Monday, May 4, 2015

Incorporating Parenting Into Ongoing Family Consultation


Sonny McWilliam with her daughter, Tinsley, at the Outer Banks

Early intervention is, at its core, a parenting program. I mean it is designed to help parents rear their children in ways they want to, with added information about what’s good for their child, considering his or her disabilities, delays, or risk status. The child’s situation is the key unlocking the door for the family and us to get together, but, once we’re in the same room, parenting is what we’re talking about—at least when implementing the Routines-Based Model.
I don’t mean to imply that parents are deficient in their parenting. Rather, as we engage in joint solution finding around the individualized goals, we have the opportunity to encourage five evidence-based parenting strategies.

Talk

Most people in early intervention are aware of the landmark study by Hart and Risley (1995) showing the relationship of the number of words a child hears to the child’s language development and the relationship of socioeconomic status to the number of words heard (poorer = fewer words). Hart and Risley also saw that the poorer children heard a greater proportion of negative words (stopping child engagement, redirecting unnecessarily, harsh words) than less poor and richer children heard. Other researchers have also stressed the importance of the quality of language used with and around children (Konishi, Kanero, Freeman, Golinkoff, & Hirsh-Pasek, 2014).

Read

Reading to the child can start even before birth. Reading is a good way for families that find talking to nonverbal children strange to provide them with words. On the other hand, “reading” isn’t as important as shared book time, when the adult talks to child about the pictures or about the story (Whitehurst & Lonigan, 2001). Reading with children is probably a good way to teach children to appreciate books.

Play

You’d think play comes naturally to parents, but not necessarily. I’m not talking about playing with a toy, necessarily. More about being playful. The key is really getting in tune with the child and keeping him or her engaged. Knowing when to expand on the play “schema” and when to stick with the existing one. It involves loosening up adult inhibitions. In addition to social play with adults, children do benefit from learning to play with objects independently.

Teach

Children learn from their parent, whether you want them to or not! But what is it parents do? They use reinforcement principles, for one. We point out to parents how there need to be good consequences when children are doing what the parents want him or her to do. And there should be a dearth of attention when they do what the parents don’t want him or her to do. We sometimes help parents with the timing of their interactions with the child, to promote their effectiveness at making those interactions teaching moments. Cultural anthropologists have said that, in many societies, children learn their cultural norms by observing adults who are not necessarily actively teaching them (Lancy, 2014).

Behavior Management

Behavior management of very young children is still about teaching them. Some parents have an easy time of it, either because they’re masters at behavior management or they’re blessed with children who don’t give them much trouble. Other parents might face challenges in this area, so early intervention is very much about helping families feel in control without getting into power struggles.

In the Routines-Based Model

In this model, the topic of conversation with families, especially in early intervention for children under 3, is often a child’s engagement, independence, or social relationships (EISR)—things addressed through goals, if a good Routines-Based Interview was conducted. If you focus on EISR, you still get to traditional developmental domains.
Even when we’re talking about outcomes/goals, however, we’re doing so in the context of routines. Routines as we define them (naturally occurring activities and rituals) are when parenting occurs; they provide the context both for goal-related interventions and for parenting strategies.
If we think of early intervention as a parenting program, we normalize the experience. The five parenting strategies listed above aren’t for parents of children with disabilities; they’re for all parents. Most parents are already doing at least some of these things, so our attention to parenting allows us to build on adult strengths and sometimes to point out things they could do more.




Monday, April 27, 2015

Unconditional love

In a thought-provoking column, David Brooks posits a straw-man argument, between conditional love, which he equates to a meritocracy, and unconditional love, which he equates to... love without concern for merit. Parents use behavioral principles of reinforcement to teach their children, some more effectively than others.

Whether "love" should be the reinforcer is a question--and anyway what is "love"? Attention, smiles, encouraging verbal behavior... Brooks and others need to define it in observable and measurable terms (not easy for "love"), if they claim it's the conditioning stimulus (i.e., reinforcer).

So what about unconditional love? It teaches a child that whatever he or she does is OK--or does it?

http://www.theandrewmeyer.com/?p=342
Back to the definition of love: A parent can convey the message I love you no matter what, but that doesn't mean I'm not going to consequate your behavior differentially. For example, you wanted to spend the night with your friend, but you're not going to now, because of what you did (or didn't do) today, but I still love you. In fact, I'm doing it because I love you.

Right! thinks the child. It doesn't matter what the child thinks in the moment. That's the part a lot of modern American parents don't get. They see only the short view (am I popular with my child? Does my child love me?), not the long view (Is my child turning out independent, knowing right from wrong, interested in the world, and able to get along with others?).

And there you have my opinion of the four worthwhile goals parents have for their kids.

Thursday, April 16, 2015

Shortcuts With the RBI

Sorry, but no effective shortcuts for the Routines-Based Interview (RBI) have been found. It's interesting that one of the most effective practices we have--one that families like--is one where professionals balk at the 2 hours it takes. Do we live in such a rushed professional society that every encounter has to be short? This medical-model mentality simply doesn't fit a family-centered, intellectually valid approach to our work. The problem is compounded by a well-meaning legislated mandate in Part C of IDEA--to have the IFSP completed within 45 days of the referral. The policy is intended to prevent delays in serving children, but it makes fitting in a longish interview seem difficult.

The RBI has three main purposes: to establish a positive relationship with the family, to get a rich and thick description of the child and family functioning, and to obtain a family-chosen list of functional outcomes/goals. So splitting it up, which is one frequently mentioned idea, wouldn’t work. Many good minds have applied themselves to the problem of the long RBI, but no good shortcuts have been found. So I always suggest people consider what’s using up all the time in the 45 days and it usually boils down to something to do with the evaluation: scheduling evaluators, the evaluation taking a really long time and therefore needing its own meeting, and so on. Many places successfully fit in four visits: intake, eligibility evaluation, RBI, finalize the IFSP. Places that don’t or that are afraid of going over the 45 days, bunch up two of these meetings into one meeting, usually either evaluation and RBI or RBI and finalize the IFSP. If the former, I urge them to examine their evaluation practices to choose the most efficient tool and not to turn the in-or-out event into a quasi-diagnostic encounter.

Almost all RBIs require some time management, and I train people to keep up the detail of information discussed within routines, but, if necessary, skip routines to be finished within 2 hours. Actually, the interview needs to be over after 1.5 hours, because the recap, goal selection, prioritizing, and criteria discussion (something new we’ve added) will take half an hour. Experienced interviewers know not to skip dinner preparation, bath time, and bed time. 

The RBI doesn’t claim to get everything—just enough--to come up with 10-12 goals, including family ones. So, if we skipped routines but we got enough goals, we don’t have to “continue the RBI.” We never split the RBI up over two days. There’s something about the arc of a complete interview, in terms of the relationship building, that is disrupted if we break it off in mid-stream and then, later, try to continue it.

Plan for the 2 hours and enjoy it. Families will.




Thursday, March 26, 2015

Sensory Integration Therapy and Decreasing Stereotypy



One of the disorders sensory integration (SI) therapy is said to help with is the decrease of behavioral excesses in children with autism. In a new single-subject experimental design to evaluate the efficacy of various SI techniques on reduction of stereotypic behaviors, a net swing, “deep pressure,” and a sensory diet consisting of “deep compression” via a therapy ball, “deep pressure” via heavy work activities, “meatball squeeze,” and joint compression were examined with three preschoolers with autism. 

Single-subject studies are truly experimental; the other truly experimental type of research is randomized control trials. Single-subject studies involve a small number of participants but many data on the dependent variable are collected over time. What you give up in the number of participants, you gain in the number of observations per participant. Furthermore, the controls on the independent variable (i.e., the treatment) are very tight. Finally, you can see the exact results of the difference between conditions—between baseline and treatment, for example.

The study is by Sniezyk and Zane and was published in March in Focus on Autism and Other DevelopmentalDisabilities, Volume 30, Number 1. The occupational therapists conducting the treatments had the freedom to determine what specific behaviors to target and what exact treatments to use. The study used rigorous inter-observer agreement procedures, to ensure the reliability of the data, and they measured the fidelity of the procedures to ensure the children really were receiving the SIT described by their therapists. Quoting the abstract, “The results showed that there was no causal relationship between the sensory procedures and improvements in the targeted dependent variables. Thus, SIT remains an unproven treatment for autism.”

The purpose of this post isn't simply to bash SIT, which is too easy, but rather to encourage the evidence-based treatments for reducing stereotypies. The National Professional Development Center on ASD has an excellent review of evidence-based practices.

Monday, March 16, 2015

End of the RBI

Where do most people have difficulty following the protocol of the Routines-Based Interview? The end. The biggest mistake is interviewers confusing the starred items, which were concerns or things the family would like to see happen in the next 6 months, with outcomes. Confused interviewers read the starred items and ask parents which ones they want to put down as outcomes. No! A good interview ends up with many more stars than outcomes. Furthermore, stars are often repeated. For example, if the child doesn't communicate during breakfast, the interviewer or note taker marks a star next to his or her note about this. If the same issue comes up at lunch, another star. So stars or so-called concerns aren't outcomes.

After reading the concerns, which we train people to do in boom-boom-boom fashion, meaning quickly and without elaboration, we set the notes aside, take out a blank piece of paper or the blank form from the Protocol, and ask the parents what they want us all to work on. The parents' answers are the outcomes. We make sure we get the routines where they'd said they wanted to see that skill, but we don't, at that point, get much more. We're trying to finish up the interview, and this outcome selection takes about 20 minutes.

To help remember how the interview ends, here are three very short, very lame silent cartoons.

Beginning of the End

End of End Part 1

End of End Part 2

Tuesday, January 6, 2015

Leading the Spanish Early Intervention Transformation



The history and current context of early intervention in Spain are too complex to cover in one blog post. Today, I summarize one of Spain’s strengths: key leaders.

Marga CaƱadas, the assistant dean for occupational therapy at the Catholic University of Valencia (UCV), has been the pioneer of a family-centered approach. For the past 4 years or so, she has spoken often about the need to put early intervention in natural environments, to make it family-centered, and to make it functional by making it routines based. She is the director of UCV’s own early intervention center, La AlquerĆ­a, where she has initiated these kinds of reforms. The Dean of the School of Psychology, Teacher Education, and Educational Sciences at UCV, Gabi MartĆ­nez, has been a stalwart supporter of Marga and has sponsored many of my trips to Spain. Truly, UCV applies its commitment to helping people with disabilities by being a major force in early intervention. Here you see Gabi and Marga on the right. From the left are Pau GarcĆ­a Grau, doctoral student and two-time Siskin International Intern; Lola Grau, Assistant Dean for Psychology at UCV, me, and the Rector of the university.

A nationwide coordinating organization for 884 agencies working with people with intellectual and developmental disabilities is FEAPS. This organization has been working on a “transformation” of services to improve quality, specifically to focus on family quality of life. The director of that project is Javier Tamarit, a titan in the field of developmental disabilities in Spain. Early intervention (meaning of course children 0-6, as in most of the world) services have been part of this transformation, with 38 “centers” participating so far. On YouTube, you can see presentations from a recent conference on advances in the transformation of early intervention services. An example of Javier’s generosity is his securing over 700 participants for a study Pau GarcĆ­a has been conducting with the Spanish version of my Family Quality of Life (FaQoL) scale. Here’s Javier, speaking at a recent meeting organized by the Castilla la Mancha FEAPS.

Family quality of life is a priority with FEAPS, largely thanks to a couple of giants in the field, Miguel Ɓngel Verdugo and Climent GinƩ. Climent has won the international award from the American Association on Intellectual and Developmental Disabilities and he is a professor emeritus at Ramon Llull University, in Barcelona, where he was the dean of the School of Psychology, Education, and Sport Sciences. He has been studying family quality of life and family needs assessment as part of an international team of researchers led by Ann Turnbull. He has also been conducting a qualitative study of implementation of the Routines-Based Model with 11 early intervention teams in five programs. In a studious, warm-hearted, and passionate way, Climent has guided students and fellow researchers towards ever more family-centered approaches. He was also kind enough to lend us one of his doctoral students, Natasha BaquƩs Aguiar, to be a Siskin International Intern. Here are Climent, a translator, me, and Javier.

Other outstanding individuals are propelling Spain out of an outmoded clinic-situated, child-centered, professional-driven approach to atención temprana into a routines-based, family-centered, and functional approach. I think of Juan de Albacete (that’s not his name; that’s where he’s from, but it’s how I know him), Cristina DĆ­az, Consejera Sandra FernĆ”ndez Herranz, Climent’s team of researchers, the staff of La AlquerĆ­a, Victoria from Mallorca, Carmen Serrano, Rosa FernĆ”ndez… many inspiring people. But these leaders, Marga CaƱadas (with Gabi MartĆ­nez), Javier Tamarit, and Climent GinĆ© are emblems of the frequent finding in early intervention implementation research—that leadership is key.

Sunday, December 14, 2014

Analyzing Qualitative Data



The Headline Method of Analyzing Qualitative Data
R. A. McWilliam
Siskin Center for Child and Family Research
December 2014
Special-education and psychology researchers still often emerge from their doctoral programs with little to no training in qualitative research. This document is a guide for analyzing qualitative data—data consisting primarily of  words as opposed to numbers. I developed the headline method in part out of frustration with reviewing scores of manuscripts submitted for publication that had rich information but resulted in insipid so-called findings. These findings have often been called themes. A red flag was always when the results were reported as “four themes emerged.” Churchill once said, “Out of intense complexities intense simplicities emerge.” Although he was referring to the fact that difficult things can have simple solutions, it reminds me of weak conclusions apparently emerging from interesting words.
Electronic qualitative-analysis programs have probably been partial culprits in this content-analysis approach to analysis. Such programs are excellent for tagging data (like coding), for identifying the locations of data bits, and for synthesizing the most common words or phrases, whether at the raw-data level or at the data of codes or categories. For example, from a data set of early interventionists’ perceptions of a change in model and philosophy, it’s unsatisfactory to read that the themes of professionalism, identity, views of families, and training emerged. What about these so-called themes? To make matters worse, the results sometimes provide subthemes that are simply more topics. The headline method provides directional findings or hypotheses as alternatives to categorical findings or themes. According to grounded theory, hypotheses can be derived from the data and the analyses (Strauss, 1987).
The headline method is so named because the critical step in the analysis is proposing headlines or hypotheses. According to grounded theory, we are usually not testing hypotheses in qualitative research. In the headline method, we dissect the data to tag them and to help us become familiar with them. That familiarity leads us to arrive at potential conclusions about phenomena under study. We word those conclusions as hypotheses. We then go back to the data to see whether they really support these hypotheses. We edit the hypotheses as necessary, continuously returning to the data, which is called recursivity (LeCompte & Preissle, 1994) or constant comparison (Glaser & Strauss, 2009).

Data

The nine steps in using the headline method are as follows:
1.      Organize the data
a.      Identify data sections
b.      Identify data bits
2.      Code the data bits
3.      Categorize the codes
4.      Propose headlines
5.      Build confirming and disconfirming tables
6.      Edit the headlines
7.      More tables as necessary
8.      Secure agreement
9.      Present findings
This guide begins from the point where the researcher begins to have data. In qualitative research, the researcher doesn’t have to wait until all the data are in.

Types

Four types of data are typically what will be analyzed. Transcripts are verbatim written records of oral discourse, which could be individual or group interviews (i.e., focus group discussions). Tabled notes are summaries of what people said, organized into conceptual spaces, such as tables. The organization of these tables is decided a priori, which is a potential limitation of this method. An advantage is that the data are organized from the beginning. Prominent qualitative analysts have described matrices and networks as useful display formats (Miles, Huberman, & SaldaƱa, 2013): “A matrix is essentially the ‘intersection’ of two lists, set up as rows and columns” (p. 109); therefore, it is what I have described as a table. Although Miles et al. describe matrices primarily as display options, they can also be used in entering data. In two studies, I’ve recorded the interview and, on playing each interview back, written summary statements, including quotations, on the table, so the information is sorted. Field notes are “narrative descriptions of people, places, human and natural events, patterns of interaction, statements of value and belief, and the historical context in which the preceding take place” (LeCompte & Preissle, 1994) (p. 8). Like transcripts, they are rarely conceptually organized, requiring some treatment in analysis. Finally, documents are data types that, in my field, are likely to be related to an individual child (e.g., an individual education program), a family (e.g., an ecomap), an agency (e.g., a brochure), or a law or rule (e.g., a policy).

Identifying Data Sections

Before coding data bits, data sections need to be identified. Data sections are usually entries pertaining to one event, such as an interview, an observation, or a document. Each entry (i.e., data section) usually has a date, an identifier for the person, place, or document.  The purposes of identifying data sections are retrieval and analyzing the diversity of sources of data: If many of the same opinions come from one person, the researcher needs to know that. The data section identifier would let the researcher know that.

Data Bits

Data bits are single ideas that can receive one or more codes. They can be single words, phrases, sentences, or even paragraphs, depending on how molecular the coding is. It is important to identify data bits in case researchers want to check intercoder agreement at the coding level. To ensure that the same data are being coded independently, each coder has to know what the data bits are. It is possible to identify data bits while doing first-pass coding.

First-Pass Coding

In grounded research, the investigator does not analyze data with specific codes in mind… theoretically. In actuality, researchers begin analysis with theories that have driven the research and with previous experiences, including knowledge of the literature, that make certain codes likely to be used. For example, when I approach field notes of observations made in young children’s classrooms, I will always notice and therefore code instances of child engagement. I believe engagement is the key to learning and I have been studying it for 30 years. It isn’t all I notice. But it is naĆÆve to think that qualitative analysts are using a tabula rasa in developing first-pass codes.
The researcher assigns one- or two-word codes to data bits. As more instances of the same concept occur, the researcher might use the same codes, thereby reducing the number of codes that will need to be categorized in the next step. But these emerging codes should not constrain researchers; they should not apply codes that don’t fit well just because the codes have been used previously. Researchers with a good vocabulary have an advantage because they can use different words for similar but slightly different concepts.
Recursivity is important in data analysis so ideas researchers form later in the process can be used with data they coded earlier. For example, a researcher might see “the teacher glanced at Tony and seemed about to say something but then turned back to Norah.” This data bit was first coded as missed opportunity. But, later in the process, the researcher had come across data bits that were coded selective reinforcement. On returning to this data bit, the researcher changed the former code to the latter. Once all the data have been coded, with the researcher going back through the data to do this recursive coding, it is time to categorize the codes.
If one is not using a qualitative coding program, the researcher can use Word. Some researchers put codes into comments; others use bookmarks. I prefer to put the codes into the text, at the end of data bits, in all caps. Sometimes, I highlight them. A disadvantage of analyzing in Word, is that one cannot search across documents. So, at the point where I want to retrieve information, using the search function, I put all the documents together into one large document.

Second-Pass Categorizing

This step is the closest to the theme approach to qualitative data analysis there is. Qualitative software packages can help with categorizing codes, although I still prefer to do it in Word. One can write all the codes down and look for patterns, such as codes related to the same idea or to contrasting ideas. Codes can be put into networks or concept maps; I use Cmap Tools. What we want to end up with is a list of categories that express concepts—like metacodes. Inside each category are various codes. Some codes can belong to more than one category. For example, the code integrated therapy can belong to the category inclusion and the category service delivery.
Some codes might not end up in any category. They are usually codes that don’t appear very often, even in conjunction with similar-concept codes.
Researchers should then try linking categories that are related to each other. This will help establish linkages and possibly lead to headlines.
It is sometimes helpful to return to the data and assign every data bit to one or more categories. This can be very useful in when building confirming and disconfirming tables. To do this, the researcher goes through the data, entering the category name at the end of each data bit. This can be done on the version with the code already in the data set or it can be in a copy of the uncoded data set, where the data bits are identified. I prefer to add categories to codes, so I can see everything, even though the data become busy with the original narrative, codes, and categories.
But, if the researchers consider they have stayed close to the data, they can proceed to this organization of the categories without a recursive coding step. Will return to the data bits in Step 5.

Headlines

The categories are organized, and linkages are drawn. The researcher is ready now to propose headlines, so-called to emphasize that they should provide a hypothesis, a potential finding, a story. For example, “Teachers rarely set up activities in advance.” This headline screams at the reader, we hope. It is more interesting and, importantly, more verifiable than “A theme related to set up emerged from the data.” Or “Frequency of set-up.”
Headlines should be in the active voice and should not have too many qualifiers that render the headline nondirectional or wishy-washy. There’s plenty of time for that to happen. For example, “Families are confused by the IFSP development process” is a good, clear headline, compared to “Some families are sometimes confused by the IFSP process.” We can more easily look for confirming and disconfirming evidence of the former headline than the latter. As a result of checking back through the data, we might have to end up with the wishy-washy version, but not at the beginning.

Confirming and Disconfirming Tables

Building these tables is the most important recursive step in the headline method and is the major verification process. For each headline, the researcher builds a table with confirming data bits and disconfirming data bits. To look through the data, the researcher uses the find function in Word, looking for relevant categories or even codes. The researcher isn’t limited to these data bits, but searching can make the process more efficient than reading through all the data again. The relevant data bits are copied and pasted into the tables, along with the identifiers for the data section, so the researcher can look down through all the confirming data. The data section identifiers are needed to see if the data in the tables belong to different informants or the same ones.

Editing the Headlines

Now that the researchers can see the evidence supporting or not supporting the headline, they change the headline, if necessary. The change might be to eliminate it altogether. Another change might be to alter the wording to reflect the nuances that became apparent when the confirming or disconfirming evidence was listed. As mentioned earlier, if the headline is mostly correct but there are enough instances of disconfirming evidence, the strongly worded headline might be tempered with suitable adjectives or adverbs. In a recent study (not yet published) on integrated therapy, we had a headline that began as “In therapy sessions, the child was alone with the therapist, with no other children around.” After building a confirming and disconfirming table, we changed it to “In most therapy sessions, other children were not involved.” In this study, as a result of the recursivity inherent in building these tables, we discovered two more headlines than we originally had.

More Tables

If a headline is altered significantly, a new confirming and disconfirming table has to be built. For example, in another study, we began with this headline: “Children with autism remain in an unsocial state despite social initiations by others.” The confirming table had only three data bits. We reconsidered the hypothesis and changed it to “Children with autism inconsistently respond to social bids by others.” This required another look at the data to build a new confirming and disconfirming table. This time, we found enough data bits to support the statement and very few data bits to refute it, so the new version remained a finding.

Agreement

Because the “instrument” in qualitative research is the researcher, as opposed to a tool, the concept of interobserver agreement is less relevant than in quantitative research. In quantitative research, one of the indices of the reliability of the scores is the extent to which two people independently using the tool would produce similar scores. It is the scores and, by extension, the tools that are being judged by the reliability estimate. In qualitative research, one would not expect two people necessarily to agree, because each person has his or her own history, background, knowledge, opinions, and so on.
On the other hand, questioning whether the reading or listening of the narrative would generalize to another researcher is reasonable. The idiosyncratic-researcher argument for not attending to interobserver agreement breaks down if the researcher either has some bizarre views on the phenomenon under study or has failed to describe his or her own background, so the reader knows about the lens through which the data are seen.
As soon as we code narrative data, the opportunity for interreader agreement presents itself. In this approach, we have three levels at which agreement can be determined.

Codes

Although the list of codes is iteratively constructed by the primary researcher, it would be an unreasonable standard to expect a second person’s iteratively constructed list to be the same. So, in this approach, the first researcher presents the list of codes to the second reader. This list can have definitions, including some examples, but not too many. Too many would obviate the test of agreement. The first researcher should also mark the data bits on the narrative.
The second reader determines which code to apply to each databit. If the first researcher applies two codes to a databit, and the second reader applies only one, but it was one that agreed with the first researchers’ codes, that counts as an agreement, even though the second reader did not apply the second code. Some researchers prefer only one code per databit, to help with interreader agreement, but I prefer to err on the side of nonmutually exclusive codes. The goal is for 85% agreement on the coding of databits.

Categories

It is also possible to establish agreement on categories, instead of on codes. The rule in inter-“rater” agreement is that it should be established at the level at which the data are reported. For example, if you code behavior in a single-subject study and report the frequency of those codes, the interobserver agreement needs to be at the code level. If you collapse some codes into bigger categories, in a manner similar to what I have described here, for qualitative analysis, and report the findings at the level of categories, not codes, interobserver agreement is at the level of categories, not codes. Therefore, in qualitative analysis, the first coder codes the narrative data then collapses those into fewer categories. The second reader uses only the list of categories to demarcate each databit. Again, agreement should be 85%.


Headlines

Agreement at the level of headlines is not quite the same, because databits are not examined. Instead, the second reader examines the confirming and disconfirming tables for the findings (i.e., headlines) and informs the first analyst whether any examples do not fit in the columns in which they were listed. A more rigorous type of inter-“rater” analysis is for the second reader to be given the hypothesis (i.e., finding or headline) with instructions to go through all the data and complete confirming and disconfirming tables. The expected agreement should be an approximately equal ratio of confirming to disconfirming examples. For instance, if Reader 1 found a 10:1 ratio of confirming to disconfirming examples, and Reader 2 found a 12:1 ratio, the agreement would be considered 83% (10/12). Agreement > 80% is considered good with this calculation. Analysts have, therefore, the choice of reviewing the first reader’s confirming and disconfirming tables or completing new ones, independently.

Member Check

The member check is another test of veracity. Information is returned to participants to secure their agreement. This member check is best done at the level of findings (i.e., headlines, hypotheses). If a case-study method is being employed, the researcher can send back either the findings for the individual case or the findings for the whole group of cases (e.g., the final conclusions). “Members” are asked to comment on whether the findings seem reasonable to them. Researchers can ignore the feedback, make some adjustments to the findings, or overhaul them.

Presentation of Findings

One of the most common and irritating ways of presenting qualitative results is through a “garden path analysis” (Bazeley, 2009), in which “a thematic ‘analysis’ can take the reader along a pleasant pathway that leads nowhere: ‘Here are the roses, there are the jonquils, and aren’t the daffodils lovely today!’” (p. 9). The method described here allows the researcher to state actual findings, which become the first structure for presentation, such as in a research report or manuscript.

Headlines

The headline is presented, explained, and supported with some examples—not too many. You’d be surprised how many readers skip over the examples.

Examples of Analyses

In the Method, not Results, section, an example of a confirming and disconfirming table should be given. If the number of examples is too large, some representative examples are listed.

Linkages and Patterns

After the headlines have been described, the researcher looks for linkages and patterns among the headlines. Some potentially causal relationships might be found. For example, if one headline is Teachers recently graduated understand the concept of engagement better than do experienced teachers and another is Teachers who talk much about engagement have classrooms where children are active learners, one might hypothesize that younger teachers have more active learners, not because of their youth (alone) but because they focus on engagement. Another linkage might be conceptual. For example, one headline might be Home visits where numerous families are present are more fun and another might be Talkative mothers make home visits easy. The link between both is features affecting the home visit atmosphere. Many types of linkages and patterns are possible, and it is far preferable to examine these linkages than just to list findings—and we should avoid listing “themes.”
This document has described an efficient, grounded approach to analyzing qualitative data. It avoids the garden path problem and it leads to further research, because every finding is a hypothesis. The method involves coding, categorizing, establishing headlines, confirming or editing them, determining agreement among researchers, and presenting findings.