The methodology of Focus Groups: the importance of interaction between research participants
Open accessAbstract
What are focus groups? How are they distinct from ordinary group discussions and what use are they anyway? This article introduces focus group methodology, explores ways of conducting such groups and examines what this technique of data collection can offer researchers in general and medical sociologists in particular. It concentrates on the one feature which inevitably distinguishes focus groups from one‐to‐one interviews or questionnaires – namely the interaction between research participants ‐ and argues for the overt exploration and exploitation of such interaction in the research process.
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- Findingown data
In several groups, attempts to address HIV risks to gay men were drowned out by a ritual outcry against homosexuality.
“In several groups any attempt to address tbe dsks HIV poses to gay men were drowned out by a ritual pedod of outcry against bomosexuality:”
Quote in the paperNot a substantial claim - Findingown data
In the authors' pre-existing groups, participants were sometimes surprised at how differently they thought about certain topics, particularly when the group otherwise seemed relatively homogeneous by gender, race, and class.
“In our 'pre-existing groups' peopie were sometimes surprised to discover bow differentiy tbey tbougbt about some tbings especially wben tbe group otberwise appeared reiativeiy bomogeneous (e.g. by gender, race, and class).”
Quote in the paperNot a substantial claim - Findingreasoning
Because participants already knew each other, friends and colleagues could relate each other's comments to actual incidents in their shared daily lives.
“Tbe fact tbat researcb participants already knew eacb otber bad tbe additional advantage tbat fdends and colleagues could relate eacb otber's comments to actual incidents in tbeir sbared daily lives.”
Quote in the paperSubstantial claim - Findingown data
Participants in pre-existing groups often challenged each other on contradictions between professed beliefs and actual behaviour.
“Tbey often cballenged eacb otber on contradictions between wbat tbey were professing to believe and bow tbey actually bebaved”
Quote in the paperSubstantial claim - Findingreasoning
Using pre-existing groups allowed the researchers sometimes to tap into fragments of interaction approximating naturally occurring data.
“By using pre-existing groups we were sometimes able to tap into fragments of interactions whicb approximated to 'naturally occurring' data (sucb as migbt bave been collected by participant observation).”
Quote in the paperSubstantial claim
- Findingown data
In one group, initial scepticism about the view that HIV was created in a laboratory was shifted by a story told by one participant, leading others to consider it more probable.
“For exampie in one group tbere was a great deai of initiai scepticism about tbe view that HIV was created in a laboratory but a story told by one of the other memijers of tbe group sbifted tbe consensus”
Quote in the paperSubstantial claim - Findingown data
There was some evidence that if people do not have or do not use different words to identify HIV and AIDS, they may have difficulty communicating the distinction to others.
“However there was some evidence to suggest tbat if people do not bave (or do not use) different words to identify HIV and AIDS tbey may bave difficulty communicating tbe distinction to otbers.”
Quote in the paperNot a substantial claim - Findingown data
If group members have different disabilities, this can compound each of their communication difficulties.
“It was also clear within the subsequent focus groups that if each person had a different disability this could compound each of their communication difficulties.”
Quote in the paperSubstantial claim - Findingown data
Some older people who might have been unable to sustain a one-to-one interview were able to take part in the group, contributing intermittently.
“On the other hand it was also true that some of the old people who might have been unable to sustain a one-to-one interview were able to take part in the group contdbuting intermittently.”
Quote in the paperSubstantial claim - Interpretationown data
Group work is characterised by teasing, joking, and the kind of acting out that goes on among peers.
“Group work is cbaractedsed by teasing, joking and tbe kind of acting out tbat goes on among peers.”
Quote in the paperNot a substantial claim - Interpretationreasoning
Group diversity compels people to explain the reasoning behind their thinking as much when they give the right answer as when they give the wrong one, unlike questionnaires and individual interviews where one can assume the right answer is given for the right reason.
“In botb questionnaires and in individuai interviews it is easy to assume tbat someone is giving tbe 'dgbt' answer for tbe dgbt reason.However, diversity witbin a group ensures tbat peopie are forced to explain tbe reasoning bebind tbeir tbinking just as mucb wben tbey give tbe 'dgbt' answer as wben tbey give tbe wrong one.”
Quote in the paperSubstantial claim - Interpretationown data
Group participants providing an audience for each other encourages a greater variety of communication than is often evident in more traditional data collection methods.
“The fact that group participants provide an audience for each otber encourages a greater vadety of conununication tbat is often evident within more traditional metbods of data collection.”
Quote in the paperSubstantial claim - Interpretationreasoning
Undisciplined outbursts in groups are not irrelevant or simply obstructive to collecting data about what people know.
“but sucb 'undisdplined' outbursts are not irrelevant or simply obstructive to tbe coilection of data about wbat people 'know'.”
Quote in the paperSubstantial claim - Interpretationcitation
The outcry provoked by mention of homosexuality and loose word-association about blackness reveal an essential element in how people think about AIDS among gay men or in Africa.
“Tbe outcry provoked by any mention of bomosexuaiity and tbe ioose word-association about 'blackness' reveai an essential element in bow people tbink about AIDS among gay men or in Afdca.”
Quote in the paperSubstantial claim - Interpretationcitation
Working with pre-existing groups is useful because they provide one of the social contexts within which ideas are formed and decisions made.
“Above all it is useful to work witb pre-existing groups because tbey provide one of tbe social contexts witbin wbicb ideas are formed and decisions made.”
Quote in the paperSubstantial claim - Interpretationreasoning
Interaction provides insight into the operation of group and social processes in the articulation of knowledge, for example through examining what information is censured or muted within the group.
“• provides insigbt into tbe operation of group/sodal processes in tbe articulation of knowiedge (e.g.tbrougb tbe examination of wbat information is censured or muted witbin tbe group)”
Quote in the paperNot a substantial claim- Rests on an assumption: People are not self-contained, isolated, static entities; they are part of complex and overlapping social, familial and collegiate networks.
- Rests on an assumption: Personal behaviour is not cut off from public discourses and actions do not happen in a cultural vacuum.
- Rests on an assumption: People learn about meanings through talking with and observing others, and act on knowledge in a social context.
- Interpretationreasoning
Interaction between focus group participants highlights respondents' attitudes, priorities, language and framework of understanding.
“• bighligbts tbe respondents' attitudes, pdodties, language and framework of understanding”
Quote in the paperSubstantial claim- Rests on an assumption: People are not self-contained, isolated, static entities; they are part of complex and overlapping social, familial and collegiate networks.
- Rests on an assumption: Personal behaviour is not cut off from public discourses and actions do not happen in a cultural vacuum.
- Rests on an assumption: People learn about meanings through talking with and observing others, and act on knowledge in a social context.
- Interpretationreasoning
Interaction helps to identify group norms.
“• helps to identify group norms.”
Quote in the paperNot a substantial claim- Rests on an assumption: People are not self-contained, isolated, static entities; they are part of complex and overlapping social, familial and collegiate networks.
- Rests on an assumption: Personal behaviour is not cut off from public discourses and actions do not happen in a cultural vacuum.
- Rests on an assumption: People learn about meanings through talking with and observing others, and act on knowledge in a social context.
- Premisecitation
Group-based intervention programs may be more effective than those targeted at individuals.
“it is clear that group-based intervention programs may be more effective than those targeted at individuals (see Basch, 1987 pp 412-3).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Basch, 1987 pp 412-3
Not checked in the free run.
- Rests on an assumption: People are not self-contained, isolated, static entities; they are part of complex and overlapping social, familial and collegiate networks.
- Rests on an assumption: Personal behaviour is not cut off from public discourses and actions do not happen in a cultural vacuum.
- Rests on an assumption: People learn about meanings through talking with and observing others, and act on knowledge in a social context.
- Interpretationreasoning
Group data documenting macho or sexually harassing behaviour is no more invalid than interview data showing relatively acceptable behaviour.
“Tbe group data documenting macbo or sexuai barassing b>ebaviour is no more 'invaiid' tban tbat sbowing tbe researcb participants' reiatively acceptabie bebaviour in interview situations.”
Quote in the paperSubstantial claim - Interpretationreasoning
Differences between interview and group data cannot be classified in terms of honesty and dishonesty or truth versus falsehood.
“But difference between interview and group data can not be classified in terms of 'bonesty' and 'disbonesty' or 'tmtb' versus 'falsebood'.”
Quote in the paperSubstantial claim - Interpretationreasoning
Interaction encourages a great variety of communication from participants, tapping into a wide range and form of understanding.
“• encourages a great vadety of communication from participants -tapping into a wide range and form of understanding”
Quote in the paperNot a substantial claim- Rests on an assumption: People are not self-contained, isolated, static entities; they are part of complex and overlapping social, familial and collegiate networks.
- Rests on an assumption: Personal behaviour is not cut off from public discourses and actions do not happen in a cultural vacuum.
- Rests on an assumption: People learn about meanings through talking with and observing others, and act on knowledge in a social context.
- Interpretationreasoning
Through detailed attention to interaction, a researcher can analyse how particular forms of speech facilitate or inhibit peer communication, clarify or confuse the issue, in ways directly relevant to improving communication.
“• analyses bow particular forms of speecb facilitate or inbibit peer communication, ciadfy or confuse tbe issue (in ways directly relevant to improving communication).”
Quote in the paperNot a substantial claim- Rests on an assumption: People are not self-contained, isolated, static entities; they are part of complex and overlapping social, familial and collegiate networks.
- Rests on an assumption: Personal behaviour is not cut off from public discourses and actions do not happen in a cultural vacuum.
- Rests on an assumption: People learn about meanings through talking with and observing others, and act on knowledge in a social context.
- Classified as probably not a substantial claim. 18
- May combine two claims. 40
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
FindingreasoningThe card game encourages everyone to talk as each participant reads out a statement in turn, and the material existence of the cards seemed to embolden some people.
“Tbe card game also encourages everyone to talk as eacb participant reads out a statement in tum and tbe matedal existence of tbe cards seemed to embolden some people.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataIn a review of over 40 published reports of focus group studies, none concentrated on conversation between participants and very few included quotations from more than one participant at a time.
“Reviewing over 40 publisbed reports of 'focus group studies' I could not find a single one concentrating on tbe conversation between participants and very few tbat even included any quotations from more tban one participant at a time.”
Quote in the paperSubstantial claimMay combine two claims.
FindingreasoningParticipants in any single focus group are never completely homogeneous, and differences among individuals are important and seldom vanish.
“Regardless of bow tbey are seiected, tbe researcb participants in any one group are never entireiy bomogenous.”
Quote in the paperSubstantial claimMay combine two claims.
FindingreasoningSuch unexpected disagreement prompted participants to explain their reasoning, often pointing to personal experiences that had changed their opinions or specific events that made them reconsider their views.
“Sucb unexpected dissent led tbem to ciadfy wby tbey tbougbt as tbey did, often identifying aspects of tbeir personal expedence wbicb bad altered tbeir opinions or specific occasions wbicb bad made tbem re-tbink tbeir point of view.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Findingown dataDuring the AIDS project, group participants argued, boasted, made faces, told stories, and on one occasion sang songs.
“Dudng tbe course of tbe AIDS project group participants argued, boasted, made faces at each otber, told stodes and on one occasion, sang songs.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataIn the authors' general population groups, tales about the vengeful AIDS carrier were not often used to advise people to take precautions during sex with anyone; instead they served to justify identifying and isolating AIDS carriers.
“If sucb stodes do serve sucb functions it is certainly not all tbey do: in our 'general population' groups sucb tales were not often used to advise people to take precautions dudng sex witb anyone -instead tbey were used to justify identifying and isolating 'AIDS carders'.”
Quote in the paperSubstantial claimMay combine two claims.
Findingnone givenSeeing a card placed under the wrong category makes a dissenting individual twitch and often move the card before articulating dissent.
“Seeing tbe card pbysically placed under tbe 'wrong' category makes tbe dissenting individual twitcb -often tbey bave reacbed out and moved tbe card even before tbey bave been able to articulate tbeir dissent.”
Quote in the paperNot a substantial claimMay combine two claims.
FindingreasoningThe card exercises provided invaluable data from each group and allowed cross-comparisons between groups.
“Sucb exercises not only provided invaluable data from eacb group but allow for some cross-compadsons between groups.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Findingown dataBrainstorming and loose word association were frequent features of the research sessions.
“Brainstorming and loose word association was a frequent feature of tbe researcb sessions.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingnone givenWhen group dynamics worked well, co-participants acted as coresearchers, taking the research in new and unexpected directions and engaging in both complementary and argumentative interaction.
“Wben group dynamics worked well tbe co-participants acted as coresearcbers taking tbe researcb into new and often unexpected directions and engaging in interaction wbicb were botb complementary (sucb as sbadng common expedences) and argimientative (questioning, cballenging, and disagreeing witb eacb otber).”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Findingnone givenAt the very least, the exercises served as a party game, warming up participants and encouraging them to engage with one another.
“At tbe very least sucb exercises served as a 'party game': 'warming up' partidpants and encouraging tbem to engage witb one anotber.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Findingnone givenSome people do not like party games, and at worst such games could make people uncomfortable and remind some participants of school lessons.
“Unfortunately some peopie, of course, do not like party games and at worst sucb games could make people feel uncomfortable and reminded some researcb participants of school lessons!”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataThe theory that people whose vocabulary lacks the term HIV may be unable to comprehend the distinction between symptom-free HIV antibody positive status and an AIDS diagnosis was not supported; data from the AIDS Media Research Project show people could understand the distinction without accurate medical language, and vice versa.
“Tbis did not prove to be tbe case.Data from tbe AIDS Media Researcb Project sbow tbat peopie couid understand tbe distinction witbout possessing tbe accurate medicai language (and vice versa).”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing), S4 (based).
Findingnone givenGroup work can discriminate against people with communication disabilities.
“Group work can, however, discdminate against people with communication disabilities.”
Quote in the paperNot a substantial claimClassified as probably not a substantial claim.
Findingown dataIn a debate between two school students, lack of linguistic specificity, using terms like carrying it and having it, confused the discussion and side-tracked it via an inappropriate metaphor.
“Tbe debate quickly became confused by tbe lack of linguistic specificity.Botb boys resort to terms sucb as 'carrying it' and 'baving it' and tbe discussion became bopelessly side-tracked by an inappropdate metapbor.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataThis interaction was typical of many turning points in the groups; people commonly appeared to change their minds in response to personal evidence from anecdotes or perceived professional behaviour rather than leaflets or advertisements, and a clear hierarchy of credibility operated among different types of sources.
“Tbis interaction was typicai of many of tbe 'turning points' in tbe groups.People commonly appeared to cbange tbeir minds in responded to 'personal' evidence based on anecdotes or tbe perceived bebaviour of professionals ratber tban information from leaflets or advertisements and tbere was a clear 'bierarcby of credibility' in operation between different types of sources”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing), S4 (based). May combine two claims.
Interpretationnone givenThe final layout of the cards is not important; the process of getting there is revealing.
“Tbe final layout of tbe cards is not important -it is tbe process of getting tbere wbicb is revealing.”
Quote in the paperNot a substantial claimMay combine two claims.
Interpretationown dataThe enthusiasm with which some people acted out the look of an AIDS carrier demonstrates the voyeuristic fascination of the Face of AIDS and how some media images are reproduced and reinforced through social interaction.
“On tbe contrary, tbe enthusiasm witb wbicb some peopie acted out 'tbe iook of an AIDS carder' vividly demonstrates the voyeudstic fascination of 'the Face of AIDS' and tbe way in wbicb some media images are reproduced, reinforced and reiterated tbrougb sociai interaction.”
Quote in the paperSubstantial claimMay combine two claims.
InterpretationreasoningFocus groups allow differences of opinion to be explored in situ with participants' help, whereas interview data might have led to armchair theorizing about the causes of such differences.
“Had tbe data been collected by interviews tbe researcber migbt bave been faced witb 'armcbair' tbeodsing about tbe causes of sucb difference but in a focus group tbese can be explored 'in situ' witb tbe belp of tbe researcb participants.”
Quote in the paperSubstantial claimMay combine two claims.
InterpretationreasoningFocus groups are artificially set up situations, although they may at times approximate participant observation.
“It is important to note tbat althougb, at times, the focus groups may approximate to participant observation tbe focus groups are artifidally set up situations.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
InterpretationreasoningOnce a participant has moved a card, the onus is on them to explain their reasoning.
“Once baving done so tbe onus is upon tbem to explain tbeir reasoning.”
Quote in the paperNot a substantial claimClassified as probably not a substantial claim.
PremisecitationFocus groups are distinguished from the broader category of group interviews by the explicit use of group interaction as research data.
“Cmdally, focus groups are distinguisbed from tbe broader category of group interviews by 'tbe explicit use of tbe group interaction' as researcb data (see Merton 1956 and Morgan 1988: 12).”
Quote in the paperSubstantial claim0 of 2 sources checked- cites Merton 1956
Not checked in the free run.
- cites Morgan 1988
Not checked in the free run.
May combine two claims.
Interpretationown dataThe relish with which people swapped information about saliva needed to pose infection risk highlights the potency of the yuk factor in recall and suggests potential for harnessing peer communication.
“Tbe reiisb witb wbicb people swapped information about tbe vast quantities of saiiva needed to pose any dsk of infection bigbligbts tbe potency of tbe 'yuk' factor in beiping tbem to recaii certain 'facts' about AIDS and suggest tbe potential of bamessing peer communication.”
Quote in the paperSubstantial claimMay combine two claims.
Premisenone givenWhen group work is explicitly included in research, it is often used merely to illustrate a theory generated by other methods or as a cost-effective way to interview several people at once.
“Even wben group work is explicitly included as part of tbe researcb it is often simply employed as a convenient way to illustrate a tbeory generated by otber metbods or as a cost-effective tecbnique for interviewing several people at once.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
InterpretationcitationNatural clusterings at work, social events or in the home, along with mass media, provide part of the scripting for people's response to AIDS in Britain.
“In tbe same way such 'natural clusterings' at work, social events or in tbe bome (along with tbe mass media) provide part of tbe 'scdpting' for people's response to AIDS in Bdtain.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Khan and Manderson 1992
Not checked in the free run.
May combine two claims.
InterpretationreasoningListening to discussions between participants gives the researcher time to acclimatise to participants' preferred words and prevents premature closing off of meaning.
“In fact, listening to discussions between partidpants gives tbe researcber time to acclimatise to, for example, tbeir preferred words for speaking ab)out sex and prevents tbe researcber from prematurely closing off tbe generation of meaning in ber own searcb for cladfication.”
Quote in the paperSubstantial claimMay combine two claims.
InterpretationreasoningDifferences among participants enable observation of how people theorize their own viewpoints in relation to other perspectives and how they put their ideas to work, and this process clarifies what people are saying.
“Tbe difference between partidpants also allows one to observe not only how peopie tbeodse tbeir own point of view but how tbey do so in reiation to otber perspectives and bow tbey put tbeir own ideas 'to work'.Tbis process in itseif cladfies wbat peopie are saying.”
Quote in the paperSubstantial claim- Rests on an assumption: People are not self-contained, isolated, static entities; they are part of complex and overlapping social, familial and collegiate networks.
- Rests on an assumption: Personal behaviour is not cut off from public discourses and actions do not happen in a cultural vacuum.
- Rests on an assumption: People learn about meanings through talking with and observing others, and act on knowledge in a social context.
May combine two claims.
PremisecitationGroup work is suited to grounded theory development, focusing on generation rather than testing of theory and exploring participants' categories.
“Group work is invaluable for 'grounded tbeory development -focusing on tbe generation ratber tban tbe testing of tbeory and explodng tbe categories wbicb the participants use to order tbeir expedence (Glaszer and Strauss 1967).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Glaszer and Strauss 1967
Not checked in the free run.
May combine two claims.
PremisecitationGroup work has not been systematically developed as a research technique within social science, and group interviews are rarely acknowledged as part of the research process.
“However, group work has not been systematically developed as a researcb tecbnique witbin social science in general and altbougb group interviews bave often implicitly informed researcb tbey are rarely acknowledged as part of tbe process (see Frey and Fontana 1991: 177).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Frey and Fontana 1991
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based). May combine two claims.
Premisenone givenMany focus group studies rely on no more than 4 or 5 groups, which may be adequate when working with particular populations.
“Many 'focus group studies' rely on no more tban 4 or 5 groups, and tbis may be a perfectly adequate number wben working witb particular populations.”
Quote in the paperNot a substantial claimMay combine two claims.
InterpretationcitationEach discussion session has its own dynamic and direction, so a common external reference point such as the card game or vignettes is useful for analysis.
“Eacb discussion session bas its own dynamic and direction -wben it comes to analysis it is extremely useful to bave a common extemal reference point sucb as tbat provided by tbe card game or tbe use of vignettes (Kban and Manderson 1992).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Khan and Manderson 1992
Not checked in the free run.
Classified as probably not a substantial claim.
PremisereasoningFocus groups are distinguished from one-to-one interviews and questionnaires by the interaction between research participants.
“It concentrates on tbe one feature wbicb inevitably distinguisbes focus groups from one-to-one interviews or questionnaires -namely the interaction between research participants”
Quote in the paperSubstantial claimMay combine two claims.
PremisecitationFlatmates, colleagues, family and friends are the people with whom one might naturally discuss topics such as AIDS, and these relationships are major sites of collective remembering.
“Flatmates, colleagues, family and fdends -tbese are precisely tbe people witb wbom one migbt 'naturally' discuss sucb topics, at least in passing, and tbese are major sites of 'collective remembedng' (see Middleton and Edwards 1990).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Middleton and Edwards 1990
Not checked in the free run.
May combine two claims.
PremisecitationSome researchers have noted that heterosexual men are more likely to express macho attitudes with a male researcher or to sexually harass a female researcher in group settings than in individual interviews.
“Compadng tbe effects of different metbodologies wben talking to beterosextiai men about sex, for exampie, some researcbers have noted tbat tbese researcb participants are more iikeiy to express macbo attitudes (witb a maie researcber) or to sexually barass (a femaie researcber) in group settings tban in individuai interviews (Wigbt in press; Green et ai. in press).”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites Wigbt in press
Not checked in the free run.
- cites Green et ai. in press
Not checked in the free run.
Classified as probably not a substantial claim. May combine two claims.
Interpretationown dataSuch interactions help researchers identify the precise influence of particular words or phrases and are invaluable when designing or improving health education or other intervention strategies.
“Sucb interactions beip researcbers to identify tbe precise influence of particuiar words or pbrases and are invaluable wben attempting to design or improve bealtb education or otber intervention strategies.”
Quote in the paperSubstantial claimMay combine two claims.
InterpretationreasoningThrough detailed attention to interaction between group members, a researcher can explore difference between participants in situ and, because participants reflect upon each other's ideas, ensure that the data is organic and interconnected.
“• expiore difference between group participants in situ witb tbem and, because, participants reflect upon each otbers ideas, ensure tbat tbe data is organic/interconnected.”
Quote in the paperSubstantial claim- Rests on an assumption: People are not self-contained, isolated, static entities; they are part of complex and overlapping social, familial and collegiate networks.
- Rests on an assumption: Personal behaviour is not cut off from public discourses and actions do not happen in a cultural vacuum.
- Rests on an assumption: People learn about meanings through talking with and observing others, and act on knowledge in a social context.
May combine two claims.
InterpretationcitationDifferent types of discourses may be expressed in the private and public arena, or with peers versus with an interviewer.
“Instead of disregarding data from group settings we need to acknowledge tbe different types of discourses tbat may be expressed in tbe 'pdvate' and 'pubiic' arena, or witb peers versus with an interviewer.”
Quote in the paperSubstantial claim- Rests on an assumption: People are not self-contained, isolated, static entities; they are part of complex and overlapping social, familial and collegiate networks.
- Rests on an assumption: Personal behaviour is not cut off from public discourses and actions do not happen in a cultural vacuum.
- Rests on an assumption: People learn about meanings through talking with and observing others, and act on knowledge in a social context.
May combine two claims.
InterpretationcitationFocus groups are perfect for filling in the gaps exposed by KAP surveys and are ideal for inductive approaches aimed at generating concepts and hypotheses, which may have more potential for health education research, theory and practice than the dominant deductive models.
“As sucb focus groups are perfect for 'fiiiing in tbe gaps' so often exposed by KAP surveys and are ideai for inductive approacbes aimed at generating concepts and bypotbeses wbicb, as Muiien and Reynoids point out, may bave far more potentiai for beaitb education researcb, tbeory and practice tban tbe dominant deductive modeis (Muiien and Reynolds cited in Bascb 1987:435).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Muiien and Reynolds cited in Bascb 1987:435
Not checked in the free run.
- Rests on an assumption: People are not self-contained, isolated, static entities; they are part of complex and overlapping social, familial and collegiate networks.
- Rests on an assumption: Personal behaviour is not cut off from public discourses and actions do not happen in a cultural vacuum.
- Rests on an assumption: People learn about meanings through talking with and observing others, and act on knowledge in a social context.
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationFocus groups are particularly suited to the study of attitudes and cognition, whereas participant observation may be more appropriate for studies of social roles and formal organisations.
“I agree with Morgan, however, when he suggests that focus group are particularly suited to the study of attitudes and cognition whereas participant observation may be more appropriate for studies of social roles and formal organisations (Morgan 1988, 17).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Morgan 1988, 17
Not checked in the free run.
Probably not a substantial claim: may not pass S2 (checkable).
InterpretationreasoningWhen researchers want to explore people's understandings or influence them, it makes sense to employ methods that actively encourage examination of social processes in action.
“Wben researcbers want to explore people's understandings, or to influence tbem, it makes sense to employ metbods wbicb actively encourage tbe examination of tbese social processes in action.”
Quote in the paperNot a substantial claim- Rests on an assumption: People are not self-contained, isolated, static entities; they are part of complex and overlapping social, familial and collegiate networks.
- Rests on an assumption: Personal behaviour is not cut off from public discourses and actions do not happen in a cultural vacuum.
- Rests on an assumption: People learn about meanings through talking with and observing others, and act on knowledge in a social context.
Classified as probably not a substantial claim. May combine two claims.
PremisecitationUncovering people's own models of rationality and understanding their perspective is integral to achieving empowerment in health education, and focus group interviews are an appropriate method for understanding and developing sensitivity toward those served.
“Uncovedng people's own 'models of rationality' and understanding their perspective 'is integral to achieve a key goal of health education -empowerment -and focus group interviews are an appropdate method for understanding and developing sensitivity toward those we serve' (Basch 1987, 436).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Basch 1987, 436
Not checked in the free run.
- Rests on an assumption: People are not self-contained, isolated, static entities; they are part of complex and overlapping social, familial and collegiate networks.
- Rests on an assumption: Personal behaviour is not cut off from public discourses and actions do not happen in a cultural vacuum.
- Rests on an assumption: People learn about meanings through talking with and observing others, and act on knowledge in a social context.
May combine two claims.
Study design and conductcitationCompletion of questionnaires helped maximise subsequent debate and encouraged research participants to express their own point of view, because writing things down reinforces a person's commitment to contributing them to the group, even in the face of apparent disapproval.
“Completion of questionnaires also helped to maximise subsequent debate and to encourage research participants to express their own point of view because, as other authors have noted, 'the process of writing things down reinforces a person's commitment to contributing them to the group, even in the face of apparent disapproval' (Morgan 1988, 58, Greenbaum 1987).”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites Morgan 1988, 58
Not checked in the free run.
- cites Greenbaum 1987
Not checked in the free run.
May combine two claims.
Interpretationnone givenInteraction can encourage open conversation about embarrassing subjects and facilitate expression of ideas and experiences that might be left underdeveloped in an interview.
“• Can encourage open conversation about embarrassing subjects and faciiitate tbe expression of ideas and expedences tbat migbt be ieft underdeveloped in an interview”
Quote in the paperNot a substantial claim- Rests on an assumption: People are not self-contained, isolated, static entities; they are part of complex and overlapping social, familial and collegiate networks.
- Rests on an assumption: Personal behaviour is not cut off from public discourses and actions do not happen in a cultural vacuum.
- Rests on an assumption: People learn about meanings through talking with and observing others, and act on knowledge in a social context.
Probably not a substantial claim: may not pass S4 (based). May combine two claims.
InterpretationreasoningThrough detailed attention to interaction, a researcher can explore the arguments people use against each other, identify factors that influence individuals to change their minds, and document how facts and stories operate in practice-what ideological work they do.
“• expiore tbe arguments peopie use against eacb otber, identify tbe factors wbicb influence individuais to cbange tbeir minds and document bow facts and stodes operate in practice -wbat ideological work tbey do.”
Quote in the paperNot a substantial claim- Rests on an assumption: People are not self-contained, isolated, static entities; they are part of complex and overlapping social, familial and collegiate networks.
- Rests on an assumption: Personal behaviour is not cut off from public discourses and actions do not happen in a cultural vacuum.
- Rests on an assumption: People learn about meanings through talking with and observing others, and act on knowledge in a social context.
May combine two claims.
Interpretationnone givenFocus groups do not easily tap into individual biographies or the minutiae of decision making during intimate moments, but they do examine how knowledge and, more importantly, ideas develop and operate within a given cultural context.
“Focus groups do not easiiy tap into individuai biograpbies or tbe minutia of decision making dudng intimate moments, but tbey do examine bow knowiedge and, more importantly, ideas botb develop, and operate, witbin a given cultural context.”
Quote in the paperSubstantial claim- Rests on an assumption: People are not self-contained, isolated, static entities; they are part of complex and overlapping social, familial and collegiate networks.
- Rests on an assumption: Personal behaviour is not cut off from public discourses and actions do not happen in a cultural vacuum.
- Rests on an assumption: People learn about meanings through talking with and observing others, and act on knowledge in a social context.
May combine two claims.
PremisecitationThe article is based on the premise that all talk through which people generate meaning is contextual, and that contexts will inevitably somewhat colour the meaning.
“instead it is based on tbe premise tbat 'all talk tbrougb whicb people generate meaning is contextual, and tbat tbe contexts will inevitably somewbat colour tbe meaning' (Dablgren 1988:292).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Dablgren 1988:292
Not checked in the free run.
May combine two claims.
InterpretationreasoningParticular groups facilitate the articulation of particular kinds of perspectives, and this context can be consciously addressed.
“Tbe fact tbat particular groups faciiitate tbe articuiation of particuiar kinds of perspectives can tben be consdousiy addressed and tbe importance of tbat context can be considered.”
Quote in the paperSubstantial claim- Rests on an assumption: People are not self-contained, isolated, static entities; they are part of complex and overlapping social, familial and collegiate networks.
- Rests on an assumption: Personal behaviour is not cut off from public discourses and actions do not happen in a cultural vacuum.
- Rests on an assumption: People learn about meanings through talking with and observing others, and act on knowledge in a social context.
The paper relies on this without support.
The group exercises used in the project elicit valid data about participants' understandings rather than merely serving as games.
“Sucb exercises not only provided invaluable data from eacb group but allow for some cross-compadsons between groups.”
The paper relies on this without support.
People are not self-contained, isolated, static entities; they are part of complex and overlapping social, familial and collegiate networks.
“We are none of us seif-contained, isolated, static entities; we are part of complex and overiapping sociai, famiiiai and collegiate networks.”
The paper relies on this without support.
Personal behaviour is not cut off from public discourses and actions do not happen in a cultural vacuum.
“Our personal isebaviour is not cut off from public discourses and our actions do not bappen in a cultural vacuum wbetber tbat is negotiating safer sex, sbadng needles, attending for a smear test or going 'queer basbing'.”
The paper relies on this without support.
People learn about meanings through talking with and observing others, and act on knowledge in a social context.
“We ieam about tbe 'meaning' of AIDS, (or sex, or beaitb or food or cigarettes) tbrougb taiking witb and observing otber peopie, tbrougb conversations at bome or at work; and we act (or faii to act) on tbat knowledge in a social context.”
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
FGDs provide effective means of eliciting and sharing information especially on sensitive topics, and evidence suggests they work particularly well with women.
“They provide effective means of eliciting and sharing information especially on sensitive topics, and evidence suggests they work particularly well with women [42].”
From Pregnant migrant and refugee women’s perceptions of mental illness on the Thai-Myanmar border: a qualitative study (2015) · cites this paper as [42]
Groups were deliberately made up of people who knew one another because naturally occurring groups are accepted as best for discussing sensitive topics.
“The groups were deliberately designed to contain participants who were known to one another because it is accepted that the formation of naturally occurring groups is generally best to facilitate discussion on sensitive topics.17,18”
From Experiences of suicide bereavement: A qualitative study exploring the role of the GP (2016) · cites this paper as [18]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Reported average group size does not match the totals
MinorThe stated 351 participants across 52 discussions gives 6.75 participants per discussion, which rounds to 7 rather than the reported average of 6.
Reported 6 · recomputed 6.75
“We conducted a total of 52 different discussions, compdsing 351 par-tidpants.Tbe bulk of tbese sessions were conducted by tbe autbor, otbers were mn by colleagues on tbe project: Peter Bebarrell, David Miller and Kevin Williams.Eacb group consisted of, on average, 6 researcb participants”
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- Authors
- Kitzinger, J.
- Affiliations
- University of Glasgow (GB)
- Corresponding author
- Kitzinger, Jenny
- ORCID
- Kitzinger, Jenny
- Venue
- Sociology of Health & Illness
- Publisher
- Wiley
- Published
- 1994-01
- Volume
- 16
- Issue
- 1
- Pages
- 103-121
- ISSN
- 0141-9889 (ISSN-L)
- 1467-9566
- OpenAlex
- W2159172402
- Cited by
- 3,870
- References
- 43
- Citations by year
- 2026: 116 · 2025: 135 · 2024: 151 · 2023: 171 · 2022: 164 · 2021: 183 · 2020: 223 · 2019: 225 · 2018: 211 · 2017: 186 · 2016: 180 · 2015: 192 · 2014: 226 · 2013: 197 · 2012: 193
- FWCI
- 63.15
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Sociology of Health & Illness (publishedVersion)
- ORCA Online Research @Cardiff (Cardiff University) (submittedVersion)
- Topics
- Social Sciences › Sociology and Political Science › Focus Groups and Qualitative Methods
- Social Sciences › Sociology and Political Science › Qualitative Research Methods and Ethics
- Social Sciences › Education › Qualitative Research Methods and Applications
- Keywords
- focus groups, group interaction, qualitative data collection, medical sociology, group discussion, participant interaction, research methodology
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Claims read by deepseek-v4.1-flash under definition version 3 (extract-v3) on 2026-10-07.
Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-10-07.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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