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What about N? A methodological study of sample-size reporting in focus group studies
Open accessAbstract
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 inconsistent reporting seen in these studies may also reflect the lack of clear, evidence-based guidance about deciding on sample size. More empirical research is needed to develop focus group methodology.
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“More participants may be recruited in additional focus groups and/or interviews until saturation is met in line with established recommendations for focus group thematic analysis.72”
From Novel ACT-based eHealth psychoeducational intervention for students with mental distress: A study protocol for a mixed-methodology pilot trial (2019) · cites this paper as [72]
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“…saturation’ and ‘theoretical saturation’ have been hugely influ-ential in the field of qualitative research, the authors agree with their critics [36-38] especially since the notion of ‘saturation’ contradicts the very premise of phenomenology which places value on the lived experiences of…”
Improving healthcare access for older adults with intellectual disability: What are the needs?
Navas, P., Llorente, S., García-Domínguez, L., Tassé, M. J., & Havercamp, S. M. (2019) · Journal of Applied Research in Intellectual Disabilities · doi:10.1111/jar.12639 · Cited by 21
Ares, G., Antúnez, L., Alcaire, F., Vidal, L., & Bove, I. (2021) · Public Health Nutrition · doi:10.1017/s1368980021002548 · Cited by 20
Sustainable Tourism, Social and Institutional Innovation—The Paradox of Dark Sky in Astrotourism
Escario-Sierra, F., Alonso, C. Á., Fierro, J. A. M., & Fons, M. V. S. (2022) · Sustainability · doi:10.3390/su14116419 · Cited by 20
Factors shaping Bangladeshi students’ migration decision using push–pull theory: a focus group study
Zaman, N. T., Sohel, M., Obaidullah, M., Hossen, M. S., Rahman, M. T., Sifullah, M. K., & Sarker, M. F. H. (2023) · SN Social Sciences · doi:10.1007/s43545-023-00797-2 · Cited by 22
“This state of saturation is attained through the process of iterative data collection and interpretation (Carlsen and Glenton 2011).”
Going virtual: adapting in-person interactive focus groups to the online environment
Menary, J., Stetkiewicz, S., Nair, A., Jorasch, P., Nanda, A. K., Guichaoua, A., Rufino, M. C., Fischer, A. R. H., & Davies, J. A. C. (2021) · Emerald Open Research · doi:10.1108/eor-06-2023-0008 · Cited by 20
Younas, A., Masih, Y., & Sundus, A. (2025) · Evidence-Based Nursing · doi:10.1136/ebnurs-2025-104292 · Cited by 27
Kaufman, J., Ryan, R. E., Glenton, C., Lewin, S. A., Bosch‐Capblanch, X., Cartier, Y., Cliff, J., Oyo-Ita, A. E., Ames, H., Muloliwa, A. M., et al. (2017) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2017.02.007 · Cited by 20
Self-citationFarm animal practitioners' views on their use and expectations of veterinary diagnostic laboratories
Robinson, P. A., & Epperson, W. B. (2013) · Veterinary Record · doi:10.1136/vr.101366 · Cited by 20
“University, Starkville, MS, USA E-mail for correspondence: p.a.robinson@durham.ac.uk Provenance: not commissioned; externally peer reviewed Accepted March 21, 2013 Veterinary Record | May 11, 2013 professional development (CPD) open to all veterinarians in the province.”
ResultInfluentialAly, H., Liu, Y., Anaraky, R. G., Khan, S., Namara, M., Byrne, K. A., & Knijnenburg, B. P. (2023) · Proceedings on Privacy Enhancing Technologies · doi:10.56553/popets-2024-0036 · Cited by 20
“Prior research [9, 10, 49, 55], along with saturation considerations, influenced the determination of our sample size.”
BackgroundClaessens, F., Castro, E. M., Jans, A., Jacobs, L., Seys, D., Wilder, A. V., Brouwers, J., der Auwera, C. V., Ridder, D. D., & Vanhaecht, K. (2022) · Patient Education and Counseling · doi:10.1016/j.pec.2022.07.007 · Cited by 19
Can salespersons help firms overcome brand image crisis? Role of facial appearance
Agnihotri, A., Bhattacharya, S., & Vrontis, D. (2024) · Journal of Business Research · doi:10.1016/j.jbusres.2024.114612 · Cited by 20
Perceptions of time spent on safety tasks in surgical operations: A focus group study
Høyland, S. A., Haugen, A. S., & Thomassen, Ø. (2014) · Safety Science · doi:10.1016/j.ssci.2014.05.009 · Cited by 19
Frederiksen, P., Karsten, M. M. V., Indahl, A., & Bendix, T. (2015) · Journal of Occupational Rehabilitation · doi:10.1007/s10926-015-9578-1 · Cited by 19
“3) and minimum 6–8 participants in each group [18].”
BackgroundKulkarni, B., Leighton, P. A., & King, A. J. (2019) · British Journal of Ophthalmology · doi:10.1136/bjophthalmol-2018-313401 · Cited by 19
Zevin, B., Dalgarno, N., Martin, M. C., Grady, C. M., Matusinec, J., Houlden, R. L., Birtwhistle, R., Smith, K., Morkem, R., & Barber, D. (2019) · CMAJ Open · doi:10.9778/cmajo.20190072 · Cited by 22
“Family Health Team 6 (35) 3 (38) 7 (100)”
Durosini, I., Janssens, R., Arnou, R., Veldwijk, J., Smith, M. Y., Monzani, D., Smith, I. P., Galli, G., Garassino, M. C., Katz, E. G., et al. (2021) · Frontiers in Public Health · doi:10.3389/fpubh.2021.622154 · Cited by 20
Developing sugar-sweetened beverage warning labels for young adults
Falbe, J., Montuclard, A., Engelman, A., Adler, S. S., & Roesler, A. (2021) · Public Health Nutrition · doi:10.1017/s1368980021002287 · Cited by 19
“Following pragmatic recommendations on sample size for focus groups(31), we aimed to conduct at least three focus groups per university with 8–12 participants per focus group to adequately capture the range of perspectives across sites.”
MethodMarkotić, F., Vrdoljak, D., Puljiz, M., & Puljak, L. (2017) · Journal of Pain Research · doi:10.2147/jpr.s123554 · Cited by 23
“The sixth focus group was included to reach a point of saturation.(15)”
BackgroundSundareswaran, M., Martignetti, L., & Purkey, E. (2024) · BMC Family Practice · doi:10.1186/s12875-024-02453-x · Cited by 18
“The literature is sparse regarding the ideal number of participants in a focus group which can range anywhere from 1-20 participants [23, 24].”
BackgroundExamining the Role of Demographics in Campus Crime Alerts
Pelfrey, W. V., Keener, S., & Perkins, M. L. (2016) · Race and Justice · doi:10.1177/2153368716675475 · Cited by 18
“Carlsen and Glenton (2011), in a review of health-care focus group research, found sample sizes as high as 96, although that number was standard deviations from the median of 8.”
BackgroundSemakula, D., Nsangi, A., Oxman, A. D., Glenton, C., Lewin, S. A., Rosenbaum, S., Oxman, M., Kaseje, M., Dahlgren, A., Rose, C. J., et al. (2019) · BMJ Open · doi:10.1136/bmjopen-2019-031510 · Cited by 18
Self-citationFamily perceptions and experiences of living with patients with fibromyalgia syndrome
Montesó‐Curto, P., Guillén, M.-T. C., Navarro, A. N. L., Llobet, M. P., & Toussaint, L. L. (2021) · Disability and Rehabilitation · doi:10.1080/09638288.2021.1948620 · Cited by 22
Carr, E., Babione, J., & Marshall, D. A. (2017) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2017.05.007 · Cited by 18
“Although the number of participants was less than anticipated, we observed rich and meaningful discussions which might be seen as a trade-off for the (limited) numbers [32].”
Buhagiar, M. A., Naylor, J., Simpson, G. K., Harris, I. A., & Köhler, F. (2017) · BMC Health Services Research · doi:10.1186/s12913-017-2379-9 · Cited by 18
“The quality of the information collected was assessed after each interview, with consideration of newly emerging themes [20].”
Boulton, M. G., & Beer, S. (2018) · Nursing Open · doi:10.1002/nop2.167 · Cited by 18
Herbeć, A., Tombor, I., Shahab, L., & West, R. (2018) · International Journal of Behavioral Medicine · doi:10.1007/s12529-018-9735-y · Cited by 18
Metadata
- Authors
- Carlsen, B., & Glenton, C.
- Affiliations
- SINTEF (NO)
- Corresponding author
- Carlsen, Benedicte
- ORCID
- Glenton, Claire
- Venue
- BMC Medical Research Methodology
- Published
- 2011-03-11
- Volume
- 11
- Issue
- 1
- Pages
- 26-26
- ISSN
- 1471-2288 (ISSN-L)
- PMC
- PMC3061958
- OpenAlex
- W2013335946
- Cited by
- 670
- References
- 72
- Citations by year
- 2026: 29 · 2025: 47 · 2024: 53 · 2023: 53 · 2022: 68 · 2021: 52 · 2020: 66 · 2019: 56 · 2018: 50 · 2017: 52 · 2016: 40 · 2015: 29 · 2014: 24 · 2013: 30 · 2012: 16
- FWCI
- 80.06
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMC Medical Research Methodology (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Bergen Open Research Archive (BORA) (University of Bergen) (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- NORA - Norwegian Open Research Archives (submittedVersion, cc-by)
- Funders
- Universitetet i Bergen
- Topics
- Social Sciences › Sociology and Political Science › Focus Groups and Qualitative Methods
- Social Sciences › Education › Qualitative Research Methods and Applications
- Social Sciences › Sociology and Political Science › Delphi Technique in Research
- Keywords
- focus groups, sample size reporting, data saturation, grounded theory, qualitative research methodology, reporting guidelines, health journals, methodological quality
- MeSH terms
- Humans, Research Design, Focus Groups, Sample Size, PubMed
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