Deductive Qualitative Analysis Research Articles

Instagram Social Media Communication in Pandemic Times: A Deductive Qualitative Analysis of a Portuguese Digital Influencer’s Profile

Instagram Social Media Communication in Pandemic Times: A Deductive Qualitative Analysis of a Portuguese Digital Influencer’s Profile

Identifying priority double-duty actions to tackle the double burden of malnutrition in infants and young children in Peru: Assessment and prioritisation of government actions by national experts.

Multiple forms of malnutrition coexist in infants and young children (IYC) in Peru. The World Health Organization has proposed double-duty actions (DDAs) to simultaneously address undernutrition and overweight/obesity. We assessed current implementation of- and priority for- government-level actions to tackle multiple forms of malnutrition in IYC in Peru. Mapping of current policy activity was undertaken against 47 indicators of good practice for five DDAs (exclusive breastfeeding, complementary feeding, food marketing, maternal nutrition, preschool nutrition; assessed by 27 indicators) and for the enabling policy environment, i.e., 'infrastructure support' (health in all policies, platforms for interactions, financing, monitoring, governance, leadership; assessed by 20 indicators). Interviews with 16 national experts explored views on the level of and barriers to implementation of DDAs and infrastructure support, as well as their prioritisation based on likely impact and feasibility. The level of implementation of actions was categorised into two groups (agenda setting/formulation vs. implementation/evaluation). Mean scores were generated for prioritisation of DDAs and infrastructure support. Deductive qualitative analysis was undertaken to identify barriers that influence policy implementation. Only 5/27 DDA indicators were reported as fully implemented by all national experts (international code that regulates the marketing of breastmilk substitutes, iron supplementation for IYC, micronutrient powders in IYC, iron/folic acid supplementation in pregnant women, paid maternity leave). Only 1/20 infrastructure support indicator (access to nutrition information) was rated as fully implemented by all experts. Barriers to implementing DDAs and infrastructure support included: legal feasibility or lack of regulations, inadequate monitoring/evaluation to ensure enforcement, commercial influences on policymakers, insufficient resources, shifting public health priorities with the COVID-19 pandemic and political instability. The experts prioritised 12 indicators across all five DDAs and eight infrastructure support indicators. Experts highlighted the need to improve implementation of all DDAs and identified ways to strengthen the enabling policy environment.

“I may have benefited more than anyone else”: Responses to Staller’s (2024) Write-Up of Jane Gilgun’s Career Interviews

This commentary is a response to an invitation the editorial board of Qualitative Social Work extended to me to comment on an article that reports on my career interview as a qualitative social work researcher. The article appears in the present issue of the journal (Staller, 2024). The editors and I agree that Karen Staller did an exemplary job of interpreting the transcripts on which the article is based but that the transcripts were incomplete. In my enthusiasm for what I did say, I left things out. In this article, I added to the material that Karen had access to, such as laying out the principles of pragmatism that underlie qualitative social work research and practice and how I coped with the effects of hearing stories about violence and gained from it. I also added to the theory of violence that Karen wrote about and to her descriptions of my relationships with other feminists. I gave a brief account of deductive qualitative analysis that I did not mention at all in the interviews. I realize more than ever that there are differences between interviews, which are spontaneous utterances, and articles, that authors write over time, reflect upon, and revise countless times. Then editors have a go at them.

Blending Behavioural Theory and Narrative Analysis to Explore the Lived Experience of Obesity and Assess Potential Engagement in a UK Weight Management Service: Theory and Narrative Approaches in Weight Management.

Current treatments for people with obesity emphasise the need for person-centred approaches that consider complex biopsychosocial factors and value the lived experience of people when attempting to lose weight. Narrative interviews (n = 20) were conducted with people living with obesity to explore the causes of their weight gain and their expectations and engagement with treatment at a Weight Management Clinic. A mixed inductive and deductive qualitative analysis identified utterances that represented psychological constructs used to understand self-appraisal and health behaviour. A narrative analysis was used to situate these findings in the context of a participant's life story. Locus of control was a dominant construct evidenced through a person's attributional style and self-efficacy. Transcripts represented a heightened sense of self-understanding and shifts in control, and styles of attribution and efficacy resulted in either stasis or self-actualisation. The Stages of Change model could be applied to narratives to ascertain a patient's motivation to access treatment. Importantly, narrative interviews also allowed for the consideration of how a person's systemic context influenced their weight. Narrative interaction supports both self- and shared understandings of the causes and consequences of obesity for individuals, in a non-blaming or shaming manner. It provides an opportunity to enhance engagement through tailored, person-centred treatments.

Co-design of a paediatric oncology medicines database (ProCure) to support complex care provision for children with a hard-to-treat cancer.

Paediatric oncologists often encounter challenges when seeking compassionate access to off-label therapies for their patients. This study employed implementation science and co-design techniques to develop the ProCure medicines database, with the goal of streamlining the application process and addressing identified barriers in paediatric oncology. This study utilised an exploratory qualitative research design. Seventeen healthcare providers, including oncologists, nurse consultants, and allied health professionals, participated in semi-structured interviews guided by the Consolidated Framework for Implementation Research (CFIR) and a visual process map aid. Deductive qualitative data analysis, according to the CFIR constructs, identified key barriers and facilitators. Collaborative design sessions engaged multidisciplinary teams to develop the ProCure beta version. Barriers to off-label therapy access included resource-intensive applications, time sensitive decision-making, and complex pharmaceutical information. Facilitators included Drug Access Navigators, Molecular Tumour Boards, and a multi-disciplinary approach. ProCure addressed end-user needs by centralising medicines information. Additional features suggested by healthcare providers included blood-brain-barrier penetrability data and successful application examples. ProCure represents a promising solution to the challenges paediatric oncologists face in accessing off-label therapies. By centralising information, it simplifies the application process, aids decision-making, and promotes a collaborative approach to patient care. The potential of the database to stream and enhance off-label therapy access underscores its relevance in improving paediatric oncology practise. Further research and implementation efforts are warranted to assess ProCure's real-world impact and refine its features based on user feedback.

Generation Z's Health Information Avoidance Behavior: Insights From Focus Group Discussions.

Younger generations actively use social media to access health information. However, research shows that they also avoid obtaining health information online at times when confronted with uncertainty. This study aims to examine the phenomenon of health information avoidance among Generation Z, a representative cohort of active web users in this era. Drawing on the planned risk information avoidance model, we adopted a qualitative approach to explore the factors related to information avoidance within the context of health and risk communication. The researchers recruited 38 participants aged 16 to 25 years for the focus group discussion sessions. In this study, we sought to perform a deductive qualitative analysis of the focus group interview content with open, focused, and theoretical coding. Our findings support several key components of the planned risk information avoidance model while highlighting the underlying influence of cognition on emotions. Specifically, socioculturally, group identity and social norms among peers lead some to avoid health information. Cognitively, mixed levels of risk perception, conflicting values, information overload, and low credibility of information sources elicited their information avoidance behaviors. Affectively, negative emotions such as anxiety, frustration, and the desire to stay positive contributed to avoidance. This study has implications for understanding young users' information avoidance behaviors in both academia and practice.

EmpRess: an eHealth implementation readiness checklist for dementia developed through an interview study of stakeholder needs

Objective This study aimed to create a tool to assess eHealth interventions for dementia by adapting an existing implementation readiness (ImpRess) checklist that assessed manualised interventions. Methods In Part 1, online semi-structured interviews with individual stakeholders (N = 9) with expertise in eHealth and dementia were conducted (response rate 83%). The Nonadoption, Abandonment, and challenges to the Scale-Up, Spread, and Sustainability of Health and care technologies (NASSS) framework was applied, both to guide the construction of the interview guide, as well as to use its subdomains as codes in the deductive qualitative thematic analysis. Respondents were industry professionals (n = 3), researchers (n = 3), policy officers (n = 2), and a clinician (n = 1). In Part 2, the items of the original ImpRess checklist were supplemented by items that covered determinants discussed in the interviews, that were not included in the original checklist. Results The main findings from the interviews included: Participants’ preference for a non-dementia-specific, more general approach to the checklist; the importance of searching for shared values with implementers; and the need for more systematic monitoring of implementation. Conclusions The EmpRess checklist applies an inclusive design approach. The checklist will help evaluate the implementation determinants of eHealth interventions for dementia and provide up-to-date information on what is, and is not, working in eHealth for dementia care.

Deductive Qualitative Analysis: Evaluating, Expanding, and Refining Theory

Although qualitative research is often equated with inductive analysis, researchers may also use deductive qualitative approaches for certain types of research questions and purposes. Deductive qualitative research allows researchers to use existing theory to examine meanings, processes, and narratives of interpersonal and intrapersonal phenomena. Deductive qualitative analysis (DQA; Gilgun, 2005, 2019) is one form of deductive qualitative research that is suited to theory application, testing, and refinement. Within DQA, researchers combine deductive and inductive analysis to examine supporting, contradicting, refining, and expanding evidence for the theory or conceptual model being examined, resulting in a theory that better fits the present sample and accounts for increased diversity in the phenomenon being studied. This paper acts as a primer on DQA and presents two worked examples of DQA studies. Our discussion focuses on the five primary components of DQA: selecting a research question and guiding theory, operationalizing theory, collecting a purposive sample, coding and analyzing data, and theorizing. We highlight different ways of operationalizing theory as sensitizing constructs or as working hypotheses and discuss common pitfalls in theory operationalization. We divide the coding and analyzing process into two sections for parsimony: early analysis, focused on familiarity with the data, code generation, and identification of negative cases, and middle analysis, focused on developing a thorough understanding of evidence related to the guiding theory and negative cases that depart from the guiding theory. Theorizing occurs throughout as researchers consider ways in which the theory being examined is supported, refuted, refined, or expanded. We also discuss strengths and limitations of DQA and potential difficulties researchers may experience when utilizing this methodology.

Increasing Urban African American Women's Readiness for Pre-exposure Prophylaxis: A Pilot Study of the Women Prepping for PrEp Plus Program (WP3+)

BackgroundAfrican American women are disproportionately at risk for HIV infection. To increase women's readiness to consider taking pre-exposure prophylaxis (PrEP), we conducted a pilot study of Women Prepping for PrEP Plus (WP3+). Adapted from an evidence-based HIV risk reduction intervention for African American couples who are HIV-serodiscordant, WP3+ is a group-based culturally congruent program designed for African American women without HIV. MethodsWomen were screened for eligibility; if eligible, they were invited to participate in the four-session WP3+ group. Participants completed surveys at baseline (n = 47) and post-implementation (n = 28); surveys assessed demographics, HIV and PrEP knowledge, depression and posttraumatic stress (PTS) symptoms, substance use, sexual risk behaviors, health care–related discrimination, and social support. In a process evaluation, a subset of women completed qualitative interviews at baseline (n = 35) and post-implementation (n = 18); the interviews were designed to converge with (e.g., on HIV and PrEP knowledge) and expand upon (e.g., unmeasured perceived impacts of WP3+) quantitative measures. To triangulate with the quantitative data, deductive qualitative analysis concentrated on women's knowledge and awareness of PrEP and HIV, their relationship dynamics and challenges, and their considerations (e.g., barriers, facilitators) related to taking PrEP; inductive analysis focused on women's experiences in the intervention. ResultsParticipants in the WP3+ intervention reported: improved proportion of condom use in the past 90 days (p < .01) and in a typical week (p < .05); reduced PTS symptoms (p < .05); increased HIV knowledge (p < .0001) and awareness of PrEP (p < .001); and greater consideration of using PrEP (p < .001). In interviews, participants expressed not only increased knowledge but also appreciation for learning how to protect themselves against HIV, communicate with their partners, and take charge of their health, and they expressed greater receptiveness to using PrEP as a result of the knowledge and skills they gained. ConclusionsThe WP3+ pilot study demonstrated preliminary efficacy and acceptability as an HIV-prevention program for African American women. A controlled trial is needed to confirm its efficacy for increasing PrEP use among African American women.

A descriptive analysis of otolaryngology presence on the social media platform TikTok

AbstractObjectiveIn recent years, the video sharing app TikTok has become a new venue for health care providers and medical educators. Research on health care information within the app has primarily focused on cosmetic and plastic surgery content. TikTok could potentially be a tool used to educate the public on otolaryngology‐related topics. This study is the first to analyze the quality and quantity of otolaryngology‐related TikTok content.MethodsA cross‐sectional study of TikTok accounts using otolaryngology‐related hashtags within the preceding 6 months was conducted on February 4, 2023. Deductive qualitative analysis was performed between two coders to identify themes of the accounts and their content.ResultsA total of 47 accounts were selected for analysis. Facial plastic surgery was the most represented specialty (n = 20; 43%) and pediatric otolaryngology the least represented (n = 1; 2%). Content posted was primarily educational in nature (n = 30; 64%) and 66% (n = 31) of content creators advertised contact information in their account biography. The majority of accounts were in English (n = 30; 64%) and originated in the United States (n = 30; 64%). More accounts were run by male (n = 29; 62%) than female content creators.ConclusionOtolaryngology is a broad specialty with unequal representation of the related subspecialties on TikTok, a popular social media platform. The majority of current content focuses on patient education in facial plastic surgery. Future studies are warranted to examine the potential growth and impact of otolaryngology content on this video‐based platform.Level of Evidence2.

How Inclusive Practice Increases the Educational Relevance of Individualized Education Programs.

Individuals with Disabilities Education Act guidelines for Individualized Education Programs (IEPs) require that students with disabilities should, to the fullest extent appropriate, receive services that promote academic achievement that are delivered within the general educational environment. In this clinical focus article, we will demonstrate how the inclusive practice service delivery model can assist speech-language pathologists (SLPs) with the development of educationally relevant IEPs. Twelve SLPs who saw at least 30% of their students in a general education context shared their perspectives on inclusive practice. Their responses were transcribed and coded using deductive qualitative analysis. Their insights were combined with relevant literature to demonstrate how inclusive practice promotes educationally relevant IEPs. We provided practical examples of using curriculum-based assessments and academic standards to gauge students' present levels of academic and functional performance. We next described how engaging with the school community and observing students in the educational environment assists with determining the effects of a student's disability on academic achievement and functional performance. We concluded by describing how an inclusive mindset helps to align services to meet students' needs. An inclusive framework can help create IEPs that promote students' access, engagement, and progress in age or grade-level curriculum, instruction, and environments by highlighting the impact of a disability on academic achievement and functional performance. https://doi.org/10.23641/asha.24354319.

“Who is Anders Tegnell?” Unanswered questions hamper COVID-19 vaccine uptake: A qualitative study among ethnic minorities in Sweden

BackgroundDespite high COVID-19 vaccination coverage in many European countries, vaccination uptake has been lower among ethnic minorities, including in Sweden. This is in spite of the increased risk of contracting the virus and targeted efforts to vaccinate among first and second generation migrants. The aim of this study was to understand this dilemma by investigating ethnic minorities’ perceptions and their experience of accessing the COVID-19 vaccine. MethodsThis is a qualitative study drawing on 18 semi-structured interviews with health volunteers working in ethnic minority communities and with participants from the two largest ethnic minorities in Sweden (Syria and Somalia). Deductive qualitative analysis was completed using the 3C model by WHO (Complacency, Confidence and Convenience). ResultsComplacency does not appear to be a barrier to intention to vaccinate. Participants are well aware of COVID-19 risk and the benefits of the vaccine. However, confidence in vaccine poses a barrier to uptake and there are a lot of questions and concerns about vaccine side effects, efficacy and related rumors. Confidence in health providers, particularly doctors is high but there was a sense of conflicting information. Accessing individually tailored health information and health providers is not convenient and a major reason for delaying vaccination or not vaccinating at all. Trust in peers, schools and faith-leaders is high and constitute pathways for effective health information sharing. ConclusionEthnic minorities in Sweden are willing to get vaccinated against COVID-19. However, to increase vaccination uptake, access to individually tailored and face to face health information to answer questions about vaccine safety, efficacy, conflicting information and rumors is urgently required.

PrEP and Behavioral Health Treatment Referral Among HIV Test Counselors in Miami-Dade County: A Rapid Qualitative Study Using the Consolidated Framework for Implementation Research.

HIV test counselors are well positioned to refer individuals to pre-exposure prophylaxis (PrEP) and behavioral health treatments. HIV test counselors in Miami-Dade County (N = 20), a priority jurisdiction for Ending the HIV Epidemic, completed interviews to assess determinants of PrEP and behavioral health treatment referrals. To identify determinants, we used a rapid deductive qualitative analysis approach and the Consolidated Framework for Implementation Research (CFIR). Identified determinants sometimes served as facilitators (e.g., relative priority, leadership importance) and sometimes as barriers (e.g., lack of access to knowledge and information, available resources for referrals) to making referrals. We also observed differences in determinants between PrEP and behavioral health referrals. For example, complexity (perceived difficulty of the referral) was a barrier to behavioral health more often than PrEP referral. Our findings suggest that determinants across many CFIR domains affect referral implementation, and the corresponding need for multiple implementation strategies to improve implementation of PrEP and behavioral health referrals in the context of HIV testing.

Cheap, Quick, and Rigorous: Artificial Intelligence and the Systematic Literature Review

The systematic literature review (SLR) is the gold standard in providing research a firm evidence foundation to support decision-making. Researchers seeking to increase the rigour, transparency, and replicability of their SLRs are provided a range of guidelines towards these ends. Artificial Intelligence (AI) and Machine Learning Techniques (MLTs) developed with computer programming languages can provide methods to increase the speed, rigour, transparency, and repeatability of SLRs. Aimed towards researchers with coding experience, and who want to utilise AI and MLTs to synthesise and abstract data obtained through a SLR, this article sets out how computer languages can be used to facilitate unsupervised machine learning for synthesising and abstracting data sets extracted during a SLR. Utilising an already known qualitative method, Deductive Qualitative Analysis, this article illustrates the supportive role that AI and MLTs can play in the coding and categorisation of extracted SLR data, and in synthesising SLR data. Using a data set extracted during a SLR as a proof of concept, this article will include the coding used to create a well-established MLT, Topic Modelling using Latent Dirichlet allocation. This technique provides a working example of how researchers can use AI and MLTs to automate the data synthesis and abstraction stage of their SLR, and aide in increasing the speed, frugality, and rigour of research projects.

Patient and family contributions to improve the diagnostic process through the OurDX electronic health record tool: a mixed method analysis

BackgroundAccurate and timely diagnosis relies on sharing perspectives among team members and avoiding information asymmetries. Patients/Families hold unique diagnostic process (DxP) information, including knowledge of diagnostic safety blindspots—information that patients/families...

Geriatrics Education: Phone Calls With Older Adults and Medical Students.

The rapid increase in the older adult population necessitates an increase in physicians who are adept at caring for the various medical comorbidities that accompany aging. To fill the gap in geriatric medical education and overcome barriers to medical student interest in geriatrics, we developed a friendly caller program that links medical students to older adults through multiple weekly phone calls. This study examines the impact of this program on geriatric care competency, a foundational skill for primary care physicians, in first-year medical students. We used a mixed-methods design to measure how medical students' self-assessed geriatric knowledge was impacted by their longitudinal interactions with seniors. We compared pre- and postsurvey data using a Mann-Whitney test. We used deductive qualitative analysis to examine themes that emerged from narrative feedback. Our results demonstrated that students (n=29) showed a statistically significant increase in components of their self-assessed geriatric care competency. Qualitative analysis of student responses revealed five common themes: transformation of preconceived notions regarding older adults, relationship building, greater understanding of older adults, communication skills, and self-compassion. Given the shortage of physicians competent in geriatric care amid a rapidly growing older adult population, this study highlights a novel, older adult service-learning program that positively impacts geriatric knowledge in medical students.

Examining subpar park experiences through mixed-methods social media analysis

ABSTRACT Rationale/Purpose: Urban parks and performance venues provide multiple benefits for residents and tourists. As park managers seek to continually improve the visitor experience, social media is a useful data source to capture visitor sentiment, particularly surrounding subpar experiences. Design/Methodology/Approach: In this case study, we used a mixed methods approach to understand the online image of Wolf Trap National Park for the Performing Arts, Virginia, USA. Ten years of Google Review data (n = 3289 reviews) were scraped and analyzed using Natural Language Processing techniques, including sentiment analysis and topic modeling. Deductive qualitative analysis further explored topics for additional trustworthiness and insight. Findings: Reviews were generally positive (81.33%). Bigram and sentiment analysis illustrated parking and transit-related concerns were the most salient within visitors’ subpar reviews. This was further supported through topic modeling and qualitative analyses. Practical Implications: Results inform managers of themes within online reviews and parameterize the overall experience and online image of the park. Findings are transferable to other park and performance venues seeking to meet diverse visitors’ needs. Research Contribution: This study evidences integration of different analytical techniques to understand visitor experiences in sport and leisure contexts, with a particular focus on subpar experiences.

How Expert and Inexpert Instructors Talk about Teaching

Using mixed-method social network analysis, we explored the discussions happening between instructors within a teaching-related network and how instructional expertise correlated with the content of those discussions. Instructional expertise, defined by the extent to which effective teaching practices were implemented, was measured for 82 faculty teaching at a Midwestern research university in the USA using the Faculty Inventory of Methods and Practices Associated with Competent Teaching (F-IMPACT). Eight instructors from this population were interviewed after being selected from a stratified random sample having varied disciplines, positions, years of teaching experience, number of network alters, and quartile F-IMPACT score. Network Canvas was used to design, capture, and export network data during the interview process, and a deductive qualitative analysis approach was used for coding and analysis. In general, expert instructors had larger networks that also consisted of expert alters and greater frequency of discussions throughout the semester (both formal and informal) and participated in discussions centered around best practices and education research. Inexpert instructors had smaller teaching networks that consisted of other inexpert instructors, lower frequency of interactions, and had discussions that centered around sharing course-specific, surface-level advice.

Family Resilience in the Context of Migration: Exploring the Lived Experience of Filipino Migrants' School-Going Older Adolescent Children

Using Froma Walsh's Family Resilience Framework, this study explored the experiences of overseas Filipino workers' (OFWs) families as narrated by adolescent children of migrant parents. Ten (10) Filipino college-level older adolescents (five were female) served as participants in an in-depth interview. Their narratives explored key family resilience processes using a Deductive Qualitative Analysis using various domains of family resilience (i.e., family belief system, communication processes, and organizational patterns). The study found that: (1) The family adjusts belief systems to accommodate unsettling realities of international labor migration; (2) Roles change in the family to compensate for responsibilities fulfilled by the parent before leaving for another country; and (3) Communication processes were strained, but family members serve as moderators to ease tensions and maintain a pre-migration relationship. This study concluded that the family resilience framework is a robust lens through which migrant families' experiences can be understood. Families generally exert effort to maintain homeostasis and cope with migration's psychological and social costs. A resilience-focused model for addressing psychosocial needs is proposed. Processes more apparent to the Filipino family and opportunities for future research are also discussed.

Why is tinnitus a problem? A large-scale qualitative evaluation of problems reported by tinnitus patients in mainland China

Objectives The lived experience of tinnitus has biopsychosocial characteristics which are influenced by sociocultural factors. The main purpose of this study is to investigate how tinnitus affects people in their everyday life in China. A deductive qualitative analysis examined whether an a priori Western-centric conceptual framework could extend to an Asian context. Design A large-scale prospective survey collected patient-reported problems associated with tinnitus in 485 adults attending four major ENT clinics in Eastern and Southern mainland China. Results The evidence suggests that patients in China express a narrower range of problem domains associated with the lived experience of tinnitus. While 13 tinnitus-related problem domains were confirmed, culture-specific adaptations included the addition uncomfortable (a novel concept not previously reported), and the potential exclusion of concepts such as intrusiveness, loss of control, loss of peace and loss of sense of self. Conclusions The sociocultural context of patients across China plays an important role in defining the vocabulary used to describe the patient-centred impacts of tinnitus. Possible explanatory factors include cultural differences in the meaning and relevance of certain concepts relating to self and in help-seeking behaviour, low health literacy and a different lexicon in Chinese compared to English to describe tinnitus-related problems.