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Explore the strengths, limitations, and applications of focus group methodology, particularly in drug naming processes. Learn about traditional and innovative focus group types, data analysis methods, and practical applications to improve drug naming.
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Focus Group Methodology Miriam Bar-Din Kimel PhD Senior Project Manager MEDTAP International, Inc. Presentation prepared for The FDA Drug Safety & Risk Management Advisory Committee Meeting Gaithersburg, Maryland December 4, 2003
Overview of Presentation • Overview of study method • Methodology • Strengths & limitations • Application to the drug naming process • Conclusions
Overview of Study Method • Qualitative research method • Address research questions that require depth of understanding that cannot be achieved through quantitative methods. • Purpose: exploratory, pretesting, triangulation, phenomenology
Purpose • Gather background information • Diagnose problems • Stimulate new ideas or identify new relationships • Generate hypotheses • Evaluate programs • Interpret quantitative results
Focus Group Methodology • Independent investigation • Principal data source • Multi-method study or program • Qualitative & quantitative methods • Triangulation • Supplement • Interpretation of quantitative data
Types of Focus Groups • Traditional • In-person, directive, structured • Internet alternative • Brainstorming • In-person, nondirective, unstructured • Nominal/Delphi technique • Mail, directive, structured • Internet alternative • Field, natural • In-person, spontaneous, unstructured • Field, formal • In-person, directive, semi-structured
Traditional Focus Groups • 8-12 participants • Under direction of trained moderator • Formal, directive, structured • 60-150 minutes • Recorded, supplemented by field notes • Observed by scientific team
Traditional Focus Groups • Participants • Break characteristics – populations • Control characteristics • # & nature of groups & sessions • Purpose • Design complexity • Break characteristics • Resources
Data – Qualitative/Textual • Tape recordings • Transcriptions • 2 hour session: 40 to 50 pages • Field notes
Data Analysis • Driven by underlying research question • Qualitative • Interpretive, constrained by context • Topics – linked to group guidelines • Steps • Mechanical – organizing, subdividing • Interpretive – developing subdivisions (code mapping), search for patterns within subdivisions, drawing meaningful conclusions • Software: e.g.,The Ethnograph; Atlas.ti; QSR N6 • Reliability • Repeated review of data • Independent analysis by > two experienced analysts
Results • Qualitative: • Themes, Issues, Concerns • Substantiating Quotes • Quantitative: • No. of participants who agreed or disagreed • Frequency of themes within the group discussion • Sample characteristics
Strengths & Limitations Focus group methodology is only as useful and as strong as its link to the underlying research question and the rigor with which it is applied.
Strengths • Provides concentrated amounts of rich data, in participants’ own words, on precisely the topic of interest • Interaction of participants adds richness to the data that may be missed in individual interviews • Provides critical information in development of hypotheses or interpretation of quantitative data
Limitations • Small number of participants • Limited generalizability • Group dynamics can be a challenge • Particularly if moderator is inexperienced • Interpretation • Time-consuming • Requires experienced analysts
Application to Drug Naming (1:2) • Focus groups can: • Elicit potential sources of confusion from the user’s perspective • Physicians, pharmacists, nurses, patients, caregivers • Practice and ‘real world’ factors • Identify situations in which confusion is most likely to occur • Situations, conditions, patient populations • User x situation interactions • Prioritize empirical study • Inform expert panels • Participants, conditions, names • Test conclusions of expert panels • Alternative users – patients, caregivers
Application to Drug Naming (2:2) • Focus groups can: • Inform quantitative research design • Laboratory or simulations • Provide qualitative data to aid in the interpretation of quantitative results • Unexpected areas of confusion or lack of confusion • Serve as an integral part of a multi-method evaluation program • Triangulation • Provide qualitative foundation for designing risk assessment and management studies • Professional practice and home-use patterns
Conclusions • Focus group methodology • provides rich depth of understanding of the phenomenon of interest • can be used in isolation, or to complement or supplement quantitative methods • is as useful and as strong as its link to the underlying research question and the rigor with which it is applied.
Author Contact Information Miriam Bar-Din Kimel PhD Senior Project Manager MEDTAP International, Inc 7101 Wisconsin Avenue, Suite 600 Bethesda, MD 20814 (301) 654-9729 kimel@medtap.com