Objective: To provide insight into the effects of focus group composition.
Method: In an early phase of an ongoing study of parental reception to mess
ages about childhood immunisation, we conducted four focus groups; two with
participants who had never met before (constructed groups) and two with pa
rticipants who were part of a preestablished first-time mothers' group (nat
ural groups).
Results: Marked differences were noted in the group dynamics, depth of inte
raction and diversity between groups. Discussions with constructed groups w
ere animated, enthusiastic, expressed more divergent views and articulated
greater complexities of the topic. Discussions with natural groups were gen
erally flatter and less enthusiastic, displaying a higher level of apparent
conformity to conventional wisdom. The need to protect other participants
from potentially disturbing information about vaccination was expressed acr
oss groups but acted to censor natural groups, where participants knew more
of each others' sensitivities.
Implications: Insight into the factors contributing to such differences may
enhance understanding of the contexts in which constructed groups are more
appropriate. The processes of social censorship may be of primary interest
to the researcher. However, where it is paramount to elicit a range of opi
nions about a potentially controversial topic, we suggest that natural grou
ps in the delicate stage of norming be avoided. The peculiarities of each i
ndividual research circumstance are best explored in pilot studies.