Longitudinal Qualitative Research Research Articles

Strategic flood risk management over time. Applying a temporal lens to see how flood risk management measures are (or are not) implemented

ABSTRACT Strategic flood risk management of river catchments involves significant increases in the complexity both of the contents (e.g. the aims and measures) of a given strategy and also its social, spatial, and temporal scales. Conceptually, flood risk management research to date has underestimated the importance of time and temporality. This paper, which is based on ‘historical Institutionalism,’ introduces a temporal lens to focus on strategic flood risk management; it highlights issues of duration and timing as well as tempo and change in tempo with respect to the implementation of measures to reduce flood risk at catchment level. The application of a temporal lens is illustrated through empirical research into strategic flood risk management for the medium-sized Aist river catchment in Austria. The paper uses a longitudinal qualitative research design to analyze the changes in strategic flood risk management in the catchment. The analysis shows that strategy efforts in reaction to an extreme flood event in the catchment in August 2002 can be differentiated into three phases. Phase 1 is characterized by the design of ambitious catchment-wide management; Phase 2 by struggles to implement the strategy due to institutional conditions and protests by citizens; and Phase 3 by redesign of the initial strategic plan to make it less ambitious and by changes to the actor constellation supporting the plan. The present paper offers a process-oriented institutional explanation for this pattern of phases, and it highlights issues of timing and tempo. It concludes with general suggestions for enhancing the temporal dimension in flood risk management.

Revisiting longitudinal qualitative studies in social work: considerations for design and methodological insights.

This paper undertakes an analysis and discussion of the methodological challenges and insights derived from three longitudinal qualitative studies, all conducted in Chile during the COVID-19 pandemic and subject to comprehensive theoretical-methodological reflection processes centred on their respective designs. This analysis makes a significant contribution to interdisciplinary discussions within social research, with a particular emphasis on longitudinal trajectories. First, we present a comparative analysis of three studies in social work, utilising Saldaña's questions addressing changes and learning in longitudinal studies. The first study explores the labour trajectories of researchers, the second focuses on the educational trajectories of students, and the last examines therapeutic alliance trajectories between social workers and families within the child protection system. Following this, we delve into the methodological decisions made by the research group during the execution of these longitudinal studies. This encompasses an examination of participant involvement, temporal definitions of the adopted designs, and the most suitable methodological tools for analysing change processes over time. The outcomes of this comparative analysis reveal the distinctive characteristics of the three longitudinal studies, providing insights into how the time dimension is explored within them. We highlight key criteria essential for consideration in longitudinal qualitative research, particularly regarding participants and methodology. In conclusion, we advocate for an expanded reflection within the realm of longitudinal qualitative methodology, encompassing aspects such as design choices, approaches to data analysis, integration of technology in information processing, and strategies for maintaining participant engagement.

Qualitative research during the COVID19 pandemic: the impact of remote research on the collaborative production of methodological knowledge

ABSTRACT During the COVID19 crisis, school closure was a frequent feature of Government responses. The Children’s School Lives (CSL) national cohort study of primary schooling in Ireland had to be adapted and transferred online as an interim response to the unprecedented impact that the pandemic had on the research environment. Adapting longitudinal qualitative research in response to a global pandemic brought specific challenges. In addition to moving data collection to remote methods, longitudinal studies also needed to maintain a focus on retention of research participants and sustain an analysis that informs the longitudinal design of the study. Based on reflective research practice during the COVID19 pandemic and through the collaborative production of methodological knowledge, this paper contributes to the literature on remote research during times of crisis. However, it also extends this literature as the methodological learning can be applied beyond the very particular circumstances of a pandemic.

“It’s Time to see What I Can Do”: A Mixed-Methods Investigation into Trajectories of Resilience in Adolescents during the COVID-19 Pandemic

AbstractThere is a concern that adolescent mental well-being and resilience has been adversely affected by the COVID-19 pandemic. Consequently, the aim of the current investigation was to track adolescents’ resilience from the initial months of the pandemic (T1) to approximately two years later (T2) using both qualitative and quantitative methods. Through interviews, thirty-one adolescents narrated their COVID-19 experiences and reflected on their mental well-being across this timespan. Using these accounts, we identified four groups of adolescents exhibiting one of the following trajectories of resilience: (1) Enduring resilience, (2) Reaching resilience, (3) Declining resilience and (4) Enduring non-resilience. Our findings revealed that most adolescents were able to maintain or develop good resilience on prolonged exposure to COVID-19 adversity (trajectories 1 and 2). This finding is contrary to the prevailing notion that the majority of adolescents’ mental well-being and hence resilience was adversely impacted by COVID-19 in the short and long term. Further qualitative analysis identified key factors that contributed to maintaining and developing greater levels of resilience during the pandemic: quality of friendships, quality of family relationships and regaining a sense of control. Lastly, we found a lack of congruence between quantitative and qualitative measures of mental well-being and resilience, suggesting that they might tap into different constructs/experiences. Significantly, our findings highlight that the majority of teens showed adaptive resilience during the pandemic and highlight the need for further longitudinal qualitative and quantitative research to assess both adaptive and maladaptive impacts of adversity on the adolescents’ mental well-being and resilience.

Journeys Through Genomics: Co-Producing Visual Resources to Communicate Patient Experiences

Journeys through Genomics is a series of illustrations co-produced with patients and families to communicate their experiences of seeking genomic explanations for a health condition and the wider impact on their lives. The resources are embedded within qualitative longitudinal research exploring patient’s experiences of genomic medicine. This research takes place as genomic medicine becomes an integral part of mainstream care within the UK healthcare system. The depiction of genomic medicine often focuses on its technological components and the speed by which genetic code can be analysed, but here, we present a dynamic and situated understanding of the challenges genomic testing presents for patients and families. We describe the process of working with research participants and an artist to co-produce visual resources that illustrate the complexity of participant’s journeys, situating genomic testing within the broader context of their lives. These resources are designed to help future patients, families, and healthcare professionals understand the process, opportunities, and challenges they may face.

What can we learn from speaking to asthma patients more than once? The power of qualitative longitudinal design in primary care research.

Qualitative Longitudinal Research (QLR) has a long tradition in a variety of social science disciplines and is increasingly used in applied healthcare research. QLR can provide insights into the nature, causes and consequences of change (or its absence). However, its use in primary care research is limited. Drawing on a recent study looking at experiences of asthma patients in the context of the COVID-19 pandemic over time, we highlight the opportunities in using longitudinal qualitative methods in primary care research. We conducted a qualitative longitudinal study using semi-structured interviews with patients with asthma from four GP practices across diverse regions including Thames Valley, Greater Manchester, Yorkshire, and North West Coast. The interviews were audio-recorded, transcribed, and analysed using inductive temporal thematic analysis and a trajectory approach. Forty-six interviews conducted with 18 patients over an 8-month period of the COVID-19 pandemic highlighted that patients felt less vulnerable as the pandemic subsided, but the process of making sense of risk was dynamic and influenced by multiple factors. Patients relied on self-management strategies, and with time, highlighted that they had limited opportunities to discuss their asthma with health professionals. As time progressed, face-to-face reviews appeared more necessary for certain aspects, such as physical examination and patient-led discussions of sensitive or broader issues associated with asthma, including mental health. QLR has much to offer primary care research allowing exploration of views and experiences of a variety of participants over time and following them through important transitions.

The Year of Letting Go and Holding On: School-leaders’ Role During the COVID-19 Pandemic

ABSTRACT This study aimed to understand the lived reality of school-principals during the 2020–2021 school-year, amidst the COVID-19 pandemic and coinciding political upheaval. Using the Longitudinal Qualitative Research method, we employed in-depth interviews with seven principals, using purposeful sampling. This study took place in Florida where a plethora of new policies were the backdrop. Five interconnected findings emerged: (1) shifting priorities of principals, (2) the challenge of leading teaching and learning during a pandemic; (3) teacher shortage crisis; (4) school with an asterisk; and (5) transformative leadership and social capital fading while crisis-leadership remaining constant over the study’s two phases.

Object-oriented interviews in qualitative longitudinal research

This paper reflects on the use of objects in qualitative interview methods. We consider the use of objects in “single” research events and in longitudinal designs. This leads us to consider how using objects in interviews situates in relation to time. Emphasizing the materiality of objects as well as how objects help to materialize events, experiences, and accounts, we explore what objects do and how we can practically work with objects, especially in qualitative longitudinal research. Objects in interviews do not simply afford representations or elicitations of participant stories, but become dynamic actors that enable interviews to speak materially. Using vignettes from a longitudinal study investigating experiences of COVID-19 in time, we hone our attention towards the temporal affordances of object methods. We conclude with a list of practical suggestions for using objects in qualitative longitudinal research.

Patient medication management, understanding and adherence during the transition from hospital to outpatient care - a qualitative longitudinal study in polymorbid patients with type 2 diabetes

BackgroundContinuity of care is under great pressure during the transition from hospital to outpatient care. Medication changes during hospitalization may be poorly communicated and understood, compromising patient safety during the transition from hospital to home. The main aims of this study were to investigate the perspectives of patients with type 2 diabetes and multimorbidities on their medications from hospital discharge to outpatient care, and their healthcare journey through the outpatient healthcare system. In this article, we present the results focusing on patients’ perspectives of their medications from hospital to two months after discharge.MethodsPatients with type 2 diabetes, with at least two comorbidities and who returned home after discharge, were recruited during their hospitalization. A descriptive qualitative longitudinal research approach was adopted, with four in-depth semi-structured interviews per participant over a period of two months after discharge. Interviews were based on semi-structured guides, transcribed verbatim, and a thematic analysis was conducted.ResultsTwenty-one participants were included from October 2020 to July 2021. Seventy-five interviews were conducted. Three main themes were identified: (A) Medication management, (B) Medication understanding, and (C) Medication adherence, during three periods: (1) Hospitalization, (2) Care transition, and (3) Outpatient care. Participants had varying levels of need for medication information and involvement in medication management during hospitalization and in outpatient care. The transition from hospital to autonomous medication management was difficult for most participants, who quickly returned to their routines with some participants experiencing difficulties in medication adherence.ConclusionsThe transition from hospital to outpatient care is a challenging process during which discharged patients are vulnerable and are willing to take steps to better manage, understand, and adhere to their medications. The resulting tension between patients’ difficulties with their medications and lack of standardized healthcare support calls for interprofessional guidelines to better address patients’ needs, increase their safety, and standardize physicians’, pharmacists’, and nurses’ roles and responsibilities.

“It Feels Like Temporary accommodation”: The Impact of Antisocial Behaviour Interventions on Alleged Perpetrators” Feelings of Ontological Security in Social Housing

ABSTRACT ASB interventions have been framed as a necessity to allow residents to feel safe and secure within their own homes by intervening with those who act in a way that causes nuisance or annoyance, however, little research has been conducted into how the ontological security of alleged perpetrators of ASB is impacted by ASB interventions. This research situates ontological security within the theoretical framework of vulnerability, suggesting that a lack of ontological security can heighten vulnerability among arguably already vulnerable ASB perpetrators living within social housing. Reporting from a wider, qualitative longitudinal research project conducted with alleged perpetrators of ASB, this article explores how ASB interventions impact ontological security, finding negative impacts on tenants’ feelings of safety and being “at home”, feelings of insecurity, feelings of being watched and ability to be themselves.

Reducing food loss through sustainable business models and agricultural innovation systems

PurposeThis study aims to explore how sustainable business models (SBM) can be developed within agri-innovation systems (AIS) and emphasize an integration of the two with a systemic understanding for reducing food loss and value loss in postharvest agri-food supply chain.Design/methodology/approachThis study conducted longitudinal qualitative research in a developing country with food loss challenges in the postharvest supply chain. This study collected data through multiple rounds of fieldwork, interviews and focus groups over four years. Thematic analysis and “sensemaking” were used for inductive data analysis to generate rich contextual knowledge by drawing upon the lived realities of the agri-food supply chain actors.FindingsFirst, this study finds that the value losses are varied in the supply chain, encompassing production value, intrinsic value, extrinsic value, market value, institutional value and future food value. This happens through two cumulative effects including multiplier losses, where losses in one model cascade into others, amplifying their impact and stacking losses, where the absence of data stacks or infrastructure pools hampers the realisation of food value. Thereafter, this study proposes four strategies for moving from the loss-incurring current business model to a networked SBM for mitigating losses. This emphasises the need to redefine ownership as stewardship, enable formal and informal beneficiary identification, strengthen value addition and build capacities for empowering communities to benefit from networked SBM with AIS initiatives. Finally, this study puts forth ten propositions for future research in aligning AIS with networked SBM.Originality/valueThis study contributes to understanding the interplay between AIS and SBM; emphasising the integration of the two to effectively address food loss challenges in the early stages of agri-food supply chains. The identified strategies and research propositions provide implications for researchers and practitioners seeking to accelerate sustainable practices for reducing food loss and waste in agri-food supply chains.

Micro Entrepreneurs’ Leadership Skills and Employee Productivity: A Structural Equation Model Approach

The study of significant differences, relationships, and structural equation models evaluates the correlations between leadership skills and employee productivity of those in the food industry under the microenterprise category in Bulacan, Philippines. The research utilized the Mann-Whitney U test and Kruskal-Wallis test to determine the significant difference in leadership skills and employee productivity when grouped according to the profile of respondents. Spearman's rank correlation coefficient was utilized to analyze the relationship between leadership skills and employee productivity. Moreover, the research utilized structural equation modeling techniques to analyze the correlations among the indicators of leadership skis and employee productivity. Research instrument with rating scales and a random sampling method was applied. The model fit, reliability, and validity were analyzed using confirmatory factor analysis. The result showed that there is a strong level of correlation between leadership skills and employee productivity. Finally, Technical Skills, Work Unit Effectiveness, and Work Quality are among the indicators of technical skills and employee productivity that are correlated as analyzed structural model and path analysis. Future research should be qualitative or mixed method to delve deeper into for a richer qualitative interpretation, and cohort or longitudinal research should be done in order to study this relationship in the long run.

Qatar's FIFA World Cup odyssey: A quest for legacy transforming a small nation into a global destination

This study delves into the profound impact of mega-events on a destination's perception, focusing notably on Qatar's hosting experience during the FIFA World Cup 2022. Employing a qualitative longitudinal research approach, data is drawn from a variety of sources including Scopus articles, international studies, tourism records, newspapers, and interviews with diverse stakeholders such as visitors, tourism experts, executives, and government officials. Through an inductive content analysis of this extensive dataset, the authors identify key influencing factors. They meticulously examine a decade-long evolution using assessments from independent travel and tourism rating organizations alongside various metrics. The findings reveal a significant uptick in Qatar's allure and inbound tourism. Factors contributing to this surge are systematically categorized, with transportation and events infrastructure, hospitality and accommodation facilities, and media exposure emerging as consistent themes across host nations. Additionally, contextual factors like security/safety, culture/heritage, and diversity are highlighted for their pivotal role in shaping a destination's image. This research underscores how mega-events act as catalysts for reshaping Qatar's destination identity and attracting inbound tourism, as evidenced by a range of indicators contingent upon maintaining both universal and contextual factors. It emphasizes the importance of a strategic vision that nurtures these factors over time, aligning with the destination's life cycle to forge a lasting legacy. Furthermore, the study illuminates how mega-events can bolster soft power for small countries lacking significant natural or historical attractions, providing valuable insights for policymakers and marketers to devise effective strategies.

COVID-19 Emergency: Boosting Digitalization and a Missed Opportunity for Acquiring Digital Literacy in the Old Population

The COVID-19 crisis has accelerated the adoption of digital content and services, particularly in Italy, a country historically slower in embracing communication technologies (European Commission, 2023). Mobility restrictions have hastened the digitalization of daily life, including communication, entertainment, and utility services (Auditel & Censis, 2022). Older individuals, traditionally less digitally proficient, have faced challenges adapting to this rapid digitalization (Rolandi et al., 2020, NIHR, 2022). However, early evidence suggests that this digital acceleration may not be sufficient to bridge the digital divide, especially among older populations (Litchfield et al., 2021, Colombo et al., 2023). This paper explores the changes occurring in the relationship between older people and new technologies based on data provided by longitudinal qualitative research, which involved a panel of 40 over-65 residents in the Lodigiano region, the first red zone – affected by the pandemic and its restrictions – in Europe. This contribution aims to highlight how active seniors have experienced a transformation in their approach to technology from the onset of the pandemic (2020) to the present day. The interviews were transcribed verbatim and then imported into the NVivo application for content analysis. Grounded Theory (Glaser & Strauss, 1967) was utilized, involving several stages. The analysis also aimed to formulate ideal types for interpreting the diverse approaches to digital adoption among the older population. From the present study, it emerged that the rapid process of digitalization during the COVID-19 pandemic has not effectively bridged the digital divide, but rather widened it. The swift digitalization of public services highlights the challenges in ensuring inclusivity, especially for older individuals. While digitalization can benefit those with support networks, it further marginalizes isolated seniors. Policy-makers need to consider existing caregiver networks to promote digital inclusion among older individuals.

“I Will Be a nurse:” Identity and Belongingness in Nursing School

ABSTRACT A nursing shortage is anticipated within the next decade. Knowing what factors draw individuals to the field of nursing and help them finish their degree is important for recruitment to nursing school, but what is equally important is knowing how individuals connect and see themselves in the field of nursing. One of the contributions of health communication is examining the processes of identity formation in nursing school to determine how they construct their years of nursing school. Using Qualitative Longitudinal Research (QLR) and the model of communication and identity, the research presented in this article examines the experiences of nursing students (n = 32) at one university. The research summarizes the phases of identity that can be characterized as three distinct stages of getting in, scrubbing in, and fitting in. The research also highlights what helps students stay with nursing, feel like they belong to the field, and how this can be translated into communicating what potential nurses need to succeed.

Self-formation across borders: transnational students’ identity reconstruction while transitioning from international schools to higher education

ABSTRACT Almost six million students study at international schools, constituting a rapidly expanding faction within the demographic of globally mobile students. Research has centered around the educational endeavors of these students within the sphere of secondary education. However, there has been a dearth of investigation concerning their pivotal period of transition to higher education institutions (HEIs). To address this research gap, this longitudinal qualitative research utilized a self-formation framework by delving into the interplay of factors characterizing the transition to HEIs and the dynamics of identity and agency among 19 transnational students from 10 different international schools in three countries. Findings unveil that the formative experiences of transnational students preceding their collegiate pursuits profoundly shaped their college transitions in sync with their transnational sense of belonging. Moreover, they viewed HEIs as instrumental in fostering a multifaceted comprehension of diversity, providing experiential learning experiences, and promoting the cultivation of students’ self-formation.

질적 종단 연구 실행 과정 분석을 통한 방법론적 특징과 실천 전략 탐색

This study was conducted to explore the methodological characteristics and practical strategies that emerged during the implementation of qualitative longitudinal research in Korea and, based on this, to discuss the meaning of qualitative longitudinal research from a methodological perspective. We conducted interviews by recruiting 9 researchers(Research participants) who conducted qualitative longitudinal studies in Korea. As a result of the study, methodological characteristics and practical strategies were derived for each implementation process of the qualitative longitudinal study (research planning, composition of the research team, sampling of research participants, data collection, data analysis, and research results). Based on the research results, first, most qualitative longitudinal studies in Korea were planned as substitutes or supplements to quantitative longitudinal studies; second, flexibility and contextual reconstruction are achieved in the research process; and third, it is a systematic and high-stakes research method. The need to form a research team was discussed, and fourthly, the researcher’s experience was utilized during the data analysis process. In addition, by discussing methodological identity, qualitative longitudinal research is defined as “a study in which researchers accompany research participants for a long period of research, meet repeatedly, and cyclically perform the process of collecting, analyzing, and accumulating qualitative data, and aims to understand the change in the subject and the context of the change”.

Embodied Uncertainty and COVID-19: Social identity, stigma, trust and coping through the pandemic

The COVID-19 pandemic has been a novel and evolving experience impacting health, livelihoods, well-being, decision-making, and community life. While uncertainty is seen as integral to the pandemic experience, limited literature has examined the consequences of the same, as embodied within individual and collective experiences. From the theoretical lens of Embodied Uncertainty (Sword-Daniels et al. 2018), the present study explored meaning making and coping with uncertainty as embodied in the lived experiences of the pandemic, through longitudinal qualitative research (LQR). Participants from a diverse socio demographic pool were interviewed in 2020 (N = 30) and 2021 (N = 14), following the two major phases of Covid-19 outbreak in India. Thematic analysis revealed complex intersections between social identity, stigma and economic strife and how novel coping strategies were being employed as the ongoing nature of the pandemic became a reality. We also found shifts in information seeking and institutional trust, shaped by the lived experiences of people as opposed to policy and state action. The results highlight key areas of vulnerability and coping with uncertainty in collective crises, gaps in state response and its impact, and how social identities shape interpretations of risks.

Social Security, Gender and Class: The impacts of the New Conditionality Regime on Unpaid Care and Paid Work

The introduction of Universal Credit, a new means-tested benefit for working-aged people in the UK, entails a significant expansion of welfare conditionality. Due to mothers’ disproportionate responsibility for unpaid care, women are particularly affected by the new conditionality regime for parents who have the primary responsibility for the care of dependent children. This article draws upon qualitative longitudinal research with twenty-four mothers subject to the new conditionality regime to analyse the gendered impacts of this new policy and whether there is variation in experiences according to social class. The analysis demonstrates that the new conditionality regime devalues unpaid care and is of limited efficacy in improving sustained moves into paid work. It also shows that the negative gendered impacts of the conditionality within Universal Credit are at times exacerbated for working-class mothers.

Living with Multimorbidity through Time: A Meta-Synthesis of Qualitative Longitudinal Evidence.

The growing prevalence of multimorbidity places a strain on primary healthcare globally. The current study's aim was to identify, appraise, and synthesize published qualitative longitudinal research on individuals' experiences concerning living with multimorbidity through time. The authors searched two electronic databases, MEDLINE and CINAHL, and performed an additional literature search in Google Scholar. A thematic synthesis approach was used to analyze the qualitative data across the studies. A total of 10 reports that met the inclusion and exclusion criteria were included in the synthesis. Five descriptive themes emerged from the analysis of the living experiences of individuals with multimorbidity: (1) perceiving multimorbidity, (2) managing chronic conditions, (3) emotional struggles in everyday life with multimorbidity, (4) interactions with the healthcare system and healthcare professionals, and (5) family support. This meta-synthesis provides insights into the diverse perceptions of multimorbidity and how individuals cope with their chronic conditions in their daily lives. The findings highlight the importance of establishing effective patient-centered care that acknowledges and supports the multifaceted needs of this population. It is also recommended to involve a psychological component in the care of individuals with multimorbidity, as part of a collaborative and interprofessional approach.