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Table 1 Benefits and Limitations of Internet based Focus Groups

From: A promising method for identifying cross-cultural differences in patient perspective: the use of Internet-based focus groups for content validation of new Patient Reported Outcome assessments

 

Potential Benefits

Potential Limitations

Recruitment and Scheduling

- Wide geographical recruitment allows access to socially or geographically isolated participants and the inclusion of persons with uncommon concerns

- Internet-based recruitment sources (clinical databases, advocacy associations, and on-line support groups) permit rapid enrollment

- Recruitment is made easier by flexible participation requirements (times, locations and travel)

- Typing speed is not essential, as participants type at their own pace

- Limited computer experience or access can restrict participation, leading to age or socio-economic sampling bias

- The identity of participants cannot be easily verified

- Technical requirements of the IFG application for specific browser software may limit participation and should be assessed at screening

- Respondents with certain medical conditions or inpatient treatment settings may not be able to participate

Facilitator Role as IFG Moderator

- Email eases the communication between focus group facilitators and participants (directives, reminders, and follow-ups)

- Software management functions monitor the IFG sessions (on-line tracking of activities and participation levels)

- Polling functions allow facilitators to sample opinions and use these results within IFG sessions

- Reference libraries store surveys and multimedia files or historical documentation for use as later reference materials and within the IFG sessions themselves

- Facilitators may spend more time on-line than for an equivalent series of face-to-face focus groups

Participant Responses

- Perceptions of anonymity allow for greater comfort when discussing sensitive issues

- Responses are less redundant since respondents can read and consider the ideas of others before replying.

- Participants can take their time when responding to questions, leading to considered responses and high-quality data

- 'Emoticons' and customizable text message formats can be used to express feeling or act in place of non-verbal cues

- Redundant information may be generated if the lines of questioning in the Topic Guide are too general or vague

- Reduced opportunity to refine or clarify responses may result in the use of leading or restrictive lines of inquiry

Facilitator Role as Co-investigator

- Facilitators' professional role can be expanded to include thematic research activities, including content analysis of IFG responses

- Session transcripts are immediately available and permit drill-down comparison of phraseology and evaluation of topical content

- Poll and survey results can be used to examine qualitative and thematic differences by participant characteristics and opinions

- Multi-cultural implementations of IFGs allow bilingual facilitators to participate in parallel cross-cultural development activities based on their great familiarity with the concerns and issues expressed by participants within the sessions

- More time and care is required to formulate questions and probes to be used in the Topic Guide

- Moderator training may be required on such qualitative topics as; 'Grounded Theory' and thematic content analyses

- Preparation and modification of thematic coding schedules require a clear (but modifiable) conceptual framework and consistent coding practice. For some applications, evaluation of the degree of agreement between coders may be required (inter-rater reliability)

Time & Costs of Project Execution

- Costs associated with collection and content analysis of IFG responses are less than one-on-one interviewing

- On-line transcripts and use of automated thematic coding functions organize thematic analyses and generation of thematic frequency counts

- No additional costs are associated with conducting IFGs that cover wide geographical areas

- There are no moderator and client travel expenses

- Reimbursement costs to IFG participants may be higher than traditional focus groups due to the increased time spent on-line

- Greater facilitator costs are likely due to a major role expansion and increased facilitator involvement [70], which are off-set by reduced transcription and project management costs