Long before I became a qual researcher, I was an ad guy. In my 20s and 30s, I was part of the agency of record for what was then the dominant name in photography, Kodak. In that role, I helped the company build its film brand, specifically with professional photographers and photo-enthusiasts. I also had a secondary role developing ads that presented Kodak’s latest R&D activities to the scientific community.
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Follow Your Nose
I love books. I really do love all books, but I have a soft spot for fantasy. There are so many authors who have created a universe so immersive it feels like I never fully left, nor do I want to. Unsurprisingly, Tolkien has created one of those universes for me. In my most recent re-reading, I came across a particular passage in The Fellowship of the Ring that spoke to me not only as a Tolkien junkie but as a technology research moderator.
Unconditional Positive Regard
I’m the first to admit that I can’t carry a tune. And my dancing skills…well, let’s just say Seinfeld’s Elaine Benes and her infamous dance-floor contortions come to mind. While my husband and son may tease me for my lack of coordination, there’s someone in my household who accepts me completely for who I am — off-key voice, off-rhythm boogying and all.
Qual Research Insights
It’s not often you hear T.S. Eliot mentioned in connection with qual research. But there’s a quote from his Four Quartets poem I find particularly relevant to the work we do: “The end is where we start from.” Granted, Eliot’s poem is more about existential quandaries than market research, but it does speak to one important aspect of how we approach our work here at Thinkpiece: beginning at the end.
Brands with Personality
When is water more than just water? Ask the billion-dollar beverage brand Liquid Death. Between 2022 and 2023, Liquid Death’s retail sales grew 100% from $110 million to $263 million. The brand’s valuation is now double what it was worth in 2022. This warp-speed trajectory is particularly remarkable when you consider what Liquid Death sells: water.
The Psychology of Research
Tackling difficult questions is all in a day’s work for B2B qualitative market researchers. After all, the ultimate goal in research is to help clients reveal answers that solving vexing challenges and provide strategic direction. But what about those questions of a more philosophical variety — such as, “are we in control of our own destinies?” Is this type of existential exploration meaningful for B2B qual research and the marketers who use it? In a word, yes.
Post-Treatment Patient Studies
In our previous post, “Surviving Survival: Unmooring After the Patient Journey,” we explored the myriad challenges patients and their families face after finishing treatment for a medical condition. We also encouraged healthcare and pharmaceutical companies — along with the market researchers who work with them — to include these post-treatment patients in qualitative research studies.
Surviving Survival: Patient Unmooring after the Patient Journey
Bonnie Dibling, CEO & Lead Healthcare Researcher
March 25, 2024
Over the span of my 25-year career in qualitative research, I’ve had the privilege of collaborating with healthcare and pharmaceutical innovators whose breakthrough treatments have helped countless patients struggling with serious and chronic conditions. In this work, I’ve seen first-hand the dedication, compassion, and drive of medical professionals and researchers as they strive to find cures for often devastating diseases.
I’ve also had the privilege of talking with hundreds of patients, family members, and caregivers for whom these innovative treatments are meant. Following several recent projects we completed with a biotech company developing a novel treatment for certain chronic diseases, I’ve been thinking more and more about what happens to these patients after their treatment is finished.
Clearly, finding out that the treatment worked and the patient is now disease-free are causes for celebration and relief. But for many patients as well as their loved ones, the end of a long and difficult treatment can trigger the start of an emotional struggle. And unlike the original disease, this psychological aftereffect often goes untreated.
Abandoned, Anxious, and Alone
People who have been successfully treated for cancer, autoimmune disorders, heart attacks, strokes, chronic diseases, and any number of serious conditions can experience what I’ve come to think of a “patient unmooring.” Given a clean bill of health, these patients are in essence cut loose from their doctor and care team, and told to go forth and live their lives. Besides the annual follow-up, there are no more doctor’s visits, no more therapy appointments, no more competent medical professionals guiding them. This can leave patients feeling abandoned.
The disease may be gone, but the trauma left by the patient’s medical experience is still very much present. This trauma can manifest itself in multiple ways. Fearful that the disease will return, patients may start to catastrophize. Feelings of anxiety and depression creep in, overshadowing any joy that comes with a clean scan or encouraging lab result.
Studies reported by the Lancet Oncology, for instance, found that long-term cancer survivors and their spouses experience higher incidents of anxiety than participants in healthy controls. A 2023 study published the General Hospital Psychiatry journal showed a high prevalence of anxiety and depression in survivors of cardiac arrest (up to 24%), with anxiety symptoms persisting for one year or more.
In studies of COVID-19 patients who had been treated in the ICU, feelings of anxiety and depression in these patients increased over time and remained high even 12 months after discharge. According to the findings, 42% of these patients experienced long-term anxiety and 40% suffered from lingering depression.
Patients who are unable to be overjoyed or grateful for their recovery may also have feelings of guilt and shame. It can seem like everyone around them — from providers to loved ones — expects the patient to pick up right where they left off before they got sick. This can lead to feelings of isolation, as patients are unable to share what they’re going through with others.
Medical Trauma After Treatment
Indeed, the post-treatment experience of some patients falls within the definition of post-traumatic stress disorder (PTSD) — a health condition triggered by a terrifying event. The International Society for Traumatic Stress Studies reports that 20% to 30% of people who receive intensive care experience PTSD symptoms after being discharged. Studies reported by Frontiers in Psychology also show a high incidence of PTSD for patients who have been in vulnerable medical situations, including childbirth.
Often referred to as medical trauma, medically related PTSD can result from a patient’s exposure to pain, injury, serious illness, and medical procedures. Lengthy, complex, and/or painful or intrusive treatments coupled with uncertainty around outcomes certainly fall within the medical-trauma category. Symptoms of medical trauma run the gamut and can include numbness, disassociation, panic attacks, feelings of rage or shame, substance use, eating disorders, self-harm, compulsive behaviors, sleep problems, as well as anxiety and depression. I’ve heard patients describing many of these symptoms when speaking about their post-treatment experiences.
While trying to navigate these psychological hurdles after completing their treatment, patients have no care team or doctor to turn to, and no tools or resources to guide them. Which leads to the question: Why not? And a follow-up question: How can we change this?
Meeting the Challenge with Research
Here is my challenge to the healthcare, medical, and pharmaceutical community, including the qual researchers who help them better understand patients (I count myself among those). In the noble quest to develop and launch breakthrough treatments for chronic and serious medical conditions, healthcare innovators must also consider what happens after the treatment.
What can be done to avoid patient unmooring? How can we keep patients connected to compassionate and competent medical professionals trained to help them understand and manage the physical, mental, and emotional impact of the trauma they’ve lived through?
Understandably, the focus of novel treatments has long been on the clinical ramifications for survival. Cure the disease so that the patient can live. Let’s expand the focus to include what that life is like once the treatment is finished and the disease has been vanquished. In our qual research, let’s learn more about the needs of these patients and their families post-treatment and use those insights to inform innovative strategies to support their mental wellbeing.
A few of these strategies have already been tried and tested with encouraging results. The non-profit Regenstrief Institute and the Indiana University Melvin and Bren Simon Comprehensive Cancer Center recently co-launched a pilot study for breast cancer survivors incorporating acceptance and commitment therapy (ACT). After receiving 6 weeks of group-based ACT, women participating in the study developed better skills and tools to help them cope with distress and anxiety. Six months after completing the program, the women reported a significant reduction in their fear of cancer recurrence as well as fewer symptoms of anxiety and depression.
Another pilot program launched by the Arizona State University Edson College of Nursing and Health Innovation explored the benefits of digital storytelling to help patients who had undergone hematopoietic stem cell transplantation (HSCT) as well as their caregivers. Participants completed a digital storytelling workshop, then together they watched the digital stories they had created about their personal experiences. Researchers are now assessing whether these shared stories helped the HSCT treatment survivors and their caregivers cope with psychosocial distress and isolation.
While these pilot programs are a promising start, there are significantly more untapped opportunities to explore post-treatment patient care focused on emotional and mental wellbeing. As mission-driven innovators seeking to improve lives, healthcare and pharmaceutical companies also have the opportunity to lead the charge in this type of research.
As qual researchers who specialize in healthcare, we would welcome participating in these studies. And we think patients would as well.
Rethinking the Qualitative Research Paradigm: Embracing Expertise Over Generalization
In the dynamic world of market research, qualitative researchers often find themselves navigating through diverse industries, exploring topics ranging from disposable diapers to deep tech and healthcare. For decades, the industry has favored the archetype of the qualitative researcher as a generalist—a versatile individual capable of rapidly adapting to various domains. Paper towels this week, edge computing the next. I ought to know. This was my life for many years.
But—and I’m veering into hot-take territory here—this approach may not always yield the most insightful results, particularly for B2B companies with complex products and services. I posit that subject matter expertise is the quality that matters most in qualitative research. Matter of fact, I bet my career — and my company — on the conviction that expertise should be at the forefront of qualitative research. Here’s why.
The Advantages of Expertise
Why is expertise crucial in qualitative research? For myriad reasons. Entrusting your complex research to subject-matter experts specific to your industry yields several significant advantages: faster learning curve; more meaningful and revealing conversations; an understanding of rapidly evolving industries and topics; and increased trust and credibility between researcher and client. All of which leads to better, deeper, actionable insight that generates enduring results. Let’s explore further (after all, that’s what researchers do).
Faster Learning Curve
The more complicated the research, the more time it takes for a generalist to become comfortable enough to lead productive discussions about it. Researchers who bring an already-substantial foundation of industry knowledge can get up to speed faster and dive into the research more quickly and confidently. This research readiness is especially valuable for clients who need insights sooner rather than later to make business-critical decisions.
More Meaningful Conversations
Specialized researchers possess firsthand experience and knowledge within specific industries or fields, enabling them to approach research from a peer-to-peer perspective. Interviewing a group of highly specialized doctors? Bring in a researcher who once led cardiac and neurosurgery ICUs. Conducting a focus group of Linux kernel developers? Helps if your moderator is also a software engineer. This industry-insider insight fosters deeper connections with participants and facilitates the exploration of nuanced questions that might otherwise go unasked.
Deeper Understanding of Ever-Changing Fields
Nowhere is the need for specialization more apparent than in industries like technology and healthcare, where the pace of innovation is relentless. In these domains, having someone fluent in the industry is not just advantageous—it’s imperative. Technologies evolve rapidly, and healthcare landscapes undergo constant transformation. Without researchers who live and breathe these sectors and follow their changes, valuable insights risk being overlooked or misinterpreted.
Increased Trust and Credibility
Expertise lends credibility to the research process. Clients are reassured knowing that their projects are in the hands of individuals who not only understand their industry but are deeply immersed in it. This trust becomes the foundation upon which fruitful collaborations are built, ultimately leading to more actionable insights and informed decision-making.
Embracing the Expert
Given these clear advantages, why then has the qualitative research industry clung to the generalist model for so long? Perhaps it’s rooted in tradition, or maybe it’s simply a matter of convenience. My guess is that it’s because there are simply not enough subject matter experts out there who turned to qualitative research. Regardless of the reasons, it’s time for a paradigm shift—a reimagining of what qualitative research can and should be.
One last thought: it’s essential to acknowledge that specialization exists within the realm of consumer packaged goods (CPG) research as well. CPG researchers are their own breed of specialists. They possess a unique understanding of consumer behavior, brand perceptions, and market trends within the CPG space. Their expertise enables them to unravel complex consumer dynamics and deliver actionable insights tailored to this specific domain. So the specialized researcher isn’t just for high tech and healthcare; it benefits clients across industries and audiences — B2B and B2C.
By embracing specialization, we can elevate the quality of our research and deliver more impactful insights to our clients. I’d be interested to hear your thoughts and experiences on specialization vs. generalization. Reach out and let’s discuss.
Qualitative Market Research Trends to Track in 2024
As we welcome 2024 and all its possibilities with open arms, we thought now would be the perfect time to explore some of the trends — current and emerging — we believe will have the biggest impact on qualitative market research. Let’s start with the trends we see as gaining momentum in the year ahead.
Digital Qual Research Continues to Dominate
Ushered in by the pandemic, digital qualitative research is now the new norm — and will continue to be so in 2024 and well beyond. Survey findings show that 87% of researchers did over half of their qual research online in 2023, with 85% of them saying they’ll continue to do so over the next 12 months.
We go into the pros (and cons) of remote focus groups and interviews here, but the bottom line is this: digital research can help companies expand their reach of respondents more easily, conduct interviews more quickly and conveniently, while saving resources and money. Digital research extends beyond online focus groups, as well. In 2024, we expect researchers to keep using digital tools for all manner of activities including surveys, social media listening (more on that below), online discussion forums, data-mining, and more.
Smart Use of Mobile Market Research
Mobile devices are a key part of the digital conversation. Smart phones are ubiquitous; in 2023, 92% of Americans owned a smart phone, and spent around four hours a day on these devices. Researchers have realized that mobile phones provide an excellent platform to engage with respondents who are perfectly comfortable communicating via screens, taps, and swipes.
There are advantages to mobile phone research, starting with a low barrier to entry. Respondents don’t have to be at a specific place at a certain time to participate in a mobile-based interview or focus group, respond to a survey, or provide in-app feedback. They can just whip out their phones on the spot to provide in-the-moment, real-time reactions.
Respondents can also share responses in a wide range of ways — via text, voice messages, video, emojis, and even gifs. Mobile devices also allow researchers to conduct location-based research (thanks, GPS), as well as ethnographic research via daily video journals and notes apps. As such, we expect the mobile research trend to continue building steam.
More Social Media Research
The use of social media is also part and parcel of the shift toward digital qual market research. Researchers have already been using social media as a platform for asking questions, conducting polls and surveys, soliciting feedback, testing concepts and messaging, and showcasing prototypes. With Americans spending around two hours a day on social media apps, these platforms are an obvious place to find and connect with respondents.
In 2024, we predict advances in technology will make it easier and more attractive for qual researchers to embrace social media listening for sentiment analysis. There’s a growing list of shiny new tools that enable researchers to track keywords, hashtags, mentions, reviews, and sentiment across multiple social media platforms. Tracking this info can provide valuable insight into emerging trends, unmet needs, consumer preferences, and brand perception.
Ethnographic Research for B2B
Ethnographic research that’s immersed in the actual real-world environments where respondents live, work, and play has been around since the 1950s. So while it’s long been a staple for consumer research, we believe ethnographies offer great potential for B2B research as well — particularly in the field of technology.
We’ve recently tested out this theory ourselves, by using an ethnographic approach with one of our technology clients. For this particular study, we had respondents — specifically, software engineers — take over and physically use our moderator’s computer to play around with an application and provide real-time feedback. The insight we gleaned from this exercise was invaluable, and our clients were thrilled with the results.
Emotion Recognition and Neuromarketing Research
Emotion recognition technology uses algorithms and machine learning to identify and classify micro facial expressions that signify joy, sadness, surprise, fear, anger, disgust, contempt and more. Neuromarketing research takes it a step further, employing medical procedures including functional magnetic resonance imaging (fMRI) and electroencephalograms (EEG) to track and measure physiological changes in the brain to indicate and identify emotional responses.
Emotion recognition and neuromarketing research aren’t new concepts; some of the largest market research firms even have their own in-house labs set up for these kinds of studies. And if you don’t have the budget for these methods, there are lower-cost and less obtrusive devices that can track and measure a participant’s heart and respiration rates which indicate an emotional response as well.
With the emergence of AI, it will be interesting to see where these types of research approaches will go. AI-enabled eye tracking, for example, maps out eye gaze and movement to understand where a person is looking, what they’re looking at, where their gaze lingers, as well as pupil dilation (an indication of arousal). This is definitely a space we’ll be keeping our eye on.
Merging Qual and Quant
We’ve seen an increased need for and openness to a hybrid research approach that combines qualitative and quantitative, and we expect this merging to continue in 2024 and onward. And we’re here for it.
While they may seem diametrically opposed, quant and qual together can strengthen each other while providing a more holistic view of the research. Quant alone can get bogged down in data, making it harder to connect the dots and reveal the insight. Qual, on the other hand, can sometimes be hard to measure, with a lack of quantifiable “proof” to clarify how conclusions were drawn.
Integrate the two research worlds, and you have the what, why and how behind the data. This can result in more meaningful reports that also provide clients the proof-points they need to believe in the insight. Advances in technology and systems are making it easier for researchers to combine qual and quant data in a single platform, which also make it faster and less cost-prohibitive to do both.
A Case for Agile Market Research
Agile market research has been around for a while, as well, and there’s been some debate as to its effectiveness as a methodology. We see the increasing value of agile market research, but also the need for it to be done exceedingly well.
In the current business reality, things change very fast. As such, companies need answers to their questions now, which means they need quick, focused research studies and lots of them. Agile market research responds to this demand by taking an iterative approach to gathering consumer feedback to very specific questions along multiple points in the development of a product, service, or campaign.
Instead of taking weeks or months to test and collect respondent reactions, agile market research delivers answers in days. This allows companies to make on-the-fly tweaks as they go, and ideally launch their product/service/campaign more quickly.
In the hands of an inexperienced firm, agile market research can end up sacrificing quality for the sake of speed. That’s why it’s important to have researchers with first-hand industry knowledge and experience, who know exactly the right questions to ask and how to extract the critical insight quickly.
Now that we’ve addressed some of the current trends, let’s turn our vision toward those we see emerging in the year ahead.
AI As a Collaborative Tool
There’s no doubt that artificial intelligence will play an increasingly larger role in qualitative market research. We expect more research firms to embrace AI technology, apps, and services as a collaborative tool to help them drive efficiencies and productivity. A recent Qualtrics survey supports this, finding that 46% of researchers say they’re “very confident” with using AI in research, and 26% reporting they feel “extremely confident.”
We predict a turn toward AI for a broad range of research activities, from developing screeners, surveys and discussion guides, to weeding out bogus or unqualified respondents, to transcribing interviews, to quickly analyzing massive amounts of data from multiple sources, to generating attractive and compelling reports. But we caution that AI should not and cannot replace the human element when it comes to revealing actionable insights that businesses need to make strategic decisions. You can read more about that in our recent blog post here.
Prioritizing Data Privacy
All the hype about AI leads us to the next emerging hot topic for market research: data privacy, for both consumers and clients.
Today’s consumers are ever-more aware of and concerned about protecting their private data — especially online. According to Pew Research, 72% of Americans believe that almost all their online activity is being tracked, which understandably makes them uncomfortable. It can also make them less willing to participate in qual research studies.
In response to rising fears around data privacy, countries around the world are enacting stricter guidelines designed to protect personal information and give consumers more control over their own data. Moving into 2024, researchers need to be aware of and respond to the concerns of consumers as well as the compliance requirements of their governments. That means having clear and formalized data security protocols in place, as well as complete transparency on how data is collected and used.
Researchers will also need to take measures to protect themselves and their clients against malicious actors. GreenBook reports that upwards of 30% of market research qualifies as fraudulent, propelled by respondents who lie about their qualifications, bots and fake traffic completing surveys, and widespread identity theft. As such, it will be critical for researchers to implement robust safeguards from here on out.
We delve deeper into safeguarding data in our recent blog post here.
Let’s Hear it for Voice of Consumer (VoC) Research
Modern VoC research involves using technology and tools that analyze text and consumer sentiment across a range of digital and traditional channels and methods including surveys, interviews and focus groups, social media, feedback forms, online reviews, customer support interactions, customer journey mapping, and more. The goal is to capture what customers are saying about your product, services, and/or brand for authentic insight.
We expect VoC research to gain traction as companies continue to place an emphasis on customer experience and customer-centric strategies. VoC also plays a key role in developing customer personas that help companies better understand and respond to different audience segments.
VoC research, however, can be challenging and complex since it requires an omni-channel approach and sophisticated tools in order to reveal the complete picture of customer preferences, sentiment, and behavior. It’s also important to make sure the VoC data you collect truly represents your target audience, and that you maintain customer privacy and data security.
Diversity and Inclusion in Market Research
In 2022, 44.1% of the U.S. population was non-White. By 2044, over half of Americans is projected to belong to a minority group. The percentage of Americans who identify as LGBTQ+ is growing as well, especially among younger generations; in 2022, 10.5% of Millennials in the U.S. identified as LGBTQ+, while 20% of Gen Z did.
Our country’s population is aging, as well, with the median age coming in at just under 40 years — a number that’s expected to rise. Even as we get older as a country, younger generations are gaining power as consumers. Millennials now represent the largest group of consumers, and Gen Z’s buying power is going up.
All this to say: in 2024, it will be imperative for researchers to make sure their research samples and respondents reflect the diversity of their audiences — including ethnicity, cultural background, lifestyle, gender, age, and sexual preference. It will be especially important to include traditionally underrepresented populations such as women of color, people with disabilities, and members of the LGBTQ+ community.
Focus groups comprised of respondents who have similar experiences, preferences, and biases can often lead to skewed results. We get it: sometimes you need to find respondents who check off specific attributes — a certain age group, profession, demographic. But within the confines of the screener, and whenever possible, diversifying your groups and interviewees can help reveal richer, deeper insight that leads to better decisions.
Diversity and representation are an even bigger challenge when we consider how difficult it’s becoming to find respondents. Today’s consumers are increasingly likely to ignore phone calls, emails and texts from unknown sources, including field managers trying to recruit for research studies. Which leaves only those self-selecting consumers to respond and participate — and who often lack diversity. To address this challenge, qual researchers will need to lean hard into relationship-focused recruiting.
Beyond diversity, researchers must also work to ensure inclusivity with their studies. That requires creating environments where every participant feels listened to, valued, respected, and involved — regardless of who they are.
What Did We Miss?
Call us optimists (we certainly embrace that title), but we’re excited about the emerging tools, technologies, and methodologies researchers can leverage to unlock even greater insights that drive tomorrow’s innovations. As is the nature of our industry, we’re sure this list will continue to evolve as the year advances, and we’re curious to see what develops. We’d also be interested to hear about any trends you’d add to the list. Reach out, and let’s discuss.