Advance consent could address many of the limitations traditional consenting methods pose to participation in acute stroke trials. We conducted a series of five focus groups with people with lived experience of stroke. Using an inductive thematic approach, two themes were developed: factors in favour of, and against, advance consent. Participants supported the idea of advance consent and highlighted trust, transparent communication and sufficient time as major factors that would positively affect their decision to provide advance consent. The results will be used to finalise a model of advance consent suitable for testing the feasibility in stroke prevention clinics.

Understanding the views of those working along the value chain reliant on livestock is an important step in supporting the transition towards more sustainable farming systems. We recruited 31 delegates attending the Pig Welfare Symposium held in the United States to participate in one of six focus group discussions on the future of pig farming. Each of these six group discussions was subjected to a thematic analysis that identified four themes: (1) technical changes on the farm; (2) farm and industry culture; (3) the farm-public interface; and (4) sustainability. The results of this study illustrate the complexity and diversity of views of those working along the associated value chain within the swine industry. Participants spent the majority of their time discussing current challenges, including technical challenges on the farm and public perception of pig farms. Participants were more hesitant to discuss future issues, but did engage on the broader issue of sustainability, focusing upon economic and environmental aspects.

The present study aimed to identify the factors that prohibit or enable breast cancer survivors from adopting a healthy lifestyle, as well as to record patients’ suggestions towards developing a weight-loss lifestyle intervention. Twenty-three breast cancer survivors participated in four online, semi-structured focus groups in Greece. All discussions were video-recorded and transcribed verbatim. Participants were 50⋅5 ± 7⋅4 years old with a current mean BMI of 29⋅1 ± 3⋅4 kg/m2. Four main themes emerged from thematic analysis: (1) dietary and lifestyle practices, (2) the effects of cancer on body weight, (3) the impact of cancer on psychology, and (4) the effect of the environment on body weight. Lack of information from healthcare professionals and lack of time were the main barriers to body weight management, whereas the main facilitators were support from their social environment, along with a comfortable physical environment, and the facility of technology. Participants suggested that an effective weight-loss lifestyle intervention should include psychological and social support, guidance and education, collaboration, flexible recommendations, personalised goals, and a follow-up plan. The needs of breast cancer survivors need to be considered when designing weight-loss lifestyle interventions. A personalised approach may prove more effective in promoting a healthy lifestyle and improving patients’ care.

In recent years, various crises such as the financial crisis, Brexit, and the Covid-19 pandemic have shed light on citizens’ (dis)satisfaction with international organisations (IOs). Yet, despite their crucial importance for the support of IOs, individual citizens’ connection to these organisations remains understudied. This article contributes to the literature on emotion research in International Relations (IR) by exploring the everyday emotions of ordinary individuals about IOs and their repercussions on world politics, moving beyond the state or community level to examine how citizens actually experience international politics. It does so by (i) theorising individuals’ emotional attachments to IOs and demonstrating how they shape perceptions and preferences that impact the future of organisations, and (ii) advocating for the use of focus groups as a research method to study emotions in IR. Contributing to the ‘everyday turn’ in emotion research in IR, it uses the European Union as a case study and analyses 21 focus groups with individuals from four different countries (Belgium, France, Italy, and Portugal). The article’s insights provide a deeper understanding of the micro-political foundation that enables and legitimises government action, and against whose background international relations are conducted.

Many countries are reconfiguring their emergency care systems to improve quality and efficiency of care, and this often includes the concentration of emergency departments (EDs). This trend is evident in the Netherlands, but the best approach is the subject of debate among stakeholders. We (i) examined the views of stakeholders on the concentration of EDs in the Netherlands and (ii) identified the main conflicting interests and trade-offs that are relevant for health policy. To do this, we organised focus groups and semi-structured interviews with emergency care professionals, hospital executives and selected external stakeholders. First, the participants saw both advantages and disadvantages to concentration, but these were also contested and debated. Second, we found that – sometimes conflicting – public health care goals (i.e. quality, accessibility and affordability) and narrower interests (e.g. the interests of specific hospitals, insurers, medical specialists and local administrators) were both pointed out. Third, there was no clear preferred approach to the future organisation of EDs, although most stakeholders mentioned some form of centralised decision-making at the national level, combined with regional customisation. Our findings will facilitate health policy decision-making around the reconfiguration of emergency care with the long-term goal of achieving efficient and high-quality emergency care.

Recent developments in health technology assessment (HTA), including the promotion of a new and internationally accepted definition of HTA, have highlighted the need to go beyond clinical and cost-effectiveness to fully understand the potential value of health technologies. Multidisciplinary efforts to generate patient-focused evidence relevant to HTA, using both quantitative and qualitative approaches, are needed. Although it has been more than 20 years since opportunities for qualitative methods to inform HTA were first discussed, their use remains infrequent. The goal of this article is to resurrect the debate about the value of qualitative research in HTA. Drawing on examples from published literature, we propose five key areas where qualitative methods can contribute to HTA, complementary to studies of clinical and cost-effectiveness: (i) assessing acceptability and subjective value; (ii) understanding perspectives and providing context; (iii) reaching the groups other methods cannot reach; (iv) laying the groundwork for subsequent quantitative exercises; and (v) contributing to economic model development.

Farm animal welfare has become an important issue for the European public, especially in the last two decades when a number of crises (eg Bovine Spongiform Encephalopathy and Avian Influenza) have affected farm animal populations. Public concern about this issue led the European Union to fund the Welfare Quality® project. This project aimed to develop a protocol for assessing animal welfare on farms and at slaughter plants, to identify the main animal welfare problems, and to address possible welfare improvement strategies. In fulfilling these aims, the Welfare Quality® project incorporated inputs from both science and society. This was crucial, as the public perception of what constitutes ‘animal welfare’ sometimes differs from animal science-based definitions. Furthermore, these differences are often interwoven with broader variations in ethical- and value-based understandings about human/non-human animal relationships. This paper presents the steps that we adopted to establish a dialogue between science and society during the construction of the Welfare Quality® assessment protocols. This dialogue involved numerous interactions between animal scientists, social scientists and members of the public. These interactions took several forms, including: meetings, conferences, workshops, websites, newsletters, interviews, focus groups, and citizen and farmers juries. Here, we address four key moments within this dialogue: the development of the initial list of twelve welfare criteria; the consumer focus groups; the development of the Welfare Quality® scoring system; and the citizen juries. In particular, we focus on the results of the focus groups and citizen juries. The focus groups were conducted in France, Italy, Sweden, The Netherlands, the United Kingdom, Norway, and Hungary and the citizen juries were carried out in Italy, the United Kingdom, and Norway. Drawing on this research, we highlight the similarities and differences between societal understandings of farm animal welfare and the views of scientific experts. Furthermore, and crucially, we outline how the animal scientists took account of societal opinion when developing their farm animal welfare assessment tools.

What is the impact on symbolic representation of female leaders who are seen as failures? Do women from political dynasties elicit symbolic representation? I answer these questions by analyzing how Park Geun-hye’s election as the first woman president of South Korea and her subsequent impeachment shaped voters’ perceptions of women’s potential and contribution as political leaders. Utilizing an original survey and focus groups, I argue that South Korean voters overall did not recognize Park’s election as the country’s first female president as a symbol of women’s political empowerment because of her dynastic background and her failure to promote women-friendly policies. Although she received credit for being the historic first, women across the political spectrum were concerned that the epic failure of the first female president would reinforce voters’ reluctance to vote for women. This study emphasizes the importance of adopting an intersectional approach in studying symbolic representation.

Tax compliance is a major concern as states try to increase state revenues in order to provide services for their populations. Remarkably, taxation has not figured centrally on the agenda among scholars working on the African voter. This article contributes through studying the social practice of taxes, by asking: how is taxation understood as a political practice? This is studied using focus groups across the private and public sector in Namibia, where the willingness to pay taxes and the relative tax burden is high. This micro-study of citizens’ experiences focuses on the perceived room for political practice in relation to taxes, sense of influence over taxes and whether taxes are thought about in citizenship terms. The article shows that taxes are relegated to a sphere of politics where deliberation and opportunities for accountability are missing, yet ideas of duty are central elements of tax compliance.

Novel endometrial cancer (EC) early-detection approaches may reduce racial disparities in mortality. We conducted six community-based focus groups with White and Black women (N = 57 participants) in February-March 2020 to explore acceptability of a home-based tampon sampling approach for EC. Participants also completed a survey. Data were analyzed using qualitative content analysis. Awareness of EC and risk factors was low. Acceptability regarding home sampling was high, but participants expressed concerns about instruction complexity and potential risks. Black women reported lower comfort with tampons. Increasing EC awareness, self-efficacy, and familiarization with tampons would advance prospects for at-home sample collection for EC testing.

Focus group research is a useful methodology within and beyond the field of political science, as a source of core or supplementary data. The focus group literature is rich and full of guidance, but advice on using digital tools in certain stages of focus group research is relatively scarce. Aiming to fill those gaps, this article draws on experience with two projects in order to outline how researchers can harness technologies for focus group recruitment and data analysis. While traditional recruitment and data analysis techniques are useful, we identify advantages of technology-assisted approaches, particularly for focus group research with marginalized communities. Geared to both new and existing focus group users, the article identifies fruitful ways to harness a wider range of technologies for conducting focus group research while maintaining consistency with established principles and practices.

Mali has one of the highest migration rates in Africa, but we still know very little about the processes and drivers of migration – particularly in the context of the current political crisis. This article draws on 27 focus groups with 220 returnees and male youth respondents conducted in the summer of 2018. Respondents cite underemployment and the inability to provide for relatives as well as a feeling of hopelessness about a future life in Mali as drivers of migration. Returnees report that the voyage was more difficult than anticipated. However, even with knowledge of the significant risks they face, most (68%) returnees express a desire to try to migrate again: this is particularly true for returned migrants who failed in an attempt to reach Europe (89%). The research illustrates very different experiences for migrants attempting to reach Europe and those with goals of intra-African migration.