Chapter 6 126 with your mental health professional? The interview guide for each focus group is provided in Additional file 6.1. The focus group discussions were held in Dutch and lasted between 120 and 155 min (median duration 123 min). A researcher with lived experience with perinatal mental health problems [ME] led the discussions, [NS] was present to observe and take field notes. Digital research data, including audio recordings and ad verbatim transcripts of the focus group discussions, were pseudonymized and stored in a password-protected file on a secure server of the hospital (OLVG). Paper consent forms are stored in a locked research cabinet of the same hospital. This process ensures that the data is securely stored, and that participants’ anonymity is protected throughout the study. Data analysis The focus group discussions were audio-recorded and transcribed ad-verbatim. The transcripts were converted to ATLAS.ti v9 for data analysis. Table 6.1 summarizes the steps performed during the analysis. Table 6.1 - Thematic framework analysis process ↑ Inductive Step 1 Self-acquainting with the data, by reading and rereading of the transcripts [JH, NS, SA, YD, ME]. Step 2 Line-by-line analysis and inductive coding by three researchers independently [NS, SA, YD]. [NS] and [YD] performed the coding process directly after the focus group discussions, while [SA] performed the coding process later. Open codes with a low interpretation degree were applied. Step 3 Merging of similar codes by one researcher [SA] by which the quantity of the codes was reduced. Step 4 Excluding codes with no relation with the family planning decision-making process by two researchers [JH, SA]. A step known as selective coding. Deductive ↓ Step 5 The selective codes were applied to the “Narrative Framework” ([30]) by two researchers independently [SA, JH]. Step 6 A within-person analysis was performed by charting the selective codes for every participant individually in the framework. This was done by two researchers separately [JH, SA]. Codes that were not applicable to the preexisting themes (shadow of the past and shadow of the future) were discussed during group meetings and later identified as new themes (shadow of the present and reflections). Step 7 A between-person analysis was carried out through axial coding by two researcher individually [JH, SA], producing categories. Categories were discussed in severa group meetings resulting in a new framework visualizing four overarching themes an several categories. This table presents the thematic framework analysis, showing the inductive steps (1-4) and deductive steps (5-7) taken in the analysis process
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