations studied were members of the Nixon White House staff, high school students, and male undergraduate students. Results supported the idea of self-focused attention as a…

  6. Misconceptions of Focus Groups: Implications for Health Education Practice

    ERIC Educational Resources Information Center

    Thackeray, Rosemary; Neiger, Brad L.

    2004-01-01

    Health educators use several different data collection techniques involving qualitative and quantitative methods. One common qualitative data collection technique is the focus group. Although a focus group, when utilized appropriately, can yield useful information, too often in health education practice it is misunderstood and thus misused. The…

  7. Focus Groups: An Important Research Technique for Internal Evaluation Units.

    ERIC Educational Resources Information Center

    Duffy, Barbara Poitras

    1993-01-01

    The use of focus groups by the Federal Bureau of Investigation as a tool of internal evaluation is described. Focus groups are used in an environment where credibility is key to achieving meaningful cooperation. Issues for consideration by other evaluators interested in the approach are summarized. (SLD)

  8. Focus Groups: A Practical and Applied Research Approach for Counselors

    ERIC Educational Resources Information Center

    Kress, Victoria E.; Shoffner, Marie F.

    2007-01-01

    Focus groups are becoming a popular research approach that counselors can use as an efficient, practical, and applied method of gathering information to better serve clients. In this article, the authors describe focus groups and their potential usefulness to professional counselors and researchers. Practical implications related to the use of…

  9. Early Dynamic Risk Stratification with Baseline Troponin Levels and 90-minute ST Segment Resolution to Predict 30 Day Cardiovascular Mortality in STEMI: Analysis from CLARITY TIMI-28

    PubMed Central

    Sherwood, Matthew W.; Morrow, David A.; Scirica, Benjamin M.; Jiang, Songtao; Bode, Christoph; Rifai, Nader; Gerszten, Robert E.; Gibson, C. Michael; Cannon, Christopher P.; Braunwald, Eugene; Sabatine, Marc S.

    2010-01-01

    Background Troponin is the preferred biomarker for risk stratification in non-ST-elevation ACS. The incremental prognostic utility of the initial magnitude of troponin elevation and its value in conjunction with ST segment resolution (STRes) in STEMI is less well-defined. Methods Troponin T (TnT) was measured in 1250 patients at presentation undergoing fibrinolysis for STEMI in CLARITY-TIMI 28. STRes was measured at 90 minutes. Multivariable logistic regression was used to examine the independent association between TnT levels, STRes, and 30-day cardiovascular (CV) mortality. Results Patients were classified into undetectable TnT at baseline (n=594), detectable but below the median of 0.12 ng/ml (n=330), and above the median (n=326). Rates of 30-day CV death were 1.5%, 4.5%, and 9.5% respectively (P<0.0001). Compared with those with undetectable levels and adjusting for baseline factors, the odds ratios for 30-day CV death were 4.56 (1.72-12.08, P=0.002) and 5.81 (2.29-14.73, P=0.0002) for those below and above the median, respectively. When combined with STRes, there was a significant gradient of risk, and in a multivariable model both baseline TnT (P=0.004) and STRes (P=0.003) were significant predictors of 30-day CV death. The addition of TnT and STRes to clinical risk factors significantly improved the C-statistic (0.86 to 0.90, P=0.02) and the integrated discriminative improvement 7.1% (P=0.0009). Conclusions Baseline TnT and 90-minute STRes are independent predictors of 30-day CV death in patients with STEMI. Use of these two simple, readily available tools can aid clinicians in early risk stratification. PMID:20569707

  10. USE OF FOCUS GROUPS FOR THE ENVIRONMENTAL HEALTH RESEARCHER

    EPA Science Inventory

    Qualitative research techniques are often under-utilized by the environmental health researcher. Focus groups, one such qualitative method, can provide rich data sets for study planning and implementation, risk perception, program and policy research, and exploration into future...

  11. [Focus groups with women from quilombo communities in Brazil].

    PubMed

    Prates, Lisie Alende; Ceccon, Fernando Gomes; Alves, Camila Neumaier; Wilhelm, Laís Antunes; Demori, Carolina Carbonell; Silva, Silvana Cruz da; Ressel, Lúcia Beatriz

    2015-12-01

    This article discusses an experience using the focus group technique with women from a quilombo, or community of descendants of African slaves in Brazil. This is a descriptive qualitative anthropological study of 13 women from a quilombo in rural Rio Grande do Sul State, Brazil. The focus group technique allowed an approach, interaction, and exchange of knowledge, experiences, perceptions, and feelings, in addition to problematization and in-depth discussion concerning the meaning of women's health care in the quilombo. The focus group was a prime space for learning and understanding the life experiences of quilombola women and the meanings they assigned to the experiences. In order to use the focus group technique, researchers must display creativity, sensitivity, attention, respect, nonjudgmental attitudes, flexibility, prior preparation, and knowledge of the technique and specific study topic. PMID:26872225

  12. Dilemmas of focus group recruitment and implementation: a pilot perspective.

    PubMed

    Howatson-Jones, Isis Lioba

    2007-01-01

    In this paper, Isis Lioba Howatson-Jones reviews some of the dilemmas experienced in arranging focus groups, particularly for the novice researcher and draws upon a pilot research project on qualified nurses' learning as illustration. The paper explores ways of overcoming recruitment and method issues during the pilot phase of a study, and presents a number of recommendations for the practice and conduct of focus groups. PMID:17315775

  13. Use of focus groups in a library's strategic planning process

    PubMed Central

    Higa-Moore, Mori Lou; Bunnett, Brian; Mayo, Helen G.; Olney, Cynthia A.

    2002-01-01

    The use of focus groups to determine patron satisfaction with library resources and services is extensive and well established. This article demonstrates how focus groups can also be used to help shape the future direction of a library as part of the strategic planning process. By responding to questions about their long-term library and information needs, focus group participants at the University of Texas Southwestern Medical Center at Dallas Library contributed an abundance of qualitative patron data that was previously lacking from this process. The selection and recruitment of these patrons is discussed along with the line of questioning used in the various focus group sessions. Of special interest is the way the authors utilized these sessions to mobilize and involve the staff in creating the library's strategic plan. This was accomplished not only by having staff members participate in one of the sessions but also by sharing the project's major findings with them and instructing them in how these findings related to the library's future. The authors' experience demonstrates that focus groups are an effective strategic planning tool for libraries and emphasizes the need to share information broadly, if active involvement of the staff is desired in both the development and implementation of the library's strategic plan. PMID:11838465

  14. The focus group technique in library research: an introduction.

    PubMed Central

    Glitz, B

    1997-01-01

    The focus group technique is one example of a qualitative research methodology used to explore the opinions, knowledge, perceptions, and concerns of individuals in regard to a particular topic. The focus group typically involves six to ten individuals who have some knowledge of or experience with the topic. The group discussion is led by a moderator who guides participants through a series of open-ended questions. The information gathered can provide important clues to human attitudes and values as they relate to the topic. Such information can be extremely useful to libraries that are trying to gain a better understanding of their patrons' needs and thus make better management decisions to help satisfy those needs. The technique can also be used successfully in conjunction with other research tools, such as surveys, either to help develop a questionnaire or to explain specific survey results. This paper introduces the use of focus groups in library research, the skills needed to conduct groups, and their strengths and weaknesses. Examples of the use of focus groups in health sciences libraries are presented, including the results of a survey from these libraries. PMID:9431428

  15. Lessons Learned From Using Focus Groups to Refine Digital Interventions

    PubMed Central

    Avis, Jillian LS; van Mierlo, Trevor; Fournier, Rachel

    2015-01-01

    There is growing interest in applying novel eHealth approaches for the prevention and management of various health conditions, with the ultimate goal of increasing positive patient outcomes and improving the effectiveness and efficiency of health services delivery. Coupled with the use of innovative approaches is the possibility for adverse outcomes, highlighting the need to strategically refine digital practices prior to implementation with patients. One appropriate method for modification purposes includes focus groups. Although it is a well-established method in qualitative research, there is a lack of guidance regarding the use of focus groups for digital intervention refinement. To address this gap, the purpose of our paper is to highlight several lessons our research team has learned in using focus groups to help refine digital interventions prior to use with patients. PMID:26232313

  16. Aligning Technology with the Organisation Using Focus and User Groups

    NASA Astrophysics Data System (ADS)

    Owens, Simeon

    As an IT Manager of nine years in a small healthcare organisation, which has transitioned from a minimal base of IT to fully fledged systems in place, I have discovered two structures which have helped enormously in this transition. These structures are firstly, the focus group, which looks at the IT requirements of the business, and secondly the user group, or a group of super users, which help in the day to day running of the systems. I have put together a number of lessons, which I have learnt over the years through experience of the workings of these groups, the benefits of them and the value they bring to the organisation.

  17. FINAL REPORT: NATIONAL CHILDREN'S STUDY FOCUS GROUPS - FOLLOW-UP

    EPA Science Inventory

    The purpose of this work assignment was to add to our knowledge of the issues that will affect

    recruitment and retention of pregnant women into the National Children's Study by conducting 14 focus

    groups
    comprised of pregnant women, couples, and parents of young chi...

  18. Focusing on Content: Discourse in L2 Peer Review Groups

    ERIC Educational Resources Information Center

    Vorobel, Oksana; Kim, Deoksoon

    2014-01-01

    Recent studies on peer review groups in second language classes have focused on various topics, including collaboration (Carr, 2008) and the effect of peer review versus teacher feedback on students' writing (Zhang, 1995). One area that has received little attention is the content of students' speech during peer review. This longitudinal…

  19. Effective Student Focus Groups: The Bright and Early Approach.

    ERIC Educational Resources Information Center

    Gowdy, E. Alana

    1996-01-01

    At Mount Royal College (Alberta), the perceptions of enrolled college students are seen as an important part of academic program review, but identification of appropriate scheduling of meetings may be difficult. The solution found was to obtain faculty assistance in selecting students and to schedule focus groups as breakfast meetings, which…

  20. Children Displaced by Hurricane Katrina: A Focus Group Study

    ERIC Educational Resources Information Center

    Pfefferbaum, Betty; Houston, J. Brian; Wyche, Karen Fraser; Van Horn, Richard L.; Reyes, Gilbert; Jeon-Slaughter, Haekyung; North, Carol S.

    2008-01-01

    Focus groups were conducted with 23 children and adolescents, aged 9 to 17 years, who relocated from Louisiana to Texas following Hurricane Katrina to explore their disaster, evacuation, and resettlement experiences. The resilience described by some was remarkable and, despite evidence of cultural disparity and stigma, many identified positive…

  1. Ivy Tech State College Student Focus Group Report, Spring 2001.

    ERIC Educational Resources Information Center

    Howard, Keith; Bear, Tom; Lewton, Chuck; Casey, Cindy

    This report examines the results of student focus group sessions at Ivy Tech State College. From these sessions, five themes emerged: (1) Communications--improved communication would improve student experience, yet determining how to best communicate with students and finding resources to meet those needs will be challenging; (2) Student…

  2. Support Your Science: Donate to Sections and Focus Groups

    NASA Astrophysics Data System (ADS)

    Howard, Claire

    2014-02-01

    AGU's 23 sections and focus groups allow scientists in the same disciplines to engage and collaborate. They are essential to the Union—they help identify emerging issues central to their field of science, provide member input, and nominate scientists for honors and recognition.

  3. Art therapy focus groups for children and adolescents with epilepsy.

    PubMed

    Stafstrom, Carl E; Havlena, Janice; Krezinski, Anthony J

    2012-06-01

    Children with epilepsy are at risk for numerous psychological and social challenges. We hypothesized that art therapy focus groups would enhance the self-image of children and adolescents with epilepsy. Sixteen children with epilepsy, ages 7-18 years, were recruited from pediatric neurology clinics at the University of Wisconsin to participate in four art therapy sessions. Pre-group assessments included psychological screens (Piers-Harris Children's Self-Concept Scale; Childhood Attitude Toward Illness Scale; Impact of Childhood Neurologic Disability Scale) and art therapy instruments (Formal Elements Art Therapy Scale; Seizure Drawing Task; Levick Emotional and Cognitive Art Therapy Assessment). Developmental levels of drawings were significantly below age-expected standards. Following completion of focus groups, a repeat Childhood Attitude Toward Illness Scale showed no differences between pre- and post-test scores on any measure of this scale. However, subjects and parents were uniformly positive about their group experiences, suggesting a qualitative benefit from participation in art therapy focus groups. PMID:22554978

  4. Case stories in general practice: a focus group study

    PubMed Central

    Abildsnes, Eirik; Flottorp, Signe; Stensland, Per

    2012-01-01

    Objectives To explore the interactive process of sharing case stories in small-group activity in general practice. Design Qualitative focus group study. Setting Peer-group meetings of doctors attending specialist training or continuous medical education in general practice. Participants Twenty female and 30 male doctors working in general practice in Norway. Results The storyline of case presentations included detailed stories with emotional engagement, co-authored by other group members. The stories initiated discussions and reflections concerning patients’ and doctors’ perspectives, medical ethics as well as clinical problems. The safe atmosphere allowed testing out boundaries of socially shared knowledge. Conclusions Sharing case stories in small groups in general practice initiated interaction that facilitated meaning-making, reflection and peer support. PMID:22874630

  5. Ganando Confianza: Research Focus Groups with Immigrant Mexican Mothers

    PubMed Central

    Hausmann-Stabile, Carolina; Zayas, Luis H.; Runes, Sandra; Abenis-Cintron, Anna; Calzada, Esther

    2014-01-01

    Immigrant families with children with developmental disabilities must be served using culturally sensitive approaches to service and research to maximize treatment benefits. In an effort to better understand cultural issues relevant to the provision of parenting programs for immigrant Mexican mothers of children with developmental disabilities, we conducted sustained focus groups through which we could learn more about our participants and thereby improve services. This paper reports on the challenges and lessons learned from these groups. We characterize the key lessons as (a) recruitment and retention is more than agreement to participate; (b) confidentiality is not just a word but an activity; (c) the complicated nature of language; (d) cultural norms shape the group process; (e) appreciating the value of taking time; and (f) gender issues and group interaction. Service providers and researchers who work with Mexican families may benefit from our experiences as they promote and develop programs and projects in the developmental disabilities field. PMID:25674353

  6. Influences on preschool children's physical activity: exploration through focus groups.

    PubMed

    Hinkley, Trina; Salmon, Jo; Okely, Anthony D; Crawford, David; Hesketh, Kylie

    2011-01-01

    This study explored mothers' perceptions of influences on preschoolers' physical activity. Six semistructured focus groups with 23 mothers were conducted across a range of socioeconomic position locations. Mothers identified 4 key areas of influence: child fundamentals (eg, sex, personality), parent power (eg, rules, support), people to share with (eg, peers, adults), and places and things (eg, physical environments, toys). No substantial differences in themes were identified among socioeconomic position groups. Influences on preschoolers' physical activity are multidimensional, multifactorial, and support the use of ecological models to conceptualize and understand the influencing factors. Associations among factors influencing preschoolers' physical activity should be further investigated through quantitative research. PMID:21135627

  7. Patients, health information, and guidelines: A focus-group study

    PubMed Central

    Liira, Helena; Saarelma, Osmo; Callaghan, Margaret; Harbour, Robin; Jousimaa, Jukkapekka; Kunnamo, Ilkka; Loudon, Kirsty; Mcfarlane, Emma; Treweek, Shaun

    2015-01-01

    Background. Evidence-based clinical guidelines could support shared decision-making and help patients to participate actively in their care. However, it is not well known how patients view guidelines as a source of health information. This qualitative study aimed to assess what patients know about guidelines, and what they think of their presentation formats. Research question. What is the role of guidelines as health information for patients and how could the implementation of evidence-based information for patients be improved? Methods. A qualitative study with focus groups that were built around a semi-structured topic guide. Focus groups were audiotaped and transcribed and analysed using a phenomenographic approach. Results. Five focus groups were carried out in 2012 with a total of 23 participants. Patients searched for health information from the Internet or consulted health professionals or their personal networks. The concepts of guidelines included instructions or standards for health professionals, information given by a health professional to the patient, and material to protect and promote the interests of patients. Some patients did not have a concept for guidelines. Patients felt that health information was abundant and its quality sometimes difficult to assess. They respected conciseness, clarity, clear structure, and specialists or well-known organizations as authors of health information. Patients would like health professionals to deliver and clarify written materials to them or point out to them the relevant Internet sites. Conclusions. The concept of guidelines was not well known among our interviewees; however, they expressed an interest in having more communication on health information, both written information and clarifications with their health professionals. PMID:26205344

  8. Adolescent girls' views on cosmetic surgery: A focus group study.

    PubMed

    Ashikali, Eleni-Marina; Dittmar, Helga; Ayers, Susan

    2016-01-01

    This study examined adolescent girls' views of cosmetic surgery. Seven focus groups were run with girls aged 15-18 years (N = 27). Participants read case studies of women having cosmetic surgery, followed by discussion and exploration of their views. Thematic analysis identified four themes: (1) dissatisfaction with appearance, (2) acceptability of cosmetic surgery, (3) feelings about undergoing cosmetic surgery and (4) cosmetic surgery in the media. Results suggest the acceptability of cosmetic surgery varies according to the reasons for having it and that the media play an important role by normalising surgery and under-representing the risks associated with it. PMID:24591119

  9. EXPERIENCES OF GAMMA HYDROXYBUTYRATE (GHB) INGESTION: A FOCUS GROUP STUDY

    PubMed Central

    Barker, Judith C.; Harris, Shana L.; Dyer, Jo E.

    2008-01-01

    GHB (gamma hydroxybutyrate) is a significant new drug of abuse added to the United States Controlled Substance Act in 2000. The majority of the published literature on GHB consists of clinical case reports, mainly from emergency departments, and a collection of laboratory-based studies, focused mainly on anesthesia. While comments about the various experiences and behaviors of human users are often included in such studies or reports, these aspects of GHB are only just beginning to be systematically investigated or detailed. Reported here are data from a qualitative study using focus group methods on the consumption habits, experiences, and beliefs of GHB users. A total of 51 people, 30 men and 21 women, mean age of 31.1±7.6 years (range 18 – 52 years), who report having used GHB for an average of 4.3±2.5 years (range 1–11 years), were interviewed in 10 separate groups held in 2004. This paper discusses broadly the general experience of the GHB ‘high,’ major perceived benefits including sexual responses to the drug, perceived risks and dangers of ingestion, co-ingestion, and various contexts of use. The paper concludes with a discussion of the implications drawn from this information for clinicians treating patients who use GHB. PMID:17703706

  10. Gender-based education during clerkships: a focus group study

    PubMed Central

    van Leerdam, Lotte; Rietveld, Lianne; Teunissen, Doreth; Lagro-Janssen, Antoine

    2014-01-01

    Objectives One of the goals of the medical master’s degree is for a student to become a gender-sensitive doctor by applying knowledge of gender differences in practice. This study aims to investigate, from the students’ perspective, whether gender medicine has been taught in daily practice during clerkship. Methods A focus group study was conducted among 29 medical students from Radboud University, Nijmegen, The Netherlands, who had just finished either their internal medicine or surgical clerkships. Data were analyzed in line with the principles of constant comparative analysis. Results Four focus groups were conducted with 29 participating students. Clinical teachers barely discuss gender differences during students’ clerkships. The students mentioned three main explanatory themes: insufficient knowledge; unawareness; and minor impact. As a result, students feel that they have insufficient competencies to become gender-sensitive doctors. Conclusion Medical students at our institution perceive that they have received limited exposure to gender-based education after completing two key clinical clerkships. All students feel that they have insufficient knowledge to become gender-sensitive doctors. They suppose that their clinical teachers have insufficient knowledge regarding gender sensitivity, are unaware of gender differences, and the students had the impression that gender is not regarded as an important issue. We suggest that the medical faculty should encourage clinical teachers to improve their knowledge and awareness of gender issues. PMID:24600301

  11. Young Adults, Technology, and Weight Loss: A Focus Group Study

    PubMed Central

    Moscou-Jackson, Gyasi; Allen, Jerilyn K.

    2015-01-01

    Overweight and obesity are a major concern in young adults. Technology has been integrated into many weight loss interventions; however little is known about the use of this technology in young adults. The purpose of this study was to explore through focus group sessions the opinions of young adults on the use of technology for weight loss. A total of 17 young adults, between 18 and 25 years of age, participated in three focus group sessions. Major results indicated that young adults have very little knowledge on the use of Smartphone technology for weight loss but would like to use this type of technology to help them lose weight. Results also indicated that young adults struggle to make healthy food choices and have priorities that outweigh exercise and they need support and guidance to make better decisions. In conclusion, young adults would be open to using Smartphone technology for weight loss but also need feedback and guidance to help make healthy decisions. PMID:25789170

  12. Meaning Making in Cancer Survivors: A Focus Group Study

    PubMed Central

    van der Spek, Nadia; Vos, Joel; van Uden-Kraan, Cornelia F.; Breitbart, William; Tollenaar, Rob A. E. M.; Cuijpers, Pim; Verdonck-de Leeuw, Irma M.

    2013-01-01

    Background Confrontation with a life-threatening disease like cancer can evoke existential distress, which can trigger a search for meaning in people after having survived this disease. Methods In an effort to gain more insight in the meaning making process, we conducted four focus groups with 23 cancer survivors on this topic. Participants responded to questions about experienced meaning making, perceived changes in meaning making after cancer and the perceived need for help in this area. Results Most frequently mentioned meaning making themes were relationships and experiences. We found that, in general, cancer survivors experienced enhanced meaning after cancer through relationships, experiences, resilience, goal-orientation and leaving a legacy. Some participants, however, also said to have (also) experienced a loss of meaning in their lives through experiences, social roles, relationships and uncertainties about the future. Conclusions The results indicated that there is a group of cancer survivors that has succeeded in meaning making efforts, and experienced sometimes even more meaning in life than before diagnosis, while there is also a considerable group of survivors that struggled with meaning making and has an unmet need for help with that. The results of this study contribute to develop a meaning centered intervention for cancer survivors. PMID:24086695

  13. Focus Group Study Exploring Factors Related to Frequent Sickness Absence

    PubMed Central

    van Rhenen, Willem

    2016-01-01

    Introduction Research investigating frequent sickness absence (3 or more episodes per year) is scarce and qualitative research from the perspective of frequent absentees themselves is lacking. The aim of the current study is to explore awareness, determinants of and solutions to frequent sickness absence from the perspective of frequent absentees themselves. Methods We performed a qualitative study of 3 focus group discussions involving a total of 15 frequent absentees. Focus group discussions were audiotaped and transcribed verbatim. Results were analyzed with the Graneheim method using the Job Demands Resources (JD–R) model as theoretical framework. Results Many participants were not aware of their frequent sickness absence and the risk of future long-term sickness absence. As determinants, participants mentioned job demands, job resources, home demands, poor health, chronic illness, unhealthy lifestyles, and diminished feeling of responsibility to attend work in cases of low job resources. Managing these factors and improving communication (skills) were regarded as solutions to reduce frequent sickness absence. Conclusions The JD–R model provided a framework for determinants of and solutions to frequent sickness absence. Additional determinants were poor health, chronic illness, unhealthy lifestyles, and diminished feeling of responsibility to attend work in cases of low job resources. Frequent sickness absence should be regarded as a signal that something is wrong. Managers, supervisors, and occupational health care providers should advise and support frequent absentees to accommodate job demands, increase both job and personal resources, and improve health rather than express disapproval of frequent sickness absence and apply pressure regarding work attendance. PMID:26872050

  14. Cervical Cancer Screening and Chinese Women: Insights from Focus Groups

    PubMed Central

    Chang, S. C. H.; Woo, J. S. T.; Yau, V.; Gorzalka, B. B.; Brotto, L. A.

    2012-01-01

    Objective: Despite extensive efforts to raise awareness, Papanicolaou (Pap) testing rates among Chinese women living in North America remain low compared with Euro-American women. Although the lower Pap testing rate and ensuing health repercussions among Chinese women are well characterized, mechanisms underlying such health disparities are not. The aim of this study was to use a qualitative approach to delineate such mechanisms. Qualitative approaches to understand constructs within the domain of sexual and reproductive health have been shown to be particularly appropriate, and offer a nuanced view of sexuality that is not afforded by traditional quantitative methods. Method: We carried out two focus groups aimed at exploring how Mandarin-speaking and English-speaking Chinese women experience Pap testing (N = 12). The women were invited to partake in the focus groups from having participated in a large-scale quantitative study. Participants were all first-generation immigrants and their average age was 53-years-old. We used content analyses to analyze transcripts and extract themes. Results and Discussion: The women heavily endorsed traditional Chinese medicine philosophy, conceptualizing physical health holistically, and valuing preventative measures over screening and interceptive measures. Pap testing was described as qualitatively different from other screening procedures, such that women assigned a sexually charged meaning to Pap testing, often discussing it in relation to sexual activity and promiscuity. Women expressed their preference for the compulsory and depersonalized manner that Pap tests are performed in their home country of China, as this lessens the embarrassment associated with undergoing Pap testing. Conclusion: Three mechanisms may contribute to lower Pap testing among middle-aged first-generation Chinese immigrants: preference for Chinese medicine philosophy, perceived sexualization of Pap testing, and the institutionalization of medical

  15. Parents' perspectives on the MMR immunisation: a focus group study.

    PubMed Central

    Evans, M; Stoddart, H; Condon, L; Freeman, E; Grizzell, M; Mullen, R

    2001-01-01

    BACKGROUND: The uptake of the combined measles, mumps and rubella immunisation (MMR) in Britain has fallen since 1998, when a link was hypothesised with the development of bowel disorders and childhood autism. Despite reassurances about the safety of MMR, uptake levels remain lower than optimal. We need to understand what influences parents' decisions on whether to accept MMR or not so that health professionals can provide a service responsive to their needs. AIM: To investigate what influences parents' decisions on whether to accept or refuse the primary MMR immunisation and the impact of the recent controversy over its safety. DESIGN: Qualitative study using focus group discussions. SETTING: Forty-eight parents, whose youngest child was between 14 months and three years old, attended groups at community halls in six localities in Avon and Gloucestershire. METHODS: Purposive sampling strategy was used to include parents from a variety of socioeconomic backgrounds. Three groups comprised parents who had accepted MMR and three groups comprised parents who had refused MMR. Data analysis used modified grounded theory techniques incorporating the constant comparative method. RESULTS: All parents felt that the decision about MMR was difficult and stressful, and experienced unwelcome pressure from health professionals to comply. Parents were not convinced by Department of Health reassurances that MMR was the safest and best option for their children and many had accepted MMR unwillingly. Four key factors influenced parents' decisions: (a) beliefs about the risks and benefits of MMR compared with contracting the diseases, (b) information from the media and other sources about the safety of MMR, (c) confidence and trust in the advice of health professionals and attitudes towards compliance with this advice, and (d) views on the importance of individual choice within Government policy on immunisation. CONCLUSIONS: Parents wanted up-to-date information about the risks and

  16. Post-stroke fatigue: qualitative study of three focus groups.

    PubMed

    Flinn, Nancy A; Stube, Jan E

    2010-06-01

    Fatigue affects many persons after cerebrovascular accident, particularly those with mild stroke. A qualitative methodology using focus groups with 19 community-living post-stroke survivors was utilized to explore the occupational impact of fatigue as communicated by the participants. Although self-report of a small sample of the United States' post-stroke population will have limitations in generalizability, this study identifies specific health-related quality of life issues that can occur with post-stroke fatigue. The participants felt unprepared for the fatigue phenomenon and struggled to adapt, with fatigue having a debilitating influence upon daily occupational performance and roles, including social participation, return to work, driving, reading and sleeping. The participants indicated that exercise (such as walking and water aerobics) and use of assistive technology were helpful strategies in reducing fatigue. The occupational performance and role impact identified by participants in this study can inform the design of effective occupational therapy interventions and further quantitative study of persons with post-stroke fatigue. PMID:19787634

  17. Smokers’ Expectancies for Abstinence: Preliminary Results from Focus Groups

    PubMed Central

    Hendricks, Peter S.; Wood, Sabrina B.; Hall, Sharon M.

    2010-01-01

    Smokers’ expectancies regarding the effects of cigarette use are powerful predictors of smoking motivation and behavior. However, studies have not investigated the consequences that smokers expect when they attempt to quit smoking: abstinence-related expectancies. The primary goal of this qualitative study was to gain initial insight into smokers’ expectancies for abstinence. Eight focus groups were conducted with 30 smokers diverse with respect to age, gender, and ethnoracial background. Content analyses indicated that smokers anticipate a variety of outcomes from abstinence. The most frequently reported expectancies included pharmacologic withdrawal symptoms, behavioral withdrawal symptoms, decreased monetary expense, and immediate improvement of certain aspects of physical functioning and health. Additional expectancies concerned weight gain, improved attractiveness, enhanced social functioning/self-esteem, long-term health outcomes, and loss of relationships. Finally, a number of relatively unheralded expectancies were revealed. These involved NRT effectiveness, alcohol and other drug use, vigilance to cue reactivity, cessation-related social support, aversion to smoking, and “political process” implications. This study provides a preliminary step in understanding smokers’ expectancies for abstinence from cigarettes. PMID:19586157

  18. Older Inmates’ Pursuit of Good Health: A Focus Group Study

    PubMed Central

    Steffensmeier, Darrell

    2012-01-01

    A multitude of intersecting factors including the graying of the broader society, a paradigm shift away from rehabilitation, fewer opportunities for parole, and retrospective prosecutions contribute to an exponential increase in number of geriatric inmates. Elderly prisoners are likely to live in small tight quarters with other inmates, have two or more chronic health conditions, and encounter multiple barriers impeding health promotion while incarcerated. The purpose of this study was to identify perceived challenges to the health of older male inmates and to explore their self-care strategies. Focus group methodology was used. Data were collected from 42 male inmates age 50 and over who were aging in place and living with comorbidity. Cost issues, prison personnel and policies, food concerns, fellow inmates, and personal barriers all challenged older inmates’ abilities to maintain their health in prison. However, these older inmates engaged in a variety of self-care strategies, including: accessing resources and support; staying positive; managing diet and weight; engaging in physical activity; and protecting self. A key motivator for pursuing good health was to be respected and perceived as healthy and strong by fellow inmates. Looking to the future, development and testing of programs to enhance inmates' self-management of chronic conditions and to facilitate health promotion are in order. PMID:20795581

  19. Perceived motivators to home food preparation: focus group findings.

    PubMed

    Jones, Sheila A; Walter, Janelle; Soliah, LuAnn; Phifer, Janna T

    2014-10-01

    Family meals are positively associated with increased consumption of fruits and vegetables and numerous nutrients, promoting good eating habits and disease prevention. Families benefiting from home-cooked meals are more likely to consume smaller portions and fewer calories, less fat, less salt, and less sugar. Some Western cultures have lost confidence in preparing meals and tend to rely on foods prepared outside the home. The ability of young adults to prepare foods at home may be impaired. The purpose of our study is to identify motivators and, consequently, barriers to preparing foods at home vs purchasing preprepared foods from a deli or eating in a restaurant. Focus groups of college students (n=239) from two universities were asked questions about motivators to preparing meals at home in two subsequent sessions. The primary motivators among the students were that they desired to save money; had a model in food preparation; were familiar with cooking techniques; and had enough time to shop, cook, and clean up after meals. Food and nutrition practitioners have opportunities to promote cost-effective, simple, and time-saving home food preparation techniques as healthful habits. PMID:24973168

  20. Focus groups highlight that many patients object to clinicians' focusing on costs.

    PubMed

    Sommers, Roseanna; Goold, Susan Dorr; McGlynn, Elizabeth A; Pearson, Steven D; Danis, Marion

    2013-02-01

    Having patients weigh costs when making medical decisions has been proposed as a way to rein in health care spending. We convened twenty-two focus groups of people with insurance to examine their willingness to discuss health care costs with clinicians and consider costs when deciding among nearly comparable clinical options. We identified the following four barriers to patients' taking cost into account: a preference for what they perceive as the best care, regardless of expense; inexperience with making trade-offs between health and money; a lack of interest in costs borne by insurers and society as a whole; and noncooperative behavior characteristic of a "commons dilemma," in which people act in their own self-interest although they recognize that by doing so, they are depleting limited resources. Surmounting these barriers will require new research in patient education, comprehensive efforts to shift public attitudes about health care costs, and training to prepare clinicians to discuss costs with their patients. PMID:23381527

  1. Counseling Groups for African American Women: A Focus on Spirituality.

    ERIC Educational Resources Information Center

    Williams, Carmen Braun; Frame, Marsha Wiggins; Green, Evelyn

    1999-01-01

    Explains cultural and spiritual traditions within African American women's experience that form the foundation for group counseling strategies. Reviews literature regarding African American women's experience in groups. Explains group interventions such as art, music, dance, imagery, journaling, and rituals that can help transcend, empower, and…

  2. Congruence of group therapist and group member alliance judgments in emotionally focused group therapy for binge eating disorder.

    PubMed

    Compare, Angelo; Tasca, Giorgio A; Lo Coco, Gianluca; Kivlighan, Dennis M

    2016-06-01

    We used West and Kenny's (2011) Truth-and-Bias (T&B) model to examine how accurately group therapists' judge their group members' alliances, and the effects of therapist-patient congruence in alliance ratings on patient outcomes. Were considered: (a) directional bias - therapists' tendency to over- or underrate their clients' alliances, (b) truth strength - clients' alliance ratings, and (c) bias strength - therapists' tendency to conflate their alliance ratings for a specific group member with the average alliance ratings for the other members of the group. There were 118 obese adult patients with binge-eating disorder that were treated by 8 therapists with Emotionally Focused Group Therapy. Outcomes were operationalized as pre- to postchanges in: health-related quality of life, binge eating, and psychological distress. Patients' and therapists' working alliance were assessed after the 2nd, 10th, and last (20th) group therapy sessions. (a) There was no significant congruence between group therapists' and members' ratings of alliance; (b) therapists' ratings of an individual group member's alliance were significantly related to therapists' ratings of the other group members' alliance in early sessions but unrelated in later sessions; and (c) the relationship between therapists' alliance ratings and bias strength was weaker when patient binge eating outcomes improved. Group therapists adopted a "better safe than sorry" strategy by underestimating the strength of their group members' alliances. Therapists had a tendency to judge each group member's individual alliance based on the aggregated alliance of the other group members. Improvement in patient binge eating outcomes was related to therapists overcoming this tendency. (PsycINFO Database Record PMID:26914591

  3. Focusing wave group on a current of finite depth

    NASA Astrophysics Data System (ADS)

    Merkoune, D.; Touboul, J.; Abcha, N.; Mouazé, D.; Ezersky, A.

    2013-11-01

    Formation of freak waves resulting from the wave packets propagating in finite water depth on the background of a current is studied experimentally and numerically. In the experiment, the freak waves appear as a result of dispersion focusing of wave train excited by wave maker with modulated frequency. The space evolution of the frequency modulated train is studied in numerical simulations. We showed that in the water of finite depth, a distance of focusing increases and amplitude in the focal point decreases in comparison with infinite water depth. Experimental results are in good agreement with numerical simulations if wave breaking of surface waves does not occur.

  4. Outcomes of Camping: Perceptions from Camper Focus Groups.

    ERIC Educational Resources Information Center

    Bialeschki, M. Deborah; Krehbiel, Amy; Henderson, Karla

    Morry's Camp specifically serves low-income and at-risk New York City youth by providing a maintenance and prevention program focused on the camp community, youth development, and education. Campers attend for 4 years, and there is a "post-grad" program for those who have completed the 4 years. The camp has a year-round component in which staff…

  5. Focus Group Interview: An Underutilized Research Technique for Improving Theory and Practice in Health Education.

    ERIC Educational Resources Information Center

    Basch, Charles E.

    1987-01-01

    Discusses using focus group interviews to advance the state of the art of education and learning about health. Also examines small group process in health education, features of focus group interviews, and a theoretical framework for planning a focus group study. A literature review is included. (CT)

  6. Group Calls for More Focus on Potentially Hazardous Asteroids

    NASA Astrophysics Data System (ADS)

    Showstack, Randy

    2014-12-01

    A group of astronauts, scientists, business leaders, and artists are calling for a dramatic increase in detecting and monitoring asteroids that could potentially strike the Earth catastrophically. They have announced that 30 June 2015 will be a global asteroid awareness day.

  7. Engaging Focus Group Methodology: The 4-H Middle School-Aged Youth Learning and Leading Study

    ERIC Educational Resources Information Center

    Scott, Siri; Grant, Samantha; Nippolt, Pamela Larson

    2015-01-01

    With young people, discussing complex issues such as learning and leading in a focus group can be a challenge. To help prime youth for the discussion, we created a focus group approach that featured a fun, interactive activity. This article includes a description of the focus group activity, lessons learned, and suggestions for additional…

  8. The Use of Online Focus Groups to Design an Online Food Safety Education Intervention

    ERIC Educational Resources Information Center

    Mayer, Ashley Bramlett; Harrison, Judy A.

    2012-01-01

    In the development of an online food safety education intervention for college students, online focus groups were used to determine the appropriate format and messages. Focus groups are often used in qualitative research and formative evaluation of public health programs, yet traditional focus groups can be both difficult and expensive to…

  9. A Proposed Model for the Analysis and Interpretation of Focus Groups in Evaluation Research

    ERIC Educational Resources Information Center

    Massey, Oliver T.

    2011-01-01

    Focus groups have an established history in applied research and evaluation. The fundamental methods of the focus group technique have been well discussed, as have their potential advantages. Less guidance tends to be provided regarding the analysis of data resulting from focus groups or how to organize and defend conclusions drawn from the…

  10. 75 FR 74061 - Agency Information Collection Activities; Proposed Collection; Comment Request; Focus Groups as...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-30

    ... Collection; Comment Request; Focus Groups as Used by the Food and Drug Administration (All Food and Drug... for public comment in response to the notice. This notice solicits comments on focus groups as used by... technology. Focus Groups as Used by the Food and Drug Administration (All FDA- Regulated...

  11. Focus Groups to Explore the Perceptions of Older Adults on a Pedometer-Based Intervention

    ERIC Educational Resources Information Center

    Jones, David B.; Richeson, Nancy E.; Croteau, Karen A.; Farmer, Bonnie Cashin

    2009-01-01

    Focus group methodology was used to explore in depth the perceptions of older adults who had participated in a 12-week pedometer-based intervention. Nineteen women and 8 men, ages 55-86 years, volunteered to take part in the focus groups following participation in the intervention. Four focus groups of six to eight participants were scheduled at…

  12. Recent High School Graduate Focus Groups. Market Analysis 00-1.

    ERIC Educational Resources Information Center

    Clagett, Craig A.

    This report summarizes findings of focus groups of recent high school graduates conducted during new student orientation at Carroll Community College (CCC) in fall 1999. Students were invited to participate in focus groups at the conclusion of the all-day orientation. Three focus groups were held, two with six participants and one with five…

  13. Using Focus Groups to Study Consumer Understanding and Experiences with Tamper-Evident Packaging Devices

    ERIC Educational Resources Information Center

    Pascall, Melvin A.; Lee, Ken; Fraser, Angela; Halim, Linna

    2009-01-01

    A focus group with an educational component was used to help initiate a new research hypothesis. Early-stage development of a new tamper-evident invention was improved with input from a consumer focus group. The focus group comprised consumers who were shown several tamper-evident devices, including a new color-changing cap under active…

  14. Comparison of Focus Groups on Cancer and Employment Conducted Face to Face or by Telephone

    PubMed Central

    Frazier, Linda M.; Miller, Virginia A.; Horbelt, Douglas V.; Delmore, James E.; Miller, Brigitte E.; Paschal, Angelia M.

    2010-01-01

    Findings from telephone focus groups have not been compared previously to findings from face-to-face focus groups. We conducted four telephone focus groups and five face-to-face focus groups in which a single moderator used the same open-ended questions and discussion facilitation techniques. This comparison was part of a larger study to gain a better understanding of employment experiences after diagnosis of gynecologic cancer. Offering the telephone option made it easier to recruit women from rural areas and geographically distant cities. Interaction between participants occurred in both types of focus group. Content analysis revealed that similar elements of the employment experience after cancer diagnosis were described by telephone and face-to-face participants. Participants disclosed certain emotionally sensitive experiences only in the telephone focus groups. Telephone focus groups provide useful data and can reduce logistical barriers to research participation. Visual anonymity might help some participants feel more comfortable discussing certain personal issues. PMID:20142606

  15. 78 FR 38993 - Agency Information Collection Activities: Proposed Collection; Comment Request; Focus Groups...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-28

    ... Collection; Comment Request; Focus Groups About Drug Products as Used by the Food and Drug Administration... response to the notice. This notice solicits comments on the information collection resulting from focus... appropriate, and other forms of information technology. Focus Groups About Drug Products as Used by the...

  16. Empowering Adolescent Survivors of Sexual Abuse: Application of a Solution-Focused Ericksonian Counseling Group

    ERIC Educational Resources Information Center

    Kress, Victoria E.; Hoffman, Rachel M.

    2008-01-01

    This article describes a solution-focused and Ericksonian group counseling model that can be used with adolescent girls who have been sexually abused. An overview of the components of this approach is provided. A postintervention focus group provided additional results and ideas for the future development of the group counseling model.

  17. Undergraduate Rural Medical Education Program Development: Focus Group Consultation with the NRHA Rural Medical Educators Group

    ERIC Educational Resources Information Center

    Downey, Laura H.; Wheat, John R.; Leeper, James D.; Florence, Joseph A.; Boulger, James G.; Hunsaker, Matt L.

    2011-01-01

    Context: Over a decade ago, leaders in rural medical education established the Rural Medical Educators (RME) Group, an interest group within the National Rural Health Association, to support faculty in rural medical education programs. This group has convened an annual RME conclave since 2006. In 2008, this conclave convened 15 national leaders in…

  18. An iterative evaluation of two shortened systematic review formats for clinicians: a focus group study

    PubMed Central

    Perrier, Laure; Kealey, M Ryan; Straus, Sharon E

    2014-01-01

    Objective To conduct a series of focus groups with primary care physicians to determine the optimal format of a shortened, focused systematic review. Materials and methods Prototypes for two formats of a shortened systematic review were developed and presented to participants during focus group sessions. Focus groups were conducted with primary care physicians who were in full- or part-time practice. An iterative process was used so that the information learned from the first set of focus groups (Round 1) influenced the material presented to the second set of focus groups (Round 2). The focus group discussions were recorded, transcribed verbatim, and analyzed. Results Each of the two rounds of testing included three focus groups. A total of 32 physicians participated (Round 1:16 participants; Round 2:16 participants). Analysis of the transcripts from Round 1 identified three themes including ease of use, clarity, and implementation. Changes were made to the prototypes based on the results so that the revised prototypes could be presented and discussed in the second round of focus groups. After analysis of transcripts from Round 2, four themes were identified, including ease of use, clarity, brevity, and implementation. Revisions were made to the prototypes based on the results. Conclusions Primary care physicians provided input on the refinement of two prototypes of a shortened systematic review for clinicians. Their feedback guided changes to the format, presentation, and layout of these prototypes in order to increase usability and uptake for end-users. PMID:24786378

  19. Conducting Focus Groups with Latino Populations: Lessons from the Field. Innovative Strategies & Techniques

    ERIC Educational Resources Information Center

    Umana-Taylor, Adriana J.; Bamaca, Mayra Y.

    2004-01-01

    We explore the use of focus groups with Latino families. Based on our work with Colombian, Guatemalan, Mexican, and Puerto Rican mothers, we review the factors that make this methodology particularly useful for working with these families. In addition, we provide a number of strategies for making the use of focus groups with Latino populations…

  20. Benefits and Challenges of Focus Groups in the Evaluation of a New Graduate Entry Medical Programme

    ERIC Educational Resources Information Center

    Nestel, Debra; Ivkovic, Amelie; Hill, Robyn A.; Warrens, Anthony N.; Paraskevas, Paraskeva A.; McDonnell, Jacqueline A.; Mudarikwa, Ruvimbo S.; Browne, Chris

    2012-01-01

    Programme evaluation is essential for quality assurance in education. In this paper, we describe our evaluation strategy for the first year of a new medical programme. Although we used multiple methods in the evaluation, the use of the focus group method was core. This paper reports our experiences of focus groups for this purpose. We describe the…

  1. Focus Groups with Working Parents of School-Aged Children: What's Needed to Improve Family Meals?

    ERIC Educational Resources Information Center

    Fulkerson, Jayne A.; Kubik, Martha Y.; Rydell, Sarah; Boutelle, Kerri N.; Garwick, Ann; Story, Mary; Neumark-Sztainer, Dianne; Dudovitz, Bonnie

    2011-01-01

    Objective: To conduct focus groups to identify parents' perceptions of barriers to family meals and elucidate ideas to guide the development of interventions to overcome barriers. Methods: Focus groups were conducted with a convenience sample of 27 working parents in urban community settings. Results: Parents reported enjoying the sharing/bonding…

  2. The Comparability of Focus Group and Survey Results: Three Case Studies.

    ERIC Educational Resources Information Center

    Ward, Victoria M.; And Others

    1991-01-01

    Focus group findings were compared with survey findings for three studies in which both methods were used. Studies conducted on voluntary sterilization in Guatemala, Honduras, and Zaire with over 2,000 subjects confirm that focus groups yield information similar to that obtained from surveys and are useful in program planning. (SLD)

  3. Community Voice: Focus Group Research with Adult Learners in Worcestershire and Herefordshire.

    ERIC Educational Resources Information Center

    Dinsdale, Julia

    Focus groups of adult learners and some nonlearners in the English counties of Worcestershire and Herefordshire were convened to gather information about local adults' attitudes toward and experiences of further education courses. The focus groups examined how people hear about courses, why they join courses, what factors prevent people from…

  4. 77 FR 28894 - Agency Information Collection Activities: Collection of Qualitative Feedback Through Focus Groups

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-16

    ... Register on February 8, 2012, at 77 FR 6573, allowing for a 60-day public comment period. USCIS/did not... Qualitative Feedback Through Focus Groups ACTION: 30-Day Notice of Information Collection for Office of... sure to add ``1615-NEW, Collection of Qualitative Feedback through Focus Groups'' in the subject...

  5. Precincts and Prospects in the Use of Focus Groups in Social and Behavioral Science Research

    ERIC Educational Resources Information Center

    Sagoe, Dominic

    2012-01-01

    Over the past few years, the focus group method has assumed a very important role as a method for collecting qualitative data in social and behavioural science research. This article elucidates theoretical and practical problems and prospects associated with the use of focus groups as a qualitative research method in social and behavioural science…

  6. Designing a bone health and soy focus group discussion guide based on the health belief model

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Focus groups were used to assess the knowledge and skills of women in order to support curricula development. The Health Belief Model was applied to the discussion guide to enhance focus group findings and applications. Constructs related to perceived susceptibility, severity, benefits, and barriers...

  7. 77 FR 24685 - Proposed Information Collection; Comment Request; Client Focus Groups and Qualitative Interviews

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-25

    ... customer service trends seen in the Surveys. Qualitative client focus group data will enrich the... International Trade Administration Proposed Information Collection; Comment Request; Client Focus Groups and... . SUPPLEMENTARY INFORMATION: I. Abstract The International Trade Administration's U.S. Commercial Service (CS)...

  8. JCCC's Environmental Scan: Results of Focus Groups Conducted with Johnson County Residents.

    ERIC Educational Resources Information Center

    Conklin, Karen A.

    This report presents questions and typical responses from focus group discussions conducted at Johnson County Community College (JCCC, Kansas) in March 1999. A total of 23 individuals of varying ages from all geographic regions in Johnson County participated in three focus groups, designed as a follow-up to a phone survey about constituency…

  9. Focus Groups in Qualitative Research: Culturally Sensitive Methodology for the Arabian Gulf?

    ERIC Educational Resources Information Center

    Thomas, Andrew

    2008-01-01

    This article explores whether focus groups can constitute a culturally sensitive method of data gathering for educational leadership, management and related areas in a Gulf-Arab cultural context. Reviewing the literature on focus groups and cross-cultural psychology for the Arab region, it identifies key notions related to societal values such as…

  10. Qualitative Research and Consumer Policy: Focus Group Discussions as a Form of Consumer Participation

    ERIC Educational Resources Information Center

    Heiskanen, Eva; Jarvela, Katja; Pulliainen, Annukka; Saastamoinen, Mika; Timonen, Paivi

    2008-01-01

    This paper describes our ongoing attempts to involve consumers in innovation and technology policy by means of a national Consumer Panel, using focus group discussions as the primary method of consumer participation. We evaluate our experiences of the usefulness of focus group discussions in this context by considering two examples of studies…

  11. Report on Focus Groups: Research and Practice--Reading Instruction. ERIC/OSEP Special Project.

    ERIC Educational Resources Information Center

    Blaunstein, Phyllis; And Others

    This report summarizes results of three focus groups which examined teachers' ideas and attitudes about the utility of research on the practice of teaching reading to students with learning disabilities and about forms of communication that would make research information more useful. The focus groups were part of a larger project designed to…

  12. Strengthening the Role of Part-Time Faculty in Community Colleges. Focus Group Toolkit

    ERIC Educational Resources Information Center

    Center for Community College Student Engagement, 2014

    2014-01-01

    The Center for Community College Student Engagement encourages colleges to hold focus groups with part-time and full-time faculty to learn about differences in the faculty and their experience at their college and to complement survey data. Survey responses tell the "what" about faculty's experiences; through conducting focus groups,…

  13. Using Focus Groups in Community-Based Participatory Research: Challenges and Resolutions

    PubMed Central

    Daley, Christine Makosky; James, Aimee S.; Ulrey, Ezekiel; Joseph, Stephanie; Talawyma, Angelia; Choi, Won S.; Greiner, K. Allen; Coe, M. Kathryn

    2010-01-01

    A community-based participatory approach requires that community members be involved in all phases of the research process. We describe three focus group studies with American Indians in Kansas and Missouri, using a newly developed method of conducting and analyzing focus groups with community input (72 focus groups, 519 participants). We conducted two needs assessment studies focused on barriers to breast and colorectal cancer screening and one study focused on Internet use for gathering health information. Community members and researchers collaborated to develop guides for the focus group moderators. Community organizations and our community advisory board conducted recruitment, and we trained and employed community members as moderators, assistant moderators, and analysts. Our community partners also helped with dissemination of research findings to their constituents. The methodologic approach and data from these three studies will allow us to more appropriately address health disparities in the American Indian community, with full community support for our research. PMID:20154299

  14. Using focus groups and social marketing to strengthen promotion of group prenatal care.

    PubMed

    Vonderheid, Susan C; Carrie, S Klima; Norr, Kathleen F; Grady, Mary Alice; Westdahl, Claire M

    2013-01-01

    Centering Pregnancy, an innovative group model of prenatal care, shows promise to reduce persistent adverse maternal-infant outcomes and contain costs. Because this innovation requires systemwide change, clinics reported needing support enrolling women into groups and obtaining organizational buy-in. This study used the 3-step social marketing communication strategy to help clinic staff identify key customers and customer-specific barriers to adopting or supporting Centering Pregnancy. They developed targeted information to reduce barriers and built skills in communicating with different customers through role-playing. Findings provide practical information for others to use this communication strategy to improve implementation of Centering Pregnancy. PMID:24169111

  15. Teachers' Commitment To, and Experiences of, the Teaching Profession in Tanzania: Findings of Focus Group Research

    ERIC Educational Resources Information Center

    Mkumbo, Kitila A. K.

    2012-01-01

    This qualitative study examined teachers' commitment to, and experiences of, the teaching profession in six regions of Tanzania. The study used focus group discussions as research method and data collection tool. Twenty four groups were conducted, with group membership ranging from five to nine participants. The results show that the teachers'…

  16. Report on Results of Focus Groups Conducted with People with Disabilities.

    ERIC Educational Resources Information Center

    Maine State Dept. of Human Services, Augusta. Bureau of Health.

    This report describes results of six focus groups of people with disabilities convened by the Maine Bureau of Health to determine the feelings, attitudes, and experiences of this population. Four groups were comprised of adults ranging in age from the early twenties to the late seventies; two groups were comprised of adolescents and young adults.…

  17. Exploring patient satisfaction with foodservice through focus groups and meal rounds.

    PubMed

    Watters, Corilee A; Sorensen, Janice; Fiala, Anna; Wismer, Wendy

    2003-10-01

    The purpose of this study was to investigate adult patients' perceptions of hospital foodservice through focus groups with patients postdischarge and with nurses. The focus group themes included an emphasis on health, quality, freshness, and appropriateness; variety, selection, and choice; inability to provide feedback; menu errors; accessibility to food on the units; service; tray layout; and waste. The themes emerging from the focus groups were further explored through meal round interviews with patients (n=116) to determine areas for improvement. Patients thought food served in the hospital should be a model for a healthy diet. Ongoing education and communication with patients and nurses is important in improving satisfaction with foodservice. PMID:14520255

  18. What about N? A methodological study of sample-size reporting in focus group studies

    PubMed Central

    2011-01-01

    Background Focus group studies are increasingly published in health related journals, but we know little about how researchers use this method, particularly how they determine the number of focus groups to conduct. The methodological literature commonly advises researchers to follow principles of data saturation, although practical advise on how to do this is lacking. Our objectives were firstly, to describe the current status of sample size in focus group studies reported in health journals. Secondly, to assess whether and how researchers explain the number of focus groups they carry out. Methods We searched PubMed for studies that had used focus groups and that had been published in open access journals during 2008, and extracted data on the number of focus groups and on any explanation authors gave for this number. We also did a qualitative assessment of the papers with regard to how number of groups was explained and discussed. Results We identified 220 papers published in 117 journals. In these papers insufficient reporting of sample sizes was common. The number of focus groups conducted varied greatly (mean 8.4, median 5, range 1 to 96). Thirty seven (17%) studies attempted to explain the number of groups. Six studies referred to rules of thumb in the literature, three stated that they were unable to organize more groups for practical reasons, while 28 studies stated that they had reached a point of saturation. Among those stating that they had reached a point of saturation, several appeared not to have followed principles from grounded theory where data collection and analysis is an iterative process until saturation is reached. Studies with high numbers of focus groups did not offer explanations for number of groups. Too much data as a study weakness was not an issue discussed in any of the reviewed papers. Conclusions Based on these findings we suggest that journals adopt more stringent requirements for focus group method reporting. The often poor and

  19. Interpretive focus groups: a participatory method for interpreting and extending secondary analysis of qualitative data

    PubMed Central

    Redman-MacLaren, Michelle; Mills, Jane; Tommbe, Rachael

    2014-01-01

    Background Participatory approaches to qualitative research practice constantly change in response to evolving research environments. Researchers are increasingly encouraged to undertake secondary analysis of qualitative data, despite epistemological and ethical challenges. Interpretive focus groups can be described as a more participative method for groups to analyse qualitative data. Objective To facilitate interpretive focus groups with women in Papua New Guinea to extend analysis of existing qualitative data and co-create new primary data. The purpose of this was to inform a transformational grounded theory and subsequent health promoting action. Design A two-step approach was used in a grounded theory study about how women experience male circumcision in Papua New Guinea. Participants analysed portions or ‘chunks’ of existing qualitative data in story circles and built upon this analysis by using the visual research method of storyboarding. Results New understandings of the data were evoked when women in interpretive focus groups analysed the data ‘chunks’. Interpretive focus groups encouraged women to share their personal experiences about male circumcision. The visual method of storyboarding enabled women to draw pictures to represent their experiences. This provided an additional focus for whole-of-group discussions about the research topic. Conclusions Interpretive focus groups offer opportunity to enhance trustworthiness of findings when researchers undertake secondary analysis of qualitative data. The co-analysis of existing data and co-generation of new data between research participants and researchers informed an emergent transformational grounded theory and subsequent health promoting action. PMID:25138532

  20. Taking Humor Seriously: Talking about Drinking in Native American Focus Groups

    PubMed Central

    Bletzer, Keith V.; Yuan, Nicole P.; Koss, Mary P.; Polacca, Mona; Eaves, Emery R.; Goldman, David

    2013-01-01

    Focus groups provide a source of data that highlight community ideas on a topic of interest. How interview data will be utilized varies by project. With this in mind, we identify ways that focus group data from a particular population (Native American) articulate a health issue of individual tribal concern (alcohol consumption). Taking our analytic framework from linguistics, one of the four fields of inquiry in anthropology, we examine format ties and the performance of humor as stylistic features of tribal focus groups and illustrate how linguistic devices can be used in analyzing aspects of adolescent and adult drinking. Focus group data require systematic review and analysis to identify useful findings that can lead to inquiry points to initiate collaborative work with local experts before the data can be developed and configured into effective program initiatives. PMID:21590583

  1. Brief Group Psychotherpay for Women after Divorce: Planning a Focused Experience.

    ERIC Educational Resources Information Center

    Coche, Judith; Goldman, Janice

    1979-01-01

    A model for a brief, focused group psychotherapy experience for women, led by women therapists, is suggested as an effective means to ease the transition from marriage and to allow a redefinition of the self as a single individual. (Author)

  2. Focus Group Assessment of Culturally Specific Cholesterol-Lowering Menus for Mexican Americans

    ERIC Educational Resources Information Center

    Shah, M.; Coyle, Y.; Kavanaugh, A.; Adams-Huet, B.; Lipsky, P.E.

    2004-01-01

    This study focus tested the acceptability of a set of six 1400 kcal and six 1800 kcal culturally appropriate cholesterol-lowering menus developed for low-income Mexican-Americans with systemic lupus erythematosus (SLE). The focus group, made up of 11 low-income Mexican-American women without SLE, found the menus to be generally culturally valid,…

  3. Hope-Focused and Forgiveness-Based Group Interventions To Promote Marital Enrichment.

    ERIC Educational Resources Information Center

    Ripley, Jennifer S.; Worthington, Everett L., Jr.

    2002-01-01

    Reports on a clinical trial (N = 43 couples) that compares a hope-focused marital enrichment with empathy-centered forgiveness-based marital enrichment Hope-focused marital enrichment produced clinically relevant changes in marital communication. The forgiveness-based marital enrichment psychoeducational group is one of the first studies of…

  4. Adolescent Girls' Assessment and Management of Sexual Risks: Insights from Focus Group Research

    ERIC Educational Resources Information Center

    Bay-Cheng, Laina Y.; Livingston, Jennifer A.; Fava, Nicole M.

    2011-01-01

    We conducted focus groups with girls ages 14 to 17 (N = 43) to study how the dominant discourse of sexual risk shapes young women's understanding of the sexual domain and their management of these presumably pervasive threats. Through inductive analysis, we developed a coding scheme focused on three themes: (a) "types of sexual risk," (b) "factors…

  5. The Australian Longitudinal Study on Women's Health: Using Focus Groups to Inform Recruitment

    PubMed Central

    2016-01-01

    Background Recruitment and retention of participants to large-scale, longitudinal studies can be a challenge, particularly when trying to target young women. Qualitative inquiries with members of the target population can prove valuable in assisting with the development of effective recruiting techniques. Researchers in the current study made use of focus group methodology to identify how to encourage young women aged 18-23 to participate in a national cohort online survey. Objective Our objectives were to gain insight into how to encourage young women to participate in a large-scale, longitudinal health survey, as well as to evaluate the survey instrument and mode of administration. Methods The Australian Longitudinal Study on Women’s Health used focus group methodology to learn how to encourage young women to participate in a large-scale, longitudinal Web-based health survey and to evaluate the survey instrument and mode of administration. Nineteen groups, involving 75 women aged 18-23 years, were held in remote, regional, and urban areas of New South Wales and Queensland. Results Focus groups were held in 2 stages, with discussions lasting from 19 minutes to over 1 hour. The focus groups allowed concord to be reached regarding survey promotion using social media, why personal information was needed, strategies to ensure confidentiality, how best to ask sensitive questions, and survey design for ease of completion. Recruitment into the focus groups proved difficult: the groups varied in size between 1 and 8 participants, with the majority conducted with 2 participants. Conclusions Intense recruitment efforts and variation in final focus group numbers highlights the “hard to reach” character of young women. However, the benefits of conducting focus group discussions as a preparatory stage to the recruitment of a large cohort for a longitudinal Web-based health survey were upheld. PMID:26902160

  6. Creating psychological connections between intervention recipients: development and focus group evaluation of a group singing session for people with aphasia

    PubMed Central

    Tarrant, Mark; Warmoth, Krystal; Code, Chris; Dean, Sarah; Goodwin, Victoria A; Stein, Ken; Sugavanam, Thavapriya

    2016-01-01

    Objectives The study sought to identify key design features that could be used to create a new framework for group-based health interventions. We designed and tested the first session of a group intervention for stroke survivors with aphasia which was aimed at nurturing new psychological connections between group members. Setting The intervention session, a participant focus group and interviews with intervention facilitators were held in a local community music centre in the South West of England. Participants A convenience sample of 10 community-dwelling people with poststroke aphasia participated in the session. Severity of aphasia was not considered for inclusion. Intervention Participants took part in a 90-min group singing session which involved singing songs from a specially prepared song book. Musical accompaniment was provided by the facilitators. Primary and secondary outcome measures Participants and group facilitators reported their experiences of participating in the session, with a focus on activities within the session related to the intervention aims. Researcher observations of the session were also made. Results Two themes emerged from the analysis, concerning experiences of the session (‘developing a sense of group belonging’) and perceptions of its design and delivery (‘creating the conditions for engagement’). Participants described an emerging sense of shared social identity as a member of the intervention group and identified fixed (eg, group size, session breaks) and flexible (eg, facilitator responsiveness) features of the session which contributed to this emergence. Facilitator interviews and researcher observations corroborated and expanded participant reports. Conclusions Engagement with health intervention content may be enhanced in group settings when intervention participants begin to establish positive and meaningful psychological connections with other group members. Understanding and actively nurturing these connections

  7. Social representations of climate change in Swedish lay focus groups: local or distant, gradual or catastrophic?

    PubMed

    Wibeck, Victoria

    2014-02-01

    This paper explores social representations of climate change, investigating how climate change is discussed by Swedish laypeople interacting in focus group interviews. The analysis focuses on prototypical examples and metaphors, which were key devices for objectifying climate change representations. The paper analyzes how the interaction of focus group participants with other speakers, ideas, arguments, and broader social representations shaped their representations of climate change. Climate change was understood as a global but distant issue with severe consequences. There was a dynamic tension between representations of climate change as a gradual vs. unpredictable process. Implications for climate change communication are discussed. PMID:23825264

  8. Evaluation of Engineering Double-Degree Programs in Sweden: Results of the Lund Focus Groups

    ERIC Educational Resources Information Center

    Culver, Steven M.; Warfvinge, Per; Grossmann, Christina; Puri, Ishwar K.

    2011-01-01

    This study describes the results of focus groups at Lund University, Sweden, intended to gather the perceptions of stakeholder groups associated with double-degree programs at the graduate level in engineering: students currently enrolled in double-degree programs, faculty teaching in those programs, and alumni who have recently graduated from…

  9. Listening to Voices of Children with a Visual Impairment: A Focus Group Study

    ERIC Educational Resources Information Center

    Khadka, Jyoti; Ryan, Barbara; Margrain, Tom H.; Woodhouse, J. Margaret; Davies, Nathan

    2012-01-01

    The purpose of the study was to identify the educational, social and leisure activities and issues that matter to school children and young people with a visual impairment and to compare their lifestyle with fully sighted counterparts. Thirteen focus groups were conducted and the groups were stratified by age, gender, visual status and school…

  10. Sex, Pregnancy and Contraception: A Report of Focus Group Discussions with Adolescents.

    ERIC Educational Resources Information Center

    Sugland, Barbara W.; Wilder, Kathleen J.; Chandra, Anita

    Findings in this report summarize the first phase of a larger, multi-year study that is combining qualitative and quantitative methods to outline a conceptual framework to guide future demographic/fertility research, pregnancy prevention programs and policies. Twelve focus groups--involving a multiculturally representative group of male and female…

  11. Setting up Suicide Prevention Plans at the Local Level: The Methodology of Focus Groups with Stakeholders

    ERIC Educational Resources Information Center

    Poma, Stefano Zanone; Grossi, Antonello; Venturini, Monica; Cristina, Contessa; Toniolo, Emanuele

    2011-01-01

    In the prevention of suicide, there is a need to transform clinical studies into health promotion by a cooperation with territorial agencies. A survey on a group of stakeholders was performed with the methodology of focus group. The evaluation criteria used by the participants were practical and not methodological and were closely linked to the…

  12. Women and Wasta: The Use of Focus Groups for Understanding Social Capital and Middle Eastern Women

    ERIC Educational Resources Information Center

    Bailey, Deborah C.

    2012-01-01

    Social capital is the use of informal networking to secure access to resources and opportunities. Often identified as an asset for offsetting deficiencies in societies, research on the phenomena is limited. This paper describes a qualitative study using focus groups with young adult Emeriti women representing three social-economic groups who were…

  13. The Effect of Solution-Focused Brief Group Counseling upon the Perceived Social Competences of Teenagers

    ERIC Educational Resources Information Center

    Ates, Bünyamin

    2016-01-01

    In this study, the effect of solution-focused brief group counseling upon the perceived social competences of teenagers was investigated. The study group included 24 volunteer students who took lower scores rather than the ones obtained from perceived social competence scale pre-test measurements out of 227 students studying at a high school in…

  14. Cross-year peer tutoring on internal medicine wards: results of a qualitative focus group analysis

    PubMed Central

    Krautter, Markus; Andreesen, Sven; Köhl-Hackert, Nadja; Hoffmann, Katja; Herzog, Wolfgang; Nikendei, Christoph

    2014-01-01

    Background Peer-assisted learning (PAL) has become a well-accepted teaching method within medical education. However, descriptions of on-ward PAL programs are rare. A focus group analysis of a newly established PAL program on an internal medicine ward was conducted to provide insights into PAL teaching from a student perspective. Purpose To provide insights into students’ experiences regarding their on-ward training with and without accompanying PAL tutors. Methods A total of N=168 medical students in their sixth semester participated in the investigation (intervention group: N=88; control group: N=80). The intervention group took part in the PAL program, while the control group received standard on-ward training. There were seven focus groups with N=43 participants (intervention group: four focus groups, N=28 participants; control group: three focus groups, N=15 participants). The discussions were analyzed using content analysis. Results The intervention group emphasized the role of the tutors as competent and well-trained teachers, most beneficial in supervising clinical skills. Tutors motivate students, help them to integrate into the ward team, and provide a non-fear-based working relationship whereby students’ anxiety regarding working on ward decreases. The control group had to rely on autodidactic learning strategies when neither supervising physicians nor final-year students were available. Conclusion On-ward PAL programs represent a particularly valuable tool for students’ support in training clinical competencies on ward. The tutor–student working alliance acts through its flat hierarchy. Nevertheless, tutors cannot represent an adequate substitute for experienced physicians. PMID:25278789

  15. Capacity Building through Focus Group Training in Community-based Participatory Research

    PubMed Central

    Amico, KL; Wieland, ML; Weis, JA; Sullivan, SM; Nigon, JA; Sia, IG

    2014-01-01

    Background Community-based participatory research (CBPR) emphasizes collaborative efforts among communities and academics where all members are equitable contributors. Capacity building through training in research methodology is a potentially important outcome for CBPR partnerships. Objectives To describe the logistics and lessons learned from building community research capacity for focus group moderation in the context of a CBPR partnership. Methods After orientation to CBPR principles, members of a US suburban community underwent twelve hours of interactive learning in focus group moderation by a national focus group expert. An additional eight-hour workshop promoted advanced proficiency and built on identified strengths and weaknesses. Ten focus groups were conducted at an adult education center addressing a health concern previously identified by the center’s largely immigrant and refugee population. Program evaluation was achieved through multiple observations by community and academic-based observers. Results Twenty-seven community and academic members were recruited through established relationships for training in focus group moderation, note-taking, and report compilation. Focus group training led to increased trust among community and research partners while empowering individual community members and increasing research capacity for CBPR. Conclusions Community members were trained in focus group moderation and successfully applied these skills to a CBPR project addressing a health concern in the community. This approach of equipping community members with skills in a qualitative research method promoted capacity building within a socio-culturally diverse community, while strengthening community-academic partnership. In this setting, capacity building efforts may help to ensure the success and sustainability for continued health interventions through CBPR. PMID:22267359

  16. Bidimensional Lens Systems : A Rational Approach To Group Displacements During Focusing And/Or Zooming

    NASA Astrophysics Data System (ADS)

    Angénieux, J. P. L.

    1987-06-01

    Modern objective lenses for cinematography, television or photography, and particularly zoom lenses, are composed of several groups of lenses which are axially displaced during zooming and/or focusing. The number of these groups has increased recently as well as the complexity of their relative movements and functions. In this paper, we give a short history of zooming and focusing techniques ; we discuss the inconvenience of traditional solutions. We then introduce the concept of bidimensional law. We propose a systematic classification of possible lens-types according to the 4 possible types of group. We finally present a few types of lenses in the form of truth tables and parametered diagrams explaining which groups move and how during focusing and/or zooming.

  17. Using focus groups to identify psychosocial issues of urban black individuals with diabetes.

    PubMed

    Anderson, R M; Barr, P A; Edwards, G J; Funnell, M M; Fitzgerald, J T; Wisdom, K

    1996-01-01

    The purpose of this focus group research was to identify issues that could serve as topics for a series of educational videos portraying psychosocial issues of urban black individuals with diabetes. Four focus groups involving 34 black adults were conducted in the Detroit area. Psychosocial issues were identified and rated in order of priority by an expert panel. The major psychosocial issues identified were the importance of food and eating in the black culture, the necessity for learning more about diabetes and its complications, learning to interact effectively with healthcare providers and systems, and the need for help and support in managing psychosocial issues related to diabetes. Black individuals with diabetes face unique psychosocial challenges. Focus groups are an effective method for obtaining relevant, culturally specific, in-depth information about living with diabetes from patients who are members of minority groups. PMID:8697953

  18. Split-Session Focus Group Interviews in the Naturalistic Setting of Family Medicine Offices

    PubMed Central

    Fetters, Michael D.; Guetterman, Timothy C.; Power, Debra; Nease, Donald E.

    2016-01-01

    PURPOSE When recruiting health care professionals to focus group interviews, investigators encounter challenges such as busy clinic schedules, recruitment, and a desire to get candid responses from diverse participants. We sought to overcome these challenges using an innovative, office-based, split-session focus group procedure in a project that elicited feedback from family medicine practices regarding a new preventive services model. This procedure entails allocating a portion of time to the entire group and the remaining time to individual subgroups. We discuss the methodologic procedure and the implications of using this approach for data collection. METHODS We conducted split-session focus groups with physicians and staff in 4 primary care practices. The procedure entailed 3 sessions, each lasting 30 minutes: the moderator interviewed physicians and staff together, physicians alone, and staff alone. As part of the focus group interview, we elicited and analyzed participant comments about the split-session format and collected observational field notes. RESULTS The split-session focus group interviews leveraged the naturalistic setting of the office for context-relevant discussion. We tested alternate formats that began in the morning and at lunchtime, to parallel each practice’s workflow. The split-session approach facilitated discussion of topics primarily relevant to staff among staff, topics primarily relevant to physicians among physicians, and topics common to all among all. Qualitative feedback on this approach was uniformly positive. CONCLUSION A split-session focus group interview provides an efficient, effective way to elicit candid qualitative information from all members of a primary care practice in the naturalistic setting where they work. PMID:26755786

  19. Conducting effective focus groups in the context of diversity: theoretical underpinnings and practical implications.

    PubMed

    Dreachslin, J L

    1998-11-01

    Demographic trends reveal that the socially and culturally relevant diversity of patients, caregivers, and managers in health care organizations will continue to increase. In addition, social attitudes are moving from a goal of assimilation or homogenization to one of differentiation and maintenance of subgroup identity. These shifts in demographics and social attitudes require the associated development of theory and practice guidelines for focus groups conducted in the context of diversity. Diversity has a profound impact on factors ranging from study design to the selection and training of facilitators and the analysis of results. Racial identity development theory, models of communication style differences, ethnographic studies of cultural archetypes or ethnic markers, and the author's experiences in facilitating focus groups that explore the sensitive topic of race/ethnicity provide insights for researchers and practitioners who want to ensure that focus groups conducted in the context of diversity produce valid results. PMID:10558348

  20. Interactive performance and focus groups with adolescents: the power of play.

    PubMed

    Norris, Anne E; Aroian, Karen J; Warren, Stefanie; Wirth, Jeff

    2012-12-01

    Conducting focus groups with adolescents can be challenging given their developmental needs, particularly with sensitive topics. These challenges include intense need for peer approval, declining social trust, short attention span, and reliance on concrete operations thinking. In this article, we describe an adaptation of interactive performance as an alternative to traditional focus group method. We used this method in a study of discrimination experienced by Muslims (ages 13-17) and of peer pressure to engage in sexual behavior experienced by Hispanic girls (ages 10-14). Recommendations for use of this method include using an interdisciplinary team, planning for large amounts of disclosure towards the end of the focus group, and considering the fit of this method to the study topic. PMID:22949032

  1. Interactive Performance and Focus Groups with Adolescents: The Power of Play

    PubMed Central

    Norris, Anne E.; Aroian, Karen J.; Warren, Stefanie

    2012-01-01

    Conducting focus groups with adolescents can be challenging given their developmental needs, particularly with sensitive topics. These challenges include intense need for peer approval, declining social trust, short attention span, and reliance on concrete operations thinking. In this article we describe an adaptation of interactive performance as an alternative to traditional focus group method. We used this method in a study of discrimination experienced by Muslims (ages 13-17) and of peer pressure to engage in sexual behavior experienced by Hispanic girls (ages 10-14). Recommendations for use of this method include using an interdisciplinary team, planning for large amounts of disclosure towards the end of the focus group, and considering the fit of this method to the study topic. PMID:22949032

  2. Narrative Focus Predicts Symptom Change Trajectories in Group Treatment for Traumatized and Bereaved Adolescents.

    PubMed

    Grassetti, Stevie N; Herres, Joanna; Williamson, Ariel A; Yarger, Heather A; Layne, Christopher M; Kobak, Roger

    2015-01-01

    Growing evidence supports the effectiveness of Trauma and Grief Component Therapy for Adolescents (TGCT-A) in reducing posttraumatic stress disorder (PTSD) symptoms and maladaptive grief (MG) reactions. This pilot study explored whether the specific focus of students' narratives (i.e., focus on trauma vs. focus on loss) as shared by TGCT-A group members would predict initial pretreatment levels, as well as pre- to posttreatment change trajectories, of PTSD symptoms and MG reactions. Thirty-three adolescents from three middle schools completed a 17-week course of group-based TGCT-A. PTSD and MG symptoms were assessed at pretreatment, twice during treatment, and at posttreatment. The focus (trauma vs. loss) of each student's narrative was coded using transcripts of members' narratives as shared within the groups. The reliable change index showed that 61% of students reported reliable pre-post improvement in either PTSD symptoms or MG reactions. Students whose narratives focused on loss both reported higher starting levels and showed steeper rates of decline in MG reactions than students whose narratives focused on trauma. In contrast, students whose narratives focused on trauma reported higher starting levels of PTSD than students who narrated loss experiences. However, narrative focus was not significantly linked to the rate at which PTSD symptoms declined over the course of treatment. This study provides preliminary evidence that TGCT-A treatment components are associated with reduced PTSD symptoms and MG reactions. Loss-focused narratives, in particular, appear to be associated with greater decreases in MG reactions. PMID:24927497

  3. Using focus groups to develop interventions to promote colorectal cancer screening among Vietnamese Americans

    PubMed Central

    Nguyen, Bang H.; Vo, Phuong H.; Doan, Hiep T.; McPhee, Stephen J.

    2008-01-01

    Background Colorectal cancer is the third most common cancer in Vietnamese Americans. Their colorectal screening rates are lower than the rates of whites. Methods Four focus groups were conducted to identify Vietnamese American sources and credibility of health information, media utilization, and intervention approaches. Results Vietnamese Americans trusted doctors and patient testimonials, and had access to, and received most of their health information from, Vietnamese-language print and electronic media. Recommended intervention approaches include promoting doctors' recommendation of screening and using Vietnamese-language mass media, print materials, and oral presentations. Conclusions Focus groups are useful in determining communication channels and intervention approaches. PMID:17020518

  4. Using focus groups to discover health professionals' information needs: a regional marketing study.

    PubMed

    Mullaly-Quijas, P; Ward, D H; Woelfl, N

    1994-07-01

    This paper describes the use of focus groups as a data-gathering tool, in both theoretical and practical terms. Calder's discussion of focus groups is presented as the basis of the theory, and the marketing study conducted by the Midcontinental Region of the National Network of Libraries of Medicine serves as the backdrop to highlight some of the practical aspects of using this qualitative data-gathering method. Results of the marketing study are presented to illustrate the types of data that can be gathered using this methodology and the types of plans for future activities that can be developed based on the data gathered. PMID:7920341

  5. Using computer simulations and focus groups for planned change in prenatal clinics.

    PubMed

    Lowry, L W; Callahan, A L; Philippe, T

    2001-01-01

    The Colleges of Nursing and Engineering in a southwest Florida university combined efforts to design a project to use time/motion techniques and focus groups to assess patent flow and effective and efficient use of human resources in public health clinics. Data for 877 observations were entered into a computer simulation program that displayed alternative configurations for health resource management. Information from focus groups was used to plan for ways to use clinic wait time more effectively. This article describes data collection and findings. PMID:11898674

  6. Assessing the children's views on foods and consumption of selected food groups: outcome from focus group approach

    PubMed Central

    Sharif Ishak, Sharifah Intan Zainun; Kandiah, Mirnalini

    2013-01-01

    The food choices in childhood have high a probability of being carried through into their adulthood life, which then contributes to the risk of many non-communicable diseases. Therefore, there is a need to gather some information about children's views on foods which may influence their food choices for planning a related dietary intervention or programme. This paper aimed to explore the views of children on foods and the types of foods which are usually consumed by children under four food groups (snacks, fast foods, cereals and cereal products; and milk and dairy products) by using focus group discussions. A total of 33 school children aged 7-9 years old from Selangor and Kuala Lumpur participated in the focus groups. Focus groups were audio-taped, transcribed and analyzed according to the listed themes. The outcomes show that the children usually consumed snacks such as white bread with spread or as a sandwich, local cakes, fruits such as papaya, mango and watermelon, biscuits or cookies, tea, chocolate drink and instant noodles. Their choices of fast foods included pizza, burgers, French fries and fried chicken. For cereal products, they usually consumed rice, bread and ready-to-eat cereals. Finally, their choices of dairy products included milk, cheese and yogurt. The reasons for the food liking were taste, nutritional value and the characteristics of food. The outcome of this study may provide additional information on the food choices among Malaysian children, especially in urban areas with regard to the food groups which have shown to have a relationship with the risk of childhood obesity. PMID:23610606

  7. Assessing the children's views on foods and consumption of selected food groups: outcome from focus group approach.

    PubMed

    Sharif Ishak, Sharifah Intan Zainun; Shohaimi, Shamarina; Kandiah, Mirnalini

    2013-04-01

    The food choices in childhood have high a probability of being carried through into their adulthood life, which then contributes to the risk of many non-communicable diseases. Therefore, there is a need to gather some information about children's views on foods which may influence their food choices for planning a related dietary intervention or programme. This paper aimed to explore the views of children on foods and the types of foods which are usually consumed by children under four food groups (snacks, fast foods, cereals and cereal products; and milk and dairy products) by using focus group discussions. A total of 33 school children aged 7-9 years old from Selangor and Kuala Lumpur participated in the focus groups. Focus groups were audio-taped, transcribed and analyzed according to the listed themes. The outcomes show that the children usually consumed snacks such as white bread with spread or as a sandwich, local cakes, fruits such as papaya, mango and watermelon, biscuits or cookies, tea, chocolate drink and instant noodles. Their choices of fast foods included pizza, burgers, French fries and fried chicken. For cereal products, they usually consumed rice, bread and ready-to-eat cereals. Finally, their choices of dairy products included milk, cheese and yogurt. The reasons for the food liking were taste, nutritional value and the characteristics of food. The outcome of this study may provide additional information on the food choices among Malaysian children, especially in urban areas with regard to the food groups which have shown to have a relationship with the risk of childhood obesity. PMID:23610606

  8. Overcoming Workplace Barriers: A Focus Group Study Exploring African American Mothers' Needs for Workplace Breastfeeding Support

    PubMed Central

    Johnson, Angela Marie; Kirk, Rosalind; Muzik, Maria

    2015-01-01

    Background Persistent racial disparities in breastfeeding show that African American women breastfeed at the lowest rates. Return to work is a critical breastfeeding barrier for African American women who return to work sooner than other ethnic groups and more often encounter unsupportive work environments. They also face psychosocial burdens that make breastfeeding at work uniquely challenging. Participants share personal struggles with combining paid employment and breastfeeding and suggest workplace and personal support strategies that they believe will help continue breastfeeding after a return to work. Objective To explore current perspectives on ways to support African American mothers' workplace breastfeeding behavior. Methods Pregnant African American women (n = 8), African American mothers of infants (n = 21), and lactation support providers (n = 9) participated in 1 of 6 focus groups in the Greater Detroit area. Each focus group audiotape was transcribed verbatim. Thematic analysis was used to inductively analyze focus group transcripts and field notes. Focus groups explored thoughts, perceptions, and behavior on interventions to support African American women's breastfeeding. Results Participants indicate that they generally believed breastfeeding was a healthy option for the baby; however, paid employment is a critical barrier to successful breastfeeding for which mothers receive little help. Participants felt breastfeeding interventions that support working African American mothers should include education and training for health care professionals, regulation and enforcement of workplace breastfeeding support policies, and support from peers who act as breastfeeding role models. Conclusion Culturally appropriate interventions are needed to support breastfeeding among working African American women. PMID:25714345

  9. Perceived Barriers to Hearing Protection Use by Employees in Amplified Music Venues, a Focus Group Study

    ERIC Educational Resources Information Center

    Kelly, Aoife C.; Boyd, Sara M.; Henehan, Gary T. M.

    2015-01-01

    Objective: It is a legal requirement for employees in noisy workplaces such as nightclubs to be provided with suitable information regarding their noise exposure risks, used a focus group approach to examine employees' attitudes to workplace noise and to hearing protection use. The subsequent analysis was based on an adapted Health Belief Model.…

  10. Assessing Students' Perceptions of Campus Community: A Focus Group Approach. Professional File. Number 95, Spring 2005

    ERIC Educational Resources Information Center

    Cheng, David X.

    2005-01-01

    This paper offers a focus group approach to the understanding of student perceptions of campus community. Using the Strange and Banning (2001) framework of community, the author argues that students' sense of campus community should be studied as it exists within the institutional environment. The results of the study include: 1) There is a strong…

  11. Assessing Child Mental Health Services in New York: A Report on Three Focus Groups, Winter 2003.

    ERIC Educational Resources Information Center

    Koyanagi, Chris; Semansky, Rafael

    In 2002, the Bazelon Center for Mental Health Law investigated the impact of expanding child mental health services in Medicaid on the actual availability of services to children. To assess family satisfaction, focus groups were held in two states: Oregon and New York. Both states have a comprehensive Medicaid mental health benefit for children…

  12. Using the Focus Group in Assessing Training Needs: Empowering Child Welfare Workers.

    ERIC Educational Resources Information Center

    Denning, Janice D.; Verschelden, Cia

    1993-01-01

    Describes an assessment process in a public child welfare agency that included workers as a primary source of knowledge about their own needs. Argues that the use of focus groups (a marketing research technique) encourages high levels of direct input and helps engage workers in subsequent phases of the training process. (MM)

  13. Using Focus Groups to Explore the Stressful Life Events of Black College Men

    ERIC Educational Resources Information Center

    Watkins, Daphne C.; Green, B. Lee; Goodson, Patricia; Guidry, Jeffrey Joseph; Stanley, Christine A.

    2007-01-01

    Black students who attend predominately White institutions (PWI) face many obstacles. This study identified the stressful life events of Black college men via focus group discussions and examined how these events impact their mental health and health behaviors. Forty-six participants from a PWI and a historically Black college/university (HBCU)…

  14. Healthful Eating and Physical Activity in the Home Environment: Results from Multifamily Focus Groups

    ERIC Educational Resources Information Center

    Berge, Jerica M.; Arikian, Aimee; Doherty, William J.; Neumark-Sztainer, Dianne

    2012-01-01

    Objective: To explore multiple family members' perceptions of risk and protective factors for healthful eating and physical activity in the home. Design: Ten multifamily focus groups were conducted with 26 families. Setting and Participants: Community setting with primarily black and white families. Family members (n = 103) were aged 8 to 61…

  15. Grounded Theory and Focus Groups: Reconciling Methodologies in Indigenous Australian Education Research

    ERIC Educational Resources Information Center

    Stewart, Jan

    2007-01-01

    This paper captures an ideological moment in time in which I contemplated the methodological approach I was embarking upon. In my search for a more appropriate approach for conducting research with Aboriginal and Torres Strait Islander tertiary students at the University of Queensland, I chose focus groups set within the qualitative process of…

  16. Focus Groups with Young People: A Participatory Approach to Research Planning

    ERIC Educational Resources Information Center

    Bagnoli, Anna; Clark, Andrew

    2010-01-01

    In this paper we present our experiences of conducting focus groups with young people as part of a participatory approach to research design and participant recruitment. The research is a prospective, 10-year, qualitative, longitudinal project investigating young people's daily lives, relationships, and identities, and the ways these change over…

  17. Understanding Successful School-University Collaboration: Drawing Conclusions through Focus Groups.

    ERIC Educational Resources Information Center

    Borthwick, Arlene C.; Stirling, Terry; Nauman, April D.; Bishop, Grace; Mayer, Nancy J.

    In research begun in 1999, participant perceptions of the elements required for successful school-university partnerships were explored. All participants were involved in partnerships of the Chicago Public Schools with a university partner. This study asked participants, through a series of focus groups, to examine, discuss, and draw their own…

  18. Factors Affecting Adherence to Osteoporosis Medications: A Focus Group Approach Examining Viewpoints of Patients and Providers

    PubMed Central

    Iversen, Maura D; Vora, Ruchita R; Servi, Amber; Solomon, Daniel H

    2011-01-01

    This is a qualitative study using a focus group approach, conducted to determine factors influencing adherence to osteoporosis medications among older adults. Thirty-two patients aged 65 to 85 years from the greater Boston area who were prescribed an osteoporosis medication, 11 general medicine physicians and 1 nurse practitioner were recruited from Boston based hospitals affiliated with a large healthcare system. Focus groups consisting of 6 to 8 subjects including males and females were held separately for providers and patients and conducted until thematic saturation was reached. Responses were obtained from patients and providers during the focus group interviews conducted by a trained focus group moderator. All interviews were audio taped and transcribed by a medical transcriptionist. According to patients, factors affecting adherence to osteoporosis drugs included lack of knowledge about osteoporosis, dissatisfaction with their doctor visits, side effects, and difficulty or failure to remember instructions for taking medications. Physicians reported lack of patient knowledge, structural barriers, medication side effects, and the inability to track patients’ adherence to their medications as barriers to adherence. This study identifies the extent of and reasons for non-adherence as perceived by patients and providers, and provides insights into strategies to modify treatment plans to address non-adherence. The results from this study were used to develop a RCT to conduct and evaluate patient and physician targeted interventions to improve adherence to osteoporosis medications and to examine cost effectiveness of alternative strategies. PMID:21937896

  19. Indian Youth Speak about Tobacco: Results of Focus Group Discussions with School Students

    ERIC Educational Resources Information Center

    Mishra, Arima; Arora, Monika; Stigler, Melissa H.; Komro, Kelli A.; Lytle, Leslie A.; Reddy, K. Srinath; Perry, Cheryl L.

    2005-01-01

    This article discusses the findings of Focus Group Discussions (FGDs) that were conducted as a formative assessment for Project MYTRI (Mobilizing Youth for Tobacco Related Initiatives in India), a randomized, multicomponent, school-based trial to prevent and control tobacco use among youth in India. Forty-eight FGDs were conducted with students (N…

  20. Virtual Focus Groups in Extension: A Useful Approach to Audience Analysis

    ERIC Educational Resources Information Center

    Warner, Laura A.

    2014-01-01

    As change agents, Extension educators may begin their program planning by identifying the audience's perceived barriers and benefits to adopting some behavior that will benefit the community. Extension professionals and researchers have used in-person focus groups to understand an audience, and they can also administer them as…

  1. 78 FR 42797 - Notice of Proposed Information Collection: Comment Request Focus Groups About the Housing Search...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-17

    ... Housing Search Process for Lesbian, Gay, Bisexual and Transgender (LGBT) People AGENCY: Office of Policy... information: Title of Proposal: Focus Groups about the Housing Search Process for Lesbian, Gay, Bisexual and..., the Department would like to learn more about the process that people use to search for...

  2. 76 FR 62400 - Agency Information Collection Activities; Proposed Collection; Comment Request; Focus Groups as...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-07

    ... Used by EPA for Economics Projects (Renewal) AGENCY: Environmental Protection Agency (EPA). ACTION... discussions will vary by project. Title: Focus Groups as used by EPA for Economics Projects (Renewal). ICR...) related to economics projects. Over the next three years, the Agency anticipates embarking on a number...

  3. Preparing Teachers as HIV/AIDS Prevention Leaders in Malawi: Evidence from Focus Groups

    ERIC Educational Resources Information Center

    Kachingwe, Sitingawawo I.; Norr, Kathleen; Kaponda, Chrissie P. N.; Norr, James; Mbweza, Ellen; Magai, Dorothy

    2005-01-01

    Although many countries offer school-based HIV/AIDS prevention programs, little is known about how teachers feel about being part of these programs. This paper presents the views of primary school teachers in Malawi regarding their potential role in HIV/AIDS prevention. Data come from two focus groups with 12 male and 12 female primary school…

  4. Library on the Go: A Focus Group Study of the Mobile Web and the Academic Library

    ERIC Educational Resources Information Center

    Seeholzer, Jamie; Salem, Joseph A., Jr.

    2011-01-01

    This study explores student use of the mobile Web in general and expectations for an academic library's mobile Web site in particular through focus groups with students at Kent State University. Participants expressed more interest in using their mobile Web device to interact with library resources and services than anticipated. Results showed an…

  5. Couple-Focused Group Intervention for Women With Early Stage Breast Cancer

    ERIC Educational Resources Information Center

    Manne, Sharon L.; Ostroff, Jamie S.; Winkel, Gary; Fox, Kevin; Grana, Generosa; Miller, Eric; Ross, Stephanie; Frazier, Thomas

    2005-01-01

    This study examined the efficacy of a couple-focused group intervention on psychological adaptation of women with early stage breast cancer and evaluated whether perceived partner unsupportive behavior or patient functional impairment moderated intervention effects. Two hundred thirty-eight women were randomly assigned to receive either 6 sessions…

  6. Community Entry in Conducting Rural Focus Groups: Process, Legitimacy, and Lessons Learned.

    ERIC Educational Resources Information Center

    Smith, Shannon L.; Blake, Kelly; Olson, Carol R.; Tessaro, Irene

    2002-01-01

    The West Virginia Rural Health Education Partnerships program and West Virginia Extension Service played primary roles as community gatekeepers in helping researchers involve rural residents in focus groups to elicit cultural perspectives on diabetes and its management. The collaboration helped researchers gain entry to rural communities and…

  7. Dropping Out at Western Iowa Tech Community College: A Report Summarizing Focus Group Interviews.

    ERIC Educational Resources Information Center

    Nitzke, Joseph; Wacker, Mary Ellen

    This paper reports on the first phase of a three-part study meant to provide information, in an expanded context, for decisions related to marketing communications at Western Iowa Tech Community College (WITCC). The Marketing Department proposed focus groups to examine dropouts, students who are admitted but do not enroll, and business persons in…

  8. Benefits, Barriers, and Cues to Action of Yoga Practice: A Focus Group Approach

    ERIC Educational Resources Information Center

    Atkinson, Nancy L.; Permuth-Levine, Rachel

    2009-01-01

    Objectives: To explore perceived benefits, barriers, and cues to action of yoga practice among adults. Methods: Focus groups were conducted with persons who had never practiced yoga, practitioners of one year or less, and practitioners for more than one year. The Health Belief Model was the theoretical foundation of inquiry. Results: All…

  9. Children's Experiences and Meaning Construction on Parental Divorce: A Focus Group Study

    ERIC Educational Resources Information Center

    Maes, Sofie D. J.; De Mol, Jan; Buysse, Ann

    2012-01-01

    The global aim of this study was to explore children's narratives of parental divorce. A convenience sample, composed of 11- and 14-year-old children, was recruited. A total of 22 children (12 male, 10 female) participated in this focus group study. The findings show that two components seem to be really important for children during the divorce…

  10. Perceptions of Factors Influencing Healthful Food Consumption Behavior in the Lower Mississippi Delta: Focus Group Findings

    ERIC Educational Resources Information Center

    McGee, Bernestine B.; Richardson, Valerie; Johnson, Glenda S.; Thornton, Alma; Johnson, Crystal; Yadrick, Kathleen; Ndirangu, Murugi; Goolsby, Susan; Watkins, Debra; Simpson, Pippa M.; Hyman, Edith; Stigger, Flavelia; Bogle, Margaret L.; Kramer, Tim R.; Strickland, Earline; McCabe-Sellers, Beverly

    2008-01-01

    Objective: To identify perceptions of Lower Mississippi Delta (LMD) residents regarding factors that influence a change in healthful food consumption behavior to assist in planning sustainable nutrition interventions in the LMD. Design: Nine focus groups were conducted with LMD residents in 9 counties in Arkansas, Louisiana, and Mississippi. One…

  11. Early Interventionists' Reports of Authentic Assessment Methods through Focus Group Research

    ERIC Educational Resources Information Center

    Keilty, Bonnie; LaRocco, Diana J.; Casell, Faye Bankler

    2009-01-01

    Authentic assessments are naturalistic methods to obtain functional, contextual information relevant to learning in routine activities. Seven focus groups were conducted with 73 practicing Part C early interventionists to gather their reports on authentic assessments. Participants reported various ways of applying authentic assessment methods,…

  12. Use of Focus Group Data to Develop Recommendations for Demographically Segmented Colorectal Cancer Educational Strategies

    ERIC Educational Resources Information Center

    Holt, Cheryl L.; Shipp, Michele; Eloubeidi, Mohamad; Clay, Kimberly S.; Smith-Janas, Mary Ann; Janas, Michael John; Britt, Kristi; Norena, Maria; Fouad, Mona N.

    2009-01-01

    Screening is available and effective in colorectal cancer (CRC) control, but underutilized. The purpose of this study was to use focus group data to develop recommendations for the development of educational interventions to increase CRC screening, using an audience segmentation strategy. Demographic segments were based on urban-rural residence,…

  13. Analysis of ASSIST Navigability, Usability, and Content Using Student Focus Groups, Spring 2000. Final Report.

    ERIC Educational Resources Information Center

    Taggart, Donna; Valenzuela, Yvonne; Sragovicz, Lisa

    This report details a focus group's efforts to ascertain if the Articulation System Stimulating Interinstitutional Student Transfer (ASSIST) implemented on the World Wide Web was easy for students to navigate and use. Another purpose of the analysis was to discover if the information contained within ASSIST was easily understood by community…

  14. Focus Groups and Usability Testing in Redesigning an Academic Library's Web Site

    ERIC Educational Resources Information Center

    Oldham, Bonnie W.

    2008-01-01

    As the World Wide Web has advanced since its inception, librarians have endeavored to keep pace with this progress in the design of their library Web pages. User recommendations collected from focus groups and usability testing have indicated that the University of Scranton's Weinberg Memorial Library's Web site was not working as intended, and…

  15. Using Focus Groups to Identify Factors Affecting Healthful Weight Maintenance in Latino Immigrants

    ERIC Educational Resources Information Center

    Greaney, Mary L.; Lees, Faith D.; Lynch, Breanna; Sebelia, Linda; Greene, Geoffrey W.

    2012-01-01

    Objective: To explore (1) how migration influenced physical activity and dietary behaviors among Latino immigrants and (2) participants' perception of concepts related to a Health at Every Size (HAES) approach to weight maintenance (mindful eating, taking care of oneself). Methods: Four focus groups (n = 35), homogenous by sex, were conducted in…

  16. First Year Co-Teaching: Disclosed through Focus Group and Individual Interviews

    ERIC Educational Resources Information Center

    Isherwood, Robert; Barger-Anderson, Richael; Merhaut, Joseph; Badgett, Rebecca; Katsafanas, Jodi

    2011-01-01

    Focus group interviews and individual interviews were conducted with 47 faculty members and administrators in a rural school district in Western Pennsylvania to determine strategies for consideration when attempting to establish and implement a co-teaching program. Participants were part of a school district in its second year of adopting a…

  17. Using Focus Groups to Identify Rural Participant Needs in Balancing Work and Family Education.

    ERIC Educational Resources Information Center

    Duncan, Stephen F.; Marotz-Baden, Ramona

    1999-01-01

    Six focus groups with 49 rural residents identified concerns about balancing work and family (time, energy, conflicting demands, child care), causes of imbalance, and types of help needed. Results were used to plan programs on time and resource management, meal planning, and relationship skills. (SK)

  18. The Family Hour Focus Groups: Children's Responses to Sexual Content on TV and Their Parents' Reactions.

    ERIC Educational Resources Information Center

    Kaiser Foundation, Oakland, CA.

    With regard to sexual content, an argument is often made that sexual jokes, innuendoes, and behavior on television "go over kids' heads." To address this issue, focus groups were conducted with children between the ages of 8 and 13. Children viewed a tape of a selection of clips containing sexual content from programs aired in 1996 during the…

  19. A Retention Assessment Process: Utilizing Total Quality Management Principles and Focus Groups

    ERIC Educational Resources Information Center

    Codjoe, Henry M.; Helms, Marilyn M.

    2005-01-01

    Retaining students is a critical topic in higher education. Methodologies abound to gather attrition data as well as key variables important to retention. Using the theories of total quality management and focus groups, this case study gathers and reports data from current college students. Key results, suggestions for replication, and areas for…

  20. Impact of Pediatric Vision Impairment on Daily Life: Results of Focus Groups

    PubMed Central

    DeCarlo, Dawn K.; McGwin, Gerald; Bixler, Martha L.; Wallander, Jan; Owsley, Cynthia

    2012-01-01

    Purpose To identify through focus groups of visually impaired children and their parents, relevant content for a vision-targeted health-related quality of life questionnaire designed for children ages 6-12. Methods Six focus groups of children with vision impairment ages 6 -12 and six focus groups of their parents were conducted by trained facilitators using a guided script. Sessions were recorded, transcribed and coded per a standardized protocol for content analysis. Comments were placed in thematic categories and each coded as positive, negative or neutral. Results Twenty-four children (mean age 9.4 years) with vision impairment from a variety of causes and 23 parents participated. The child focus groups generated 1,163 comments, of which 52% (n=599) were negative, 12% (n=138) were neutral and 37% (n=426) were positive. The three most common topical areas among children were: glasses and adaptive equipment (18%), psychosocial (14%) and school (14%). The parent focus groups generated 1,952 comments of which 46% (n=895) were negative, 16% (n=323) were neutral and 38% (n=734) were positive. The three most common topical areas among parents were: school (21%), expectations or frustrations (14%) and psychosocial (13%). Conclusions Pediatric vision impairment has significant effects on health related quality of life, as reported by children with vision impairment and their parents in their own words. These findings will provide the content to guide construction of a survey instrument to assess vision-specific, health-related quality of life in children with vision impairment. PMID:22863790

  1. Food allergy knowledge, attitudes and beliefs: Focus groups of parents, physicians and the general public

    PubMed Central

    Gupta, Ruchi S; Kim, Jennifer S; Barnathan, Julia A; Amsden, Laura B; Tummala, Lakshmi S; Holl, Jane L

    2008-01-01

    Background Food allergy prevalence is increasing in US children. Presently, the primary means of preventing potentially fatal reactions are avoidance of allergens, prompt recognition of food allergy reactions, and knowledge about food allergy reaction treatments. Focus groups were held as a preliminary step in the development of validated survey instruments to assess food allergy knowledge, attitudes, and beliefs of parents, physicians, and the general public. Methods Eight focus groups were conducted between January and July of 2006 in the Chicago area with parents of children with food allergy (3 groups), physicians (3 groups), and the general public (2 groups). A constant comparative method was used to identify the emerging themes which were then grouped into key domains of food allergy knowledge, attitudes, and beliefs. Results Parents of children with food allergy had solid fundamental knowledge but had concerns about primary care physicians' knowledge of food allergy, diagnostic approaches, and treatment practices. The considerable impact of children's food allergies on familial quality of life was articulated. Physicians had good basic knowledge of food allergy but differed in their approach to diagnosis and advice about starting solids and breastfeeding. The general public had wide variation in knowledge about food allergy with many misconceptions of key concepts related to prevalence, definition, and triggers of food allergy. Conclusion Appreciable food allergy knowledge gaps exist, especially among physicians and the general public. The quality of life for children with food allergy and their families is significantly affected. PMID:18803842

  2. Utilizing Drumming for American Indians/Alaska Natives with Substance Use Disorders: A Focus Group Study

    PubMed Central

    Dickerson, Daniel; Robichaud, Francis; Teruya, Cheryl; Nagaran, Kathleen; Hser, Yih-Ing

    2013-01-01

    Background Drumming has been utilized among American Indian/Alaska Native (AI/AN) tribes for centuries to promote healing and self-expression. Drum-Assisted Recovery Therapy for Native Americans (DARTNA), currently under development, is a substance abuse treatment utilizing drumming as a core component. Objectives Focus groups were conducted to assist in the development of the DARTNA protocol. Feedback obtained from these focus groups will inform a subsequent pretest of DARTNA and an empirical study analyzing its effectiveness. Methods Three focus groups were conducted among AIs/ANs with substance use disorders (n = 6), substance abuse treatment providers (n = 8), and a community advisory board (n = 4) to solicit feedback prior to a pretest of the DARTNA protocol. Results Overall, participants indicated that DARTNA could be beneficial for AIs/ANs with substance use disorders. Four overarching conceptual themes emerged across the focus groups: (1) benefits of drumming, (2) importance of a culture-based focus, (3) addressing gender roles in drumming activities, and (4) providing a foundation of common AI/AN traditions. Conclusions The DARTNA protocol is a potentially beneficial and culturally appropriate substance abuse treatment strategy for AIs/ANs. In order to optimize the potential benefits of a substance abuse treatment protocol utilizing drumming for AIs/ANs, adequate attention to tribal diversity and gender roles is needed. Scientific Significance Due to the shortage of substance abuse treatments utilizing traditional healing activities for AIs/ANs, including drumming, results from this study provide an opportunity to develop an intervention that may meet the unique treatment needs of AIs/ANs. PMID:22931086

  3. Planning a health education programme for the elderly visually impaired person--a focus group study.

    PubMed

    Ivanoff, S D; Sjöstrand, J; Klepp, K I; Lind, L A; Lindqvist, B L

    1996-10-01

    Focus group methodology was used with the aim of learning how persons with the diagnosis of age-related macular degeneration perceived and described their disease, and how the disease had changed their activities of daily living (ADL). This information is seen as critical in designing a health education programme. The focus group participants described problems in performing ADL. Factors contributing to the ADL problems were categorized as functional limitations in, and feelings about performing, ADL. The participants used a number of ADL strategies to adapt to new situations. The participants expressed uncertainty regarding whether senile macular degeneration, age-related macular degeneration and 'yellow spot' were the same disease. They expressed a desire to know more about the disease and its consequences. They particularly requested time for receiving information, and the opportunity to discuss it, as in the focus groups. This target group need a health education programme based on their own perceptions. The main issues in such a programme should be to convey information, teach ADL strategies, provide support and foster problem-solving. PMID:8902424

  4. Why parents refuse childhood vaccination: a qualitative study using online focus groups

    PubMed Central

    2013-01-01

    Background In high income countries, vaccine-preventable diseases have been greatly reduced through routine vaccination programs. Despite this success, many parents question, and a small proportion even refuse vaccination for their children. As no qualitative studies have explored the factors behind these decisions among Dutch parents, we performed a study using online focus groups. Methods In total, eight online focus groups (n = 60) which included Dutch parents with at least one child, aged 0–4 years, for whom they refused all or part of the vaccinations within the National Immunization Program (NIP). A thematic analysis was performed to explore factors that influenced the parents’ decisions to refuse vaccination. Results Refusal of vaccination was found to reflect multiple factors including family lifestyle; perceptions about the child’s body and immune system; perceived risks of disease, vaccine efficacy, and side effects; perceived advantages of experiencing the disease; prior negative experience with vaccination; and social environment. The use of online focus groups proved to be an effective qualitative research method providing meaningful data. Conclusion Information provided by the NIP turned out to be insufficient for this group of parents. More trust in the NIP and deliberate decisions might result from increased parental understanding of lifestyle and disease susceptibility, the impact of vaccinations on the immune system, and the relative risks of diseases and their vaccines. The public health institute should also inform parents that the NIP is recommended but non-mandatory. PMID:24341406

  5. "Is It Worth Knowing?" Focus Group Participants' Perceived Utility of Genomic Preconception Carrier Screening.

    PubMed

    Schneider, Jennifer L; Goddard, Katrina A B; Davis, James; Wilfond, Benjamin; Kauffman, Tia L; Reiss, Jacob A; Gilmore, Marian; Himes, Patricia; Lynch, Frances L; Leo, Michael C; McMullen, Carmit

    2016-02-01

    As genome sequencing technology advances, research is needed to guide decision-making about what results can or should be offered to patients in different clinical settings. We conducted three focus groups with individuals who had prior preconception genetic testing experience to explore perceived advantages and disadvantages of genome sequencing for preconception carrier screening, compared to usual care. Using a discussion guide, a trained qualitative moderator facilitated the audio-recorded focus groups. Sixteen individuals participated. Thematic analysis of transcripts started with a grounded approach and subsequently focused on participants' perceptions of the value of genetic information. Analysis uncovered two orientations toward genomic preconception carrier screening: "certain" individuals desiring all possible screening information; and "hesitant" individuals who were more cautious about its value. Participants revealed valuable information about barriers to screening: fear/anxiety about results; concerns about the method of returning results; concerns about screening necessity; and concerns about partner participation. All participants recommended offering choice to patients to enhance the value of screening and reduce barriers. Overall, two groups of likely users of genome sequencing for preconception carrier screening demonstrated different perceptions of the advantages or disadvantages of screening, suggesting tailored approaches to education, consent, and counseling may be warranted with each group. PMID:26093606

  6. Ensuring Children Eat a Healthy Diet: A Theory-Driven Focus Group Study of Parents’ Perceptions

    PubMed Central

    Kahlor, LeeAnn; Mackert, Michael; Junker, Dave; Tyler, Diane

    2010-01-01

    The Theory of Planned Behavior (TPB) served as a framework for analyzing focus group transcripts (N = 43) focused on parents’ perceptions of the challenges of ensuring their children eat a healthy diet. The results suggest that parents consider their beliefs and behaviors as individuals within a society, within families, within cultures, as inheritors of family traditions, and as parents who influence or fail to influence the attitudes and behaviors of their children. The results showed the particular salience of factors related to the TPB concepts of perceived norms and control. Approaches to building theory-driven nursing interventions are suggested. PMID:21256408

  7. Group theoretical Laws and Geometrical Phase for Paraxial Self-focusing and Solitons

    NASA Astrophysics Data System (ADS)

    Dantu, Subbarao; Uma, R.

    1998-11-01

    Group theoretical laws are formulated for the dynamics of paraxial self-focusing and soliton dynamics. The close similarity in the dynamical formulation of the theory of paraxial self-focusing of cylindrical laser beams of circular as well as elliptical cross-sections and paraxial solitons is exploited to state the group theoretical laws for the dynamics which in their limited form are known as ABCD laws in optics using our recent formulation of one of these phenomena^1. The dynamics of the laser beam is in terms of its evolution in the direction propagation while the soliton dynamics is along the actual time axis. (Conceiving soliton dynamics similar to a planar beam in the x-t plane, it can be analyzed using the paraxial approximation.) The group governing the dynamics is shown to be the Lorentz group, which gets reduced to the rotation group in the absorption-less case. Geometrical phase is evaluated for all these beams and solitons using our recent formulation of the geometric phase in projective space^2. 1. D. Subbarao, R. Uma and H. Singh, Phys. Plasmas, 5, Aug. (1998). 2. D.Subbarao Opt. Lett. 20, 2162 (1995) The authors acknowledge the financial support of CSIR(India) under the project 03(0815)/97/EMR-II for this work.

  8. Focus Groups and Exit Interviews Are Components of Chemistry Department Program Assessment

    NASA Astrophysics Data System (ADS)

    Dreisbach, Joseph H.; Hogan, Thomas P.; Stamford, Anne Marie; Greggo, John W.

    1998-10-01

    The Chemistry Department, in conjunction with the Assessment and Institutional Research Office (AIRO) and the Department of Counseling and Human Services developed an assessment plan which incorporates use of focus groups and exit interviews. As part of the five-year departmental review, a number of student focus groups were facilitated to evaluate (a) the freshman and sophomore organic chemistry programs which also service other departments and (b) the upper division lecture and laboratory program for majors. Use of direct conversation in program assessment yields less ambiguous results compared with other methods because responses can be clarified with careful follow up questions. Success of this project gave rise to use of annual exit interviews with graduating seniors from the chemistry department. The approach described can easily be modified to meet the needs of any academic setting.

  9. HIV and Nurses: A Focus Group on Task Shifting in Uganda.

    PubMed

    Spies, Lori A; Gray, Jennifer; Opollo, Jackline; Mbalinda, Scovia

    2016-01-01

    The HIV prevalence rate is 7.4% in Uganda, where the HIV-related President's Emergency Plan for AIDS Relief and United Nations millennial development goals have not been met. This is partially due to a critical shortage of nurses and other health care providers. Task shifting is a World Health Organization strategy to address the shortage of human resources for health by shifting work from one cadre of health care worker to another, often less-trained, cadre. We conducted three focus groups with nurses in Uganda to better understand perceptions of their preparation for and implementation of task shifting. The focus group included nurses from diverse work settings. Data analysis revealed that nurses were proud of the work they were doing but were challenged by the lack of consistent and appropriate support. We found a need for additional policies, regulations, and consistent preparation for nurses who work in environments with task shifting. PMID:26847378

  10. Creative interactions with data: using visual and metaphorical devices in repeated focus groups

    PubMed Central

    Nind, Melanie; Vinha, Hilra

    2016-01-01

    This article presents some of the emergent methods developed to fit a study of quality in inclusive research with people with learning disabilities. It addresses (i) the ways in which the methodology was a response to the need for constructive, transformative dialogue through use of repeated focus groups in a design interspersing dialogic and reflective spaces; and (ii) how stimulus materials for the focus groups involved imaginative and creative interactions with data. Particular innovations in the blending of narrative and thematic analyses and data generation and analysis processes are explored, specifically the creative use of metaphor as stimulus and the playful adaptation of I-poems from the Listening Guide approach as writing and performance. In reflecting on these methodological turns we also reflect on creativity as an interpretive lens. The paper is an invitation for further methodological dialogue and development. PMID:26865833

  11. Using focus groups to develop a nutrition education video for high school students.

    PubMed

    James, D C; Rienzo, B A; Frazee, C

    1997-11-01

    Focus group interviews were used to develop a nutrition education video and a teacher's guide for use in Florida high schools. Authors conducted a pilot and four focus group interviews with ninth grade students in five geographically distinct regions of Florida. Most students agreed that a video with scenarios or success stories would work well. Teens expressed interest in 10 topics: eating disorders; consequences of unhealthy eating; preparing quick, healthy meals; what constitutes a balanced diet; nutrition and fitness; weight control; food and the environment; the food guide pyramid; nutrition facts and fallacies; and food labels. Students suggested no more than three or four topics should be covered in the video, and the video cast should consist mainly of teen-agers with different body sizes, who were average, attractive, and from different ethnic backgrounds. Music was recommended only for transitions between scenes, as background, or during the credits. PMID:9471089

  12. Adolescent Girls’ Assessment and Management of Sexual Risks: Insights from Focus Group Research

    PubMed Central

    Bay-Cheng, Laina Y.; Livingston, Jennifer A.; Fava, Nicole M.

    2010-01-01

    We conducted focus groups with girls ages 14 to 17 (N = 43) in order to study how the dominant discourse of sexual risk shapes young women’s understanding of the sexual domain and their management of these presumably pervasive threats. Through inductive analysis, we developed a coding scheme focused on three themes: (a) types of sexual risk; (b) factors that moderate sexual risk; and (c) strategies for managing sexual risk. Collectively, participants identified many risks but distanced themselves from these by claiming that girls’ susceptibility is largely a function of personal factors and therefore avoidable given the right traits, values, and skills. We consider this reliance on other-blaming and self-exemption, as well as instances in which individual participants diverged from this group discourse, in the context of neoliberalism. PMID:21860537

  13. Feedbacks from Focus Group Meeting on Training and Implementation of Building Energy Codes in China

    SciTech Connect

    Shui, Bin; Lin , Haiyan; Song, Bo; Halverson, Mark A.; Evans, Meredydd; Zhu, Xiaojiao

    2011-01-01

    A focus group meeting is a very effective quality research approach to collect information on a specific project. Through focus group meetings at both Changchun and Ningbo in August 2010, the project team gained a more complete understandings of key stakeholders (such as their education level), their training needs and expectations, key factors influencing their decision making, and incurred implementation difficulties. In addition, the meeting helped the project team (especially PNNL) improve its understanding of the implementation status of building energy codes in other regions (such as small cities and counties neighboring to urban areas, small townships and rural areas distant from urban areas). The collected feedbacks will serve as important input not only for better design of training materials and the development of an on-line training website, but also for development of follow-up projects to promote building energy codes in China.

  14. "I Feel I Mean Something to Someone:" Solution-Focused Brief Therapy Support Groups for Bullied Schoolchildren

    ERIC Educational Resources Information Center

    Kvarme, Lisbeth Gravdal; Aabø, Liv Sandnes; Saeteren, Berit

    2013-01-01

    The aim of this study was to investigate how bullied schoolchildren experience solution-focused brief therapy support groups, and to examine how members of the support group experience their participation in the group. An explorative qualitative design, with individual and focus group interviews, was used. The sample consisted of 19…

  15. Using focus groups to engage veterinary students in course redesign and development.

    PubMed

    Coe, Jason B; Darisi, Tanya; Satchell, Tracy; Bateman, Shane W; Kenny, Natasha

    2012-01-01

    Students' perceptions about the quality of teaching have been shown to influence their approaches to learning and studying. The literature suggests that understanding student perceptions is critical to making informed decisions about curriculum development so that courses meet objectives, enhance engagement, and, ultimately, improve learning. However, the assessment of students' perceptions of their courses and the quality of teaching is frequently limited to an end-of-term course evaluation survey. While these course evaluations may be useful in providing a summative assessment, they do not typically provide insight into the reasons and influences that underlie student ratings. Achieving this type of understanding can be accomplished through qualitative methodology, which is a process of investigation used to reveal the depth, complexity, and nuances of perceptions and experiences. In the current article, we report the use of focus groups as a method of gaining in-depth understanding of student perceptions for course redesign. We present the redesign of the Art of Veterinary Medicine II course, a second-year core offering within the Doctor of Veterinary Medicine curriculum at the Ontario Veterinary College in Guelph, Canada. A series of student focus groups were held to gain greater insight into student perceptions of the course objectives, format, and content. Findings were then considered in the redevelopment of the course to better engage students and their various learning styles. Summative course evaluations as well as informal feedback before and after the focus groups indicate a notable improvement in student experiences and perceptions of the course format and content following the focus-group informed course redesign. PMID:22430079

  16. Understanding the concept of the key worker: do focus groups help?

    PubMed

    Hull, Ken; Turton, Pat

    2014-08-12

    The concept of the 'key-worker role' within paediatric haematology and oncology services is recognised in the UK through inclusion in published policies and guidance. Such guidance originates from both statutory and voluntary sector organisations. Within the policy direction itself, references are made to both 'designated' and 'non-designated' key workers, and there remains ongoing confusion within the professional field about the exact nature of the process of 'key-working' and how this should operate. This confusion therefore also exists for parents, carers and service users. The project described here aimed to examine the concept of the key-worker role through consultation with users as part of local service development. Focus group discussion was identified as the methodology of choice. Careful planning and delivery ensured that meaningful data emerged. Active participation by those attending the focus group discussion was observed. The focus group was in two sessions, both of which were digitally recorded and transcribed, with contemporaneous notes taken. These were subjected to thematic analysis and clear themes emerged regarding the importance of terminology, communication, skill mix and the use of technology. This local project achieved greater clarity about how to develop the key-worker role to best meet the needs of users through highlighting the need to include both the key-worker role, and the process of key-working. It is concluded that the use of focus groups is both a valid and valuable mechanism of consultation, as user consultation regarding service design and evaluation of care delivered is high on the wider agenda of the NHS. PMID:25119328

  17. Education and Outreach in the Life Sciences: Crosswalk Analysis Report: Survey and Focus Group Findings

    SciTech Connect

    Burbank, Roberta L.; John, Lisa; Mahy, Heidi A.; Rose, Shyanika W.; Weller, Richard E.; Nelson-Wally, Anjanette

    2008-10-01

    The DOE's National Nuclear Security Agency (NNSA) asked PNNL to consider the role of individual scientists in upholding safety and security. The views of scientists were identified as a critical component of this policy process. Therefore, scientists, managers, and representatives of Institutional Biosafety Committees (IBCs) at the national labs were invited to participate in a brief web-based survey and a set of focus groups. This report cros-walks the findings between the two reports and identifies linkages and disparities.

  18. Using and Applying Focus Groups in Climate Change Impact Assessment Projects

    NASA Astrophysics Data System (ADS)

    DeLorme, D.; Hagen, S.

    2011-12-01

    The focus group social science research method is an efficient and flexible data collection tool with broad applicability across disciplines and contexts. Through group dynamics, this interviewing approach offers strengths in gathering candid, spontaneous comments and detailed firsthand descriptions from stakeholders' perspectives. The method, which can stand alone or be integrated with other research frameworks, has much potential for helping to manage complex issues of global change. For optimal outcomes, however, careful planning and procedures are paramount. This presentation offers guidance in this regard via examples, tips, and lessons learned from a multidisciplinary NOAA-funded project: Ecological Effects of Sea Level Rise in the Northern Gulf of Mexico (EESLR-NGOM). Focus groups are a key component of the EESLR-NGOM project as they are being used to better understand coastal resource managers' operational and information behaviors and needs regarding sea level rise (SLR), erosion, and hurricane storm surge impact; to learn how to best develop and translate the project's expected scientific results into straightforward, useful, and readily-disseminated products; and to gather outreach recommendations. As part of an EESLR-NGOM project kickoff workshop, 12 coastal resource managers participated voluntarily in a focus group. A summary of findings and illustrative participant quotations will be included in the presentation. The initial focus group was productive in gaining insights into challenges and opportunities associated with a climate change project such as the EESLR-NGOM. It highlighted the importance of considering the interrelationships of natural and built environments and new avenues for resilience and sustainability. The coastal resource managers are not only end-users but also opinion leaders in their local communities who will diffuse this information widely through their networks of other potential end-users. Engaging coastal resource managers in

  19. Understanding Patient Preference for Integrative Medical Care: Results from Patient Focus Groups

    PubMed Central

    Pugh, Guy F.; O’Connor, Bonnie B.

    2007-01-01

    Background Integrative medicine (IM), a combination of conventional and complementary and alternative medicine (CAM), has become a popular source of medical care, yet little is known about its use. Objective To identify the motivations of people who choose IM for their primary care needs. Design Qualitative study from focus group data of regular users of IM. Participants Six focus groups that include a total of 37 regular users of IM who consented to participate in a study of IM use. Approach Focus group meetings were audiotaped and transcribed verbatim. Qualitative analysis using grounded theory was used to derive the motivations for use of IM. Results Participants beliefs include the following: the combination of CAM and conventional medicine is better than either alone; health is a combination of physical, emotional, and spiritual well being; nutrition and lifestyle play a role in wellness; and pharmaceuticals should be avoided except as a last resort. Participants suffer from health problems that are not well treated by conventional medicine. Participants want to discuss CAM with physicians and obtain guidance on its use. Participants want time with their providers, to feel listened to and to have the opportunity for shared decision-making. Conclusion Much of what patients are seeking in integrative medical care is likely universally shared: a strong therapeutic relationship with providers who listen and provide time and knowledgeable advice. Users believe a combined approach of CAM and conventional medicine is better than either alone and want to be able to discuss CAM use with their providers. PMID:17846846

  20. EXPLORING THE IMPACT OF A COMMUNITY HOSPITAL CLOSURE ON OLDER ADULTS: A FOCUS GROUP STUDY

    PubMed Central

    Countouris, Malamo; Gilmore, Sandra; Yonas, Michael

    2016-01-01

    The closing of hospitals has exacerbated challenges for older adults in accessing healthcare, especially those living in economically underserved settings. Through focus groups and a community-engaged approach, our study examined and documented the emergent health needs of older adults following the closing of a local hospital in an economically disadvantaged community. Focus groups were reconvened to assess progress and health needs over time. Analyses of the focus groups (n=37, mean age 77, 84% female) illustrated the impact of the closure and the emergence of the following dominant themes: perceptions of the hospital system, including feelings of abandonment and social isolation; transportation challenges in accessing health care resources; and lack of knowledge and literacy regarding available health care and obtaining health services. Discussion sessions with hospital administrators and participants afforded an opportunity for sharing data and additional assessment. The data and relationships developed with community participants and health system representatives resulted in the production of an information resource about access to health services, tailored for older adults. PMID:24448403

  1. Content validity in the PROMIS social health domain: a qualitative analysis of focus group data

    PubMed Central

    Castel, Liana D.; Williams, Kelly A.; Bosworth, Hayden B.; Eisen, Susan V.; Hahn, Elizabeth A.; Irwin, Debra E.; Kelly, Morgen A. R.; Morse, Jennifer; Stover, Angela; DeWalt, Darren A.; DeVellis, Robert F.

    2009-01-01

    Purpose Our aim was to assess the content validity of the Patient-Reported Outcomes Measurement Information System (PROMIS) social health item banks by comparing a prespecified conceptual model with concepts that focus-group participants identified as important social-health-related outcomes. These data will inform the process of improving health-related quality-of-life measures. Methods Twenty-five patients with a range of social limitations due to chronic health conditions were recruited at two sites; four focus groups were conducted. Raters independently classified participants' statements using a hierarchical, nested schema that included health-related outcomes, role performance, role satisfaction, family/friends, work, and leisure. Results Key themes that emerged were fulfilling both family and work responsibilities and the distinction between activities done out of responsibility versus enjoyment. Although focus-group participants identified volunteerism and pet ownership as important social-health-related concepts, these were not in our original conceptual model. The concept of satisfaction was often found to overlap with the concept of performance. Conclusion Our conceptual model appeared mostly comprehensive but is being further refined to more appropriately (a) distinguish between responsibilities versus discretionary activities, and (b) situate the outcome of satisfaction as it relates to impairment in social and other domains of health. PMID:18478368

  2. Development of a Pharmacy Capstone Course From Focus Groups to Advanced Patient Care

    PubMed Central

    Cooley, Janet H; Tanner, Natalee E; Hanauer, Courtney N; Schiefer, Danielle M; Herrier, Richard N

    2014-01-01

    Objective. To describe the development of a capstone course using qualitative results of focus groups and to determine the impact of the course using a pre- and postcourse surveys. Design. A course titled Advanced Patient Care was developed using themes emerged from 3 stakeholder focus groups and implemented with case-based sessions, interactive exercises, and Objective Structured Clinical Examinations (OSCEs). Pre- and postcourse surveys were conducted to assess the students’ confidence and knowledge in managing 8 commonly-encountered conditions. Assessment. During the 2-year course implementation, a total of 169 students participated in the pre- and postcourse surveys (87.6% response rate). The mean total confidence score increased significantly from 54.3 (±9.2) to 69.0 (±8.6, p<0.001), and the total mean knowledge score increased significantly from 6.3 to 6.9 (p<0.001). Conclusion. The capstone course, fueled by focus group findings and implemented using interactive sessions and simulations, positively impacted students’ confidence and knowledge for clinical practice experiences and professional practice. PMID:25386021

  3. The Role of Focus Group Venue: A Comparative Study of Face-to-Face, Telephone, and Internet Video-Based Venues

    ERIC Educational Resources Information Center

    Gothberg, June E.

    2012-01-01

    The purpose of this study was to examine the equivalence or non-inferiority for comparisons of telephone focus group venue to face-to-face focus group venue, Internet video-based focus group venue to face-to-face focus group venue, and Internet video-based focus group venue to telephone focus group venue. Research questions examined the…

  4. Physical activity and beverage consumption in preschoolers: focus groups with parents and teachers

    PubMed Central

    2013-01-01

    Background Qualitative research is a method in which new ideas and strategies can be discovered. This qualitative study aimed to investigate parents’ and teachers’ opinions on physical activity and beverage consumption of preschool children. Through separate, independent focus groups, they expressed their perceptions on children’s current physical activity and beverage consumption levels, factors that influence and enhance these behaviours, and anticipated barriers to making changes. Methods Multi-cultural and multi-geographical focus groups were carried out in six European countries (Belgium, Bulgaria, Germany, Greece, Poland and Spain). In total, twenty-four focus groups with 122 parents and eighteen focus groups with 87 teachers were conducted between October 2010 and January 2011. Based on a semi-structured interview guide, questions on preschoolers’ physical activity (opinions on preschoolers’ physical activity, how to increase physical activity, facilitators and barriers of physical activity) and beverage consumption (rules and policies, factors influencing promotion of healthy drinking, recommendations for future intervention development) were asked. The information was analyzed using qualitative data analysis software (NVivo8). Results The focus group results indicated misperceptions of caregivers on preschoolers’ physical activity and beverage consumption levels. Caregivers perceived preschoolers as sufficiently active; they argue that children need to learn to sit still in preparation for primary school. At most preschools, children can drink only water. In some preschools sugar-sweetened beverages like chocolate milk or fruit juices, are also allowed. It was mentioned that sugar-sweetened beverages can be healthy due to mineral and vitamin content, although according to parents their daily intake is limited. These opinions resulted in low perceived needs to change behaviours. Conclusions Although previous research shows need of change in

  5. A Focus Group on Dental Pain Complaints with General Medical Practitioners: Developing a Treatment Algorithm

    PubMed Central

    Carter, Geoff; Abbey, Robyn

    2016-01-01

    Objective. The differential diagnosis of pain in the mouth can be challenging for general medical practitioners (GMPs) as many different dental problems can present with similar signs and symptoms. This study aimed to create a treatment algorithm for GMPs to effectively and appropriately refer the patients and prescribe antibiotics. Design. The study design is comprised of qualitative focus group discussions. Setting and Subjects. Groups of GMPs within the Gold Coast and Brisbane urban and city regions. Outcome Measures. Content thematically analysed and treatment algorithm developed. Results. There were 5 focus groups with 8-9 participants per group. Addressing whether antibiotics should be given to patients with dental pain was considered very important to GMPs to prevent overtreatment and creating antibiotic resistance. Many practitioners were unsure of what the different forms of dental pains represent. 90% of the practitioners involved agreed that the treatment algorithm was useful to daily practice. Conclusion. Common dental complaints and infections are seldom surgical emergencies but can result in prolonged appointments for those GMPs who do not regularly deal with these issues. The treatment algorithm for referral processes and prescriptions was deemed easily downloadable and simple to interpret and detailed but succinct enough for clinical use by GMPs. PMID:27462469

  6. A Focus Group on Dental Pain Complaints with General Medical Practitioners: Developing a Treatment Algorithm.

    PubMed

    Carter, Ava Elizabeth; Carter, Geoff; Abbey, Robyn

    2016-01-01

    Objective. The differential diagnosis of pain in the mouth can be challenging for general medical practitioners (GMPs) as many different dental problems can present with similar signs and symptoms. This study aimed to create a treatment algorithm for GMPs to effectively and appropriately refer the patients and prescribe antibiotics. Design. The study design is comprised of qualitative focus group discussions. Setting and Subjects. Groups of GMPs within the Gold Coast and Brisbane urban and city regions. Outcome Measures. Content thematically analysed and treatment algorithm developed. Results. There were 5 focus groups with 8-9 participants per group. Addressing whether antibiotics should be given to patients with dental pain was considered very important to GMPs to prevent overtreatment and creating antibiotic resistance. Many practitioners were unsure of what the different forms of dental pains represent. 90% of the practitioners involved agreed that the treatment algorithm was useful to daily practice. Conclusion. Common dental complaints and infections are seldom surgical emergencies but can result in prolonged appointments for those GMPs who do not regularly deal with these issues. The treatment algorithm for referral processes and prescriptions was deemed easily downloadable and simple to interpret and detailed but succinct enough for clinical use by GMPs. PMID:27462469

  7. Perspectives of Mobile Versus Fixed Mammography in Santa Clara County, California: A Focus Group Study

    PubMed Central

    Chang-Halpenny, Christine; Kumarasamy, Narmadan A; Venegas, Angela; Braddock III, Clarence H

    2016-01-01

    Objective: Our aim was to examine underserved women’s perceptions on mobile versus fixed mammography in Santa Clara, California through a focus group study. Background: Research has shown that medically underserved women have higher breast cancer mortality rates correlated with under-screening and a disproportional rate of late-stage diagnosis. The Community Health Partnership in Santa Clara County, California runs the Community Mammography Access Project (CMAP) that targets nearly 20,000 medically underserved women over the age of 40 in the county through the collaborative effort of an existing safety net of healthcare providers. However, little data exists on the advantages or disadvantages of mobile mammography units from the patient perspective.  Methods: We assessed underserved women’s perspectives on mammography services in Santa Clara County through two focus groups from women screened at mobile or fixed site programs. Patients were recruited from both CMAP clinics and a county hospital, and focus group data were analyzed using content analysis. Results: We found that women from both the mobile and fixed sites shared similar motivating factors for getting a mammogram. Both groups recognized that screening was uncomfortable but necessary for good health and had positive feedback about their personal physicians. However, mobile participants, in particular, appreciated the atmosphere of mobile screening, reported shorter wait times, and remarked on the good communication from the clinic staff and empathetic treatment they received. However, mobile participants also expressed concern about the quality of films at mobile sites due to delayed initial reading of the films.  Conclusions: Mobile mammography offers a unique opportunity for women of underserved populations to access high satisfaction screenings, and it encourages a model similar to CMAP in other underserved areas. However, emphasis should be placed on providing a warm and welcoming

  8. Focus group discussions on secondary variants and next-generation sequencing technologies.

    PubMed

    Christenhusz, Gabrielle M; Devriendt, Koenraad; Van Esch, Hilde; Dierickx, Kris

    2015-04-01

    The clinical application of new genetic technologies will be and already is of great benefit to children with unexplained developmental disabilities or congenital anomalies. In most cases, it will be their parents who, together with medical professionals, make decisions about what should be disclosed and how the information will be used. We conducted eight exploratory focus group discussions with stakeholders to provide a broad sketch of concerns and ideas around the communication of results from next-generation sequencing technologies involving children. Stakeholders included those with (grand-) children of various ages and those without children; those involved professionally with genetics and those who were not; and a range of ages. Participants were asked to focus on which secondary variants they would and would not want disclosed about their (hypothetical) children or themselves. While the literature often concentrates on the medical and scientific characteristics of secondary variants, focus group participants were also interested in factors involving the parent-child relationship and the broader context. This resulted in more flexibility surrounding the types of secondary variants disclosed to parents than much of the literature currently supports. In addition, participants would on occasion use the same factors to argue opposing positions. The "Family Illness Paradigms model" can help explain this seeming contradiction. This model emphasises the importance of how the family reacts to personal and family experiences of disease and loss, more than the fact of having these experiences. PMID:25662393

  9. Mothers' perceptions of children's food behaviors: use of focus group interview study

    PubMed Central

    Lee, Young-Mee; Oh, Yu-Jin; Lee, Min-June

    2008-01-01

    Children's food behaviors have been expressed in a various ways because of recent changes in their family environment. Thus, this study was performed to investigate in-depth qualitative research on the mother's perception on children's food behaviors by focused group interview. This study was designed in four steps of planning, collection of participants, process, and analysis. Participants for the focus group interview were recruited and sampled from households with elementary school students in the Seoul and Gyeonggido areas. Groups were divided by total income and education expense levels. 1) High income household: It is better to improve currently existing web sites for nutrition education. 2) Mid income household: Easy, practical, and inexpensive off-line cooking class/nutrition education classes for mothers are needed. Nutrition programs for children should be developed through mass media and be promoted in the broadcasting circle. 3) Low income household: Motivation is required for mothers' education and the serious nutritional problems of children should be informed through mass media and home correspondence from school. And interesting educational materials should be developed for children to read whenever they want. PMID:20016728

  10. Health and role functioning: the use of focus groups in the development of an item bank

    PubMed Central

    Bjorner, Jakob B.

    2013-01-01

    Background Role functioning is an important part of health-related quality of life. However, assessment of role functioning is complicated by the wide definition of roles and by fluctuations in role participation across the life-span. The aim of this study is to explore variations in role functioning across the lifespan using qualitative approaches, to inform the development of a role functioning item bank and to pilot test sample items from the bank. Methods Eight focus groups were conducted with a convenience sample of 38 English-speaking adults recruited in Rhode Island. Participants were stratified by gender and four age groups. Focus groups were taped, transcribed, and analyzed for thematic content. Results Participants of all ages identified family roles as the most important. There was age variation in the importance of social life roles, with younger and older adults rating them as more important. Occupational roles were identified as important by younger and middle-aged participants. The potential of health problems to affect role participation was recognized. Participants found the sample items easy to understand, response options identical in meaning and preferred five response choices. Conclusions Participants identified key aspects of role functioning and provided insights on their perception of the impact of health on their role participation. These results will inform item bank generation. PMID:20047086

  11. Barriers and facilitators of treatment for depression in a latino community: a focus group study.

    PubMed

    Uebelacker, Lisa A; Marootian, Beth A; Pirraglia, Paul A; Primack, Jennifer; Tigue, Patrick M; Haggarty, Ryan; Velazquez, Lavinia; Bowdoin, Jennifer J; Kalibatseva, Zornitsa; Miller, Ivan W

    2012-02-01

    We conducted focus groups with Latinos enrolled in a Medicaid health plan in order to ask about the barriers to and facilitators of depression treatment in general as well as barriers to participation in depression telephone care management. Telephone care management has been designed for and tested in primary care settings as a way of assisting physicians with caring for their depressed patients. It consists of regular brief contacts between the care manager and the patient; the care manager educates, tracks, and monitors patients with depression, coordinates care between the patient and primary care physician, and may provide short-term psychotherapy. We conducted qualitative analyses of four focus groups (n = 30 participants) composed of Latinos who endorsed having been depressed themselves or having had a close friend or family member with depression, stress, nervios, or worries. Within the area of barriers and facilitators of receiving care for depression, we identified the following themes: vulnerability, social connection and engagement, language, culture, insurance/money, stigma, disengagement, information, and family. Participants discussed attitudes toward: importance of seeking help for depression, specific types of treatments, healthcare providers, continuity and coordination of care, and phone calls. Improved understanding of barriers and facilitators of depression treatment in general and depression care management in particular for Latinos enrolled in Medicaid should lead to interventions better able to meet the needs of this particular group. PMID:21267653

  12. Nurses' perceptions and experiences of communication in the operating theatre: a focus group interview

    PubMed Central

    Nestel, Debra; Kidd, Jane

    2006-01-01

    Abstract Nurses' perceptions and experiences of communication in the operating theatre: a focus group interview Background Communication programmes are well established in nurse education. The focus of programmes is most often on communicating with patients with less attention paid to inter-professional communication or skills essential for working in specialised settings. Although there are many anecdotal reports of communication within the operating theatre, there are few empirical studies. This paper explores communication behaviours for effective practice in the operating theatre as perceived by nurses and serves as a basis for developing training. Methods A focus group interview was conducted with seven experienced theatre nurses from a large London teaching hospital. The interview explored their perceptions of the key as well as unique features of effective communication skills in the operating theatre. Data was transcribed and thematically analysed until agreement was achieved by the two authors. Results There was largely consensus on the skills deemed necessary for effective practice including listening, clarity of speech and being polite. Significant influences on the nature of communication included conflict in role perception and organisational issues. Nurses were often expected to work outside of their role which either directly or indirectly created barriers for effective communication. Perceptions of a lack of collaborative team effort also influenced communication. Conclusion Although fundamental communication skills were identified for effective practice in the operating theatre, there were significant barriers to their use because of confusion over clarity of roles (especially nurses' roles) and the implications for teamwork. Nurses were dissatisfied with several aspects of communication. Future studies should explore the breadth and depth of this dissatisfaction in other operating theatres, its impact on morale and importantly on patient safety

  13. Weight Loss Maintenance in African–American Women: Focus Group Results and Questionnaire Development

    PubMed Central

    Goodrick, G. Kenneth; Pavlik, Valory; Markesino, Jennifer; Laws, Donna Y.; Taylor, Wendell C.

    2007-01-01

    BACKGROUND African-American women are disproportionately affected by obesity. Weight loss can occur, but maintenance is rare. Little is known about weight loss maintenance in African-American women. OBJECTIVES (1) To increase understanding of weight loss maintenance in African-American women; (2) to use the elicitation procedure from the theory of planned behavior (TPB) to define the constructs of attitude, subjective norms, and perceived behavioral control regarding weight loss and maintenance; and (3) to help develop a relevant questionnaire that can be used to explore weight loss and maintenance in a large sample of African Americans. DESIGN Seven focus groups were conducted with African-American women: four with women successful at weight loss maintenance, three with women who lost weight but regained it. Discussions centered on weight loss and maintenance experiences. PARTICIPANTS Thirty-seven African-American women. APPROACH Content analysis of focus group transcripts. RESULTS Weight loss maintainers lost 22% of body weight. They view positive support from others and active opposition to cultural norms as critical for maintenance. They struggle with weight regain, but have strategies in place to lose weight again. Some maintainers struggle with being perceived as sick or too thin at their new weight. Regainers and maintainers struggle with hairstyle management during exercise. The theoretical constructs from TPB were defined and supported by focus group content. CONCLUSIONS A weight loss questionnaire for African Americans should include questions regarding social support in weight maintenance, the importance of hair management during exercise, the influence of cultural norms on weight and food consumption, and concerns about being perceived as too thin or sick when weight is lost. PMID:17415617

  14. "People are all about appearances": A focus group of teenagers with Moebius Syndrome.

    PubMed

    Bogart, Kathleen R

    2015-12-01

    This focus group study examined the social experiences of 10 adolescents aged 12-17 years with Moebius Syndrome, a rare condition involving congenital facial paralysis. Content analysis revealed five themes: social engagement/disengagement, resilience/sensitivity, social support/stigma, being understood/misunderstood, and public awareness/lack of awareness of Moebius Syndrome. Compared to previous research on adults with Moebius Syndrome, adolescents were more likely to experience bullying and social strain. Like adults, teenagers displayed resilience and communication skills. Greater public awareness is key to reducing the stigma associated with this condition, and social skills programs should be developed to support those who struggle with social functioning. PMID:24423573

  15. The Women’s Recovery Group Study: A Stage I trial of women-focused group therapy for substance use disorders versus mixed-gender group drug counseling

    PubMed Central

    Greenfield, Shelly F.; Trucco, Elisa M.; McHugh, R. Kathryn; Lincoln, Melissa; Gallop, Robert J.

    2013-01-01

    The aim of this Stage I Behavioral Development Trial was to develop a manual-based 12-session Women’s Recovery Group (WRG) and to pilot test this new treatment in a randomized controlled trial against a mixed-gender Group Drug Counseling (GDC), an effective manual-based treatment for substance use disorders. After initial manual development, two pre-pilot groups of WRG were conducted to determine feasibility and initial acceptability of the treatment among subjects and therapists. In the pilot stage, women were randomized to either WRG or GDC. No significant differences in substance use outcomes were found between WRG and GDC during the 12-week group treatment. However, during the 6-month post-treatment follow-up, WRG members demonstrated a pattern of continued reductions in substance use while GDC women did not. In addition, pilot WRG women with alcohol dependence had significantly greater reductions in average drinks/drinking day than GDC women 6 months post-treatment (p < .03, effect size = 0.81). While satisfaction with both groups was high, women were significantly more satisfied with WRG than GDC (p < .009, effect size = 1.11). In this study, the newly developed 12-session women-focused WRG was feasible with high satisfaction among participants. It was equally effective as mixed-gender GDC in reducing substance use during the 12-week in-treatment phase, but demonstrated significantly greater improvement in reductions in drug and alcohol use over the post-treatment follow-up phase compared with GDC. A women-focused single-gender group treatment may enhance longer-term clinical outcomes among women with substance use disorders. PMID:17446014

  16. In-Person Versus Online Focus Group Discussions: A Comparative Analysis of Data Quality.

    PubMed

    Woodyatt, Cory R; Finneran, Catherine A; Stephenson, Rob

    2016-05-01

    Online focus group discussions (FGDs) are becoming popular as a qualitative research method. Methodological examinations regarding the data quality of online versus more traditional in-person FGDs are limited. We compared two online FGDs with two in-person FGDs conducted with gay and bisexual men using a sensitive topic (the experience of intimate partner violence) to examine differences in data quality between the two methods. The online FGDs resulted in larger word count but were shorter in time than the in-person FGDs. There was high overlap in the themes generated across groups; however, the online discussions yielded one additional theme regarding a sensitive topic. In-person FGDs involved less sharing of in-depth stories, whereas sensitive topics were discussed more candidly in the online FGDs. The results illustrate that although theformatof the data generated from each type of FGD may differ, thecontentof the data generated is remarkably similar. PMID:26935719

  17. Transitioning from traditional to green cleaners: an analysis of custodian and manager focus groups.

    PubMed

    Simcox, Nancy; Wakai, Sara; Welsh, Loyola; Westinghouse, Carol; Morse, Tim

    2012-01-01

    Custodians represent one of the largest occupational groups using cleaning agents, and yet their voices are infrequently heard in relation to the introduction of "green" cleaners and the laws regarding environmentally preferable products (EPP). This study reflects worker voices on use and effectiveness of chemicals, as well as incentives and obstacles for green cleaning programs. Sixty-four custodians and staff participated in 10 focus groups. Data were entered into Atlas Ti and the constant comparative method of qualitative data analysis was used to identify themes. Themes included satisfaction in a "well-done" job, more effort required for job, lack of involvement in EPP selection process, EPP's ease of use for workers with English as a Second Language (ESL), misuse of disinfectants, health complaints, and need for training. This study shows that custodians have a voice, and that improved communication and feedback among all the stakeholders are needed to make the transition to green cleaning more effective. PMID:23380255

  18. Barriers for recess physical activity: a gender specific qualitative focus group exploration

    PubMed Central

    2014-01-01

    Background Many children, in particular girls, do not reach the recommended amount of daily physical activity. School recess provides an opportunity for both boys and girls to be physically active, but barriers to recess physical activity are not well understood. This study explores gender differences in children’s perceptions of barriers to recess physical activity. Based on the socio-ecological model four types of environmental barriers were distinguished: natural, social, physical and organizational environment. Methods Data were collected through 17 focus groups (at 17 different schools) with in total 111 children (53 boys) from fourth grade, with a mean age of 10.4 years. The focus groups included an open group discussion, go-along group interviews, and a gender segregated post-it note activity. A content analysis of the post-it notes was used to rank the children’s perceived barriers. This was verified by a thematic analysis of transcripts from the open discussions and go-along interviews. Results The most frequently identified barriers for both boys and girls were weather, conflicts, lack of space, lack of play facilities and a newly-found barrier, use of electronic devices. While boys and girls identified the same barriers, there were both inter- and intra-gender differences in the perception of these barriers. Weather was a barrier for all children, apart from the most active boys. Conflicts were perceived as a barrier particularly by those boys who played ballgames. Girls said they would like to have more secluded areas added to the school playground, even in large schoolyards where lack of space was not a barrier. This aligned with girls’ requests for more “hanging-out” facilities, whereas boys primarily wanted activity promoting facilities. Conclusion Based on the results from this study, we recommend promoting recess physical activity through a combination of actions, addressing barriers within the natural, social, physical and

  19. Focus group discussions on the coverage of the southern separatist movement crisis in Yemeni newspapers.

    PubMed

    Al-Majdhoub, Fatima Mohamed; Hamzah, Azizah Binti; Ariffin, Moh Yahya

    2015-01-01

    A qualitative method using focus group discussions (FGDs) was applied in this study to identify people's perceptions on newspaper reporting pertaining to the Southern Separatist Movement (SSM) by different Yemeni newspapers. This paper also looked into the attitudes towards the movement and the popularity of the issue of Yemeni unification. Five FGD groups with a total of 30 participants discussed the subject and some other aspects related to it. The findings of the focu19 groups showed that the southern crisis and SSM had shaken the people's trust on the current form of the unity. The discussion with the groups revealed that media in general and the selected four papers from various political persuasions have no credibility and objectivity, but these papers are trying to instill democratic values which is consistent with their ideology, which have a serious impact on the value of liberal democracy. The participants assured that reporting on the southern cause and the SSM indicated the absence of professional journalism in the media and the political discourse in general. PMID:26110101

  20. Stakeholders’ Perceptions on Shortage of Healthcare Workers in Primary Healthcare in Botswana: Focus Group Discussions

    PubMed Central

    Nkomazana, Oathokwa; Mash, Robert; Shaibu, Sheila; Phaladze, Nthabiseng

    2015-01-01

    Background An adequate health workforce force is central to universal health coverage and positive public health outcomes. However many African countries have critical shortages of healthcare workers, which are worse in primary healthcare. The aim of this study was to explore the perceptions of healthcare workers, policy makers and the community on the shortage of healthcare workers in Botswana. Method Fifteen focus group discussions were conducted with three groups of policy makers, six groups of healthcare workers and six groups of community members in rural, urban and remote rural health districts of Botswana. All the participants were 18 years and older. Recruitment was purposive and the framework method was used to inductively analyse the data. Results There was a perceived shortage of healthcare workers in primary healthcare, which was believed to result from an increased need for health services, inequitable distribution of healthcare workers, migration and too few such workers being trained. Migration was mainly the result of unfavourable personal and family factors, weak and ineffective healthcare and human resources management, low salaries and inadequate incentives for rural and remote area service. Conclusions Botswana has a perceived shortage of healthcare workers, which is worse in primary healthcare and rural areas, as a result of multiple complex factors. To address the scarcity the country should train adequate numbers of healthcare workers and distribute them equitably to sufficiently resourced healthcare facilities. They should be competently managed and adequately remunerated and the living conditions and rural infrastructure should also be improved. PMID:26284617

  1. Prescribing attitudes, behaviors and opinions regarding metformin for patients with diabetes: a focus group study

    PubMed Central

    Trinkley, Katy E.; Malone, Daniel C.; Nelson, Jennifer A.; Saseen, Joseph J.

    2016-01-01

    Background: The purpose of this study was to identify the reasons why metformin prescribing is suboptimal. Methods: Two semi-structured focus groups with attitudinal questionnaires and a brief educational presentation were held in two US cities. Participants included providers (physicians, pharmacists, midlevel practitioners) caring for patients with type 2 diabetes mellitus (T2DM) in an ambulatory setting. Outcome measures included provider attitudes, behaviors and opinions regarding the use of metformin. Results: Participants identified three main themes influencing the use of metformin, including the appropriate timing of metformin initiation, known risks associated with metformin, and procedures to manage safety concerns and mitigate adverse effects associated with metformin. Participant prescribing behaviors of metformin were not consistent with the best available evidence in the settings of renal insufficiency, heart failure, hepatic dysfunction, alcohol use, and lactic acidosis. With minimal education, provider prescribing behaviors appeared to change by the end of the focus group to align more closely with the best available evidence. Conclusions: Provider attitudes, behaviors and opinions regarding the use of metformin for T2DM reveals the need for further education to improve appropriate use of metformin. Educational interventions should target prescribing behaviors and opinions identified to be inconsistent with the evidence. PMID:27583122

  2. Focus group study assessing self-management skills of Chinese Americans with type 2 diabetes mellitus.

    PubMed

    Wang, Yue; Chuang, Les; Bateman, William B

    2012-10-01

    Despite a rapid growth of Type 2 diabetes mellitus in Chinese Americans, the management of diabetes in this population is yet understudied. This pilot study attempts a first step in seeking solutions to decrease demand for health services in this population by improving patients' self-care. Focus groups were conducted in well-controlled (HbA1c < 7) and poorly-controlled (HbA1c > 8) Chinese Americans with Type 2 DM who were asked about their knowledge and self-care skills of diabetes as well as experience of living with the disease. Well-controlled had more insights in their illness and were more inquisitive, while poorly-controlled were more fixated on symptoms and side effects of treatments. Common themes for both groups included interest in diet and Traditional Chinese Medicine. The findings provide valuable information to design a survey instrument to more definitively assess self-care skills differentiating levels of control, suggest that changing attitudes and behaviors need to be a stronger focus in care and identify needs to provide more culturally appropriate materials to care for this population. PMID:21877209

  3. Supervisors' Strategies to Facilitate Work Functioning among Employees with Musculoskeletal Complaints: A Focus Group Study

    PubMed Central

    Ask, Tove; Magnussen, Liv Heide

    2015-01-01

    Aim. To explore what strategies the supervisors found beneficial to prevent or reduce sickness absence among employees with musculoskeletal complaints. Methods. Five focus groups were conducted and 26 supervisors from health and social sector participated. Commonly used strategies to prevent sickness absence and interdisciplinary cooperation in this work were discussed in the focus groups. Systematic text condensation was used to analyse the data. Results. The supervisors described five strategies for sick leave management: (1) promoting well-being and a healthy working environment, (2) providing early support and adjustments, (3) making employees more responsible, (4) using confrontational strategies in relation to employees on long-term sick leave, and (5) cooperation with general practitioners (GPs). Conclusions. Strategies of promoting a healthy working environment and facilitating early return to work were utilised in the follow-up of employees with musculoskeletal complaints. Supportive strategies were found most useful especially in the early phases, while finding a balance between being supportive, on one side, and confronting the employee, on the other, was endeavoured in cases of recurrent or long-term sick leave. Further, the supervisors requested a closer cooperation with the GPs, which they believed would facilitate return to work. PMID:26380370

  4. Barriers and Facilitators to Effective Feedback: A Qualitative Analysis of Data From Multispecialty Resident Focus Groups

    PubMed Central

    Reddy, Shalini T.; Zegarek, Matthew H.; Fromme, H. Barrett; Ryan, Michael S.; Schumann, Sarah-Anne; Harris, Ilene B.

    2015-01-01

    Background Despite the importance of feedback, the literature suggests that there is inadequate feedback in graduate medical education. Objective We explored barriers and facilitators that residents in anesthesiology, emergency medicine, obstetrics and gynecology, and surgery experience with giving and receiving feedback during their clinical training. Methods Residents from 3 geographically diverse teaching institutions were recruited to participate in focus groups in 2012. Open-ended questions prompted residents to describe their experiences with giving and receiving feedback, and discuss facilitators and barriers. Data were transcribed and analyzed using the constant comparative method associated with a grounded theory approach. Results A total of 19 residents participated in 1 of 3 focus groups. Five major themes related to feedback were identified: teacher factors, learner factors, feedback process, feedback content, and educational context. Unapproachable attendings, time pressures due to clinical work, and discomfort with giving negative feedback were cited as major barriers in the feedback process. Learner engagement in the process was a major facilitator in the feedback process. Conclusions Residents provided insights for improving the feedback process based on their dual roles as teachers and learners. Time pressures in the learning environment may be mitigated by efforts to improve the quality of teacher-learner relationships. Forms for collecting written feedback should be augmented by faculty development to ensure meaningful use. Efforts to improve residents' comfort with giving feedback and encouraging learners to engage in the feedback process may foster an environment conducive to increasing feedback. PMID:26221437

  5. Usefulness of Patients-Reported Outcomes in Rheumatoid Arthritis Focus Group

    PubMed Central

    Amaya-Amaya, Jenny; Botello-Corzo, Diana; Calixto, Omar-Javier; Calderón-Rojas, Rolando; Domínguez, Aura-Maria; Cruz-Tapias, Paola; Montoya-Ortiz, Gladis; Mantilla, Ruben-Dario; Anaya, Juan-Manuel; Rojas-Villarraga, Adriana

    2012-01-01

    Objective. Patient-reported outcomes (PROs) have become an essential part of the assessment of patients with rheumatoid arthritis (RA). We aimed to evaluate the agreement and correlation between PROs and the physician's measurements. Methods. This was a cross-sectional analytical study in which 135 patients with RA were clinically evaluated during two different sessions of focus group interviews. Rheumatologist recorded 28 swollen (SJCs) and tender joint counts (TJCs). The patients filled out the PROs instruments (MDHAQ, RADAI, RAPID3, 4, and 5 and self-report articular index (SAI) diagram for pain and joint swelling). DAS28 was calculated (C-reactive protein). An adjusted multiple lineal regression model was done (DAS28 as dependent variable). Results. Highly significant agreements were found between SJC and TJC registered by the physician and patient. There was moderate correlation between DAS28 with patient SJC (r = 0.52), patient TJC (r = 0.55), RADAI (r = 0.56), RAPID3 (r = 0.52), RAPID4 (r = 0.56), RAPID5 (r = 0.66), and VAS-Global (r = 0.51). Likewise, we found moderate to high correlations between CDAI and SDAI with all variable measurements done by the patients. The resulting predictive equation was DAS28(CRP) = 2.02 + 0.037 × RAPID4 + 0.042× patient SJC. Conclusion. PROs applied in focus groups interview are a useful tool for managing patients with RA regardless of gender, educational level, and duration of disease. PMID:23097701

  6. Features of Effective Medical Knowledge Resources to Support Point of Care Learning: A Focus Group Study

    PubMed Central

    Cook, David A.; Sorensen, Kristi J.; Hersh, William; Berger, Richard A.; Wilkinson, John M.

    2013-01-01

    Objective Health care professionals access various information sources to quickly answer questions that arise in clinical practice. The features that favorably influence the selection and use of knowledge resources remain unclear. We sought to better understand how clinicians select among the various knowledge resources available to them, and from this to derive a model for an effective knowledge resource. Methods We conducted 11 focus groups at an academic medical center and outlying community sites. We included a purposive sample of 50 primary care and subspecialist internal medicine and family medicine physicians. We transcribed focus group discussions and analyzed these using a constant comparative approach to inductively identify features that influence the selection of knowledge resources. Results We identified nine features that influence users' selection of knowledge resources, namely efficiency (with sub-features of comprehensiveness, searchability, and brevity), integration with clinical workflow, credibility, user familiarity, capacity to identify a human expert, reflection of local care processes, optimization for the clinical question (e.g., diagnosis, treatment options, drug side effect), currency, and ability to support patient education. No single existing resource exemplifies all of these features. Conclusion The influential features identified in this study will inform the development of knowledge resources, and could serve as a framework for future research in this field. PMID:24282535

  7. Concerns about contraceptive side effects among young Latinas: a focus-group approach.

    PubMed

    Gilliam, Melissa L; Warden, Meredith; Goldstein, Chava; Tapia, Beatriz

    2004-10-01

    To identify perceptions and attitudes about contraceptive side effects in young, low-income Latina adolescents through focus-group conversations. We conducted seven focus-group discussions with Latino females in an outpatient clinic and community setting. Qualitative methodology was used to analyze data. Participants were recruited from the outpatient gynecology clinic at the University of Illinois at Chicago, and from the Easter Seals Day Care Center. Women were recruited if they were Latino and between the ages of 18 and 26 years (N = 40). Participants cited both perceptions of side effects as well as personal experience with side effects as reasons for not using or discontinuing the use of contraception. Women also demonstrated incorrect knowledge about contraception, and tended to value anecdotal information over information from health professionals. These factors led to reliance on less-effective methods of contraception, placing participants at risk for unintended pregnancy. Concern about side effects, fear of health consequences and misinformation were identified as barriers to effective contraceptive use in young, low-income Latinas. Providers caring for this population should address potential concerns about side effects of contraception as well as assess patients' understanding in light of cultural and language barriers. PMID:15451334

  8. Sexual Abuse of Older Residents in Nursing Homes: A Focus Group Interview of Nursing Home Staff

    PubMed Central

    Iversen, Maria Helen; Kilvik, Astrid; Malmedal, Wenche

    2015-01-01

    The objective of this study was to increase knowledge of sexual abuse against older residents in nursing homes. A qualitative approach was used. Through a focus group interview with staff in nursing homes, the aim was to reveal employees' thoughts, experiences, and attitudes. Findings from the focus group interview show that sexual abuse of older residents is a taboo topic among health professionals. Acts of sexual abuse are difficult to imagine; it is hard to believe that it occurs. The fact that staff are not aware that it could happen, or have a hard time believing that it actually happens, can amplify the residents' vulnerable position as potential victims of abuse, and it makes it even more challenging to report or uncover such acts. The study highlights the need for education of all health care workers in Norway as well as more research on sexual abuse against older residents in nursing homes. Furthermore, there is a need for good policies and reporting systems, as an important step towards addressing sexual abuse of the aged in a more appropriate way. Further research must aim to reveal more about this taboo area. PMID:26078879

  9. A preceptor focus group approach to evaluation of a dietetic internship.

    PubMed

    Kruzich, Laurie A; Anderson, Jean; Litchfield, Ruth E; Wohlsdorf-Arendt, Susan; Oakland, Mary Jane

    2003-07-01

    Geographical dispersion of preceptors within dietetic internship programs creates educational challenges. Iowa State University's dietetic internship utilizes preceptors from more than 90 facilities statewide. Three preceptor focus groups were conducted to identify strengths and areas needing improvement in the internship, including preceptor and intern needs and expectations. Of the more than 90 preceptors representing medical nutrition therapy, foodservice management, and community nutrition, 36 were contacted and 18 preceptors participated, resulting in 5 to 7 participants per focus group. Emerging themes included effective feedback; preceptor networking; and communication between internship program/faculty, interns, and preceptors. Geographic isolation and minimal use of Internet-based resources may contribute to these themes. Whereas the majority of preceptors had access to the Internet, only 7 (38%) had accessed the Internet-based resources provided by the program. Preceptor suggestions can provide new perspectives for enhancing the learning environment. Regional workshops and e-mail list-serves can help facilitate communication and networking among preceptors. PMID:12830030

  10. Optimizing a Text Message Intervention to Reduce Heavy Drinking in Young Adults: Focus Group Findings

    PubMed Central

    Kristan, Jeffrey; Person Mecca, Laurel; Chung, Tammy; Clark, Duncan B

    2016-01-01

    Background Recent trial results show that an interactive short message service (SMS) text message intervention, Texting to Reduce Alcohol Consumption (TRAC), is effective in reducing heavy drinking in non-treatment-seeking young adults, but may not be optimized. Objective To assess the usability of the TRAC intervention among young adults in an effort to optimize future intervention design. Methods We conducted five focus groups with 18 young adults, aged 18-25 years, who had a history of heavy drinking and had been randomized to 12 weeks of the TRAC intervention as part of a clinical trial. A trained moderator followed a semistructured interview guide. Focus groups were audiotaped, transcribed, and analyzed to identify themes. Results We identified four themes regarding user experiences with the TRAC intervention: (1) ease of use, (2) comfort and confidentiality, (3) increased awareness of drinking behavior, and (4) accountability for drinking behavior. Participants’ comments supported the existing features of the TRAC intervention, as well as the addition of other features to increase personalization and continuing engagement with the intervention. Conclusions Young adults perceived the TRAC intervention as a useful way to help them reduce heavy drinking on weekends. Components that promote ease of use, ensure confidentiality, increase awareness of alcohol consumption, and increase accountability were seen as important. PMID:27335099

  11. Exploring Sources of Emotional Distress among People Living with Scleroderma: A Focus Group Study

    PubMed Central

    Gumuchian, Stephanie T.; Peláez, Sandra; Delisle, Vanessa C.; Carrier, Marie-Eve; Jewett, Lisa R.; El-Baalbaki, Ghassan; Fortune, Catherine; Hudson, Marie; Impens, Ann; Körner, Annett; Persmann, Jennifer; Kwakkenbos, Linda; Bartlett, Susan J.; Thombs, Brett D.

    2016-01-01

    Background Systemic sclerosis, or scleroderma, is a chronic and rare connective tissue disease with negative physical and psychological implications. Sources of emotional distress and the impact they have on the lives of people with scleroderma are not well understood. Objectives To gain an in-depth understanding of the emotional experiences and sources of emotional distress for women and men living with scleroderma through focus group discussions. Methods Three semi-structured focus group discussions were conducted (two in English, one in French) with a total of 22 people with scleroderma recruited through the Scleroderma Society of Ontario in Hamilton, Ontario and a scleroderma clinic in Montreal, Canada. Interviews were recorded, transcribed, and then coded for emerging themes using thematic inductive analysis. Results Core themes representing sources of emotional distress were identified, including: (a) facing a new reality; (b) the daily struggle of living with scleroderma; (c) handling work, employment and general financial burden; (d) changing family roles; (e) social interactions; and (f) navigating the health care system. Collectively, these themes refer to the stressful journey of living with scleroderma including the obstacles faced and the emotional experiences beginning prior to receiving a diagnosis and continuing throughout the participants’ lives. Conclusion Scleroderma was portrayed as being an unpredictable and overwhelming disease, resulting in many individuals experiencing multiple sources of emotional distress. Interventions and supportive resources need to be developed to help individuals with scleroderma and people close to them manage and cope with the emotional aspects of the disease. PMID:27008209

  12. Manufacturing individual opinions: market research focus groups and the discursive psychology of evaluation.

    PubMed

    Puchta, Claudia; Potter, Jonathan

    2002-09-01

    This article addresses a paradox. On the one hand, discourse and rhetorical studies have provided evidence that evaluative talk is both variable and rhetorically organized. On the other hand, a wide range of social psychological research is produced that both presupposes and finds evidence of enduring underlying attitudes. One explanation for this may be that, on some occasions at least, the results of attitude research are a consequence of procedures that restrict and refine from everyday evaluative practices in a way that ensures the 'discovery' of underlying attitudes. The article explores this explanation in one domain where there is a major practical concern with attitudes and opinions, namely market research focus groups. Detailed analysis of transcripts of eight market research focus groups identifies three procedures that moderators use to produce freestanding opinion packages: (a). they display rhetorically embedded evaluations as inconsequential; (b). they provide formal guidance for participants to produce freestanding opinions; and (c). they formulate participants' talk as freestanding opinions, stripping off rhetorical elements. The findings are supported by considering deviant cases. This illustrates one way in which evaluations are transformed into freestanding attitudes. More broadly, it contributes to a body of work that studies how social science methods work in practice. PMID:12419007

  13. Evaluation of Cueing Innovation for Pressure Ulcer Prevention Using Staff Focus Groups

    PubMed Central

    Yap, Tracey L.; Kennerly, Susan; Corazzini, Kirsten; Porter, Kristie; Toles, Mark; Anderson, Ruth A.

    2014-01-01

    The purpose of the manuscript is to describe long-term care (LTC) staff perceptions of a music cueing intervention designed to improve staff integration of pressure ulcer (PrU) prevention guidelines regarding consistent and regular movement of LTC residents a minimum of every two hours. The Diffusion of Innovation (DOI) model guided staff interviews about their perceptions of the intervention’s characteristics, outcomes, and sustainability. Methods: This was a qualitative, observational study of staff perceptions of the PrU prevention intervention conducted in Midwestern U.S. LTC facilities (N = 45 staff members). One focus group was held in each of eight intervention facilities using a semi-structured interview protocol. Transcripts were analyzed using thematic content analysis, and summaries for each category were compared across groups. Results: The a priori codes (observability, trialability, compatibility, relative advantage and complexity) described the innovation characteristics, and the sixth code, sustainability, was identified in the data. Within each code, two themes emerged as a positive or negative response regarding characteristics of the innovation. Moreover, within the sustainability code, a third theme emerged that was labeled “brainstormed ideas”, focusing on strategies for improving the innovation. Implications: Cueing LTC staff using music offers a sustainable potential to improve PrU prevention practices, to increase resident movement, which can subsequently lead to a reduction in PrUs.

  14. Strategies for Sharing Scientific Research on Sea Level Rise: Suggestions from Stakeholder Focus Groups

    NASA Astrophysics Data System (ADS)

    DeLorme, D.; Hagen, S. C.; Stephens, S. H.

    2013-12-01

    This presentation reports results of focus groups with coastal resource managers on suggestions for effectively sharing sea level rise (SLR) scientific research with the public and other target audiences. The focus groups were conducted during three annual stakeholder workshops as an important and innovative component of an ongoing five-year multi-disciplinary NOAA-funded project, Ecological Effects of Sea Level Rise in the Northern Gulf of Mexico (EESLR-NGOM). The EESLR-NGOM project is assessing SLR risks to the natural and built environment along the Mississippi, Alabama, and Florida Panhandle coasts. The purpose was to engage stakeholders (e.g., coastal resource managers) in helping target, translate, and tailor the EESLR-NGOM project's scientific findings and emerging products so they are readily accessible, understandable, and useful. The focus groups provided insight into stakeholders' SLR informational and operational needs, solicited input on the project's products, and gathered suggestions for public communication and outreach. A total of three ninety-minute focus groups of between eight and thirteen participants each were conducted at annual workshops in Alabama, Florida, and Mississippi. The moderator asked a series of open-ended questions about SLR-related topics using an interview guide and encouraged participant interaction. All focus group audio-recordings were transcribed, and analyzed by carefully reading the 102 total pages of transcript data and identifying patterns and themes. Participants thought outreach about SLR impact and the EESLR-NGOM project scientific research/products was vital and acknowledged various communication challenges and opportunities. They identified three target audiences (local officials, general public, coastal resource managers themselves) that likely require different educational efforts and tools. Participants felt confident the EESLR-NGOM project products will benefit their resource planning and decision making and

  15. Anatomy by whole body dissection: a focus group study of students’ learning experience

    PubMed Central

    Burgess, Annette; Ramsey-Stewart, George

    2015-01-01

    Background The social construction of knowledge within medical education is essential for learning. Students’ interactions within groups and associated learning artifacts can meaningfully impact learning. Situated cognition theory poses that knowledge, thinking, and learning are located in experience. In recent years, there has been a reported decline in time spent on anatomy by whole body dissection (AWBD) within medical programs. However, teaching by surgeons in AWBD provides unique opportunities for students, promoting a deeper engagement in learning. In this study, we apply situated cognition theory as a conceptual framework to explore students’ perceptions of their learning experience within the 2014 iteration of an 8-week elective AWBD course. Methods At the end of the course, all students (n=24) were invited to attend one of three focus groups. Framework analysis was used to code and categorize data into themes. Results In total, 20/24 (83%) students participated in focus groups. Utilizing situated cognition theory as a conceptual framework, we illustrate students’ learning experiences within the AWBD course. Students highlighted opportunities to create and reinforce their own knowledge through active participation in authentic dissection tasks; guidance and clinical context provided by surgeons as supervisors; and the provision of an inclusive learning community. Conclusion Situated cognition theory offers a valuable lens through which to view students’ learning experience in the anatomy dissection course. By doing so, the importance of providing clinical relevance to medical teaching is highlighted. Additionally, the value of having surgeons teach AWBD and the experience they share is illustrated. The team learning course design, with varying teaching methods and frequent assessments, prompting student–student and student–teacher interaction, was also beneficial for student learning. PMID:26345392

  16. Experimenting Clinical Pathways in General Practice: a Focus Group Investigation with Italian General Practitioners

    PubMed Central

    Zannini, Lucia; Cattaneo, Cesarina; Peduzzi, Paolo; Lopiccoli, Silvia; Auxilia, Francesco

    2012-01-01

    Background Clinical governance is considered crucial in primary care. Since 2005, clinical pathways have been experimentally implemented at the Local Health Authority of Monza Brianza (ASLMB), Italy, to develop general practitioners’ (GPs) care of patients affected by some chronic diseases. The experimentation was aimed at introducing clinical governance in primary care, increasing GPs’ involvement in the care of their patients, and improving both patients’ and professionals’ satisfaction. In the period 2005-2006, 12% of the 763 employed GPs in the ASLMB were involved in the experiment, while this percentage increased to 15-20% in 2007-2008. Design and Methods Twenty-four GPs were purposively sampled, randomly divided into two groups and asked to participate in focus groups (FGs) held in 2008, aimed at evaluating their perception of the experiment. The FGs were audio-recorded, dialogues were typed out and undergone to a thematic analysis, according to the Interpretative Phenomenological Approach. Results Four major themes emerged: i) clinical pathways can result in GPs working in a more efficient and effective fashion; ii) they can assure higher levels of both patient and professional satisfaction, since they sustain a caring approach and strengthen the GPs’ role; iii) nevertheless, clinical pathways increase the bureaucratic workload and problems can arise in relationships among GPs and the LHA; iv) the implementation of clinical pathways can be improved, especially by reducing bureaucracy and by assuring their continuity. Conclusions Managerial aspects should be considered with care in order to experimentally introduce clinical pathways in general practice, and continuity of the experimentation should be guaranteed to improve GPs’ adherence and commitment. Acknowledgments the Authors thank Dr. AP. Cantù and Dr D. Cereda who participated in the two focus groups as observers. PMID:25181354

  17. Using focus groups to identify factors affecting healthy weight maintenance in college men.

    PubMed

    Walsh, Jennifer R; White, Adrienne A; Greaney, Mary L

    2009-06-01

    Healthful eating and physical activity are important for healthy weight maintenance. The hypothesis for this study was that college-aged men would perceive factors affecting eating and physical activity as both contributing to and inhibiting healthy weight maintenance. The overall objective was to explore how men view weight maintenance in the context of these aspects. Subjects (n = 47, mean age = 20.3 +/- 1.7 years) completed an online survey, including the 51-item Three-Factor Eating Questionnaire, and participated in 1 of 6 focus groups. Three face-to-face and 3 online synchronous groups were conducted using a 15-question discussion guide to identify weight maintenance issues around eating, physical activity, and body perceptions. Weight satisfaction decreased with increase in both dietary restraint and disinhibition. Number of attempts to lose weight was positively associated with BMI (r [44] = .465, P = .01) and dietary restraint (r [44] = .515, P = .01). Findings from both focus group formats were similar. Motivators (sports performance/fitness, self-esteem, attractiveness, long-term health) were similar for eating healthfully and being physically active; however, more motivators to be physically active than to eat healthfully emerged. Enablers for eating healthfully included liking the taste, availability of healthful foods, using food rules to guide intake, having a habit of healthful eating, and internal drive/will. Barriers to healthful eating included fat in dairy foods, fruit and vegetable taste, and quick spoilage. Barriers to being physically active included lack of time/time management, obligations, being lazy, and girlfriends. Results may be used to inform future obesity prevention interventions. PMID:19628102

  18. Snus user identity and addiction. A Swedish focus group study on adolescents

    PubMed Central

    2012-01-01

    Background The teenage years are the years when adolescents seek their identity, and part of this involves experimenting with tobacco. The use of tobacco as such, and norms among their friends, is more important to the adolescents than the norms of parents when it comes to using tobacco or not. The aim was to explore the significance of using snus for adolescents, and attitudes to snus, as well as the reasons why they began using snus and what maintained and facilitated the use of snus. Methods Adolescents who use snus were interviewed in focus groups. The material was analysed using content analysis. Results Four groups of boys and one group of girls were interviewed, a total of 27 students from the upper secondary vocational program. Three themes related to the students’ opinions on and experiences of using snus were found: Circumstances pertaining to snus debut indicate what makes them start using snus. Upholding, which focuses on the problem of becoming addicted and development of identity, and approach, where the adolescents reflect on their snus habits in relation to those around them. A number of factors were described as relevant to behaviour and norm building for the development into becoming a snus user. Attitudes and actions from adults and friends as well as – for the boys – development of an identity as a man and a craftsman influenced behaviour. Conclusions The results showed that development of identity was of major importance when adolescents start using snus. The adolescents were initially unable to interpret the early symptoms of abstinence problems, but subsequently became well aware of being addicted. Once they were stuck in addiction and in the creation of an image and identity, it was difficult to stop using snus. These factors are important when considering interventions of normative changes and tobacco prevention in schools as well as among parents. PMID:23148521

  19. Public perception of drinking water from private water supplies: focus group analyses

    PubMed Central

    Jones, Andria Q; Dewey, Catherine E; Doré, Kathryn; Majowicz, Shannon E; McEwen, Scott A; Waltner-Toews, David; Henson, Spencer J; Mathews, Eric

    2005-01-01

    Background Over four million Canadians receive their drinking water from private water supplies, and numerous studies report that these supplies often exceed the minimal acceptable standards for contamination. Canadians in rural areas test their water intermittently, if at all, and treatment of water from private supplies is not common. Understanding the perceptions of drinking water among residents served by private systems will enable public health professionals to better target education and outreach activities, and to address the needs and concerns of residents in their jurisdictions. The purpose of this study was to explore the drinking water perceptions and self-described behaviours and needs of participants served by private water systems in the City of Hamilton, Ontario (Canada). Methods In September 2003, three focus group discussions were conducted; two with men and women aged 36–65 years, and one with men and women 20–35 years of age. Results Overall, participants had positive perceptions of their private water supplies, particularly in the older age group. Concerns included bacterial and chemical contamination from agricultural sources. Testing of water from private supplies was minimal and was done less frequently than recommended by the provincial government. Barriers to water testing included the inconvenience of the testing process, acceptable test results in the past, resident complacency and lack of knowledge. The younger participants greatly emphasized their need for more information on private water supplies. Participants from all groups wanted more information on water testing, and various media for information dissemination were discussed. Conclusion While most participants were confident in the safety of their private water supply, the factual basis for these opinions is uncertain. Improved dissemination of information pertaining to private water supplies in this population is needed. Observed differences in the concerns expressed by

  20. Parental decisional strategies regarding HPV vaccination before media debates: a focus group study.

    PubMed

    Hofman, Robine; van Empelen, Pepijn; Vogel, Ineke; Raat, Hein; van Ballegooijen, Marjolein; Korfage, Ida J

    2013-01-01

    Before the introduction of the human papillomavirus (HPV) vaccine, decisional strategies and factors that could guide HPV vaccination intentions were explored. The authors conducted 4 focus group discussions with 36 parents of children 8-15 years of age. Three groups consisted primarily of Dutch parents and 1 group of only Turkish parents. Discussions followed a semi-structured question route. Results showed that some parents used an approach of systematically seeking information as a way to prepare a decision, whereas others merely relied on trust in the message source. In general, parents believed that it was important to protect their child against negative outcomes that could result from vaccinating or not, and they felt that it is their responsibility to decide about uptake. Perceived susceptibility, vaccine effectiveness, and possibility of serious side effects were most important in the HPV vaccination decision-making process. In conclusion, parents perceived a lack of information and felt insecure about the vaccine's safety and effectiveness. This may result in ambivalent feelings toward HPV vaccination, which, in turn, may lead to postponing decisions about uptake. To facilitate informed decision making, which requires central processing, personally relevant messages about the knowns and unknowns regarding the effects of HPV vaccination should be provided. PMID:23521231

  1. A focus-group study on spirituality and substance-abuse treatment

    PubMed Central

    Heinz, Adrienne J.; Disney, Elizabeth R.; Epstein, David H.; Glezen, Louise A.; Clark, Pamela I.; Preston, Kenzie L.

    2010-01-01

    Individuals recovering from addictions frequently cite spirituality as a helpful influence. However, little is known about whether or how spirituality could be incorporated into formal treatment in a manner that is sensitive to individual differences. In the present study, focus groups were conducted with 25 methadone-maintained outpatients (primarily high-school educated, African-American males) to examine beliefs about the role of spirituality in recovery and its appropriateness in formal treatment. Groups also discussed the relationship between spirituality and behavior during active addiction. Thematic analyses suggested that spirituality and religious practices suffered in complex ways during active addiction, but went “hand in hand” with recovery. Nearly all participants agreed that integration of a voluntary spiritual discussion group into formal treatment would be preferable to currently available alternatives. One limitation was that all participants identified as strongly spiritual. Studies of more diverse samples will help guide the development and evaluation of spiritually based interventions in formal treatment settings. PMID:20025443

  2. A focus on pleasure? Desire and disgust in group work with young men

    PubMed Central

    McGeeney, Ester

    2015-01-01

    There are a number of persuasive arguments as to why sexual pleasure should be included in sexual health work with young people, including the suggestion that this would provide young people with accounts of gender and sexuality that are more critical and holistic than those presented in the popular media, pornography and current sex education curricula. This paper considers the possibilities for engaging young men in critical group work about sexual pleasure in research and education contexts, drawing on a mixed-methods study of young people's understandings and experiences of ‘good sex’. The paper provides a reflexive account of one focus group conducted with a group of heterosexual young men and two youth educators. It explores some of the challenges to building relationships with young men and creating ‘safe spaces’ in which to engage in critical sexuality education in socially unequal contexts. In this case study, adult-led discussion elicits rebellious, ‘hyper-masculine’ performances that close down opportunities for critical or reflective discussion. Although there are some opportunities for critical work that move beyond limited public health or school-based sex education agendas, there is also space for collusion and the reinforcement of oppressive social norms. The paper concludes by imagining possibilities for future research and practice. PMID:25985279

  3. The implementation evaluation of primary care groups of practice: a focus on organizational identity

    PubMed Central

    2010-01-01

    Background Since 2002 the Health Ministry of Québec (Canada) has been implementing a primary care organizational innovation called 'family medicine groups'. This is occurring in a political context in which the reorganization of primary care is considered necessary to improve health care system performance. More specifically, the purpose of this reform has been to overcome systemic deficiencies in terms of accessibility and continuity of care. This paper examines the first years of implementation of the family medicine group program, with a focus on the emergence of the organizational identity of one of the pilot groups located in the urban area of Montreal. Methods An in-depth longitudinal case study was conducted over two and a half years. Face to face individual interviews with key informants from the family medicine group under study were conducted over the research period considered. Data was gathered throuhg observations and documentary analysis. The data was analyzed using temporal bracketing and Fairclough's three-dimensional critical discourse analytical techniques. Results Three different phases were identified over the period under study. During the first phase, which corresponded to the official start-up of the family medicine group program, new resources and staff were only available at the end of the period, and no changes occurred in medical practices. Power struggles between physicians and nurses characterized the second phase, resulting in a very difficult integration of advanced nurse practitioners into the group. Indeed, the last phase was portrayed by initial collaborative practices associated with a sensegiving process prompted by a new family medicine group director. Conclusions The creation of a primary care team is a very challenging process that goes beyond the normative policy definitions of who is on the team or what the team has to do. To fulfil expectations of quality improvement through team-based care, health care professionals who

  4. Focus Groups Reveal Differences in Career Experiences Between Male and Female Geoscientists

    NASA Astrophysics Data System (ADS)

    Oconnell, S.; Frey, C. D.; Holmes, M.

    2003-12-01

    We conducted twelve telephone focus groups of geoscientists to discover what motivates geoscientists to enter our field and stay in our field. There were separate male and female groups from six different professional categories: administrators, full and associate professors, non-tenure track personnel, assistant professors, post-docs and PhD candidates, Bachelor's and Master's candidates. A total of 96 geoscientists participated. Specifically, respondents were asked what initially brought them into the geosciences. Three dominant themes emerged: the subject matter itself, undergraduate experiences, and relationships. A total of 51 responses to this question related to the subject matter itself. Approximately 61 percent (31) of those responses were given by male focus group participants. Across all focus groups, participants brought up issues such as a general appreciation of the outdoors, weather, rocks, and dinosaurs. Following closely behind the general subject matter is undergraduate events. Fifty-one responses mentioned something about undergraduate experiences such as an introductory class, a laboratory experience, or field experiences. While both female and male participants discussed the role of interpersonal relationships in their decision to become a geoscientist, females were slightly more likely to bring up relevant relationships (26 times for females compared to 21 for males). These relationships varied in both groups from a parent or grandparents influence to camping trips with professors. When respondents were asked whether they had ever considered leaving the geosciences and under what circumstances, there was a striking difference between males and females: males were far less likely to have ever considered leaving. Younger males were more likely to consider leaving than older geoscientists. They feel challenged by the financial constraints of graduate school and the time constraints of academic vs. family life. Many females considered leaving at

  5. Attracted to power: challenge/threat and promotion/prevention focus differentially predict the attractiveness of group power

    PubMed Central

    Scholl, Annika; Sassenrath, Claudia; Sassenberg, Kai

    2015-01-01

    Depending on their motivation, individuals prefer different group contexts for social interactions. The present research sought to provide more insight into this relationship. More specifically, we tested how challenge/threat and a promotion/prevention focus predict attraction to groups with high- or low-power. As such, we examined differential outcomes of threat and prevention focus as well as challenge and promotion focus that have often been regarded as closely related. According to regulatory focus, individuals should prefer groups that they expect to “feel right” for them to join: Low-power groups should be more attractive in a prevention (than a promotion) focus, as these groups suggest security-oriented strategies, which fit a prevention focus. High-power groups should be more attractive in a promotion (rather than a prevention) focus, as these groups are associated with promotion strategies fitting a promotion focus (Sassenberg et al., 2007). In contrast, under threat (vs. challenge), groups that allow individuals to restore their (perceived) lack of control should be preferred: Low-power groups should be less attractive under threat (than challenge) because they provide low resources which threatened individuals already perceive as insufficient and high-power groups might be more attractive under threat (than under challenge), because their high resources allow individuals to restore control. Two experiments (N = 140) supported these predictions. The attractiveness of a group often depends on the motivation to engage in what fits (i.e., prefer a group that feels right in the light of one’s regulatory focus). However, under threat the striving to restore control (i.e., prefer a group allowing them to change the status quo under threat vs. challenge) overrides the fit effect, which may in turn guide individuals’ behavior in social interactions. PMID:25904887

  6. The Alsep Data Recovery Focus Group of NASA's Solar System Exploration Research Virtual Institute

    NASA Astrophysics Data System (ADS)

    Nagihara, S.; Lewis, L. R.; Nakamura, Y.; Williams, D. R.; Taylor, P. T.; Hills, H. K.; Kiefer, W. S.; Neal, C. R.; Schmidt, G. K.

    2014-12-01

    Astronauts on Apollo 12, 14, 15, 16, and 17 deployed instruments on the Moon for 14 geophysical experiments (passive & active seismic, heat flow, magnetics, etc.) from 1969 to 1972. These instruments were called Apollo Lunar Surface Experiments Packages (ALSEPs). ALSEPs kept transmitting data to the Earth until September 1977. When the observation program ended in 1977, a large portion of these data were not delivered to the National Space Science Data Center for permanent archive. In 2010, for the purpose of searching, recovering, preserving, and analyzing the data that were not previously archived, NASA's then Lunar Science Institute formed the ALSEP Data Recovery Focus Group. The group consists of current lunar researchers and those involved in the ALSEP design and data analysis in the 1960s and 1970s. Among the data not previously archived were the 5000+ 7-track open-reel tapes that recorded raw data from all the ALSEP instruments from April 1973 to February 1976 ('ARCSAV tapes'). These tapes went missing in the decades after Apollo. One of the major achievements of the group so far is that we have found 450 ARCSAV tapes from April to June 1975 and that we are extracting data from them. There are 3 other major achievements by the group. First, we have established a web portal at the Lunar and Planetary Institute, where ~700 ALSEP-related documents, totaling ~40,000 pages, have been digitally scanned and cataloged. Researchers can search and download these documents at www.lpi.usra.edu/ lunar/ALSEP/. Second, we have been retrieving notes and reports left behind by the now deceased/retired ALSEP investigators at their home institutions. Third, we have been re-analyzing the ALSEP data using the information from the recently recovered metadata (instrument calibration data, operation logs, etc.). Efforts are ongoing to get these data permanently archived in the Planetary Data System (PDS).

  7. Online focus groups as an HIV prevention program for gay, bisexual, and queer adolescent males.

    PubMed

    Ybarra, Michele L; DuBois, L Zachary; Parsons, Jeffrey T; Prescott, Tonya L; Mustanski, Brian

    2014-12-01

    Seventy-five 14-18-year-old gay, bisexual, and queer (GBQ) males provided feedback about how their participation in national, online focus groups (FG) about GBQ sexual health related topics resulted in behavioral and attitudinal changes. Most sexually experienced youth agreed that their participation positively changed their views and behavioral intentions. Some said that being in the FG made them more comfortable talking about sex, their sexuality, and making safer choices such as negotiating condoms. Others indicated intentions to become more involved in the LGBT community. Sexually inexperienced FG participants similarly said that the FG discussion positively affected them-most commonly by reducing their sense of isolation as young GBQ men who were waiting to have sex. Many also thought that they would become more vocal advocates of abstinence and/or safe sex. Online FGs and facilitated discussion boards should be further explored as a low-cost HIV prevention program for GBQ youth. PMID:25490735

  8. Exploring Winter Community Participation Among Wheelchair Users: An Online Focus Group

    PubMed Central

    Ripat, Jacquie; Colatruglio, Angela

    2016-01-01

    ABSTRACT The aim of this qualitative study was to gain an understanding of what people who use wheeled mobility devices (WMDs; e.g., manual and power wheelchairs, and scooters) identify as environmental barriers to community participation in cold weather climates, and to explore recommendations to overcome environmental barriers to community participation. Researchers conducted an online asynchronous focus group that spanned seven days, with eight individuals who use WMDs. Each day, participants were asked to respond to a moderator-provided question, and to engage with one another around the topic area. The researchers analyzed the verbatim data using an inductive content-analysis approach. Four categories emerged from the data: (1) winter barriers to community participation; (2) life resumes in spring and summer; (3) change requires awareness, education, and advocacy; and (4) winter participation is a right. Participants confirmed that it is a collective responsibility to ensure that WMD users are able to participate in the community throughout the seasons. PMID:26295488

  9. Community Pharmacy Practice Barriers in Preventing Drug Misuse, Divergence and Overdose: A Focus Group Study.

    PubMed

    Leong, Christine; Sareen, Jitender; Enns, Murray W; Bolton, James; Alessi-Severini, Silvia

    2015-01-01

    Community pharmacists frequently encounter patients suspected to be at risk of medication misuse, divergence and overdose; yet, little research exists in describing how pharmacists effectively identify and intervene during these encounters. This study aimed to understand the barriers and facilitators in community pharmacy practice using a focus group design to help inform policymakers in the development of effective and feasible strategies for limiting the means of medication misuse. Findings revealed three themes: (1) patient-level barriers (deciphering signs of misuse); (2) pharmacist-level barriers (type of practice experience); and (3) system-level barriers (prescriber, third-party payer). Insight into pharmacy practice provided a foundation for future study to explore strategies for improving care for at-risk patients. PMID:26718251

  10. The Tuskegee Study of Untreated Syphilis and public perceptions of biomedical research: a focus group study.

    PubMed Central

    Bates, Benjamin R.; Harris, Tina M.

    2004-01-01

    African Americans are less likely than European Americans to participate in biomedical research. Researchers often attribute nonparticipation to the "Tuskegee effect." Using critical qualitative analysis of focus group data, we examined the public's use of the Tuskegee Study of Untreated Syphilis (TSUS) to discuss biomedical research. Our participants articulated three primary themes in relation to TSUS: 1) that TSUS made them suspicious about biomedical research; 2) that other values had to weigh against concerns about TSUS; and 3) that African Americans could take steps to resolve their concerns about TSUS. African Americans were more likely to discuss TSUS than were European Americans. African Americans did not use TSUS to express simple fear. African Americans suggested issues other than TSUS that influence the decision to participate in research. African Americans indicated specific reforms that would increase participation in research. We discuss how a better understanding of African Americans' use of TSUS can enhance research participation and allay concerns about "another Tuskegee." PMID:15303410

  11. Patient Informed Governance of Distributed Research Networks: Results and Discussion from Six Patient Focus Groups

    PubMed Central

    Mamo, Laura A.; Browe, Dennis K.; Logan, Holly C.; Kim, Katherine K.

    2013-01-01

    Understanding how to govern emerging distributed research networks is essential to their success. Distributed research networks aggregate patient medical data from many institutions leaving data within the local provider security system. While much is known about patients’ views on secondary medical research, little is known about their views on governance of research networks. We conducted six focus groups with patients from three medical centers across the U.S. to understand their perspectives on privacy, consent, and ethical concerns of sharing their data as part of research networks. Participants positively endorsed sharing their health data with these networks believing that doing so could advance healthcare knowledge. However, patients expressed several concerns regarding security and broader ethical issues such as commercialism, public benefit, and social responsibility. We suggest that network governance guidelines move beyond strict technical requirements and address wider socio-ethical concerns by fully including patients in governance processes. PMID:24551383

  12. Barriers in Diagnosing and Treating Men With Depression: A Focus Group Report

    PubMed Central

    Rochlen, Aaron B.; Paterniti, Debora A.; Epstein, Ronald M.; Duberstein, Paul; Willeford, Lindsay; Kravitz, Richard L.

    2011-01-01

    This study reports on the experiences of 45 male focus group participants with a history of depression. Men responded to questions addressing the interaction between the male role, masculinity, depression, and experiences with treatment for depression. Using a qualitative, thematic-based coding strategy, three primary themes emerged. First, participants described aspects of the male gender as being in conflict or incongruent with their experiences of depression and beliefs about appropriate help-seeking behaviors. Second, men outlined alternative symptom profiles that could interfere with the recognition of depression and willingness to seek help. Finally, men expressed a range of positive and negative reactions toward depression treatment and treatment providers. Implications for health care providers are provided. PMID:19477750

  13. Using focus groups to design a psychoeducation program for patients with schizophrenia and their family members

    PubMed Central

    Song, Yan; Liu, Dan; Chen, Yuxiang; He, Guoping

    2014-01-01

    The purpose of this project was to determine what factors to be considered in planning a psychoeducation program to better meet the needs of patients with schizophrenia and their family members. Methods: Three focus group sessions were conducted and recorded, transcribed, and analyzed by members of the research team. Results: Patients hoped to grasp the fullest possible knowledge about schizophrenia, whereas the factors influencing the efficacy of the schizophrenia health education curriculum included: discrimination, non-understanding of family members, easy to forget, unreasonable timetable. Health education was mainly in the form of classroom teaching. Conclusions: 1. At present, there are a few psychiatric education courses in China; 2. Patients and their family members are eager to acquire knowledge about the contents of schizophrenia; 3. Misconceptions would hinder the rehabilitation of patients; 4. Worry about being discriminated; 5. There is a different knowledge demand between the patients and their family members. PMID:24482705

  14. Learning to create new solutions together: A focus group study exploring interprofessional innovation in midwifery education.

    PubMed

    Johnsen, Helle

    2016-01-01

    Undergraduate students can learn how to be innovative in partnerships with health care institutions and private enterprises. This study portrays how a three phase innovation model was applied in an interprofessional health education context at a Danish university college. The aim of the study was to explore midwifery, nutrition and health as well physiotherapy students' perceptions of participating in a real-life innovation project situated in antenatal care. A total of eighteen students participated in five focus group interviews. Thematic analysis was used to interpret data findings. Data analysis revealed three themes: 'Navigating in uncertainty', 'Being part of a team' and 'Impact of project learning'. Students found project learning to be the most relevant with regards to their clinical practice. Furthermore, study findings suggest that innovation is promoted by teamwork, interprofessional participation, mentor support and external partnerships. PMID:26073761

  15. Focus Groups Move Online: Feasibility of Tumblr Use for eHealth Curriculum Development

    PubMed Central

    Rohlman, Diane; Parish, Megan

    2015-01-01

    Background Constructing successful online programs requires engaging potential users in development. However, assembling focus groups can be costly and time consuming. Objective The aim of this study is to assess whether Tumblr can be used to prioritize activities for an online younger worker risk reduction and health promotion program. Methods Younger summer parks and recreation employees were encouraged to visit Tumblr using weekly announcements and competitions. Each week, new activities were posted on Tumblr with linked survey questions. Responses were downloaded and analyzed. Results An average of 36 young workers rated each activity on its likeability and perceived educational value. The method was feasible, efficient, and sustainable across the summer weeks. Ratings indicated significant differences in likeability among activities (P<.005). Conclusions Tumblr is a means to crowdsource formative feedback on potential curricular components when assembling an online intervention. This paper describes its initial use as well as suggestions for future refinements. PMID:25831197

  16. Single mothers' views of young children's everyday routines: a focus group study.

    PubMed

    Koulouglioti, Christina; Cole, Robert; Moskow, Marian

    2011-07-01

    Consistent daily routines have been associated with children's well-being, but children of single parents are less likely to engage in regular family meals or bedtime routines. This study explored routines and the challenges of maintaining routines as experienced by single mothers with a preschool age (3-5) child. Four focus groups (N = 12) were conducted and qualitative content analysis was used. Mothers described routines as an integral part of their parenting role and a reflection of successful parenting but maintaining routines around bedtimes and mealtimes were major concerns. Difficulties managing their child's behavior and their own fatigue were major challenges but mothers described a wide range of helpful strategies as well. PMID:21809930

  17. Online focus groups as an HIV prevention program for gay, bisexual, and queer adolescent males

    PubMed Central

    Ybarra, Michele L.; DuBois, L. Zachary; Parsons, Jeffrey T.; Prescott, Tonya L.; Mustanski, Brian

    2015-01-01

    Seventy-five 14–18-year-old gay, bisexual, and queer (GBQ) males provided feedback about how their participation in national, online focus groups (FG) about GBQ sexual health related topics resulted in behavioral and attitudinal changes. Most sexually experienced youth agreed that their participation positively changed their views and behavioral intentions. Some said that being in the FG made them more comfortable talking about sex, their sexuality, and making safer choices such as negotiating condoms. Others indicated intentions to become more involved in the LGBT community. Sexually inexperienced FG participants similarly said that the FG discussion positively affected them - most commonly by reducing their sense of isolation as young GBQ men who were waiting to have sex. Many also thought that they would become more vocal advocates of abstinence and/or safe sex. Online FGs and facilitated discussion boards should be further explored as a low-cost HIV prevention program for GBQ youth. PMID:25490735

  18. Safe sex? Misconceptions, gender differences and barriers among injection drug users: a focus group approach.

    PubMed

    Weiss, S H; Weston, C B; Quirinale, J

    1993-01-01

    Heterosexual transmission is one factor involved in the spread of the human immunodeficiency virus (HIV) within the injection drug use (IDU) population and between IDU and non-IDU individuals. Insufficient information is currently available to reduce this heterosexual transmission. As a basis for designing a questionnaire aimed at the IDU population, we conducted 5 focus groups to collect information on knowledge of and attitudes toward safe sex as held by male and female IDUs in methadone treatment. We identified misconceptions related to HIV infection, condoms, and sexual behavior. We also found gender-based differences in knowledge and learning style. Also, while individuals felt a responsibility to prevent HIV transmission, they lacked sufficient control to do so. The wide range of responses on questions concerning sexually transmitted diseases (STDs), condoms, reproductive decisions, and methods of promoting safe sex provides a basis for developing a questionnaire designed to identify and target specific subgroups for educational intervention. PMID:8297708

  19. Teen Use of Marijuana Edibles: A Focus Group Study of an Emerging Issue.

    PubMed

    Friese, Bettina; Slater, Michael D; Annechino, Rachelle; Battle, Robynn S

    2016-06-01

    Recent research indicates that marijuana-infused food product (i.e., edible) use is becoming nearly as common as smoking marijuana where medical marijuana is available. This study explores edible use among teens. We conducted four focus groups in the San Francisco Bay Area with youth, ages 15-17. The focus groups were divided by gender and whether they used marijuana. Some teens mentioned edible use at school. Youth reported that teens consume edibles, primarily to reduce the likelihood of getting caught. Edibles are also attractive to those who do not like to smoke or have concerns about smoking. Both male and female respondents suggested that females are more likely than males to prefer edibles over smoking, one reason for which may be to avoid smelling like marijuana smoke. For some young women, edibles may be a way to avoid publicly presenting themselves as marijuana users. Findings also suggest that youth have access to edibles through multiple sources. Youth reported that they can purchase edibles at school from other students who either make the edibles themselves or are reselling edibles obtained from dispensaries. Both users and non-users were aware of potentially negative consequences related to edible use. Some youth mentioned that they have heard of youth dying from edibles, and several reported being concerned about the high produced by edibles. Female non-users appeared to be more concerned than others about edibles and compared them to drinks that could be spiked with drugs. However, sentiment among some male marijuana users was that if you cannot handle edibles you should not be using them. These findings suggest that strategies to curb access to edibles and use among youth, such as restricting sales of edibles with strong youth appeal and educating youth on the risks of edibles, will need to be developed. PMID:27056685

  20. Determinants of binge drinking in a permissive environment: focus group interviews with Dutch adolescents and parents

    PubMed Central

    2013-01-01

    Background Compared to other European countries, the Netherlands score among the highest of binge drinking rates of 16 to 18 year old adolescents. Dutch adolescents aged 16 are legally allowed to buy and consume low strength alcoholic beverages. This study focused on determinants of binge drinking in such a permissive environment from the perspectives of adolescents and parents. Methods Focus group interviews were conducted with adolescents aged 16 to 18 (N = 83), and parents of adolescents from this age group (N = 24). Data was analysed using thematic analyses methods. Results Most reasons adolescents mentioned for drinking were to relax, increase a good mood and to be social. Also peers around them influenced and increased adolescents’ drinking. Comparing adolescents and parental statements about their perspectives how alcohol use is handled and accepted by the parents we found that generally, those perspectives match. Parents as well as adolescents stated that alcohol use is accepted by parents. However, when looking at essential details, like the acceptable amounts that children may consume, the perspectives differ enormously. Adolescents think their parents accept any amount of drinking as long as they do not get drunk, whereas parents reported acceptable limits of 1 or 2 glasses every two weeks. Parents further indicated that they felt unsupported by the Dutch policies and regulations of alcohol use. Most of them were in favour of an increase of the legal purchasing age to 18 years. Conclusions Parents and adolescents should both be targeted in interventions to reduce alcohol use among adolescents. In particular, communication between parents and children should be improved, in order to avoid misconceptions about acceptable alcohol use. Further, adolescents should be supported to handle difficult social situations with peers where they feel obliged to drink. Additionally, revisions of policies towards a less permissive standpoint are advised to

  1. What are parents' perspectives on psychological empowerment in the MMR vaccination decision? A focus group study

    PubMed Central

    Fadda, Marta; Galimberti, Elisa; Carraro, Valter; Schulz, Peter J

    2016-01-01

    Objectives Most developed countries do not have compulsory immunisation requirements, but instead issue recommendations. Although parents are expected to make an informed, autonomous (ie, empowered) decision regarding their children's vaccinations, there is no evidence about how parents' interpret this demand nor on the latitude of their decision-making. The goal of this study is to gain insights from parents residing in a low measles-mumps-rubella (MMR) uptake area on what constitutes feelings of empowerment in the decision they have to make on their child's MMR vaccination. Design A qualitative study employing focus group interviews. Setting 11 vaccination centres and hospitals in the Province of Trento, Italy. Participants 24 mothers and 4 fathers of children for whom the MMR vaccination decision was still pending participated in 6 focus groups. Results Autonomy and competence were salient themes in relation to empowerment, and were further connected with beliefs regarding legal responsibility and ethics of freedom concerning the decision, parents' relationship with the paediatrician (trust), feelings of relevance of the decision and related stress, and seeking, avoidance, or fear of vaccination-related information. Competence was interpreted as medical knowledge and information-seeking skills, but it was also related to the extent parents perceived the paediatrician to be competent. Conclusions Since parents' interpretation of empowerment goes beyond mere perceptions of being informed and autonomous and differs across individuals, it is important that this construct be correctly interpreted and implemented by best practice, for instance by explicitly adopting a relational conception of autonomy. Knowing whether parents want to make an empowered decision and what their information and autonomy needs are might help health professionals adapt their communication about immunisation, and promote parental perception of making an informed, autonomous decision. PMID

  2. Health Beliefs and Practices Related to Dengue Fever: A Focus Group Study

    PubMed Central

    Wong, Li Ping; AbuBakar, Sazaly

    2013-01-01

    Background This qualitative study aimed to provide an in-depth understanding of the meaning of dengue fever (DF) amongst people living in a dengue endemic region, dengue prevention and treatment-seeking behaviours. The Health Belief Model was used as a framework to explore and understand dengue prevention behaviours. Methods A total of 14 focus group discussions were conducted with 84 Malaysian citizens of different socio-demographic backgrounds between 16th December, 2011 and 12th May, 2012. Results The study revealed that awareness about DF and prevention measures were high. The pathophysiology of dengue especially dengue haemorrhagic fever (DHF) and dengue shock syndrome (DSS) were rarely known; as a result, it was seen as deadly by some but was also perceived as easily curable by others without a basis of understanding. Young adults and elderly participants had a low perception of susceptibility to DF. In general, the low perceived susceptibility emerged as two themes, namely a perceived natural ability to withstand infection and a low risk of being in contact with the dengue virus vector, Aedes spp. mosquitoes. The barriers to sustained self-prevention against dengue prevention that emerged in focus groups were: i) lack of self-efficacy, ii) lack of perceived benefit, iii) low perceived susceptibility, and iv) unsure perceived susceptibility. Low perceived benefit of continued dengue prevention practices was a result of lack of concerted action against dengue in their neighborhood. Traditional medical practices and home remedies were widely perceived and experienced as efficacious in treating DF. Conclusion Behavioural change towards attaining sustainability in dengue preventive practices may be enhanced by fostering comprehensive knowledge of dengue and a change in health beliefs. Wide use of unconventional therapy for DF warrants the need to enlighten the public to limit their reliance on unproven alternative treatments. PMID:23875045

  3. Is the Medium Really the Message? A Comparison of Face-to-Face, Telephone, and Internet Focus Group Venues

    ERIC Educational Resources Information Center

    Gothberg, June; Applegate, Brooks; Reeves, Patricia; Kohler, Paula; Thurston, Linda; Peterson, Lori

    2013-01-01

    With increased use of technology in qualitative research, it is important to understand unintended, unanticipated, and unobvious consequences to the data. Using a side-by-side comparison of face-to-face, telephone, and Internet with video focus groups, we examined the yield differences of focus group venue (medium) to the data (message) rendered…

  4. Body Talk and Body Ideals among Adolescent Boys and Girls: A Mixed-Gender Focus Group Study

    ERIC Educational Resources Information Center

    Strandbu, Åse; Kvalem, Ingela Lundin

    2014-01-01

    This study explores how body ideals are discussed among adolescent boys and girls in 5 mixed-gender focus groups (n = 37). The ways in which boys and girls talk about bodies differed clearly within the focus group conversations as well as in the everyday situations described in the interviews. The boys were more concrete in their description of…

  5. Focus Groups as Sites of Influential Interaction: Building Communicative Self-Efficacy and Effecting Attitudinal Change in Discussing Controversial Topics

    ERIC Educational Resources Information Center

    Zorn, Theodore E.; Roper, Juliet; Broadfoot, Kirsten; Weaver, C. Kay

    2006-01-01

    Although most focus group theorists consider interaction to be a defining feature of focus groups, the influence that occurs through this interaction has been under-theorized. We argue that two important forms of influence may occur: influence on people's beliefs about the substantive issues under discussion and influence on self-efficacy beliefs.…

  6. Management of Overweight during Childhood: A Focus Group Study on Health Professionals' Experiences in General Practice

    PubMed Central

    Larsen, Lone Marie; Ledderer, Loni; Jarbøl, Dorte Ejg

    2015-01-01

    Background. Because of the increasing prevalence of overweight and obesity in childhood in the Western world, focus on the management in general practice has also increased. Objective. To explore the experiences of general practitioners (GPs) and practice nurses participating in a randomised controlled trial (RCT) comparing two management programmes in general practice for children who are overweight or obese. Methods. Three focus groups with GPs and nurses participating in the RCT. Transcribed data were analysed using systematic text condensation followed by thematic analysis. Results. Health professionals considered it their responsibility to offer a management programme to overweight children. They recognised that management of overweight during childhood was a complex task that required an evidence-based strategy with the possibility of supervision. Health professionals experienced a barrier to addressing overweight in children. However, increasing awareness of obesity in childhood and its consequences in society was considered helpful to reach an understanding of the articulations concerning how best to address the issue. Conclusions. Health professionals in general practice recognised that they have a special obligation, capacity, and role in the management of obesity in childhood. Implementation of future management programmes must address existing barriers beyond an evidence-based standardised strategy. PMID:26236505

  7. Sickness absence, marginality, and medically unexplained physical symptoms: A focus-group study of patients’ experiences

    PubMed Central

    2013-01-01

    Abstract Purpose Medically unexplained physical symptoms (MUPS) form a major cause of sickness absence. The purpose of this study was to explore factors which may influence further marginalization among patients with MUPS on long-term sickness absence. Methods Two focus-group discussions were conducted with a purposive sample of 12 participants, six men and six women, aged 24–59 years. Their average duration of sickness absence was 10.5 months. Participants were invited to share stories about experiences from the process leading to the ongoing sickness absence, with a focus on the causes being medically unexplained. Systematic text condensation was applied for analysis. Inspired by theories of marginalization and coping, the authors searched for knowledge of how patients’ positive resources can be mobilized to counteract processes of marginality. Results Analysis revealed how invisible symptoms and lack of objective findings were perceived as an additional burden to the sickness absence itself. Factors that could counteract further marginalization were a supportive social network, positive coping strategies such as keeping to the daily schedule and physical activity, and positive attention and confidence from professionals. Conclusions Confidence from both personal and professional contacts is crucial. GPs have an important and appreciated role in this aspect. PMID:23659708

  8. What it Takes to Successfully Implement Technology for Aging in Place: Focus Groups With Stakeholders

    PubMed Central

    Wouters, Eveline JM; Luijkx, Katrien G; Vrijhoef, Hubertus JM

    2016-01-01

    Background There is a growing interest in empowering older adults to age in place by deploying various types of technology (ie, eHealth, ambient assisted living technology, smart home technology, and gerontechnology). However, initiatives aimed at implementing these technologies are complicated by the fact that multiple stakeholder groups are involved. Goals and motives of stakeholders may not always be transparent or aligned, yet research on convergent and divergent positions of stakeholders is scarce. Objective To provide insight into the positions of stakeholder groups involved in the implementation of technology for aging in place by answering the following questions: What kind of technology do stakeholders see as relevant? What do stakeholders aim to achieve by implementing technology? What is needed to achieve successful implementations? Methods Mono-disciplinary focus groups were conducted with participants (n=29) representing five groups of stakeholders: older adults (6/29, 21%), care professionals (7/29, 24%), managers within home care or social work organizations (5/29, 17%), technology designers and suppliers (6/29, 21%), and policy makers (5/29, 17%). Transcripts were analyzed using thematic analysis. Results Stakeholders considered 26 different types of technologies to be relevant for enabling independent living. Only 6 out of 26 (23%) types of technology were mentioned by all stakeholder groups. Care professionals mentioned fewer different types of technology than other groups. All stakeholder groups felt that the implementation of technology for aging in place can be considered a success when (1) older adults’ needs and wishes are prioritized during development and deployment of the technology, (2) the technology is accepted by older adults, (3) the technology provides benefits to older adults, and (4) favorable prerequisites for the use of technology by older adults exist. While stakeholders seemed to have identical aims, several underlying

  9. Preferred Tone of Nutrition Text Messages for Young Adults: Focus Group Testing

    PubMed Central

    2016-01-01

    Background Young adults are a particularly hard to reach group using conventional health promotion practices as they do not see nutrition messages as personally relevant to them. Text messaging (short message service, SMS) offers an innovative approach to reaching young adults to support and promote dietary behavior change. Objective The aim of this study was to develop and test tonal preferences for nutrition text messages among young adults using focus groups. Methods A total of 39 young adults aged 18-30 years residing in Perth, Western Australia participated in four focus groups. Participants briefly discussed their perception of healthy eating and their responses to messages about increasing fruit and vegetables, and reducing “junk food” and alcohol intake. They ranked their preference for 15 nutrition messages across 3 dietary behaviors (fruit and vegetables, junk food, and alcohol) with 5 different message tones (authoritative, empathetic, generation Y, solutions, and substitutions) and identified the messages most likely to persuade young adults to change their diet. A 5-point ranking of the nutrition messages was from the most likely to least likely to persuade (1-5). The focus groups were conducted by a trained facilitator and observer and were recorded. Data driven content analysis was used to explore themes. Tonal preferences and potential motivators were collated and frequencies presented. Results Participants ranked offering substitutes (29%, 11/39) and using empathy (22%, 9/39) as the most persuasive message techniques in improving diets of young adults, with low responses for Generation Y (17%, 7/39), solutions (17%, 7/39), and authoritative (15%, 6/39) tones. Females were more likely to consider substitution messages persuasive (35%, 7/20) compared with males (22%, 4/19). A greater proportion of males compared with females considered authoritative messages persuasive: (22%, 4/19) compared with (7%, 1/20). There is a strong preference for a

  10. Building a taxonomy of integrated palliative care initiatives: results from a focus group

    PubMed Central

    Ewert, Benjamin; Hodiamont, Farina; van Wijngaarden, Jeroen; Payne, Sheila; Groot, Marieke; Hasselaar, Jeroen; Menten, Johann; Radbruch, Lukas

    2016-01-01

    Background Empirical evidence suggests that integrated palliative care (IPC) increases the quality of care for palliative patients and supports professional caregivers. Existing IPC initiatives in Europe vary in their design and are hardly comparable. InSuP-C, a European Union research project, aimed to build a taxonomy of IPC initiatives applicable across diseases, healthcare sectors and systems. Methods The taxonomy of IPC initiatives was developed in cooperation with an international and multidisciplinary focus group of 18 experts. Subsequently, a consensus meeting of 10 experts revised a preliminary taxonomy and adopted the final classification system. Results Consisting of eight categories, with two to four items each, the taxonomy covers the process and structure of IPC initiatives. If two items in at least one category apply to an initiative, a minimum level of integration is assumed to have been reached. Categories range from the type of initiative (items: pathway, model or guideline) to patients’ key contact (items: non-pc specialist, pc specialist, general practitioner). Experts recommended the inclusion of two new categories: level of care (items: primary, secondary or tertiary) indicating at which stage palliative care is integrated and primary focus of intervention describing IPC givers’ different roles (items: treating function, advising/consulting or training) in the care process. Conclusions Empirical studies are required to investigate how the taxonomy is used in practice and whether it covers the reality of patients in need of palliative care. The InSuP-C project will test this taxonomy empirically in selected initiatives using IPC. PMID:26647043

  11. Assistive technologies after stroke: self-management or fending for yourself? A focus group study

    PubMed Central

    2013-01-01

    Background Assistive Technologies, defined as “electrical or mechanical devices designed to help people recover movement” have demonstrated clinical benefits in upper-limb stroke rehabilitation. Stroke services are becoming community-based and more reliant on self-management approaches. Assistive technologies could become important tools within self-management, however, in practice, few people currently use assistive technologies. This study investigated patients’, family caregivers and health professionals’ experiences and perceptions of stroke upper-limb rehabilitation and assistive technology use and identified the barriers and facilitators to their use in supporting stroke self-management. Methods A three-day exhibition of assistive technologies was attended by 204 patients, family caregivers/friends and health professionals. Four focus groups were conducted with people purposively sampled from exhibition attendees. They included i) people with stroke who had used assistive technologies (n = 5), ii) people with stroke who had not used assistive technologies (n = 6), iii) family caregivers (n = 5) and iv) health professionals (n = 6). The audio-taped focus groups were facilitated by a moderator and observer. All participants were asked to discuss experiences, strengths, weaknesses, barriers and facilitators to using assistive technologies. Following transcription, data were analysed using thematic analysis. Results All respondents thought assistive technologies had the potential to support self-management but that this opportunity was currently unrealised. All respondents considered assistive technologies could provide a home-based solution to the need for high intensity upper-limb rehabilitation. All stakeholders also reported significant barriers to assistive technology use, related to i) device design ii) access to assistive technology information and iii) access to assistive technology provision. The lack of and need for a coordinated

  12. Adherence to Technology-Mediated Insomnia Treatment: A Meta-Analysis, Interviews, and Focus Groups

    PubMed Central

    Lancee, Jaap; Beun, Robbert Jan; Neerincx, Mark A; Brinkman, Willem-Paul

    2015-01-01

    Background Several technologies have been proposed to support the reduction of insomnia complaints. A user-centered assessment of these technologies could provide insight into underlying factors related to treatment adherence. Objective Gaining insight into adherence to technology-mediated insomnia treatment as a solid base for improving those adherence rates by applying adherence-enhancing strategies. Methods Adherence to technology-mediated sleep products was studied in three ways. First, a meta-analysis was performed to investigate adherence rates in technology-mediated insomnia therapy. Several databases were queried for technology-mediated insomnia treatments. After inclusion and exclusion steps, data from 18 studies were retrieved and aggregated to find an average adherence rate. Next, 15 semistructured interviews about sleep-support technologies were conducted to investigate perceived adherence. Lastly, several scenarios were written about the usage of a virtual sleep coach that could support adherence rates. The scenarios were discussed in six different focus groups consisting of potential users (n=15), sleep experts (n=7), and coaches (n=9). Results From the meta-analysis, average treatment adherence appeared to be approximately 52% (95% CI 43%-61%) for technology-mediated insomnia treatments. This means that, on average, half of the treatment exercises were not executed, suggesting there is a substantial need for adherence and room for improvement in this area. However, the users in the interviews believed they adhered quite well to their sleep products. Users mentioned relying on personal commitment (ie, willpower) for therapy adherence. Participants of the focus groups reconfirmed their belief in the effectiveness of personal commitment, which they regarded as more effective than adherence-enhancing strategies. Conclusions Although adherence rates for insomnia interventions indicate extensive room for improvement, users might not consider adherence to

  13. Virtual patient simulation: what do students make of it? A focus group study

    PubMed Central

    2010-01-01

    Background The learners' perspectives on Virtual Patient Simulation systems (VPS) are quintessential to their successful development and implementation. Focus group interviews were conducted in order to explore the opinions of medical students on the educational use of a VPS, the Web-based Simulation of Patients application (Web-SP). Methods Two focus group interviews-each with 8 undergraduate students who had used Web-SP cases for learning and/or assessment as part of their Internal Medicine curriculum in 2007-were performed at the Faculty of Medicine of Universidad el Bosque (Bogota), in January 2008. The interviews were conducted in Spanish, transcribed by the main researcher and translated into English. The resulting transcripts were independently coded by two authors, who also performed the content analysis. Each coder analyzed the data separately, arriving to categories and themes, whose final form was reached after a consensus discussion. Results Eighteen categories were identified and clustered into five main themes: learning, teaching, assessment, authenticity and implementation. In agreement with the literature, clinical reasoning development is envisaged by students to be the main scope of VPS use; transferable skills, retention enhancement and the importance of making mistakes are other categories circumscribed to this theme. VPS should enjoy a broad use across clinical specialties and support learning of topics not seen during clinical rotations; they are thought to have a regulatory effect at individual level, helping the students to plan their learning. The participants believe that assessment with VPS should be relevant for their future clinical practice; it is deemed to be qualitatively different from regular exams and to increase student motivation. The VPS design and content, the localization of the socio-cultural context, the realism of the cases, as well as the presence and quality of feedback are intrinsic features contributing to VPS

  14. Effect of Solution Focused Group Counseling for High School Students in Order to Struggle with School Burnout

    ERIC Educational Resources Information Center

    Ates, Bünyamin

    2016-01-01

    In this research, the effect of solution focused group counseling upon high school students struggling with school burnout was analyzed. The research was an experimental study in which a pre-test post-test control group random design was used, depending upon the real experimental model. The study group included 30 students that volunteered from…

  15. Identifying effective healthy weight and lifestyle advertisements: Focus groups with Australian adults.

    PubMed

    Dixon, Helen; Murphy, Michael; Scully, Maree; Rose, Mischa; Cotter, Trish

    2016-08-01

    This study explored adult's attitudes and reactions to a range of television advertisements (ads) promoting healthy weight, physical activity and healthy eating. Twenty-four focus groups (N = 179) were conducted in metropolitan and regional areas of the Australian states of Victoria, New South Wales (NSW) and Queensland, with participants segmented by sex, education (no tertiary, at least some tertiary) and life stage (young adults, parents). Each group was assigned to one of the three advertising streams - Weight, Activity, or Nutrition - where responses to five different ads were explored using semi-structured, moderator-led discussions. Discussion transcripts were qualitatively content analysed using a conventional approach. Four main themes were identified in participants' discussions about the ads' main messages - (i) Why is it a problem? (ii) Who is it a problem for? (iii) What should I do about it? (iv) How do I make the changes? Reactions varied by demographic factors and current weight and lifestyle status. Participants furthest from achieving public health recommendations for weight, diet and activity were motivated by 'what' and 'how' ads involving gentle persuasion and helpful hints. Participants who were closer to meeting these recommendations were motivated by 'why' ads featuring more graphic and emotive content and new information. Findings suggest a strategic approach is important for the development of public health ads promoting healthy weight and lifestyle, with consideration given to the specific communication goals and who the target audience is. This should help ensure an appropriate message is delivered to priority population subgroups in the most informative and motivating manner. PMID:27079189

  16. Phase and group velocity of focused, pulsed Gaussian beams in the presence and absence of primary aberrations

    NASA Astrophysics Data System (ADS)

    Major, Balázs; Horváth, Zoltán L.; Porras, Miguel A.

    2015-06-01

    This work presents a study on the phase- and group-velocity variations of focused, pulsed Gaussian beams during the propagation through the focal region along the optical axis. In the aberration-free case, it is discussed how the wavelength dependence of beam properties alters the group velocity, and how a chromatic aberration-like effect can arise even when focusing is performed with an element that does not have chromatic aberration. It is also examined what effects primary spherical aberration, astigmatism, coma, curvature of field and distortion, along with chromatic aberration, have on the phase- and group-velocity changes occurring during propagation through focus.

  17. Young adolescents' perceptions, patterns, and contexts of energy drink use. A focus group study.

    PubMed

    Costa, Beth M; Hayley, Alexa; Miller, Peter

    2014-09-01

    Caffeinated energy drinks (EDs) are purported to increase energy and improve performance, but have been associated with adverse health effects and death. EDs are popular among adolescents and young adults, yet little is known about their use among young adolescents. This study explored perceptions, patterns, and contexts of ED use in six focus groups with 40 adolescents aged 12-15 years from two regional Australian schools. A thematic analysis of the data was used to investigate knowledge about ED brands and content, ED use, reasons for ED use, physiological effects, and influences on ED use. Participants were familiar with EDs and most had used them at least once but had limited knowledge of ED ingredients, and some had difficulty differentiating them from soft and sports drinks. EDs were used as an alternative to other drinks, to provide energy, and in social contexts, and their use was associated with short-term physiological symptoms. Parents and advertising influenced participants' perceptions and use of EDs. These findings suggest young adolescents use EDs without knowing what they are drinking and how they are contributing to their personal risk of harm. The advertising, appeal, and use of EDs by adolescents appear to share similarities with alcohol and tobacco. Further research is needed to replicate and extend the current findings, informed by the lessons learned in alcohol research. PMID:24852220

  18. Using focus groups to assess presentation methods in a research seminar.

    PubMed

    Thomas, K Jackson; Lancaster, Carol

    2007-01-01

    The purpose of this inquiry was to examine preferences between presentation methods among graduate students enrolled in a research seminar course. Participants consisted of 34 second year students enrolled in the Master of Science degree program in physical therapy in the College of Health Professions at the Medical University of South Carolina. All were required to present a published research article on the general topic of exercise in elderly individuals. However, before the student presentations took place, the instructor presented two different published research papers, both of which were done in sequential time segments during a single class period. For Time Segment 1, the instructor/author used a formal, "lecture," or "platform" type presentation, embellished by power point slides with textual information and graphs. For Time Segment 2, the instructor conducted an informal discussion of the background, methods, and findings of the research paper. After the presentations were completed, students were assigned to focus groups for the purpose of providing verbal and written feedback. Examination of the findings using content analysis revealed a variety of opinions regarding presentation techniques, but showed a general preference for the method employed in Time Segment 1. Among the reasons cited were the structure, the visual aids, and past familiarity and comfort with formal, "lecture" type presentations. Also noted was the predominant view that presenter style was a major factor in judging effectiveness. These findings merit further exploration of presentation styles and teaching methodologies for augmenting teaching effectiveness and enhancing the scholarship of teaching. PMID:19759997

  19. Older drivers' opinions of criteria that inform the cars they buy: A focus group study.

    PubMed

    Zhan, Jenny; Porter, Michelle M; Polgar, Jan; Vrkljan, Brenda

    2013-12-01

    Safe driving in older adulthood depends not only on health and driving ability, but also on the driving environment itself, including the type of vehicle. However, little is known about how safety figures into the older driver's vehicle selection criteria and how it ranks among other criteria, such as price and comfort. For this purpose, six focus groups of older male and female drivers (n=33) aged 70-87 were conducted in two Canadian cities to explore vehicle purchasing decisions and the contribution of safety in this decision. Themes emerged from the data in these categories: vehicle features that keep them feeling safe, advanced vehicular technologies, factors that influence their car buying decisions, and resources that inform this decision. Results indicate older drivers have gaps with respect to their knowledge of safety features and do not prioritize safety at the time of vehicle purchase. To maximize the awareness and uptake of safety innovations, older consumers would benefit from a vehicle design rating system that highlights safety as well as other features to help ensure that the vehicle purchased fits their lifestyle and needs. PMID:23522914

  20. A focus group study of factors influencing African-American men's prostate cancer screening behavior.

    PubMed Central

    Odedina, Folakemi T.; Scrivens, John; Emanuel, Angela; LaRose-Pierre, Margareth; Brown, James; Nash, Rowena

    2004-01-01

    This study was conducted to identify the factors perceived by African-American men as influencing their behavior relative to prostate cancer screening. A total of 49 African-American men, age 40 and above, participated in 10 focus group discussions in Florida. Data collection was between October 12, 2001 and March 9, 2002 in Tallahassee, Tampa, and Miami. Data analysis was conducted using a comprehensive ethnographical analysis, including the use of an ethnographical retrieval program, Nonnumerical Unstructured Data Indexing Searching and Theorizing (QSR NUD*IST 4.0) software. Factors identified as influencing prostate cancer screening participation by African-American men were impediments to prostate cancer screening; positive outcome beliefs associated with prostate cancer screening; social influence; negative outcome beliefs associated with prostate cancer screening; resources or opportunities that facilitate prostate cancer screening; prostate cancer knowledge; perceived susceptibility to prostate cancer; perceived threat of prostate cancer; perceived severity of prostate cancer; positive health activities; illness experience; and prostate cancer screening intervention message concept, message source, and message channel. The results of this study may offer an excellent guide to designing effective, culturally sensitive, and relevant interventions, which would increase African-American men's participation in prostate cancer screening. PMID:15233488

  1. Public attitudes towards pricing policies to change health-related behaviours: a UK focus group study

    PubMed Central

    Marteau, Theresa M.; Kinmonth, Ann Louise; Cohn, Simon

    2015-01-01

    Background: Evidence supports the use of pricing interventions in achieving healthier behaviour at population level. The public acceptability of this strategy continues to be debated throughout Europe, Australasia and USA. We examined public attitudes towards, and beliefs about the acceptability of pricing policies to change health-related behaviours in the UK. The study explores what underlies ideas of acceptability, and in particular those values and beliefs that potentially compete with the evidence presented by policy-makers. Methods: Twelve focus group discussions were held in the London area using a common protocol with visual and textual stimuli. Over 300 000 words of verbatim transcript were inductively coded and analyzed, and themes extracted using a constant comparative method. Results: Attitudes towards pricing policies to change three behaviours (smoking, and excessive consumption of alcohol and food) to improve health outcomes, were unfavourable and acceptability was low. Three sets of beliefs appeared to underpin these attitudes: (i) pricing makes no difference to behaviour; (ii) government raises prices to generate income, not to achieve healthier behaviour and (iii) government is not trustworthy. These beliefs were evident in discussions of all types of health-related behaviour. Conclusions: The low acceptability of pricing interventions to achieve healthier behaviours in populations was linked among these responders to a set of beliefs indicating low trust in government. Acceptability might be increased if evidence regarding effectiveness came from trusted sources seen as independent of government and was supported by public involvement and hypothecated taxation. PMID:25983329

  2. Nursing culture: An enemy of evidence-based practice? A focus group exploration.

    PubMed

    Henderson, Ellen M; Fletcher, Margaret

    2015-12-01

    Evidence-based practice (EBP) is challenging for most nurses due to the time constraints of caring for patients and the emerging pressures of a changing health service. To explore these challenges, and thus to establish possible means of overcoming them, three focus groups (n = 17) with children's nurses were conducted. Participants were asked how they would define EBP, what the barriers to EBP were, what skills they needed to help access evidence and how they could integrate evidence into everyday practice. Data were analysed thematically and the anticipated themes of definitions of EBP, barriers, education and nursing culture were determined. Important subthemes were personal and employer disengagement, passivity and lack of resource utilisation. Passive use of evidence readily available in patient folders and on the wards was common. It seemed that little consideration was given to how often this evidence was updated. Nurses define their access to evidence as primarily passive in nature. This is reinforced by a lack of ready access to ongoing education and a perceived lack of investment at institutional level in their continued engagement with evidence. Promoting EBP needs to engage more with those ritual and traditional aspects of nursing culture to challenge these perceptions. PMID:24812063

  3. Food safety knowledge, attitudes and practices of mothers: findings from focus group studies in South India.

    PubMed

    Subba Rao, G M; Sudershan, R V; Rao, Pratima; Vishnu Vardhana Rao, M; Polasa, Kalpagam

    2007-09-01

    In India, most of the diarrhoeal deaths among children (<5 years) are attributed to food and water contamination. Mothers are usually the final line of defence against food borne illnesses. Thus, the role of mothers in ensuring food safety at homes is well accepted. There are hardly any studies in India to understand their knowledge, attitudes and practices on food safety. The present study was an attempt in this direction. A total of 32 Focus Group Discussions were carried out with mothers of children <5 years in 16 districts from all the four South Indian states. The findings reveal that food safety awareness and practices are good among mothers perhaps due to the Indian food ethos passed on to them through generations. Home cooked foods are considered to be safer than prepared foods bought from outside. Many mothers were aware of the common food adulterants but do not bother to complain or take action. There is a need to create enabling environment with improved access to potable water, sanitation and cooking fuel. Spreading awareness about checking food labels and reporting to the health authorities in case of food poisoning or adulteration is also the need of the hour. The Anganwadi Centres can be the focal points for imparting food safety education to the mothers. PMID:17448570

  4. Environmental influences on African migration to Canada: focus group findings from Ottawa-Gatineau.

    PubMed

    Veronis, Luisa; McLeman, Robert

    2014-01-01

    There is limited empirical evidence of how environmental conditions in the Global South may influence long-distance international migration to the Global North. This research note reports findings from seven focus groups held in Ottawa-Gatineau, Canada, with recent migrants from the Horn of Africa and francophone sub-Saharan Africa, where the role of environment in migration decision-making was discussed. Participants stated that those most affected by environmental challenges in their home countries lack the financial wherewithal to migrate to Canada. Participants also suggested that internal rural-urban migration patterns generated by environmental challenges in their home countries underlay socioeconomic factors that contributed to their own migration. In other words, environment is a second- or third-order contributor in a complex chain of interactions in the migrant source country that may lead to long-distance international migration by skilled and educated urbanites. These findings have informed the scope and detail of a larger, ongoing empirical study of environmental influences on immigration to Canada. PMID:25400310

  5. Focus group evaluation of "Secret Feelings": a depression fotonovela for Latinos with limited English proficiency.

    PubMed

    Cabassa, Leopoldo J; Contreras, Sandra; Aragón, Rebeca; Molina, Gregory B; Baron, Melvin

    2011-11-01

    In this study, the authors examined reactions of Latino adults with limited English proficiency (LEP) to a culturally and linguistically adapted depression fotonovela, titled "Secret Feelings." Fotonovelas are popular health education tools that use posed photographs, text bubbles with simple text, and dramatic narratives to engage audiences and raise their awareness and knowledge about specific health issues. Four focus groups (N = 32) were conducted at an adult school program (e.g., GED classes). Content analysis was used to generate themes from transcripts and memos. "Secret Feelings" was viewed as an entertaining, engaging, and educational tool that helped combat stigma toward depression and its treatments in the Latino community. Despite learning about depression, participants reported they wanted more information about the causes of depression, the process of recovery, and felt that the story did not shift their apprehensions toward antidepressants. The findings suggest that "Secret Feelings" is a promising depression literacy tool for Latinos with LEP that can raise awareness and knowledge about depression and its treatments, reduce stigma toward depression and antidepressant medications, and model appropriate help-seeking behaviors. PMID:21807951

  6. Barriers to asymptomatic screening and other STD services for adolescents and young adults: focus group discussions

    PubMed Central

    Tilson, Elizabeth C; Sanchez, Victoria; Ford, Chandra L; Smurzynski, Marlene; Leone, Peter A; Fox, Kimberley K; Irwin, Kathleen; Miller, William C

    2004-01-01

    Background Sexually transmitted diseases (STDs) are a major public health problem among young people and can lead to the spread of HIV. Previous studies have primarily addressed barriers to STD care for symptomatic patients. The purpose of our study was to identify perceptions about existing barriers to and ideal services for STDs, especially asymptomatic screening, among young people in a southeastern community. Methods Eight focus group discussions including 53 White, African American, and Latino youth (age 14–24) were conducted. Results Perceived barriers to care included lack of knowledge of STDs and available services, cost, shame associated with seeking services, long clinic waiting times, discrimination, and urethral specimen collection methods. Perceived features of ideal STD services included locations close to familiar places, extended hours, and urine-based screening. Television was perceived as the most effective route of disseminating STD information. Conclusions Further research is warranted to evaluate improving convenience, efficiency, and privacy of existing services; adding urine-based screening and new services closer to neighborhoods; and using mass media to disseminate STD information as strategies to increase STD screening. PMID:15189565

  7. Exploring Somali women's reproductive health knowledge and experiences: results from focus group discussions in Mogadishu.

    PubMed

    Gure, Faduma; Yusuf, Marian; Foster, Angel M

    2015-11-01

    With a total fertility ratio of 6.7 children per woman, a maternal mortality ratio over 1,000 deaths per 100,000 live births, high rates of sexual and gender-based violence, and the lowest contraceptive prevalence rate in the world, women's reproductive health indices in Somalia prove alarming. The voices of women living in Somalia have long been neglected and we undertook this qualitative study to explore women's reproductive health knowledge and experiences. In 2014, we conducted four focus group discussions with 21 married and unmarried women of reproductive age living in Mogadishu, Somalia. Discussions took place in Somali and we used a constant comparative approach to analyse the discussions for content and themes. Our findings reveal that misinformation, restrictive policies, mistrust of clinicians, and prohibitively expensive services shape women's experiences and health-seeking behaviours. Women identified the need for culturally resonant reproductive health information and services as a significant priority. As Somalia begins to emerge from over two decades of civil war, it is imperative that comprehensive reproductive health issues are included on the national agenda and that women's perspectives are incorporated into future policies and interventions. PMID:26719005

  8. What young people want from health-related online resources: a focus group study

    PubMed Central

    Fergie, Gillian; Hunt, Kate; Hilton, Shona

    2012-01-01

    The growth of the Internet as an information source about health, particularly amongst young people, is well established. The aim of this study was to explore young people's perceptions and experiences of engaging with health-related online content, particularly through social media websites. Between February and July 2011 nine focus groups were facilitated across Scotland with young people aged between 14 and 18 years. Health-related user-generated content seems to be appreciated by young people as a useful, if not always trustworthy, source of accounts of other people's experiences. The reliability and quality of both user-generated content and official factual content about health appear to be concerns for young people, and they employ specialised strategies for negotiating both areas of the online environment. Young people's engagement with health online is a dynamic area for research. Their perceptions and experiences of health-related content seem based on their wider familiarity with the online environment and, as the online environment develops, so too do young people's strategies and conventions for accessing it. PMID:24748849

  9. Attitudes towards patient gender among psychiatric hospital staff: results of a case study with focus groups.

    PubMed

    Krumm, Silvia; Kilian, Reinhold; Becker, Thomas

    2006-03-01

    There is an increasing awareness of gender-related issues in psychiatry. However, empirical findings on attitudes of psychiatric staff towards patient gender are limited. Gender-related issues are particularly relevant in the debate about mixed versus segregated sex wards, yet while the appropriateness of mixed-sex wards is questioned in Great Britain this is not the case in Germany. To investigate attitudes of psychiatric staff towards both patient gender and mixed versus segregated sex wards, we conducted a case study using focus groups with members of professional teams. We evaluated the transition process from two single-sex wards to two mixed-sex wards in a 330-bed psychiatric hospital in a rural area in south Germany. Staff described female patients as more externally oriented, motivating of others, demanding, and even sexually aggressive. Male patients, on the other hand, were described as more quiet, modest, or lazy. Furthermore, participants described the mixing process as a positive development whereas they did not see a need for gender-separated wards in order to protect vulnerable female patients. Some gender descriptions by professionals are "reversed" in comparison with gender stereotypes supposed to be present in wider society. The perception of crossed gender norms may affect staff attitudes towards the vulnerability of female patients in psychiatric settings and the provision of single-sex wards in in-patient psychiatric care. Practical implications are discussed against the background of a high rate of female patients with sexual abuse histories. PMID:16157434

  10. Women's status and family planning: results from a focus group survey.

    PubMed

    Gu, B; Xie, Z

    1994-02-01

    Focus group discussions were conducted in China's Pingluo County, Ningxia Hui Autonomous Region, and Sihui County, Guangdong Province among reproductive age women with only daughters, mothers-in-law, unmarried women aged 23 years and older, and women business persons and cadres. The topic of discussion was the status of women, gender differences in employment, education, marriage, family life, childbearing, and elderly care in counties that have above average fertility rates. There were also several groups of men, mixed gender groups with husbands working away from home, local family planning workers, and rural intellectuals. The findings showed that there is more access to education for girls and a higher employment rate for young women. Daughters receive education to the highest level affordable. Enrollments are equal for boys and girls. Women's employment is not challenged by husbands, and work is available in a variety of locations. Business ownership and operation is encouraged. By middle age, women generally do not work in enterprises, but at home or on contracted farmland. Equal rights within the family are generally accepted. Husbands turn over their salary to wives for family expenses. Girls receive the same care after birth as boys. Women's status is improving. Improvements in social status have also involved sacrifices. Women complained that the workload on the farm has increased with adult males away working in cities. Women bear the burden of family planning, including in some cases side effects from oral pills and recovery from sterilizations. One women remarked that there were burdens in bearing children, taking oral pills, having IUD insertions, and having induced abortions; men should bear 50% of the responsibility. The burden of women without sons is harder, and women may also feel inferior as the last in their family line. One family with 6 daughters accepted the fine of RMB 7000 yuan for having another child, which turned out to be a son. One

  11. 'Could you please pass one of those health leaflets along?': exploring health, morality and resistance through focus groups.

    PubMed

    Crossley, Michele L

    2002-10-01

    This paper derives from research in which focus groups were used as a preliminary method of eliciting peoples' perceptions, attitudes and opinions towards health and health promotion in a Northern British city. However, applying criticisms associated with social constructionist theories (e.g. discourse analysis and rhetorical analysis), some recently emerging work on focus groups (see The challenge and promise of focus groups, in: Barbour, Kitzinger (Eds.), Developing Focus Group Research: Politics, Theory and Practice, Sage, London, 1999, p. 1; Focus Groups in Social Research, Sage, London, 2001) has suggested that their traditional use, as a kind of 'window' onto peoples' attitudes and opinions, misses important dimensions of the way in which these phenomena are actively negotiated and constructed during the course of the focus group. Working on the premise that these observations are particularly pertinent to health issues, this paper draws on data from one focus group in order to provide a detailed working example of the way in which attitudes and opinions towards health issues are actively constructed during the course of interaction. In addition, in accordance with social constructionist theories, attention will be paid to the way in which such construction is inextricably linked to social and moral actions such as the negotiation of blame and allocation of responsibility. Through an analysis of six extracts, the paper ultimately identifies three 'positions' or 'stances', which develop over the course of the focus group, often in opposition to one another. These are: (1) 'positive mental attitude'; (2) 'genes and luck'; and (3) 'resistance'. Each of these positions becomes associated, not only with certain moral values, but also 'attached' to certain people within the group. One of the main aims of this analysis is to illustrate how, through the everyday nature of such debates, health remains an intrinsically moral phenomenon. PMID:12231023

  12. From Crisis to Transition: The State of Russian Science Based on Focus Groups with Nuclear Physicists

    SciTech Connect

    Gerber, T P; Ball, D Y

    2001-12-09

    renewed economic progress in Russia. Russian scientists could also be an important source of support for democratic norms: sociologists of science have long argued that scientists tend to support democracy because it provides them with the freedom in which their research can flourish. At the same time, a more recent study suggests that funding shortages may override the researcher's need for freedom and drive scientists to align themselves with the economic policies espoused by Nationalists and Communists in order to survive. Therefore, much turns on the question: ''What is the state of science in Russia today?'' The good news is that focus group interviews with Russian nuclear physicists conducted in October 2001 suggest that the ''science in crisis'' image is one-sided and misleading. Though scientists still complained about low salaries, lack of respect in society, and other similar issues, the participants in the focus groups also expressed positive sentiments about recent changes in the field of science. To be sure, the financing of science remains at a considerably lower level than during the heyday of Soviet times. Yet, it is now possible to earn a decent living as a scientist because of the greater availability of foreign and domestic grants and contracts. In addition, state funding has stabilized over the past few years. Thus, it is more accurate to say that Russian science is in a state of transition rather than in a state of crisis.

  13. Focus Group Study of Public Opinion About Paying Living Kidney Donors in Australia

    PubMed Central

    Ralph, Angelique F.; Chapman, Jeremy R.; Wong, Germaine; Gill, John S.; Josephson, Michelle A.; Craig, Jonathan C.

    2015-01-01

    Background and objectives The unmet demand for kidney transplantation has generated intense controversy about introducing incentives for living kidney donors to increase donation rates. Such debates may affect public perception and acceptance of living kidney donation. This study aims to describe the range and depth of public opinion on financial reimbursement, compensation, and incentives for living kidney donors. Design, setting, participants, & measurements Twelve focus groups were conducted with 113 participants recruited from the general public in three Australian states in February 2013. Thematic analysis was used to analyze the transcripts. Results Five themes were identified: creating ethical impasses (commodification of the body, quandary of kidney valuation, pushing moral boundaries), corrupting motivations (exposing the vulnerable, inevitable abuse, supplanting altruism), determining justifiable risk (compromising kidney quality, undue harm, accepting a confined risk, trusting protective mechanisms, right to autonomy), driving access (urgency of organ shortage, minimizing disadvantage, guaranteeing cost-efficiency, providing impetus, counteracting black markets), and honoring donor deservingness (fairness and reason, reassurance and rewards, merited recompense). Reimbursement and justifiable recompense are considered by the Australian public as a legitimate way of supporting donors and reducing disadvantage. Financial payment beyond reimbursement is regarded as morally reprehensible, with the potential for exploitative commercialism. Some contend that regulated compensation could be a defensible strategy to increased donation rates provided that mechanisms are in place to protect donors. Conclusions The perceived threat to community values of human dignity, goodwill, and fairness suggests that there could be strong public resistance to any form of financial inducements for living kidney donors. Policy priorities addressing the removal of disincentives

  14. Deconstructing Williamsburg: Using focus groups to examine residents' perceptions of the building of a walkable community

    PubMed Central

    2010-01-01

    Background Components of the built environment are associated with active living behaviors, but research in this area has employed surveys and other quantitative methods almost exclusively. Qualitative approaches can provide additional detail about how neighborhoods influence physical activity, including informing the extent to which such relationships are causal in nature. The purpose of this study was to gain an in-depth understanding of residents' attitudinal and behavioral responses to living in a neighborhood designed to be walkable. Methods Focus groups were conducted with residents of a planned retail and residential development that was designed to embody many attributes of walkability and was located within a large city in southwestern Ontario. In total, 31 participants provided qualitative data about neighborhood resources and dynamics, use of local services, physical activity behavior, and other related issues. The data were transcribed and coded for themes relevant to the study purpose. Results Salient themes that emerged emphasized the importance of land use diversity, safety, parks and trails, aesthetics, and a sense of community, with the latter theme cutting across all others. The data also revealed mechanisms that explain relationships between the built environment and behavior and how sidewalks in the neighborhood facilitated diverse health behaviors and outcomes. Finally, residents recited several examples of changes in behavior, both positive and negative, since moving to their current neighborhood. Conclusions The results of this study confirmed and expanded upon current knowledge about built and social environment influences on physical activity and health. That many residents reported changes in their behaviors since moving to the neighborhood permitted tentative inferences about the causal impact of built and social environments. Future research should exploit diverse methods to more fully understand how neighborhood contexts influence

  15. Perceptions of mental workload in Dutch university employees of different ages: a focus group study

    PubMed Central

    2013-01-01

    Background As academic workload seems to be increasing, many studies examined factors that contribute to the mental workload of academics. Age-related differences in work motives and intellectual ability may lead to differences in experienced workload and in the way employees experience work features. This study aims to obtain a better understanding of age differences in sources of mental workload. 33 academics from one faculty discussed causes of workload during focus group interviews, stratified by age. Findings Among our participants, the influence of ageing seems most evident in employees’ actions and reactions, while the causes of workload mentioned seemed largely similar. These individual reactions to workload may also be driven by differences in tenure. Most positively assessed work characteristics were: interaction with colleagues and students and autonomy. Aspects most often indicated as increasing the workload, were organisational aspects as obstacles for ‘getting the best out of people’ and the feeling that overtime seems unavoidable. Many employees indicated to feel stretched between the ‘greediness’ of the organisation and their own high working standards, and many fear to be assigned even less time for research if they do not meet the rigorous output criteria. Moreover, despite great efforts on their part, promotion opportunities seem limited. A more pronounced role for the supervisor seems appreciated by employees of all ages, although the specific interpretation varied between individuals and career stages. Conclusions To preserve good working conditions and quality of work, it seems important to scrutinize the output requirements and tenure-based needs for employee supervision. PMID:23506458

  16. Why Physicians Favor Use of Percutaneous Coronary Intervention to Medical Therapy: A Focus Group Study

    PubMed Central

    Lin, Grace A.; Dudley, R. Adams

    2008-01-01

    BACKGROUND Percutaneous coronary intervention (PCI) is performed in many patients with stable coronary artery disease, despite evidence of little clinical benefit over optimal medical therapy. OBJECTIVE To examine physicians’ beliefs, practices, and decision-making regarding elective PCI. DESIGN Six focus groups, three with primary care physicians and three with cardiologists. Participants discussed PCI using hypothetical case scenarios. Transcripts were analyzed using grounded theory, and commonly expressed themes regarding the decision-making pathway to PCI were identified. PARTICIPANTS Twenty-eight primary care physicians and 20 interventional and non-interventional cardiologists in Butte County, Orange County, and San Francisco Bay Area, California, in 2006. RESULTS A number of factors led primary care physicians to evaluate non-symptomatic or minimally symptomatic patients for coronary artery disease and refer them to a cardiologist. The use of screening tests often led to additional testing and referral, as well as fear of missing a coronary stenosis, perceived patient expectations, and medicolegal concerns. The end result was a cascade such that any positive test would generally lead to the catheterization lab, where an “oculostenotic reflex” made PCI a virtual certainty. CONCLUSIONS The widespread use of PCI in patients with stable coronary artery disease—despite evidence of little benefit in outcomes over medical therapy—may in part be due to psychological and emotional factors leading to a cascade effect wherein testing leads inevitably to PCI. Determining how to help physicians better incorporate evidence-based medicine into decision-making has important implications for patient outcomes and the optimal use of new technologies. Electronic Supplementary Material The online version of this article (doi:10.1007/s11606-008-0706-x) contains supplementary material, which is available to authorized users. PMID:18618192

  17. Communication of geohazard risks by focus group discussions in the Mount Cameroon area, Cameroon.

    NASA Astrophysics Data System (ADS)

    del Marmol, M.-A.; Suh Atanga, M. Bi; Njome, S.; Mafany Teke, G.; Jacobs, P.; Suh, C. E.

    2012-04-01

    The inappropriate translation of scientific information of geohazard (volcanic, landslide and crater lake outgassing) risks to any local population leaves people with incongruent views of the real dangers. Initial workshops organized under the supervision of the VLIR-OI (Flemish Interuniversity Council - Own Initiatives) members have led to the deployment of billboards as requested and drawn up by the locals. The VLIR-OI project has also organized focus group discussions (FGD) with the local stakeholders to find out in various cities, the state of preparedness, the response to emergency situations, the recovery from the emergency and the mitigation. Researchers have preferred open discussion with the local population and its representatives in order to elicit information that otherwise might not be found on a structured questionnaire. FGD provide a meaningful interactive opportunity to collect information and reflection on a wide range of input. The method provides an insight into problems that require a solution through a process of discovering the meaning attributed to certain events or issues. In this research four cardinal points as preparedness, response, recovery and mitigation (Fothergill, 1996) guided the FGD. The population (i.e. local town councils) were constituted by a mix of chiefs, engineers, technicians and civil servants and government officials. In all the three city councils concerned, the engineers in charge complained about the lack of strategic planning, and about the missing of an elaborated strategy for disasters. They are aware of the existence of an organigram in the "Département de l'Action Civile" in Yaounde but never received any "strategic" document. Therefore inappropriate actions might be taken by the municipalities themselves. Fortunately all people interrogated at the FDG always mentioned solidarity in any event. Fothergill, 1996, Gender, Risk, and Disasters, Intern. Jour. of Mass Emergencies and Disasters, vol.14, n°1, 33-56

  18. Farm and rural adolescents’ perspective on hearing conservation: Reports from a focus group study

    PubMed Central

    Rosemberg, Marie-Anne S.; McCullagh, Marjorie C.; Nordstrom, Megan

    2015-01-01

    This study explored the attitudes, beliefs, and behaviors of rural and farm adolescents regarding hearing conservation strategies. This qualitative study took place at two high schools in rural Michigan. Twenty-five adolescents living and working on farms or living in rural areas participated in one of two focus groups. Interviews were audio-recorded and transcribed verbatim. Transcripts were coded and analyzed by two researchers and checked by an additional researcher to ensure reliability. Noise exposure was ubiquitous among participants, both in farm-related (e.g., equipment, livestock) and non-farm-related (e.g., music, firearms) activities. Perceived barriers to use of hearing protection devices outweighed perceived benefits, resulting in uncommon use of protection. When hearing protection was used, it was usually earmuffs or earplugs. Participants indicated a lack of training in noise hazards and protective strategies. Despite their acknowledged risk of hearing loss, participants did not associate their use of hearing protection today with their hearing ability later in life. Categories emerging that relate to hearing protector use included: Barriers, benefits, self-efficacy, situational influences, impersonal influences, cues to action, susceptibility, and severity. Farm and rural adolescents are at risk for noise exposure and hearing loss. The findings stress the significance of work environment and adult modeling in facilitating hearing conservation behaviors. As indicated by the youths’ recommendations, school-based interventions may be an effective approach to address this health concern. Intervention studies are needed to test various approaches that can effectively promote use of hearing conservation strategies among rural and farm adolescents. PMID:25913552

  19. Farm and rural adolescents' perspective on hearing conservation: reports from a focus group study.

    PubMed

    Rosemberg, Marie-Anne S; McCullagh, Marjorie C; Nordstrom, Megan

    2015-01-01

    This study explored the attitudes, beliefs, and behaviors of rural and farm adolescents regarding hearing conservation strategies. This qualitative study took place at two high schools in rural Michigan. Twenty-five adolescents living and working on farms or living in rural areas participated in one of two focus groups. Interviews were audio-recorded and transcribed verbatim. Transcripts were coded and analyzed by two researchers and checked by an additional researcher to ensure reliability. Noise exposure was ubiquitous among participants, both in farm-related (e.g., equipment, livestock) and non-farm-related (e.g., music, firearms) activities. Perceived barriers to use of hearing protection devices outweighed perceived benefits, resulting in uncommon use of protection. When hearing protection was used, it was usually earmuffs or earplugs. Participants indicated a lack of training in noise hazards and protective strategies. Despite their acknowledged risk of hearing loss, participants did not associate their use of hearing protection today with their hearing ability later in life. Categories emerging that relate to hearing protector use included: Barriers, benefits, self-efficacy, situational influences, impersonal influences, cues to action, susceptibility, and severity. Farm and rural adolescents are at risk for noise exposure and hearing loss. The findings stress the significance of work environment and adult modeling in facilitating hearing conservation behaviors. As indicated by the youths' recommendations, school-based interventions may be an effective approach to address this health concern. Intervention studies are needed to test various approaches that can effectively promote use of hearing conservation strategies among rural and farm adolescents. PMID:25913552

  20. Experiences of employees with arm, neck or shoulder complaints: a focus group study

    PubMed Central

    2014-01-01

    Background Many people suffer from complaints of the arm, neck or shoulder (CANS). CANS causes significant work problems, including absenteeism (sickness absence), presenteeism (decreased work productivity) and, ultimately, job loss. There is a need for intervention programs for people suffering from CANS. Management of symptoms and workload, and improving the workstyle, could be important factors in the strategy to deal with CANS. The objective of this study is to evaluate the experienced problems of employees with CANS, as a first step in an intervention mapping process aimed at adaptation of an existing self-management program to the characteristics of employees suffering from CANS. Methods A qualitative study comprising three focus group meetings with 15 employees suffering from CANS. Based on a question guide, participants were asked about experiences in relation to continuing work despite their complaints. Data were analysed using content analysis with an open-coding system. During selective coding, general themes and patterns were identified and relationships between the codes were examined. Results Participants suffering from CANS often have to deal with pain, disability, fatigue, misunderstanding and stress at work. Some needs of the participants were identified, i.e. disease-specific information, exercises, muscle relaxation, working with pain, influence of the work and/or social environment, and personal factors (including workstyle). Conclusions Employees suffering from CANS search for ways to deal with their complaints in daily life and at work. This study reveals several recurring problems and the results endorse the multi-factorial origin of CANS. Participants generally experience problems similar to those of employees with other types of complaints or chronic diseases, e.g. related to their illness, insufficient communication, working together with healthcare professionals, colleagues and management, and workplace adaptations. These topics will be

  1. NLSI Focus Group on Missing ALSEP Data Recovery: Progress and Plans

    NASA Technical Reports Server (NTRS)

    Lewis, L. R.; Nakamura, Y.; Nagihara, S.; Williams, D. R.; Chi, P.; Taylor, P. T.; Schmidt, G. K.; Grayzeck, E. J.

    2011-01-01

    On the six Apollo landed missions, the Astronauts deployed the Apollo Lunar Surface Experiments Package (ALSEP) science stations which measured active and passive seismic events, magnetic fields, charged particles, solar wind, heat flow, the diffuse atmosphere, meteorites and their ejecta, lunar dust, etc. Today's scientists are able to extract new information and make new discoveries from the old ALSEP data utilizing recent advances in computer capabilities and new analysis techniques. However, current-day investigators are encountering problems trying to use the ALSEP data. In 2007 archivists from NASA Goddard Space Flight Center (GSFC) National Space Science Data Center (NSSDC) estimated only about 50 percent of the processed ALSEP lunar surface data-of-interest to current lunar science investigators were in the NSSDC archives. The current-day lunar science investigators found most of the ALSEP data, then in the NSSDC archives. were extremely difficult to use. The data were in forms often not well described in the published reports and rerecording anomalies existed in the data which could only be resolved by tape experts. To resolve this problem, the DPS Lunar Data Node was established in 2008 at NSSDC and is in the process of successfully making the existing archived ALSEP data available to current-day investigators in easily useable forms. In July of 2010 the NASA Lunar Science Institute (NLSI) at Ames Research Center established the Recovery of Missing ALSEP Data Focus Group in recognition of the importance of the current activities to find the raw and processed ALSEP data missing from the NSSDC archives.

  2. Using Focus Groups, Expert Advice, and Cognitive Interviews to Establish the Validity of a College Student Survey

    ERIC Educational Resources Information Center

    Ouimet, Judith A.; Bunnage, JoAnne C.; Carini, Robert M.; Kuh, George D.; Kennedy, John

    2004-01-01

    This study focused on how the design of a national student survey instrument was informed and improved through the combined use of student focus groups, cognitive interviews, and expert survey design advice. We were specifically interested in determining (a) how students interpret the items and response options, (b) the frequency of behaviors or…

  3. E-learning for Critical Thinking: Using Nominal Focus Group Method to Inform Software Content and Design

    PubMed Central

    Parker, Steve; Mayner, Lidia; Michael Gillham, David

    2015-01-01

    Background: Undergraduate nursing students are often confused by multiple understandings of critical thinking. In response to this situation, the Critiique for critical thinking (CCT) project was implemented to provide consistent structured guidance about critical thinking. Objectives: This paper introduces Critiique software, describes initial validation of the content of this critical thinking tool and explores wider applications of the Critiique software. Materials and Methods: Critiique is flexible, authorable software that guides students step-by-step through critical appraisal of research papers. The spelling of Critiique was deliberate, so as to acquire a unique web domain name and associated logo. The CCT project involved implementation of a modified nominal focus group process with academic staff working together to establish common understandings of critical thinking. Previous work established a consensus about critical thinking in nursing and provided a starting point for the focus groups. The study was conducted at an Australian university campus with the focus group guided by open ended questions. Results: Focus group data established categories of content that academic staff identified as important for teaching critical thinking. This emerging focus group data was then used to inform modification of Critiique software so that students had access to consistent and structured guidance in relation to critical thinking and critical appraisal. Conclusions: The project succeeded in using focus group data from academics to inform software development while at the same time retaining the benefits of broader philosophical dimensions of critical thinking. PMID:26835469

  4. Using focus groups to understand causes for morale decline after introducing change in an IM residency program

    PubMed Central

    2014-01-01

    Background Although program evaluation is a core requirement of Internal Medicine residencies, little is reported in the literature regarding resident satisfaction with training. Most program evaluation consists of numerical rating scales from which it is often difficult to pinpoint exact sources of dissatisfaction. Methods Our goal in this work is to evaluate the utility of focus group methodology to uncover in detail the reasons for residents’ deteriorating morale in an IM residency program, as well as to solicit suggestions for correction. This study employed focus groups (FG) in a qualitative research design, in which descriptive statistics from a resident program evaluation survey served to guide an intensive focus group process. Participants were 40 of 45 2nd and 3rd year internal medicine residents enrolled in the IM residency training program. Five chief residents were trained to conduct 5 focus groups with 8 residents in each group. The focus groups examined possible issues contributing to the deterioration of morale noted in the quantitative survey. Results Many unexpected themes were uncovered by the FGs. Residents identified the following factors as the major contributors to deteriorating morale: 1) Pace of change 2) Process of change 3) The role of chief residents in change 4) Fear of intimidation and retaliation. Groups also suggested practical recommendations for improving the culture of the residency. Conclusion Introducing change in residency training is a challenging process. Respectful attention to resident frustrations and solution-focused discussions are necessary to understand and improve morale. Focus groups proved to be a useful tool in revealing the precise source of pervasive resident concerns as well as providing potential solutions. In addition, FGs methodology can be adapted in a practical manner to residency evaluation. PMID:24994046

  5. Observing Engineering Student Teams from the Organization Behavior Perspective Using Linguistic Analysis of Student Reflections and Focus Group Interviews

    ERIC Educational Resources Information Center

    Kearney, Kerri S.; Damron, Rebecca; Sohoni, Sohum

    2015-01-01

    This paper investigates group/team development in computer engineering courses at a University in the Central USA from the perspective of organization behavior theory, specifically Tuckman's model of the stages of group development. The investigation, conducted through linguistic analysis of student reflection essays, and through focus group…

  6. Laughter and Forgetting: Using Focus Groups to Discuss Smoking and Motherhood in Low-Income Areas in the UK

    ERIC Educational Resources Information Center

    Robinson, Jude

    2009-01-01

    This article considers previously ignored aspects of verbal communication, humor and laughter, as critical components of social interaction within group discussions. Drawing on data from focus groups, Robinson uses a feminist perspective to explore how mothers living in areas of poverty in Liverpool, UK, use humor and laughter to discuss their…

  7. Focus Group Studies on Food Safety Knowledge, Perceptions, and Practices of School-Going Adolescent Girls in South India

    ERIC Educational Resources Information Center

    Gavaravarapu, Subba Rao M.; Vemula, Sudershan R.; Rao, Pratima; Mendu, Vishnu Vardhana Rao; Polasa, Kalpagam

    2009-01-01

    Objective: To understand food safety knowledge, perceptions, and practices of adolescent girls. Design: Focus group discussions (FGDs) with 32 groups selected using stratified random sampling. Setting: Four South Indian states. Participants: Adolescent girls (10-19 years). Phenomena of Interest: Food safety knowledge, perceptions, and practices.…

  8. Qualitative focus group study investigating experiences of accessing and engaging with social care services: perspectives of carers from diverse ethnic groups caring for stroke survivors

    PubMed Central

    Greenwood, Nan; Holley, Jess; Ellmers, Theresa; Mein, Gill; Cloud, Geoffrey

    2016-01-01

    Objectives Informal carers, often family members, play a vital role in supporting stroke survivors with post-stroke disability. As populations age, numbers of carers overall and those from minority ethnic groups in particular, are rising. Carers from all ethnic groups, but especially those from black and minority ethnic groups frequently fail to access support services, making understanding their experiences important. The study therefore explored the experiences of carers of stroke survivors aged 45+ years from 5 ethnic groups in accessing and receiving social care services after hospital discharge. Design This qualitative study used 7 recorded focus groups with informal carers of stroke survivors. Data were analysed thematically focusing on similarities and differences between ethnic groups. Setting Carers were recruited from voluntary sector organisations supporting carers, stroke survivors and black and minority ethnic groups in the UK. Participants 41 carers from 5 ethnic groups (Asian Indian, Asian Pakistani, black African, black Caribbean, white British) participated in the focus groups. Results Several interconnected themes were identified including: the service gap between hospital discharge and home; carers as the best person to care and cultural aspects of caring and using services. Many themes were common to all the included ethnic groups but some related to specific groups. Conclusions Across ethnic groups there were many similarities in the experiences of people caring for stroke survivors with complex, long-term care needs. Accessing services demands effort and persistence on carers’ part. If carers believe services are unsatisfactory or that they, rather than formal services, should be providing support for stroke survivors, they are unlikely to persist in their efforts. Cultural and language differences add to the challenges black and minority ethnic group carers face. PMID:26826148

  9. Assessing poisoning risks related to storage of household hazardous materials: using a focus group to improve a survey questionnaire

    PubMed Central

    Kaufman, Martin M; Smolinske, Susan; Keswick, David

    2005-01-01

    Background In fall of 2004, the authors began an investigation to characterize the correlations between the storage of Household Hazardous Materials and the associated health risks, particularly to children. The study area selected was Genesee County, Michigan, near Flint, with data to be collected by a phone survey of residents and through the acquisition of county hospital records containing procedure codes indicating treatment for poison emergencies, and review of poison control center data. Methods A focus group was used to identify key topics and relationships within these data for improving the phone survey questionnaire and its analysis. Results The focus group was successful in identifying the key issues with respect to all the data collection objectives, resulting in a significantly shorter and more topically focused survey questionnaire. Execution time of the phone survey decreased from 30 to 12 minutes, and useful relationships between the data were revealed, e.g., the linkage between reading food labels and reading labels on containers containing potentially harmful substances. Conclusion Focus groups and their preparatory planning can help reveal data interrelationships before larger surveys are undertaken. Even where time and budget constraints prevent the ability to conduct a series of focus groups, one successful focus group session can improve survey performance and reduce costs. PMID:16092959

  10. Determinants of eating behaviour in university students: a qualitative study using focus group discussions

    PubMed Central

    2014-01-01

    Background College or university is a critical period regarding unhealthy changes in eating behaviours in students. Therefore, the purpose of this study was to explore which factors influence Belgian (European) university students’ eating behaviour, using a qualitative research design. Furthermore, we aimed to collect ideas and recommendations in order to facilitate the development of effective and tailored intervention programs aiming to improve healthy eating behaviours in university students. Methods Using a semi-structured question guide, five focus group discussions have been conducted consisting of 14 male and 21 female university students from a variety of study disciplines, with a mean age of 20.6 ± 1.7 yrs. Using Nvivo9, an inductive thematic approach was used for data analysis. Results After the transition from secondary school to university, when independency increases, students are continuously challenged to make healthful food choices. Students reported to be influenced by individual factors (e.g. taste preferences, self-discipline, time and convenience), their social networks (e.g. (lack of) parental control, friends and peers), physical environment (e.g. availability and accessibility, appeal and prices of food products), and macro environment (e.g. media and advertising). Furthermore, the relationships between determinants and university students’ eating behaviour seemed to be moderated by university characteristics, such as residency, student societies, university lifestyle and exams. Recommendations for university administrators and researchers include providing information and advice to enhance healthy food choices and preparation (e.g. via social media), enhancing self-discipline and self-control, developing time management skills, enhancing social support, and modifying the subjective as well as the objective campus food environment by e.g. making healthy foods price-beneficial and by providing vending machines with more healthy products

  11. How Adolescents Use Technology for Health Information: Implications for Health Professionals from Focus Group Studies

    PubMed Central

    Biscope, Sherry; Poland, Blake; Goldberg, Eudice

    2003-01-01

    Background Adolescents present many challenges in providing them effective preventive services and health care. Yet, they are typically the early adopters of new technology (eg, the Internet). This creates important opportunities for engaging youths via eHealth. Objective To describe how adolescents use technology for their health-information needs, identify the challenges they face, and highlight some emerging roles of health professionals regarding eHealth services for adolescents. Methods Using an inductive qualitative research design, 27 focus groups were conducted in Ontario, Canada. The 210 participants (55% female, 45% male; median age 16 years) were selected to reflect diversity in age, sex, geographic location, cultural identity, and risk. An 8-person team analyzed and coded the data according to major themes. Results Study participants most-frequently sought or distributed information related to school (89%), interacting with friends (85%), social concerns (85%), specific medical conditions (67%), body image and nutrition (63%), violence and personal safety (59%), and sexual health (56%). Finding personally-relevant, high-quality information was a pivotal challenge that has ramifications on the depth and types of information that adolescents can find to answer their health questions. Privacy in accessing information technology was a second key challenge. Participants reported using technologies that clustered into 4 domains along a continuum from highly-interactive to fixed information sources: (1) personal communication: telephone, cell phone, and pager; (2) social communication: e-mail, instant messaging, chat, and bulletin boards; (3) interactive environments: Web sites, search engines, and computers; and (4) unidirectional sources: television, radio, and print. Three emerging roles for health professionals in eHealth include: (1) providing an interface for adolescents with technology and assisting them in finding pertinent information sources; (2

  12. Thirty-five voices in search of an author: what focus groups reveal about patients experiences in managed care settings.

    PubMed

    Frankel, Richard M; Hourigan, Nancy Treger

    2004-01-01

    Surprisingly little direct information from patients is available in the medical literature. Focus groups, which came into use in the 1940s, provide a simple, cost effective way of exploring attitudes and values within market segments or targeted groups. In healthcare, focus groups are being used to track patients' experiences, expectations and satisfaction in order to optimize quality and cost effectiveness. This study reports on a collaboration of three upstate New York Health Maintenance Organizations (HMOs) that used the same focus group format and questions to identify' best practices' and opportunities for improvement. Participants across groups reported similar experiences despite differences in geography and plan organization. Members' most positive comments were about costs, preventive services, ease of paper work and access to sick care, all administrative functions of the health plans. The most negative focused on retaining one's physician, telephone access, providers' medical skills, provider behavior and notification of results, all related to interpersonal/communication issues. We conclude that focus groups are useful for understanding and responding to the 'voice of the customer'. They also have some distinct advantages over forced-choice questionnaires, especially in trying to discover the range of patients' experiences and expectations, though they are not without their challenges. PMID:16808688

  13. Using Focus Groups To Design a Quantitative Measure: Women's Indirect "No" to Sexual Intimacy.

    ERIC Educational Resources Information Center

    Reeder, Heidi M.

    This study combined qualitative and quantitative methods to assess the reasons many women use indirect messages to say "no" to men's attempts to escalate sexual intimacy. Subjects were six female students at a large southwestern university. At one time, one group had four women, at another time the group had two women. All were Caucasian. The room…

  14. Using focus groups to improve the validity of cross-national survey research: a study of physician decision making.

    PubMed

    O'Donnell, Amy B; Lutfey, Karen E; Marceau, Lisa D; McKinlay, John B

    2007-09-01

    In this article, the authors demonstrate how qualitative methods can form a foundation for quantitative research by improving instrument validity, informing the data collection process, and improving cost-effectiveness in a study of physician decision making. To test terminology, applicability, and comprehension of a quantitative questionnaire for doctors in the United States and United Kingdom, each country's researchers conducted physician focus groups with questions organized around the experiment, including (a) validity of video vignettes of actor "patients," (b) population accessibility, (c) level of remuneration, (d) appropriate endorsement figure, and (e) question comprehension. Focus group data collected during instrument development and fieldwork planning streamlined processes and achieved cost efficiencies and effectiveness for the overall study. Beyond simply adding a post hoc qualitative component to an already free-standing quantitative methodology, focus groups were used in the study formulation, where the qualitative methodology was integrated into the process of developing a valid survey instrument. PMID:17724109

  15. Method effects in survey and focus group findings: understanding smoking cessation in low-SES African American women.

    PubMed

    Manfredi, C; Lacey, L; Warnecke, R; Balch, G

    1997-12-01

    The same pool of African American women participated in a survey and in focus groups on motivation to quit smoking. Findings from the two studies were compared to explore potential method effects. Consistent with each method's basic purposes, the survey identified variation in study variables based on accepted theory and association patterns among such variables. The focus groups discovered themes and images salient to the participants and highlighted the situational contexts that gave meaning to smoking and smoking cessation. Survey method limitations included poor sensitivity to topic salience and contextual meanings and a deductive mode that channeled interpretation of results within the boundaries predefined by the study's theoretical framework. Focus group method limitations included an overfocus on the most dramatic and uncommon evidence and lack of systematic ways to identify explanations that may underlie the participants' overt expressions. Together, the multiple findings complemented and explained each other. PMID:9408791

  16. Bibliographic Management Software: A Focus Group Study of the Preferences and Practices of Undergraduate Students

    ERIC Educational Resources Information Center

    Salem, Jamie; Fehrmann, Paul

    2013-01-01

    With the growing population of undergraduate students on our campus and an increased focus on their success, librarians at a large midwestern university were interested in the citation management styles of this university cohort. Our university library spends considerable resources each year to maintain and promote access to the robust…

  17. Learning Cycles and Focus Groups: A Complementary Approach to the A3 Thinking Methodology

    ERIC Educational Resources Information Center

    Tortorella, Guilherme Luz; Viana, Samanta; Fettermann, Diego

    2015-01-01

    Purpose: This study aims to propose a complementary method to the A3 information collection, data analysis and capturing and sharing knowledge to facilitate problem solving in a general framework. The incorporation of this method minimizes the difficulties identified in the literature focused on continuous improvement of processes. The method…

  18. A Focus Group Study of the Impact of Trauma Exposure in the 9/11 Terrorist Attacks

    PubMed Central

    North, Carol S.; Barney, Carissa J.; Pollio, David E.

    2014-01-01

    Purpose Much of the mental health research that has emerged from the September 11 (9/11) attacks has been focused on posttraumatic stress disorder and its symptoms. To better understand the broader experience of individuals following a disaster, focus groups were conducted with individuals from affected companies both at Ground Zero and elsewhere. Methods Twenty-one focus groups with a total of 140 participants were conducted in the second post-9/11 year. Areas of identified concern were coded into the following themes: Disaster Experience, Emotional Responses, Workplace Issues, Coping, and Issues of Public Concern. Results Discussions of focus groups included material represented in all five themes in companies both at Ground Zero and elsewhere. The emphasis and the content within these themes varied between the Ground Zero and other companies. Content suggesting symptoms of PTSD represented only a minority of the material, especially in the company groups not at Ground Zero. Conclusions This study’s findings revealed an array of psychosocial concerns following the 9/11 attacks among employees of companies in New York City that extended far beyond PTSD. This study’s results provide further evidence that trauma exposure is central to individuals’ post-disaster experience and focus, and to individuals’ adjustment and experience after disaster. PMID:25319111

  19. NASA/NOAA Electronic Theater: 90 Minutes of Spectacular Visualization

    NASA Technical Reports Server (NTRS)

    Hasler, A. F.

    2004-01-01

    The NASA/NOAA Electronic Theater presents Earth science observations and visualizations from space in a historical perspective. Fly in from outer space to Ashville and the Conference Auditorium. Zoom through the Cosmos to SLC and site of the 2002 Winter Olympics using 1 m IKONOS 'Spy Satellite' data. Contrast the 1972 Apollo 17 'Blue Marble' image of the Earth with the latest US and International global satellite images that allow us to view our Planet from any vantage point. See the latest spectacular images from NASA/NOAA remote sensing missions like Terra, GOES, TRMM, SeaWiFS, & Landsat 7, of storms & fires like Hurricane Isabel and the LA/San Diego Fire Storms of 2003. See how High Definition Television (HDTV) is revolutionizing the way we do science communication. Take the pulse of the planet on a daily, annual and 30-year time scale. See daily thunderstorms, the annual blooming of the northern hemisphere land masses and oceans, fires in Africa, dust storms in Iraq, and carbon monoxide exhaust from global burning. See visualizations featured on Newsweek, TIME, National Geographic, Popular Science covers & National & International Network TV. Spectacular new global visualizations of the observed and simulated atmosphere and Oceans are shown. See the currents and vortexes in the Oceans that bring up the nutrients blooms in response to El Nino/La Nina climate changes. The Etheater will be presented using the latest High Definition TV (HDTV) and video projection technology on a large screen. See the global city lights, and the great NE US blackout of August 2003 observed by the 'night-vision' DMSP satellite.

  20. Public Speaking 101: In 90 Minutes or Less.

    ERIC Educational Resources Information Center

    Hayward, Pamela A.

    Recently, when employers of entry-level engineers were asked to prioritize the need for further instruction, over 60% of these employers identified communication skills as the primary curricular element needing increased emphasis. Two of the top 10 required skills ranked as important to engineering practice related to making oral presentations.…

  1. How do doctors and nurses manage delirium in intensive care units? A qualitative study using focus groups

    PubMed Central

    Palacios-Ceña, Domingo; Cachón-Pérez, José Miguel; Martínez-Piedrola, Rosa; Gueita-Rodriguez, Javier; Perez-de-Heredia, Marta; Fernández-de-las-Peñas, Cesar

    2016-01-01

    Objectives The aim of this study was to explore the experiences of doctors and nurses caring for patients with delirium in the intensive care unit (ICU) and to describe the process of delirium management. Setting This study was performed in 5 ICUs located within 4 hospitals in Madrid (Spain). Participants Purposeful sampling was performed which included (1) doctors and nurses working in ICUs, (2) with >1 year experience in the ICU and (3) clinical experience with delirium. 38 professionals participated (19 doctors, 19 nurses), including 22 women and 16 men. The total mean age was 39 years. Design A qualitative study using focus groups. Methods 7 focus groups were held to collect data: 3 nurse focus groups, 3 doctor focus groups and 1 mixed focus group. Each group comprised 6–10 participants. A semistructured questions guide was used. Thematic analysis methods were used to analyse the data. Results 3 themes were identified: (1) the professional perspective on delirium; (2) implementing pharmacological and non-pharmacological treatment for delirium and (3) work organisation in the ICU. The professionals regarded patients with delirium with uncertainty, and felt they were often underdiagnosed and poorly managed. Doctors displayed discrepancies regarding pharmacological prescriptions and decision-making. The choice of medication was determined by experience. Nurses felt that, for many doctors, delirium was not considered a matter of urgency in the ICU. Nurses encountered difficulties when applying verbal restraint, managing sleep disorders and providing early mobilisation. The lack of a delirium protocol generates conflicts regarding what type of care management to apply, especially during the night shift. A degree of group pressure exists which, in turn, influences the decision-making process and patient care. Conclusions Patients with delirium represent complex cases, requiring the implementation of specific protocols. These results serve to improve the process

  2. Solution Focused Empathy Training Groups for Students with Fire-Setting Behaviors

    ERIC Educational Resources Information Center

    Froeschle, Janet G.

    2006-01-01

    Fire-setting students are those who intentionally or unintentionally set one or more fires due to curiosity, stress, a need for attention, or due to criminal delinquency. This article describes the nature of fire-setting behaviors, discusses the profile and risk factors associated with the behavior, and outlines a group program using empathy…

  3. Designing Project-Based Courses with a Focus on Group Formation and Assessment

    ERIC Educational Resources Information Center

    Richards, Debbie

    2009-01-01

    The value and the pitfalls of project and group work are well recognized. The principles and elements which apply to projects in general, apply to project-based courses. Thoughtful and detailed planning, understanding of the stakeholders and their needs, a good design, appropriate testing, monitoring and quality control and continual management…

  4. Paramedics' perceptions of their role in palliative care: analysis of focus group transcripts.

    PubMed

    Lord, Bill; Récoché, Katrina; O'Connor, Margaret; Yates, Patsy; Service, Melinda

    2012-01-01

    Paramedics play an important role in out-of-hospital health care. They provide unscheduled care, assisting both patients with minor injuries and those experiencing life-threatening emergencies. Increasingly, paramedics are called on to manage chronic and complex health needs, including symptom relief for patients at the end of life. However, paramedics may not be well prepared to offer palliative care, as practice guidelines and education tend to focus on the management of acute medical emergencies and major trauma. Emergency medical services that employ paramedics rarely have practice guidelines or protocols that deal specifically with palliative care. PMID:22582470

  5. A Focus Group Study of Child Nutrition Professionals' Attitudes about Food Allergies and Current Training Practices

    ERIC Educational Resources Information Center

    Lee, Yee Ming; Kwon, Junehee; Sauer, Kevin

    2014-01-01

    Purpose/Objectives: The purpose of this study was to explore child nutrition professionals' (CNPs) attitudes about food allergies, current practices of food allergy training, and operational issues related to food allergy training in school foodservice operations. Methods: Three focus groups were conducted with 21 CNPs with managerial…

  6. Perceptions of factors influencing the acquisition and consumption of health food in the Lower Mississippi Delta: Focus Group Findings

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Our objective was to identify perceptions of Delta residents of acquisition and consumption of healthy foods and factors that influence their behavior to assist in planning sustainable nutrition interventions in the Lower Mississippi Delta (LMD). Data were collected in focus group discussions using ...

  7. Barriers to Disclosing and Reporting Violence among Women in Pakistan: Findings from a National Household Survey and Focus Group Discussions

    ERIC Educational Resources Information Center

    Andersson, Neil; Cockcroft, Anne; Ansari, Umaira; Omer, Khalid; Ansari, Noor M.; Khan, Amir; Chaudhry, Ubaid Ullah

    2010-01-01

    Worldwide, many women who experience domestic violence keep their experience secret. Few report to official bodies. In a national survey of abuse against women in Pakistan, we examined factors related to disclosure: women who had experienced physical violence telling someone about it. In focus groups, we explored why women do not report domestic…

  8. No Natives Here: A Focus Group Study of Student Perceptions of Web 2.0 and the Academic Library

    ERIC Educational Resources Information Center

    Burhanna, Kenneth J.; Seeholzer, Jamie

    2009-01-01

    This study explores Web 2.0 technologies in an academic library through focus groups with undergraduates at Kent State University. Results reveal that students, despite being heavy users, are less sophisticated and expressive in their use of Web 2.0 than presumed. Students set clear boundaries between educational and social spaces on the Web, and…

  9. Qualitative Investigation of the "Cooking with Kids" Program: Focus Group Interviews with Fourth-Grade Students, Teachers, and Food Educators

    ERIC Educational Resources Information Center

    Lukas, Catherine V.; Cunningham-Sabo, Leslie

    2011-01-01

    Objective: Focus group (FG) interviews with students and adults were used to obtain a rich understanding of the "Cooking with Kids" classroom experience from the child and adult participant perspectives. Methods: FG topics included students' cooking experiences at school and home and perceptions of "Cooking with Kids". Verified transcripts of…

  10. Qualitative Inquiry into Church-Based Assets for HIV/AIDS Prevention and Control: A Forum Focus Group Discussion Approach

    ERIC Educational Resources Information Center

    Aja, Godwin N.; Modeste, Naomi N.; Montgomery, Susanne B.

    2012-01-01

    Assets church members believed they needed to engage in effective HIV/AIDS prevention and control activities. We used the three-step forum focus group discussion (FFGD) methodology to elicit responses from 32 church leaders and lay members, representing five denominations in Aba, Nigeria. Concrete resources, health expertise, finances,…

  11. An Interdisciplinary Focus Group Study on Students' Perceptions of Preparedness for Upper-Division Coursework in Teaching and Nursing

    ERIC Educational Resources Information Center

    Dunlap, Karen; Anderson, Gina B.; Rademacher, Joyce; McMenamy, Nancy

    2011-01-01

    Many universities positively impact student retention rates by aligning state competencies and undergraduate coursework with specific learning outcomes known to contribute to success. Faculty from teaching and nursing conducted interdisciplinary focus group research to gather student perceptions concerning whether skills obtained through core…

  12. Family Forest Landowners' Interest in Forest Carbon Offset Programs: Focus Group Findings from the Lake States, USA

    NASA Astrophysics Data System (ADS)

    Miller, Kristell A.; Snyder, Stephanie A.; Kilgore, Mike A.; Davenport, Mae A.

    2014-12-01

    In 2012, focus groups were organized with individuals owning 20+ acres in the Lake States region of the United States (Michigan, Minnesota, and Wisconsin) to discuss various issues related to forest carbon offsetting. Focus group participants consisted of landowners who had responded to an earlier mail-back survey (2010) on forest carbon offsets. Two focus groups were held per state with an average of eight participants each (49 total). While landowner participant types varied, overall convergence was reached on several key issues. In general, discussion results found that the current payment amounts offered for carbon credits are not likely, on their own, to encourage participation in carbon markets. Landowners are most interested in other benefits they can attain through carbon management (e.g., improved stand species mix, wildlife, and trails). Interestingly, landowner perceptions about the condition of their own forest land were most indicative of prospective interest in carbon management. Landowners who felt that their forest was currently in poor condition, or did not meet their forest ownership objectives, were most interested in participating. While the initial survey sought landowner opinions about carbon markets, a majority of focus group participants expressed interest in general carbon management as a means to achieve reduced property taxes.

  13. Eating Disorders as Social Justice Issues: Results from a Focus Group of Content Experts Vigorously Flapping Our Wings

    ERIC Educational Resources Information Center

    Russell-Mayhew, Shelly; Stewart, Marion; MacKenzie, Stephanie

    2008-01-01

    Feminists have led the way in conceptualizing eating disorders as political issues and advocated for consideration of the larger socioeconomic context. Given the lack of research specific to the area of eating disorders and social justice, a focus group with professional women was conducted in an attempt to move beyond the conceptual contributions…

  14. Using Focus Groups To Develop a Heart Disease Prevention Program for Ethnically Diverse, Low-Income Women.

    ERIC Educational Resources Information Center

    Gettleman, Lynn; Winkleby, Marilyn A.

    2000-01-01

    Focus groups with diverse low-income women generated ideas about cardiovascular disease interventions. Women preferred programs that: addressed multiple risk factors; emphasized staying healthy for themselves; taught skills for adopting heart-healthy behaviors; and offered choices in effecting behavior change. Women stressed the need for health…

  15. Focus Groups of Alaska Native Adolescent Tobacco Users: Preferences for Tobacco Cessation Interventions and Barriers to Participation

    ERIC Educational Resources Information Center

    Patten, Christi A.; Enoch, Carrie; Renner, Caroline C.; Offord, Kenneth P.; Nevak, Caroline; Kelley, Stacy F.; Thomas, Janet; Decker, Paul A.; Hurt, Richard D.; Lanier, Anne; Kaur, Judith S.

    2009-01-01

    Tobacco cessation interventions developed for Alaska Native adolescents do not exist. This study employed focus group methodology to explore preferences for tobacco cessation interventions and barriers to participation among 49 Alaska Natives (61% female) with a mean age of 14.6 (SD = 1.6) who resided in western Alaska. Using content analysis,…

  16. Maternal Responses to the Diagnosis of Learning Disabilities in Children: A Qualitative Study Using a Focus Group Approach.

    ERIC Educational Resources Information Center

    Partington, Kevin J.

    2002-01-01

    A study explored maternal response to the diagnosis of mental retardation in children using a focus group of six mothers. Findings identified four themes: differences between antenatal and postnatal diagnosis; a cycle of bereavement; issues relating to causation; and examples of poor interpersonal skills from medical personnel. (Contains…

  17. Family forest landowners' interest in forest carbon offset programs: focus group findings from the lake States, USA.

    PubMed

    Miller, Kristell A; Snyder, Stephanie A; Kilgore, Mike A; Davenport, Mae A

    2014-12-01

    In 2012, focus groups were organized with individuals owning 20+ acres in the Lake States region of the United States (Michigan, Minnesota, and Wisconsin) to discuss various issues related to forest carbon offsetting. Focus group participants consisted of landowners who had responded to an earlier mail-back survey (2010) on forest carbon offsets. Two focus groups were held per state with an average of eight participants each (49 total). While landowner participant types varied, overall convergence was reached on several key issues. In general, discussion results found that the current payment amounts offered for carbon credits are not likely, on their own, to encourage participation in carbon markets. Landowners are most interested in other benefits they can attain through carbon management (e.g., improved stand species mix, wildlife, and trails). Interestingly, landowner perceptions about the condition of their own forest land were most indicative of prospective interest in carbon management. Landowners who felt that their forest was currently in poor condition, or did not meet their forest ownership objectives, were most interested in participating. While the initial survey sought landowner opinions about carbon markets, a majority of focus group participants expressed interest in general carbon management as a means to achieve reduced property taxes. PMID:25148783

  18. It All Starts at Home: Hispanic Parents Speak out on Preventing Teen Pregnancy. A Focus Group Report.

    ERIC Educational Resources Information Center

    National Campaign To Prevent Teen Pregnancy, Washington, DC.

    This report describes data from focus groups on teen pregnancy involving Hispanic parents of adolescents in four states. Participants wanted a good education for their children and positive, loving relationships with them. They wanted to communicate with their children and be closely involved in their lives. Most believed that to help prevent teen…

  19. Evaluation of Didactic Material Designed to Be Used by High School Art Teachers: The Use of Focus Groups and Questionnaires

    ERIC Educational Resources Information Center

    Almeida, Adriana Mortara; Martins, Maria Helena Pires

    2009-01-01

    The article describes and discusses the use of focus groups and questionnaires to evaluate educational printed material for high school level art teachers prior to publication. The material consisted of "The Notebook of the Investigative Teacher," created by the Instituto Itau Cultural to help teachers develop critical skills in discussing…

  20. The Unexpected Effects of Inclusion on the Families of Students with Learning Disabilities: A Focus-Group Study

    ERIC Educational Resources Information Center

    Dyson, Lily L.

    2007-01-01

    This study investigated the unexpected effects of inclusion on the families of students with learning disabilities. A focus group interview was conducted with 13 parents who have children with learning disabilities. The children's ages ranged from 5 to 24 years. Findings are reported regarding participants' comments in response to two guiding…

  1. Children's and Adolescents' Awareness of the Physical and Mental Health Risks Associated with Tattooing: A Focus Group Study.

    ERIC Educational Resources Information Center

    Houghton, Stephen; And Others

    1995-01-01

    Twelve focus group discussions on attitudes toward tattoos, health beliefs, and awareness of the long-term consequences of tattooing and stigmatization were conducted with 80 volunteers, 6 to 17 years of age. Attitudes toward tattoos were generally negative, although a more favorable attitude toward small tattoos was discernible among early…

  2. Everyday Conflict and Stress among Older African American Women: Findngs from a Focus Group Study and Pilot Training Program.

    ERIC Educational Resources Information Center

    Weitzman, Patricia Flynn; Dunigan, Robert; Hawkins, Robert L.; Weitzman, Eben A.; Levkoff, Sue E.

    2002-01-01

    Three focus groups examined stress and conflict among 30 older African American women in Boston. Stress stemmed from worries about functional disability, accessing transportation, conflicts with family and peers, and grandchildren's lack of respect. Participants tended to use avoidant strategies to deal with stress and conflict. A training program…

  3. The Use of Mobile Health Applications Among Youth and Young Adults Living with HIV: Focus Group Findings.

    PubMed

    Saberi, Parya; Siedle-Khan, Robert; Sheon, Nicolas; Lightfoot, Marguerita

    2016-06-01

    The objective of this study was to conduct focus groups with youth (18-29 years old) living with HIV (YLWH) to better understand preferences for mobile applications in general and to inform the design of a mobile health application aimed at improving retention and engagement in healthcare and adherence to antiretroviral therapy. We conducted four focus groups with YLWH to elicit the names and characteristics of applications that they commonly used, reasons they deleted applications, and the features of an ideal mobile health application. A diverse sample of youth (N = 17) with a mean age of 25 years, 88.2% male, and 29.4% African American participated in four focus groups. Positive attributes of applications included informative, simple, allowing for networking, timely updates, little overlap with other applications, unlimited access to entertainment, and with ongoing advancement. Participants identified several reasons for deleting applications, including engaging in excessive behaviors (e.g., spending money), for hook ups only, too many notifications or restrictions, occupied too much space on device, or required wireless connectivity or frequent updates. Participants suggested that a mobile health application that they would find useful should have the ability to connect to a community of other YLWH, readily access healthcare providers, track personal data and information (such as laboratory data), and obtain health news and education. Privacy was a key factor in a mobile health application for all participants. Researchers can use the information provided by focus group participants in creating mobile health applications for YLWH. PMID:27214751

  4. Making the Good Even Better: Feedback from easyCBM Focus Groups, School Year 2009/2010. Technical Report # 1001

    ERIC Educational Resources Information Center

    Alonzo, Julie; Tindal, Gerald; Lai, Cheng-Fei

    2010-01-01

    This technical report provides a summary of feedback from teachers, administrators, and support personnel who used the easyCBM progress monitoring and benchmark assessment system during school year 2009/2010. Data were gathered from semi-structured focus groups conducted during the 2010 easyCBM August Institute at the University of Oregon. Results…

  5. Focused Group Interviews with Principals or Designates, and Special Education Resource Teachers (SERTS), from the Blueprint Pilot Schools.

    ERIC Educational Resources Information Center

    Baird, William

    The Blueprint for the Future program began in 1989-90 in 20 pilot schools in the Scarborough school system in Ontario, Canada. School support teams were established and the role of special-education resource teachers (SERT) was expanded through inservice training. Focused group interviews with principals and SERTs were conducted to determine…

  6. Exploring the Influence of Student Focus Groups in Their Professional and Personal Development

    NASA Astrophysics Data System (ADS)

    Hosseini, S.; Hut, R.

    2014-12-01

    A scientific career is often more than a 9-to-5 commitment, both in terms of time and passion. An important factor that fuels this passion is engaging with the community on many levels. In the history of education and professional development, there are numerous studies that emphasis the importance of surrounding groups and like-minded peers in one's professional and personal development in a less constrained environment. In our experience, in modern days where students are surrounded with too much information and yet too little clear signal, the idea of mentor and advisor can no longer limit to one or two people. We strongly feel it is imperative to have the opportunity to share expertise on scientific issues, career options, develop presenting and writing skills, participate in professional volunteer activities with alike and advanced colleagues, share future opportunities, and successfully navigating life both inside and outside of graduate school in a relaxed environment. Most of the professional scientific and engineering communities put a lot of effort to create and maintain professional groups in masters and Ph.D. levels but the dynamics within these groups prove it to be very different and it is challenging to maintain both momentum and productivity. Authors of this report would present their experience in creating, running and maintaining various student groups in the discipline of physics, astronomy, planetary science, hydrology, and optical engineering in US, Europe and Middle East. The common factors and differences based on the supportive community, location, and the educational level would be discussed. An outline of potential helpful factors within the academic institutes and professional communities would be presented based on the examination on various successful and unsuccessful experiences.

  7. Developing a disaster preparedness campaign targeting low-income Latino immigrants: focus group results for project PREP.

    PubMed

    Eisenman, David P; Glik, Deborah; Maranon, Richard; Gonzales, Lupe; Asch, Steven

    2009-05-01

    Low-income immigrant Latinos are particularly vulnerable to disasters because they are both ill-prepared and disproportionately affected. Disaster preparedness programs that are culturally appropriate must be developed and tested. To develop such a program, we conducted 12 focus groups with low-income immigrant Latinos to understand their perceptions and understanding of disaster preparedness, and facilitators and obstacles to it. Participants were concerned about remaining calm during an earthquake. Obstacles to storage of disaster supplies in a kit and developing a family communication plan were mentioned frequently. Misunderstandings were voiced about the proper quantity of water to store and about communication plans. Several focus groups spontaneously suggested small group discussions (platicas) as a way to learn about disaster preparedness. They wanted specific help with building their family communication plans. They rated promotoras de salud highly as potential teachers. Results will guide the development of a disaster preparedness program tailored to the needs of low-income Latino immigrants. PMID:19395833

  8. Group for antiwar MDs broadens focus, hopes to attract new members.

    PubMed

    Martin, M

    1996-07-15

    Physicians for Global Survival (Canada), formerly known as Canadian Physicians for the Prevention of Nuclear War, has changed its name and broadened its mission in an effort to increase membership. The group's international interests include banning antipersonnel land mines and having the threat or use of nuclear weapons declared illegal. In Canada, it has supported gun-control legislation and been involved in assessing the effect of military training flights on the Innu of Labrador. The president-elect Dr. Konia Trouton of the University of Calgary, says the association is the "ethical voice of the medical profession in its concern for social justice." PMID:8800081

  9. [Focus on risk assessment in health environments: results and perspectives of a multicenter working group].

    PubMed

    Polato, R; Bacis, M; Belotti, L; Biggi, N; Campagna, M; Carrer, P; Cologni, L; Gattini, V; Lodi, V; Magnavita, N; Micheloni, G; Negro, C; Placidi, D; Puro, V; Tonelli, F; Porru, S

    2010-01-01

    The hospital risk assessment (VdR) is certainly a relevant issue concerning the activities of prevention for the health of healthcare workers in relation to biological risk. The aim of this paper is to provide an up-date of the issue, based on the suggestions of recent literature about the rules ratified by the new legislative decree and data supplied by the Group of 10 Hospitals participated in this multicenter study. From the analysis of data on healthcare settings (HCS) participating in the project the following considerations can be formulated: i) All HCS considered VdR from biological agents. The method recommended in the Guidelines SIMLII 2005 is the most followed ii) To grading the risk, the use of invasive procedures for carrying out the analysis results is a necessary element iii) the operators classified as exposed to biological risk, and therefore subject to health surveillance, represent almost all of workforce in 7 out of 10 HCS. The subgroup believes that VdR must be conducted in close collaboration with the occupational physician and should represent a worthwhile investment with spin-off character on prevention, decision making, empowering. The presence of environmental requirements and organizational procedures should be considered, so that HCS is enabled for an effective risk management, without which risk assessments cannot be performed. The method of VdR mentioned in the guidelines MLIS 2005, besides being the most widely used by the company participating in the study, still has practical reasons and opportunities to justify its use. The HCS group felt the need to propose an implementation of the definition of invasive procedures and EPP, together with individual assessment. Flexibility was suggested in identifying different levels of risk with the involvement of occupational physicians, especially in the presence of EPP, also in order to plan content and frequency of health surveillance. PMID:21061702

  10. Exploring recruitment barriers and facilitators in early cancer detection trials: the use of pre-trial focus groups

    PubMed Central

    2014-01-01

    Background Recruiting to randomized controlled trials is fraught with challenges; with less than one third recruiting to their original target. In preparation for a trial evaluating the effectiveness of a blood test to screen for lung cancer (the ECLS trial), we conducted a qualitative study to explore the potential barriers and facilitators that would impact recruitment. Methods Thirty two people recruited from community settings took part in four focus groups in Glasgow and Dundee (UK). Thematic analysis was used to code the data and develop themes. Results Three sub-themes were developed under the larger theme of recruitment strategies. The first of these themes, recruitment options, considered that participants largely felt that the invitation to participate letter should come from GPs, with postal reminders and face-to-face reminders during primary care contacts. The second theme dealt with understanding randomization and issues related to the control group (where bloods were taken but not tested). Some participants struggled with the concept or need for randomization, or for the need for a control group. Some reported that they would not consider taking part if allocated to the control group, but others were motivated to take part even if allocated to the control group by altruism. The final theme considered perceived barriers to participation and included practical barriers (such as flexible appointments and reimbursement of travel expenses) and psychosocial barriers (such as feeling stigmatized because of their smoking status and worries about being coerced into stopping smoking). Conclusions Focus groups provided useful information which resulted in numerous changes to proposed trial documentation and processes. This was in order to address participants information needs, improve comprehension of the trial documentation, enhance facilitators and remove barriers to participation. The modifications made in light of these findings may enhance trial

  11. Subjective experiences of stigma. A focus group study of schizophrenic patients, their relatives and mental health professionals.

    PubMed

    Schulze, Beate; Angermeyer, Matthias C

    2003-01-01

    Schizophrenia has been found to be one of the most stigmatising conditions. To the present, most research on stigma related to mental illness has drawn conclusions on the adverse reactions faced by people with schizophrenia from studies on public attitudes or analogue behavioural studies. The views of those exposed to the stigmatising reactions, however, has largely been absent. Aiming to explore stigma from the subjective perspective of people with schizophrenia, a focus group study was carried out at the four centres involved in the WPA Global Programme against Stigma and Discrimination because of Schizophrenia in Germany. In order to get a comprehensive picture of how stigma affects the lives of schizophrenic patients, collateral information was sought from relatives and mental health professionals. The focus groups enquired about concrete stigmatisation experiences of the patients and incidences of stigma witnessed by the other two groups. Focus group sessions were tape-recorded and transcripts were coded using an inductive method. Results reveal four dimensions of stigma: interpersonal interaction, structural discrimination, public images of mental illness and access to social roles. Examples are given for the views of patients, relatives and mental health professionals on each of the four stigma types. The consequences for conceptualisations of stigma and the development of effective strategies to reduce stigma and discrimination because of schizophrenia are discussed. PMID:12473315

  12. Barriers to disclosing and reporting violence among women in Pakistan: findings from a national household survey and focus group discussions.

    PubMed

    Andersson, Neil; Cockcroft, Anne; Ansari, Umaira; Omer, Khalid; Ansari, Noor M; Khan, Amir; Chaudhry, Ubaid Ullah

    2010-11-01

    Worldwide, many women who experience domestic violence keep their experience secret. Few report to official bodies. In a national survey of abuse against women in Pakistan, we examined factors related to disclosure: women who had experienced physical violence telling someone about it. In focus groups, we explored why women do not report domestic violence. Nearly one third of the 23,430 women interviewed had experienced physical violence. Only 35% of them had told anyone about it, almost always someone within their own family. Several personal and family factors were associated with disclosure. Having discussed the issue and feeling empowered to discuss violence were consistent associations. Of the 7,895 women who had suffered physical violence, only 14 had reported the matter to the police. Female focus groups said women who report violence risk their reputation and bring dishonor to the family; women fear reporting violence because it may exacerbate the problem and may lead to separation or divorce and loss of their children. Focus groups of men and women were skeptical about community leaders, councilors, and religious leaders supporting reporting of violence. They suggested setting up local groups where abused women could seek help and advice. There are strong disincentives to reporting violence in Pakistan, which are well known to women. Until better systems for reporting and dealing with reported cases are in place, domestic violence will continue to be a hidden scourge here and elsewhere. PMID:20007557

  13. Sex and gender traps and springboards: a focus group study among gender researchers in medicine and health sciences.

    PubMed

    Christianson, Monica; Alex, Lena; Wiklund, Anncristine Fjellman; Hammarström, Anne; Lundman, Berit

    2012-01-01

    We explored the difficulties that gender researchers encounter in their research and the strategies they use for solving these problems. Sixteen Swedish researchers, all women, took part in focus group discussions; the data were analyzed using qualitative content analysis. The problems reported fell into four main categories: the ambiguity of the concepts of sex and gender; traps associated with dichotomization; difficulties with communication; and issues around publication. Categories of suggested problem-solving strategies were adaptation, pragmatism, addressing the complexities, and definition of terms. Here the specific views of gender researchers in medicine and health sciences-"medical insiders"-bring new challenges into focus. PMID:22827730

  14. From neural responses to population behavior: neural focus group predicts population-level media effects.

    PubMed

    Falk, Emily B; Berkman, Elliot T; Lieberman, Matthew D

    2012-05-01

    Can neural responses of a small group of individuals predict the behavior of large-scale populations? In this investigation, brain activations were recorded while smokers viewed three different television campaigns promoting the National Cancer Institute's telephone hotline to help smokers quit (1-800-QUIT-NOW). The smokers also provided self-report predictions of the campaigns' relative effectiveness. Population measures of the success of each campaign were computed by comparing call volume to 1-800-QUIT-NOW in the month before and the month after the launch of each campaign. This approach allowed us to directly compare the predictive value of self-reports with neural predictors of message effectiveness. Neural activity in a medial prefrontal region of interest, previously associated with individual behavior change, predicted the population response, whereas self-report judgments did not. This finding suggests a novel way of connecting neural signals to population responses that has not been previously demonstrated and provides information that may be difficult to obtain otherwise. PMID:22510393

  15. Epigenetic regulation by polycomb group complexes: focus on roles of CBX proteins*

    PubMed Central

    Ma, Rong-gang; Zhang, Yang; Sun, Ting-ting; Cheng, Bo

    2014-01-01

    Polycomb group (PcG) complexes are epigenetic regulatory complexes that conduct transcriptional repression of target genes via modifying the chromatin. The two best characterized forms of PcG complexes, polycomb repressive complexes 1 and 2 (PRC1 and PRC2), are required for maintaining the stemness of embryonic stem cells and many types of adult stem cells. The spectra of target genes for PRCs are dynamically changing with cell differentiation, which is essential for proper decisions on cell fate during developmental processes. Chromobox (CBX) family proteins are canonical components in PRC1, responsible for targeting PRC1 to the chromatin. Recent studies highlight the function specifications among CBX family members in undifferentiated and differentiated stem cells, which reveal the interplay between compositional diversity and functional specificity of PRC1. In this review, we summarize the current knowledge about targeting and functional mechanisms of PRCs, emphasizing the recent breakthroughs related to CBX proteins under a number of physiological and pathological conditions. PMID:24793759

  16. MICE -- Absorber and focus coil safety working group design document: Preliminary design and assessments

    SciTech Connect

    Barr, Giles; Baynham, Elwyn; Black, Edgar; Bradshaw, Tom; Cummings, Mary Anne; Green, Michael A.; Ishimoto, Shigeru; Ivanyushenkov, Yury; Lau, Wing; Zisman, Michael

    2003-12-04

    A Neutrino Factory based on a muon storage ring is the ultimate tool for studies of neutrino oscillations, including possibly the discovery of leptonic CP violation. it is also the first step toward a muon collider. To develop a stored-muon-beam facility to serve as a Neutrino Factory, it is necessary to ''cool'' a muon beam (decrease its phase-space volume). The short lifetime of the muon, 2.2 {micro}s at rest, eliminates all currently demonstrated cooling techniques and requires that a new, heretofore untried, technique--ionization cooling--be employed. Although ionization cooling of muons has never been demonstrated in practice, it has been shown by end-to-end simulation and design studies to be an important factor both for the performance and for the cost of a Neutrino Factory. This motivates an international program of R and D, including an experimental demonstration at Rutherford Appleton Laboratory (RAL). The aims of the international Muon Ionization Cooling Experiment are: (1) to show that it is possible to design, engineer and build a section of cooling channel capable of giving the desired performance for a Neutrino Factory; and (2) to place it in a muon beam and measure its performance in various modes of operation and beam conditions, thereby investigating the limits and practicality of cooling. The MICE collaboration has designed an experiment in which a section of an ionization cooling channel is exposed to a muon beam. This cooling channel assembles liquid-hydrogen absorbers providing energy loss and high-gradient radio frequency (RF) cavities to re-accelerate the particles, all tightly contained in a magnetic channel. It reduces the beam transverse emittance by > 10% for muon momenta between 140 and 240 MeV/c. The layout of the experiment is shown. They utilize one complete magnetic cell of the cooling channel, comprising three absorber-focus-coil (AFC) modules and two RF-coupling-coil (RFCC) modules. Spectrometers placed before and after the

  17. Academic-correctional health partnerships: preparing the correctional health workforce for the changing landscape-focus group research results.

    PubMed

    Hale, Janet Fraser; Haley, Heather-Lyn; Jones, Judy L; Brennan, Allyson; Brewer, Arthur

    2015-01-01

    Providing health care in corrections is challenging. Attracting clinicians can be equally challenging. The future holds a shortage of nurses and primary care physicians. We have a unique opportunity, now, to develop and stabilize our workforce, create a positive image, and enhance quality before the health care landscape changes even more dramatically. Focus groups were conducted with 22 correctional health care professionals divided into three groups: physicians (6), nurses (4), and nurse practitioners/physician assistants (12). Content focused on curricular themes, but additional themes emerged related to recruitment and retention. This article describes recruitment challenges, strategic themes identified, and the proposed initiatives to support a stable, high-quality correctional health workforce. PMID:25559632

  18. Go to work or report sick? A focus group study on decisions of sickness presence among offshore catering section workers

    PubMed Central

    2011-01-01

    Background To identify and explore the factors promoting sickness presenteeism among offshore catering section workers. Methods Twenty men and women, working in the offshore catering section onboard three offshore oil and gas production platforms on the Norwegian Continental Shelf, participated in three focus groups. Data from the focus groups were analysed according to a phenomenological approach, and supported by theories on presenteeism. Results The results show that the decision to attend work despite illness, first and foremost, was based on the severity of the health complaint. Other factors identified were; the individual's location once the health complaint occurred, job satisfaction, the norms of the team, and experiences of how company policies on sickness absenteeism were implemented by the catering section leaders. Conclusions Offshore working conditions may promote sickness presenteeism. The factors promoting sickness presenteeism onboard the platforms reflected experiences of a healthy work environment. PMID:21418561

  19. Our lives were healthier before: focus groups with African American, American Indian, Hispanic/Latino, and Hmong people with diabetes.

    PubMed

    Devlin, Heather; Roberts, Martha; Okaya, Amy; Xiong, Yer Moua

    2006-01-01

    Focus groups were conducted to explore health-related beliefs and experiences of African American, Hispanic/Latino, American Indian, and Hmong people with diabetes and engage community members in improving diabetes care and education for these populations. Eighty participants attended 12 focus groups, 3 per population. Major themes were loss of health attributed to modern American lifestyles, lack of confidence in the medical system, and the importance of spirituality. Participants recommended improvements in the areas of health care, diabetes education, social support, and community action. Their recommendations emphasize the importance of respectful, knowledgeable health care providers; culturally responsive diabetes education for people with diabetes and their families; and broad-based community action. These recommendations align with current public health priorities and medical knowledge. It is proposed that healthy traditions from diverse populations can be leveraged to improve the health of all people with diabetes. PMID:16410420

  20. Felt Stigma in Injection Drug Users and Sex Workers: Focus Group Research with HIV-Risk Populations in Puerto Rico

    PubMed Central

    Jiménez, Julio; Puig, Marieva; Sala, Ana Cecilia; Ramos, Juan Carlos; Castro, Eida; Morales, Marangelie; Santiago, Lydia; Zorrilla, Carmen

    2016-01-01

    Though many studies have conclusively linked felt stigma and HIV, few have focused on the experiences of rejection felt by members of such socially marginalized groups as intravenous drug users (IDU) and sex workers (SW). Using focus groups, our study explored these experiences in 34 individuals (17 male UDUs and 17 female SWs) at risk of becoming infected with HIV, the objective being to discover why they engaged in maladaptive behaviors as a way of coping with felt stigma. We used deductive and inductive analysis to codify the resulting data. Concepts associated with the word stigma, emotional reactions to felt stigma, and the impact of felt stigma on self-schema helped elucidate how the internalization of felt stigma can lead to negative affective states and self-destructive behaviors (e.g., drug use and syringe exchange). Results underline the importance of developing intervention models that reduce stigma as a means of HIV prevention in vulnerable populations. PMID:27013930

  1. Team-Based Learning for Nursing and Medical Students: Focus Group Results From an Interprofessional Education Project.

    PubMed

    Feather, Rebecca A; Carr, Doug E; Reising, Deanna L; Garletts, Derrick M

    2016-01-01

    Past research indicates that inadequacies in health care delivery create substantial preventable quality issues that can be addressed through improving relationships among clinicians to decrease the negative effects on patient outcomes. The purpose of this article is to describe the implementation of an interprofessional education project with senior nursing and third-year medical students working in teams in a clinical setting. Results include data from focus groups conducted at the conclusion of the project. PMID:26771940

  2. Focus Group Evaluation of the LIVE Network—An Audio Music Program to Promote ART Adherence Self-Management

    PubMed Central

    Holstad, Marcia McDonnell; Baumann, Maya; Ofotokun, Ighovwerha; Logwood, Steven J.

    2013-01-01

    We present the results of 3 focus groups conducted to assess the utility, appeal, and feasibility of the LIVE Network (LN), a 70-minute audio music program developed to educate and motivate HIV-infected persons to adhere to antiretroviral therapy (ART) and self-manage medication-related side effects. Participants included 15 African American, 2 caucasian, and 1 race unknown HIV-infected persons who had been taking ART for at least 6 months. In general, the LN was well liked, relevant, educational, and motivational. It empowered and motivated participants to be responsible for their adherence self-care. One of the more surprising findings was how freely focus group participants shared the program with family and friends as a means of education and also as a means of disclosure. Moreover, the positive reception of the LN by individuals outside of the focus groups, especially children and adolescents, speaks well for the potential broad appeal of this type of program. PMID:24013689

  3. Findings from Focus Groups Indicating what Chinese American immigrant women think about breast cancer and breast cancer screening

    PubMed Central

    Lee-Lin, Frances; Menon, Usha; Nail, Lillian; Lutz, Kristin F.

    2012-01-01

    Objectives To explore beliefs of Chinese American, immigrant women related to breast cancer and mammography. Design Qualitative description with semi-structured focus groups. Setting Metropolitan Portland, Oregon. Participants Thirty eight foreign-born Chinese women, age 40 and older, in five focus groups. Methods Focus group discussions in Chinese were audio taped, transcribed, and translated into English. Using a process of directed content analysis, group transcripts were coded for themes based on the discussion guide. Results Three main themes emerged from the analysis: knowledge and beliefs; support, communication, and educational needs; and access to care. Subthemes included beliefs such as barriers and facilitators to screening and perceptions about personal breast cancer risk. Several women were profoundly affected by the negative breast cancer-related experiences of relatives and friends. Some common myths remain about causes and treatment of breast cancer. Conclusions Although Chinese American immigrant women share beliefs with other minority women in the United States, some culturally-related barriers such as alienation due to cultural reasons for not sharing diagnosis with anyone and beliefs about the efficacy of Eastern versus Western medicine may affect adherence to screening and treatment. Facilitators included being told to get the test and getting screened for the sake of the family, while erroneous information about the cause of breast cancer such as diet and stress remained. Primary care providers such as advanced practice nurses should take into account culturally driven motivations and barriers to mammography adherence among Chinese American immigrant women. Provider-client interactions should involve more discussion about women’s breast cancer risks and screening harms and benefits. Such awareness could open a dialogue around breast cancer that is culturally sensitive and non-threatening to the patient. Information may need to be tailored to

  4. Focus Groups of Alaska Native Adolescent Tobacco Users: Preferences for Tobacco Cessation Interventions and Barriers to Participation

    PubMed Central

    Patten, Christi A.; Enoch, Carrie; Renner, Caroline C.; Offord, Kenneth P.; Nevak, Caroline; Kelley, Stacy F.; Thomas, Janet; Decker, Paul A.; Hurt, Richard D.; Lanier, Anne; Kaur, Judith S.

    2014-01-01

    Tobacco cessation interventions developed for Alaska Native adolescents do not exist. This study employed focus group methodology to explore preferences for tobacco cessation interventions and barriers to participation among 49 Alaska Natives (61% female) with a mean age of 14.6 (SD = 1.6) who resided in western Alaska. Using content analysis, themes from the 12 focus groups were found to be consistent across village, gender, and age groups. Program location or site (e.g., away from the village, hunting, fishing), a group-based format, and inclusion of medication and personal stories were reported to be important attributes of cessation programs. Motivators to quit tobacco were the perceived adverse health effects of tobacco, improved self-image and appearance, and the potential to be a future role model as a non–tobacco user for family and friends. Parents were perceived as potentially supportive to the adolescent in quitting tobacco. The findings will be used to develop tobacco cessation programs for Alaska Native youth. PMID:18048549

  5. Care for chronic illness in Australian general practice – focus groups of chronic disease self-help groups over 10 years: implications for chronic care systems reforms

    PubMed Central

    Martin, Carmel M; Peterson, Chris; Robinson, Rowena; Sturmberg, Joachim P

    2009-01-01

    Background Chronic disease is a major global challenge. However, chronic illness and its care, when intruding into everyday life, has received less attention in Asia Pacific countries, including Australia, who are in the process of transitioning to chronic disease orientated health systems. Aim The study aims to examine experiences of chronic illness before and after the introduction of Australian Medicare incentives for longer consultations and structured health assessments in general practice. Methods Self-help groups around the conditions of diabetes, epilepsy, asthma and cancer identified key informants to participate in 4 disease specific focus groups. Audio taped transcripts of the focus groups were coded using grounded theory methodology. Key themes and lesser themes identified using a process of saturation until the study questions on needs and experiences of care were addressed. Thematic comparisons were made across the 2002/3 and 1992/3 focus groups. Findings At times of chronic illness, there was need to find and then ensure access to 'the right GP'. The 'right GP or specialist' committed to an in-depth relationship of trust, personal rapport and understanding together with clinical and therapeutic competence. The 'right GP', the main specialist, the community nurse and the pharmacist were key providers, whose success depended on interprofessional communication. The need to trust and rely on care providers was balanced by the need for self-efficacy 'to be in control of disease and treatment' and 'to be your own case manager'. Changes in Medicare appeared to have little penetration into everyday perceptions of chronic illness burden or time and quality of GP care. Inequity of health system support for different disease groupings emerged. Diabetes, asthma and certain cancers, like breast cancer, had greater support, despite common experiences of disease burden, and a need for research and support programs. Conclusion Core themes around chronic illness

  6. The use of focus groups to examine pubertal concerns in preteen girls: initial findings and implications for practice and research.

    PubMed

    Doswell, W M; Vandestienne, G

    1996-01-01

    This article presents the findings of four focus groups aimed at discovering the concerns a group of 9- to 12-year-old African American and Hispanic girls (N = 38) had about puberty, the transition to adolescence, and growing up. Among the factors these girls liked about growing up were increasing independence from parents, widening social relations with same- and opposite-sex friends, and an increase in decision making regarding clothes and activities. What they reported as not liking about growing up were an increase in peer pressure, high parental expectations, and more responsibility for their actions in home, school, and recreational activities. Health care for this group must include systematic monitoring of pubertal development and concerns in order to aggressively educate preadolescents to negotiate this period smoothly and to avoid high-risk behaviors that could have negative health and social sequelae during adolescence and adulthood. PMID:8920329

  7. The meanings of cultural competence in mental health: an exploratory focus group study with patients, clinicians, and administrators.

    PubMed

    Aggarwal, Neil Krishan; Cedeño, Kryst; Guarnaccia, Peter; Kleinman, Arthur; Lewis-Fernández, Roberto

    2016-01-01

    Cultural competence training is mandatory in the United States of America to alleviate minority health disparities though few studies have examined perceptions across stakeholders. We conducted separate focus groups with patients, clinicians, and administrators from the psychiatry department at one community hospital and compared responses to hospital policies. Stakeholders defined cultural competence through group-based or person-centered traits despite policies recommended person-centered approaches. Administrators and clinicians named clinician techniques for psycho-education whereas patients named these techniques for enlistment in treatment planning as equals. All groups named patient cultural views and institutional challenges as barriers to care, but only patients and administrators additionally named clinician biases as possible barriers. We discuss these discrepant perceptions and possible solutions to improve research, practice, and policy on cultural competence in mental health. PMID:27065092

  8. Older smokers could be the strongest supporters for U.S. government regulation of tobacco: a focus group study

    PubMed Central

    2013-01-01

    Background Targeting of marginalized groups with aggressive tobacco marketing has been identified as exacerbating health disparities. However, interpretation of such targeting by groups varies, from surprise and outrage to regarding such marketing as evidence of social legitimacy. We sought to learn how an often-overlooked marginalized group, older adults, would respond to industry documents offering evidence of tobacco company target marketing. Methods We conducted 10 focus groups in California cities with older (≥50 years) smokers and former smokers. A set of previously-undisclosed tobacco industry documents related to target marketing was shown to the group in sequence. Audiotaped discussions were transcribed and data analyzed using qualitative approaches. Results Responses to evidence of tobacco industry targeting varied, with some regarding it as exploitive and others as normal business practice. However, in most groups, discussions turned to government’s failure to protect the public—even though government action /inaction was not prompted nor addressed in the discussion documents. Conclusion Given the Food and Drug Administration’s new authority to regulate tobacco products, these findings suggest that some of the tobacco industry’s “best customers” (older, established smokers and ex-smokers) may be strong supporters of government regulation of tobacco. PMID:23958397

  9. Using focus groups to develop a heart disease prevention program for ethnically diverse, low-income women.

    PubMed

    Gettleman, L; Winkleby, M A

    2000-12-01

    Although low-income women have higher rates of cardiovascular disease (CVD) than higher-income women, health promotion and disease prevention are often low priorities due to financial, family, and health care constraints. In addition, most low-income women live in environments that tend to support and even promote high risk CVD behaviors. Low-income African-American, Hispanic, and White women constitute one of the largest groups at high risk for CVD but few heart disease prevention programs have effectively reached them. The purpose of this project was to use feedback from focus groups to generate ideas about how to best structure and implement future CVD intervention programs tailored to low-income populations. Seven focus groups were conducted with 51 low-income African-American, Hispanic, and White women from two urban and two agricultural communities in California. The women in the study shared many common experiences and barriers to healthy lifestyles, despite their ethnic diversity. Results of the focus groups showed that women preferred heart disease prevention programs that would address multiple CVD risk factors, emphasize staying healthy for themselves, teach specific skills about how to adopt heart-healthy behaviors, and offer them choices in effecting behavioral change. For health information, they preferred visual formats to written formats. They also expressed a desire to develop knowledge to help them separate health "myths" from health "facts" in order to reduce their misconceptions about CVD. Finally, they stressed that health care policies and programs need to address social and financial barriers that impede the adoption of heart-healthy behaviors. PMID:11071226

  10. Knowledge, perceptions, and decision-making about human papillomavirus vaccination among Korean American women: A focus group study

    PubMed Central

    Kim, Kyounghae; Kim, Boyoung; Choi, Eunsuk; Song, Youngshin; Han, Hae-Ra

    2014-01-01

    Objective As one of the fastest growing ethnic minority groups in the United States, Korean American (KA) women experience a heightened cervical cancer burden. The advent of the human papillomavirus (HPV) vaccine offers an unprecedented opportunity to eliminate cervical cancer disparities in KA women. Yet, the uptake of HPV vaccine among KA adolescents remains suboptimal. Hence, we set out to explore knowledge, perceptions, and decision-making about HPV vaccination among KA women. Methods We conducted four focus groups of 26 KA women who participated in a community-based randomized controlled trial to promote breast and cervical cancer screening. Focus group data were analyzed using qualitative content analysis. Results Four main themes emerged from the focus groups: (1) limited awareness and knowledge of HPV vaccine, (2) perceptions and beliefs about HPV vaccination (acceptance, negative perceptions, ambivalence), (3) patterns of decision-making about HPV vaccination (hierarchical, peer-influenced, autonomous, and collaborative), and (4) promoting HPV education and information-sharing in the Korean community. Conclusion KA women are generally favorable toward HPV vaccination but lack awareness and knowledge about HPV. Culturally tailored HPV education programs based on KA women’s decision-making patterns and effective information-sharing by trustworthy sources in comfortable environments are suggested strategies to promote HPV vaccination in the KA community. The findings point to the need for a multi-level approach to addressing linguistic, cultural, and system barriers that the recent immigrant community faces in promoting HPV vaccinations. In the development of targeted interventions for KA women, educational strategies and patterns of decision-making need to be considered. PMID:25747518

  11. What makes an interprofessional education programme meaningful to students? Findings from focus group interviews with students based in New Zealand.

    PubMed

    Darlow, Ben; Donovan, Sarah; Coleman, Karen; McKinlay, Eileen; Beckingsale, Louise; Gallagher, Peter; Gray, Ben; Neser, Hazel; Perry, Meredith; Pullon, Sue

    2016-05-01

    It is important to understand what an interprofessional education (IPE) experience means to students and what makes it meaningful so that optimal use can be made of IPE opportunities and resources. This article reports qualitative data from a larger study evaluating an 11-hour IPE programme which focused on long-term condition management. Qualitative analysis aimed to explore students' perspectives of the programme. Forty-one students from dietetics, medicine, physiotherapy, and radiation therapy were invited to participate in interprofessional focus groups. Data gathered from 34 students who participated in two focus groups were analysed inductively using thematic analysis. Three key themes emerged related to (i) learning, (ii) perceived long-term professional benefits, and (iii) the structure and content of the programme. Participants considered the programme to be a valuable learning opportunity with direct relevance to their future clinical careers. Findings indicated that providing students with an opportunity to learn about each other should be prioritised within IPE programmes and that this process should be student-led. This may help students to effectively learn with and from each other. Students perceived active learning activities, including interviewing a patient in their home and presenting findings to their peers, to be particularly valuable. PMID:27152540

  12. Inter-professional perspectives of dementia services and care in England: Outcomes of a focus group study.

    PubMed

    Sutcliffe, Caroline L; Jasper, Rowan; Roe, Brenda; Jolley, David; Crook, Anthony; Challis, David J

    2016-09-01

    Many people living with dementia are supported at home using a variety of health and social care services. This paper reports the findings from a focus group study undertaken with staff in community mental health teams to explore areas for improvement in relation to national policies and recommendations for dementia care. Two focus groups were held with staff (n = 23) in 2011 to discuss topics including service delivery, information and communication, and provision of health and community care for people with dementia. Respondents identified problems with information sharing and incompatible electronic systems; inflexibility in home care services; and poor recognition of dementia in hospital settings. General practitioners had developed a greater awareness of the disease and some community services worked well. They felt that budgetary constraints and a focus on quality indicators impeded good dementia care. Key areas suggested by staff for improvements in dementia care included the implementation of more flexible services, dementia training for health and social care staff, and better quality care in acute hospital settings. PMID:25169885

  13. Cultural and gender issues related to HIV/AIDS prevention in rural Swaziland: a focus group analysis.

    PubMed

    Buseh, Aaron G; Glass, Laurie K; McElmurry, Beverly J

    2002-02-01

    HIV/AIDS is a serious public health problem in Swaziland, a small land-locked Southern African country. The epidemic affects all subpopulations, but women are increasingly at risk for contracting the disease. Focus groups were conducted in a rural area to obtain qualitative information on the rural dimensions of HIV/AIDS, vulnerability to HIV/AIDS, and sociocultural factors influencing the spread of AIDS. Five themes were identified from analyses of the focus groups that are relevant in developing an AIDS prevention program for this population in Swaziland. Implications for future research and health care practice focus on gender-sensitive cultural research (e.g., women and men's roles and responsibilities in rural Swaziland society) and how social, economic, and cultural factors impact the spread of AIDS. Recommendations include reorienting and allocating resources for health, education, and social services to address the relative neglect of rural areas and strengthening policies and programs to achieve the equal participation of all women in all aspects of society's decisions. Specifically, policies related to economic and food security should result in programs to improve local access by women to all resources. PMID:11868964

  14. The Experience of Chronic Insomnia in Chinese Adults: A Study Using Focus Groups and Insomnia Experience Diaries.

    PubMed

    Yung, Kam-Ping; Chung, Ka-Fai; Ho, Fiona Yan-Yee; Yeung, Wing-Fai; Ng, Tommy Ho-Yee

    2016-01-01

    The subjective experience in 43 Chinese adults with chronic primary insomnia was assessed using focus groups and insomnia experience diaries. Participants recruited from the community and a sleep clinic were diagnosed with DSM-IV-TR insomnia disorder and had sleep difficulties on 3 or more nights per week for at least 6 months. Six focus groups, of 6-8 participants each, were conducted; it was stopped as thematic saturation emerged in the last 2 groups. Using grounded theory approach, we identified 4 themes and 16 subthemes, covering beliefs about the nature and treatment of insomnia, behavioral responses to insomnia, cognitive-emotional and physiological arousal, and emotional experiences associated with insomnia. The findings are in general compatible with qualitative studies in the West, but some subthemes are influenced by Chinese cultural beliefs and values, in particular, use of the traditional Chinese medicine concept, being modest in sleep expectation, and a letting go attitude. Strategies for cultural adaptation of cognitive-behavioral therapy for insomnia in a Chinese society using patients' subjective experience are discussed. PMID:26391848

  15. Beyond literacy and numeracy in patient provider communication: Focus groups suggest roles for empowerment, provider attitude and language

    PubMed Central

    Brugge, Doug; Edgar, Timothy; George, Kelly; Heung, Janette; Laws, M Barton

    2009-01-01

    Background Although the number of people living in the United States with limited English proficiency (LEP) is substantial, the impact of language on patients' experience of provider-patient communication has been little explored. Methods We conducted a series of 12 exploratory focus groups in English, Spanish and Cantonese to elicit discussion about patient-provider communication, particularly with respect to the concerns of the health literacy framework, i.e. ability to accurately understand, interpret and apply information given by providers. Within each language, 2 groups had high education and 2 had low education participants to partially account for literacy levels, which cannot be assessed consistently across three languages. Eighty-five (85) adults enrolled in the focus groups. The resulting video tapes were transcribed, translated and analyzed via content analysis. Results We identified 5 themes: 1) language discordant communication; 2) language concordant communication; 3) empowerment; 4) providers' attitudes; 5) issues with the health care system. Despite efforts by facilitators to elicit responses related to cognitive understanding, issues of interpersonal process were more salient, and respondents did not readily separate issues of accurate understanding from their overall narratives of experience with health care and illness. Thematic codes often appeared to be associated with education level, language and/or culture. Conclusion Our most salient finding was that for most of our participants there was no clear demarcation between literacy and numeracy, language interpretation, health communication, interpersonal relations with their provider and the rest of their experience with the health care system. PMID:19772555

  16. Symmetry Group Formulation for Self-focusing of a Cylindrical Laser Beam in a Plasma with Nonlinearity Saturation

    NASA Astrophysics Data System (ADS)

    Dantu, Subbarao; Uma, R.

    2000-10-01

    The nonlinear Schrodinger equation in cylindrical geometry with saturating nonlinearity like the ponderomotive or relativistic nonlinearity in a plasma is analysed with the help of Symmetry Group Analysis. The symmetry group of the equation is deduced and a fiber-preserving subgroup of linear transformations are identified that leave such a nonlinear Schrodinger equation invariant. The MACSYMA-based Lie algebra of the symmetry group is realized to the extent possible. The theory results in an ordinary differential equation apart from a dictated beam profile. The resulting ordinary differential equation for self-focusing is compared with similar equations obtained from other existing theories of self-focusing in cylindrical geometry like the modified paraxial theory based on harmonic-oscillator basis, the moments theory and the variational theory . New types of solutions are identified and the limitations of the different methods are indicated.Acknowledgements: Financial assistance of CSIR(India)(Research Project,03(0815)/97/ EMR-II) for this work is acknowledged.

  17. The burden of care: a focus group study of healthcare practitioners in Scotland talking about parental drug misuse.

    PubMed

    Whittaker, Anne; Williams, Nigel; Chandler, Amy; Cunningham-Burley, Sarah; McGorm, Kelly; Mathews, Gillian

    2016-09-01

    Parenting and family support are key prevention and intervention strategies for improving outcomes for children and families affected by parental drug misuse. However, little is known about the delivery of parenting support for drug-dependent parents, particularly within universal healthcare services. This study aimed to explore the way healthcare practitioners engage with this challenging agenda. Four multidisciplinary focus groups involving a purposive sample of 18 experienced healthcare professionals were conducted in Scotland. Participants included general practitioners, midwives, public health nurses and addiction staff who work together to provide care for vulnerable families. A focus group topic guide was developed to explore the views and experiences of these healthcare professionals in relation to providing parenting support for drug-using parents, predominantly those receiving opioid substitution therapy. Data were analysed using a constant comparison method and thematic approach. The overarching narrative which united the focus group discussions was about the 'burden of care' that these families pose for frontline healthcare professionals. Recurring themes centred on three key issues: the problematic nature of drug-using parents themselves; clinical challenges in living up to the ideals of professional practice; and the wider context in which current practice is governed. Professionals expressed ambivalence over their parenting support role; anxiety over responsibility for intervening with this 'hard-to-engage' population; and concern over 'dwindling' resources and lack of organisational support. Nevertheless, strategies and opportunities for providing parenting support were acknowledged and there was consensus about the need for further skills training. Despite a proliferation of policy and good practice guidance on the delivery of parenting support for drug-dependent parents, the findings of this study suggest that significant challenges remain

  18. Safety planning in focus groups of Malawian women living with HIV: helping each other deal with violence and abuse.

    PubMed

    Mkandawire-Valhmu, Lucy; Stevens, Patricia E; Kako, Peninnah M; Dressel, Anne

    2013-11-01

    In this critical ethnography, 72 HIV-infected women in Southern Malawi participated in 12 focus groups discussing the impact of HIV and violence. Our analysis, informed by a postcolonial feminist perspective, revealed women's capacity to collectively engage in safety planning. We present our findings about women's experiences based on narratives detailing how women collectively strategized safety planning efforts to mitigate the impact of violence. This study helps to fill a gap in the literature on the intersection between HIV and violence in women's lives. Strategies discussed by the women could form a basis for safety planning interventions for women in similar circumstances. PMID:24322953

  19. Drum-Assisted Recovery Therapy for Native Americans (DARTNA): results from a pretest and focus groups.

    PubMed

    Dickerson, Daniel L; Venner, Kamilla L; Duran, Bonnie; Annon, Jeffrey J; Hale, Benjamin; Funmaker, George

    2014-01-01

    Drum-Assisted Recovery Therapy for Native Americans (DARTNA) is a substance abuse treatment intervention for American Indians/Alaska Natives (AI/ANs). This article provides results from 1) an initial pretest of DARTNA provided to 10 AI/AN patients with histories of substance use disorders, and 2) three subsequent focus groups conducted among AI/AN DARTNA pretest participants, substance abuse treatment providers, and the DARTNA Community Advisory Board. These research activities were conducted to finalize the DARTNA treatment manual; participants also provided helpful feedback which will assist toward this goal. Results suggest that DARTNA may be beneficial for AI/ANs with substance use problems. PMID:24788920

  20. TOWARDS LEARNER-CENTRED MEDICAL CURRICULUM: QUALITATIVE FOCUS GROUP STUDY OF INDIVIDUAL PREFERENCES DEPENDING ON VERBAL ENVIRONMENT.

    PubMed

    Bukeyeva, A; Riklefs, V; Riklefs, I; Tashkenbayeva, V; Kassatova, A

    2016-05-01

    There is a strong evidence in medical education literature that the learner-centred curriculum favouring the use of metacognition and self-learning is very proficient. However, ethnocultural and verbal environment may undermine learners' ability to utilise the learning strategies, leading to inefficient learning. This study aimed to investigate the personal preferences of learners in multilingual educational environment prompting the most efficient learning. The study uses qualitative focus group methodology to understand students' opinion on how educational environment influences the efficiency of medical school curriculum. PMID:27348171

  1. Workplace response of companies exposed to the 9/11 World Trade Center attack: a focus-group study.

    PubMed

    North, Carol S; Pfefferbaum, Betty; Hong, Barry A; Gordon, Mollie R; Kim, You-Seung; Lind, Lisa; Pollio, David E

    2013-01-01

    The terrorist attacks of 11 September 2001 (9/11) left workplaces in pressing need of a mental health response capability. Unaddressed emotional sequelae may be devastating to the productivity and economic stability of a company's workforce. In the second year after the attacks, 85 employees of five highly affected agencies participated in 12 focus groups to discuss workplace mental health issues. Managers felt ill prepared to manage the magnitude and the intensity of employees' emotional responses. Rapid return to work, provision of workplace mental health services, and peer support were viewed as contributory to emotional recovery. Formal mental health services provided were perceived as insufficient. Drawing on their post-9/11 workplace experience, members of these groups identified practical measures that they found helpful in promoting healing outside of professional mental health services. These measures, consistent with many principles of psychological first aid, may be applied by workplace leaders who are not mental health professionals. PMID:23066661

  2. Consumers' understanding of and interest in provider- versus practice-level quality characteristics: findings from a focus group study.

    PubMed

    Smith, Brad; Lynch, Wendy D; Markow, Cathie; Lifsey, Sarah; Slover, Michael

    2015-01-01

    Quality measures are currently reported almost exclusively at the facility level. Forthcoming physician quality data are expected to be reported primarily at the level of the group practice. Little is known about consumers' understanding of and interest in practice-level measures. The research team conducted 4 focus groups, half with individuals who had a chronic illness and half with individuals who did not. Most consumers correctly understand the concept of a physician practice. However, consumers exhibit little interest in practice-level characteristics, preferring information about their personal doctor. Understanding of and interest in practice-level quality does not differ by chronic disease status. Additional work must be done to design, develop, and test promotional and educational materials to accompany the planned reports to highlight the relevance of practice-level characteristics for consumer decision making. PMID:24755480

  3. Workplace response of companies exposed to the 9/11 World Trade Center attack: a focus-group study

    PubMed Central

    North, Carol S.; Pfefferbaum, Betty; Hong, Barry A.; Gordon, Mollie R.; Kim, You-Seung; Lind, Lisa; Pollio, David E.

    2014-01-01

    The terrorist attacks of 11 September 2001 (9/11) left workplaces in pressing need of a mental health response capability. Unaddressed emotional sequelae may be devastating to the productivity and economic stability of a company’s workforce. In the second year after the attacks, 85 employees of five highly affected agencies participated in 12 focus groups to discuss workplace mental health issues. Managers felt ill prepared to manage the magnitude and the intensity of employees’ emotional responses. Rapid return to work, provision of workplace mental health services, and peer support were viewed as contributory to emotional recovery. Formal mental health services provided were perceived as insufficient. Drawing on their post-9/11 workplace experience, members of these groups identified practical measures that they found helpful in promoting healing outside of professional mental health services. These measures, consistent with many principles of psychological first aid, may be applied by workplace leaders who are not mental health professionals. PMID:23066661

  4. Issues experienced while administering care to patients with dementia in acute care hospitals: A study based on focus group interviews

    PubMed Central

    Fukuda, Risa; Shimizu, Yasuko

    2015-01-01

    Objective Dementia is a major public health problem. More and more patients with dementia are being admitted to acute care hospitals for treatment of comorbidities. Issues associated with care of patients with dementia in acute care hospitals have not been adequately clarified. This study aimed to explore the challenges nurses face in providing care to patients with dementia in acute care hospitals in Japan. Methods This was a qualitative study using focus group interviews (FGIs). The setting was six acute hospitals with surgical and medical wards in the western region of Japan. Participants were nurses in surgical and internal medicine wards, excluding intensive care units. Nurses with less than 3 years working experience, those without experience in dementia patient care in their currently assigned ward, and head nurses were excluded from participation. FGIs were used to collect data from February to December 2008. Interviews were scheduled for 1–1.5 h. The qualitative synthesis method was used for data analysis. Results In total, 50 nurses with an average experience of 9.8 years participated. Eight focus groups were formed. Issues in administering care to patients with dementia at acute care hospitals were divided into seven groups. Three of these groups, that is, problematic patient behaviors, recurrent problem, and problems affecting many people equally, interact to result in a burdensome cycle. This cycle is exacerbated by lack of nursing experience and lack of organization in hospitals. In coping with this cycle, the nurses develop protection plans for themselves and for the hospital. Conclusions The two main issues experienced by nurses while administering care to patients with dementia in acute care hospitals were as follows: (a) the various problems and difficulties faced by nurses were interactive and caused a burdensome cycle, and (b) nurses do their best to adapt to these conditions despite feeling conflicted. PMID:25716983

  5. Perspectives, perceptions and experiences in postoperative pain management in developing countries: A focus group study conducted in Rwanda

    PubMed Central

    Johnson, Ana P; Mahaffey, Ryan; Egan, Rylan; Twagirumugabe, Theogene; Parlow, Joel L

    2015-01-01

    BACKGROUND: Access to postoperative acute pain treatment is an important component of perioperative care and is frequently managed by a multidisciplinary team of anesthesiologists, surgeons, pharmacists, technicians and nurses. In some developing countries, treatment modalities are often not performed due to scarce health care resources, knowledge deficiencies and cultural attitudes. OBJECTIVES: In advance of a comprehensive knowledge translation initiative, the present study aimed to determine the perspectives, perceptions and experiences of anesthesia residents regarding postoperative pain management strategies. METHODS: The present study was conducted using a qualitative assessment strategy in a large teaching hospital in Rwanda. During two sessions separated by seven days, a 10-participant semistructured focus group needs analysis was conducted with anesthesia residents at the Centre Hospitalier Universitaire de Kigali (Kigali, Rwanda). Field notes were analyzed using interpretative and descriptive phenomenological approaches. Participants were questioned regarding their perspectives, perceptions and experiences in pain management. RESULTS: The responses from the focus groups were related to five general areas: general patient and medical practice management; knowledge base regarding postoperative pain management; pain evaluation; institutional/system issues related to protocol implementation; and perceptions about resource allocation. Within these areas, challenges (eg, communication among stakeholders and with patients) and opportunities (eg, on-the-job training, use of protocols, routine pain assessment, participation in resource allocation decisions) were identified. CONCLUSIONS: The present study revealed the prevalent challenges residents perceive in implementing postoperative pain management strategies, and offers practical suggestions to overcoming them, primarily through training and the implementation of practice recommendations. PMID:26448971

  6. How do scientists perceive the current publication culture? A qualitative focus group interview study among Dutch biomedical researchers

    PubMed Central

    Schipper, K; Bouter, L M; Maclaine Pont, P; de Jonge, J; Smulders, Y M

    2016-01-01

    Objective To investigate the biomedical scientist's perception of the prevailing publication culture. Design Qualitative focus group interview study. Setting Four university medical centres in the Netherlands. Participants Three randomly selected groups of biomedical scientists (PhD, postdoctoral staff members and full professors). Main outcome measures Main themes for discussion were selected by participants. Results Frequently perceived detrimental effects of contemporary publication culture were the strong focus on citation measures (like the Journal Impact Factor and the H-index), gift and ghost authorships and the order of authors, the peer review process, competition, the funding system and publication bias. These themes were generally associated with detrimental and undesirable effects on publication practices and on the validity of reported results. Furthermore, senior scientists tended to display a more cynical perception of the publication culture than their junior colleagues. However, even among the PhD students and the postdoctoral fellows, the sentiment was quite negative. Positive perceptions of specific features of contemporary scientific and publication culture were rare. Conclusions Our findings suggest that the current publication culture leads to negative sentiments, counterproductive stress levels and, most importantly, to questionable research practices among junior and senior biomedical scientists. PMID:26888726

  7. Assessment of the Need to Integrate Academic Electronic Medical Records Into the Undergraduate Clinical Practicum: A Focus Group Interview.

    PubMed

    Choi, Mona; Park, Joon Ho; Lee, Hyeong Suk

    2016-06-01

    As healthcare systems demand that nurses be competent in using electronic medical records for patient care, the integration of electronic medical records into nursing curricula has become necessary. The purpose of this study was to explore how students, new nurses, clinical instructors, and faculty perceive the integration of academic electronic medical records into the undergraduate clinical practicum. From January to February 2014, four focus group interviews with 18 participants were conducted based on purposive sampling. Content analysis was used on the unabridged transcripts to extract themes and develop meaningful categories. Three major themes and eight subthemes were revealed from the focus group interviews. The major themes were "electronic medical record as a learning tool for clinical practicum," "essential functions of academic electronic medical records," and "expected outcomes of academic electronic medical record." Participants expected academic electronic medical records to enhance students' nursing informatics competencies. The findings of this study can inform the process of developing academic electronic medical records for clinical practicum, which will then augment students' informatics competencies. PMID:27081757

  8. Focus group reflections on the current and future state of cognitive assessment tools in geriatric health care

    PubMed Central

    Whitehead, Jocelyne C; Gambino, Sara A; Richter, Jeffrey D; Ryan, Jennifer D

    2015-01-01

    Objective This study provides insight into the thoughts and opinions of geriatric health-care professionals toward cognitive assessments and the use of emerging technologies, such as eye-tracking, to supplement current tools. Methods Two focus group sessions were conducted with nurses and physicians who routinely administer neurocognitive assessments to geriatric populations. Video recordings of the focus group sessions were transcribed and a thematic analysis was performed. Results Participants reported the need for assessment and diagnostic tools that are accessible and efficient, and that are capable of accommodating the rapid growth in the aging population. The prevalence of more complex ailments experienced by older adults has had repercussions in the quality of care that the clients receive, and has contributed to lengthy wait times and resource shortages. Health-care professionals stated that they are hampered by the disjointed structure of the health-care system and that they would benefit from a more efficient allocation of responsibilities made possible through tools that did not require extensive training or certification. Eyetracking-based cognitive assessments were thought to strongly complement this system, yet it was thought that difficulty would be faced in gaining the support and increased uptake by health-care professionals due to the nonintuitive relationship between eyetracking and cognition. Conclusion The findings suggest that health-care professionals are receptive to the use of eyetracking technology to assess for cognitive health as it would conserve resources by allowing frontline staff to administer assessments with minimal training. PMID:26109860

  9. People with dementia and carers' experiences of dementia care and services: Outcomes of a focus group study.

    PubMed

    Sutcliffe, Caroline L; Roe, Brenda; Jasper, Rowan; Jolley, David; Challis, David J

    2015-11-01

    An ageing population and an associated increase in the prevalence of dementia are of increasing concern in the United Kingdom and worldwide. Recently, the United Kingdom and other European countries implemented national dementia strategies to address this. This paper reports on the outcomes of a focus group study involving people with dementia and carers on their experiences of dementia care and support services in relation to government and third sector agencies' objectives and recommendations. Three focus groups comprising carers and people with dementia (n = 27) were undertaken covering topics related to experiences, service receipt, information sharing and service development. Some participants experienced difficulties or delays in receiving a dementia diagnosis and in accessing appropriate care. The provision of training, timeliness of information, access to appropriate advice, and consistent and flexible services were deemed important. The findings suggest that some issues raised by participants were highlighted in earlier policy objectives and recommendations but remain of central concern. The projected growth in the number of people with dementia coupled with reduced availability of informal care and increased demand for services emphasises the need to transform dementia care in the United Kingdom. PMID:24381211

  10. Attitudes and beliefs about deceased organ donation in the Arabic-speaking community in Australia: a focus group study

    PubMed Central

    Ralph, Angelique F; Alyami, Ali; Allen, Richard D M; Howard, Kirsten; Craig, Jonathan C; Chadban, Steve J; Irving, Michelle; Tong, Allison

    2016-01-01

    Objectives To describe the beliefs and attitudes to organ donation in the Arabic-speaking community. Design Arabic-speaking participants were purposively recruited to participate in 6 focus groups. Transcripts were analysed thematically. Participants 53 participants, aged 19–77 years, and originating from 8 countries, participated in 1 of 6 focus groups. Participants identified as Christian (73%), Islam (26%), Buddhist (2%) or did not identify with any religion (2%). Results 6 themes (with subthemes) were identified; religious conviction; invisibility of organ donation; medical suspicion; owning the decision; and reciprocal benefit. Conclusions Although organ donation is considered a generous life-saving ‘gift’, representative members of the Arabic-speaking community in Australia were unfamiliar with, unnerved by and sceptical about the donation process. Making positive decisions about organ donation would likely require resolving tensions between respecting family, community and religious values versus their individual autonomy. Providing targeted education about the process and benefits of organ donation within the Arabic community may clarify ambiguities surrounding cultural and religious-based views on organ donation, reduce taboos and suspicion towards donation, and in turn, lead to increased organ donation rates. PMID:26787253

  11. Motivators and deterrents to blood donation among Black South Africans: a qualitative analysis of focus group data

    PubMed Central

    Muthivhi, T. N.; Olmsted, M. G.; Park, H.; Sha, M.; Raju, V.; Mokoena, T.; Bloch, E. M.; Murphy, E. L.; Reddy, R.

    2015-01-01

    SUMMARY Background and Objectives South Africa has a markedly skewed representation where the majority of blood (62%) is presently collected from an ethnically White minority. This study seeks to identify culturally specific factors affecting motivation of donors in South Africa. Materials and Methods We performed a qualitative study to evaluate motivators and deterrents to blood donation among Black South Africans. A total of 13 focus groups, comprising a total of 97 Black South Africans, stratified by age and geographic location were conducted. Transcripts of the interviews were analysed using a coding framework by Bednall & Bove. Results Participants made 463 unique comments about motivators focusing primarily on promotional communications (28%), incentives (20%) and prosocial motivation (16%). Participants made 376 comments about deterrents which focused primarily on fear (41%), negative attitudes (14%) and lack of knowledge (10%). Conclusion Although prosocial motivation (altruism) was the most frequently mentioned individual motivator, promotional communication elicited more overall comments by participants. As reported by many authors, fear and lack of awareness were strong deterrents, but scepticism engendered by perceived racial discrimination in blood collection were unique to the South African environment. PMID:26104809

  12. The evaluation of a clinical development unit leadership preparation program by focus group interviews - part I: positive aspects.

    PubMed

    Greenwood, Jennifer; Parsons, Myra

    2002-10-01

    In 1996, in Western Sydney, Australia, the Area Health Service and the University of Western Sydney entered a strategic alliance to develop a nursing research culture in the health services. One of the strategies implemented to achieve this was the establishment of a network of research-receptive environments known as Clinical Development Units (CDUs). At the time, however, evidence suggested that research receptivity will only develop in units where the leadership style is permissive and participatory; evidence also suggested that the successful establishment of CDUs hinged critically on the effective management of CDU leadership stressors. In light of this, it was agreed to conduct a CDU Leadership Preparation Program in Western Sydney. The aim of the program was to equip CDU leaders with the participatory leadership skills required to develop and manage their units. It was anticipated that the acquisition of these leadership skills would, in turn, help them minimise the leadership stressors to which they could expect to become subject. This paper provides details of the first CDU leadership preparation course: how participants were selected, the aims of the course and its content. It focuses, however, on a discussion of the positive evaluative data harvested through 2 focus group interviews which were conducted 5 months following participants' successful completion of the program.A second paper focuses on the more negative evaluative data, 2 themes which unexpectedly emerged during data analysis and how the current program has been modified in light of this data. PMID:12384033

  13. Patients' and clinicians' experiences of consultations in primary care for sleep problems and insomnia: a focus group study

    PubMed Central

    Dyas, Jane V; Apekey, Tanefa A; Tilling, Michelle; Ørner, Roderick; Middleton, Hugh; Siriwardena, A Niroshan

    2010-01-01

    Background Insomnia affects around one-third of adults in the UK. Many sufferers seek help from primary care. Aim To explore patients' and primary care practitioners' expectations, experiences, and outcomes of consultations for sleep difficulties, as a basis for improving the treatment of insomnia in primary care. Design of study A qualitative phenomenological approach. Method Separate focus groups for GPs and nurse prescribers and patients recruited from eight general practices that were in a quality improvement collaborative. Constant comparative analysis was used. Results Emergent themes from 14 focus groups comparing participating patients (n = 30) and practitioners (n = 15), provided insights on presentation, beliefs, expectations, and management of sleep problems. Patients initially tried to resolve insomnia themselves; consulting was often a last resort. Patients felt they needed to convince practitioners that their sleep difficulties were serious. They described insomnia in terms of the impact it was having on their life, whereas clinicians tended to focus on underlying causes. By the time patients consulted, many expected a prescription. Clinicians often assumed this was what patients wanted, and felt this would hamper patients' ability to take non-drug treatments seriously. Clinicians expected patients who were already on sleeping tablets to be resistant to stopping them, whereas patients were often open to alternatives. Conclusion Better management of insomnia should take into account the perceptions and interactions of patients and practitioners. Practitioners need to empathise, listen, elicit patients' beliefs and expectations, assess sleep better, and offer a range of treatments, including cognitive and behavioural therapies, tailored to individual needs. Practitioner education should incorporate understanding of patients' decision-making processes, the clinicians' role during the consultation, and how to negotiate and deliver strategies for resolving

  14. Patients' experiences of continuity in the care of type 2 diabetes: a focus group study in primary care

    PubMed Central

    Alazri, Mohammed H; Neal, Richard D; Heywood, Phil; Leese, Brenda

    2006-01-01

    Background Continuity of care is fundamental to general practice and type 2 diabetes is a common chronic disease with major health and social impacts. Nevertheless continuity, as experienced by patients with type 2 diabetes, remains a neglected area. Aim To explore perceptions and experiences of continuity of care in general practice from the perspectives of patients with type 2 diabetes, focusing on the advantages and disadvantages of different types of continuity. Design of study Focus groups with patients. Setting Seven practices with different organisational structures in Leeds, UK. Method Seventy-nine patients with type 2 diabetes were recruited. Focus group interviews were conducted with 79 patients with type 2 diabetes from seven practices in Leeds, UK. Results Patients experienced three different types of continuity: relational (or longitudinal) continuity, cross-boundary (or team) continuity, and continuity of information. Patients' perceptions of continuity were influenced by several factors including a personal relationship between themselves and their healthcare professional, their own beliefs and behaviours, presence of diabetes, and the systems and structures of general practices. Patients identified the advantages and disadvantages of two types of continuity. Relational or longitudinal continuity was important in providing psychosocial care, but with a risk of misdiagnosis. The advantages of cross-boundary or team continuity were to provide physical care, whereas the main disadvantages were the absence of personal care and patient confusion. Conclusion Perceptions of continuity by patients with type 2 diabetes were influenced by several factors; they perceived several advantages and disadvantages associated with different types of continuity. Patients might expect certain healthcare benefits by following certain types of continuity. PMID:16834874

  15. Perceptions of quality in primary health care: perspectives of patients and professionals based on focus group discussions

    PubMed Central

    2014-01-01

    Background The EUprimecare project-team assessed the perception of primary health care (PHC) professionals and patients on quality of organization of PHC systems in the participating countries: Estonia, Finland, Germany, Hungary, Italy, Lithuania and Spain. This article presents the aggregated opinions, expectations and priorities of patients and professionals along some main dimensions of quality in primary health care, such as access, equity, appropriateness and patient- centeredness. Methods The focus group technique was applied in the study as a qualitative research method for exploration of attitudes regarding the health care system and health service. Discussions were addressing the topics of: general aspects of quality in primary health care; possibilities to receive/provide PHC services based on both parties needs; determinant factors of accessibility to PHC services; patient centeredness. The data sets collected during the focus group discussions were evaluated using the method of thematic analysis. Results There were 14 focus groups in total: a professional and a patient group in each of the seven partner countries. Findings of the thematic analysis were summarized along the following dimensions: access and equity, appropriateness (coordination, continuity, competency and comprehensiveness) and patient centeredness. Conclusions This study shows perceptions and views of patients in interaction with PHC and opinion of professionals working in PHC. It serves as source of criteria with relevance to everyday practice and experience. The criteria mentioned by patients and by health care professionals which were considered determining factors of the quality in primary care were quite similar among the investigated countries. However, the perception and the level of tolerance regarding some of the criteria differed among EUprimecare countries. Among these dissimilar criteria we especially note the gate-keeping role of GPs, the importance of nurses' competency and

  16. Addressing Low Colorectal Cancer Screening in African Americans: Using Focus Groups to Inform the Development of Effective Interventions.

    PubMed

    May, Folasade P; Whitman, Cynthia B; Varlyguina, Ksenia; Bromley, Erica G; Spiegel, Brennan M R

    2016-09-01

    African Americans have the highest burden of colorectal cancer (CRC) in the United States of America (USA) yet lower CRC screening rates than whites. Although poor screening has prompted efforts to increase screening uptake, there is a persistent need to develop public health interventions in partnership with the African American community. The aim of this study was to conduct focus groups with African Americans to determine preferences for the content and mode of dissemination of culturally tailored CRC screening interventions. In June 2013, 45-75-year-old African Americans were recruited through online advertisements and from an urban Veterans Affairs system to create four focus groups. A semi-structured interview script employing open-ended elicitation was used, and transcripts were analyzed using ATLAS.ti software to code and group data into a concept network. A total of 38 participants (mean age = 54) were enrolled, and 59 ATLAS.ti codes were generated. Commonly reported barriers to screening included perceived invasiveness of colonoscopy, fear of pain, and financial concerns. Facilitators included poor diet/health and desire to prevent CRC. Common sources of health information included media and medical providers. CRC screening information was commonly obtained from medical personnel or media. Participants suggested dissemination of CRC screening education through commercials, billboards, influential African American public figures, Internet, and radio. Participants suggested future interventions include culturally specific information, including details about increased risk, accessing care, and dispelling of myths. Public health interventions to improve CRC screening among African Americans should employ media outlets, emphasize increased risk among African Americans, and address race-specific barriers. Specific recommendations are presented for developing future interventions. PMID:25963898

  17. Perceived pros and cons of smoking and quitting in hard-core smokers: a focus group study

    PubMed Central

    2014-01-01

    Background In the last decade, so-called hard-core smokers have received increasing interest in research literature. For smokers in general, the study of perceived costs and benefits (or ‘pros and cons’) of smoking and quitting is of particular importance in predicting motivation to quit and actual quitting attempts. Therefore, this study aims to gain insight into the perceived pros and cons of smoking and quitting in hard-core smokers. Methods We conducted 11 focus group interviews among current hard-core smokers (n = 32) and former hard-core smokers (n = 31) in the Netherlands. Subsequently, each participant listed his or her main pros and cons in a questionnaire. We used a structural procedure to analyse the data obtained from the group interviews and from the questionnaires. Results Using the qualitative data of both the questionnaires and the transcripts, the perceived pros and cons of smoking and smoking cessation were grouped into 6 main categories: Finance, Health, Intrapersonal Processes, Social Environment, Physical Environment and Food and Weight. Conclusions Although the perceived pros and cons of smoking in hard-core smokers largely mirror the perceived pros and cons of quitting, there are some major differences with respect to weight, social integration, health of children and stress reduction, that should be taken into account in clinical settings and when developing interventions. Based on these findings we propose the ‘Distorted Mirror Hypothesis’. PMID:24548463

  18. Preventing HIV infection among young immigrant Latino men: results from focus groups using community-based participatory research.

    PubMed Central

    Rhodes, Scott D.; Hergenrather, Kenneth C.; Wilkin, Aimee; Alegría-Ortega, Jose; Montaño, Jaime

    2006-01-01

    Latinos in the United States have been disproportionately affected by the intersecting epidemics of HIV and sexually transmitted diseases (STDs). Using a community-based participatory research (CBPR) approach to problem identification and exploration, a total of 74 Latino men (mean age 22.3, range 18-37) residing in an urban city in northwest North Carolina participated in one of eight focus groups on sexual health. Among the findings of this study, >75% of participants reported Mexico as their country of origin; other participants reported being from Central and South American countries. Qualitative data analysis identified 13 themes, which were grouped into the following three domains: 1) psychosocial factors identified as influencing sexual risk health behaviors; 2) system-level barriers to sexual health; and 3) characteristics of potentially effective HIV prevention intervention approaches. The study findings suggest that community-based, male-centered interpersonal networks that provide individual and group education and skill-building and incorporate curanderos (Latino healers) and bilingual experts may be important elements of potentially effective intervention approaches to reach Latino men, who have been inaccessible to conventional HIV prevention programs. PMID:16623070

  19. Exploring views on long term rehabilitation for people with stroke in a developing country: findings from focus group discussions

    PubMed Central

    2014-01-01

    Background The importance of long term rehabilitation for people with stroke is increasingly evident, yet it is not known whether such services can be materialised in countries with limited community resources. In this study, we explored the perception of rehabilitation professionals and people with stroke towards long term stroke rehabilitation services and potential approaches to enable provision of these services. Views from providers and users are important in ensuring whatever strategies developed for long term stroke rehabilitations are feasible and acceptable. Methods Focus group discussions were conducted involving 15 rehabilitation professionals and eight long term stroke survivors. All recorded conversations were transcribed verbatim and analysed using the principles of qualitative research. Results Both groups agreed that people with stroke may benefit from more rehabilitation compared to the amount of rehabilitation services presently provided. Views regarding the unavailability of long term rehabilitation services due to multi-factorial barriers were recognised. The groups also highlighted the urgent need for the establishment of community-based stroke rehabilitation centres. Family-assisted home therapy was viewed as a potential approach to continued rehabilitation for long term stroke survivors, given careful planning to overcome several family-related issues. Conclusions Barriers to the provision of long term stroke rehabilitation services are multi-factorial. Establishment of community-based stroke rehabilitation centres and training family members to conduct home-based therapy are two potential strategies to enable the continuation of rehabilitation for long term stroke survivors. PMID:24606911

  20. Preventing HIV infection among young immigrant Latino men: results from focus groups using community-based participatory research.

    PubMed

    Rhodes, Scott D; Hergenrather, Kenneth C; Wilkin, Aimee; Alegría-Ortega, Jose; Montaño, Jaime

    2006-04-01

    Latinos in the United States have been disproportionately affected by the intersecting epidemics of HIV and sexually transmitted diseases (STDs). Using a community-based participatory research (CBPR) approach to problem identification and exploration, a total of 74 Latino men (mean age 22.3, range 18-37) residing in an urban city in northwest North Carolina participated in one of eight focus groups on sexual health. Among the findings of this study, >75% of participants reported Mexico as their country of origin; other participants reported being from Central and South American countries. Qualitative data analysis identified 13 themes, which were grouped into the following three domains: 1) psychosocial factors identified as influencing sexual risk health behaviors; 2) system-level barriers to sexual health; and 3) characteristics of potentially effective HIV prevention intervention approaches. The study findings suggest that community-based, male-centered interpersonal networks that provide individual and group education and skill-building and incorporate curanderos (Latino healers) and bilingual experts may be important elements of potentially effective intervention approaches to reach Latino men, who have been inaccessible to conventional HIV prevention programs. PMID:16623070

  1. Can ill-structured problems reveal beliefs about medical knowledge and knowing? A focus-group approach

    PubMed Central

    Roex, Ann; Clarebout, Geraldine; Dory, Valerie; Degryse, Jan

    2009-01-01

    Background Epistemological beliefs (EB) are an individual's cognitions about knowledge and knowing. In several non-medical domains, EB have been found to contribute to the way individuals reason when faced with ill-structured problems (i.e. problems with no clear-cut, right or wrong solutions). Such problems are very common in medical practice. Determining whether EB are also influential in reasoning processes with regard to medical issues to which there is no straightforward answer, could have implications for medical education. This study focused on 2 research questions: 1. Can ill-structured problems be used to elicit general practice trainees' and trainers' EB? and 2. What are the views of general practice trainees and trainers about knowledge and how do they justify knowing? Methods 2 focus groups of trainees (n = 18) were convened on 3 occasions during their 1st year of postgraduate GP training. 2 groups of GP trainers (n = 11) met on one occasion. Based on the methodology of the Reflective Judgement Interview (RJI), participants were asked to comment on 11 ill-structured problems. The sessions were audio taped and transcribed and an adapted version of the RJI scoring rules was used to assess the trainees' reasoning about ill-structured problems. Results Participants made a number of statements illustrating their EB and their importance in clinical reasoning. The level of EB varied widely form one meeting to another and depending on the problem addressed. Overall, the EB expressed by trainees did not differ from those of trainers except on a particular ill-structured problem regarding shoulder pain. Conclusion The use of focus groups has entailed some difficulties in the interpretation of the results, but a number of preliminary conclusions can be drawn. Ill-structured medical problems can be used to elicit EB. Most trainees and trainers displayed pre-reflective and quasi-reflective EB. The way trainees and doctors view and justify knowledge are likely to be

  2. Understanding and Preventing Financial Fraud Against Older Citizens in Chinese Society: Results of a Focus Group Study.

    PubMed

    Li, Jessica C M; Yu Yolanda, Mengyan; Wong, Gabriel T W; Ngan, Raymond M H

    2016-10-01

    This study examines the public discourse on financial fraud against older citizens in Chinese society using six focus groups with 45 stakeholders comprising social workers, police officers, caregivers, nurses, community representatives, and insurance and banking personnel. This study uses qualitative data to describe the patterns and social features that facilitate this specific type of crime in Hong Kong. The narratives of the community stakeholders reveal several specific social features of Hong Kong that contribute to financial fraud against older persons, such as traditional Chinese values and ideologies, increasing cross-border activities, the Internet and technological advancements, and unfavourable economic situations. The results of this study support the assumptions of the routine activity approach and have a number of theoretical and practical implications. PMID:25891271

  3. Wake-Up. A Health Promotion Project for Sub-Saharan University Students: Results of Focus Group Sessions

    PubMed Central

    Batidzirai, Jesca Mercy; Heeren, G Anita; Marange, C Show; Gwaze, Arnold Rumosa; Mandeya, Andrew; Ngwane, Zolani; Jemmott, John B; Tyler, Joanne C

    2014-01-01

    HIV/AIDS is seen as the major killer in developing countries however, non-communicable diseases (NCDs), also referred to as chronic diseases, are the leading causes of death worldwide. University students are an important target for health promotion programmes because they are exposed to a new lifestyle where they have to determine on their own which diet to follow, whether or not to exercise, how much they drink alcohol or smoke, whether to have sex or abstain, as well as whether to practice safe sex or not Focus group sessions were held at a rural Sub-Saharan African University to assess students' knowledge on how to lead a healthy lifestyle. The results suggest a need for a health promotion intervention programme which should be culture-sensitive and considerate of the needs of university students. PMID:25763177

  4. Bringing a Network-Oriented Approach to Domestic Violence Services: A Focus Group Exploration of Promising Practices.

    PubMed

    Goodman, Lisa A; Banyard, Victoria; Woulfe, Julie; Ash, Sarah; Mattern, Grace

    2016-01-01

    Despite powerful evidence that informal social support contributes to survivors' safety and well-being, mainstream domestic violence (DV) programs have not developed comprehensive models for helping isolated survivors re-engage with these networks. Although many advocates use network-oriented strategies informally, they often do so without resources, funding, or training. This qualitative focus group study explored advocates' use and perceptions of network-oriented strategies. Advocates working in a range of DV programs across one state described the importance of network-oriented work and articulated its five dimensions, including helping survivors build their capacity to form healthy relationships, identify helpful and harmful network members, re-engage with existing networks, develop new relationships, and respond more effectively to network members. PMID:26270387

  5. A culturally competent approach to cancer news and education in an inner city community: focus group findings.

    PubMed

    Marks, Jonnie P; Reed, Wornie; Colby, Kay; Dunn, R A; Mosavel, M; Ibrahim, Said A

    2004-01-01

    Ethnic minorities who live in socioeconomically disenfranchised communities suffer disproportionately from many health problems including cancer. In an effort to reduce these disparities, many health-care practitioners and scholars have promoted "culturally competent" health education efforts. One component of culturally competent education is a grounded knowledge base. To obtain knowledge about the cancer-related ideas of members of one African American community, researchers conducted focus groups with public housing residents and used the findings to develop a five-part television news series about breast, prostate, and cervix cancers. We found that participants gathered information from the folk, popular, and professional health sectors and constructed their cancer-related ideas from this information. Furthermore, experiences of racism, sexism, and classism colored their beliefs and behaviors regarding the prevention, detection, and treatment of common cancers. For this community "cancer" represents a giant screen upon which individual fears and societal ethnic, political, and economic tensions are projected. PMID:15204825

  6. Quality of Physiotherapy Services for Injured Workers Compensated by Workers' Compensation in Quebec: A Focus Group Study of Physiotherapy Professionals

    PubMed Central

    Laliberté, Maude; Hunt, Matthew; Feldman, Debbie Ehrmann

    2015-01-01

    Musculoskeletal disorders are among the leading causes of work-related physical disability in the province of Quebec in Canada. The authors conducted a focus group study with physiotherapists and physical rehabilitation therapists working with patients whose treatments are compensated by the Quebec Workers' Compensation Board with the goal of exploring quality of care and ethical issues. Three main themes were identified: (1) systemic factors, (2) complexity in treatment decisions and (3) inequality of care. Although physiotherapy professionals strive to give these patients the best possible care, patients might not always be provided with optimal or equal treatment. When compared with other patients, there appear to be differences with respect to access to care and types of services offered to injured workers, raising equity concerns. Factors that shape and constrain quality of physiotherapy services for injured workers need to be addressed to improve care for these patients. PMID:25947032

  7. Barriers and Recommended Interventions to Prevent Melioidosis in Northeast Thailand: A Focus Group Study Using the Behaviour Change Wheel

    PubMed Central

    Suntornsut, Pornpan; Wongsuwan, Nittayasee; Malasit, Mayura; Kitphati, Rungreung; Michie, Susan; Peacock, Sharon J.

    2016-01-01

    Background Melioidosis, an often fatal infectious disease in Northeast Thailand, is caused by skin inoculation, inhalation or ingestion of the environmental bacterium, Burkholderia pseudomallei. The major underlying risk factor for melioidosis is diabetes mellitus. Recommendations for melioidosis prevention include using protective gear such as rubber boots and gloves when in direct contact with soil and environmental water, and consuming bottled or boiled water. Only a small proportion of people follow such recommendations. Methods Nine focus group discussions were conducted to evaluate barriers to adopting recommended preventive behaviours. A total of 76 diabetic patients from northeast Thailand participated in focus group sessions. Barriers to adopting the recommended preventive behaviours and future intervention strategies were identified using two frameworks: the Theoretical Domains Framework and the Behaviour Change Wheel. Results Barriers were identified in the following five domains: (i) knowledge, (ii) beliefs about consequences, (iii) intention and goals, (iv) environmental context and resources, and (v) social influence. Of 76 participants, 72 (95%) had never heard of melioidosis. Most participants saw no harm in not adopting recommended preventive behaviours, and perceived rubber boots and gloves to be hot and uncomfortable while working in muddy rice fields. Participants reported that they normally followed the behaviour of friends, family and their community, the majority of whom did not wear boots while working in rice fields and did not boil water before drinking. Eight intervention functions were identified as relevant for the intervention: (i) education, (ii) persuasion, (iii) incentivisation, (iv) coercion, (v) modeling, (vi) environmental restructuring, (vii) training, and (viii) enablement. Participants noted that input from role models in the form of physicians, diabetic clinics, friends and families, and from the government via mass media

  8. What British women say matters to them about donating an aborted fetus to stem cell research: a focus group study.

    PubMed

    Pfeffer, Naomi

    2008-06-01

    This is the first investigation into what matters to British women when they think about donating an aborted fetus to research, and how stem cell research and therapies might influence their views. Tissue derived from the aborted fetus is considered "the right tool for the job" in some stem cell laboratories. Research using tissue derived from aborted fetuses is permitted in Britain, while deliberate abortion to provide fetal tissue for research is illegal. Investigators are advised to seek women's agreement to donate the fetus after they have signed the consent form for the abortion, and stem cell researchers seek fetuses aborted under the 'social' grounds of the Abortion Act 1967. This research was based on focus groups with women who had both had a termination and had not had a termination. It found that initial enthusiasm for the donation of the aborted fetus for medical research, which was understood as a good thing, diminished as participants gained information and thought more carefully about the implications of such a decision. Lack of knowledge about how aborted fetuses are treated as scientific objects in the stem cell laboratory provoked concerns about mishandling, and invoked in some participants what we have called the duty of care which women feel towards babies and children. The duty of care might apply to other research using aborted fetuses. But what makes stem cell research more troubling is its association with renewal, regeneration, and immortality which participants understood as somehow reinstating and even developing the fetus' physical existence and social biography, the very thing abortion is meant to eliminate. By the end of the focus groups, participants had co-produced a tendency to refuse to donate aborted fetuses. PMID:18375029

  9. Where Are the Adults? The Attitudes of Parents, Teachers, Clergy, Coaches, and Youth Workers on Teen Pregnancy. A Focus Group Report.

    ERIC Educational Resources Information Center

    National Campaign To Prevent Teen Pregnancy, Washington, DC.

    In 1997, the National Campaign To Prevent Teen Pregnancy convened nine focus groups of parents of teens and other adults who work with teens such as teachers, clergy, coaches, youth recreation specialists, youth-serving organization staff, and community outreach workers. This report publishes the results of these focus groups, which involved 57…

  10. How-To Data Collection Series: The Evolution of the Focused Discussion Group--From Non-Participant to One of the Crew

    ERIC Educational Resources Information Center

    Calderon, Jose Luis

    2011-01-01

    This article is part of The Weekly Qualitative Report's occasional series on "How-To Collect Qualitative Data." The qualitative data collection method described is that of focused discussion groups (FDG's). This method involves the moderator, or scripter as is the preferred term in focused discussion groups, to move beyond that of a…

  11. Why Patients Delay Their First Contact with Health Services After Stroke? A Qualitative Focus Group-Based Study

    PubMed Central

    Le Bonniec, Alice; Haesebaert, Julie; Derex, Laurent; Porthault, Sylvie; Préau, Marie; Schott, Anne-Marie

    2016-01-01

    Background Despite national and local French information campaigns, when acute stroke occurs, waiting times before calling mobile emergency medical services (EMS) to receive appropriate treatment (i.e. thrombolysis) and decrease the risk of physical disability, remain long. We aimed to identify the representations of stroke in the general population and to determine barriers to and facilitators for rapidly contacting EMS. Method We conducted a qualitative study among the general population with 10 focus groups, 5 comprising employed people (N = 29) and 5 comprising retirees (N = 32). The themes discussed were general knowledge about stroke and its risk factors, symptoms, appropriate management and the awareness that stroke is an emergency issue. Results In addition to a lack of knowledge about stroke, other barriers to rapidly contacting the EMS were difficulties in recognizing symptoms and understanding that these symptoms constitute an emergency. Furthermore, when faced with stroke, a feeling of inevitability and fatalism about the consequences of a stroke was highlighted. Participants were unaware of the existence of an effective treatment and they mistrusted medical competences. Finally, we found a strong presence and participant appreciation of common knowledge, resulting in the sharing of experiences of stroke. This could partly compensate for the lack of specific knowledge about symptom recognition and appropriate action. Conclusion Information campaigns should not only inform the public about stroke symptoms in order to ensure people act appropriately, but should also focus on increasing public awareness about the fact that an effective treatment exists. PMID:27275948

  12. Challenges and opportunities for HIV prevention and care: insights from focus groups of HIV-infected African American men.

    PubMed

    Buseh, Aaron G; Stevens, Patricia E; McManus, Patricia; Addison, Reverend Jim; Morgan, Sarah; Millon-Underwood, Sandra

    2006-01-01

    Given the inordinate burden of HIV illness borne by African American men, investigations of HIV prevention and care in this population are urgently needed. In this qualitative study, a sample of 20 HIV-infected African American men participated in two focus groups in which they exchanged experiences and ideas about living with HIV. They shared details about how they were personally impacted by HIV, and together they constructed a perspective on the larger societal context in which the HIV infection rate among African American men continues unabated. The men focused on growing complacency about HIV/AIDS in the United States, underfunding of supports and services, stigmas operative in African American communities, and differential care based on race, gender, and diagnosis. They saw opportunity in personal strategies that help individual men infected with HIV to take a more empowered stance to deal with the disease and improve their health but looked for changes undertaken by African Americans at the community level to make a real difference in the epidemic. Their vision included enhanced support for HIV prevention and care from influential community institutions like Black churches, more open dialogue about drugs and sexual behavior, and capacity-building for families whose members are HIV-infected or at risk for HIV. PMID:16849084

  13. [How do adolescents in Germany define cyberbullying? A focus-group study of adolescents from a German major city].

    PubMed

    Höher, Jonas; Scheithauer, Herbert; Schultze-Krumbholz, Anja

    2014-01-01

    A steadily growing number of empirical research on cyberbullying exists retaining the traditional definition of bullying. However, whether this scientific and theoretical definition represents youths' perceptions and experiences with cyberbullying is a subject of further investigation. Scenarios of cyberbullying incidents were used and later discussed in three focus groups with 20 adolescents (55 % boys, 45 % girls, 11-16 years old). Thematic and content analyses laid focus on the following questions: (1) Which terms are used by the adolescents to describe the behaviors in the incidents? (2) What are the roles of traditional bullying definition criteria (i. e. intention, repetition, and power imbalance) and two additional cyberbullying-specific criteria (i. e. anonymity and publicity)? (3) How are the behaviors perceived in comparison to each other? Results show that German adolescents perceive "cybermobbing" as the best term to describe the presented incidents. Impersonation was not perceived as cyberbullying by the adolescents, but rather viewed as a criminal act. In addition, adolescents perceived the intent to harm, the impact on the victim, and repetition relevant for defining cyberbullying. Moreover, analyses revealed an interdependence between criteria which suggests that anonymity and publicity have an effect on the severity of the behavior, however they were not essential for the definition of cyberbullying. PMID:24877777

  14. Scanning for satisfaction or digging for dismay? Comparing findings from a postal survey with those from a focus group-study

    PubMed Central

    2012-01-01

    Background Despite growing support for mixed methods approaches we still have little systematic knowledge about the consequences of combining surveys and focus groups. While the methodological aspects of questionnaire surveys have been researched extensively, the characteristics of focus group methodology are understudied. We suggest and discuss whether the focus group setting, as compared to questionnaire surveys, encourages participants to exaggerate views in a negative direction. Discussion Based on an example from our own research, where we conducted a survey as a follow up of a focus group study, and with reference to theoretical approaches and empirical evidence from the literature concerning survey respondent behaviour and small group dynamics, we discuss the possibility that a discrepancy in findings between the focus groups and the questionnaire reflects characteristics of the two different research methods. In contrast to the survey, the focus group study indicated that doctors were generally negative to clinical guidelines. We were not convinced that this difference in results was due to methodological flaws in either of the studies, and discuss instead how this difference may have been the result of a general methodological phenomenon. Summary Based on studies of how survey questionnaires influence responses, it appears reasonable to claim that surveys are more likely to find exaggerated positive views. Conversely, there are some indications in the literature that focus groups may result in complaints and overly negative attitudes, but this is still an open question. We suggest that while problematic issues tend to be under-communicated in questionnaire surveys, they may be overstated in focus groups. We argue for the importance of increasing our understanding of focus group methodology, for example by reporting interesting discrepancies in mixed methods studies. In addition, more experimental research on focus groups should be conducted to advance the

  15. Satisfaction with outpatient physiotherapy: focus groups to explore the views of patients with acute and chronic musculoskeletal conditions.

    PubMed

    Hills, Rosemary; Kitchen, Sheila

    2007-01-01

    Patient satisfaction is generally regarded as an important component in quality health care. However, there has been little satisfaction research in physiotherapy compared with that in other clinical fields with few qualitative studies that have explored patients' perceptions and attitudes toward physiotherapy. We report on the use of focus groups, as part of a multimethod approach of qualitative data collection into patients' satisfaction with their outpatient physiotherapy within the NHS system of care in the United Kingdom. We explored the factors that affect patients' satisfaction with musculoskeletal outpatient physiotherapy. A purposeful sample of patients with acute and chronic musculoskeletal patients who had been discharged from physiotherapy within the previous 4 months was drawn from both an inner city and suburban hospital. Two acute groups (n = 4, n = 10) and two chronic groups (n = 5, n = 11) were convened. A topic guide drew on themes that had emerged from the earlier qualitative phases of the study and guided the discussion in relation to pretreatment, treatment, and outcome stages of physiotherapy care. Sessions were tape-recorded, transcribed, and content was analyzed to code and categorise the primary patterns in the data. Although subjects in both the acute and chronic groups expected that treatment would improve their symptoms and function, they differed in the degree to which they perceived that this was achieved. Both satisfactory and unsatisfactory aspects of care emerged under the principal themes of expectations, communication, perceptions of the therapist, treatment process, and outcome. Those in the acute group were optimistic of a good result, whereas those with chronic degenerative conditions were either doubtful of improvement or unrealistic in their hopes for complete resolution of their symptoms. It was also apparent that subjects could be further divided into one of three groups (positive, negative, ambivalent), depending on the

  16. Health care professionals’ perceptions towards lifelong learning in palliative care for general practitioners: a focus group study

    PubMed Central

    2014-01-01

    Background There is a growing need for palliative care. The majority of palliative patients prefer their general practitioner (GP) to organize their palliative home care. General practitioners need a range of competences to perform this task. However, there has been no general description so far of how GPs keep these competences up-to-date. The present study explores current experiences, views and preferences towards training and education in palliative care among GPs, palliative home-care professionals and professionals from organizations who provide training and education. Methods Five focus groups were brought together in Belgium, with a total of 29 participants, including members of the three categories mentioned above. They were analysed using a constant comparison method. Results The analysis revealed that undergraduate education and continuing medical education (CME) while in practice, is insufficient to prepare GPs for their palliative work. Workplace learning (WPL) through collaboration with specialized palliative home-care nurses seems to be a valuable alternative. Conclusions The effectiveness of undergraduate education might be enhanced by adding practical experience. Providers of continuing medical education should look to organize interactive, practice-based and interprofessional sessions. Therefore, teachers need to be trained to run small group discussions. In order to optimize workplace learning, health care professionals should be trained to monitor each other’s practice and to provide effective feedback. Further research is needed to clarify which aspects of interprofessional teamwork (e.g. professional hierarchy, agreements on tasks and responsibilities) influence the effectiveness of workplace learning. PMID:24552145

  17. Lowering Cardiovascular Disease Risk for People with Severe Mental Illnesses in Primary Care: A Focus Group Study

    PubMed Central

    Michie, Susan; Gray, Ben; Stevenson, Fiona; Gilbert, Hazel

    2015-01-01

    Background People with severe mental illnesses die early from cardiovascular disease. Evidence is lacking regarding effective primary care based interventions to tackle this problem. Aim To identify current procedures for, barriers to, and facilitators of the delivery of primary care based interventions for lowering cardiovascular risk for people with severe mental illnesses. Method 75 GPs, practice nurses, service users, community mental health staff and carers in UK GP practice or community mental health settings were interviewed in 14 focus groups which were audio-recorded, transcribed and analysed using Framework Analysis. Results Five barriers to delivering primary care based interventions for lowering cardiovascular risk in people with severe mental illnesses were identified by the groups: negative perceptions of people with severe mental illnesses amongst some health professionals, difficulties accessing GP and community-based services, difficulties in managing a healthy lifestyle, not attending appointments, and a lack of awareness of increased cardiovascular risk in people with severe mental illnesses by some health professionals. Identified facilitators included involving supportive others, improving patient engagement with services, continuity of care, providing positive feedback in consultations and goal setting. Conclusion We identified a range of factors which can be incorporated in to the design, delivery and evaluation of services to reduce cardiovascular risk for people with severe mental illnesses in primary care. The next step is determining the clinical and cost effectiveness of primary care based interventions for lowering cardiovascular risk in people with severe mental illnesses, and evaluating the most important components of such interventions. PMID:26317516

  18. Factors That Influence Vaccination Decision-Making by Parents Who Visit an Anthroposophical Child Welfare Center: A Focus Group Study

    PubMed Central

    Harmsen, Irene A.; Ruiter, Robert A. C.; Paulussen, Theo G. W.; Mollema, Liesbeth; Kok, Gerjo; de Melker, Hester E.

    2012-01-01

    In recent years, parents have become more disparaging towards childhood vaccination. One group that is critical about the National Immunization Program (NIP) and participates less comprises parents with an anthroposophical worldview. Despite the fact that various studies have identified anthroposophists as critical parents with lower vaccination coverage, no research has been done to explore the beliefs underlying their childhood vaccination decision-making. We conducted a qualitative study using three focus groups (n = 16) of parents who visit an anthroposophical child welfare center. Our findings show that participants did not refuse all vaccinations within the Dutch NIP, but mostly refused the Mumps, Measles, and Rubella (MMR) vaccination. Vaccination decisions are influenced by participants' lifestyle, perception of health, beliefs about childhood diseases, perceptions about the risks of diseases, perceptions about vaccine effectiveness and vaccine components, and trust in institutions. Parents indicated that they felt a need for more information. Sufficient references should be provided to sources containing more information about childhood vaccination, especially about the effectiveness of vaccines and vaccine components and the risks, such as possible side effects and benefits of vaccination. This may satisfy parents' information needs and enable them to make a sufficiently informed choice whether or not to vaccinate their child. PMID:23209917

  19. Incorporating mobile mammography units into primary care: focus group interviews among inner-city health center patients.

    PubMed

    Skinner, C S; Zerr, A D; Damson, R L

    1995-06-01

    Mammography screening is underutilized, especially among women of lower socioeconomic status (SES). Mobile mammography units reduce cost and patient burden of mammography, and therefore might enhance screening rates among underserved populations. Few studies have explored factors associated with the acceptability of mobile mammography; none have targeted low-SES women. To explore these issues, we conducted focus group interviews in five university-affiliated urban primary-care clinics. The forty-three participants were 74% African-American, ranged in age from 40 to 70 years and most (67%) had household incomes below $15,000. A trained moderator led the groups of eight to 12 women through standardized, open-end interview questions exploring perceptions of mobile mammography. Findings suggest mammography vans are acceptable under only certain circumstances, including advance notice and assurance of privacy and quality. Convenience was important; 53% related being more likely to have mammograms if scheduled in conjunction with primary-care visits. Participants felt strongly that vans were inappropriate for public forums such as shopping centers. Association with primary-care health centers seemed to legitimize mammography vans and to allay concerns. If mammography screening is to become more widespread among low-income populations, these exploratory findings must be addressed in research and intervention development. PMID:10160229

  20. Problem-based learning case writing by students based on early years clinical attachments: a focus group evaluation

    PubMed Central

    Idowu, Yewande; Easton, Graham

    2016-01-01

    Objectives To evaluate the perception of medical students of the new approach to problem-based learning which involves students writing their own problem-based learning cases based on their recent clinical attachment, and team assessment. Design Focus group interviews with students using purposive sampling. Transcripts of the audio recordings were analysed using thematic analysis. Setting Imperial College School of Medicine, London. Participants Medical students in the second year of the MBBS course, who attended the problem-based learning case writing session. Main outcome measures To elicit the students’ views about problem-based learning case writing and team assessment. Results The following broad themes emerged: effect of group dynamics on the process; importance of defining the tutor’s role; role of summative assessment; feedback as a learning tool and the skills developed during the process. Conclusions Overall the students found the new approach, writing problem-based learning cases based on patients seen during their clinical attachments, useful in helping them to gain a better understanding about the problem-based learning process, promoting creativity and reinforcing the importance of team work and peer assessment which are vital professional skills. Further tutor development and guidance for students about the new approach was found to be important in ensuring it is a good learning experience. We hope this evaluation will be of use to other institutions considering introducing students’ case writing to problem-based learning. PMID:26981255

  1. Smoking, self-regulation and moral positioning: a focus group study with British smokers from a disadvantaged community.

    PubMed

    Gough, Brendan; Antoniak, Marilyn; Docherty, Graeme; Jones, Laura; Stead, Martine; McNeill, Ann

    2013-01-01

    Smoking in many Western societies has become a both moral aand health issue in recent years, but little is known about how smokers position themselves and regulate their behaviour in this context. In this article, we report the findings from a study investigating how smokers from an economically disadvantaged community in the East Midlands (UK) respond to concerns about the health impact of smoking on others. We conducted ten focus group (FG) discussions with mixed groups (by smoking status and gender; N = 58 participants) covering a range of topics, including smoking norms, self-regulation, and smoking in diverse contexts. We transcribed all FG discussions before analysing the data using techniques from discourse analysis. Smokers in general positioned themselves as socially responsible smokers and morally upstanding citizens. This position was bolstered in two main ways: 'everyday accommodation', whereby everyday efforts to accommodate the needs of non-smokers were referenced, and 'taking a stand', whereby proactive interventions to prevent smoking in (young) others were cited. We suggest that smoking cessation campaigns could usefully be informed by this ethic of care for others. PMID:23710702

  2. Psychosocial determinants of fruit and vegetable consumption among students in a New Zealand university. Results of focus group interviews.

    PubMed

    Hartman, Hilde; Wadsworth, Daniel P; Penny, Suzi; van Assema, Patricia; Page, Rachel

    2013-06-01

    The '5+ a day' fruit and vegetable servings recommendation was introduced in New Zealand in 1994, but consumption has remained low in young adults ever since. This study aimed to identify psychosocial determinants of fruit and vegetable consumption among New Zealand university students approximately a decade after the guidelines' introduction. Twenty-nine students, aged 18-24 years, took part in focus group interviews. Important determinants included taste and health awareness/knowledge. Flatmates and partners had the greatest social influence. Cost and availability were major barriers to consumption. To improve consumption participants suggested: cooking sessions providing quick/easy recipes; more-varied nutritional information; 'made-to-measure' interventions; increasing awareness of cheap sources of fruit/vegetables; and increasing campus availability of fruit. Determinants including a negative attitude, a lack of self-efficacy and an unawareness of dietary guidelines/health consequences should be considered when developing interventions for this group, whilst a variety of different delivery channels should be used. Participants in the study were not representative of all university students, who generally have a different lifestyle to other young adults and specific determinants for fruit/vegetable consumption. Consequently, additional research is required among other young adults and university students with lower fruit and vegetable intake, so that promotional strategies can be specifically targeted. PMID:23415984

  3. Exploring Design Requirements for Repurposing Dental Virtual Patients From the Web to Second Life: A Focus Group Study

    PubMed Central

    Antoniou, Panagiotis E; Athanasopoulou, Christina A; Dafli, Eleni

    2014-01-01

    Background Since their inception, virtual patients have provided health care educators with a way to engage learners in an experience simulating the clinician’s environment without danger to learners and patients. This has led this learning modality to be accepted as an essential component of medical education. With the advent of the visually and audio-rich 3-dimensional multi-user virtual environment (MUVE), a new deployment platform has emerged for educational content. Immersive, highly interactive, multimedia-rich, MUVEs that seamlessly foster collaboration provide a new hotbed for the deployment of medical education content. Objective This work aims to assess the suitability of the Second Life MUVE as a virtual patient deployment platform for undergraduate dental education, and to explore the requirements and specifications needed to meaningfully repurpose Web-based virtual patients in MUVEs. Methods Through the scripting capabilities and available art assets in Second Life, we repurposed an existing Web-based periodontology virtual patient into Second Life. Through a series of point-and-click interactions and multiple-choice queries, the user experienced a specific periodontology case and was asked to provide the optimal responses for each of the challenges of the case. A focus group of 9 undergraduate dentistry students experienced both the Web-based and the Second Life version of this virtual patient. The group convened 3 times and discussed relevant issues such as the group’s computer literacy, the assessment of Second Life as a virtual patient deployment platform, and compared the Web-based and MUVE-deployed virtual patients. Results A comparison between the Web-based and the Second Life virtual patient revealed the inherent advantages of the more experiential and immersive Second Life virtual environment. However, several challenges for the successful repurposing of virtual patients from the Web to the MUVE were identified. The identified challenges

  4. Retention of allied health professionals in rural New South Wales: a thematic analysis of focus group discussions

    PubMed Central

    2012-01-01

    Background Uneven distribution of the medical workforce is globally recognised, with widespread rural health workforce shortages. There has been substantial research on factors affecting recruitment and retention of rural doctors, but little has been done to establish the motives and conditions that encourage allied health professionals to practice rurally. This study aims to identify aspects of recruitment and retention of rural allied health professionals using qualitative methodology. Methods Six focus groups were conducted across rural NSW and analysed thematically using a grounded theory approach. The thirty allied health professionals participating in the focus groups were purposively sampled to represent a range of geographic locations, allied health professions, gender, age, and public or private work sectors. Results Five major themes emerged: personal factors; workload and type of work; continuing professional development (CPD); the impact of management; and career progression. ‘Pull factors’ favouring rural practice included: attraction to rural lifestyle; married or having family in the area; low cost of living; rural origin; personal engagement in the community; advanced work roles; a broad variety of challenging clinical work; and making a difference. ‘Push factors’ discouraging rural practice included: lack of employment opportunities for spouses; perceived inadequate quality of secondary schools; age related issues (retirement, desire for younger peer social interaction, and intention to travel); limited opportunity for career advancement; unmanageable workloads; and inadequate access to CPD. Having competent clinical managers mitigated the general frustration with health service management related to inappropriate service models and insufficient or inequitably distributed resources. Failure to fill vacant positions was of particular concern and frustration with the lack of CPD access was strongly represented by informants. Conclusions While

  5. Occupational closure in nursing work reconsidered: UK health care support workers and assistant practitioners: A focus group study.

    PubMed

    Traynor, Michael; Nissen, Nina; Lincoln, Carol; Buus, Niels

    2015-07-01

    In healthcare, occupational groups have adopted tactics to maintain autonomy and control over their areas of work. Witz described a credentialist approach to occupational closure adopted by nursing in the United Kingdom during the 19th and early 20th centuries. However, the recent advancement of assistant, 'non-qualified' workers by governments and managers forms part of a reconfiguration of traditional professional work. This research used focus groups with three cohorts of healthcare support workers undertaking assistant practitioner training at a London university from 2011 to 13 (6 groups, n = 59). The aim was to examine how these workers positioned themselves as professionals and accounted for professional boundaries. A thematic analysis revealed a complex situation in which participants were divided between articulating an acceptance of a subordinate role within traditional occupational boundaries and a usurpatory stance towards these boundaries. Participants had usually been handpicked by managers and some were ambitious and confident in their abilities. Many aspired to train to be nurses claiming that they will gain recognition that they do not currently get but which they deserve. Their scope of practice is based upon their managers' or supervisors' perception of their individual aptitude rather than on a credentialist claim. They 'usurp' nurses claim to be the healthcare worker with privileged access to patients, saying they have taken over what nursing has considered its core work, while nurses abandon it for largely administrative roles. We conclude that the participants are the not unwilling agents of a managerially led project to reshape the workforce that cuts across existing occupational boundaries. PMID:25989001

  6. Evaluating the Use of Group Interviews To Select Students into Teacher-Education Programs.

    ERIC Educational Resources Information Center

    Byrnes, Deborah A.; Kiger, Gary; Shechtman, Zipora

    This study examined the reliability and validity of a group-assessment interview procedure designed to evaluate the verbal, interpersonal, and leadership qualities of students applying to a teacher education program. The group assessment procedure involved a 90-minute session with eight students in which three dimensions of teacher behavior were…

  7. When and Why Placebo-Prescribing Is Acceptable and Unacceptable: A Focus Group Study of Patients' Views

    PubMed Central

    Bishop, Felicity L.; Aizlewood, Lizzi; Adams, Alison E. M.

    2014-01-01

    Background Surveys of doctors suggest that they use placebos and placebo effects clinically to help patients. However, patients' views are not well-understood. We aimed to identify when and why placebo-prescribing in primary care might be acceptable and unacceptable to patients. Methods A purposive diverse sample of 58 English-speaking adults (18 men; aged 19–80 years) participated in 11 focus groups. Vignettes describing doctors prescribing placebos in primary care were used to initiate discussions. Data were analyzed inductively. Results Participants discussed diverse harms and benefits of placebo-prescribing for individual patients, carers, healthcare providers, and society. Two perspectives on placebo-prescribing were identified. First, the “consequentialist” perspective focused on the potential for beneficial outcomes of placebo-prescribing. Here, some participants thought placebos are beneficial and should be used clinically; they often invoked the power of the mind or mind-body interactions. Others saw placebos as ineffective and therefore a waste of time and money. Second, the “respecting autonomy” perspective emphasized the harms caused by the deceptive processes thought necessary for placebo-prescribing. Here, participants judged placebo-prescribing unacceptable because placebo-prescribers deceive patients, thus a doctor who prescribes placebos cannot be trusted and patients' autonomy is compromised. They also saw placebo-responders as gullible, which deterred them from trying placebos themselves. Overall, the word “placebo” was often thought to imply “ineffective”; some participants suggested alternative carefully chosen language that could enable doctors to prescribe placebos without directly lying to patients. Conclusions Negative views of placebos derive from beliefs that placebos do not work and/or that they require deception by the doctor. Positive views are pragmatic in that if placebos work then any associated processes (e

  8. Explanation and relations. How do general practitioners deal with patients with persistent medically unexplained symptoms: a focus group study

    PubMed Central

    olde Hartman, Tim C; Hassink-Franke, Lieke J; Lucassen, Peter L; van Spaendonck, Karel P; van Weel, Chris

    2009-01-01

    Background Persistent presentation of medically unexplained symptoms (MUS) is troublesome for general practitioners (GPs) and causes pressure on the doctor-patient relationship. As a consequence, GPs face the problem of establishing an ongoing, preferably effective relationship with these patients. This study aims at exploring GPs' perceptions about explaining MUS to patients and about how relationships with these patients evolve over time in daily practice. Methods A qualitative approach, interviewing a purposive sample of twenty-two Dutch GPs within five focus groups. Data were analyzed according to the principles of constant comparative analysis. Results GPs recognise the importance of an adequate explanation of the diagnosis of MUS but often feel incapable of being able to explain it clearly to their patients. GPs therefore indicate that they try to reassure patients in non-specific ways, for example by telling patients that there is no disease, by using metaphors and by normalizing the symptoms. When patients keep returning with MUS, GPs report the importance of maintaining the doctor-patient relationship. GPs describe three different models to do this; mutual alliance characterized by ritual care (e.g. regular physical examination, regular doctor visits) with approval of the patient and the doctor, ambivalent alliance characterized by ritual care without approval of the doctor and non-alliance characterized by cutting off all reasons for encounter in which symptoms are not of somatic origin. Conclusion GPs feel difficulties in explaining the symptoms. GPs report that, when patients keep presenting with MUS, they focus on maintaining the doctor-patient relationship by using ritual care. In this care they meticulously balance between maintaining a good doctor-patient relationship and the prevention of unintended consequences of unnecessary interventions. PMID:19775481

  9. Web Search Behavior and Information Needs of People With Multiple Sclerosis: Focus Group Study and Analysis of Online Postings

    PubMed Central

    Colombo, Cinzia; Confalonieri, Paolo; Baroni, Isabella; Traversa, Silvia; Hill, Sophie J; Synnot, Anneliese J; Oprandi, Nadia; Filippini, Graziella

    2014-01-01

    Background Multiple sclerosis (MS) patients and their family members increasingly seek health information on the Internet. There has been little exploration of how MS patients integrate health information with their needs, preferences, and values for decision making. The INtegrating and Deriving Evidence, Experiences, and Preferences (IN-DEEP) project is a collaboration between Italian and Australian researchers and MS patients, aimed to make high-quality evidence accessible and meaningful to MS patients and families, developing a Web-based resource of evidence-based information starting from their information needs. Objective The objective of this study was to analyze MS patients and their family members’ experience about the Web-based health information, to evaluate how they asses this information, and how they integrate health information with personal values. Methods We organized 6 focus groups, 3 with MS patients and 3 with family members, in the Northern, Central, and Southern parts of Italy (April-June 2011). They included 40 MS patients aged between 18 and 60, diagnosed as having MS at least 3 months earlier, and 20 family members aged 18 and over, being relatives of a person with at least a 3-months MS diagnosis. The focus groups were audio-recorded and transcribed verbatim (Atlas software, V 6.0). Data were analyzed from a conceptual point of view through a coding system. An online forum was hosted by the Italian MS society on its Web platform to widen the collection of information. Nine questions were posted covering searching behavior, use of Web-based information, truthfulness of Web information. At the end, posts were downloaded and transcribed. Results Information needs covered a comprehensive communication of diagnosis, prognosis, and adverse events of treatments, MS causes or risk factors, new drugs, practical, and lifestyle-related information. The Internet is considered useful by MS patients, however, at the beginning or in a later stage of the

  10. The End-of-Life Experience in Long-Term Care: Five Themes Identified from Focus Groups with Residents, Family Members, and Staff

    ERIC Educational Resources Information Center

    Munn, Jean C.; Dobbs, Debra; Meier, Andrea; Williams, Christianna S.; Biola, Holly; Zimmerman, Sheryl

    2008-01-01

    Purpose: We designed this study to examine the end-of-life (EOL) experience in long-term care (LTC) based on input from key stakeholders. Design and Methods: The study consisted of 10 homogeneous focus groups drawn from a purposive sample of LTC residents (2 groups; total n = 11), family caregivers (2 groups; total n = 19), paraprofessional staff…

  11. Using Focus Groups to Inform the Development of Stroke Recovery and Prevention Programs for Younger African-American (AA) Men

    PubMed Central

    Blixen, Carol; Perzynski, Adam; Cage, Jamie; Smyth, Kathleen; Moore, Shirley; Sila, Cathy; Pundik, Svetlana; Sajatovic, Martha

    2016-01-01

    Objective To assess perceived facilitators and recommendations for stroke recovery and prevention among younger AA men (< age 65) in order to inform the development and pilot testing of an intervention for this high risk group. Method Focus group methodology was used to collect data from ten community-dwelling AA stroke survivors and seven of their care partners (CPs) (N=17. Thematic analysis of session transcripts and the constant comparative method were used to generate themes. Results Participants cited facilitators to post-stroke care and recovery as Family Support, Stress Reduction and Dietary Changes. Specific person-level recommendations for AA men included following established stroke guidelines, use of complementary and alternative medicine, and never give up recovery efforts. Community-level recommendations included making a list of community resources available, providing support and education to care partners, using videos that feature AA men to deliver information and use AA men stroke survivors to help disseminate the information. Provider and health system recommendations included consolidation of medical bills, improving provider communication skills and making providers aware of needs specific to AA men and their families. Conclusions While AA men and their CPs acknowledged and welcomed learning more about the American Health Assocation Stroke Prevention Guidelines, it is clear they desired approaches that addressed their specific needs and preferences as young AA men who sometimes felt de-valued by their community and care providers. Specific person, community and care-system level approaches that are of perceived value to AA men offer potential to improve health outcomes and reduce health disparities. PMID:26084323

  12. Small Molecule Microarrays of RNA-Focused Peptoids Identifies Inhibitors of a Pathogenic Group I Intron RNA

    PubMed Central

    Labuda, Lucas P.; Pushechnikov, Alexei; Disney, Matthew D.

    2009-01-01

    Peptoids that inhibit the group I intron RNA from Candida albicans, an opportunistic pathogen that kills immunocompromised hosts, have been identified using microarrays. The arrayed peptoid library was constructed using submonomers with moieties similar to ones found in small molecules known to bind RNA. Library members that passed quality control analysis were spotted onto a microarray and screened for binding to the C. albicans group I intron ribozyme. Each ligand binder identified from microarray-based screening inhibited self-splicing in the presence of 1 mM nucleotide concentration of bulk yeast tRNA with IC50’s between 150 and 2200 µM. The binding signals and the corresponding IC50’s were used to identify features in the peptoids that predispose them for RNA binding. After statistical analysis of the peptoids’ structures that bind, a second generation of inhibitors was constructed using these important features; all second generation inhibitors have improved potencies with IC50’s <100 µM. The most potent inhibitor is composed of one phenylguanidine and three tryptamine submonomers and has an IC50 of 31 µM. This compound is 6-fold more potent than pentamidine, a clinically used drug that inhibits self-splicing. These results show that: 1.) modulators of RNA function can be identified by designing RNA-focused chemical libraries and screening them via microarray; 2.) statistical analysis of ligand binders can identify features in leads that predispose them for binding to their targets; and 3.) features can then be programmed into second generation inhibitors to design ligands with improved potencies. PMID:19278238

  13. A focus Group Study of Medical Students’ Views of an Integrated Complementary and Alternative Medicine (CAM) Curriculum: Students Teaching Teachers

    PubMed Central

    Lie, Désirée; Shapiro, Johanna; Pardee, Sarah; Najm, Wadie

    2008-01-01

    Background: Student views of new curricula can shape training outcomes. This qualitative study elicited student opinions of CAM instruction to examine and distill best strategies. Methods: 49 second, third and fourth year students participated in focus groups using a predefined question route. Interviews were audio taped and transcribed. Results: Students successfully differentiated CAM curricula from other academic content and were supportive of a longitudinal integrated approach. They had positive disposition toward CAM use for themselves but this did not necessarily translate into patient recommendations. They agreed that goals of the CAM curriculum should center on awareness of patient use and evidence and information relevant to clinical practice. They advocated a case-based, hands-on, experiential strategy vs lectures. Students proposed greater institutional commitment to strengthen curricular effectiveness. The majority did not intend to practice CAM modalities but valued skills to assess them. Patient-centeredness was recognized. As training progressed, students exhibited a growing tendency to evaluate CAM efficacy, and therefore value, exclusively according to evidence. Conclusions: In-depth student input allowed examination of the effectiveness of a CAM curriculum, permitting improvement and assessment of program effectiveness. PMID:19823690

  14. Focus Group Evaluation of “Secret Feelings”: A Depression Fotonovela for Latinos With Limited English Proficiency

    PubMed Central

    Cabassa, Leopoldo J.; Contreras, Sandra; Aragón, Rebeca; Molina, Gregory B.; Baron, Melvin

    2013-01-01

    In this study, the authors examined reactions of Latino adults with limited English proficiency (LEP) to a culturally and linguistically adapted depression fotonovela, titled “Secret Feelings.” Fotonovelas are popular health education tools that use posed photographs, text bubbles with simple text, and dramatic narratives to engage audiences and raise their awareness and knowledge about specific health issues. Four focus groups (N = 32) were conducted at an adult school program (e.g., GED classes). Content analysis was used to generate themes from transcripts and memos. “Secret Feelings” was viewed as an entertaining, engaging, and educational tool that helped combat stigma toward depression and its treatments in the Latino community. Despite learning about depression, participants reported they wanted more information about the causes of depression, the process of recovery, and felt that the story did not shift their apprehensions toward antidepressants. The findings suggest that “Secret Feelings” is a promising depression literacy tool for Latinos with LEP that can raise awareness and knowledge about depression and its treatments, reduce stigma toward depression and antidepressant medications, and model appropriate help-seeking behaviors. PMID:21807951

  15. Looking Upstream: Findings from Focus Groups on Public Perceptions of Source Water Quality in British Columbia, Canada

    PubMed Central

    Henrich, Natalie; Holmes, Bev; Prystajecky, Natalie

    2015-01-01

    In association with the development of new microbial tests for source water quality (SWQ), focus groups with members of the public were conducted to gain insight into their perceptions of SWQ, behaviours and contaminants they think pose the greatest threat to its quality, and what/how they want to know about SWQ. Discussions revealed a low concern about SWQ in general, and in particular about microbial contamination. Participants identified behaviours that threaten SWQ, barriers to changing behaviour and suggestions for inducing change. A strong desire was expressed for water quality information to be interpreted and communicated in terms of how SWQ may impact human health and how their actions should be altered in response to test results. The information can be used to inform communication strategies and possibly impact policies associated with water quality testing and implementation of new tests. More broadly, awareness of the public’s understanding and beliefs about source water can be used in working with the public to adopt water-friendly behaviours, influence the content and methods of communicating with the public about water issues and water quality, and could contribute to the direction of future research and investment into water technologies to align with the public’s priorities. PMID:26540561

  16. Young Adults’ Favorable Perceptions of Snus, Dissolvable Tobacco Products, and Electronic Cigarettes: Findings From a Focus Group Study

    PubMed Central

    Fabian, Lindsey; Mottey, Neli; Corbett, Amanda; Forster, Jean

    2012-01-01

    Objectives. We explored young adults’ perceptions of snus (spitless moist snuff packed in porous bags), dissolvable tobacco products, and electronic cigarettes and intention to try these products. Methods. We conducted 11 focus group discussions involving a total of 66 young adults (18–26 years old) on these new tobacco products (e.g., harmfulness, potential as quit aids, intention to try) held between July and December 2010. We analyzed discussions using a thematic approach. Results. Participants generally reported positive perceptions of the new products, particularly because they came in flavors. Few negative perceptions were reported. Although some participants believed these products were less harmful than cigarettes and helpful in quitting smoking, others thought the opposite, particularly regarding electronic cigarettes. Participants also commented that these products could be gateways to cigarette smoking. Half of the participants, including a mix of smokers and nonsmokers, admitted they would try these products if offered by a friend. Conclusions. Young adults perceive the new tobacco products positively and are willing to experiment with them. Eliminating flavors in these products may reduce young adults’ intentions to try these products. PMID:22813086

  17. Identifying barriers and facilitators to ambulance service assessment and treatment of acute asthma: a focus group study

    PubMed Central

    2014-01-01

    Background Acute asthma is a common reason for patients to seek care from ambulance services. Although better care of acute asthma can prevent avoidable morbidity and deaths, there has been little research into ambulance clinicians’ adherence to national guidelines for asthma assessment and management and how this might be improved. Our research aim was to explore paramedics’ attitudes, perceptions and beliefs about prehospital management of asthma, to identify barriers and facilitators to guideline adherence. Methods We conducted three focus group interviews of paramedics in a regional UK ambulance trust. We used framework analysis supported by NVivo 8 to code and analyse the data. Results Seventeen participants, including paramedics, advanced paramedics or paramedic operational managers at three geographical sites, contributed to the interviews. Analysis led to five themes: (1) guidelines should be made more relevant to ambulance service care; (2) there were barriers to assessment; (3) the approach needed to address conflicts between clinicians’ and patients’ expectations; (4) the complexity of ambulance service processes and equipment needed to be taken into account; (5) and finally there were opportunities for improved prehospital education, information, communication, support and care pathways for asthma. Conclusions This qualitative study provides insight into paramedics’ perceptions of the assessment and management of asthma, including why paramedics may not always follow guidelines for assessment or management of asthma. These findings provide opportunities to strengthen clinical support, patient communication, information transfer between professionals and pathways for prehospital care of patients with asthma. PMID:25086749

  18. Prolonged sexual abstinence after childbirth: gendered norms and perceived family health risks. Focus group discussions in a Tanzanian suburb

    PubMed Central

    2013-01-01

    Background Prolonged sexual abstinence after childbirth is a socio-cultural practice with health implications, and is described in several African countries, including Tanzania. This study explored discourses on prolonged postpartum sexual abstinence in relation to family health after childbirth in low-income suburbs of Dar es Salaam, Tanzania. Methods Data for the discourse analysis were collected through focus group discussions with first-time mothers and fathers and their support people in Ilala, Dar es Salaam, Tanzania. Results In this setting, prolonged sexual abstinence intended at promoting child health was the dominant discourse in the period after childbirth. Sexual relations after childbirth involved the control of sexuality for ensuring family health and avoiding the social implications of non-adherence to sexual abstinence norms. Both abstinence and control were emphasised more with regard to women than to men. Although the traditional discourse on prolonged sexual abstinence for protecting child health was reproduced in Ilala, some modern aspects such as the use of condoms and other contraceptives prevailed in the discussion. Conclusion Discourses on sexuality after childbirth are instrumental in reproducing gender-power inequalities, with women being subjected to more restrictions and control than men are. Thus, interventions that create openness in discussing sexual relations and health-related matters after childbirth and mitigate gendered norms suppressing women and perpetuating harmful behaviours are needed. The involvement of males in the interventions would benefit men, women, and children through improving the gender relations that promote family health. PMID:23316932

  19. Difficulties and Problematic Steps in Teaching the Onstep Technique for Inguinal Hernia Repair, Results from a Focus Group Interview

    PubMed Central

    Andresen, Kristoffer; Laursen, Jannie

    2016-01-01

    Background. When a new surgical technique is brought into a department, it is often experienced surgeons that learn it first and then pass it on to younger surgeons in training. This study seeks to clarify the problems and positive experiences when teaching and training surgeons in the Onstep technique for inguinal hernia repair, seen from the instructor's point of view. Methods. We designed a qualitative study using a focus group to allow participants to elaborate freely and facilitate a discussion. Participants were surgeons with extensive experience in performing the Onstep technique from Germany, UK, France, Belgium, Italy, Greece, and Sweden. Results. Four main themes were found, with one theme covering three subthemes: instruction of others (experience, patient selection, and tailored teaching), comfort, concerns/fear, and anatomy. Conclusion. Surgeons receiving a one-day training course should preferably have experience with other types of hernia repairs. If trainees are inexperienced, the training setup should be a traditional step-by-step programme. A training setup should consist of an explanation of the technique with emphasis on anatomy and difficult parts of the procedure and then a training day should follow. Surgeons teaching surgery can use these findings to improve their everyday practice. PMID:27144225

  20. What is Life-in Everyday Understanding? A Focus Group Study on Lay Perspectives on the Term Life.

    PubMed

    Kerbe, Wolfgang

    2016-01-01

    The philosophical and scientific debate about definitions of life-as-we-know-it and its value is very diverse. How do non-biologists characterize these issues? We held focus groups to shed light on the role of the term life in laypeople's understanding. Results show that features of early childhood cognition dominate the understanding of the term life even in adulthood. Textbook knowledge and definitions derived from specific knowledge systems and beliefs are of minor importance. For an ethical differentiation between life forms the ability to feel and to suffer is seen as the crucial criterion. We conclude that lay perspectives on the concept of life can shape a normative discourse on existing as well as on new life forms in a crucial way. In addition, these perspectives may also strongly influence the expectations towards the life-as-it-could-be that is brought forward by the artificial life community. While some concepts like metabolism exist both in scientific and in everyday reasoning as criteria for life, the normative discussion on life is dominated by such ideas as a hierarchical order of living kinds, which emphasize "easy to think" concepts of a moral differentiation. These can also form a basis for the moral standing of artificial life. PMID:26649809

  1. Perceived barriers to exercise and healthy eating among women from disadvantaged neighborhoods: results from a focus groups assessment.

    PubMed

    Baruth, Meghan; Sharpe, Patricia A; Parra-Medina, Deborah; Wilcox, Sara

    2014-01-01

    This study explored perceptions and experiences with barriers to exercise and healthy eating among women from predominately African American, disadvantaged neighborhoods. Four focus groups (n = 28) were conducted between April and May 2008 with overweight or obese women (93% African American; 34.3 ± 8.9 years; body mass index [BMI] 40.4 ± 8.5). Individual, social, and environmental factors were frequently mentioned as barriers to exercise and healthy eating. Insults from strangers about their body size (e.g., from children or people at the gym), and feelings of intimidation and embarrassment about not being able to complete exercises due to their body size were described as barriers to exercise. Lack of support and pressure from family, friends, and co-workers were barriers to healthy eating; participants experienced pressure from family and friends to eat more and were told they did not need to lose weight. Participants discussed the importance of not losing their curves; this concern needs to be considered when developing weight control programs for African American women. The findings of this qualitative study guided the development of a weight loss intervention for women from disadvantaged neighborhoods. PMID:24617795

  2. What infection control measures will people carry out to reduce transmission of pandemic influenza? A focus group study

    PubMed Central

    Morrison, Leanne G; Yardley, Lucy

    2009-01-01

    Background Pandemic influenza poses a future health threat against which infection control behaviours may be an important defence. However, there is little qualitative research examining perceptions of infection control measures in the context of pandemic influenza. Methods Eight focus groups and one interview were conducted with a purposive sample of 31 participants. Participants were invited to discuss their perceptions of infection transmission and likely adherence to infection control measures in both non-pandemic and pandemic contexts. Infection control measures discussed included handwashing, social distancing and cough hygiene (e.g. covering mouth, disposing of tissues immediately etc.). Results Thematic analysis revealed that although participants were knowledgeable about infection transmission, most expressed unfavourable attitudes toward control behaviours in non-pandemic situations. However, with the provision of adequate education about control measures and appropriate practical support (e.g. memory aids, access to facilities), most individuals report that they are likely to adhere to infection control protocols in the event of a pandemic. Of the behaviours likely to influence infection transmission, handwashing was regarded by our participants as more feasible than cough and sneeze hygiene and more acceptable than social distancing. Conclusion Handwashing could prove a useful target for health promotion, but interventions to promote infection control may need to address a number of factors identified within this study as potential barriers to carrying out infection control behaviours. PMID:19627568

  3. Influencing factors of screen time in preschool children: an exploration of parents' perceptions through focus groups in six European countries.

    PubMed

    De Decker, E; De Craemer, M; De Bourdeaudhuij, I; Wijndaele, K; Duvinage, K; Koletzko, B; Grammatikaki, E; Iotova, V; Usheva, N; Fernández-Alvira, J M; Zych, K; Manios, Y; Cardon, G

    2012-03-01

    Preschoolers already spend significant proportions of their waking hours being sedentary. Screen time (i.e. television/DVD viewing and computer use) has been negatively associated with several health outcomes but interventions aiming to reduce preschoolers' sedentary behaviour are scarce. This study aimed to explore parents' perceptions of their preschool children's screen time. One hundred twenty-two parents of low and medium-high socioeconomic status from six European countries with children between 4 and 6 years old were involved in 24 focus groups. Following a qualitative content analysis, the available information and key findings were centrally analysed. Results showed that children tend to like watching television (TV) and most parents do not express worries about their children's TV viewing time. Education is considered to be the main benefit of watching TV and in general, parents only have informal rules about TV viewing. Computer and active games use are less frequent compared with TV viewing. No univocal results are found about the influence of siblings or friends on children's screen time. Weather conditions and parental habits at home are the most important factors influencing children's screen time. Alternatives for screen activities and information on how to set rules for screen time should be provided to parents to assist them in decreasing their preschool children's screen time. PMID:22309066

  4. Sun protection attitudes and behaviours among first generation Australians with darker skin types: results from focus groups.

    PubMed

    Bryant, Jamie; Zucca, Alison; Brozek, Irena; Rock, Vanessa; Bonevski, Billie

    2015-02-01

    Despite residing in a country that has the highest rates of skin cancer in the world, little is known about the knowledge, attitudes and sun protection practices of first generation Australian-born individuals with olive and darker skin types. Six focus groups with first generation Australian-born individuals of Asian, Mediterranean, Middle Eastern and Indian background were conducted. Participants had good knowledge of the dangers of skin cancer. Most correctly perceived darker skin types as protective and believed they were at low risk of skin cancer. Most participants could recall high profile mass media sun protection campaigns. Several participants suggested that greater representation of ethnic minorities and/or individuals with darker skin types would increase the personal relevance of campaigns. Beliefs that sun protection is not necessary on the basis of skin type highlights the need for further studies to explore fundamental differences in attitudes and practices between those with olive and darker skin and the general Australian population. PMID:23963873

  5. Perceived barriers to exercise and healthy eating among women from disadvantaged neighborhoods: Results from a focus groups assessment

    PubMed Central

    Sharpe, Patricia A.; Parra-Medina, Deborah; Wilcox, Sara

    2014-01-01

    This study explored perceptions and experiences with barriers to exercise and healthy eating among women from predominately African American, disadvantaged neighborhoods. Four focus groups (n=28) were conducted between April and May 2008 with overweight or obese women (93% African American; 34.3±8.9 years; BMI 40.4±8.5). Individual, social, and environmental factors were frequently mentioned as barriers to exercise and healthy eating. Insults from strangers about their body size (e.g. from children, people at the gym), and feelings of intimidation and embarrassment about not being able to complete exercises due to their body size were described as barriers to exercise. Lack of support and pressure from family, friends, and co-workers were barriers to healthy eating; participants experienced pressure from family and friends to eat more and were told they did not need to lose weight. Participants discussed the importance of not losing their curves; this concern needs to be considered when developing weight control programs for African American women. The findings of this qualitative study guided the development of a weight loss intervention for women from disadvantaged neighborhoods. PMID:24617795

  6. What does "a gene for heart disease" mean? A focus group study of public understandings of genetic risk factors.

    PubMed

    Bates, Benjamin R; Templeton, Alan; Achter, Paul J; Harris, Tina M; Condit, Celeste M

    2003-06-01

    There is growing concern in the medical community about potential genetic determinism in the patient population. Limited information about the public understanding of genetic factors in disease formation is available. To access public perceptions of potentially deterministic phrasing of genetic risk factors, we sought to establish interpretations of the phrase, "a gene for heart disease." Focus groups in urban, suburban, and rural communities were conducted from July through October, 2001 in Georgia. A total of 108 participants were recruited. Participants were recruited to balance sex and racial representation. We used three outcome measures for participants understandings of the phrase: (1) participants' statements of the meaning of the phrase; (2) the level of determinism assigned to genetic factors by participants; and (3) participant reports of the health consequences of having "a gene for heart disease." Participants did not report a single interpretation of the phrase. There were dominant participant interpretations under each outcome measure: (1) "a gene for heart disease" was interpreted as meaning genetic and environmental factors both played roles in disease formation; (2) genetic predisposition was perceived as heightened, not absolute, risk; (3) the perceived health impact was a greater risk of becoming sick. Minority interpretations were found under each measure. Overall, naming "a gene for heart disease" does not appear to have a deterministic impact on a plurality of participants' perceptions of risks associated with genetic factors. Genetic fatalism in patient populations may be confined to a sizable minority. Important considerations for provider intervention and patient education are indicated. PMID:12749055

  7. A focus group study of the use of video-recorded simulated objective structured clinical examinations in nurse practitioner education.

    PubMed

    Barratt, Julian

    2010-05-01

    The objective structured clinical examination (OSCE) is a common method of clinical skills assessment used for advanced nurse practitioner students across the United Kingdom. The purpose of an advanced nursing OSCE is to assess a nurse practitioner student's competence and safety in the performance of commonly used advanced clinical practice skills. Students often feel nervous when preparing for and participating in an OSCE. Consideration of these identified anxieties led to the development of an alternative method of meeting students' OSCE learning and preparation needs; namely video-recorded simulated OSCEs. Video-recording was appealing for the following reasons: it provides a flexible usage of staff resources and time; OSCE performance mistakes can be rectified; it is possible to use the same video-recordings with multiple cohorts of students, and the recordings can be made conveniently available for students with video streaming on internet-based video-sharing sites or virtual learning environments. The aim of the study was to explore the value of using such recordings amongst nurse practitioner students, via online and face-to-face focus groups, to see if they are a suitable OSCE educational preparation technique. The study findings indicate that simulated OSCE video-recordings are an effective method for supporting nurse practitioner educational development. PMID:20202909

  8. Cost and Impact of Voluntary Medical Male Circumcision in South Africa: Focusing the Program on Specific Age Groups and Provinces

    PubMed Central

    Kripke, Katharine; Thambinayagam, Ananthy; Pillay, Yogan; Loykissoonlal, Dayanund; Bonnecwe, Collen; Barron, Peter; Kiwango, Eva; Castor, Delivette

    2016-01-01

    Background In 2012, South Africa set a goal of circumcising 4.3 million men ages 15–49 by 2016. By the end of March 2014, 1.9 million men had received voluntary medical male circumcision (VMMC). In an effort to accelerate progress, South Africa undertook a modeling exercise to determine whether circumcising specific client age groups or geographic locations would be particularly impactful or cost-effective. Results will inform South Africa’s efforts to develop a national strategy and operational plan for VMMC. Methods and Findings The study team populated the Decision Makers’ Program Planning Tool, Version 2.0 (DMPPT 2.0) with HIV incidence projections from the Spectrum/AIDS Impact Module (AIM), as well as national and provincial population and HIV prevalence estimates. We derived baseline circumcision rates from the 2012 South African National HIV Prevalence, Incidence and Behaviour Survey. The model showed that circumcising men ages 20–34 offers the most immediate impact on HIV incidence and requires the fewest circumcisions per HIV infection averted. The greatest impact over a 15-year period is achieved by circumcising men ages 15–24. When the model assumes a unit cost increase with client age, men ages 15–29 emerge as the most cost-effective group. When we assume a constant cost for all ages, the most cost-effective age range is 15–34 years. Geographically, the program is cost saving in all provinces; differences in the VMMC program’s cost-effectiveness across provinces were obscured by uncertainty in HIV incidence projections. Conclusion The VMMC program’s impact and cost-effectiveness vary by age-targeting strategy. A strategy focusing on men ages 15–34 will maximize program benefits. However, because clients older than 25 access VMMC services at low rates, South Africa could consider promoting demand among men ages 25–34, without denying services to those in other age groups. Uncertainty in the provincial estimates makes them

  9. Brief Report: Effects of Solution-Focused Brief Therapy Group-Work on Promoting Post-Traumatic Growth of Mothers Who Have a Child with ASD

    ERIC Educational Resources Information Center

    Zhang, Wei; Yan, Ting-ting; Du, Ya-song; Liu, Xiao-hong

    2014-01-01

    The study evaluated the impact of solution-focused brief therapy (SFBT) group-work on the post-traumatic growth (PTG) of mothers who have a child with ASD. A quasi-experimental design was used in which 43 mothers participated. 18 mothers in 2 SFBT groups (n = 9 in each group) received a 6-session SFBT group therapy while 25 mothers in a control…

  10. ‘Doing the hard yards’: carer and provider focus group perspectives of accessing Aboriginal childhood disability services

    PubMed Central

    2013-01-01

    Background Despite a high prevalence of disability, Aboriginal Australians access disability services in Australia less than non-Aboriginal Australians with a disability. The needs of Aboriginal children with disability are particularly poorly understood. They can endure long delays in treatment which can impact adversely on development. This study sought to ascertain the factors involved in accessing services and support for Aboriginal children with a disability. Methods Using the focus group method, two community forums, one for health and service providers and one for carers of Aboriginal children with a disability, were held at an Aboriginal Community Controlled Health Service (ACCHS) in the Sydney, metropolitan area of New South Wales, Australia. Framework analysis was applied to qualitative data to elucidate key issues relevant to the dimensions of access framework. Independent coding consistency checks were performed and consensus of analysis verified by the entire research team, several of whom represented the local Aboriginal community. Results Seventeen health and social service providers representing local area government and non-government-funded health and social service organisations and five carers participated in two separate forums between September and October 2011. Lack of awareness of services and inadequate availability were prominent concerns in both groups despite geographic proximity to a major metropolitan area with significant health infrastructure. Carers noted racism, insufficient or non-existent services, and the need for an enhanced role of ACCHSs and AHWs in disability support services. Providers highlighted logistical barriers and cultural and historical issues that impacted on the effectiveness of mainstream services for Aboriginal people. Conclusions Despite dedicated disability services in an urban community, geographic proximity does not mitigate lack of awareness and availability of support. This paper has enumerated a number of

  11. Definition of the Ethical Values and Ethics Codes for Turkish Midwifery: A Focused Group Study in Kocaeli

    PubMed Central

    Berkiten Ergin, Ayla; Özcan, Müesser; Ersoy, Nermin; Acar, Zeynep

    2013-01-01

    Background: The independent roles of midwives have not been properly defined, and midwifery ethical values and moral codes proper to Turkish culture have not been developed. The absence of legal regulations concerning midwifery has negatively affected midwifery in the process of professionalization. Objectives: The purpose of this study was to identify the professional values of midwifery in Turkey. Materials and Methods: A focus group was created with the participation of nine midwives working at two state hospitals and a university hospital that provide birth service for women in Kocaeli, which is the most important industrial city in Turkey. The opinions of the midwives on the characteristics that a good midwife should possess and the professional values that a good midwife should observe were collected via in-depth interviews. The interviews were recorded. A total of three meetings were held with the participants. Finally, the notes taken by the reporter during these interviews were rearranged, and the recordings were transcribed by the researchers. Results: The characteristics suggested by the participants were classified into three categories: professional, personal, and interpersonal. Professional competence, capacity to properly inform interested parties, trustworthiness, respect for individuals and human dignity, and empathy were the most commonly named characteristics. As for the professional values of midwifery, professional competence, trustworthiness, responsibility, maximum benefit, and protection of privacy were the most often identified. Midwives also reported that most of the difficulties they faced in the exercise of daily tasks concerned protecting the privacy of their patients as well as the integrity and prestige of the profession, achieving the maximum benefit and least harm for patients, and providing a just and equal service. Conclusions: The professional values were mentioned by participant midwives were similar to the values proposed by

  12. Registered Nurses’ Perceptions about the Situation of Family Caregivers to Patients with Heart Failure - A Focus Group Interview Study

    PubMed Central

    2016-01-01

    Introduction Heart failure is a growing public health problem associated with poor quality of life and significant morbidity and mortality. The majority of heart failure care is provided by family caregivers, and is associated with caregiver burden and reduced quality of life. Research emphasizes that future nursing interventions should recognize the importance of involving family caregivers to achieve optimal outcomes. Aims The aims of this study are to explore registered nurses’ perceptions about the situation of family caregivers to patients with heart failure, and registered nurses’ interventions, in order to improve family caregivers’ situation. Methods The study has a qualitative design with an inductive approach. Six focus group interviews were held with 23 registered nurses in three hospitals and three primary health care centres. Data were analysed using qualitative content analysis. Results Two content areas were identified by the a priori study aims. Four categories and nine sub-categories emerged in the analysis process. The content area “Family caregivers' situation” includes two categories: “To be unburdened” and “To comprehend the heart failure condition and its consequences”. The content area “Interventions to improve family caregivers' situation” includes two categories: “Individualized support and information” and “Bridging contact”. Conclusions Registered nurses perceive family caregivers' situation as burdensome, characterized by worry and uncertainty. In the PHCCs, the continuity and security of an RN as a permanent health care contact was considered an important and sustainable intervention to better care for family caregivers' worry and uncertainty. In the nurse-led heart failure clinics in hospitals, registered nurses can provide family caregivers with the opportunity of involvement in their relative's health care and address congruence and relationship quality within the family through the use of "Shared care

  13. Have restricted working hours reduced junior doctors’ experience of fatigue? A focus group and telephone interview study

    PubMed Central

    Morrow, Gill; Burford, Bryan; Carter, Madeline; Illing, Jan

    2014-01-01

    Objective To explore the effects of the UK Working Time Regulations (WTR) on trainee doctors’ experience of fatigue. Design Qualitative study involving focus groups and telephone interviews, conducted in Spring 2012 with doctors purposively selected from Foundation and specialty training. Final compliance with a 48 h/week limit had been required for trainee doctors since August 2009. Framework analysis of data. Setting 9 deaneries in all four UK nations; secondary care. Participants 82 doctors: 53 Foundation trainees and 29 specialty trainees. 36 participants were male and 46 female. Specialty trainees were from a wide range of medical and surgical specialties, and psychiatry. Results Implementation of the WTR, while acknowledged as an improvement to the earlier situation of prolonged excessive hours, has not wholly overcome experience of long working hours and fatigue. Fatigue did not only arise from the hours that were scheduled, but also from an unpredictable mixture of shifts, work intensity (which often resulted in educational tasks being taken home) and inadequate rest. Fatigue was also caused by trainees working beyond their scheduled hours, for reasons such as task completion, accessing additional educational opportunities beyond scheduled hours and staffing shortages. There were also organisational, professional and cultural drivers, such as a sense of responsibility to patients and colleagues and the expectations of seniors. Fatigue was perceived to affect efficiency of skills and judgement, mood and learning capacity. Conclusions Long-term risks of continued stress and fatigue, for doctors and for the effective delivery of a healthcare service, should not be ignored. Current monitoring processes do not reflect doctors’ true working patterns. The effectiveness of the WTR cannot be considered in isolation from the culture and context of the workplace. On-going attention needs to be paid to broader cultural issues, including the relationship between

  14. Evaluating a Web-Based Health Risk Assessment With Tailored Feedback: What Does an Expert Focus Group Yield Compared to a Web-Based End-User Survey?

    PubMed Central

    Vosbergen, Sandra; Mahieu, Guy R; Laan, Eva K; Kraaijenhagen, Roderik A; Jaspers, Monique WM

    2014-01-01

    Background Increasingly, Web-based health applications are developed for the prevention and management of chronic diseases. However, their reach and utilization is often disappointing. Qualitative evaluations post-implementation can be used to inform the optimization process and ultimately enhance their adoption. In current practice, such evaluations are mainly performed with end-user surveys. However, a review approach by experts in a focus group may be easier to administer and might provide similar results. Objective The aim of this study was to assess whether industrial design engineers in a focus group would address the same issues as end users in a Web-based survey when evaluating a commercial Web-based health risk assessment (HRA) with tailored feedback. Methods Seven Dutch companies used the HRA as part of their corporate health management strategy. Employees using the HRA (N=2289) and 10 independent industrial designers were invited to participate in the study. The HRA consisted of four components: (1) an electronic health questionnaire, (2) biometric measurements, (3) laboratory evaluation, and (4) individually tailored feedback generated by decision support software. After participating in the HRA as end users, both end users and designers evaluated the program. End users completed an evaluation questionnaire that included a free-text field. Designers participated in a focus group discussion. Constructs from user satisfaction and technology acceptance theories were used to categorize and compare the remarks from both evaluations. Results We assessed and qualitatively analyzed 294 remarks of 189 end users and 337 remarks of 6 industrial designers, pertaining to 295 issues in total. Of those, 137 issues were addressed in the end-user survey and 148 issues in the designer focus group. Only 7.3% (10/137) of the issues addressed in the survey were also addressed in the focus group. End users made more remarks about the usefulness of the HRA and prior

  15. A Different World: Native American Children's Perceptions of Race and Class in the Media. A Series of Focus Groups of Native American Children.

    ERIC Educational Resources Information Center

    Chen, Perry; Haufler, Adrienne; Taam, Heidi

    This pamphlet presents the results of a series of focus groups comprised of Native American children and adolescents regarding their perceptions of race and class in the media. The results indicated that although some youth were concerned most about the absence of their group in the media, others were primarily concerned about stereotyped…

  16. How do Consumers Search for and Appraise Information on Medicines on the Internet? A Qualitative Study Using Focus Groups

    PubMed Central

    Aslani, Parisa; Williams, Kylie A

    2003-01-01

    Background Many consumers use the Internet to find information about their medicines. It is widely acknowledged that health information on the Internet is of variable quality and therefore the search and appraisal skills of consumers are important for selecting and assessing this information. The way consumers choose and evaluate information on medicines on the Internet is important because it has been shown that written information on medicines can influence consumer attitudes to and use of medicines. Objective To explore consumer experiences in searching for and appraising Internet-based information on medicines. Methods Six focus groups (N = 46 participants) were conducted in metropolitan Sydney, Australia from March to May 2003 with consumers who had used the Internet for information on medicines. Verbatim transcripts of the group discussions were analyzed using a grounded theory approach. Results All participants reported using a search engine to find information on medicines. Choice of search engine was determined by factors such as the workplace or educational environments, or suggestions by family or friends. Some participants found information solely by typing the medicine name (drug or brand name) into the search engine, while others searched using broader terms. Search skills ranged widely from more-advanced (using quotation marks and phrases) to less-than-optimal (such as typing in questions and full sentences). Many participants selected information from the first page of search results by looking for keywords and descriptions in the search results, and by looking for the source of the information as apparent in the URL. Opinions on credible sources of information on medicines varied with some participants regarding information by pharmaceutical companies as the "official" information on a medicine, and others preferring what they considered to be impartial sources such as governments, organizations, and educational institutions. It was clear that

  17. Illinois Community College System Selected Programs and Services for Underrepresented Groups. Focus Area: Addressing the Needs of Students with Disabilities

    ERIC Educational Resources Information Center

    Illinois Community College Board, 2004

    2004-01-01

    The Underrepresented Groups Report provides community colleges with the opportunity to report on initiatives and strategies to increase participation and achievement among individuals with disabilities, minorities, and women. Underrepresented Groups Report production is an important annual statutory responsibility (Public Act 85-283). Each…

  18. Growing a Faculty Writing Group on a Traditionally Teaching-Focused Campus: A Model for Faculty Development

    ERIC Educational Resources Information Center

    Hampton-Farmer, Cheri; Laverick, Erin; Denecker, Christine; Tulley, Christine E.; Diederich, Nicole; Wilgus, Anthony

    2013-01-01

    When expectations for scholarly productivity increase at comprehensive universities, faculty writing groups can provide the tools, motivation, and support necessary to achieve both administrative and faculty goals. Narratives from members of a faculty writing group experiencing a shift in institutional expectations for scholarship reveal tangible…

  19. Instructional Preferences of First-Year College Students with Below-Proficient Information Literacy Skills: A Focus Group Study

    ERIC Educational Resources Information Center

    Latham, Don; Gross, Melissa

    2013-01-01

    The Attaining Information Literacy Project has focused on identifying first-year college students with below-proficient information literacy skills, gaining an understanding of those students' self-views and perceptions of information literacy, gaining an understanding of their instructional experiences and preferences, and developing an…

  20. Service User Outcomes of Staff Training in Positive Behaviour Support Using Person-Focused Training: A Control Group Study

    ERIC Educational Resources Information Center

    Grey, Ian M.; McClean, Brian

    2007-01-01

    Background: Effectively supporting individuals with intellectual disabilities who display challenging behaviours continues to be a priority for service providers. Person-focused training (PFT) is a model of service delivery which provides staff with skills in functional assessment and intervention development. Existing longitudinal data from a…

  1. Attitudes about AIDS education and condom availability among parents of high school students in New York City: a focus group approach.

    PubMed

    Rafferty, Y; Radosh, A

    1997-02-01

    This paper describes parents' views of the New York City Public High School's AIDS Education and Condom Availability Program. It presents findings from 12 focus groups with 81 parents of students at six representative high schools. Focus groups were conducted as part of an independent, comprehensive 3-year evaluation of the program, consisting of both qualitative and quantitative components. Participants were mostly supportive of the program, citing intense concern about AIDS among adolescents, fear that teenagers do not adequately perceive themselves as being vulnerable, and personal experiences with infected relatives and friends. Implications of these findings for program development are discussed and recommendations for social policy changes are presented. PMID:9083588

  2. Online Focus Group Discussion is a Valid and Feasible Mode When Investigating Sensitive Topics Among Young Persons With a Cancer Experience

    PubMed Central

    Eriksson, Lars E; Nilsson, Jenny; Jervaeus, Anna; Lampic, Claudia

    2016-01-01

    Background Clinical research often lacks participants of young age. Adding to the small amount of scientific studies that focus on the population entering adulthood, there are also difficulties to recruit them. To overcome this, there is a need to develop and scientifically evaluate modes for data collection that are suitable for adolescents and young adults. With this in mind we performed 39 online focus group discussions among young survivors of childhood cancer to explore thoughts and experiences around dating, being intimate with someone, and having children. Objective The aim of the study was to evaluate online focus group discussions as a mode for data collection on sensitive issues among young persons with a cancer experience. Methods One hundred thirty-three young persons (16-25 years) previously diagnosed with cancer, participated in 39 synchronous online focus group discussions (response rate 134/369, 36%). The mode of administration was evaluated by analyzing participant characteristics and interactions during discussions, as well as group members’ evaluations of the discussions. Results Persons diagnosed with central nervous tumors (n=30, 27%) participated to a lower extent than those with other cancer types (n=103, 39%; χ 2= 4.89, P=.03). The participants described various health impairments that correspond to what would be expected among cancer survivors including neuropsychiatric conditions and writing disabilities. Even though participants were interested in others’ experiences, sexual issues needed more probing by the moderators than did fertility-related issues. Group evaluations revealed that participants appreciated communicating on the suggested topics and thought that it was easier to discuss sex when it was possible to be anonymous toward other group members. Conclusions Online focus group discussions, with anonymous participation, are suggested to be a feasible and valid mode for collecting sensitive data among young persons with a

  3. The Insiders' Perspectives: A Focus Group Study on Gender Issues in a Computer-Supported Collaborative Learning Environment

    ERIC Educational Resources Information Center

    Huynh, Minh Q.; Lee, Jae-Nam; Schuldt, Barbara A.

    2005-01-01

    There is little doubt that the advent of collaborative technologies in recent years has brought some significant changes in the way students learn, communicate, and interact with one another. In recent years, this emergence has sparked increased interest for research into the role and impact of instructional technologies on group learning. Despite…

  4. A Tune-Up for Stymied Teams: When a Group's Focus Falters, Take Steps to Get Back on Track

    ERIC Educational Resources Information Center

    Hesson, Renee

    2013-01-01

    Even the most efficient team of teachers can become ineffective. Conversely, even the most ineffective team can be made more efficient and productive. The keys to refocusing a committed team on the instructional goals originally established by the group are through reality, relationships, and reflection. These critical components of effective…

  5. Polymorphism of ceramide 3. Part 1: an investigation focused on the head group of N-octadecanoylphytosphingosine.

    PubMed

    Raudenkolb, Steve; Hübner, Wigand; Rettig, Willi; Wartewig, Siegfried; Neubert, Reinhard H H

    2003-03-01

    The thermotropic phase behaviour of the ceramide N-octadecanoylphytosphingosine (CER3) was investigated using differential scanning calorimetry, X-ray powder diffraction and FT-IR spectroscopy. CER3 was shown to be a polymorphic substance depending on the crystallisation conditions. Three different solid states were found. The FT-IR results elucidate changes in the hydrogen bonding interactions of the ceramide head group. It was shown that the amide I and the amide II vibration bands are quite sensitive to the phase transitions of CER. There are clear shifts in the band positions of those bands passing the phase transitions. Furthermore, changes were observed in the NH- and OH- stretching region. The study shows that there are strong inter- and intramolecular hydrogen bonds between hydroxy groups in the ceramide head group. There are also strong hydrogen bonds to the amide oxygen as shown by the band positions of the amide vibrations. The H-bonding network and conformation of the head group of CER3 alters due to the phase transitions. PMID:12637161

  6. Illinois Community College System Programs and Services for Underrepresented Groups--Fiscal Year 2002. Focus Area: Recruitment and Preparation.

    ERIC Educational Resources Information Center

    Illinois Community Coll. Board, Springfield.

    This 2002 Underrepresented Groups Report discusses initiatives and strategies designed to increase participation among minorities, women, and individuals with disabilities in the Illinois Community College System (ICCS). The demographic data presented is from credit students. The typical male/female distribution on ICCS is 55.4% female and 44.4%…

  7. Development of a Directly Observed Therapy (DOT) Adherence Intervention for Adolescents with HIV-1: Application of Focus Group Methodology to Inform Design, Feasibility and Acceptability

    PubMed Central

    Garvie, Patricia A.; Lawford, Joanne; Flynn, Patricia M.; Gaur, Aditya H.; Belzer, Marvin; McSherry, George D.; Hu, Chengcheng

    2009-01-01

    Purpose To obtain input from adolescents with HIV-1 infection to inform the design of a community-based modified directly observed therapy (MDOT) antiretroviral adherence intervention. Methods Pediatric AIDS Clinical Trials Group (PACTG) protocol 1036A conducted three focus groups with 17 adolescents aged 17 to 22 years (10 females, 65% African-American) from three geographically distinct US PACTG sites. Focus group sessions were scripted, audio-taped, and transcribed verbatim. A coding dictionary was developed and validated; Ethnograph v5.08 was used to summarize coded data across and within the three sites. Prevalent themes were identified via frequencies and are reported as percents. Results Adolescents specified: the MDOT provider should be familiar to the participant and empathic; the MDOT location should be mutually agreed upon, flexible, and private; and participant and provider communication should be bidirectional, preferably by phone. Ideally the MDOT program should be continued until adolescents independently demonstrate adherence and include a weaning phase as a test of skill-acquisition. The most commonly endorsed barrier to the proposed program was MDOT would be an invasion of privacy. Initially, following introduction to the purpose of the focus group, all but one adolescent expressed MDOT could benefit someone other than themselves; however, at conclusion of the focus group discussion, a significant shift in openness to the intervention occurred whereby 11 participants indicated they would consider participation in a MDOT program if offered. Conclusions Focus group feedback clarified the feasibility, logistics, and patient concerns about the design and implementation of a proposed MDOT intervention for adolescents with HIV-1 infection who struggle with medication adherence PMID:19167660

  8. Internet-Delivered Targeted Group Intervention for Body Dissatisfaction and Disordered Eating in Adolescent Girls: A Randomized Controlled Trial

    ERIC Educational Resources Information Center

    Heinicke, Brooke E.; Paxton, Susan J.; McLean, Sian A.; Wertheim, Eleanor H.

    2007-01-01

    This study evaluated a targeted intervention designed to alleviate body image and eating problems in adolescent girls that was delivered over the internet so as to increase access to the program. The program consisted of six, 90-minute weekly small group, synchronous on-line sessions and was facilitated by a therapist and manual. Participants were…

  9. Translational Researchers' Perceptions of Data Management Practices and Data Curation Needs: Findings from a Focus Group in an Academic Health Sciences Library

    ERIC Educational Resources Information Center

    Bardyn, Tania P.; Resnick, Taryn; Camina, Susan K.

    2012-01-01

    How translational researchers use data is becoming an important support function for libraries to understand. Libraries' roles in this increasingly complex area of Web librarianship are often unclearly defined. The authors conducted two focus groups with physicians and researchers at an academic medical center, the UCLA David Geffen School of…

  10. Exploring Perspectives of Individuals with Intellectual Disabilities and Histories of Challenging Behaviors about Family Relationships: An Emergent Topic in a Grounded Theory Focus Group Study

    ERIC Educational Resources Information Center

    Brown, Julie F.; Hamilton-Mason, Johnnie; Maramaldi, Peter; Barnhill, L. Jarrett

    2016-01-01

    The perspectives of individuals with intellectual disabilities (ID) about family relationships are underrepresented in the literature. The topic of family relationships emerged in a grounded theory exploratory focus group study that involved thirty dually diagnosed participants with moderate or mild intellectual disabilities and histories of…

  11. "Breakfast, Lunch and Dinner": Attitudes to Infant Feeding amongst Children in a Scottish Primary School--A Qualitative Focus Group Study

    ERIC Educational Resources Information Center

    Russell, Bridie; Richards, Helen; Jones, Anni; Hoddinott, Pat

    2004-01-01

    "Setting" A single primary school which serves a mixed socioeconomic area in the north of Scotland. "Method" Parents gave demographic details about their family and information about whether their children had been breastfed. Twenty- three children, aged 6, took part in three focus groups which were conducted by two facilitators, according to a…

  12. "It's All Scientific to Me": Focus Group Insights into Why Young People Do Not Apply Safe-Sex Knowledge

    ERIC Educational Resources Information Center

    McKee, Alan; Watson, Anne-Frances; Dore, Johanna

    2014-01-01

    Despite rising levels of safe-sex knowledge in Australia, sexually transmitted infection notifications continue to increase. A culture-centred approach suggests it is useful in attempting to reach a target population first to understand their perspective on the issues. Twenty focus groups were conducted with 89 young people between the ages of 14…

  13. Exploring the Knowledge, Attitudes, Beliefs, and Communication Preferences of the General Public regarding HPV: Findings from CDC Focus Group Research and Implications for Practice

    ERIC Educational Resources Information Center

    Friedman, Allison L.; Shepeard, Hilda

    2007-01-01

    Genital human papillomavirus (HPV) infection is the most common sexually transmitted virus in the United States, causing genital warts, cervical cell abnormalities, and cervical cancer in women. To inform HPV education efforts, 35 focus groups were conducted with members of the general public, stratified by gender, race/ethnicity, and urban/rural…

  14. Can We Improve the Measurement of Attitudes towards the Welfare State? A Constructive Critique of Survey Instruments with Evidence from Focus Groups

    ERIC Educational Resources Information Center

    Goerres, Achim; Prinzen, Katrin

    2012-01-01

    There is a large and growing literature on welfare state attitudes, most of which is built on random-sample population surveys with standardised closed-question items. This article criticises the existing survey instruments, especially those that are used within the International Social Survey Programme, in a novel approach with focus group data…

  15. Boys to Men: Entertainment Media. Messages about Masculinity: A National Poll of Children, Focus Groups, and Content Analysis of Entertainment Media.

    ERIC Educational Resources Information Center

    Heintz-Knowles, Katharine; Li-Vollmer, Meredith; Chen, Perry; Harris, Tarana; Haufler, Adrienne; Lapp, Joan; Miller, Patti

    Boys are especially active users of media, and researchers have suggested that the cumulative impact of media, such as television, movies, and music videos, may make them some of the most influential forces in boys' lives. This report presents the findings of a national poll of 1,200 young people (ages 10 to 17) and focus groups in which boys…

  16. School Health Promotion to Increase Empowerment, Gender Equality and Pupil Participation: A Focus Group Study of a Swedish Elementary School Initiative

    ERIC Educational Resources Information Center

    Gadin, Katja Gillander; Weiner, Gaby; Ahlgren, Christina

    2013-01-01

    A school health promotion project was carried out in an elementary school in Sweden where active participation, gender equality, and empowerment were leading principles. The objective of the study was to understand challenges and to identify social processes of importance for such a project. Focus group interviews were conducted with 6 single-sex…

  17. Choosing Content and Methods: Focus Group Interviews with Faculty Teachers in Norwegian Pre-Service Subject Teacher Education in Design, Art, and Crafts

    ERIC Educational Resources Information Center

    Gulliksen, Marte S.; Hjardemaal, Finn R.

    2016-01-01

    The study is aimed at generating knowledge on how faculty teachers reflect and justify their choice of subject content logic in teacher education, exemplified by a concurrent pre-service Subject Teacher Education in design, art, and crafts. Focus-group interviews generated data. Three topics were discussed: too many choices, different logics, and…

  18. Using Multidisciplinary Focus Groups to Inform the Development of mI SMART: A Nurse-Led Technology Intervention for Multiple Chronic Conditions

    PubMed Central

    Theeke, Laurie A.; Theeke, Elliott; Mallow, Brian K.

    2016-01-01

    Used as integrated tools, technology may improve the ability of healthcare providers to improve access and outcomes of care. Little is known about healthcare teams' preferences in using such technology. This paper reports the findings from focus groups aimed at evaluating a newly developed primary care technology platform. Focus groups were completed in academic, outpatient, and community settings. Focus groups were attended by 37 individuals. The participants included professionals from multiple disciplines. Both prescribing (N = 8) and nonprescribing healthcare team members (n = 21) completed the focus groups and survey. The majority were practicing for more than 20 years (44.8%) in an outpatient clinic (62%) for 20–40 hours per week (37.9%). Providers identified perceived obstacles of patient use as ability, willingness, and time. System obstacles were identified as lack of integration, lack of reimbursement, and cost. The positive attributes of the developed system were capability for virtual visits, readability, connectivity, user-friendliness, ability to capture biophysical measures, enhanced patient access, and incorporation of multiple technologies. Providers suggested increasing capability for biophysical and symptom monitoring for more common chronic conditions. Technology interventions have the potential to improve access and outcomes but will not be successful without the input of users. PMID:27504199

  19. "I Would Rather Be Size 10 Than Have Straight A's": A Focus Study Group of Adolescent Girls' Wish To Be Thinner.

    ERIC Educational Resources Information Center

    Tiggemann, Marika; Gardiner, Maria; Slater, Amy

    2000-01-01

    Investigates the body concerns of adolescent girls (N=67), together with the underlying motivations for wishes to be thinner. Results of focus group studies reveal that sociocultural influences exerted the strongest pressures to be thin. The girls displayed an unexpected sophistication in their conceptualization of the role of both media effects…

  20. Alaska Native and Rural Youths' Views of Sexual Health: A Focus Group Project on Sexually Transmitted Diseases, HIV/AIDS, and Unplanned Pregnancy

    ERIC Educational Resources Information Center

    Leston, Jessica D.; Jessen, Cornelia M.; Simons, Brenna C.

    2012-01-01

    Background: The disparity in rates of sexually transmitted diseases (STDs), HIV/AIDS, and unplanned pregnancy between Alaska Native (AN) and non-AN populations, particularly among young adults and females, is significant and concerning. Focus groups were conducted to better understand the knowledge, attitudes, and beliefs of rural Alaska youth…

  1. Integration of Research and Practice in Substance Use Disorder Treatment: Findings from Focus Groups of Clinicians, Researchers, Educators, Administrators, and Policy Makers

    ERIC Educational Resources Information Center

    Campbell, Todd C.; Daood, Christopher; Catlin, Lynn; Abelson, Alissa

    2005-01-01

    Clinicians, researchers, educators, administrators, and policy makers, who represented stakeholders in the substance abuse treatment field, participated in 5 focus groups. Four general areas regarding integration of research and practice were investigated: definition of research, training/education, current integration, and future integration.…

  2. Using Multidisciplinary Focus Groups to Inform the Development of mI SMART: A Nurse-Led Technology Intervention for Multiple Chronic Conditions.

    PubMed

    Mallow, Jennifer A; Theeke, Laurie A; Theeke, Elliott; Mallow, Brian K

    2016-01-01

    Used as integrated tools, technology may improve the ability of healthcare providers to improve access and outcomes of care. Little is known about healthcare teams' preferences in using such technology. This paper reports the findings from focus groups aimed at evaluating a newly developed primary care technology platform. Focus groups were completed in academic, outpatient, and community settings. Focus groups were attended by 37 individuals. The participants included professionals from multiple disciplines. Both prescribing (N = 8) and nonprescribing healthcare team members (n = 21) completed the focus groups and survey. The majority were practicing for more than 20 years (44.8%) in an outpatient clinic (62%) for 20-40 hours per week (37.9%). Providers identified perceived obstacles of patient use as ability, willingness, and time. System obstacles were identified as lack of integration, lack of reimbursement, and cost. The positive attributes of the developed system were capability for virtual visits, readability, connectivity, user-friendliness, ability to capture biophysical measures, enhanced patient access, and incorporation of multiple technologies. Providers suggested increasing capability for biophysical and symptom monitoring for more common chronic conditions. Technology interventions have the potential to improve access and outcomes but will not be successful without the input of users. PMID:27504199

  3. The evaluation of a clinical development unit leadership preparation program by focus group interviews - part 2: negative aspects.

    PubMed

    Greenwood, Jennifer; Parsons, Myra

    2002-10-01

    In Western Sydney, Australia, in 1996, the Area Health Service and the University of Western Sydney entered a strategic alliance to develop a nursing research culture in the health services. One of the strategies implemented to achieve this was the establishment of a network of research-receptive environments known as Clinical Development Units (CDUs). In terms of research receptivity, evidence at the time suggested that it could only be developed in units where the leadership style is democratic and participatory. In terms of CDUs, evidence suggested that their successful development depended critically on the effective management of CDU leadership stressors. In light of this, it was agreed to conduct a CDU leadership preparation program in Western Sydney. The program aimed to furnish CDU leaders with the participatory leadership skills required to develop and manage their units. It was expected that the acquisition of such leadership skills would serve to minimize the leadership stessors they could expect to experience. This is the second of two papers which report course evaluation data. The first focused on the more positive evaluation data; this paper focuses on the negative evaluation data and outlines how the current program has been modified in light of these data. In addition, it discusses two themes which emerged during data analysis. These were nurses' apparent mutual lack of trust and their pressing needs to be recognized as valuable and merit-worthy. PMID:12384034

  4. Focus on Methodology: Beyond paper and pencil: Conducting computer-assisted data collection with adolescents in group settings.

    PubMed

    Raffaelli, Marcela; Armstrong, Jessica; Tran, Steve P; Griffith, Aisha N; Walker, Kathrin; Gutierrez, Vanessa

    2016-06-01

    Computer-assisted data collection offers advantages over traditional paper and pencil measures; however, little guidance is available regarding the logistics of conducting computer-assisted data collection with adolescents in group settings. To address this gap, we draw on our experiences conducting a multi-site longitudinal study of adolescent development. Structured questionnaires programmed on laptop computers using Audio Computer Assisted Self-Interviewing (ACASI) were administered to groups of adolescents in community-based and afterschool programs. Although implementing ACASI required additional work before entering the field, we benefited from reduced data processing time, high data quality, and high levels of youth motivation. Preliminary findings from an ethnically diverse sample of 265 youth indicate favorable perceptions of using ACASI. Using our experiences as a case study, we provide recommendations on selecting an appropriate data collection device (including hardware and software), preparing and testing the ACASI, conducting data collection in the field, and managing data. PMID:26950018

  5. [Comparative characteristics of clinical and immunologic indicators of various groups of opisthorchiasis patients in a focus. Aboriginal population].

    PubMed

    Parfenov, S B; Ozeretskovskaia, N N; Zolotukhin, V A

    1989-01-01

    Clinical and immunological observations of people belonging to two population groups--aborigens (khanty, mansi, komi) and 40 immigrants--were performed in opisthorchiasis foci of the Tyumen region. Rapid clinical reinvasion of unimmune immigrants (in a 3-4 year period) was established; the aborigens featured subclinical invasion pattern. T-system immunity in immigrants was suppressed, while in the aboriginal group insignificant reduction of the number of T-helpers and significant increase in the number of T-suppressors, lack of apparent mobilization of humoral immunity factors--reduction of the absolute B-lymphocytes number, normal A, G immunoglobulines and CIC levels-were observed. Such T--B immune systems' ratio may indicate immune tolerance of a suppressor type. The observed indicators of aborigens' tolerance to helminths' antigens point to the necessity of differentiated approach to chemotherapy prescription (especially of the repeated courses) in the endemic invasion foci. PMID:2526919

  6. Impulsivity-focused group intervention to reduce binge eating episodes in patients with binge eating disorder: study protocol of the randomised controlled IMPULS trial

    PubMed Central

    Schag, Kathrin; Leehr, Elisabeth J; Martus, Peter; Bethge, Wolfgang; Becker, Sandra; Zipfel, Stephan; Giel, Katrin E

    2015-01-01

    Introduction The core symptom of binge eating disorder (BED) is recurrent binge eating that is accompanied by a sense of loss of control. BED is frequently associated with obesity, one of the main public health challenges today. Experimental studies deliver evidence that general trait impulsivity and disorder-specific food-related impulsivity constitute risk factors for BED. Cognitive-behavioural treatment (CBT) is deemed to be the most effective intervention concerning BED. We developed a group intervention based on CBT and especially focusing on impulsivity. We hypothesise that such an impulsivity-focused group intervention is able to increase control over impulsive eating behaviour, that is, reduce binge eating episodes, further eating pathology and impulsivity. Body weight might also be influenced in the long term. Methods and analysis The present randomised controlled trial investigates the feasibility, acceptance and efficacy of this impulsivity-focused group intervention in patients with BED. We compare 39 patients with BED in the experimental group to 39 patients with BED in the control group at three appointments: before and after the group intervention and in a 3-month follow-up. Patients with BED in the experimental group receive 8 weekly sessions of the impulsivity-focused group intervention with 5-6 patients per group. Patients with BED in the control group receive no group intervention. The primary outcome is the binge eating frequency over the past 4 weeks. Secondary outcomes comprise further eating pathology, general impulsivity and food-related impulsivity assessed by eye tracking methodology, and body weight. Additionally, we assess binge eating and other impulsive behaviour weekly in process analyses during the time period of the group intervention. Ethics and dissemination This study has been approved by the ethics committee of the medical faculty of Eberhard Karls University Tübingen and the University Hospital Tübingen. Data are monitored

  7. Improving Self-Help E-Therapy for Depression and Anxiety Among Sexual Minorities: An Analysis of Focus Groups With Lesbians and Gay Men

    PubMed Central

    Lyons, Anthony; Pitts, Marian; Mitchell, Anne; Christensen, Helen

    2015-01-01

    Background E-therapies for depression and anxiety rarely account for lesbian and gay users. This is despite lesbians and gay men being at heightened risk of mood disorders and likely to benefit from having access to tailored self-help resources. Objective We sought to determine how e-therapies for depression and anxiety could be improved to address the therapeutic needs of lesbians and gay men. Methods We conducted eight focus groups with lesbians and gay men aged 18 years and older. Focus groups were presented with key modules from the popular e-therapy “MoodGYM”. They were asked to evaluate the inclusiveness and relevance of these modules for lesbians and gay men and to think about ways that e-therapies in general could be modified. The focus groups were analyzed qualitatively using a thematic analysis approach to identify major themes. Results The focus groups indicated that some but not all aspects of MoodGYM were suitable, and suggested ways of improving e-therapies for lesbian and gay users. Suggestions included avoiding language or examples that assumed or implied users were heterosexual, improving inclusiveness by representing non-heterosexual relationships, providing referrals to specialized support services and addressing stigma-related stress, such as “coming out” and experiences of discrimination and harassment. Focus group participants suggested that dedicated e-therapies for lesbians and gay men should be developed or general e-therapies be made more inclusive by using adaptive logic to deliver content appropriate for a user’s sexual identity. Conclusions Findings from this study offer in-depth guidance for developing e-therapies that more effectively address mental health problems among lesbians and gay men. PMID:25761775

  8. Symmetry Group Analysis of Self-focusing in a Nonlinear Schrodinger Equation in Cylindrical Geometry With Saturating Nonlinearity of a Plasma

    NASA Astrophysics Data System (ADS)

    Dantu, Subbarao; Ramanathan, Uma

    2000-04-01

    The nonlinear Schrodinger equation with saturating nonlinearity like the ponderomotive nonlinearity in a plasma is analysed with the help of Symmetry Group Analysis. The symmetry group of the equation is deduced and a fiber-preserving subgroup of linear transformations are identified that leave such a nonlinear Schrodinger equation invariant. The MACSYMA-based Lie algebra of the symmetry group is realized to the extent possible. The theory results in an ordinary differential equation apart from a dictated beam profile. The resulting ordinary differential equation for self-focusing is compared with similar equations obtained from other existing theories of self-focusing in cylindrical geometry like the moments theory, the variational theory and the modified paraxial theory based on harmonic-oscillator modes. New types of solutions are identified and the limitations of the different methods are indicated.Acknowledgements: Financial assistance of CSIR(India)(Research Project,03(0815)/97/ EMR-II) for this work is acknowledged.

  9. Why We Belong - Exploring Membership of Healthcare Professionals in an Intensive Care Virtual Community Via Online Focus Groups: Rationale and Protocol

    PubMed Central

    Hansen, Margaret; Jackson, Debra; Elliott, Doug

    2016-01-01

    Background Many current challenges of evidence-based practice are related to ineffective social networks among health care professionals. Opportunities exist for multidisciplinary virtual communities to transcend professional and organizational boundaries and facilitate important knowledge transfer. Although health care professionals have been using the Internet to form virtual communities for many years, little is known regarding “why” they join, as most research has focused on the perspective of “posters,” who form a minority of members. Objective Our aim was to develop a comprehensive understanding of why health care professionals belong to a virtual community (VC). Methods A qualitative approach will be used to explore why health care professionals belong to an intensive care practice-based VC, established since 2003. Three asynchronous online focus groups will be convened using a closed secure discussion forum. Participants will be recruited directly by sending emails to the VC and a Google form used to collect consent and participant demographics. Participants will be stratified by their online posting behaviors between September 1, 2012, and August 31, 2014: (1) more than 5 posts, (2) 1-5 posts, or (3) no posts. A question guide will be used to guide participant discussion. A moderation approach based on the principles of focus group method and e-moderation has been developed. The main source of data will be discussion threads, supported by a research diary and field notes. Data analysis will be undertaken using a thematic approach and framed by the Diffusion of Innovation theory. NVivo software will be used to support analyses. Results At the time of writing, 29 participants agreed to participate (Focus Group 1: n=4; Focus Group 2: n=16; Focus Group 3: n=9) and data collection was complete. Conclusions This study will contribute to a growing body of research on the use of social media in professional health care settings. Specifically, we hope

  10. Understanding the role of gender in body image research settings: participant gender preferences for researchers and co-participants in interviews, focus groups and interventions.

    PubMed

    Yager, Zali; Diedrichs, Phillippa C; Drummond, Murray

    2013-09-01

    Participant gender preferences for body image researchers, interventionists and focus group and intervention co-participants have been largely ignored, despite recognition that such characteristics can influence the nature and quality of data collected and intervention effects. To address this, Australian women (n=505) and men (n=220) completed a questionnaire about their preferences for interviewers and focus group facilitators, for teachers delivering school-based interventions, and for co-participants in these settings. Women predominantly preferred female interviewers and teachers, and mixed-sex co-participants, but most had no preference for focus group facilitators. Body dissatisfied women were more likely to prefer female researchers and single-sex co-participants. Most men did not have specific preferences, however, body dissatisfied men were more likely to report a gender preference for interviewers and teachers. Professional capabilities, personal qualities and appearance were regarded as important researcher characteristics. These findings have important implications for body image research, particularly among high-risk groups. PMID:23876877

  11. Factors influencing behavior of group-housed male rats in the social interaction test: focus on cohort removal.

    PubMed

    Kask, A; Nguyen, H P; Pabst, R; von Hörsten, S

    2001-10-01

    The rat social interaction (SI) test is used widely to measure anxiety-like behavior, yet the influence of various factors such as testing time, pre-experimental manipulations (transport stress), and testing of animals from the same cage (cohort removal, CR) on SI has not been systematically studied. We measured SI behavior of male triad-housed Wistar rats in a novel dimly lit arena (low light unfamiliar, LU) and found that SI time is higher in the beginning of the activity (dark) phase when compared with SI time in first half of the light phase. Furthermore, SI time is significantly increased by habituation of animals to the testing room during light phase, but this intervention has no effect in early dark phase when SI behavior is already maximal. Sequential removal of rats from the home cage led to the stress-like behavioral and physiological consequences. Rats removed in the last position had shorter SI time and higher body temperature. These data demonstrate that SI is higher during early dark vs. early light phase and confirm that CR has anxiogenic-like effects in rats. We conclude that the usage of sequentially removed group-housed rats in behavioral tests can be a source for considerable variation due to anxiety that develops in animals remaining in the cage. On the other hand, CR may be a useful method to study behavioral/neurochemical mechanisms of psychogenic stress in rats. PMID:11714489

  12. Patient and health professional views on rehabilitation practices and outcomes following total hip and knee arthroplasty for osteoarthritis:a focus group study

    PubMed Central

    2010-01-01

    Background There is worldwide variation in rehabilitation practices after total hip arthroplasty (THA) and total knee arthroplasty (TKA) and no agreement on which interventions will lead to optimal short and long term patient outcomes. As a first step in the development of clinical practice guidelines for post-acute rehabilitation after THA and TKA, we explored experiences and attitudes about rehabilitation practices and outcomes in groups of individuals identified as key stakeholders. Methods Separate focus groups and interviews were conducted with patients (THA or TKA within past year) and three health professional groups: allied health professionals (AHPs), orthopaedic surgeons, and other physicians, in Canada and the United States. Pairs of moderators led the focus groups using a standardized discussion guide. Discussions were audiotaped and transcribed verbatim. A content analysis within and across groups identified key themes. Results Eleven focus groups and eight interviews took place in six sites. Patients (n = 32) varied in age, stage of recovery, and surgical and rehabilitation experiences. Health professionals (n = 44) represented a range of disciplines, practice settings and years of experience. Six key themes emerged: 1) Let's talk (issues related to patient-health professional and inter-professional communication); 2) Expecting the unexpected (observations about unanticipated recovery experiences); 3) It's attitude that counts (the importance of the patient's positive attitude and participation in recovery); 4) It takes all kinds of support (along the continuum of care); 5) Barriers to recovery (at patient, provider and system levels), and 6) Back to normal (reflecting diversity of expected outcomes). Patients offered different, but overlapping views compared to health professionals regarding rehabilitation practices and outcomes following THA and TKA. Conclusion Results will inform subsequent phases of guideline development and ensure stakeholders

  13. How to Research People's First Impressions of Websites? Eye-Tracking as a Usability Inspection Method and Online Focus Group Research

    NASA Astrophysics Data System (ADS)

    Herendy, Csilla

    The visual surface of the Hungarian governmental portal - magyarorszag.hu - was inspected in 2007 with two different inspection methods: Eye tacking research and Online focus group research. Both methods help to understand and to chart not only the usability of different websites but also the affective imp ressions associated with the websites. In this study, an Experimental and a Control-group were tested to assess the usability of the site and the emotional re actions to it. The results reveal that the Hungarian government website is too complicated, dull and difficult to apprehend at a glance.

  14. How best to promote industrial pollution prevention through the effluent guidelines process. Recommendations of the industrial pollution prevention project (IP3) focus group

    SciTech Connect

    Not Available

    1994-05-01

    The Industrial Pollution Prevention Project (IP3) Focus Group was requested by EPA to provide specific recommendations on how best to promote industrial pollution prevention through the effluent guidelines process. In response to that request, the Group makes the following recommendations to EPA: To promote more industrial pollution prevention, the effluent guidelines process must (1) be more flexible, (2) address all media, and (3) impart a pollution prevention mindset to everyone throughout the effluent guidelines process. To accomplish this, EPA should adopt a specific new approach to the development and achievement of Best Available Technology (BAT) limits.

  15. Engaging African American men in empirically based marriage enrichment programs: lessons from two focus groups on the ProSAAM project.

    PubMed

    Hurt, Tera R; Beach, Steven R H; Stokes, LaTrena A; Bush, Perdeta L; Sheats, Kameron J; Robinson, Shayla G

    2012-07-01

    To better meet the needs of eligible African American men who were reluctant to enroll in a 5-year study called the Program for Strong African American Marriages (ProSAAM), we employed two focus groups to listen to the voices of a sample of the population being recruited and to explore their feedback about taking part in such a marriage enrichment program and how best to recruit other African American men. We explain our application of the focus group results to our recruitment of African American married couples for ProSAAM. The positive outcomes from the implementation of these results can provide potential ideas for those seeking innovative means to improve recruitment of African American men to programs that strengthen marital relationships. PMID:22686142

  16. What are the health needs, familial and social problems of Thai migrants in a local community in Australia? A focus group study.

    PubMed

    Vatcharavongvan, Pasitpon; Hepworth, Julie; Lim, Joanne; Marley, John

    2014-02-01

    This study explored the health needs, familial and social problems of Thai migrants in a local community in Brisbane, Australia. Five focus groups with Thai migrants were conducted. The qualitative data were examined using thematic content analysis that is specifically designed for focus group analysis. Four themes were identified: (1) positive experiences in Australia, (2) physical health problems, (3) mental health problems, and (4) familial and social health problems. This study revealed key health needs related to chronic disease and mental health, major barriers to health service use, such as language skills, and facilitating factors, such as the Thai Temple. We concluded that because the health needs, familial and social problems of Thai migrants were complex and culture bound, the development of health and community services for Thai migrants needs to take account of the ways in which Thai culture both negatively impacts health and offer positive solutions to problems. PMID:23054542

  17. Simultaneous natural speech and AAC interventions for children with childhood apraxia of speech: lessons from a speech-language pathologist focus group.

    PubMed

    Oommen, Elizabeth R; McCarthy, John W

    2015-03-01

    In childhood apraxia of speech (CAS), children exhibit varying levels of speech intelligibility depending on the nature of errors in articulation and prosody. Augmentative and alternative communication (AAC) strategies are beneficial, and commonly adopted with children with CAS. This study focused on the decision-making process and strategies adopted by speech-language pathologists (SLPs) when simultaneously implementing interventions that focused on natural speech and AAC. Eight SLPs, with significant clinical experience in CAS and AAC interventions, participated in an online focus group. Thematic analysis revealed eight themes: key decision-making factors; treatment history and rationale; benefits; challenges; therapy strategies and activities; collaboration with team members; recommendations; and other comments. Results are discussed along with clinical implications and directions for future research. PMID:25664542

  18. A Different World: Children's Perceptions of Race and Class in the Media. A Series of Focus Groups and a National Poll of Children.

    ERIC Educational Resources Information Center

    Children Now, Oakland, CA.

    Although America is engaged in a national dialogue about race, children's voices have yet to be heard on the matter. This study used a series of focus groups and a national poll of 10- to 17-year-olds to examine their views about race and the role of the media in shaping understanding. Participating in the polls were 1,200 children, 300 in each…

  19. Developing the IDEFICS community-based intervention program to enhance eating behaviors in 2- to 8-year-old children: findings from focus groups with children and parents.

    PubMed

    Haerens, L; De Bourdeaudhuij, I; Barba, G; Eiben, G; Fernandez, J; Hebestreit, A; Kovács, E; Lasn, H; Regber, S; Shiakou, M; De Henauw, S

    2009-06-01

    One purpose of 'identification and prevention of dietary- and lifestyle-induced health effects in children and infants' (IDEFICS) is to implement a standardized community-based multi-component healthy eating intervention for younger children in eight different countries. The present study describes important influencing factors for dietary behaviors among children aged 2-8 years old in order to determine the best approaches for developing the dietary components of the standardized intervention. Twenty focus groups with children (74 boys, 81 girls) and 36 focus groups with 189 parents (28 men, 161 women) were conducted. Only in two countries, children mentioned receiving nutrition education at school. Rules at home and at school ranged from not allowing the consumption of unhealthy products to allowing everything. The same diversity was found for availability of (un)healthy products at home and school. Parents mentioned personal (lack of time, financial constraints, preferences), socio-environmental (family, peer influences), institutional (school policies) and physical-environmental (availability of unhealthy products, price, season) barriers for healthy eating. This focus group research provided valuable information to guide the first phase in the IDEFICS intervention development. There was a large variability in findings within countries. Interventions should be tailored at the personal and environmental level to increase the likelihood of behavioral change. PMID:18603656

  20. Is unimpeded marketing for breast milk substitutes responsible for the decline in breastfeeding in the Philippines? An exploratory survey and focus group analysis.

    PubMed

    Sobel, Howard L; Iellamo, Alessandro; Raya, René R; Padilla, Alexander A; Olivé, Jean-Marc; Nyunt-U, Soe

    2011-11-01

    Infant mortality and morbidity risk is linked to formula usage. The proportion of Filipino infant formula users rose 6% between 2003 and 2008. It is hypothesized this rise resulted from aggressive formula industry marketing. We conducted a household survey between April and December 2006 and focus groups in April-May 2007 in The Philippines to examine the association between mothers' exposure to advertising and other information sources and formula feeding decisions. Sixteen barangays (communities) were randomly selected from three purposively selected disadvantaged rural, urban and mixed municipalities. A total of 345 households had children under 24-months age: 114, 142 and 89 households from the rural, urban and mixed municipalities, respectively. In addition 38 respondents participated in 3 focus groups of 10-15 participants each, from three selected barangays. After adjusting for education and economic indicators logistic regression analysis showed that, children were more likely to be given formula if their mother recalled advertising messages, or a doctor, or mother or relative recommended it. Those using formula were 6.4 (1.8-23.1) times more likely to stop breastfeeding before 12 months. The focus groups described how television advertisements, doctors and medical representatives enticed them to use formula. We conclude that two factors were strongly associated with the decision to formula feed: self-reported advertising exposure, and physicians' recommendations. PMID:21978633

  1. Focus Group Discussions in Community-Based Participatory Research to Inform the Development of a Human Papillomavirus (HPV) Educational Intervention for Latinas in San Diego

    PubMed Central

    Garcini, Luz; Sanchez, Olga; Hernandez, Irma; Navarro, Ana M.

    2013-01-01

    The purpose of this paper is to demonstrate the usefulness of formative focus groups as a community-based participatory research (CBPR) method in developing cancer education programs. Two focus groups were conducted according to CBPR principles, in order to develop a community-competent human papillomavirus (HPV)/cervical cancer educational program for Latinas living in the USA/Mexico border region. Focus group participants were 18 female Mexican American community health advisors. Participants reported that there is limited information and many myths about HPV and the vaccine in the Latino/Latina community, along with many barriers to acceptance of HPV/cervical cancer-related information. Furthermore, participants discussed their recommendations for the development of a culturally appropriate HPV educational program. From these data, we have a better understanding of the HPV/cervical cancer educational approach that will be most accepted in the community and what key information needs to be provided to women who participate in the program, which reinforces the importance of the CBPR approach to the formative phase of cancer education program development. PMID:23857185

  2. Brief report: effects of solution-focused brief therapy group-work on promoting post-traumatic growth of mothers who have a child with ASD.

    PubMed

    Zhang, Wei; Yan, Ting-ting; Du, Ya-song; Liu, Xiao-hong

    2014-08-01

    The study evaluated the impact of solution-focused brief therapy (SFBT) group-work on the post-traumatic growth (PTG) of mothers who have a child with ASD. A quasi-experimental design was used in which 43 mothers participated. 18 mothers in 2 SFBT groups (n = 9 in each group) received a 6-session SFBT group therapy while 25 mothers in a control group received no treatment. The Post-traumatic Growth Inventory was used to measure the PTG levels of the participants at baseline, post-treatment and 6-month follow-up assessments. Mothers who attended SFBT group-work reported higher PTG scores both at post-treatment (t = 4.065, p = .001) and 6-month follow-up (t = 2.980, p = .006) assessments. Further investigations to prove whether SFBT in groups can increase the positivity of clients would promote the use of SFBT. PMID:24488119

  3. The NASA/NSERC Student Airborne Research Program Land Focus Group - a Paid Training Program in Multi-Disciplinary STEM Research for Terrestrial Remote Sensing

    NASA Astrophysics Data System (ADS)

    Kefauver, S. C.; Ustin, S.; Davey, S. W.; Furey, B. J.; Gartner, A.; Kurzweil, D.; Siebach, K. L.; Slawsky, L.; Snyder, E.; Trammell, J.; Young, J.; Schaller, E.; Shetter, R. E.

    2011-12-01

    The Student Airborne Research Program (SARP) of the National Aeronautics and Space Administration (NASA) and the National Suborbital Education and Research Center (NSERC) is a unique six week multidisciplinary paid training program which directly integrates students into the forefront of airborne remote sensing science. Students were briefly trained with one week of lectures and laboratory exercises and then immediately incorporated into ongoing research projects which benefit from access to the DC-8 airborne platform and the MODIS-ASTER Airborne Simulator (MASTER) sensor. Students were split into three major topical categories of Land, Ocean, and Air for the data collection and project portions of the program. This poster details the techniques and structure used for the student integration into ongoing research, professional development, hypothesis building and results as developed by the professor and mentor of the Land focus group. Upon assignment to the Land group, students were issued official research field protocols and split into four field specialty groups with additional specialty reading assignments. In the field each group spent more time in their respective specialty, but also participated in all field techniques through pairings with UC Davis research team members using midday rotations. After the field campaign, each specialty group then gave summary presentations on the techniques, preliminary results, and significance to overall group objectives of their specialty. Then students were required to submit project proposals within the bounds of Land airborne remote sensing science and encouraging, but not requiring the use of the field campaign data. These proposals are then reviewed by the professor and mentor and students are met with one by one to discuss the skills of each student and objectives of the proposed research project. The students then work under the supervision of the mentor and benefit again from professor feedback in a formal

  4. ‘Maybe they should regulate them quite strictly until they know the true dangers’: a focus group study exploring UK adolescents’ views on e‐cigarette regulation

    PubMed Central

    Trevisan, Filippo; Hilton, Shona

    2016-01-01

    Abstract Background and aims Regulation of electronic cigarettes has moved to the top of the addiction policy agenda, as demonstrated by the recent focus across the United Kingdom on introducing age‐of‐sale restrictions. However, the views of those affected by such regulation remain largely unexplored. This paper presents the first detailed qualitative exploration of adolescents’ perceptions of existing, and opinions about potential e‐cigarette regulation. Methods Sixteen focus groups, including a total of 83 teenagers between the ages of 14 and 17 years, were conducted in deprived, mixed and affluent urban areas in Scotland and England between November 2014 and February 2015. Transcripts were imported into Nivivo 10, coded thematically and analysed. Results Participants critically considered existing evidence and competing interests in regulatory debates and demonstrated sophisticated understanding of the advantages and disadvantages of regulation. They overwhelmingly supported strong e‐cigarette regulation and endorsed restrictions on sales to minors, marketing and e‐cigarette use in public places. Concern about potential health harms of e‐cigarette use and marketing increasing the acceptability of vaping and smoking led these adolescents to support regulation. Conclusions In focus group discussions, a sample of UK adolescents exposed to particular communications about e‐cigarettes supported strict regulation of e‐cigarettes, including banning sales to minors and use in indoor public areas. PMID:26948979

  5. Language of motivation and emotion in an internet support group for smoking cessation: explorative use of automated content analysis to measure regulatory focus

    PubMed Central

    Johnsen, Jan-Are K; Vambheim, Sara M; Wynn, Rolf; Wangberg, Silje C

    2014-01-01

    The present study describes a novel approach to the identification of the motivational processes in text data extracted from an Internet support group (ISG) for smoking cessation. Based on the previous findings that a “prevention” focus might be more relevant for maintaining behavior change, it was hypothesized that 1) language use (ie, the use of emotional words) signaling a “promotion” focus would be dominant in the initiating stages of the ISG, and 2) that the proportion of words signaling a prevention focus would increase over time. The data were collected from the ISG site, spanning 4 years of forum activity. The data were analyzed using the Linguistic Inquiry and Word Count application. The first hypothesis – of promotion focus dominance in the initiating stages – was not supported during year 1. However, for all the other years measured, the data showed that a prevention failure was more dominant compared with a promotion failure. The results indicate that content analysis could be used to investigate motivational and language-driven processes in ISGs. Understanding the interplay between self-regulation, lifestyle change, and modern communication channels could be of vital importance in providing the public with better health care services and interventions. PMID:24470780

  6. Adolescent decision-making about use of inhaled asthma controller medication: Results from focus groups with participants from a prior longitudinal study

    PubMed Central

    Wamboldt, Frederick S.; Bender, Bruce G.; Rankin, Allison E.

    2011-01-01

    Background Adherence with inhaled controller medications for asthma is known to be highly variable with many patients taking fewer doses than recommended for consistent control of lung inflammation. Adherence also worsens as children become teenagers, although the exact causes are not well established. Objective To use focus group methodology to examine beliefs, feelings, and behaviors about inhaled asthma controller medication in adolescents and young adults who had previously participated in a longitudinal study of asthma treatment adherence and outcome in order to develop more effective management strategies. Methods Twenty-six subjects participated in 6 focus groups comprised of 3-5 young adults (age range 12-20 years). Verbatim transcripts of these groups were analyzed using the long-table method of content analysis to identify key themes raised by participants. Results A variety of beliefs, feelings and behaviors influence the adolescent’s decision about how to use their asthma medication. Some of the adolescents understood the importance of daily medication and were committed to the treatment plan prescribed by their provider. Poorer adherence was the product of misinformation, incorrect assumptions about their asthma, and current life situations. Conclusions These results, by highlighting potential mechanisms underlying both better and worse adherence inform the development of strategies to improve adherence behavior in adolescents and young adults with asthma. Knowledge of the specific beliefs, feelings and behaviors that underlie adolescents’ use of inhaled asthma controller medication will help providers maximize treatment adherence in this notoriously difficult patient population. PMID:21854323

  7. Establishing the Morehouse School of Medicine (MSM) R-CENTER clinical and translational research web-portal: the role of focus groups.

    PubMed

    Quarshie, Alexander; Davis, Adam; Strayhorn, Gregory; Weaver, Carolyn; Delano, Cigdem; Winters, Kirby; Rice, Robert; Ofili, Elizabeth

    2011-01-01

    The Morehouse School of Medicine (MSM) Research Centers in Minority Institutions (RCMI) Center of Excellence in Clinical and Translational Research has developed a research web-portal to foster research development and collaborations. We describe the role of focus groups (FG). Research faculty and staff were organized into three groups by research interest. Each FG discussion had five steps: Brainstorming, Reporting, Card-sorting, Priority-setting, and Discussions. Integration of top priorities across each FG culminated in a final priority-setting step. Each FG generated 45 to 50 unique ideas during brainstorming that were categorized into 10 to 12 unique categories. Final priority-setting captured six top items for the initial design of the portal: ability to identify researchers working on similar research; common data management tools; access to clinical trials information; participant recruitment tools; secure access to research databases; and financial support. Focus groups allowed for a discovery period that generated common themes for the design and customization of the web-portal. PMID:22102312

  8. Resident-to-Resident Aggression in Long-Term Care Facilities: Insights from Focus Groups of Nursing Home Residents and Staff

    PubMed Central

    Rosen, Tony; Lachs, Mark S.; Bharucha, Ashok J.; Stevens, Scott M.; Teresi, Jeanne A.; Nebres, Flor; Pillemer, Karl

    2009-01-01

    OBJECTIVES To more fully characterize the spectrum of RRA. DESIGN A focus group study of nursing home staff members and residents who could reliably self-report. SETTING A large urban, not-for-profit long-term care facility in New York City PARTICIPANTS 7 residents and 96 staff members from multiple clinical and non-clinical occupational groups. MEASUREMENTS 16 focus groups were conducted. Content was analyzed with nVivo 7 software for qualitative data. RESULTS 35 different types of physical, verbal and sexual RRA were described, with screaming and/or yelling being the most common. Calling out and making noise were the most frequent of 29 antecedents identified as instigating episodes of RRA. RRA was most frequent in dining and residents’ rooms, and in the afternoon, though it occurred regularly throughout the facility at all times. While no proven strategies exist to manage RRA, staff described 25 self-initiated techniques to address the issue. CONCLUSION RRA is a ubiquitous phenomenon in nursing home settings with important consequences for affected individuals and facilities. Further epidemiologic research is necessary to more fully describe the phenomenon and identify risk factors and preventative strategies. PMID:18637979

  9. Health-care seeking behaviour and the use of traditional medicine among persons with type 2 diabetes in south-western Uganda: a study of focus group interviews

    PubMed Central

    Atwine, Fortunate; Hultsjö, Sally; Albin, Björn; Hjelm, Katarina

    2015-01-01

    Introduction Health-care seeking behaviour is important as it determines acceptance of health care and outcomes of chronic conditions but it has been investigated to a limited extent among persons with diabetes in developing countries. The aim of the study was to explore health-care seeking behaviour among persons with type 2 diabetes to understand reasons for using therapies offered by traditional healers. Methods Descriptive study using focus-group interviews. Three purposive focus-groups were conducted in 2011 of 10 women and 7 men aged 39–72 years in Uganda. Data were collected through semi-structured interviews and qualitatively analysed according to a method described for focus-groups. Results Reasons for seeking help from traditional healers were symptoms related to diabetes such as polydipsia, fatigue and decreased sensitivity in lower limbs. Failure of effect from western medicine was also reported. Treatment was described to be unknown extracts, of locally made products taken as herbs or food, and participants had sought help from different health facilities with the help of relatives and friends. Conclusion The pattern of seeking care was inconsistent, with a switch between different health care providers under the influence of the popular and folk sectors. Despite beliefs in using different healthcare providers seeking complementary and alternative medicine, participants still experienced many physical health problems related to diabetes complications. Health professionals need to be aware of the risk of switches between different health care providers, and develop strategies to initiate health promotion interventions to include in the care actors of significance to the patient from the popular, folk and professional sectors, to maintain continuity of effective diabetes care. PMID:26090034

  10. Development of a practical tool to measure the impact of publications on the society based on focus group discussions with scientists

    PubMed Central

    2011-01-01

    Background A 'societal impact factor' that complements the scientific impact factor would contribute to a more comprehensive evaluation of scientific research. In order to develop a practical tool for its assessment, it is important to learn about perceptions of scientists on how to measure a societal impact factor. Methods This qualitative study presents the development of a practical tool to measure the societal impact of publications based on 8 focus group discussions with 24 biomedical scientists at the Medical University Vienna between May 2008 and May 2009. Topics focused on (1) features of an ideal tool, (2) criteria that should be considered in the assessment, and (3) the identification of practical pitfalls. In an iterative exercise involving the repeated application of the drafted tool to scientific papers, criteria for the assessment were refined. A small-scale exercise to evaluate the tool in terms of its comprehensibility, relevance and practicability was conducted using questionnaires for 6 external experts in leading positions of public health, and yielded acceptable results. Results The tool developed consists of three quantitative dimensions, that is (1) the aim of a publication, (2) the efforts of the authors to translate their research results, and, if translation was accomplished, (3) (a) the size of the area where translation was accomplished (regional, national or international), (b) its status (preliminary versus permanent) and (c) the target group of the translation (individuals, subgroup of population, total population). Conclusions Focus group discussions with scientists suggested that the societal impact factor of a publication should consider the effect of the publication in a wide set of non-scientific areas, but also the motivation behind the publication, and efforts by the authors to translate their findings. The proposed tool provides some valuable insights for further research and practical applications in the topic area. PMID

  11. Endurance of aloneness among Tibetan indigenous women in Western China: application of repeat focus group discussions as a tool for empowerment and for data collection.

    PubMed

    Ljunggren, Anethe; Johansson, Eva; Wang, Chunglei; Pettersson, Karen Odberg

    2009-09-01

    In this article we describe Tibetan indigenous women's perceptions and experiences of their own health and life situation in Shichuan Province, China. Fifteen focus group discussions (FGDs) and 10 interviews were conducted. Repeat FGDs were used to empower the women and as a tool to collect data. Content analysis was used to analyze the data, and three subthemes were identified: 'shouldering responsibility in family life,' "enduring reproductive hardship and ill health" and "reflecting on the future." The main theme, "experiencing aloneness," contained two dimensions: "strength for surviving under extreme living conditions" and "negative influence on women's endeavor to maintain a healthy behavior." PMID:19657819

  12. Bridging the gap between continuous sedation until death and physician-assisted death: a focus group study in nursing homes in Flanders, Belgium.

    PubMed

    Rys, Sam; Deschepper, Reginald; Mortier, Freddy; Deliens, Luc; Bilsen, Johan

    2015-06-01

    The distinction between continuous sedation until death (CSD) and physician-assisted death (PAD) has become a topic of medical ethical debate. We conducted 6 focus groups to examine how nursing home clinicians perceive this distinction. For some, the difference is clear whereas others consider CSD a form of euthanasia. Another group situates CSD between pain relief and ending life. Arguments for these perspectives refer to the following themes: intention, dosage of sedative drugs, unconsciousness, and the pace of the dying process. Generally, CSD is considered emotionally easier to deal with since it entails a gradual dying process. Nursing home clinicians have diverging perceptions of the relation between CSD and PAD; some consider CSD to be more than a purely palliative measure, that is, also as a means to hasten death. PMID:24671029

  13. Focus Group Study of Chinese International Students' Knowledge and Beliefs About HPV Vaccination, Before and After Reading an Informational Pamphlet About Gardasil(®).

    PubMed

    Gao, Haijuan; Okoror, Titilayo A; Hyner, Gerald C

    2016-10-01

    An increasing need for Human Papillomavirus (HPV) vaccines in China remains unmet in the mainland and the knowledge and intentions of Chinese youth regarding vaccination is unknown. In the fall of 2013, 44 Chinese international students (CIS) attending a university in the United States Midwest participated in 10 focus group discussions (five female and five male). Result showed that participants have limited awareness and knowledge about HPV infection and vaccination, participants erroneously believed that the causes of cervical cancer are abortion and miscarriage. Participants rely heavily on informal sources such as Chinese-based social media platforms and personal social networks for information on sexually transmitted infections. Sexual cultures and behaviors are perceived differently between CIS born in the 1990s and 1980s. Interestingly, participants' perceived stigma about HPV infection decreased with improving knowledge level during group discussions. In conclusion, HPV vaccine should be further promoted alongside sex education among CIS. PMID:26831655

  14. Leveraging Text Messaging and Mobile Technology to Support Pediatric Obesity-Related Behavior Change: A Qualitative Study Using Parent Focus Groups and Interviews

    PubMed Central

    Dryden, Eileen M; Horan, Christine M; Price, Sarah; Marshall, Richard; Hacker, Karen; Finkelstein, Jonathan A; Taveras, Elsie M

    2013-01-01

    Background Text messaging (short message service, SMS) is a widely accessible and potentially cost-effective medium for encouraging behavior change. Few studies have examined text messaging interventions to influence child health behaviors or explored parental perceptions of mobile technologies to support behavior change among children. Objective Our aim was to examine parental acceptability and preferences for text messaging to support pediatric obesity-related behavior change. Methods We conducted focus groups and follow-up interviews with parents of overweight and obese children, aged 6-12 years, seen for “well-child” care in eastern Massachusetts. A professional moderator used a semistructured discussion guide and sample text messages to catalyze group discussions. Seven participants then received 3 weeks of text messages before a follow-up one-on-one telephone interview. All focus groups and interviews were recorded and transcribed verbatim. Using a framework analysis approach, we systematically coded and analyzed group and interview data to identify salient and convergent themes. Results We reached thematic saturation after five focus groups and seven follow-up interviews with a total of 31 parents of diverse race/ethnicity and education levels. Parents were generally enthusiastic about receiving text messages to support healthy behaviors for their children and preferred them to paper or email communication because they are brief and difficult to ignore. Participants anticipated high responsiveness to messaging endorsed by their child’s doctor and indicated they would appreciate messages 2-3 times/week or more as long as content remains relevant. Suggestions for maintaining message relevance included providing specific strategies for implementation and personalizing information. Most felt the negative features of text messaging (eg, limited message size) could be overcome by providing links within messages to other media including email or websites

  15. How French physicians manage with a future change in the primary vaccination of infants against diphtheria, tetanus, pertussis and poliomyelitis? A qualitative study with focus groups

    PubMed Central

    2013-01-01

    Background As in other European countries, the French vaccination schedule changes according to epidemiological and socio-economic situations. Further changes are planned for 2013, including the withdrawal of one dose for primary vaccination against diphtheria, tetanus, polio, pertussis and Haemophilus influenzae. A partnership between the French Technical Vaccination Committee and the French Institute for Health and Medical Research designed a study to assess primary care physicians’ agreement about this modification. Methods Qualitative study with focus groups and semi-structured interviews in France. Four focus groups were conducted with physicians, supplemented by four individual interviews. Results The physicians of the survey had accepted the suggested vaccination schedule well. A few concerns had been underlined: fear of less follow-up care for infants resulting from the removal of one visit driven by the primary vaccination; fear of loss of vaccine efficacy; suspicion of the existence of financial arguments at the origin of this change; and adjustment to current vaccination schedule. Several suggestions were made: providing strong support from health authorities; developing stable and simple recommendations; providing effective tools for monitoring patient’s vaccination status. Conclusions Physicians’ opinions suggested a good acceptance of a possible change about primary vaccination against diphtheria, tetanus, polio, pertussis and Haemophilus influenzae. Physicians’ suggestions resulted from this qualitative study on a new vaccination schedule. It showed how that their involvement was feasible for preparing the implementation of a new vaccination schedule. PMID:23782853

  16. Lost in Translation: Assessing Effectiveness of Focus Group Questioning Techniques to Develop Improved Translation of Terminology Used in HIV Prevention Clinical Trials

    PubMed Central

    Mack, Natasha; Ramirez, Catalina B.; Friedland, Barbara; Nnko, Soori

    2013-01-01

    Introduction Achieving participant comprehension has proven to be one of the most difficult, practical, and ethical challenges of HIV prevention clinical trials. It becomes even more challenging when local languages do not have equivalent scientific and technical vocabularies, rendering communication of scientific concepts in translated documents extremely difficult. Even when bilingual lexicons are developed, there is no guarantee that participants understand the terminology as translated. Methods We conducted twelve focus groups with women of reproductive age in Mwanza, Tanzania to explore the effectiveness of four questioning techniques for: (1) assessing participants' familiarity with existing technical terms and concepts, (2) generating a list of acceptable technical and non-technical terms, (3) testing our definitions of technical terms, and (4) verifying participants' preferences for terms. Focus groups were transcribed, translated, and qualitatively analyzed. Results and Discussion A translation process that uses all four questioning techniques in a step-wise approach is an effective way to establish a baseline understanding of participants' familiarity with research terms, to develop and test translatable definitions, and to identify participants' preferred terminology for international HIV clinical research. This may help to ensure that important concepts are not “lost in translation.” The results emphasize the importance of using a variety of techniques depending on the level of participant familiarity with research concepts, the existence of colloquial or technical terms in the target language, and the inherent complexity of the terms. PMID:24040075

  17. Factors that facilitate or constrain the use of continuous sedation at the end of life by physicians and nurses in Belgium: results from a focus group study.

    PubMed

    Raus, Kasper; Anquinet, Livia; Rietjens, Judith; Deliens, Luc; Mortier, Freddy; Sterckx, Sigrid

    2014-04-01

    Continuous sedation at the end of life (CS) is the practice whereby a physician uses sedatives to reduce or take away a patient's consciousness until death. Although the incidence of CS is rising, as of yet little research has been conducted on how the administration of CS is experienced by medical practitioners. Existing research shows that many differences exist between medical practitioners regarding how and how often they perform CS. We conducted a focus group study to find out which factors may facilitate or constrain the use of continuous sedation by physicians and nurses. The participants often had clear ideas on what could affect the likelihood that sedation would be used. The physicians and nurses in the focus groups testified that the use of continuous sedation was facilitated in cases where a patient has a very limited life expectancy, suffers intensely, makes an explicit request and has family members who can cope with the stress that accompanies sedation. However, this 'paradigm case' was considered to occur only rarely. Furthermore, deviations from the paradigm case were said to be sometimes due to physicians initiating the discussion on CS too late or not initiating it at all for fear of inducing the patient. Deviations from the paradigm case may also occur when sedation proves to be too difficult for family members who are said to sometimes pressure the medical practitioners to increase dosages and speed up the sedation. PMID:22893573

  18. The effects and costs of the universal parent group program – all children in focus: a study protocol for a randomized wait-list controlled trial

    PubMed Central

    2013-01-01

    Background In recent decades, parents have been involved in programs that aim to improve parenting style and reduce child behavior problems. Research of preventive parenting programs has shown that these interventions generally have a positive influence on both parents and children. However, to our knowledge there is a gap in the scientific literature when it comes to randomized controlled trials of brief, manual-based structured programs which address general parenting among the population, and focus on promoting health. A four-session universal health promotion parent group program named All Children in Focus was developed. It aims at promoting parental competence and children’s positive development with the parent–child relationship as the target. There is currently no randomized controlled trial existing of the program. Methods/Design A prospective multicenter randomized wait-list controlled trial is being conducted. Approximately 600 parents with children ranging in age from 3–12 years have been recruited in eleven municipalities and city districts in the County of Stockholm, Sweden. Parents are randomized at baseline to an intervention group, which receives the program directly, or to a waiting-list control group, which participates in the program six months later. Changes in parenting and child health and development are assessed with measures immediately post-intervention and six months after the baseline. Observations of a minor group of parents and children are conducted to explore possible relations between parental reports and observed behaviors, as well as changes in the interaction between parent and child. Further, data collected within the evaluation will also be applied to evaluate the possible cost-effectiveness of the program. Discussion This paper describes a study protocol of a randomized controlled trial. Except for the quantitative outcome measures to evaluate the effectiveness of All Children in Focus, this protocol also describes

  19. The utility of focus group interviews to capture dietary consumption data in the distant past: dairy consumption in Kazakhstan villages 50 years ago.

    PubMed

    Schwerin, M; Schonfeld, S; Drozdovitch, V; Akimzhanov, K; Aldyngurov, D; Bouville, A; Land, C; Luckyanov, N; Mabuchi, K; Semenova, Y; Simon, S; Tokaeva, A; Zhumadilov, Z; Potischman, N

    2010-06-01

    From 1949 to 1962, residents of several villages in Kazakhstan received substantial doses of radiation to the thyroid gland resulting from nuclear tests conducted at the Semipalatinsk Nuclear Test Site. The primary source of radiation was internal from an intake of radioactive iodine by consumption of contaminated dairy products. A previous research study of childhood exposure and thyroid disease in this region gathered limited data on study participants' dairy intake at the time of the fallout for the purpose of estimating past radiation doses. As many participants were too young at the time of the nuclear tests to recall dietary consumption and existing sources of archival data are limited, it was necessary to interview parents and other village residents who cared for children during this time - older adults ranging in age from 75 to 90 years. Results from 11 focus group interviews conducted in 2007 with 82 women from 4 villages in Kazakhstan yielded group-level estimates of age-, gender-, ethnicity- and village-specific dairy consumption patterns in rural Kazakhstan during the 1950s. Children typically consumed cow's milk with limited consumption of mare, goat and sheep milk; and consumed dairy products such as sour milk (airan), soft cottage cheese (tvorog) and fermented mare milk (koumiss) with the greatest amounts of koumiss reported at ages 15-21 years. The consumption patterns differed by age, and between Kazakh and Russian children, which should lead to different estimates of radiation exposure to the thyroid. This study showed the utility of focus groups to obtain quantitative estimates for dietary intake in the distant past. PMID:24286002

  20. Quality of life themes in Canadian adults and street youth who are homeless or hard-to-house: A multi-site focus group study

    PubMed Central

    2012-01-01

    Background The aim of this study was to identify what is most important to the quality of life (QoL) of those who experience homelessness by directly soliciting the views of homeless and hard-to-house Canadians themselves. These individuals live within a unique social context that differs considerably from that of the general population. To understand the life areas that are most important to them, it is critical to have direct input from target populations of homeless and hard-to-house persons. Methods Focus groups were conducted with 140 individuals aged 15 to 73 years who were homeless or hard-to-house to explore the circumstances in which they were living and to capture what they find to be important and relevant domains of QoL. Participants were recruited in Toronto, Ottawa, Montreal, and Vancouver. Content analysis was used to analyze the data. Results Six major content themes emerged: Health/health care; Living conditions; Financial situation; Employment situation; Relationships; and Recreational and leisure activities. These themes were linked to broader concepts that included having choices, stability, respect, and the same rights as other members of society. Conclusions These findings not only aid our understanding of QoL in this group, but may be used to develop measures that capture QoL in this population and help programs and policies become more effective in improving the life situation for persons who are homeless and hard-to-house. Quality of life themes in Canadian adults and street youth who are homeless or hard-to-house: A multi-site focus group study. PMID:22894551