Creating a professional linkage platform in adult social care
Developing a prototype

Understanding the local context


8. Define and test your hypotheses 

Spend time mapping out your existing assumptions and conducting user research about the difficulties that staff working in adult social care face when gathering information to support them in their roles and what a good solution might look like. Doing this will help when you design your discussion guide (see step 11).

Important notes

  • User research seeks to understand the wants, needs and existing challenges that users face within a system or when engaging with a tool or service. 
  • Insights from user research help teams to make informed decisions about the most suitable solution. 
  • A strong basis for any user research exercise is to go in with a clear articulation of what your assumptions are and which hypotheses you’re looking to test. This approach ensures that the design and implementation of a solution is truly informed by users, rather than preconceived views and ideas about users that may not tell the whole story.
  • It is okay for your assumptions to be wrong that is the point of testing them with practitioners! 
  • Taking the time to prove or disprove your initial assumptions will lead to a solution that you can be confident that practitioners want and is therefore more likely to succeed. 

Examples of assumptions in our project include:

  • At the point of triage, practitioners within the local authority Adult Social Care triage team are unable to quickly identify other teams supporting an individual in receipt of care.
  • Practitioners in all settings use mostly manual and burdensome methods to understand the network of professionals around an individual (e.g. emails or phone calls).

 

9. Identify your user groups and sample sizes 

For each of the assumptions you list, consider who you need to speak with to understand more about the issue, then group your assumptions into categories based on these users. Wherever possible, get information ‘from the source’ (i.e. the person who can share their own experience of the issue).

In our project, the focus was on the following user groups:

  • Frontline practitioners within local authorities and health settings 
  • Data managers 
  • Strategic managers 
  • Information Governance managers 

Next, set a target for how many people from each user group you think you will need to speak with in order to understand the issues fully.  

This target does not have to be fixed – when you start to hear the same themes and are not uncovering any new insights, you can stop interviewing participants. You can also change who you speak with. For example, you might uncover a user group that you hadn’t previously considered or you might refine your user groups to incorporate both newly qualified and senior practitioners.

10. Decide on appropriate research methods 

It is important to select the right research method based on the questions you’re planning to ask, what you know about the user groups you’ve identified, and the time or resource constraints you are working within.

Some of the most common methods for this kind of research are one-to-one interviews and focus groups. Or you can take a more informal approach and make use of existing meetings, such as Adult Social Care team meetings. 

If you are under time pressure, focus groups are a good way of gathering insight from multiple individuals in one session, especially if they are senior individuals with greater demands on their time. For our project, we conducted a series of one-to-one interviews. 

Positives and negatives of different research methods

One-to-one interviews Focus groups
Allows for deep understanding of one person’s experience, leading to more nuanced insights Group conversation might spark comments that would not come out in a one-to-one session 
Time-consuming More efficient as perspectives from multiple people are collected in a single session 
Can be easier to facilitate  Can be more difficult to keep the discussion on track and ensure everyone feels comfortable and has the chance to speak
May be more appropriate if discussing sensitive / personal topics 

 

11. Produce a discussion guide 

Discussion guides define the topics that will be covered in user interviews and establish the key questions you need to ask. They also ensure consistent methodology, which will help you to analyse the findings later. 

Your discussion guide should contain: 

  • An introduction to the purpose and objective(s) of the discussion, which should be shared with participants at the recruitment stage 
  • Confirmation of informed consent and recording preferences
  • Key questions and supporting prompts, organised by theme or topic
  • A closing and thank you statement 

During an interview, it is natural for a conversation to not follow the structure set out in your discussion guide. Be prepared to be flexible while also ensuring that your key questions are being answered. You might like to practise with your colleagues to build confidence about getting conversations back on track if your interviewee takes you in an unexpected direction.

You can find the discussion guide we developed for our project in the User research guide section and can change and adapt it so it is specific to your local authority. 

Important notes

  • Use ‘open questions’ that are open to interpretation by the participant and can be answered in ways that are appropriate to them. 
  • Closed questions can lead your user to a certain answer (perhaps even an answer they think you want them to give – known as ‘social desirability bias’). This may prevent you from uncovering useful insights and you could end up with findings that are neither representative nor accurate. 
  • For example, if your assumption is that current processes of gathering information are challenging for practitioners, you might be tempted to ask: “Are your current processes of gathering information challenging?” A more open alternative could be: “Can you talk me through any challenges or enablers you experience when gathering information in your role?”

12. Schedule interviews and obtain consent

When recruiting people to participate in your research, you may find it helpful to draft an ‘expression of interest’ e-mail (in the body of an email or as an ‘information sheet’ attachment). This should include:

  • Some background to your research project (e.g. the parties involved and how it is being funded)
  • The key questions you will ask
  • What the participant can expect from the session (e.g. who will attend, how long it will take and, if virtual, what software will be used)
  • How long the session will last

It is also a good idea to decide on remuneration at this stage and to attach an informed consent form to the email so that people have all the information they need to make a decision.

You can find a template for the participant information sheet we used in our project in the User research guide section. 

The informed consent form serves as a way to confirm that your potential participant understands the purpose of the research, what they will be asked to do, and how data from the session will be managed. Remember to include whether you intend to audio/video record the session, plus how any data collected from the session will be stored and when it will be deleted. 

The participant does not need to sign this form but they will need to at least give verbal consent at the very start of the session. You should refer to local policies and procedures as it might not be necessary to obtain consent and we recommend recording the session if you are speaking to staff in an informal setting, such as a team meeting. 

Top tip 

Use a tracker to help you stay organised with recruiting participants and monitor the number of interviews scheduled for each user group. You can find a blank template for tracking recruitment activity in the User research guide section.

13. Analyse and synthesise your findings 

After the research sessions have been completed, you need to analyse the content to draw out and categorise the most pertinent information, then synthesise this information into insights that answer your questions and inform what kind of solution your users need.  

It may be useful to produce an overarching list of data points, features or suggestions that practitioners identify as important and to look at the frequency of mentions to help you understand which areas should be prioritised. 

Top tip

Miro is a virtual whiteboarding tool that is often used for this kind of work. You can find a link to a Miro template to enable analysis research in the User research guide section.

This enables you to transfer key ideas from your user research into virtual post-it notes that you can group together to identify common challenges experienced across different user groups.

14. Test your findings 

Before finalising your learnings, you should try to validate your findings with users.

Validation with a small sample of interviewees will ensure that your interpretation of their experiences is correct and enable you to make any changes. For our project, we arranged follow-up conversations with three of the most engaged interviewees from our initial round of research to confirm our findings before sharing with a wider group. 

You can also test your findings with managers. We used the Project Governance Group to test and validate our findings with strategic managers from across the partnership. 

15. Present your findings 

 We chose to present our findings in a wider Discovery and User Research report. 

Depending on your local context this approach may be too formal – a presentation outlining your findings and how the Family Context tool could be adapted to meet the local context might be more suitable.   

Publishing your findings in an accessible way can help your research participants see the contribution they made and can also help other Local Authorities and partners to understand more about how to deliver similar work.

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