Internet-based platforms are increasingly used to collect qualitative data. We conducted a quasi-experimental study to explore whether data collection mode affects data content and data collection costs. Participants ( N = 171) were assigned systematically to one of four modes—(1) in-person (control), (2) online video–based, (3) online chat–based, (4) online e-mail/message board-based—and randomized to individual interview (IDI) or focus group (FG). We conducted 48 IDIs and 24 FGs about medical risk during pregnancy with women in the southeast United States. We found audiovisual (in-person and online video) modes generated significantly greater volumes of data than online text–based modes. However, there were no significant differences in the thematic content among modes, for IDIs or FGs. Online data collection generally cost more per event without travel; in-person IDIs/FGs were more expensive if including travel. Findings offer empirical data for considerations of online versus in-person qualitative data collection.

BackgroundHigh total fertility rates in Burkina Faso and Mali are leading to population growth beyond the agricultural and fiscal means of its citizens. Providing access to affordable family planning methods is a key step in driving the demographic transition where fertility and mortality rates decline. Furthermore, both nations face significant challenges as climate change is projected to disproportionately impact the western Sahel region undermining environmental, social and economic stability within the region. This analysis was included in formative research to inform family planning programming. The aim of this study was to examine possible indicators of long acting and permanent contraceptive method (LAPM) and short-term method (STM) use for young women in Burkina Faso and Mali.MethodsSecondary data analysis was conducted using the three most recent Demographic and Health Survey (DHS) datasets for Burkina Faso (1998, 2003, 2010) and Mali (2001, 2006, 2012). Women ages 15–24, at risk for unwanted pregnancy were included in these analyses. Summary descriptive statistics across all time points are reported and multinomial logistic regression was used with the most recent data to determine potential indicators of different types of modern contraceptive methods.ResultsIn Burkina Faso in 2010, 24% of women ages 15–24 were using modern contraceptives. Only 2.9% reported using LAPMs in 2010, an increase from 0.3% in 1998. In Mali, modern contraceptive use increased more recently, rising from 9.4% in 2001 to 10.2% in 2006 to 15.3% in 2012. LAPM use also increased from 0.3% in 2001 to 4.1% in 2012. Significant indicators of LAPM contraceptive use in both countries included educational attainment, ideal family size, home ownership and husband’s desire for more children.ConclusionsYoung women in Burkina Faso and Mali are increasingly using modern contraceptives for family planning; however, the LAPM contraceptive prevalence rate remains low. Our analysis indicates that social norms around ideal family size for both men and women continue to drive young women’s choices around family planning and impede use of LAPMs. To increase modern contraceptive use and curb fertility rates, local governments and development organizations should focus on women’s empowerment and include male partners.Electronic supplementary materialThe online version of this article (10.1186/s40834-017-0053-6) contains supplementary material, which is available to authorized users.

The diagnosis, treatment, and management of chronic pain is complex, nuanced, and challenging in primary care settings. These challenges often give rise to internal provider conflicts around appropriate management strategies, perhaps avoiding diagnosis all together. Factors that contribute to internal provider conflict include knowledge, responsibility, and uncertainties surrounding chronic pain management. This piece acknowledges the complexity and competing priorities of chronic pain management from a provider perspective. We advocate for coordinated and committed care of patients with chronic pain and a sense of shared responsibility among providers to adequately address patient needs.

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