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Morgan Spanish Qual Soc 84
Morgan Spanish Qual Soc 84
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Portland State University
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David L. Morgan
University of California, Riverside
M a r g a r e t T. Spanish
University of California, Riverside
servations vs. interviews. Focus groups not only give us access to cer-
tain kinds of qualitative phenomena that are poorly studied with other
methods, b u t also represent an important tool for breaking down
narrow methodological barriers. As a qualitative technique, focus
groups both add to the available range of techniques in this area and
provide yet another chance to demonstrate to more quantitatively-
oriented researchers the ways in which their work could be improved
b y using an appropriate qualitative technique.
The advantages of triangulation are not, however, limited to studies
that bridge the qualitative-quantitative boundary. Within the realm of
qualitative methods, focus groups have much to offer as an adjunct to
other qualitative techniques, such as informant interviewing and par-
ticipant observation. Here as well, there are several standards of good
practice that are too often notable by their absence, and we hope that
our introduction of this new technique will serve to improve the overall
practice of qualitative methods.
what usually happens is that one of you will call attention to it and the
group can refocus on our topic." Similarly, we warned them of blank
spots in the conversation and suggested that they could restart by
reviewing our general instructions. This strategy might be termed the
construction of self-fulfilling prophecies, and we found it to be almost
completely effective, allowing us to be minimally involved in
moderating the actual discussions.
Our participants were recruited from lists of "returning s t u d e n t s " in
order to obtain an age range from 35-50. We felt that students in this
age group would be likely to have more experience with informal
discussions of our chosen topic. Participants were first contacted by
telephone, and anyone who had had a heart attack or expressed reser-
vations about discussing this topic was automatically excluded from
the recruitment; those who volunteered to participate received $5.00
for their time. Altogether, we ran nine focus groups with a total of 40
participants, plus an additional pre-test and one special group where
we invited participants in our earlier groups to return for a second
round of discussions.
Upon arriving at the seminar room, each participant was asked to
complete a questionnaire giving us some idea of their thoughts about
heart attacks. Particularly important for their later discussions was a
portion of the questionnaire that asked them to select someone they
knew or had heard about who had had a heart attack and to write a
brief account of this heart attack. In introducing the actual focus
group discussions to the participants, we emphasized that we were not
interested in testing their knowledge or comparing it to what medical
science knew about this topic. We also explained that very little was
known about how people who had not had heart attacks thought about
this topic, and that we were interested in learning from them by
listening to them discuss their ideas and experiences. In this respect,
our goals are similar to Calder's (1977} "phenomenological approach."
To describe the actual topic of our sessions, we informed the par-
ticipants that the discussion would be done in two parts, and that the
topic for the first half was, "Who has heart attacks and why?" To start
this discussion, we asked them to share with each other the stories
that they had written in the questionnaire; we explained that this
would give everyone a chance to speak. We also told them that we were
interested in hearing as many stories as possible, and that if they hit a
blank spot in their conversation, they could fill it b y offering a new
story or asking questions about someone else's story that they had
already heard.
258 QUALITATIVE SOCIOLOGY
Participants were told that this first half of the discussion would
last about fifteen minutes, but we made no effort to precisely time the
length of the discussion. Instead, we watched for a natural point at
which to conclude or interrupt the session. After a brief break par-
ticipants were given similar instructions for a second discussion. This
time, we requested that they pursue the topic, " W h a t kinds of things
cause and what kinds of things prevent heart attacks?" After ap-
proximately fifteen minutes of discussion on this second topic, the par-
ticipants filled out another questionnaire and were paid. The session
concluded with a "debriefing" in which we talked with participants
about their reactions to the discussions; no unfavorable reactions were
reported in any of the groups. 1
Based on what we had heard in the groups, we designed a sub-
stantive coding system for our transcripts, using mentions of risk fac-
tors related to heart attacks. After compiling a list of such factors
le.g., smoking, diet, exercise, extreme exertion, high blood pressure,
Type A personality, stressful life events, family history, etc.}, we
tallied all mentions of risk factors in each group, separating them ac-
cording to whether they occurred in a story about a heart attack vic-
tim or in general discussion (for a preliminary report of these results,
see Morgan and Spanish, 1983}. In addition to coding risk factors, we
compared the course of the discussions across groups, looking for fac-
tors which led them to move, first from simple exchanges of experience
to a t t e m p t s at understanding these experiences, and then to some
general conclusions based on this shared knowledge.
Focus Groups: W h y
followed in later discussion, and which are dropped. In our work, this
has led to a distinction between heart attack risk factors that par-
ticipants think are important, and those that they consider in-
teresting. Participants find factors such as cigarette smoking to be im-
portant, and will mention them in connection with specific cases, but
the low level of interest in this risk factor is evident by its lower
frequency in later discussions. Mentions of stress and coping reverse
this pattern, occurring only sporadically in stories about specific
people who have had heart attacks, but growing in interest to the point
where they dominate the later portions of several of our groups.
Second, among the components that make up interaction, we have
been particularly impressed with the importance of question asking
and answering. Even a simple request for more information can imply
that the person being questioned is unaware of the relevance of the
omitted information. Questioning can also indicate large differences in
the frames of reference that two participants are using, and replies can
show surprisingly rapid shifts in frame of reference. For example, if
someone is telling a story about a relative's heart attack and they are
asked the question, "How old were they when this happened?", the
result may be a simple reply {"She was in her sixties.") or an extended
discussion of the significance of heart attacks in old age ("We all have
to die of something, and sometimes it just happens to be a heart at-
tack."). Questioning can also be thought of as a specific case of a more
general aspect of interaction--interruptions. Although questions are a
relatively non-disruptive form of interruption, even a polite question
can serve as a signal that others have heard enough of what the in-
terrupted participant is saying at that point in the discussion.
Third, certain phenomena are almost entirely limited to interaction,
including requesting or providing comparisons. In our heart attack
study, we found that comparisons are especially important for moving
discussions from exchanges of experience into a more explicit con-
sideration of risk factors related to heart attacks. Because com-
parisons typically rely on differences or similarities in patterns of risk
factors, they are particularly useful for uncovering the implicit
theories that participants encounter in others' stories about heart at-
tacks. This can be accomplished by using the comparison to highlight
areas of agreement and/or disagreement; the result is a discussion of
the relative importance of a risk factor or set of risk factors across any
number of specific eases. As this process proceeds, new stories are of-
ten introduced for the sole purpose of providing comparisons. Even-
tually, it is the process of comparing risk factors that becomes
262 QUALITATIVE SOCIOLOGY
sex were present? Would the presence or absence of a spouse affect the
opinions one expresses? These are interesting questions in their own
right, and the answers might well affect the format in which the sur-
vey interviews are conducted. The point that we want to make here~ as
well as in other contexts where focus groups are used in conjunction
with another data collection strategy, is that proper attention to the
focus groups not only increases the information that they provide for
the other technique, b u t also has the potential of generating useful
data in its own right.
Conclusions
jects" would improve the knowledge that was gained through these
techniques. This is a good argument in favor of focus groups, and for
qualitative methods in general, but we feel there are more important
lessons to be learned. Thus we have tried to emphasize insights that go
beyond improving question wording and experimental realism; in fact,
we fear that such uses of focus groups are similar to a market re-
searcher listening to taped discussions in hopes of finding the raw
material for a new slogan or jingle. Instead, we have emphasized the
value of coming into direct contact with the points of view of the in-
tended objects of the research, or as Calder (1977:360) puts it, "ex-
periencing their experiences." We feel quite strongly that such in-
sights do much to strengthen quantitative approaches to research, and
we look forward to the day when quantitative researchers who use
focus groups will claim that their work is superior to that of their
colleagues who fail to employ qualitative techniques.
While we would be pleased if quantitatively oriented researchers
began to adopt focus groups (especially if they do so in the spirit that
we attempt to convey), we would be even more pleased if they were
adopted by practitioners of other qualitative methods. As we noted at
the beginning of this paper, there are several standards of good prac-
tice that are too often honored in the breach. In particular, just
because qualitative work is manifestly better grounded than quan-
titative work, it does not follow that it is sufficiently grounded.
Similarly, although most qualitative researchers are aware of tools
such as Glaser and Strauss' constant comparative method, we still
clearly need to be prodded to use them. We are not about to argue that
focus groups are superior at either of these tasks, only that their in-
troduction as qualitative methods provides a forum for raising the
issues. It will take some time before focus groups establish a clear
territory within the realm of qualitative methods, but using them in
combination with other qualitative methods is the quickest way to ac-
complish this, as well as the best way to test some of our assertions
about the potential superiority of the combinations of these methods.
Whether or not focus groups stimulate combined methods of data
collection, either within qualitative techniques or across the boundary
between qualitative and quantitative techniques, our own experiences
(Morgan and Spanish, 1983) make us confident of their merit as a new
means of collecting social science data. There is really only one test for
such methodological merit: does the technique provide new or im-
proved means of asking and answering sociological questions? In our
Focus Groups 269
r e s e a r c h , t h e c o n c e n t r a t e d o b s e r v a t i o n s of i n t e r a c t i o n t h a t f o c u s
g r o u p s p r o v i d e h a v e m e t t h i s t e s t , a n d we l o o k f o r w a r d t o s i m i l a r
r e s p o n s e s from other social scientists.
Notes
1. The single most common reaction in the debriefing was a request to learn more
about the subject of heart attacks or about general aspects of caring for one's
health. Rather than answering from our own limited medical knowledge, we met this
request by suggesting a series of "self-care" oriented readings which would allow
participants to pursue their own interests.
2. It is worth noting, however, that social psychologists have most often used group
discussions as a form of "experimental manipulation" rather than as a source of
substantive data.
References
Becker, Howard S.
1958 "Problems of inference and proof in participant observation." American
Sociological Review 23:652-660.
Becker, Howard S. and Blanche Geer
1957 "Participant observation and interviewing: a comparison." Haman Organ-
ization 16:28-32.