Qualitative Research With Adolescents

The focus of this station is to guide researchers on how to conduct effective qualitative research with adolescents and young persons. Using qualitative research methods assists the researcher to explore the different dimensions of adolescent wellbeing in their everyday contexts. We adapt the Gender Adolescence Global Evidence conceptual framework as the qualitative research tool for navigating the health care concerns of the adolescent.

Adolescence is a stage of life characterized by rapid and multifaceted physical and psychological developments occurring around various familial and societal settings. The Gender Adolescence Global Evidence (GAGE)’s conceptual framework proposes three factors for consideration in every adolescent focused qualitative research method. These factors are:

Capabilities:

Will the adolescent be capable of participating effectively in Focus Group Discussions and or in-depth interviews? Think about the age, sex, disability and language as potential barriers to effective communication and participation in qualitative research.

Change strategies:

Research agenda with adolescents has to be influenced by the fact that the adolescents are people in transition from childhood to adulthood. The duration of the study or intervention needs to consider that as they move to another school grade, or another school level and tertiary education level; the adolescents may change their perceptions and attitude to the research.

Context:

Research should consider the broader context within which the adolescent grows and develops. Peer pressure, community safety, parental support, school commitments are some of the contextual factors that have an impact on how adolescents participate in research.

You, the researcher, should bear in mind the following issues that make qualitative research a special and independent science.

Key steps in qualitative research process

  1. Choosing the right research question that can be effectively answered by qualitative research.
  2. A good qualitative research question is inductive and explorative, impartial and it focuses on one idea.
  3. It is unambiguous.
  4. Choosing a qualitative research method (interviews, focus group discussions, ethnography, community participatory approach) suitable for the adolescent group you intend researching.
  5. Recruiting and selecting the group of adolescents for the research
  6. Purposive sampling is also known as non-probability sampling is common in qualitative research because it allows the researcher to obtain units of analysis in such a manner that the sample may be regarded as being representative of the relevant population.
  7. Data collection and capturing.
  8. Data transcription and analysis software.
  9. Rigour in analysis and presentation of findings.

Advantages of qualitative research:

Qualitative research adds value to health and medical interventions because it asks questions about human nature and behaviour.

  • For example, “What makes the adolescent not take medication”.

Qualitative research explores perceptions and beliefs about subject matters of interest to clinical interventions like non-adherence to medication and or use and non-use of medical technology, as well as health seeking behaviour.

Qualitative research builds the body of psychological and socio-behavioural knowledge pertaining to the dynamic nature of adolescents

Qualitative research outputs reveal the depth and the scope of the challenges confronting adolescent health and guides clinicians where to focus resources. It provides the depth and quality of information essential for policy formation and intervention programme design.

Qualitative approach is needed when…

  • In-depth understanding of the phenomenon or behaviour is inadequate or not fully understood.
  • Making sense of complex social situations and or processes
  • Explore perceptions, beliefs and understanding

Other things to consider :

In qualitative research, fieldworkers are essential in data collection, therefore it is important that they are well-trained, have experience and are sensitized in working with adolescents and, are able to follow a non-judgmental approach. It is often an advantage to select fieldworkers who have younger siblings, or who are around the same age as the adolescent research participants.

Power imbalance between the researcher and the participants in research is often common. The inequality is intensified when conducting research with adolescents who are minors (10-16 years). Awareness of the power dynamics allow you to minimise the imbalance and chose a methodology that is not reliant on obedience, but lean more on giving the participant freedom to meaningfully engage in research.

Social phenomenon like adolescent risk taking and health seeking behaviours are best studied in the social contexts where they take place, not in controlled laboratory settings. Such research settings are ideal for qualitative research but pose the question of bias and lack of rigour.

Managing and controlling bias is critical in strengthening the rigour of qualitative research and as such the following issues should be checked at all times:

  • How the research questions are constructed and posed to the research participants
  • How the interviewers and focus group discussion facilitators manage the discussion
  • How interviews and discussions are recorded, transcribed and interpreted

Strategies to ensure rigour in qualitative research

  • Account for personal biases which may have influenced findings
  • Acknowledge biases in sampling and continuously do critical reflection of methods to ensure sufficient depth and relevance of data collection and analysis
  • Keep accurate records, demonstrate a clear decision trail and ensure interpretations of data are consistent and transparent
  • Include rich and thick verbatim descriptions of participants’ accounts to support findings
  • Demonstrate clarity in terms of thought processes during data analysis and subsequent interpretations
  • Engaging with other researchers, research staff and the research participants to reduce research bias
  • Able to obtain participant perspectives on interpretation of the research
  • Data triangulation, whereby different methods and perspectives help produce a more comprehensive set of findings.

Traditional research methods do not always give great outcomes when working with adolescents and for this reason novel methods such as video games and the use of graphic illustrations to obtain narratives from the adolescents are proving to be successful in other settings. (Refer to: Novel Methods to Collect Meaningful Data from Adolescents for the Development of Health Interventions)

BY YOLISWA NTSEPE (MA, PhD)
ADOLESCENT PROGRAMMES MANAGER

UPDATED NOV 22, 2023

TABLE OF CONTENTS:

REFERENCES & ADDITIONAL RESOURCES:

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