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Value, challenges and practical considerations when designing, conducting and analysing a longitudinal qualitative study in family medicine

Abstract:
Qualitative longitudinal design has a long tradition in a variety of social science disciplines and is increasingly used in applied healthcare research, including family medicine. While there are many definitions of longitudinal qualitative research (LQR), its most common characteristics are multiple data collection points and its focus on temporality, which prioritise the study of change and continuity. Thus, LQR can provide insights into the nature, causes and consequences of change (or its absence). In this paper, we discuss the key steps and considerations related to designing and conducting LQR in family medicine and community health. These include (1) deciding on the length of data collection and timing and number of interviews, (2) planning recruitment: attrition versus oversampling, (3) approaching data collection: asking the same or different questions, (4) planning and conducting the analysis and writing up findings, and (5) conducting ethical LQR. We also highlight what LQR can offer family medicine and community health, including (1) allowing exploration of views and experiences of a variety of participants over time; (2) following participants through important transitions; (3) studying implementation of new practices, processes or interventions; (4) exploring the importance of historical change and/or macro context on individuals' lives; and (5) developing a deeper understanding of phenomena under study. While a lot of attention has been paid to using LQR when studying patients' and/or carers' experiences, we highlight its value when studying a variety of actors relevant to family medicine, including healthcare professionals and policy makers.
Publication status:
Published
Peer review status:
Peer reviewed

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Publisher copy:
10.1136/fmch-2021-001283

Authors


More by this author
Institution:
University of Oxford
Division:
MSD
Department:
Primary Care Health Sciences
Role:
Author
ORCID:
0000-0002-0163-1547
More by this author
Institution:
University of Oxford
Division:
MSD
Department:
Primary Care Health Sciences
Role:
Author
ORCID:
0000-0001-8187-0742


Publisher:
BMJ Publishing Group
Journal:
Family Medicine and Community Health More from this journal
Volume:
9
Issue:
S1
Article number:
e001283
Publication date:
2021-11-22
Acceptance date:
2021-11-22
DOI:
EISSN:
2009-8774
ISSN:
2305-6983
Pmid:
34810204


Language:
English
Keywords:
Pubs id:
1212331
Local pid:
pubs:1212331
Deposit date:
2021-12-08

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