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      Exploratory conversations: reflections on developing a triad interview method

      practice-case-study

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          Abstract

          Although dyad interviews have become more widely used in research, little has been published about a triad interview approach, in which two interviewers guide an engaged, three-way conversation with an interviewee. We describe our experience of developing online triad interviews within a participatory health research project that explored different stakeholders’ experiences of a young people’s cancer service in the UK. A defining characteristic of this research was the practical involvement of community members with different experiences of cancer, who worked as co-researchers in community–academic partnership. The decision to develop the triad interview method was emergent. It centred upon the connectedness of a clinical researcher, a companion co-researcher and a participant interviewee around a topic of shared experience. We first describe, and then reflexively appraise our development and enactment of this method, exploring how perspectives such as positionality and enhanced rapport impacted our exploratory interview conversations. We suggest that triad interviews are an underexplored qualitative research method, and we propose that, as an explicit practice, they could be highly beneficial in some person-centred research contexts.

          Most cited references16

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          "Everything Is Perfect, and We Have No Problems": Detecting and Limiting Social Desirability Bias in Qualitative Research.

          Many qualitative research studies acknowledge the possibility of social desirability bias (a tendency to present reality to align with what is perceived to be socially acceptable) as a limitation that creates complexities in interpreting findings. Drawing on experiences conducting interviews and focus groups in rural Ethiopia, this article provides an empirical account of how one research team developed and employed strategies to detect and limit social desirability bias. Data collectors identified common cues for social desirability tendencies, relating to the nature of the responses given and word choice patterns. Strategies to avoid or limit bias included techniques for introducing the study, establishing rapport, and asking questions. Pre-fieldwork training with data collectors, regular debriefing sessions, and research team meetings provided opportunities to discuss social desirability tendencies and refine approaches to account for them throughout the research. Although social desirability bias in qualitative research may be intractable, it can be minimized.
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            Introducing dyadic interviews as a method for collecting qualitative data.

            In dyadic interviews, two participants interact in response to open-ended research questions. There are few precedents for using dyadic interviews as a technique for qualitative research. We introduce this method largely in comparison to focus groups, because both represent forms of interactive interviewing. We do not, however, view dyadic interviews as miniature focus groups, and treat them as generating their own opportunities and issues. To illustrate the nature of dyadic interviewing, we present summaries of three studies using this method. In the first study, we used dyadic interviews and photovoice techniques to examine experiences of people with early-stage dementia. In the second study, we explored the experiences of staff who provided services to elderly housing residents. In the third study, we examined barriers and facilitators to substance abuse treatment among Asian Americans and Pacific Islanders in Hawaii. We conclude with a discussion of directions for future research using dyadic interviews.
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              “Value-adding” Analysis: Doing More With Qualitative Data

              Much qualitative research produces little new knowledge. We argue that this is largely due to deficits of analysis. Researchers too seldom venture beyond cataloguing data into pre-existing concepts and scouting for “themes,” and fail to exploit the distinctive powers of insight of qualitative methodology. The paper introduces a “value-adding” approach to qualitative analysis that aims to extend and enrich researchers’ analytic interpretive practices and enhance the worth of the knowledge generated. We outline key features of this form of analysis, including how it is constituted by principles of interpretation, contextualization, criticality, and the “creative presence” of the researcher. Using concrete examples from our own research, we describe some analytic “devices” that can free up and stretch a researcher’s analytic capacities, including putting reflexivity to work, treating everything as data, reading data for what is invisible, anomalous and “gestalt,” engaging in “generative” coding, deploying heuristics for theorizing, and recognizing writing as a key analytic activity. We argue that at its core, value-adding analysis is a scientific craft rather than a scientific formula, a creative assemblage of reality rather than a procedural determination of it. The researcher is the primary generative and synthesizing mechanism for transforming empirically observed data into the key products of qualitative research—concepts, accounts and explanations. The ultimate value of value-adding analysis resides in its ability to generate new knowledge, including not just the “discovery” of things heretofore unknown but also the re-conceptualization of what is already known, and, importantly, the reframing and reconstitution of the research problem.
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                Author and article information

                Journal
                rfa
                Research for All
                UCL Press (UK )
                2399-8121
                20 July 2023
                : 7
                : 1
                : 10
                Affiliations
                [1 ]Department of Applied Health Research, UCL, London, UK
                [2 ]University College London Hospitals NHS Foundation Trust, UK
                [3 ]Volunteer co-researcher
                Author notes
                Author information
                https://orcid.org/0000-0002-9758-1416
                Article
                10.14324/RFA.07.1.10
                bbc3b463-8baa-4fe5-a646-b2ff33727022
                Copyright 2023, Alison Finch, Sadhia Ali and David Chang

                This is an open-access article distributed under the terms of the Creative Commons Attribution Licence (CC BY) 4.0 https://creativecommons.org/licenses/by/4.0/, which permits unrestricted use, distribution and reproduction in any medium, provided the original author and source are credited.

                History
                : 08 June 2022
                : 22 March 2023
                Page count
                References: 19, Pages: 8
                Funding
                This article presents independent research funded by Health Education England (HEE) and the National Institute for Health and Care Research (NIHR). Alison Finch was funded by HEE and the NIHR to undertake this research (ICA-CDRF-2018-04-ST2-034). The views expressed in this publication are those of the authors, and not necessarily those of the NIHR, HEE, NHS or the UK Department of Health and Social Care.
                Categories
                Practice case study

                Assessment, Evaluation & Research methods,Education & Public policy,Educational research & Statistics
                participatory research,interview methods,cancer,triad interview,community-based participatory research

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