The conversation about family planning and desire for children in mental healthcare 197 Data analysis We analyzed the qualitative data using thematic analysis23. The focus groups were audio-recorded and transcribed ad-verbatim. The transcripts were converted to ATLAS.ti v9 for data analysis. The analysis included a process of familiarizing with the data (by reading and rereading transcripts), coding and interpretation. Transcripts were openly and interpretatively coded by five researchers with varying backgrounds (healthcare sciences, midwifery sciences, psychiatry and lived experience). Aspects that participants considered relevant in discussions about family planning and desire for children were identified in group meetings. With these aspects, we built a framework that underpinned the questions of both surveys. Data of both surveys were collected with the software program Spidox (www.spidox.net) and shared anonymously with the research team. We subsequently imported the data in R studio (version 4.2.0) for data cleaning and analyses. Descriptive data were presented with means (standard deviations) for continuous outcomes and numbers (proportions) for categorical outcomes. Responses to five key survey questions were disaggregated for patients ≤45 years and patients >45 years to illustrate if responses differ for those for whom reproduction is a current issue. Psychiatric history was only retrieved for the patient group. Open text answers that elaborated on multiple choice answers (‘if yes, why?’) were collected and included in the results’ section to explain and illustrate the numbers. Quotes from the focus groups illustrated quantitative findings in the results section. Validity, reliability, and methodological Integrity Researchers adhered to the APA guidelines to promote transparent reporting27. An interview guide was made for the focus groups, including sensitizing concepts. Field notes supported reflexivity. Investigator triangulation improved credibility28, as multiple researchers with varying backgrounds analyzed data. Transparency about the sampling strategy supported transferability. Purposeful sampling increased homogeneity of focus group participants and benefitted the participants’ knowledge and willingness to discuss topics29. Data triangulation facilitated that the focus group data underpinned the survey questions. The surveys were conducted to test hypotheses derived from the focus group conversations. Additionally, the focus group data illustrated and explained the survey’s findings.
RkJQdWJsaXNoZXIy MTk4NDMw