social work in research methods

Social Work Research Methods That Drive the Practice

Social workers advocate for the well-being of individuals, families and communities. But how do social workers know what interventions are needed to help an individual? How do they assess whether a treatment plan is working? What do social workers use to write evidence-based policy?

Social work involves research-informed practice and practice-informed research. At every level, social workers need to know objective facts about the populations they serve, the efficacy of their interventions and the likelihood that their policies will improve lives. A variety of social work research methods make that possible.

Data-Driven Work

Data is a collection of facts used for reference and analysis. In a field as broad as social work, data comes in many forms.

Quantitative vs. Qualitative

As with any research, social work research involves both quantitative and qualitative studies.

Quantitative Research

Answers to questions like these can help social workers know about the populations they serve — or hope to serve in the future.

• How many students currently receive reduced-price school lunches in the local school district?
• How many hours per week does a specific individual consume digital media?
• How frequently did community members access a specific medical service last year?

Quantitative data — facts that can be measured and expressed numerically — are crucial for social work.

Quantitative research has advantages for social scientists. Such research can be more generalizable to large populations, as it uses specific sampling methods and lends itself to large datasets. It can provide important descriptive statistics about a specific population. Furthermore, by operationalizing variables, it can help social workers easily compare similar datasets with one another.

Qualitative Research

Qualitative data — facts that cannot be measured or expressed in terms of mere numbers or counts — offer rich insights into individuals, groups and societies. It can be collected via interviews and observations.

• What attitudes do students have toward the reduced-price school lunch program?
• What strategies do individuals use to moderate their weekly digital media consumption?
• What factors made community members more or less likely to access a specific medical service last year?

Qualitative research can thereby provide a textured view of social contexts and systems that may not have been possible with quantitative methods. Plus, it may even suggest new lines of inquiry for social work research.

Mixed Methods Research

Combining quantitative and qualitative methods into a single study is known as mixed methods research. This form of research has gained popularity in the study of social sciences, according to a 2019 report in the academic journal Theory and Society. Since quantitative and qualitative methods answer different questions, merging them into a single study can balance the limitations of each and potentially produce more in-depth findings.

However, mixed methods research is not without its drawbacks. Combining research methods increases the complexity of a study and generally requires a higher level of expertise to collect, analyze and interpret the data. It also requires a greater level of effort, time and often money.

The Importance of Research Design

Data-driven practice plays an essential role in social work. Unlike philanthropists and altruistic volunteers, social workers are obligated to operate from a scientific knowledge base.

To know whether their programs are effective, social workers must conduct research to determine results, aggregate those results into comprehensible data, analyze and interpret their findings, and use evidence to justify next steps.

Employing the proper design ensures that any evidence obtained during research enables social workers to reliably answer their research questions.

Research Methods in Social Work

The various social work research methods have specific benefits and limitations determined by context. Common research methods include surveys, program evaluations, needs assessments, randomized controlled trials, descriptive studies and single-system designs.

Surveys involve a hypothesis and a series of questions in order to test that hypothesis. Social work researchers will send out a survey, receive responses, aggregate the results, analyze the data, and form conclusions based on trends.

Surveys are one of the most common research methods social workers use — and for good reason. They tend to be relatively simple and are usually affordable. However, surveys generally require large participant groups, and self-reports from survey respondents are not always reliable.

Program Evaluations

Social workers ally with all sorts of programs: after-school programs, government initiatives, nonprofit projects and private programs, for example.

Crucially, social workers must evaluate a program’s effectiveness in order to determine whether the program is meeting its goals and what improvements can be made to better serve the program’s target population.

Evidence-based programming helps everyone save money and time, and comparing programs with one another can help social workers make decisions about how to structure new initiatives. Evaluating programs becomes complicated, however, when programs have multiple goal metrics, some of which may be vague or difficult to assess (e.g., “we aim to promote the well-being of our community”).

Needs Assessments

Social workers use needs assessments to identify services and necessities that a population lacks access to.

Common social work populations that researchers may perform needs assessments on include:

• People in a specific income group
• Everyone in a specific geographic region
• A specific ethnic group
• People in a specific age group

In the field, a social worker may use a combination of methods (e.g., surveys and descriptive studies) to learn more about a specific population or program. Social workers look for gaps between the actual context and a population’s or individual’s “wants” or desires.

For example, a social worker could conduct a needs assessment with an individual with cancer trying to navigate the complex medical-industrial system. The social worker may ask the client questions about the number of hours they spend scheduling doctor’s appointments, commuting and managing their many medications. After learning more about the specific client needs, the social worker can identify opportunities for improvements in an updated care plan.

In policy and program development, social workers conduct needs assessments to determine where and how to effect change on a much larger scale. Integral to social work at all levels, needs assessments reveal crucial information about a population’s needs to researchers, policymakers and other stakeholders. Needs assessments may fall short, however, in revealing the root causes of those needs (e.g., structural racism).

Randomized Controlled Trials

Randomized controlled trials are studies in which a randomly selected group is subjected to a variable (e.g., a specific stimulus or treatment) and a control group is not. Social workers then measure and compare the results of the randomized group with the control group in order to glean insights about the effectiveness of a particular intervention or treatment.

Randomized controlled trials are easily reproducible and highly measurable. They’re useful when results are easily quantifiable. However, this method is less helpful when results are not easily quantifiable (i.e., when rich data such as narratives and on-the-ground observations are needed).

Descriptive Studies

Descriptive studies immerse the researcher in another context or culture to study specific participant practices or ways of living. Descriptive studies, including descriptive ethnographic studies, may overlap with and include other research methods:

• Informant interviews
• Census data
• Observation

By using descriptive studies, researchers may glean a richer, deeper understanding of a nuanced culture or group on-site. The main limitations of this research method are that it tends to be time-consuming and expensive.

Single-System Designs

Unlike most medical studies, which involve testing a drug or treatment on two groups — an experimental group that receives the drug/treatment and a control group that does not — single-system designs allow researchers to study just one group (e.g., an individual or family).

Single-system designs typically entail studying a single group over a long period of time and may involve assessing the group’s response to multiple variables.

For example, consider a study on how media consumption affects a person’s mood. One way to test a hypothesis that consuming media correlates with low mood would be to observe two groups: a control group (no media) and an experimental group (two hours of media per day). When employing a single-system design, however, researchers would observe a single participant as they watch two hours of media per day for one week and then four hours per day of media the next week.

These designs allow researchers to test multiple variables over a longer period of time. However, similar to descriptive studies, single-system designs can be fairly time-consuming and costly.

Learn More About Social Work Research Methods

Social workers have the opportunity to improve the social environment by advocating for the vulnerable — including children, older adults and people with disabilities — and facilitating and developing resources and programs.

Learn more about how you can earn your  Master of Social Work online at Virginia Commonwealth University . The highest-ranking school of social work in Virginia, VCU has a wide range of courses online. That means students can earn their degrees with the flexibility of learning at home. Learn more about how you can take your career in social work further with VCU.

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In This Article Expand or collapse the "in this article" section Social Work Research Methods

Introduction.

• History of Social Work Research Methods
• Feasibility Issues Influencing the Research Process
• Measurement Methods
• Existing Scales
• Group Experimental and Quasi-Experimental Designs for Evaluating Outcome
• Single-System Designs for Evaluating Outcome
• Program Evaluation
• Surveys and Sampling
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• Advanced Aspects of Inferential Statistics
• Qualitative Research Methods
• Qualitative Data Analysis
• Historical Research Methods
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• Culturally Competent Research Methods
• Teaching Social Work Research Methods

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• Community-Based Participatory Research
• Economic Evaluation
• Evidence-based Social Work Practice
• Evidence-based Social Work Practice: Finding Evidence
• Evidence-based Social Work Practice: Issues, Controversies, and Debates
• Experimental and Quasi-Experimental Designs
• Impact of Emerging Technology in Social Work Practice
• Implementation Science and Practice
• Interviewing
• Measurement, Scales, and Indices
• Meta-analysis
• Occupational Social Work
• Postmodernism and Social Work
• Qualitative Research
• Research, Best Practices, and Evidence-based Group Work
• Social Intervention Research
• Social Work Profession
• Systematic Review Methods
• Technology for Social Work Interventions

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Social Work Research Methods by Allen Rubin LAST REVIEWED: 14 December 2009 LAST MODIFIED: 14 December 2009 DOI: 10.1093/obo/9780195389678-0008

Social work research means conducting an investigation in accordance with the scientific method. The aim of social work research is to build the social work knowledge base in order to solve practical problems in social work practice or social policy. Investigating phenomena in accordance with the scientific method requires maximal adherence to empirical principles, such as basing conclusions on observations that have been gathered in a systematic, comprehensive, and objective fashion. The resources in this entry discuss how to do that as well as how to utilize and teach research methods in social work. Other professions and disciplines commonly produce applied research that can guide social policy or social work practice. Yet no commonly accepted distinction exists at this time between social work research methods and research methods in allied fields relevant to social work. Consequently useful references pertaining to research methods in allied fields that can be applied to social work research are included in this entry.

This section includes basic textbooks that are used in courses on social work research methods. Considerable variation exists between textbooks on the broad topic of social work research methods. Some are comprehensive and delve into topics deeply and at a more advanced level than others. That variation is due in part to the different needs of instructors at the undergraduate and graduate levels of social work education. Most instructors at the undergraduate level prefer shorter and relatively simplified texts; however, some instructors teaching introductory master’s courses on research prefer such texts too. The texts in this section that might best fit their preferences are by Yegidis and Weinbach 2009 and Rubin and Babbie 2007 . The remaining books might fit the needs of instructors at both levels who prefer a more comprehensive and deeper coverage of research methods. Among them Rubin and Babbie 2008 is perhaps the most extensive and is often used at the doctoral level as well as the master’s and undergraduate levels. Also extensive are Drake and Jonson-Reid 2007 , Grinnell and Unrau 2007 , Kreuger and Neuman 2006 , and Thyer 2001 . What distinguishes Drake and Jonson-Reid 2007 is its heavy inclusion of statistical and Statistical Package for the Social Sciences (SPSS) content integrated with each chapter. Grinnell and Unrau 2007 and Thyer 2001 are unique in that they are edited volumes with different authors for each chapter. Kreuger and Neuman 2006 takes Neuman’s social sciences research text and adapts it to social work. The Practitioner’s Guide to Using Research for Evidence-based Practice ( Rubin 2007 ) emphasizes the critical appraisal of research, covering basic research methods content in a relatively simplified format for instructors who want to teach research methods as part of the evidence-based practice process instead of with the aim of teaching students how to produce research.

Drake, Brett, and Melissa Jonson-Reid. 2007. Social work research methods: From conceptualization to dissemination . Boston: Allyn and Bacon.

This introductory text is distinguished by its use of many evidence-based practice examples and its heavy coverage of statistical and computer analysis of data.

Grinnell, Richard M., and Yvonne A. Unrau, eds. 2007. Social work research and evaluation: Quantitative and qualitative approaches . 8th ed. New York: Oxford Univ. Press.

Contains chapters written by different authors, each focusing on a comprehensive range of social work research topics.

Kreuger, Larry W., and W. Lawrence Neuman. 2006. Social work research methods: Qualitative and quantitative applications . Boston: Pearson, Allyn, and Bacon.

An adaptation to social work of Neuman's social sciences research methods text. Its framework emphasizes comparing quantitative and qualitative approaches. Despite its title, quantitative methods receive more attention than qualitative methods, although it does contain considerable qualitative content.

Rubin, Allen. 2007. Practitioner’s guide to using research for evidence-based practice . Hoboken, NJ: Wiley.

This text focuses on understanding quantitative and qualitative research methods and designs for the purpose of appraising research as part of the evidence-based practice process. It also includes chapters on instruments for assessment and monitoring practice outcomes. It can be used at the graduate or undergraduate level.

Rubin, Allen, and Earl R. Babbie. 2007. Essential research methods for social work . Belmont, CA: Thomson Brooks Cole.

This is a shorter and less advanced version of Rubin and Babbie 2008 . It can be used for research methods courses at the undergraduate or master's levels of social work education.

Rubin, Allen, and Earl R. Babbie. Research Methods for Social Work . 6th ed. Belmont, CA: Thomson Brooks Cole, 2008.

This comprehensive text focuses on producing quantitative and qualitative research as well as utilizing such research as part of the evidence-based practice process. It is widely used for teaching research methods courses at the undergraduate, master’s, and doctoral levels of social work education.

Thyer, Bruce A., ed. 2001 The handbook of social work research methods . Thousand Oaks, CA: Sage.

This comprehensive compendium includes twenty-nine chapters written by esteemed leaders in social work research. It covers quantitative and qualitative methods as well as general issues.

Yegidis, Bonnie L., and Robert W. Weinbach. 2009. Research methods for social workers . 6th ed. Boston: Allyn and Bacon.

This introductory paperback text covers a broad range of social work research methods and does so in a briefer fashion than most lengthier, hardcover introductory research methods texts.

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Scientific Inquiry in Social Work

(9 reviews)

Matthew DeCarlo, Radford University

Copyright Year: 2018

ISBN 13: 9781975033729

Publisher: Open Social Work Education

Language: English

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Reviewed by Shannon Blajeski, Assistant Professor, Portland State University on 3/10/23

This book provides an introduction to research and inquiry in social work with an applied focus geared for the MSW student. The text covers 16 chapters, including several dedicated to understanding how to begin the research process, a chapter on... read more

Comprehensiveness rating: 5 see less

This book provides an introduction to research and inquiry in social work with an applied focus geared for the MSW student. The text covers 16 chapters, including several dedicated to understanding how to begin the research process, a chapter on ethics, and then eight chapters dedicated to research methods. The subchapters (1-5 per chapter) are concise and focused while also being tied to current knowledge and events so as to hold the reader's attention. It is comprehensive, but some of the later chapters covering research methods as well as the final chapter seem a bit scant and could be expanded. The glossary at the end of each chapter is helpful as is the index that is always accessible from the left-hand drop-down menu.

Content Accuracy rating: 4

The author pulls in relevant current and recent public events to illustrate important points about social research throughout the book. Each sub-chapter reads as accurate. I did not come across any inaccuracies in the text, however I would recommend a change in the title of Chapter 15 as "real world research" certainly encompasses more than program evaluation, single-subject designs, and action research.

Relevance/Longevity rating: 5

Another major strength of this book is that it adds currency to engage the reader while also maintaining its relevance to research methods. None of the current events/recent events that are described seem dated nor will they fade from relevance in a number of years. In addition, the concise nature of the modules should make them easy to update when needed to maintain relevancy in future editions.

Clarity rating: 5

Clarity is a major strength of this textbook. As described in the interface section, this book is written to be clear and concise, without unnecessary extra text that detracts from the concise content provided in each chapter. Any lengthy excerpts are also very engaging which lends itself to a clear presentation of content for the reader.

Consistency rating: 5

The text and content seems to be presented consistently throughout the book. Terminology and frameworks are balanced with real-world examples and current events.

Modularity rating: 5

The chapters of this textbook are appropriately spaced and easily digestible, particularly for readers with time constraints. Each chapter contains 3-5 sub-chapters that build upon each other in a scaffolding style. This makes it simple for the instructor to assign each chapter (sometimes two) per weekly session as well as add in additional assigned readings to complement the text.

Organization/Structure/Flow rating: 5

The overall organization of the chapters flow well. The book begins with a typical introduction to research aimed at social work practitioners or new students in social work. It then moves into a set of chapters on beginning a research project, reviewing literature, and asking research questions, followed by a chapter on ethics. Next, the text transitions to three chapters covering constructs, measurement, and sampling, followed by five chapters covering research methods, and a closing chapter on dissemination of research. This is one of the more logically-organized research methods texts that I have used as an instructor.

Interface rating: 5

The modular chapters are easy to navigate and the interface of each chapter follows a standard presentation style with the reading followed by a short vocabulary glossary and references. This presentation lends itself to a familiarity for students that helps them become more efficient with completing reading assignments, even in short bursts of time. This is particularly important for online and returning learners who may juggle their assignment time with family and work obligations.

Grammatical Errors rating: 5

No grammatical errors were noted.

Cultural Relevance rating: 4

At first glance at the table of contents, the book doesn't seem to be overtly committed to cultural representation, however, upon reading the chapters, it becomes clear that the author does try to represent and reference marginalized groups (e.g., women, individuals with disabilities, racial/ethnic/gender intersectionality) within the examples used. I also am very appreciative that the bottom of each introduction page for each chapter contains content trigger warnings for any possible topics that could be upsetting, e.g., substance abuse, violence.

As the author likely knows, social work students are eager to engage in learning that is current and relevant to their social causes. This book is written in a way that engages a non-researcher social worker into reading about research by weaving research information into topics that they might find compelling. It also does this in a concise way where short bits of pertinent information are presented, making the text accessible without needing to sustain long periods of attention. This is particularly important for online and returning learners who may need to sit with their readings in short bursts due to attending school while juggling work and family obligations.

Reviewed by Lynn Goerdt, Associate Professor, University of Wisconsin - Superior on 9/17/21

Text appears to be comprehensive in covering steps for typical SWK research class, taking students from the introduction of the purpose and importance of research to how to design and analyze research. Author covers the multitude of ways that... read more

Text appears to be comprehensive in covering steps for typical SWK research class, taking students from the introduction of the purpose and importance of research to how to design and analyze research. Author covers the multitude of ways that social workers engage in research as way of building knowledge and ways that social work practitioners conduct research to evaluate their practice, including outcome evaluation, single subject design, and action research. I particularly appreciated the last section on reporting research, which should be very practical.

Overall, content appears mostly accurate which few errors. Definitions and citations are mostly thorough and clear. Author does cite Wikipedia in at least one occasion which could be credible, depending on the source of the Wikipedia content. There were a few references within the text to comic or stories but the referenced material was not always apparent.

Relevance/Longevity rating: 4

The content of Scientific Inquiry for Social Work is relevant, as the field of social work research methods does not appear to change quickly, although there are innovations. The author referenced examples which appear to be recent and likely relatable to interests of current students. Primary area of innovation is in using technology for the collection and analysis of data, which could be expanded, particularly using social media for soliciting research participants.

Style is personable and content appears to be accessible, which is a unique attribute for a research textbook. Author uses first person in many instances, particularly in the beginning to present the content as relatable.

Format appears to be consistent in format and relative length. Each chapter includes learning objectives, content advisory (if applicable), key takeaways and glossary. Author uses color and text boxes to draw attention to these sections.

Modularity rating: 4

Text is divided into modules which could easily be assigned and reviewed in a class. The text modules could also be re-structured if desired to fit curricular uniqueness’s. Author uses images to illuminate the concepts of the module or chapter, but they often take about 1/3 of the page, which extends the size of the textbook quite a bit. Unclear if benefit of images outweighs additional cost if PDF version is printed.

Textbook is organized in a very logical and clear fashion. Each section appears to be approximately 6-10 pages in length which seems to be an optimal length for student attention and comprehension.

Interface rating: 4

There were some distortions of the text (size and visibility) but they were a fairly minor distraction and did not appear to reduce access to the content. Otherwise text was easy to navigate.

Grammatical Errors rating: 4

No grammatical errors were noted but hyperlinks to outside content were referenced but not always visible which occasionally resulted in an awkward read. Specific link may be in resources section of each chapter but occasionally they were also included in the text.

I did not recognize any text which was culturally insensitive or offensive. Images used which depicted people, appeared to represent diverse experiences, cultures, settings and persons. Did notice image depicting homelessness appeared to be stereotypical person sleeping on sidewalk, which can perpetuate a common perception of homelessness. Would encourage author to consider images representing a wider range of experiences of a social phenomena. Content advisories are used for each section, which is not necessarily cultural relevance but is respectful and recognizes the diversity of experiences and triggers that the readers may have.

Overall, I was very impressed and encouraged with the well organized content and thoughtful flow of this important textbook for social work students and instructors. The length and readability of each chapter would likely be appreciated by instructors as well as students, increasing the extent that the learning outcomes would be achieved. Teaching research is very challenging because the content and application can feel very intimidating. The author also has provided access to supplemental resources such as presentations and assignments.

Reviewed by elaine gatewood, Adjunct Faculty, Bridgewater State University on 6/15/21

The book provides concrete and clear information on using research as consumers, It provides a comprehensive review of each step to take to develop a research project from beginning to completion, with examples. read more

The book provides concrete and clear information on using research as consumers, It provides a comprehensive review of each step to take to develop a research project from beginning to completion, with examples.

Content Accuracy rating: 5

From my perspective, content is highly accurate in the field of learning research method and unbiased. It's all there!

The content is highly relevant and up-to-date in the field. The book is written and arranged in a way that its easy to follow along with adding updates.

The book is written in clear and concise. The book provides appropriate context for any jargon/technical terminology used along with examples which readers are able to follow along and understand.

The contents of the book flow quite well. The framework in the book is consistent.

The text appears easily adaptable for readers and the author also provides accompanying PowerPoint presentations; these are a good foundation tools for readers to use and implement.

Organization/Structure/Flow rating: 4

The contents of the book flow very well. Readers would be able to put into practice the key reading strategies shared in the book ) because its organization is laid out nicely

Interface rating: 3

The interface is generally good, but I was only able to download the .pdf. This may present issues for some student readers.

There are no grammatical errors.

The text was culturally relevant and provided diverse research and practice examples. The text could have benefited from sexamples of intersectional and anti-oppressive lenses for students to consider in their practice.

This text is a comprehensive introduction to research that can be easily adapted for a BSW/MSW research course.

Reviewed by Taylor Hall, Assistant Professor, Bridgewater State University on 6/30/20

This text is more comprehensive than the text I currently use in my Research Methods in Social Work course, which students have to pay for. This text not only covers both qualitative and quantitative research methods, but also all parts of the... read more

This text is more comprehensive than the text I currently use in my Research Methods in Social Work course, which students have to pay for. This text not only covers both qualitative and quantitative research methods, but also all parts of the research process from thinking about research ideas to questions all the way to evaluation after social work programs/policies have been employed.

Not much to say here- with research methods, things are black and white; it is or isn't. This content is accurate. I also like to way the content is explained in light of social work values and ethics. This is something our students can struggle with, and this is helpful in terms of showing why social work needs to pay attention to research.

There are upcoming changes to CSWE's competencies, therefore lots of text materials are going to need to be updated soon. Otherwise, case examples are pertinent and timely.

Clarity rating: 4

I think that research methods for social workers is a difficult field of study. Many go into the field to be clinicians, and few understand (off the bat) the importance of understanding methods of research. I think this textbook makes it clear to me, but hard to rate a 5 as I know from a student's perspective, lots of the terminology is so new.

Appears to be so- I was able to follow, seems consistent.

Yes- and I think this is a strong point of this text. This was easy to follow and read, and I could see myself easily divvying up different sections for students to work on in groups.

Yes- makes sense to me and the way I teach this course. I like the 30,000 ft view then honing in on specific types of research, all along the way explaining the different pieces of the research process and in writing a research paper.

I sometimes struggle with online platforms versus in person texts to read, and this OER is visually appealing- there is not too much text on the pages, it is spaced in a way that makes it easier to read. Colors are used well to highlight pertinent information.

Not something I found in this text.

Cultural Relevance rating: 3

This is a place where I feel the text could use some work. A nod to past wrongdoings in research methods on oppressed groups, and more of a discussion on social work's role in social justice with an eye towards righting the wrongs of the past. Updated language re: person first language, more diverse examples, etc.

This is a very useful text, and I am going to recommend my department check it out for future use, especially as many of our students are first gen and working class and would love to save money on textbooks where possible.

Reviewed by Olubunmi Oyewuwo-Gassikia, Assistant Professor, Northeastern Illinois University on 5/5/20

This text is an appropriate and comprehensive introduction to research methods for BSW students. It guides the reader through each stage of the research project, including identifying a research question, conducting and writing a literature... read more

This text is an appropriate and comprehensive introduction to research methods for BSW students. It guides the reader through each stage of the research project, including identifying a research question, conducting and writing a literature review, research ethics, theory, research design, methodology, sampling, and dissemination. The author explains complex concepts - such as paradigms, epistemology, and ontology - in clear, simple terms and through the use of practical, social work examples for the reader. I especially appreciated the balanced attention to quantitative and qualitative methods, including the explanation of data collection and basic analysis techniques for both. The text could benefit from the inclusion of an explanation of research design notations.

The text is accurate and unbiased. Additionally, the author effectively incorporates referenced sources, including sources one can use for further learning.

The content is relevant and timely. The author incorporates real, recent research examples that reflects the applicability of research at each level of social practice (micro, meso, and macro) throughout the text. The text will benefit from regular updates in research examples.

The text is written in a clear, approachable manner. The chapters are a reasonable length without sacrificing appropriate depth into the subject manner.

The text is consistent throughout. The author is effective in reintroducing previously explained terms from previous chapters.

The text appears easily adaptable. The instructions provided by the author on how to adapt the text for one's course are helpful to one who would like to use the text but not in its entirety. The author also provides accompanying PowerPoint presentations; these are a good foundation but will likely require tailoring based on the teaching style of the instructor.

Generally, the text flows well. However, chapter 5 (Ethics) should come earlier, preferably before chapter 3 (Reviewing & Evaluating the Literature). It is important that students understand research ethics as ethical concerns are an important aspect of evaluating the quality of research studies. Chapter 15 (Real-World Research) should also come earlier in the text, most suitably before or after chapter 7 (Design and Causality).

The interface is generally good, but I was only able to download the .pdf. The setup of the .pdf is difficult to navigate, especially if one wants to jump from chapter to chapter. This may present issues for the student reader.

The text was culturally relevant and provided diverse research and practice examples. The text could have benefited from more critical research examples, such as examples of research studies that incorporate intersectional and anti-oppressive lenses.

This text is a comprehensive introduction to research that can be easily adapted for a BSW level research course.

Reviewed by Smita Dewan, Assistant Professor, New York City College of Technology, Department of Human Services on 12/6/19

This is a very good introductory research methodology textbook for undergraduate students of social work or human services. For students who might be intimidated by social research, the text provides assurance that by learning basic concepts of... read more

Comprehensiveness rating: 4 see less

This is a very good introductory research methodology textbook for undergraduate students of social work or human services. For students who might be intimidated by social research, the text provides assurance that by learning basic concepts of research methodology, students will be better scholars and social work or human service practitioners. The content and flow of the text book supports a basic assignment of most research methodology courses which is to develop a research proposal or a research project. Each stage of research is explained well with many examples from social work practice that has the potential to keep the student engaged.

The glossary at the end of each chapter is very comprehensive but does not include the page number/s where the content is located. The glossary at the end of the book also lacks page numbers which might make it cumbersome for students seeking a quick reference.

The content is accurate and unbiased. Suggested exercises and prompts for students to engage in critical thinking and to identify biases in research that informs practice may help students understand the complexities of social research.

Content is up-to-date and concepts of research methodology presented is unlikely to be obsolete in the coming years. However, recent trends in research such as data mining, using algorithms for social policy and practice implications, privacy concerns, role of social media are topics that could be considered for inclusion in the forthcoming editions.

Content is presented very clearly for undergraduate students. Key takeaways and glossary for each section of the chapter is very useful for students.

Presentation of content, format and organization is consistent throughout the book.

Subsections within each chapter is very helpful for the students who might be assigned readings just in parts for the class.

Students would benefit from reading about research ethics right after the introductory chapter. I would also move Chapter 8 to right after the literature review which might inform creating and refining the research question. Content on evaluation research could also be moved up to follow the chapter on experimental designs. Regardless of the organization, the course instructors can assign chapters according to the course requirements.

PDF version of the book is very easy to use especially as students can save a copy on their computers and do not have to be online. Charts and tables are well presented but some of the images/photographs do not necessarily serve to enhance learning. Image attributions could be provided at the end of the chapter instead of being listed under the glossary. Students might also find it useful to be able to highlight the content and make annotations. This requires that students sign-in. Students should be able to highlight and annotate a downloaded version through Adobe Reader.

I did not find any grammatical errors.

Cultural Relevance rating: 5

Content is not insensitive or offensive in any way. Supporting examples in chapters are very diverse. Students would benefit from some examples of international research (both positive and negative examples) of protection of human subjects.

Reviewed by Jill Hoffman, Assistant Professor, Portland State University on 10/29/19

This text includes 16 chapters that cover content related to the process of conducting research. From identifying a topic and reviewing the literature, to formulating a question, designing a study, and disseminating findings, the text includes... read more

This text includes 16 chapters that cover content related to the process of conducting research. From identifying a topic and reviewing the literature, to formulating a question, designing a study, and disseminating findings, the text includes research basics that most other introductory social work research texts include. Content on ethics, theory, and to a lesser extent evaluation, single-subject design, and action research are also included. There is a glossary at the end of the text that includes information on the location of the terms. There is a practice behaviors index, but not an index in the traditional sense. If using the text electronically, search functions make it easy to find necessary information despite not having an index. If using a printed version, this would be more difficult. The text includes examples to illustrate concepts that are relevant to settings in which social workers might work. As most other introductory social work research texts, this book appears to come from a mainly positivist view. I would have appreciated more of a discussion related to power, privilege, and oppression and the role these play in the research topics that get studied and who benefits, along with anti-oppressive research. Related to evaluations, a quick mention of logic models would be helpful.

The information appears to be accurate and error free. The language in the text seems to emphasize "right/wrong" choices/decisions instead of highlighting the complexities of research and practice. Using gender-neutral pronouns would also make the language more inclusive.

Content appears to be up-to-date and relevant. Any updating would be straightforward to carry out. I found at least one link that did not work (e.g., NREPP) so if you use this text it will be important to check and make sure things are updated.

The content is clearly written, using examples to illustrate various concepts. I appreciated prompts for questions throughout each chapter in order to engage students in the content. Key terms are bolded, which helps to easily identify important points.

Information is presented in a consistent manner throughout the text.

Each chapter is divided into subsections that help with readability. It is easy to pick and choose various pieces of the text for your course if you're not using the entire thing.

There are many ways you can organize a social work research text. Personally, I prefer to talk about ethics and theory early on, so that students have this as a framework as they read about other's studies and design their own. In the case of this text, I'd put those two chapters right after chapter 1. As others have suggested, I'd also move up the content on research questions, perhaps after chapter 4.

In the online version, no significant interface issues arose. The only thing that would be helpful is to have chapter titles clearly presented when navigating through the text in the online version. For example, when you click through to a new chapter, the title simply says "6.0 Chapter introduction." In order to see the chapter title you have to click into the contents tab. Not a huge issue but could help with navigating the online version. In the pdf version, the links in the table of contents allowed me to navigate through to various sections. I did notice that some of the external links were not complete (e.g., on page 290, the URL is linked as "http://baby-").

Cultural representation in the text is similar to many other introductory social work research texts. There's more of an emphasis on white, western, cis-gendered individuals, particularly in the images. In examples, it appeared that only male/female pronouns were used.

Reviewed by Monica Roth Day, Associate Professor, Social Work, Metropolitan State University (Saint Paul, Minnesota) on 12/26/18

The book provides concrete and clear information on using research as consumers, then developing research as producers of knowledge. It provides a comprehensive review of each step to take to develop a research project from beginning to... read more

The book provides concrete and clear information on using research as consumers, then developing research as producers of knowledge. It provides a comprehensive review of each step to take to develop a research project from beginning to completion, with appropriate examples. More specific social work links would be helpful as students learn more about the field and the uses of research.

The book is accurate and communicates information and largely without bias. Numerous examples are provided from varied sources, which are then used to discuss potential for bias in research. The addition of critical race theory concepts would add to this discussion, to ground students in the importance of understanding implicit bias as researchers and ways to develop their own awareness.

The book is highly relevant. It provides historical and current examples of research which communicate concepts using accessible language that is current to social work. The text is written so that updates should be easy. Links need to be updated on a regular basis.

The book is accessible for students at it uses common language to communicate concepts while helping students build their research vocabulary. Terminology is communicate both within the text and in glossaries, and technical terms are minimally used.

The book is consistent in its use of terminology and framework. It follows a pattern of development, from consuming research to producing research. The steps are predictable and walk students through appropriate actions to take.

The book is easily readable. Each chapter is divided in sections that are easy to navigate and understand. Pictures and tables are used to support text.

Chapters are in logical order and follow a common pattern.

When reading the book online, the text was largely free of interface issues. As a PDF, there were issues with formatting. Be aware that students who may wish to download the book into a Kindle or other book reader may experience issues.

The text was grammatically correct with no misspellings.

While the book is culturally relevant, it lacks the application of critical race theory. While students will learn about bias in research, critical race theory would ground students in the importance of understanding implicit bias as researchers and ways to develop their own awareness. It would also help students understand why the background of researchers is important in relation to the ways of knowing.

Reviewed by Jennifer Wareham, Associate Professor, Wayne State University on 11/30/18

The book provides a comprehensive introduction to research methods from the perspective of the discipline of Social Work. The book borrows heavily from Amy Blackstone’s Principles of Sociological Inquiry – Qualitative and Quantitative Methods open... read more

The book provides a comprehensive introduction to research methods from the perspective of the discipline of Social Work. The book borrows heavily from Amy Blackstone’s Principles of Sociological Inquiry – Qualitative and Quantitative Methods open textbook. The book is divided into 16 chapters, covering: differences in reasoning and scientific thought, starting a research project, writing a literature review, ethics in social science research, how theory relates to research, research design, causality, measurement, sampling, survey research, experimental design, qualitative interviews and focus groups, evaluation research, and reporting research. Some of the more advanced concepts and topics are only covered at superficial level, which limits the intended population of readers to high school students, undergraduate students, or those with no background in research methods. Since the book is geared toward Social Work undergraduate students, the chapters and content address methodologies commonly used in this field, but ignore methodologies that may be more popular in other social science fields. For example, the material on qualitative methods is narrow and focuses on commonly used qualitative methods in Social Work. In addition, the chapter on evaluation is limited to a general overview of evaluation research, which could be improved with more in-depth discussion of different types of evaluation (e.g., needs assessment, evaluability assessment, process evaluation, impact/outcomes evaluation) and real-world examples of different types of evaluation implemented in Social Work. Overall, the author provides examples that are easy for practitioners in Social Work to understand, which are also easily relatable for students in similar disciplines such as criminal justice. The book provides a glossary of key terms. There is no index; however, users can search for terms using the find (Ctrl-F) function in the PDF version of the book.

Overall, the content inside this book is accurate, error-free, and unbiased. However, the content is limited to the Social Work perspective, which may be considered somewhat biased or inaccurate from the perspective of others in different disciplines.

The book describes classic examples used in most texts on social science research methods. It also includes contemporary and relevant examples. Some of the content (such as web addresses and contemporary news pieces) will need to be updated every few years. The text is written and arranged in such a way that any necessary updates should be relatively easy and straightforward to implement.

The book is written in clear and accessible prose. The book provides appropriate context for any jargon/technical terminology used. Readers from any social science discipline should be able to understand the content and context of the material presented in the book.

The framework and use of terminology in the book are consistent.

This book is highly modular. The author has even improved upon the modularity of the book from Blackstone’s open text (which serves as the basis of the present text). Each chapter is divided into short, related subsections. The design of the chapters and their subsections make it easy to divide the material into units of study across a semester or quarter of instruction.

Generally, the book is organized in a similar manner as other texts on social science research methods. However, the organization could be improved slightly. Chapters 2 through 4 describe the process of beginning a research project and conducting a literature review. Chapter 8 describes refining a research question. This chapter could be moved to follow the Chapter 4. Chapter 12 describes experimental design, while Chapter 15 provides a description and examples of evaluation research. Since evaluation research tends to rely on experimental and quasi-experimental design, this chapter should follow the experimental design chapter.

For the online version of the book, there were no interface issues. The images and charts were clear and readable. The hyperlinks to sources mentioned in the text worked. The Contents menu allowed for easy and quick access to any section of the book. For the PDF version of the book, there were interface issues. The images and charts were clear and readable. However, the URLs and hyperlinks were not active in the PDF version. Furthermore, the PDF version was not bookmarked, which made it more difficult to access specific sections of the book.

I did not find grammatical errors in the book.

Overall, the cultural relevance and sensitivity were consistent with other social science research methods texts. The author does a good job of using both female and male pronouns in the prose. While there are pictures of people of color, there could be more. Most of the pictures are of white people. Also, the context is generally U.S.-centric.

Table of Contents

• Chapter 1: Introduction to research
• Chapter 2: Beginning a research project
• Chapter 3: Reading and evaluating literature
• Chapter 4: Conducting a literature review
• Chapter 5: Ethics in social work research
• Chapter 6: Linking methods with theory
• Chapter 7: Design and causality
• Chapter 8: Creating and refining a research question
• Chapter 9: Defining and measuring concepts
• Chapter 10: Sampling
• Chapter 11: Survey research
• Chapter 12: Experimental design
• Chapter 13: Interviews and focus groups
• Chapter 14: Unobtrusive research: Qualitative and quantitative approaches
• Chapter 15: Real-world research: Evaluation, single-subjects, and action research
• Chapter 16: Reporting and reading research

Ancillary Material

• Open Social Work Education

About the Book

As an introductory textbook for social work students studying research methods, this book guides students through the process of creating a research project. Students will learn how to discover a researchable topic that is interesting to them, examine scholarly literature, formulate a proper research question, design a quantitative or qualitative study to answer their question, carry out the design, interpret quantitative or qualitative results, and disseminate their findings to a variety of audiences. Examples are drawn from the author's practice and research experience, as well as topical articles from the literature.

There are ancillary materials available for this book.  

About the Contributors

Matt DeCarlo earned his PhD in social work at Virginia Commonwealth University and is an Assistant Professor of Social Work at Radford University. He earned an MSW from George Mason University in 2010 and a BA in Psychology from the College of William and Mary in 2007. His research interests include open educational resources, self-directed Medicaid supports, and basic income. Matt is an Open Textbook Network Campus Leader for Radford University. He is the founder of Open Social Work Education, a non-profit collaborative advancing OER in social work education.

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Research Methods for Social Work: A Problem-Based Approach

Student resources, welcome to the sage edge site for research methods for social work , 1e.

Research Methods for Social Work: A Problem-Based Approach  is a comprehensive introduction to methods instruction that engages students innovatively and interactively. Using a case study and problem-based learning (PBL) approach, authors Antoinette Y. Farmer and G. Lawrence Farmer utilize case examples to achieve a level of application that builds readers’ confidence in methodology and reinforces their understanding of research across all levels of social work practice. These real-case examples, along with critical thinking questions, research tips, and step-by-step problem-solving methods, will improve student mastery and help them see why research is relevant. With the guidance of this new and noteworthy textbook, readers will transform into both knowledgeable consumers of research and skilled practitioners who can effectively address the needs of their clients through research.

This site features an array of free resources you can access anytime, anywhere.

Acknowledgments

We gratefully acknowledge Antoinette Y. Farmer and G. Lawrence Farmer for writing an excellent text. Special thanks are also due to Kryss Shane for developing the resources on this site.

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1.4: Social work research

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• Matthew DeCarlo, Cory Cummings, & Kate Agnelli
• Open Social Work Education

Learning Objectives

Learners will be able to...

• Differentiate between formal and informal research roles
• Describe common barriers to engaging with social work research
• Identify alternative ways of thinking about research methods

Formal and informal research roles

I’ve been teaching research methods for six years and have found that many students struggle to see the connection between research and social work practice. First of all, it’s important to mention that social work researchers exist! The authors of this textbook are social work researchers across university, government, and non-profit institutions. Matt and Cory are researchers at universities, and our research addresses higher education, disability policy, wellness & mental health, and intimate partner violence. Kate is a researcher at the Joint Legislative Audit and Review Commission in Virginia, where she studies policies related to criminal justice. Dalia, our editor, is a behavioral health researcher at RTI International, a nonprofit research institute, where she studies the opioid epidemic. The career path for social workers in formal research roles is bright and diverse, as we each bring a unique perspective with our ethical and theoretical orientation.

Formal research results in written products like journal articles, government reports, or policy briefs. To get a sense of formal research roles in social work, consider asking a professor about their research. You can also browse around the top journals in social work: Trauma, Violence & Abuse , Child Maltreatment ,  Child Abuse & Neglect , Social Service Review , Family Relations , Journal of Social Policy , Social Policy & Administration , Research on Social Work Practice , Health & Social Care in the Community , Health & Social  Work , British Journal of Social Work , Child & Family Social Work , International Journal of Social Welfare ,  Qualitative Social Work , Children & Youth Services Review , Social Work , Social Work in Health Care ,  Journal of Social Work Practice , International Social Work , Affilia Journal of Women and Social Work , and  Clinical Social Work Journal . Additionally, the websites to most government agencies, foundations, think tanks, and advocacy groups contain formal research often conducted by social workers.

But let’s be clear, studies show that most social work students are not interested in becoming social work researchers who publish journal articles or research reports (DeCarlo et al., 2019; Earley, 2014).\(^{17}\) Once you enter post-graduate practice, you will need to apply your formal research skills to the informal research conducted by practitioners and agencies every day. Every time you are asking who, what, when, where and why, you are conducting informal research. Informal research can be more involved. Social workers may be surprised when they are asked to engage in research projects such as needs assessments, community scans, program and policy evaluations, and single system designs, to name a few. Macro-oriented students may have to conduct research on programs and policies as part of advocacy or administration. We cannot tell you the number former students who have contacted us looking for research resources or wanting to “pick our brains” about research they are doing as part of their employment.

Research for action

Regardless of whether a social worker conducts formal research that results in journal articles or informal research that is used within an agency, all social work research is distinctive in that it is active (Engel & Schutt, 2016).\(^{18}\) We want our results to be used to effect social change. Sometimes this means using findings to change how clients receive services. Sometimes it means using findings to show the benefits of programs or policies. Sometimes it means using findings to speak with those oppressed and marginalized persons who have been left out of the policy creation process. Additionally, it can mean using research as the mode with which to engage a constituency to address a social justice issue. All of these research activities differ; however, the one consistent ingredient is that these activities move us towards social and economic justice.

Student anxieties and beliefs about research

Unfortunately, students generally arrive in research methods classes with a mixture of dread, fear, and frustration. If you attend any given social work education conference, there is probably a presentation on how to better engage students in research. There is an entire body of academic research that verifies what any research professor knows to be true. Honestly, this is why the authors of this textbook started this project. We want to make research more enjoyable and engaging for students. Generally, we have found some common perceptions get in the way of students (at least) minimally enjoying research. Let’s see if any of these match with what you are thinking.

I’m never going to use this crap!

Students who tell us that research methods is not useful to them are saying something important. As a student scholar, your most valuable asset is your time. You give your time to the subjects you consider important to you and for your career. Because most social workers don’t become researchers or practitioner-researchers, students may feel that a research methods class is a waste of time. As faculty members, we often hear from supervisors of students in field placements that research competencies “do not apply in this setting,” which further reinforces the idea that research is an activity performed only by academic researchers.

Our discussion of evidence-based practice and the ways in which social workers use research in practice brought home the idea that social workers play an important role in creating and disseminating new knowledge about social services. Furthermore, in the coming chapters, we will explore the role of research as a human right that is closely associated with the protection and establishment of other human rights. A human rights perspective also highlights the structural barriers students and practitioners face in accessing and applying scholarly knowledge in the practice arena. We hope that reframing research as something ordinary and easy to do will help address this belief that research is a useless skill.

One thing we can guarantee is that this class will be immediately useful to you. In particular, the skills you develop in finding, evaluating, and using scholarly literature will serve you throughout your graduate program and throughout your lifelong learning. In this book, you will learn how to understand and apply the scientific method to whatever topic interests you.

Research is only for super-smart people

Research methods involves a lot of terminology that may be entirely new to social work students. Other domains of social work, such as practice, are easier to apply your intuition towards. You understand how to be an empathetic person, and your experiences in life can help guide you through a practice situation or even a theoretical or conceptual question. Research may seem like a totally new area in which you have no previous experience. In research methods there can be “wrong” answers. Depending on your research question, some approaches to data analysis or measurement, for example, may not help you find the correct answer.

The fear is entirely understandable. Research is not straightforward. As Figure 1.1 shows, it is a process that is non-linear, involving multiple revisions, wrong turns, and dead ends before you figure out the best question and research approach. You may have to go back to chapters after having read them or even peek ahead at chapters your class hasn’t covered yet.

Figure 1.1 Research as a non-linear process

Moreover, research is something you learn by doing...and stumbling a few times. It’s an iterative process, or one that requires many tries to get right. There isn’t a shortcut for learning research, but if you follow along with the exercises in this book, you can break down a student research project and accomplish it piece by piece. No one just know s research. It’s something you pick up by doing it, reflecting on the experiences and results, redoing your work, and revising it in consultation with your professor and peers. Research involves exploration, risk taking, and a willingness to say, “Let’s see what we will find!”

Research is designed to suck the joy from my life

We’ve talked already about the arcane research terminology, so we won’t go into it again here. But students sometimes perceive research methods as boring. Practice knowledge and even theory are fun to learn because they are easy to apply and provide insights into the world around you. Research just seems like its own weirdly shaped and ill-fitting puzzle piece.

We completely understand where this perspective comes from and hope there are a few things you will take away from this course that aren’t boring to you. In the first section of this textbook, you will learn how to take any topic and learn what is known about it. It may seem trivial, but this is actually a superpower. Your social work education will teach you basic knowledge that can be applied to nearly all social work practice situations as well as some applied material applicable to specific social work practice situations. However, no education will provide you with everything you need to know. And certainly, no professor can tell you what will be discovered over the next few decades of your practice. Our work on literature reviews in the next few chapters will help you increase your skills and knowledge to become a strong social work student and practitioner. Following that, our exploration of research methods will help you understand how theories, practice models, and techniques you learn in other classes are created and tested scientifically. Eventually, you’ll see how all of the pieces fit together.

Get out of your own way

Together, these misconceptions and myths can create a self-fulfilling prophecy for students. If you believe research is boring, you won’t find it interesting. If you believe research is hard, you will struggle more with assignments. If you believe research is useless, you won’t see its utility. If you’re afraid that you will make mistakes, then you won’t want to try. While we certainly acknowledge that students aren’t going to love research as much as we do (we spent over a year writing this book, so we like it a lot!), we suggest reframing how you think about research using the following touchstones:

• All social workers rely on social science research to engage in competent practice.
• No one already knows research. It’s something I’ll learn through practice. And it’s challenging for everyone, not just me.
• Research is relevant to me because it allows me to figure out what is known about any topic I want to study.
• If the topic I choose to study is important to me, I will be more interested in exploring research to help me understand it further.

Students should be intentional about managing any anxiety coming from a research project. Here are some suggestions:

• Talk to your professor if you are feeling lost. We like students!
• Talk to a librarian if you are having trouble finding information about your topic.
• Seek support from your peers or mentors.

Another way to reframe your thinking is to look at Chapter 24, which discusses how to share your research project with the world. Consider the impact you want to make with your project, who you want to share it with, and what it will mean to have answered a question you want to know about the social world. Look at the variety of professional and academic conferences in which social work practitioners and researchers share their knowledge. Think about where you want to go so you know how to get started.

The structure of this textbook

The textbook is divided into five parts. In the first part (Chapters 1-5), we will review how to orient your research proposal to a specific question you want to answer and review the literature to see what we know about it. Student research projects come with special limitations, as you don’t have many resources, so our chapters are designed to help you think through those limitations and think of a project that is doable. In the second part (Chapters 6-9), we will bring in theory, causality, ethics to help you conceptualize your research project and what you hope to achieve. By the end of the second part, you will create a quantitative and qualitative research question. Parts 3 and 4 will walk you through how to conduct quantitative and qualitative research, respectively. These parts run through how to recruit people to participate in your study, what to ask them, and how to interpret the results of what they say. Finally, the last part of the textbook reviews how to connect research and practice. For some, that will mean completing program evaluations as part of agency-based practice. For others, it will mean consuming research as part of continuing education as a practitioner. We hope you enjoy reading this book as much as we enjoyed writing it!

If you are still figuring out how to navigate the book using your internet browser, please go to the  Downloads and Resources for Students page which contains a number of quick video tutorials. Also, the exercises in each chapter offer you an opportunity to apply what you wrote to your own research project, and the textbook is designed so that each exercise and each chapter build on one another, completing your proposal step-by-step. Of course, some exercises may be more relevant than others, but please consider completing these as you read

Key Takeaways

• Social workers engage in formal and informal research production as part of practice.
• If you feel anxious, bored, or overwhelmed by research, you are not alone!
• Becoming more familiar with research methods will help you become a better scholar and social work practitioner.
• With your peers, explore your feelings towards your research methods classes. Describe some themes that come up during your conversations. Identify which issues can be addressed by your professor and which can be addressed by students.
• Browse social work journals and identify an article of interest to you. Look up the author’s biography or curriculum vitae on their personal website or the website of their university.

Want to create or adapt books like this? Learn more about how Pressbooks supports open publishing practices.

About This Project

Please note:  This text is currently being developed.

Please be aware that there might be updates throughout the semester as we continue adding and editing content, testing for accessibility, and incorporating feedback from pilot semester(s). If you need an accessibility accommodation or have questions about the use of this text, please contact OER services at [email protected] .

The Research Methods Consortium created this textbook specifically for doctoral students in social work.  The book aims to present information relevant to doctoral studies, at the doctoral level, with a focus on social work research and values.  Unlike research methods texts for BSW and MSW students, this text emphasizes producing rather than consuming research for evidence based practice. In addition, it omits content that doctoral students will receive in other courses such as bivariate statistical analysis and detailed qualitative methods.

Tailoring a textbook for social work doctoral students was important to us in this project. However, we also wanted to empower doctoral students as future leaders in higher education to use, create, license, and distribute open educational resources (OER). The creation process taught students about OER and Open Pedagogy, empowered them to participate in guiding their own educational experiences, allowed them to be creative and independent, and provided infrastructure for sharing the fruits of their efforts with others.

Lastly, this textbook is freely available and is intended to save money for social work doctoral students.  At The University of Texas at Arlington, using this textbook saves students $230 compared to the previously required textbooks. We recognize that PhD students often come to their doctoral studies as practicing social workers and salaries for social workers tend to be lower than many other professionals (U.S. Bureau of Labor Statistics, 2020). This can results in cohorts of PhD students who have may not have accumulated substantial savings to support their educational endeavors. We see this OER text book as a contribution to social justice in that it makes learning more accessible to a wide spectrum of students.

Creation Process

This book was created in an Open Pedagogy project led by Dr. Rebecca Mauldin and PhD students in SOCW 6340, Advanced Research Methods, at The University of Texas at Arlington’s School of Social Work. We used the OER textbook Graduate Research Methods in Social Work by Decarlo, Cummings, and Agnelli (2020) [1] as the source material for this textbook. First semester PhD students read the source textbook, other OER materials, and commercial textbooks (notably Rubin & Babbie, 2017) [2] and watched pre-recorded video lectures outside of class to build foundational knowledge in research methods. During class time, the students edited the source textbook and created new material including adding advanced content for a deeper understanding of research methods and citations and linked references to peer-reviewed source material. In the first two years of the project, PhD student Teaching Assistants (Jessica Williams and Priyanjali Chakraborty) assisted with the course, made edits in PressBooks, and helped coordinate the writing and revision process.

The textbook creation is a multi-year endeavor involving an anticipated three to four cohorts of first-semester PhD students. This video was made by four of the students in the first cohort for a presentation at the Annual Program Meeting of the Council for Social Work Education and presents their perspectives on the course and the OER creation:

After the first cohort of students completed their edits, a group of four OER fellows (Priyanjali Chakraborty, Lacey M. Jenkins, LaTisha A. Thomas, and Megan R. Westmore) made additional revisions, added self-regulated learning, problem-based learning, and case method exercises to the textbook. The second cohort of students completed their work on the project in December 2022 and the third cohort of students is currently making edits.

This project is still in progress. When a first draft is complete, a pre-release version of the book will be shared with faculty from other institutions for input into what revisions would be necessary for them to consider adoption in their programs. We will then make final revisions based on this external feedback and prepare the textbook for a rollout to the greater community of social work PhD programs.

About the Authors

This book was edited by Rebecca L. Mauldin and written by The Research Methods Consortium, a group of scholars associated with The University of Texas at Arlington’s School of Social Work. The majority of the members of the consortium were students in SOCW 6340 – Advanced Research Methods in Human Services . Other members include faculty and staff at The University of Texas at Arlington.

Individual authors may use the following citation for this book in their own materials:

Author & The Research Methods Consortium. (Year). Doctoral Research Methods in Social Work (R. L. Mauldin, Ed.). Mavs Open Press. https://uta.pressbooks.pub/advancedresearchmethodsinsw

Authors in the consortium include (in alphabetical order):

• Aundraea Brown
• Leslie Cantu
• Priyanjali Chakraborty
• John P. Connolly
• Srabastee De Bhaumik
• Toni Gallegos
• Angela Hall
• Swasati Handique
• Lacey M. Jenkins
• Katherine Kitchens
• Rebecca L. Mauldin
• Christina Mecca-McClory
• Faheem Ohri
• Minjaal Raval
• Esmeralda Rubalcava Hernandez
• Nancy J. Salinas
• Shamila Sivakumaran
• LaTisha A. Thomas
• Megan R. Westmore
• Jessica Williams
• Damone Wisdom

Customization

If you would like to customize this resource to your campus, please download the Pressbooks XML file in the front matter and follow the instructions to create your own version tailored to your learning objectives. For more information on creating, adapting, and adopting open resources, consult this teaching note by Matthew DeCarlo.

• DeCarlo, M., Cummings, C., & Agnelli, K. (2020). Graduate research methods in social work (pre-release). Open Social Work. https://pressbooks.rampages.us/msw-research/ ↵
• Rubin, A. & Babbie, E. (2017). Research methods for social work (9th ed). Cengage Learning. ↵

Doctoral Research Methods in Social Work Copyright © by Mavs Open Press. All Rights Reserved.

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1 1. Science and social work

Chapter outline.

• How do social workers know what to do? (12 minute read time)
• The scientific method (16 minute read time)
• Evidence-based practice (11 minute read time)
• Social work research (10 minute read time)

Content warning: Examples in this chapter contain references to school discipline, child abuse, food insecurity, homelessness, poverty and anti-poverty stigma, anti-vaccination pseudoscience, autism, trauma and PTSD, mental health stigma, susto and culture-bound syndromes, gender-based discrimination at work, homelessness, psychiatric hospitalizations, substance use, and mandatory treatment.

1.1 How do social workers know what to do?

Learning objectives.

Learners will be able to…

• Reflect on how we, as social workers, make decisions
• Differentiate between micro-, meso-, and macro-level analysis
• Describe the concept of intuition, its purpose in social work, and its limitations
• Identify specific errors in thinking and reasoning

What would you do?

Case 1: Imagine you are a clinical social worker at a children’s mental health agency. One day, you receive a referral from your town’s middle school about a client who often skips school, gets into fights, and is disruptive in class. The school has suspended him and met with the parents on multiple occasions, who say they practice strict discipline at home. Yet the client’s behavior has worsened. When you arrive at the school to meet with your client, who is also a gifted artist, you notice he seems to have bruises on his legs, has difficulty maintaining eye contact, and appears distracted. Despite this, he spends the hour painting and drawing, during which time you are able to observe him.

• Given your observations of your client’s strengths and challenges, what intervention would you select, and how could you determine its effectiveness?

Case 2: Imagine you are a social worker working in the midst of an urban food desert (a geographic area in which there is no grocery store that sells fresh food). As a result, many of your low-income clients either eat takeout, or rely on food from the dollar store or a convenience store. You are becoming concerned about your clients’ health, as many of them are obese and say they are unable to buy fresh food. Your clients tell you that they have to rely on food pantries because convenience stores are expensive and often don’t have the right kinds of food for their families. You have spent the past month building a coalition of community members to lobby your city council. The coalition includes individuals from non-profit agencies, religious groups, and healthcare workers.

• How should this group address the impact of food deserts in your community?  What intervention(s) do you suggest?  How would you determine whether your intervention was effective?

Case 3: You are a social worker working at a public policy center whose work focuses on the issue of homelessness. Your city is seeking a large federal grant to address this growing problem and has hired you as a consultant to work on the grant proposal. After interviewing individuals who are homeless and conducting a needs assessment in collaboration with local social service agencies, you meet with city council members to talk about potential opportunities for intervention. Local agencies want to spend the money to increase the capacity of existing shelters in the community. In addition, they want to create a transitional housing program at an unused apartment complex where people can reside upon leaving the shelter, and where they can gain independent living skills. On the other hand, homeless individuals you interview indicate that they would prefer to receive housing vouchers to rent an apartment in the community. They also fear the agencies running the shelter and transitional housing program would impose restrictions and unnecessary rules and regulations, thereby curbing their ability to freely live their lives. When you ask the agencies about these client concerns, they state that these clients need the structure and supervision provided by agency support workers.

• Which kind of program should your city choose to implement?  Which is most likely to be effective and why?

Assuming you’ve taken a social work course before, you will notice that these case studies cover different levels of analysis in the social ecosystem—micro, meso, and macro. At the micro-level , social workers examine the smallest levels of interaction; in some cases, just “the self” alone (e.g. the child in case one).

When social workers investigate groups and communities, such as our food desert in case 2, their inquiry is at the meso-level .

At the  macro-level , social workers examine social structures and institutions. Research at the macro-level examines large-scale patterns, including culture and government policy.

These three domains interact with one another, and it is common for a research project to address more than one level of analysis. For example, you may have a study about individuals at a case management agency (a micro-level study) that impacts the organization as a whole (meso-level) and incorporates policies and cultural issues (macro-level). Moreover, research that occurs on one level is likely to have multiple implications across domains.

How do social workers know what to do?

Welcome to social work research. This chapter begins with three problems that social workers might face in practice, and three questions about what a social worker should do next. If you haven’t already, spend a minute or two thinking about the three aforementioned cases and jot down some notes. How might you respond to each of these cases?

I assume it is unlikely you are an expert in the areas of children’s mental health, community responses to food deserts, and homelessness policy. Don’t worry, I’m not either. In fact, for many of you, this textbook will likely come at an early point in your graduate social work education, so it may seem unfair for me to ask you what the ‘right’ answers are. And to disappoint you further, this course will not teach you the ‘right’ answer to these questions. It will, however, teach you how to answer these questions for yourself, and to find the ‘right’ answer that works best in each unique situation.

Assuming you are not an experienced practitioner in the areas described above, you likely used intuition (Cheung, 2016). [1] when thinking about what you would do in each of these scenarios. Intuition is a “gut feeling” about what to think about and do, often based on personal experience. What we experience influences how we perceive the world. For example, if you’ve witnessed representations of trauma in your practice, personal life, or in movies or television, you may have perceived that the child in case one was being physically abused and that his behavior was a sign of trauma. As you think about problems such as those described above, you find that certain details stay with you and influence your thinking to a greater degree than others. Using past experiences, you apply seemingly relevant knowledge and make predictions about what might be true.

Over a social worker’s career, intuition evolves into practice   wisdom . Practice wisdom is the “learning by doing” that develops as a result of practice experience. For example, a clinical social worker may have a “feel” for why certain clients would be a good fit to join a particular therapy group. This idea may be informed by direct experience with similar situations, reflections on previous experiences, and any consultation they receive from colleagues and/or supervisors. This “feel” that social workers get for their practice is a useful and valid source of knowledge and decision-makin – do not discount it.

On the other hand, intuitive thinking can be prone to a number of errors. We are all limited in terms of what we know and experience. One’s economic, social, and cultural background will shape intuition, and acting on your intuition may not work in a different sociocultural context. Because you cannot learn everything there is to know before you start your career as a social worker, it is important to learn how to understand and use social science to help you make sense of the world and to help you make sound, reasoned, and well-thought out decisions.

Social workers must learn how to take their intuition and deepen or challenge it by engaging with scientific literature. Similarly, social work researchers engage in research to make certain their interventions are effective and efficient (see Section 1.4 for more information). Both of these processes–consuming and producing research–inform the social justice mission of social work. That’s why the Council on Social Work Education (CSWE), who accredits the MSW program you are in, requires that you engage in social science.

Competency 4: Engage In Practice-informed Research and Research-informed Practice Social workers understand quantitative and qualitative research methods and their respective roles in advancing a science of social work and in evaluating their practice. Social workers know the principles of logic, scientific inquiry, and culturally informed and ethical approaches to building knowledge. Social workers understand that evidence that informs practice derives from multi-disciplinary sources and multiple ways of knowing. They also understand the processes for translating research findings into effective practice. Social workers: • use practice experience and theory to inform scientific inquiry and research; • apply critical thinking to engage in analysis of quantitative and qualitative research methods and research findings; and • use and translate research evidence to inform and improve practice, policy, and service delivery. (CSWE, 2015). [2]

Errors in thinking

We all rely on mental shortcuts to help us figure out what to do in a practice situation. All people, including you and me, must train our minds to be aware of predictable flaws in thinking, termed cognitive biases . Here is a link to the Wikipedia entry on cognitive biases, as well as an interactive list . As you can see, there are many types of biases that can results in irrational conclusions.

The most important error in thinking for social scientists to be aware of is the concept of confirmation bias . Confirmation bias involves observing and analyzing information in a way that confirms what you already believe to be true. We all arrive at each moment with a set of personal beliefs, experiences, and worldviews that have been developed and ingrained over time. These patterns of thought inform our intuitions, primarily in an unconscious manner. Confirmation bias occurs when our mind ignores or manipulates information to avoid challenging what we already believe to be true.

In our second case study, we are trying to figure out how to help people who receive SNAP (sometimes referred to as Food Stamps) who live in a food desert. Let’s say we have arrived at a policy solution and are now lobbying the city council to implement it. There are many who have negative beliefs about people who are “on welfare.”  These people may believe individuals who receive social welfare benefits spend their money irresponsibly, are too lazy to get a job, and manipulate the system to maintain or increase their government payout.

Those espousing this belief may point to an example such as Louis Cuff , who bought steak and lobster with his SNAP benefits and resold them for a profit. However, they are falling prey to assuming that one person’s bad behavior reflects upon an entire group of people. City council members who hold these beliefs may ignore the truth about the client population—that people experiencing poverty usually spend their money responsibly and that they genuinely need help accessing fresh and healthy food. In this way, confirmation bias often makes people less capable of empathizing with one another because they have difficulty accepting alternative perspectives.

Errors in reasoning

Because the human mind is prone to errors, when anyone makes a statement about what is true or what should be done in a given situation, errors in logic may abound. Think back to the case studies at the beginning of this section. You most likely had some ideas about what to do in each case. Below are some of the most common logical fallacies and the ways in which they may negatively influence a social worker:

• Making hasty generalization : when a person draws conclusions before having enough information. A social worker may apply lessons from a handful of clients to an entire population of people (see Louis Cuff , above). It is important to examine the scientific literature in order to avoid this.
• Confusing correlation with causation : when one concludes that because two things are correlated (as one changes, the other changes), they must be causally related. As an example, a social worker might observe both an increase in the minimum wage and higher unemployment in certain areas of the city. However, just because two things changed at the same time does not mean they are causally related. Social workers should explore other factors that might impact causality.
• Going down a slippery slope : when a person concludes that we should not do something because something far worse will happen if we do so. For example, a social worker may seek to increase a client’s opportunity to choose their own activities, but face opposition from those who believe it will lead to clients making unreasonable demands. Clearly, this is nonsense. Changes that foster self-determination are unlikely to result in client revolt. Social workers should be skeptical of arguments opposing small changes because one argues that radical changes are inevitable.
• Appealing to authority : when a person draws a conclusion by appealing to the authority of an expert or reputable individual, rather than through the strength of the claim. You have likely encountered individuals who believe they are correct because another in a position of authority told them so. Instead, we should work to build a reflective and critical approach to practice that questions authority.
• Hopping on the bandwagon : when a person draws a conclusion consistent with popular belief. Just because something is popular does not mean it is correct. Fashionable ideas come and go. Social workers should engage with trendy ideas but must ground their work in scientific evidence rather than popular opinion.
• Using a straw man : when a person does not represent their opponent’s position fairly or with sufficient depth. For example, a social worker advocating for a new group home may depict homeowners that are opposed to clients living in their neighborhood as individuals concerned only with their property values. However, this may not be the case. Social workers should instead engage deeply with all sides of an issue and represent them accurately.

Key Takeaways

• Social work research occurs at the micro-, meso-, and macro-level.
• Intuition is a powerful, though limited, source of information when making decisions.
• All human thought is subject to errors in thinking and reasoning.
• Scientific inquiry accounts for cognitive biases by applying an organized, logical way of observing and theorizing about the world.
• Think about a social work topic you might want to study this semester as part of a research project. How do individuals commit specific errors in logic or reasoning when discussing a specific topic (e.g. Louis Cuff)? How can using scientific evidence help you combat popular myths that are based on erroneous thinking?
• Reflect on the strengths and limitations of your personal experiences as a way to guide your work with diverse populations. Describe an instance when your intuition may have resulted in biased or misguided thinking or behavior in a social work practice situation.

1.2 The scientific method

Learning objectives.

• Define science and social science
• Describe the differences between objective and subjective truth(s)
• Identify how qualitative and quantitative data are analyzed differently and how they can be used together
• Delineate the features of science that distinguish it from pseudoscience

If I asked you to draw a picture of science, what would you draw?  My guess is it would be something from a chemistry or biology classroom, like a microscope or a beaker. Maybe something from a science fiction movie. All social workers use scientific thinking in their practice. However, social workers have a unique understanding of what science means, one that is (not surprisingly) more open to the unexpected and human side of the social world.

Science and not-science

In social work, science is a way of ‘knowing’ that attempts to systematically collect and categorize facts or truths. A key word here is systematically –conducting science is a deliberate process. Scientists gather information about facts in a way that is organized and intentional, and usually follows a set of predetermined steps. Social work is not a science, but social work is informed by social science ; the science of humanity, social interactions, and social structures. In other words, social work research uses organized and intentional procedures to uncover facts or truths about the social world. And social workers rely on social scientific research to promote change.

Science can also be thought of in terms of its impostor, pseudoscience. Pseudoscience refers to beliefs about the social world that are unsupported by scientific evidence. These claims are often presented as though they are based on science. But once researchers test them scientifically, they are demonstrated to be false. A scientifically uninformed social work practitioner using pseudoscience may recommend any number of ineffective, misguided, or harmful interventions. Pseudoscience often relies on information and scholarship that has not been reviewed by experts or offers a selective and biased reading of reviewed literature.

An example of pseudoscience comes from anti-vaccination activists. Despite overwhelming scientific consensus that vaccines do not cause autism, a very vocal minority of people continue to believe that they do. Anti-vaccination advocates present their information as based in science, as seen here at Green Med Info . The author of this website shares real abstracts from scientific journal articles and studies but will only provide information on articles that show the potential dangers of vaccines, without showing any research that prevents the positive and safe side of vaccines. Green Med Info is an example of confirmation bias, as all data presented on the website supports what the pseudo-scientific researcher believes to be true. For more information on assessing causal relationships, consult Chapter 6 , where we discuss causality in detail.

The values and practices associated with the scientific method work to overcome common errors in thinking (such as confirmation bias). First, the scientific method uses established techniques from the literature to determine the likelihood of something being true or false. The research process often cites these techniques, reasons for their use, and how researchers came to the decision to use said techniques. However, each technique comes with its own strengths and limitations. Rigorous science is about making the best choice, being open about your process, and allowing others to check your work. It is important to remember that there is no “perfect” study – all research has limitations because all scientific methods come with limitations.

Skepticism and debate

Unfortunately, the “perfect” researcher does not exist. Scientists are human, so they are subject to error and bias, such as gravitating toward fashionable ideas and thinking their work is more important than others’ work. Theories and concepts fade in and out of use and may be tossed aside when new evidence challenges their truth. Part of the challenge in your research projects will be finding what you believe about an issue, rather than summarizing what others think about the topic. Good science, just like good social work practice, is authentic. When I see students present their research projects, those that are the strongest deliver both passionate and informed arguments about their topic area.

Good science is also open to ongoing questioning. Scientists are fundamentally skeptical. As such, they are likely to pursue alternative explanations. They might question the design of a study or replicate it to see if it works in another context. Scientists debate what is true until they arrive at a majority consensus. If you’ve ever heard that 97% of climate scientists agree that global warming is due to human activity [3] or that 99% of economists agree that tariffs make the economy worse [4] , you are seeing this sociology of science in action. This skepticism will help to catch situations in which scientists who make the oh-so-human mistakes in thinking and reasoning reviewed in Section 1.1.

Skepticism also helps to identify unethical scientists, as with Andrew Wakefield’s study linking the MMR vaccination and autism. When other researchers looked at his data, they found that he had altered the data to match his own conclusions and sought to benefit financially from the ensuing panic about vaccination (Godlee, Smith, & Marcovitch, 2011). [5] This highlights another key value in science: openness.

Through the use of publications and presentations, scientists share the methods used to gather and analyze data. The trend towards open science has also prompted researchers to share data as well. This in turn enables other researchers to re-run, replicate, and validate analyses and results. A major barrier to openness in science is the paywall. When you’ve searched online for a journal article (we will review search techniques in Chapter 3), you have likely run into the $25-$50 price tag. Don’t despair – your university should subscribe to these journals. However, the push towards openness in science means that more researchers are sharing their work in open access journals, which are free for people to access (like this textbook!). These open access journals do not require a university subscription to view.

Openness also means engaging the broader public about your study. Social work researchers conduct studies to help people, and part of scientific work is making sure your study has an impact. For example, it is likely that many of the authors publishing in scientific journals are on Twitter or other social media platforms, relaying the importance of study findings. They may create content for popular media, including newspapers, websites, blogs, or podcasts. It may lead to training for agency workers or public administrators. Regrettably, academic researchers have a reputation for being aloof and disengaged from the public conversation. However, this reputation is slowly changing with the trend towards public scholarship and engagement. For example, see this recent section of the Journal of the Society of Social Work and Research on public impact scholarship .

Science supported by empirical data

Pseudoscience is often doctored up to look like science, but the surety with which its advocates speak is not backed up by empirical data. Empirical data refers to information about the social world gathered and analyzed through scientific observation or experimentation. Theory is also an important part of science, as we will discuss in Chapter 5 . However, theories must be supported by empirical data–evidence that what we think is true really exists in the world.

There are two types of empirical data that social workers should become familiar with. Quantitative data refers to numbers and  qualitative data usually refers to word data (like a transcript of an interview) but can also refer to pictures, performances, and other means of expressing oneself. Researchers use specific methods designed to analyze each type of data. Together, these are known as research methods , or the methods researchers use to examine empirical data.

Objective truth

In our vaccine example, scientists have conducted many studies tracking children who were vaccinated to look for future diagnoses of autism (see Taylor et al. 2014 for a review). This is an example of using quantitative data to determine whether there is a causal relationship between vaccination and autism. By examining the number of people who develop autism after vaccinations and controlling for all of the other possible causes, researchers can determine the likelihood of whether vaccinations cause changes in the brain that are eventually diagnosed as autism.

In this case, the use of quantitative data is a good fit for disproving myths about the dangers of vaccination. When researchers analyze quantitative data, they are trying to establish an objective truth. An objective truth is always true, regardless of context. Generally speaking, researchers seeking to establish objective truth tend to use quantitative data because they believe numbers don’t lie. If repeated statistical analyses don’t show a relationship between two variables, like vaccines and autism, that relationship almost certainly does not exist. By boiling everything down to numbers, we can minimize the biases and logical errors that human researchers bring to the scientific process. That said, the interpretation of those numbers is always up for debate. That process can be subjective.

This approach to finding truth probably sounds similar to something you heard in your middle school science classes. When you learned about gravitational force or the mitochondria of a cell, you were learning about the theories and observations that make up our understanding of the physical world. We assume that gravity is real and that the mitochondria of a cell are real. Mitochondria are easy to spot with a powerful microscope and we can observe and theorize about their function in a cell. The gravitational force is invisible, but clearly apparent from observable facts, such as watching an apple fall. If we were unable to perceive mitochondria or gravity, they would still be there, doing their thing, because they exist independent of our observation of them.

Let’s consider a social work example. Scientific research has established that children who are subjected to severely traumatic experiences are more likely to be diagnosed with a mental health disorder (e.g., Mahoney, Karatzias, & Hutton, 2019). [6] A diagnosis of post-traumatic stress disorder (PTSD) is considered objective, and may refer to a mental health issue that exists independent of the individual observing it and is highly similar in its presentation across clients. The Diagnostic and Statistical Manual of Mental Disorders (DSM-5, 2017) [7] identifies a group of criteria which is based on unbiased, neutral client observations. These criteria are based in research, and render an objective diagnosis more likely to be valid and reliable. Through the clinician’s observations and the client’s description of their symptoms, an objective determination of a mental health diagnosis can be made.

Subjective truth(s)

For those of you skeptics, you may ask yourself: but does a diagnosis tell a client’s whole story? No. It does not tell you what the client thinks and feels about their diagnosis, for example. Receiving a diagnosis of PTSD may be a relief for a client. The diagnosis may suggest the words to describe their experiences. In addition, this diagnosis may provide a direction for therapeutic work, as there are evidence-based interventions clinicians can use with each diagnosis. On the other hand, a client may feel shame and view the diagnosis as a label, defining them in a negative way and limiting their potential (Barsky, 2015). [8]

Imagine if we surveyed people with PTSD to see how they interpreted their diagnosis. Objectively, we could determine whether more people said the diagnosis was, overall, a positive or negative event for them. However, it is unlikely that the experience of receiving a diagnosis was either completely positive or completely negative. In social work, we know that a client’s thoughts and emotions are rarely binary, either/or situations. Clients likely feel a mix of positive and negative thoughts and emotions during the diagnostic process. These messy bits are subjective truths , or the thoughts and feelings that arise as people interpret and make meaning of situations. Uniquely, looking for subjective truths can help us see the contradictory and multi-faceted nature of people’s thoughts, and qualitative data allows us to avoid oversimplifying them into negative and positive feelings that could be counted, as in quantitative data. It is the role of a researcher, just like a practitioner, to seek to understand things from the perspective of the client. Unlike with objective truth, this will not lead to a general sense of what is true for everyone, but rather what is true for that one person.

Subjective truths are best expressed through qualitative data, or through the use of words (not numbers). For example, we might invite a client to tell us how they felt after they were first diagnosed, after they spoke with family, and over the course of the therapeutic process. While it may look different from what we normally think of as science (e.g. pharmaceutical studies), these stories are indeed a rich source of data for scientific analysis. However, it is impossible to analyze what this client said without also considering the sociocultural context in which they live. For example, the concept of PTSD is generated from Western thought and philosophy. How might people from other cultures understand trauma differently?

In the DSM-5 classification of mental health disorders, there is a list of culture-bound syndromes which appear only in certain cultures. For example,  susto describes a unique cluster of symptoms experienced by Latin Americans after a traumatic event (Nogueira, Mari, & Razzouk, 2015). [9]   Susto involves more physical symptoms than a traditional PTSD diagnosis. Indeed, many of these syndromes do not fit within a Western conceptualization of mental health because they differentiate less between the mind and body. To a Western scientist, susto may seem less real than PTSD. To someone from Latin America, their symptoms may not fit neatly into the PTSD framework developed in Western nations . Science has historically privileged knowledge from the United States and other nations in the West and Global North , marking them as objectively true. The objectivity of Western science as universally applicable to all cultures has been increasingly called into question as science has become less dominated by white males, and interaction between cultures and groups becomes broadly more democratic. Clearly, what is true depends in part on the context in which it is observed.

In this way, social scientists have a unique task. People are both objects and subjects. Objectively, you could quantify how tall a person is, what car they drive, how many adverse childhood experiences they had, or their score on a PTSD checklist. Subjectively, you could understand how a person made sense of a traumatic incident or how it contributed to certain patterns in thinking, negative feelings, or opportunities for growth, for example. It is this added dimension that renders social science unique to natural science, which focuses almost exclusively on quantitative data and objective truth. For this reason, this book is divided between projects using qualitative data and quantitative data.

There is no “better” or “more true” way of approaching social science. Instead, the methods a researcher chooses should match the question they ask. If you want to answer, “do vaccines cause autism?” you should choose methods appropriate to answer that question. It seeks an objective truth–one that is true for everyone, regardless of context. Studies like these use quantitative data and statistical analyses to test mathematical relationships between variables. If, on the other hand, you wanted to know “what does a diagnosis of PTSD mean to clients?” you should collect qualitative data and seek subjective truths. You will gather stories and experiences from clients and interpret them in a way that best represents their unique and shared truths. Where there is consensus, you will report that. Where there is contradiction, you will report that as well.

Mixed methods

In this textbook, we will treat quantitative and qualitative research methods separately. However, it is important to remember that a project can include both approaches. A mixed methods study, which we will discuss more in chapter 6, requires thinking through a more complicated project that includes at least one quantitative component, one qualitative component, and a plan to incorporate both approaches together. As a result, mixed methods projects may require more time for conceptualization, data collection, and analysis.

Finding patterns

Regardless of whether you are seeking objective or subjective truths, research and scientific inquiry aim to find and explain patterns. Most of the time, a pattern will not explain every single person’s experience, a fact about social science that is both fascinating and frustrating. Even individuals who do not know each other can create patterns that persist over time. Those new to social science may find these patterns frustrating because they may believe that the patterns describing their sex, age, or some other facet of their lives don’t represent their experience. It’s true. A pattern can exist among your cohort without your individual participation in it. There is diversity within diversity.

Let’s consider some specific examples. You probably wouldn’t be surprised to learn that a person’s social class background has an impact on their educational attainment and achievement. You may be surprised to learn that people select romantic partners that have similar educational attainment, which in turn, impacts their children’s educational attainment (Eika, Mogstad, & Zafar, 2019). [10] . People who have graduated college pair off with other college graduates, as so forth. This, in turn, reinforces existing inequalities, stratifying society by those who have the opportunity to complete college and those who don’t.

People who object to these findings tend to cite evidence from their own personal experience. However, the problem with this response is that objecting to a social pattern on the grounds that it doesn’t match one’s individual experience misses the point about patterns. Patterns don’t perfectly predict what will happen to an individual person. Yet, they are a reasonable guide that, when systematically observed, can help guide social work thought and action. When we don’t investigate these patterns scientifically, we are subject to developing stereotypes, biases, and other harmful beliefs.

A final note on qualitative and quantitative methods

There is not one superior way to find patterns that help us understand the world. As we will learn about in Chapter 5 , there are multiple philosophical, theoretical, and methodological ways to approach scientific truth. Qualitative methods aim to provide an in-depth understanding of a relatively small number of cases. They also provide a voice for the client. Quantitative methods offer less depth on each case but can say more about broad patterns because they typically focus on a much larger number of cases. A researcher should approach the process of scientific inquiry by formulating a clear research question and using the methodological tools best suited to that question.

Believe it or not, there are still significant methodological battles being waged in the academic literature on objective vs. subjective social science. Usually, quantitative methods are viewed as “more scientific” and qualitative methods are viewed as “less scientific.”  Part of this battle is historical. As the social sciences developed, they were compared with the natural sciences, especially physics, which rely on mathematics and statistics to come to a truth. It is a hotly debated topic whether social science should adopt the philosophical assumptions of the natural sciences—with its emphasis on prediction, mathematics, and objectivity—or use a different set of tools—contextual understanding, language, and subjectivity—to find scientific truth.

You are fortunate to be in a profession that values multiple scientific ways of knowing. The qualitative/quantitative debate is fueled by researchers who may prefer one approach over another, either because their own research questions are better suited to one particular approach or because they happened to have been trained in one specific method. In this textbook, we’ll operate from the perspective that qualitative and quantitative methods are complementary rather than competing. While these two methodological approaches certainly differ, the main point is that they simply have different goals, strengths, and weaknesses. A social work researcher should select the method(s) that best match(es) the question they are asking.

• Social work is informed by science.
• Social science is concerned with both objective and subjective knowledge.
• Social science research aims to understand patterns in the social world.
• Social scientists use both qualitative and quantitative methods, which, while different, are often complementary.

Examine a pseudoscientific claim you’ve heard on the news or in conversation with others. Why do you consider it to be pseudoscientific? What empirical data can you find from a quick internet search that would demonstrate it lacks truth?

• Consider a topic you might want to study this semester as part of a research project. Provide a few examples of objective and subjective truths about the topic, even if you aren’t completely certain they are correct. Identify how objective and subjective truths differ.

1.3 Evidence-based practice

• Explain how social workers produce and consume research as part of practice
• Review the process of evidence-based practice and how social workers apply research knowledge with clients and groups

“Why am I in this class?”

“When will I ever use this information?”

While students aren’t always so direct, I would wager a guess that these questions are on the mind of almost every student in a research methods class. And they are valid and important questions to ask!  While it may seem strange, the answer is that you will probably use these skills often. Social workers engage with research on a daily basis by consuming it through popular media, social work education, and advanced training. They also often contribute to research projects, adding new scientific information to what we know. As professors, we also sometimes hear from field supervisors who say that research competencies are unimportant in their setting. One might wonder how these organizations measure program outcomes, report the impact of their program to board members or funding agencies, or create new interventions grounded in social theory and empirical evidence.

Social workers as research consumers

Whether you know it or not, your life is impacted by research every day. Many of our laws, social policies, and court proceedings are grounded in some degree of empirical research and evidence (Jenkins & Kroll-Smith, 1996). [11] That’s not to say that all laws and social policies are good or make sense. But you can’t have an informed opinion about any of them without understanding where they come from, how they were formed, and what their evidence base is. In order to be effective practitioners across micro, meso, and macro domains, social workers need to understand the root causes and policy solutions to social problems their clients are experiencing.

A recent lawsuit against Walmart provides an example of social science research in action. A sociologist named Professor William Bielby was enlisted by plaintiffs to conduct an analysis of Walmart’s personnel policies in order to support their claim that Walmart engages in gender discriminatory practices. Bielby’s analysis shows that Walmart’s compensation and promotion decisions may indeed have been vulnerable to gender bias. In June 2011, the United States Supreme Court decided against allowing the case to proceed as a class-action lawsuit ( Wal-Mart Stores, Inc. v. Dukes , 2011). [12] While a class-action suit was not pursued in this case, consider the impact that such a suit against one of our nation’s largest employers could have had on companies, their employees, and even consumers around the country. [13]

A social worker might learn about this lawsuit through popular media, news media websites or television programs. Social science knowledge allows a social worker to apply a critical eye towards new information, regardless of the source. Unfortunately, popular media does not always report on scientific findings accurately. A social worker armed with scientific knowledge would be able to search for, read, and interpret the original study as well as other information that might challenge or support the study. As social work graduate students, you should be comfortable in your information literacy abilities, and your advocacy and practice should be grounded in these skills. Chapters 2, 3, and 4 of this textbook focus on information literacy , or how to understand what we already know about a topic and contribute to that body of knowledge.

When social workers consume research, they are usually doing so to inform their practice. Clinical social workers are required by a state licensing board to complete continuing education classes in order to remain informed on the latest information in their field. On the macro side, social workers at public policy think tanks consume information to inform advocacy and public awareness campaigns. Regardless of the role of the social worker, practice must be informed by research.

Evidence-based practice

Consuming research is the first component of evidence-based practice (EBP). Drisko and Grady (2015) [14] present EBP as a process composed of “four equally weighted parts: 1) current client needs and situation, (2) the best relevant research evidence, (3) client values and preferences, and (4) the clinician’s expertise” (p. 275). It is not simply “doing what the literature says,” but is rather a process by which practitioners examine the literature, client, self, and context to inform interventions with clients and systems (McNeese & Thyer, 2004). [15] It is a collaboration between social worker, client, and context. As we discussed in Section 1.2, the patterns discovered by scientific research are not applicable to all situations. Instead, we rely on our critical thinking skills to apply scientific knowledge to real-world situations.

The bedrock of EBP is a proper assessment of the client or client system. Once we have a solid understanding of what the issue is, we can evaluate the literature to determine whether there are any interventions that have been shown to treat the issue, and if so, which have been shown to be the most effective. You will learn those skills in the next few chapters. Once we know what our options are, we should be upfront with clients about each option, what the interventions look like, and what the expected outcome will be. Once we have client feedback, we use our expertise and practice wisdom to make an informed decision about how to move forward.

If this sounds familiar, it’s the same approach a doctor, physical therapist, or other health professional would use. This highlights a common critique of EBP: it is too focused on micro-level, clinical social work practice. Not every social worker is a clinical social worker. While there is a large body of literature on EBP for clinical practice, the same concepts apply to other social work roles as well. A social work manager should endeavor to be familiar with evidence-based management styles, and a social work policy advocate should argue for evidence-based policies.

In agency-based social work practice, EBP can take on a different role due to the complexities of the grant funding process. Funders naturally require agencies to demonstrate that their practice is effective. Agencies are almost always required to document that they are achieving the outcomes they intended. However, funders sometimes require agencies to choose from a limited list of interventions determined to be evidence-based practices. Not included in this model are clinical expertise and client values, which are key components of EBP and the therapeutic process. According to some funders, EBP is not a process conducted by a practitioner but instead consists of a list of interventions. Similar dynamics are at play in private clinical practice, in which insurance companies may specify the modality of therapy offered. For example, insurance companies may favor short-term, solution-focused therapy which minimizes cost. But what happens when someone has an idea for a new kind of intervention?  How do new approaches get “on the list” of EBPs of grant funders?

Social workers as research producers

Innovation in social work is incredibly important. Social workers work on wicked problems for their careers. For those of you who have practice experience, you may have had an idea of how to better approach a practice situation. That is another reason you are here in a research methods class. You (really!) will have bright ideas about what to do in practice. Sam Tsemberis relates an “ Aha! ” moment from his practice in this Ted talk on homelessness . While a faculty member at the New York University School of Medicine, he noticed a problem with people cycling in and out of the local psychiatric hospital wards. Clients would arrive in psychiatric crisis, stabilize under medical supervision in the hospital, and end up back at the hospital in psychiatric crisis shortly after discharge.

When he asked the clients what their issues were, they said they were unable to participate in homelessness programs because they were not always compliant with medication for their mental health diagnosis and they continued to use drugs and alcohol. The housing supports offered by the city government required abstinence and medication compliance before one was deemed “ready” for housing. For these clients, the problem was a homelessness service system that was unable to meet clients where they were–ready for housing, but not ready for abstinence and psychiatric medication. As a result, chronically homeless clients were cycling in and out of psychiatric crises, moving back and forth from the hospital to the street.

The solution that Sam Tsemberis implemented and popularized is called Housing First , and is an approach to homelessness prevention that starts by, you guessed it, providing people with housing first and foremost. Tsemberis’s model addresses chronic homelessness in people with co-occurring disorders (those who have a diagnosis of a substance use and mental health disorder). The Housing First model states that housing is a human right: clients should not be denied their right to housing based on substance use or mental health diagnoses.

In Housing First programs, clients are provided housing as soon as possible. The Housing First agency provides wraparound treatment from an interdisciplinary team, including social workers, nurses, psychiatrists, and former clients who are in recovery. Over the past few decades, this program has gone from a single program in New York City to the program of choice for federal, state, and local governments seeking to address homelessness in their communities.

The main idea behind Housing First is that once clients have a residence of their own, they are better able to engage in mental health and substance use treatment. While this approach may seem logical to you, it is the opposite of the traditional homelessness treatment model. The traditional approach began with the client abstaining from drug and alcohol use and taking prescribed medication. Only after clients achieved these goals were they offered group housing. If the client remained sober and medication compliant, they could then graduate towards less restrictive individual housing.

Conducting and disseminating research allows practitioners to establish an evidence base for their innovation or intervention, and to argue that it is more effective than the alternatives, and should therefore be implemented more broadly. For example, by comparing clients who were served through Housing First with those receiving traditional services, Tsemberis could establish that Housing First was more effective at keeping people housed and at addressing mental health and substance use goals. Starting first with smaller studies and graduating to larger ones, Housing First built a reputation as an effective approach to addressing homelessness. When President Bush created the Collaborative Initiative to Help End Chronic Homelessness in 2003, Housing First was used in a majority of the interventions and its effectiveness was demonstrated on a national scale. In 2007, it was acknowledged as an evidence-based practice in the Substance Abuse and Mental Health Services Administration’s (SAMHSA) EBP resource center. [16]

We suggest browsing around the SAMHSA EBP Resource Center and looking for interventions on topics that interest you. Other sources of evidence-based practices include the Cochrane Reviews digital library  and Campbell Collaboration . In the next few chapters, we will talk more about how to search for and locate literature about clinical interventions. The use of systematic reviews , meta-analyses , and randomized controlled trials are particularly important in this regard, types of research we will describe more in Chapter 3 and Chapter 4.

So why share the story of Housing First? Well, we want you to think about what you hope to contribute to our knowledge of social work practice. What is your bright idea and how can it change the world? Practitioners innovate all the time, often incorporating those innovations into their agency’s approach and mission. Using scientific research methods, agency-based social workers can demonstrate to policymakers and other social workers that their innovations should be more widely used. Without this wellspring of new ideas, social services would not be able to adapt to the changing needs of their communities. Social workers in agency-based practice may also participate in research projects taking place at their agency. Partnerships between schools of social work and agencies are a common way of testing and implementing innovations in social work. In such a case, all parties receive an advantage: clinicians receive specialized training, clients receive additional services, agencies gain prestige, and researchers can illustrate the effectiveness of an intervention.

Evidence-based practice highlights the unique perspective that social work brings to research. Social work both “holds” and critiques evidence. With regard to the former, “holding” evidence refers to the fact that the field of social work values scientific information. The Housing First example demonstrates how this interplay between valuing and critiquing science works–first by critiquing existing research and conducting research to establish a new approach to a problem. It also demonstrates the importance of listening to your target population and privileging their understanding and perception of the issue. While their understanding is not the result of scientific inquiry, it is deeply informed through years of direct experience with the issue and embedded within the relevant cultural and historical context. Although science often searches for the “one true answer,” social work researchers must remain humble about the degree to which we can really know, and must begin to engage with other ways of knowing that may originate from clients and communities.

See the video  below for an example of how “one true answer” about a population can often oversimplify things and overstate how much we know about how to intervene in a given situation.

Cultural Humility: People, Principles and Practices – Part 1 of 4 by Vivian Chavez is adapted under a Creative Commons license: Attribution-NonCommercial-NoDerivs 3.0 Unported (CC BY-NC-ND 3.0) http://creativecommons.org/licenses/b…

While you may not become a scientist in the sense of wearing a lab coat and using a microscope, social workers must understand science in order to engage in ethical practice. In this section, we reviewed ways in which research is a part of social work practice, including:

• Determining the best intervention for a client or system
• Ensuring existing services are accomplishing their goals
• Satisfying requirements to receive funding from private agencies and government grants
• Testing a new idea and demonstrating that it should be more widely implemented

Using a social work practice situation that you have experienced, walk through the four steps of the evidence-based practice process and how they informed your decision-making. Reflect on some of the difficulties applying EBP in the real world.

• Talk with a social worker about how he or she produces and consumes research as part of practice. Consider asking them about articles that changed their practice or helped them think about a problem in a new way. They may talk more about a training or a book, rather than academic journal articles. Reflect on your personal career goals and how research will fit into your future practice.

1.4 Social work research

• Differentiate between formal and informal research roles
• Describe common barriers to engaging with social work research
• Identify alternative ways of thinking about research methods

Formal and informal research roles

I’ve been teaching research methods for six years and have found that many students struggle to see the connection between research and social work practice. First of all, it’s important to mention that social work researchers exist!  The authors of this textbook are social work researchers across university, government, and non-profit institutions. Matt and Cory are researchers at universities, focusing on disability policy, wellness & mental health, and intimate partner violence. Dalia is a behavioral health researcher at RTI International, a nonprofit research institute, where she studies the opioid epidemic. Kate is a researcher at the Joint Legislative Audit and Review Commission in Virginia, where she studies policies related to criminal justice. The career path for social workers in formal research roles is bright and diverse, as we each bring a unique perspective with our ethical and theoretical orientation.

Formal research results in written products like journal articles, government reports, or policy briefs. To get a sense of formal research roles in social work, consider asking a professor about their research. You can also browse around the top journals in social work: Trauma, Violence & Abuse , Child Maltreatment , Child Abuse & Neglect , Social Service Review , Family Relations , Journal of Social Policy , Social Policy & Administration , Research on Social Work Practice , Health & Social Care in the Community , Health & Social Work , British Journal of Social Work , Child & Family Social Work , International Journal of Social Welfare , Qualitative Social Work , Children & Youth Services Review , Social Work , Social Work in Health Care , Journal of Social Work Practice , International Social Work , Affilia Journal of Women and Social Work , and Clinical Social Work Journal .  Additionally, the websites to most government agencies, foundations, think tanks, and advocacy groups contain formal research often conducted by social workers.

But let’s be clear, studies show that most social work students are not interested in becoming social work researchers who publish journal articles or research reports (DeCarlo et al., 2019; Earley, 2014). [17] Once you enter post-graduate practice, you will need to apply your formal research skills to the informal research conducted by practitioners and agencies every day. Every time you are asking who, what, when, where and why, you are conducting informal research. Informal research can be more involved. Social workers may be surprised when they are asked to engage in research projects such as needs assessments, community scans, program and policy evaluations, and single system designs, to name a few. Macro-oriented students may have to conduct research on programs and policies as part of advocacy or administration. I cannot tell you the number former students who have contacted me looking for research resources or wanting to “pick my brain” about research they are doing as part of their employment.

Research for action

Regardless of whether a social worker conducts formal research that results in journal articles or informal research that is used within an agency, all social work research is distinctive in that it is active (Engel & Schutt, 2016). [18] We want our results to be used to effect social change. Sometimes this means using findings to change how clients receive services. Sometimes it means using findings to show the benefits of programs or policies. Sometimes it means using findings to speak with those oppressed and marginalized persons who have been left out of the policy creation process. Additionally, it can mean using research as the mode with which to engage a constituency to address a social justice issue. All of these research activities differ; however, the one consistent ingredient is that these activities move us towards social and economic justice.

Student anxieties and beliefs about research

Unfortunately, students generally arrive in research methods classes with a mixture of dread, fear, and frustration. If you attend any given social work education conference, there is probably a presentation on how to better engage students in research. There is an entire body of academic research that verifies what any research professor knows to be true. Honestly, this is why the authors of this textbook started this project. We want to make research more enjoyable and engaging for students. Generally, we have found some common myths and misconceptions get in the way of student success in research. Let’s see if any of these match with what you are thinking.

I’m never going to use this crap!

Students who tell me that research methods is not useful to them are saying something important. As a student scholar, your most valuable asset is your time. You give your time to the subjects you consider important to you and for your career. Because most social workers don’t become researchers or practitioner-researchers, students may feel that a research methods class is a waste of time. Our discussion of evidence-based practice and the ways in which social workers use research in practice brought home the idea that social workers play an important role in creating and disseminating new knowledge about social services.

On a more immediate level, learning about research methods and completing an individual research project allow students to focus in on a specific topic. This class is an invitation to conduct an independent study on a social work topic of interest to you. In this book, you will learn how to understand and apply the scientific method to that topic. Not only that, but the skills you learn in literature search and review will help you in every class in your MSW program.

Research is only for super-smart people

Research methods involves a lot of terminology that may be entirely new to social work students. Other domains of social work, such as practice, are easier to apply your intuition towards. You understand how to be an empathetic person, and your experiences in life can help guide you through a practice situation or even a theoretical or conceptual question. Research may seem like a totally new area in which you have no previous experience. In research methods there can be “wrong” answers. Depending on your research question, some approaches to data analysis or measurement, for example, may not help you find the correct answer.

The fear is entirely understandable. Research is not straightforward. As Figure 1.1 shows, it is a process that is non-linear, involving multiple revisions, wrong turns, and dead ends before you figure out the best question and research approach. You may have to go back to chapters after having read them or even peek ahead at chapters your class hasn’t covered yet.

Moreover, research is something you learn by doing…and stumbling a few times. It’s an iterative process, or one that requires many tries to get right. There isn’t a shortcut for learning research, but if you follow along with the exercises in this book, you can break down a student research project and accomplish it piece by piece. No one just knows research. It’s something you pick up by doing it, reflecting on the experiences and results, redoing your work, and revising it in consultation with your professor and peers. Research involves exploration, risk taking, and a willingness to say, “Let’s see what we will find!”

Research is designed to suck the joy from my life

We’ve talked already about the arcane research terminology, so I won’t go into it again here. But students sometimes perceive research methods as boring. Practice knowledge and even theory are fun to learn because they are easy to apply and provide insights into the world around you. Research just seems like its own weirdly shaped and ill-fitting puzzle piece.

I completely understand where this perspective comes from and hope there are a few things you will take away from this course that aren’t boring to you. In the first section of this textbook, you will learn how to take any topic and learn what is known about it. It may seem trivial, but this is actually a superpower. Your social work education will teach you basic knowledge that can be applied to nearly all social work practice situations as well as some applied material applicable to specific social work practice situations. However, no education will provide you with everything you need to know. And certainly, no professor can tell you what will be discovered over the next few decades of your practice. Our work on literature reviews in the next few chapters will help you increase your skills and knowledge to become a strong social work student and practitioner. Following that, our exploration of research methods will help you understand how theories, practice models, and techniques you learn in other classes are created and tested scientifically. Like a colorful puzzle, you’ll see how all of the pieces fit together.

Get out of your own way

Together, these misconceptions and myths can create a self-fulfilling prophecy for students. If you believe research is boring, you won’t find it interesting. If you believe research is hard, you will struggle more with assignments. If you believe research is useless, you won’t see its utility. If you’re afraid that you will make mistakes, then you won’t want to try. While we certainly acknowledge that students aren’t going to love research as much as we do (we spent over a year writing this book, so we like it a lot!), we suggest reframing how you think about research using the following touchstones:

• All social workers rely on social science research to engage in competent practice.
• No one  already knows research. It’s something I’ll learn through practice. And it’s challenging for everyone, not just me.
• Research is relevant to me because it allows me to figure out what is known about any topic I want to study.
• If the topic I choose to study is important to me, I will be more interested in exploring research to help me understand it further.

Students should be intentional about managing any anxiety coming from a research project. Here are some suggestions:

• Talk to your professor if you are feeling lost. We like students!
• Talk to a librarian if you are having trouble finding information about your topic.
• Seek support from your peers or mentors.

The structure of this textbook

The textbook is divided into five parts. In the first part (Chapters 1-4), we will review how to orient your research proposal to a specific question you want to answer and review the literature to see what we know about it. Student research projects come with special limitations, as you don’t have many resources, so our chapters are designed to help you think through those limitations and think of a project that is doable. In the second part (Chapters 5-8), we will bring in theory, causality, ethics to help you conceptualize your research project and what you hope to achieve. By the end of the second part, you will create a quantitative and qualitative research question. Parts 3 and 4 will walk you through how to conduct quantitative and qualitative research, respectively. These parts run through how to recruit people to participate in your study, what to ask them, and how to interpret the results of what they say. Finally, the last part of the textbook reviews how to connect research and practice. For some, that will mean completing program evaluations as part of agency-based practice. For others, it will mean consuming research as part of continuing education as a practitioner. We hope you enjoy reading this book as much as we enjoyed writing it!

If you are still figuring out how to navigate the book using your internet browser, consider watching our tutorial [LINK NEEDED]. Also, the exercises in each chapter offer you an opportunity to apply what you wrote to your own research project, so consider completing these as you read.

• Social workers engage in formal and informal research production as part of practice.
• If you feel anxious, bored, or overwhelmed by research, you are not alone!
• Becoming more familiar with research methods will help you become a better scholar and social work practitioner.
• With your peers, explore your feelings towards your research methods classes. Describe some themes that come up during your conversations. Identify which issues can be addressed by your professor and which can be addressed by students.
• Browse social work journals and identify an article of interest to you. Look up the author’s biography or curriculum vitae on their personal website or the website of their university.
• Cheung, J. C. S. (2016). Researching practice wisdom in social work. Journal of Social Intervention: Theory and Practice ,  25 (3), 24-38. ↵
• For more on the CSWE accreditation standards see https://www.cswe.org/CSWE/media/AccredidationPDFs/2015-epas-and-glossary_1.pdf and the EPAS index in this book. ↵
• See: https://climate.nasa.gov/faq/17/do-scientists-agree-on-climate-change/ ↵
• See: http://www.igmchicago.org/surveys/import-duties ↵
• Godlee   F. ,  Smith   J. , & Marcovitch   H . (2011) Wakefield’s article linking MMR vaccine and autism was fraudulent. British medical journal, 342 , 64-66. ↵
• Mahoney, A., Karatzias, T., & Hutton, P. (2019). A systematic review and meta-analysis of group treatments for adults with symptoms associated with complex post-traumatic stress disorder.  Journal of affective disorders ,  243 , 305-321. ↵
• American Psychiatric Association. (2017). Diagnostic and statistical manual of mental disorders (5th ed.) . Washington, DC ↵
• Barsky, A. (2015). DSM-5 and the ethics of diagnosis. New social worker . Retrieved from: https://www.socialworker.com/feature-articles/ethics-articles/dsm-5-and-ethics-of-diagnosis/ ↵
• Nogueira, B. L., Mari, J. D. J., & Razzouk, D. (2015). Culture-bound syndromes in Spanish speaking Latin America: the case of Nervios, Susto and Ataques de Nervios. Archives of Clinical Psychiatry (São Paulo), 42( 6), 171-178. ↵
• Eika, L., Mogstad, M., & Zafar, B. (2019). Educational assortative mating and household income inequality. Journal of Political Economy, 127 (6), 2795-2835. ↵
• Jenkins, P. J., & Kroll-Smith, S. (Eds.). (1996). Witnessing for sociology: Sociologists in court . Westport, CT: Praeger. ↵
• Wal-Mart  Stores, Inc. v. Dukes , 564 U.S. (2011). The American Sociological Association (ASA) subsequently filed an amicus brief in support of what would be the class of individuals claiming gender discrimination. You can read the brief at http://asanet.org/images/press/docs/pdf/Amicus_Brief_Wal-Mart_v Dukes_et_al.pdf.  For other recent amicus briefs filed by the ASA, see  http://asanet.org/about/amicus_briefs.cfm . ↵
• Want to know more about the suit against Walmart or about Bielby’s analysis for the case? Check out the following source: Hart, M., & Secunda, P. M. (2009). A matter of context: Social framework evidence in employment discrimination class actions. Fordham Law Review ,  78 , 37-70. (2009). A matter of context: Social framework evidence in employment discrimination class action.  Fordham Law Review, 78 , 37–70. Retrieved from:  http://www.fordhamlawreview.org/assets/pdfs/Vol_78/Hart_Secunda_October_2009.pdf ↵
• Drisko, J. W., & Grady, M. D. (2015). Evidence-based practice in social work: A contemporary perspective. Clinical Social Work Journal ,  43 (3), 274-282. ↵
• McNeece, C. A., & Thyer, B. A. (2004). Evidence-based practice and social work. Journal of evidence-based social work ,  1 (1), 7-25. ↵
• Substance Abuse and Mental Health Services Administration (2007). Pathways' housing first program . Retrieved from:https://www.samhsa.gov/homelessness-programs-resources/hpr-resources/housing-first-supports-recovery ↵
• DeCarlo, M. P., Schoppelrey, S., Crenshaw, C., Secret, M. C., & Stewart, M. (2020, January 1). Open educational resources and graduate social work students: Cost, outcomes, use, and perceptions. https://doi.org/10.31235/osf.io/k4ytd; Earley, M. A. (2014). A synthesis of the literature on research methods education. Teaching in Higher Education, 19 (3), 242-253. ↵
• Engel, R. J. & Schutt, R. K. (2016) The practice of research in social work (4th edition) . Washington, DC: Sage Publications ↵

examining the smallest levels of interaction, usually individuals

examining interaction between groups and within communities

examining social structures and institutions

a “gut feeling” about what to do based on previous experience

“learning by doing” that guides social work intervention and increases over time

predictable flaws in thinking

observing and analyzing information in a way that agrees with what you already think is true and excludes other alternatives

a way of knowing that attempts to systematically collect and categorize facts or truths

the science of humanity, social interactions, and social structures

claims about the world that appear scientific but are incompatible with the values and practices of science

information about the social world gathered and analyzed through scientific observation or experimentation

numerical data

data derived from analysis of texts. Usually, this is word data (like a conversation or journal entry) but can also include performances, pictures, and other means of expressing ideas.

the methods researchers use to examine empirical data

a single truth, observed without bias, that is universally applicable

one truth among many, bound within a social and cultural context

a process composed of "four equally weighted parts: 1) current client needs and situation, (2) the best relevant research evidence, (3) client values and preferences, and (4) the clinician’s expertise" (Drisko & Grady, 2015, p. 275)

a study that combines raw data from multiple quantitative studies and analyzes the pooled data using statistics

Graduate research methods in social work Copyright © 2020 by Matthew DeCarlo, Cory Cummings, Kate Agnelli is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License , except where otherwise noted.

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13 Social Work Methods & Interventions for Helping Others

While social work as a profession has remained in a state of flux for some years, dedicated professionals continue to support individuals, families, and communities at their most troubled times.

Their professional dedication remains underpinned by core skills, including a “commitment to human, relation-based practice” and methods and interventions garnered from multiple disciplines (Rogers, Whitaker, Edmondson, & Peach, 2020, p. 9).

This article introduces how social workers select the best approaches and interventions for meeting the needs of their service users.

Before you continue, we thought you might like to download our three Positive Psychology Exercises for free . These science-based exercises will explore fundamental aspects of positive psychology, including strengths, values, and self-compassion, and give you the tools to enhance the wellbeing of your clients, students, or employees.

This Article Contains:

Selecting an appropriate method & intervention, top 5 methods used by social workers, 8 best social work interventions, social work & domestic violence: 4 helpful methods, positivepsychology.com’s useful resources, a take-home message.

The “constantly evolving nature of social life” has made it difficult to build a single and standard model for social work (Parker, 2013, p. 311). A framework that offers a clear process for social workers to engage with service users and implement appropriate interventions is, however, vital.

As a result, social work has combined various interdisciplinary concepts and social work theories with firsthand, experiential knowledge to develop an evidence base for social workers’ decisions.

While more than one model is used to describe social work practice, Parker (2013) offers a simplified perspective built from three elements: assessment , intervention , and review.

The model is not linear; the stages merge, overlap, and require a degree of flexibility, analysis, and critical thinking to implement (Parker, 2013).

Although the final review stage is vital to social workers’ “statutory and legal obligations” and in ensuring care plans remain appropriate, this article focuses on choosing suitable methods of assessment  and intervention  (Parker, 2013, p. 317).

What is an assessment?

The assessment stage aims to understand the situation affecting the service user, directly or via referral. It can be complex, often involving many contributing factors, and sometimes seem as much art as science (Parker, 2013).

Typically, assessments are perspectives constructed at a particular time and place, and include the following elements (Parker, 2013):

• Preparation , planning , and engagement involve working with the individual requiring support to introduce the need to perform an assessment and agree how the social worker will carry it out.
• Collecting data and forming a picture help social workers understand the situation better.
• Preliminary analysis includes interpreting the data and testing out “thoughts and hunches” (Parker, 2013, p. 314).
• Deeper analysis and shared negotiation are required following testing to put together an interpretation. This can offer the client or referrer an alternative way of viewing the problem.
• Construct an action plan collaboratively.

Throughout the assessment, it is essential to engage and partner with all interested parties, sharing the reasons for the evaluation, how it will be used, and the rights of those involved.

“A good assessment allows the social worker to plan openly with service users what comes next” (Parker, 2013, p. 315). The plan forms the basis for selecting or putting together the intervention and how goals and objectives will be met.

What is an intervention?

The selection of methods and interventions is further influenced by the social worker’s underlying belief systems, value bases, and theoretical preferences.

The term intervention is sometimes challenged within social work because of its suggestion of doing something to others without their consent. As with counseling and therapy, it is most valuable when put together as part of an alliance between social workers and service users (Parker, 2013).

The process must be transparent, with the social worker able to explain the evidence base leading to informed decisions. Such openness requires a detailed understanding of the theories and knowledge underpinning the models chosen and why they are appropriate and effective (Parker, 2013).

Finding appropriate methods and models can help make sense of the experiences of others.

Care management

Popular in the United Kingdom, care management is closely linked to the use of community care to meet the needs of adult health and social care. Earlier implementations were managed from the top down and accessed via the benefits system, leading to ever-increasing governmental social security bills. Over time, more autonomy has been given to the community, encouraging independence, choice, and control at a local level (Hutchinson, 2013).

The most common care management approach within the UK is known as social entrepreneurship . The person’s needs are assessed by a care manager , who acts as a liaison to other services to meet the service user’s needs.

“One of the main strengths of the care management approach is the centrality of needs-led assessment from which all other plans and actions are negotiated” (Hutchinson, 2013, p. 321). However, the challenges of this approach involve the resource-limited system. Funding can be insufficient, often leading to ever-tightening eligibility criteria.

Strengths-based and solution-focused approaches

The strengths-based and solution-focused approaches to social care help develop alliances with service users while recognizing their uniqueness (Rogers et al., 2020).

These social work methods focus less on managing risk and what people lack, and more on their innate ability to grow and develop by building on their strengths.

The strengths-based method is based on several underlying principles, including (modified from Rogers et al., 2020):

• The individual, family, group, and community all have strengths.
• Trauma and adversity can provide opportunity and become a source of strength.
• Assumptions should not be made regarding the individual’s capacity to grow and change.
• Collaborative practice is best practice.
• Every environment is rich in resources.
• “Social work is about care, care-taking and hope” (Rogers et al., 2020, p. 244).

Crucially, these approaches work toward solving problems now while building resources and skills for the future. They are also flexible and efficiently combine with other social work methods and techniques (Rogers et al., 2020).

Narrative social work

Rather than professionals being seen as experts, who come in and give their (sometimes restricted) view of the situation, the narrative method takes an alternative approach (Cooper, 2020). It recognizes that problems are often found in the broader system of relationships rather than the individual.

The narrative approach states that the “problem is the problem, rather than a failing in the person themselves” (Cooper, 2020, p. 261).

However, narrative social work has received criticism. If we externalize the problem, are we absolving the individual and removing them from responsibility? Of course, that needn’t be the case.

A common approach within narrative social work is to ask the individual what advice they would give a friend when faced with a similar situation. Narrative therapy recognizes that actions are just that: ‘actions’ (they do not define a person). As such, they can be changed.

Groupwork is another essential method and  technique within social work; indeed, it has been a mainstay within the profession since the 1930s (Doel, 2013).

Groupwork offers several different functions, including social control, social action, education, and therapy. Some groups have expected outcomes or goals, while others are more organic, allowing the purpose to develop as the group evolves. For example, a social worker may create a group to support women in a particular neighborhood with severe mental health problems or veterans having trouble finding their place in society.

The group process involves an awareness of what is happening at two levels: first, the individual within the group, and second, the group itself. It includes considering the stages through which the group passes and the relationships and communication that form within (Doel, 2013).

Task-centered social work practice

The task-centered method favors developing skills in people so that they may use them to solve future problems and fostering increased autonomy (Edmondson, 2020).

Ultimately, the approach is “value-led, evidence-based and practical” (Edmondson, 2020, p. 271). It promotes positive change through forming partnerships with individuals, groups, and communities, rather than a more limiting focus on tasks (job, duty, and chores) defined by predictability and routine (Edmondson, 2020).

Task-centered social work is less about form filling and more about identifying and solving problems, and setting and achieving realistic changes and goals (Edmondson, 2020).

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With a large variety of methods and theoretical approaches available to social workers, there is an even greater choice surrounding interventions.

The following list contains some of our favorites, and while arising from several methodologies, they can be integrated and used as appropriate for the service user.

1. Problem-free talk

Problem-free talk can be used at any time, but it is particularly helpful at the start of an intervention as a reminder that “the person is more than the sum of their difficulties” (Rogers et al., 2020, p. 246).

The social worker encourages the service user to discuss aspects of their lives that are not a source of problems, adding a note of positivity often missed when focusing on obstacles and challenging aspects of their lives (Rogers et al., 2020).

2. Miracle questions

The miracle question encourages the individual to visualize their world without the problem they currently face and is often found in the toolkit of solution-focused practitioners (Rogers et al., 2020).

Imagining a better future is a powerful tool for thinking positively and motivating change.

3. Vision statement

Like the miracle question, the vision statement uses imagination to explore a possible future. Social workers can use it with families to compare where they are now versus where they would like to be (Rogers & Cooper, 2020).

For example, what might my children say about me now ? And what would I like my children to say about me 10 years from now ?

The process is a powerful intervention for identifying the changes that are needed and the obstacles to be overcome to reach happier times as a family.

How to create a personal vision statement – Pursuing Fulfillment

4. Circular questioning

Changing perspective can be a powerful and helpful process for service users. Putting someone in another’s shoes by using circular questioning , can introduce new ideas and information, and encourage a greater awareness of a situation (Rogers & Cooper, 2020).

For example, a family member might be asked to describe how a parent, sibling, or child would react to or feel about a situation. Sharing such thoughts can help them understand how others perceive them and improve their understanding of their role in the family.

5. Life-story book

A child whose life has been affected through social care involvement may be confused and unclear about what has happened and why (Cooper, 2020).

A story or book can be written for the child to explain why they were adopted or put in care to provoke open conversations and confirm that the situation was not their fault.

However, it is vital to consider that the story must be age appropriate and will most likely avoid certain factors of the decision making regarding care.

6. Later life letter

The reasons a child was taken from a family may be unsuitable for sharing with the child. Instead, a letter can be written that provides a complete picture (rather than the more edited life-story book) for opening sometime in the future, possibly near their 18th birthday (Cooper, 2020).

7. Exception seeking

We should not assume that a problem has always existed or that the individual can never handle similar situations.

Instead, through attentive and active listening, it is possible to pick up on coping skills or strategies that have worked in the past and may be transferable to existing or new situations. Ask the service user coping questions to identify times when they have “coped with a problem or uncover how a service user manages with a continuing issue” (Rogers et al., 2020, p. 247).

8. Competence seeking

To address or prepare for problems, it can be helpful for people to identify and understand what qualities, strengths, and resources they have available (Rogers et al., 2020).

When entrenched in a problem or difficult situation, we can remain single minded and lose sight of positive personal characteristics that can help (Rogers et al., 2020).

While there has been significant progress in multiple agencies working together to safeguard children, approaches to ensuring the safety of women and children remain fragmented (Humphreys, 2013).

However, there has been considerable success in increasing domestic violence awareness, which “has led to greater attention being paid to the development of legislation, policy and practice” (Humphreys, 2013, p. 155).

Several methods can be helpful in cases of domestic violence, including the following:

• Group work can offer a forum for groups of people who have experienced domestic violence. However, the facilitator must ensure that no one individual asserts power over the group and that there are no barriers to inclusion or participation (Rogers et al., 2020).
• Strengths-based approaches can help individuals recognize the resilience they showed in traumatic situations and how they could move on from a potentially harmful situation (Cooper, 2020).
• Good court skills “are central to social work practice” and can close the gap between the theory and practice of law surrounding domestic violence (Whitaker, 2020, p. 231).
• Self-awareness can help manage conflict between social workers and service users in cases of domestic abuse. Being aware of personal feelings and beliefs, maintaining focus, and being clear and direct can help when tensions rise (Edmondson & Ashworth, 2020).

Domestic violence is extremely damaging. It is, therefore, vital that good practice in social work is also reflected in cross-cultural practice principles and inter-agency collaboration and that an appropriate political and legal framework is in place (Edmondson & Ashworth, 2020).

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Throughout our blog, you’ll find many free tools and worksheets to help you be a more effective social worker, including the following:

• Growing Stronger From Trauma This worksheet helps clients explore the silver linings of traumatic experiences while appreciating the strengths they have developed as a result.
• Strengths in Challenging Times This worksheet presents four questions exploring how clients can apply their strengths to a current life challenge and what they might gain or learn as a result.
• Forgiveness and Acceptance Worksheet This worksheet helps clients explore their negative feelings about a past transgression and make the conscious decision to forgive.
• Active Constructive Responding This handout presents a 2×2 matrix of communication styles ranging from destructive to constructive and passive to active, highlighting the differences between each with examples.
• 17 Positive Psychology Exercises If you’re looking for more science-based ways to help others enhance their wellbeing, this signature collection contains 17 validated positive psychology tools for practitioners. Use them to help others flourish and thrive.
• Recommended Books 12 Social Work Books Every Practitioner Should Read is a great article full of highly recommended and engaging books. Helping others is made easier if you are empowered with knowledge, and a great way to start is simply by reading more.

“Social work and society are caught in an intense and changing relationship” (Cree, 2013, p. 3). The role and influence of familial, religious, and political frameworks have reduced, and social workers are increasingly called upon to help groups left at the margins and in need.

While social work may once have been informal and voluntary, it is now often enshrined in regulations and statutory agencies. As society moves forward, social work must keep up, advancing as a caring profession and collaborating with service users and other agencies to find the best outcome for all concerned.

With such growing demand and developing expectations, social workers must show professionalism while recognizing and promoting the fundamental principles of human rights. They require appropriate theories , knowledge, and methods to determine the needs of the people they support and to recognize what action will be most helpful (Rogers et al., 2020).

The methods adopted by professionals do not work in isolation but support other competencies while working with others and collaborating with the service user to provide a relation-based practice.

We hope you enjoyed reading this article and that it inspires you to learn more about this developing discipline. Don’t forget to download our three Positive Psychology Exercises for free .

• Cooper, J. (2020). Narrative social work. In M. Rogers, D. Whitaker, D. Edmondson, & D. Peach, Developing skills & knowledge for social work practice (pp. 259–268). SAGE.
• Cree, V. (2013). Social work and society. In M. Davies (Ed.), The Blackwell companion to social work (pp. 151–158). Wiley Blackwell.
• Doel, M. (2013). Groupwork. In M. Davies (Ed.), The Blackwell companion to social work (pp. 369–377). Wiley Blackwell.
• Edmondson, D. (2020). Task-centered social work practice. In M. Rogers, D. Whitaker, D. Edmondson, & D. Peach, Developing skills & knowledge for social work practice (pp. 259–268). SAGE.
• Edmondson, D., & Ashworth, C. (2020). Conflict management and resolution. In M. Rogers, D. Whitaker, D. Edmondson, & D. Peach, Developing skills & knowledge for social work practice (pp. 259–268). SAGE.
• Humphreys, C. (2013). Domestic violence. In M. Davies (Ed.), The Blackwell companion to social work (pp. 151–158). Wiley Blackwell.
• Hutchinson, A. (2013). Care management. In M. Davies (Ed.), The Blackwell companion to social work (pp. 321–332). Wiley Blackwell.
• Parker, J. (2013). Assessment, intervention and review. In M. Davies (Ed.), The Blackwell companion to social work (pp. 311–320). Wiley Blackwell.
• Rogers, M., Whitaker, D., Edmondson, D., & Peach, D. (2020). Developing skills & knowledge for social work practice . SAGE.
• Rogers, M., & Cooper, J. (2020). Systems theory and an ecological approach. In M. Rogers, D. Whitaker, D. Edmondson, & D. Peach, Developing skills & knowledge for social work practice (pp. 259–268). SAGE.
• Whitaker, D. (2020). Court skills. In M. Rogers, D. Whitaker, D. Edmondson, & D. Peach, Developing skills & knowledge for social work practice (pp. 230–240). SAGE.

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This paper is in the following e-collection/theme issue:

Published on 17.4.2024 in Vol 26 (2024)

This is a member publication of University College London (Jisc)

Twitter Analysis of Health Care Workers’ Sentiment and Discourse Regarding Post–COVID-19 Condition in Children and Young People: Mixed Methods Study

Authors of this article:

Original Paper

• Macarena Chepo 1 * , RN, BSN, MPH, PhD   ; 
• Sam Martin 2, 3 * , MSc, PhD   ; 
• Noémie Déom 2 , MSc   ; 
• Ahmad Firas Khalid 4 , MD, PhD   ; 
• Cecilia Vindrola-Padros 2 , BA, MA, PhD  

1 School of Nursing, Universidad Andrés Bello, Santiago, Chile

2 Department of Targeted Intervention, University College London, London, United Kingdom

3 Oxford Vaccine Group, Churchill Hospital, University of Oxford, Oxford, United Kingdom

4 Canadian Institutes of Health Research Health System Impact Fellowship, Centre for Implementation Research, Ottawa Hospital Research Institute, Otawa, ON, Canada

*these authors contributed equally

Corresponding Author:

Sam Martin, MSc, PhD

Department of Targeted Intervention

University College London

Charles Bell House 43-45

Foley Street

London, W1W 7TY

United Kingdom

Phone: 44 (0)20 3108 3232

Email: [email protected]

Background: The COVID-19 pandemic has had a significant global impact, with millions of cases and deaths. Research highlights the persistence of symptoms over time (post–COVID-19 condition), a situation of particular concern in children and young people with symptoms. Social media such as Twitter (subsequently rebranded as X) could provide valuable information on the impact of the post–COVID-19 condition on this demographic.

Objective: With a social media analysis of the discourse surrounding the prevalence of post–COVID-19 condition in children and young people, we aimed to explore the perceptions of health care workers (HCWs) concerning post–COVID-19 condition in children and young people in the United Kingdom between January 2021 and January 2022. This will allow us to contribute to the emerging knowledge on post–COVID-19 condition and identify critical areas and future directions for researchers and policy makers.

Methods: From a pragmatic paradigm, we used a mixed methods approach. Through discourse, keyword, sentiment, and image analyses, using Pulsar and InfraNodus, we analyzed the discourse about the experience of post–COVID-19 condition in children and young people in the United Kingdom shared on Twitter between January 1, 2021, and January 31, 2022, from a sample of HCWs with Twitter accounts whose biography identifies them as HCWs.

Results: We obtained 300,000 tweets, out of which (after filtering for relevant tweets) we performed an in-depth qualitative sample analysis of 2588 tweets. The HCWs were responsive to announcements issued by the authorities regarding the management of the COVID-19 pandemic in the United Kingdom. The most frequent sentiment expressed was negative. The main themes were uncertainty about the future, policies and regulations, managing and addressing the COVID-19 pandemic and post–COVID-19 condition in children and young people, vaccination, using Twitter to share scientific literature and management strategies, and clinical and personal experiences.

Conclusions: The perceptions described on Twitter by HCWs concerning the presence of the post–COVID-19 condition in children and young people appear to be a relevant and timely issue and responsive to the declarations and guidelines issued by health authorities over time. We recommend further support and training strategies for health workers and school staff regarding the manifestations and treatment of children and young people with post–COVID-19 condition.

Introduction

More than 3 years after the outbreak of the COVID-19 pandemic [ 1 ], the social, political, and economic impact of this phenomenon has been more than significant, considering >700 million worldwide cases and nearly 7 million people’s deaths [ 2 ]. Given the scale of the phenomenon, it is imperative for all countries to thoroughly examine the lessons gleaned from the pandemic, particularly regarding a matter that has raised significant concern among the populace: the long-term effects experienced by individuals who have had COVID-19, spanning weeks, months, or even years after their initial infection [ 3 ]. This phenomenon, referred to as post–COVID-19 condition (or more commonly “long COVID”), warrants careful consideration and analysis [ 4 ].

There is increasing information regarding the clinical manifestation of this condition, particularly in the adult population. The worldwide prevalence has been estimated at approximately 50% to 70% in individuals hospitalized during acute COVID-19 infection and 10% to 12% in vaccinated cases [ 5 ]. While children and young people have a low likelihood of severe COVID-19 infection [ 6 ], the information available to date indicates that the presence of post–COVID-19 condition in this group may be as disabling as in adults, reaching a prevalence rate of 23.4% (range 3.7%-66.5%) [ 7 ].

An agreed definition by the World Health Organization indicates that post–COVID-19 condition in children and young people is a condition that occurs “in individuals with a history of confirmed or probable SARS-CoV-2 infection when experiencing symptoms lasting at least two months which initially occurred within three months of acute COVID-19” [ 8 ]. Post–COVID-19 condition strongly impacts daily functioning and can develop or continue after COVID-19 infection and may fluctuate or relapse over time [ 4 , 8 , 9 ].

Among the symptoms most frequently attributable to post–COVID-19 condition in children and young people are fatigue, altered smell or anosmia, and anxiety [ 8 ]. However, other symptoms have also been reported, such as sleep disturbances, difficulty in concentrating, abdominal pain, myalgia or arthralgia, earache or ringing in ears, mood swings, persistent chest pain, stomach pain, light sensitivity, diarrhea, heart palpitations, and skin lesions [ 8 , 10 ]. One of England’s most significant studies is the Children and Young People With Long COVID study by Stephenson et al [ 11 ]. This national research matched longitudinal and cohort studies in adolescent individuals aged 11 to 17 years and found the presence of symptoms in 35.4% of the adolescent individuals who tested positive at baseline and 8.3% who of the adolescent individuals who tested negative at baseline. A total of 3 months after testing, 66.5% of those who tested positive and 53.3% of those who tested negative had any symptoms [ 11 ]. However, Stephenson et al [ 12 ] recently indicated that in a 6-month follow-up, the prevalence of specific symptoms reported at the time of the polymerase chain reaction testing decreased over time, where, for example, the prevalence of chills, fever, myalgia, cough, and sore throat among those who tested positive decreased from 10% to 25% to <3%.

As research on the symptoms, prevalence, and treatment of post–COVID-19 condition in children and young people continues, it is essential to add to the literature by developing studies that determine the condition’s impact on this group, considering that they are experiencing a range of unwanted symptoms that disrupt their quality of life and that of their families.

Considering that listening to the voices of families and health workers could be helpful to broaden the knowledge achieved in post–COVID-19 condition in children and young people, a powerful tool could be social media, such as Twitter (subsequently rebranded as X). With >3729 million daily active users, Twitter has become one of the most important social platforms in the world [ 13 ]. People used Twitter during the COVID-19 pandemic for different purposes, such as world leaders communicating with citizens [ 14 , 15 ], organizations monitoring movement [ 16 ], scientists studying public discourse around the pandemic [ 17 , 18 ], and researchers performing sentiment analysis [ 19 - 21 ]. In the case of physicians and health care workers (HCWs), Twitter has been used to share and evaluate scientific evidence, guidelines, and technical advice [ 22 - 24 ] and track the course and burden of disease [ 25 ].

Using the social media monitoring platform Pulsar [ 26 ], we aimed to explore HCWs’ perceptions concerning post–COVID condition in children and young people in the United Kingdom between January 2021 and January 2022. We aimed to contribute to the emerging knowledge on post–COVID-19 condition in children and young people and identify critical areas and future directions for researchers and policy makers.

We considered a mixed methods approach to be a pragmatic research paradigm. We analyzed data by conducting a Collaborative and Digital Analysis of Big Qualitative Data in Time Sensitive Contexts (LISTEN) [ 27 ]. This mixed methods analysis consisted of iterative cycles intercalating team discussion and using digital text and discourse analytics tools to analyze related social media data [ 27 ]. We used the LISTEN method to perform quantitative and qualitative analyses of Twitter posts, extracted through the Pulsar platform [ 26 ], related to the experience of post–COVID-19 condition in children and young people in the United Kingdom (eg, phrases, words, hashtags, videos, and images), published between January 1, 2021, and January 31, 2022. We created an advanced Boolean search for keywords mentioning “long COVID” and corelated words, hashtags, and symptoms; furthermore, we filtered for user accounts who identified as HCWs in their Twitter biography description ( Multimedia Appendix 1 ).

Quantitative analysis of all tweets included the following: (1) engagement analysis, where we specifically measured reactions to posts, for example, a retweet, a share, or a comment or quote made toward a tweet; (2) sentiment and emotion analysis, where we measured the positive or negative sentiment in the words and tone of each post within the context of post–COVID-19 condition and HCW’s roles ( Multimedia Appendix 2 ); (3) emotion analysis, where we measured the emotions expressed in the tweets, classified as sadness, anger, disgust, fear, and joy; (4) frequency analysis, where we observed the frequency of keywords and themes in the data set; (5) segmentation analysis, where we measured the key connections or relationships between keywords and their frequent use in the same context; (6) demographic analysis, where we measured the occupation, gender (man or woman or nonbinary or unknown), and city of origin related to the users posting tweets; and (7) analyses, where we evaluated the most influential accounts and the most mentioned websites.

Big qualitative analysis was carried out through thematic discourse analysis of the data sample, using InfraNodus [ 28 ], specifically analyzing the key themes and topics of concern expressed throughout the data set. A codebook was constructed based on the mapping of themes agreed upon by 3 researchers (ND, SM, and MC; Multimedia Appendix 3 ).

The principal investigators (ND, AFK, SM, and MC) interpreted and analyzed the data collected, following the recommendations for rigorous research provided by Creswell and Poth [ 29 ]. Using the LISTEN method [ 27 ], we aimed to show that the integration of qualitative insights through thematic analysis with the quantitative backing of topic modeling can offer a comprehensive view of the discourse. This mixed methods approach allows us to capture the richness of qualitative data while leveraging the objectivity of quantitative measures. Our initial data harvest of the larger corpus data from the Pulsar platform captured 300,000 tweets; this data harvest helped to underpin the software’s sentiment analysis modeling of this specific data set, providing a robust quantitative foundation. The addition of further qualitative data analyses from a smaller qualitative sample allowed for an in-depth understanding of nuanced conversations, particularly when exploring new or complex phenomena such as post–COVID-19 condition in children and young people, with the provision of insights into the context, subtext, and sentiment behind the tweets offering valuable snapshots of public perception and discourse. We used an iterative mixed methods approach, iterating between team discussions and using digital analytics tools to discern relevant themes from the Twitter data corpus. Specifically, we used InfraNodus for thematic analysis, which incorporates a topic modeling script for analyzing and identifying key topics of concern with a data set and provides a structured and objective interpretation of the data. The coding process involved 3 independent researchers (MC, SM, and ND), each with expertise in health care, social network analysis, and digital global health. When initial coding disagreements arose, we meticulously tagged any queries and discussed the posts in question. These instances led to 3 structured meetings wherein the research team deliberated collaboratively to resolve conflicting interpretations. This approach resulted in an 81.99% (2122/2588) initial intercoder agreement rate for the tweets analyzed. For the remaining instances where consensus was not initially reached, the majority rule was applied to finalize theme codings. To quantify the reliability of our coding procedure, with 81.99% (2122/2588) of the tweets coded identically, we used the Cohen κ score, which provides a measure of interrater agreement adjusted for chance. Including the calculation of all variations, this score was calculated to be approximately κ=0.70, indicating good agreement among the coders.

Ethical Considerations

The study only collected data from publicly accessible social networks that have been anonymized by various means, particularly by replacing all usernames and links with anonymous text and summaries of tweets that have been edited, retaining the original message, avoiding direct quotations being identifiable, and ensuring that no information is provided on the identity of the individuals who posted the content studied on the platform.

Internet research requires researchers to carefully consider guidelines to determine whether ethics approval and informed consent are needed [ 30 ]. On the basis of the terms set out by the Research Ethics Committee at the University College London [ 31 ], the study was considered exempt from formal ethics approval for the following reasons: (1) study involving information freely available in the public domain, such as published biographies, newspaper accounts of an individual’s activities, and published minutes of a meeting, that although is considered personal under the Data Protection Act, would not require ethics review; and (2) study involving anonymized records and data sets in the public domain, such as data sets available through the Office for National Statistics or the UK Data Archive where appropriate permissions have already been obtained and it is not possible to identify individuals from the information provided.

Therefore, we anonymized all records and data sets collected during the study to make identification impossible. We removed social media usernames from the data samples. No direct or easily traceable quotes have been included. These measures align with best practices [ 32 - 35 ]. While this study was beyond the scope of the human ethics committee, we adhered to the principles of ethics: beneficence, nonmaleficence, autonomy, and justice [ 36 ]. We collected and analyzed data through secure encrypted servers via the Meltwater and InfraNodus platforms.

Audience Analysis

During the period from January 2021 to January 2022, we obtained 300,000 tweets from 936 accounts. After filtering for relevant posts (refer to inclusion and exclusion criteria in Multimedia Appendix 1 ), we analyzed a sample of 2588 tweets using mixed methods analysis. In terms of gender (man, woman, nonbinary, or unknown), 32.88% (851/2588) were female individuals, 23.49% (608/2588) were male individuals, and 43.59% (1128/2588) were unknown. According to the description given in the user’s biography, the most frequently self-reported terms were “NHS” (582/2588, 22.49%), “health” (230/2588, 8.89%), “medical” (168/2588, 6.49%), “nurse” (166/2588, 6.41%), “clinical” (160/2588, 6.18%), “mum” (158/2588, 6.11%), “doctor” (145/2588, 5.6%), and “GP” (145/2588, 5.6%). In terms of city, tweets came mainly from London (958/2588, 37.02%), Newcastle upon Tyne (326/2588, 12.6%), Redcar (160/2588, 6.18%), Manchester (140/2588, 5.41%), and Bradford (111/2588, 4.29%).

Regarding profession described in the user’s biography, the most frequently mentioned roles were nurses (176/2588, 6.8%); medical roles, for example, paramedic and nursing assistant (173/2588, 6.68%); clinical roles, for example, surgeon, physiotherapist, and anesthesiologist (160/2588, 6.18%); general practitioners (GPs), for example, hospital GP or local surgery GP (142/2588, 5.49%); and physician (140/2588, 5.41%). The most frequent organization affiliated with was the National Health Service (587/2588, 22.68%).

Most Influential Accounts

One of the accounts that generated the highest number of mentions and, therefore, some of the most influence, as they were the ones that talked the most about post–COVID-19 condition in children and young people, was the account for @longcovidkids (593/2588, 22.91% tweets), related to the most shared website longcovidkids.org [ 37 ] , an international UK-based charity for families and children living with post–COVID-19 condition. Although the account was created in October 2020, it was first mentioned in our data collection timeline on January 1, 2021. It offers web support services, funding, and research participation and represents children and young people living with post–COVID-19 condition in expert forums, research panels, health organizations, and parliamentary groups. The other most shared web pages were theguardian.com (the United Kingdom) [ 38 ], bbc.co.uk (the United Kingdom) [ 39 ], peoplewith.com (the United States) [ 40 ], and ncbi.nlm.nih.gov (the United States) [ 41 ]. This shows that in the United Kingdom, there was a mixed influence of UK and US link resources linked to HCW Twitter users in the United Kingdom.

Keyword Analysis

The volume of social media engagement in the discussion about the post–COVID-19 condition experience in children and young people in the United Kingdom reached 1400 posts, 1550 engagements, and 1.9 million impressions. Overall, comments were very responsive to government decisions regarding the vaccination program and school closures ( Multimedia Appendix 4 ). During the first peak of comments in January 2021, the amount of discourse expanded leading up to March 2021, when there were different announcements of school closures, and the guidelines were delivered regarding the priority groups of the vaccination program (frontline HCW and people aged >80 years first). The highest engagement was between June and July 2021, which coincides with the government announcement regarding the availability of vaccines for people aged >18 years. The third peak of comments occurred in September 2021, the same month the authorities announced the extension of the vaccination program to children aged 12 to 15 years.

Top Keywords Analysis

The top words in posts associated with children and young people’s experience of post–COVID-19 condition in the United Kingdom were “Children” (352/2588, 13.6%), “kids” (160/2588, 6.18%), “people” (158/2588, 6.11%), “Young” (148/2588, 5.72%), and “schools” (83/2588, 3.21%). The top hashtags were #longcovid (1387/2588, 53.59%), #longcovidkids (448/2588, 17.31%), #covid19 (370/2588, 14.3%), and #covid (176/2588, 6.8%).

Sentiment and Emotions Analysis

According to sentiment analysis, 99.38% (2572/2588) of the posts reflected negative sentiments and 0.62% (16/2588) reflected positive sentiments. Negative sentiments were mainly associated with comments on hospitalization figures related to the COVID-19 pandemic, criticism of pandemic mitigation policies, and vaccination of children and young people. Furthermore, positive sentiments mainly concerned acknowledgments around decreasing numbers of community support groups.

The primary emotions identified were as follows:

• Sadness (1752/2588, 67.7%), such as in the following tweet:

@[Username] Really upset, after my tough on-call last night. Hospitalisations are still going up, and Gov announcement minismises the effect of long-COVID in adults and children. It’s so hard to keep spirits up today. But we’ll try and continue doing our best in the NHS.

• Joy (367/2588, 14.18%), such as in the following tweet:

@[Username] It’s been an amazing day! [...] I’ve been able to share the experience I’ve gained treating children and adolescents with Long COVID over the last year.

• Fear (233/2588, 9%), as seen in the following tweet:

@[Username] It’s really urgent that young people get the message that they need to get vaccinated. Long COVID is ruining many people’s lives! It’s not a lie or hypochondria, there are real, physiological changes, please understand!

Segmentation Analysis

This analysis revealed the critical clusters of conversation around the main topics of concern within the discourse network around post–COVID-19 condition. Comments were distributed in 4 key conversation segments as follows:

• People, schools, and prevention (1734/2588, 67%): Most of the comments related to measures taken in terms of COVID-19 prevention in schools, concern about the risk of exposure, and sharing experiences of infection in schools.
• Health, adults, and impact (401/2588, 15.49%): Comments mainly reflected concerns and uncertainty about the long-term effect of post–COVID-19 condition on both children and young people and adults.
• Cases, virus, and risk (326/2588, 12.6%): Comments reflected worries about the associated risks and long-term consequences attributable to post–COVID-19 condition (in both adults and children and young people) and the constant mutation of the virus, which will create a permanent risk in the population.
• Months, distress, and symptoms (106/2588, 4.1%): Some HCWs used Twitter to share how children and young people experience post–COVID-19 condition and the extent of these symptoms. Some HCWs exemplified certain typical manifestations, such as fatigue.

Discourse Analysis by Theme

To better understand the topics discussed from the segmentation analysis, we performed a discourse analysis of the key co-occurring themes and topics of concern shared within discussions regarding post–COVID-19 condition in children and young people. The following themes emerged ( Textbox 1 ): concern or uncertainty for the future, school attendance, mask protection from COVID-19, vaccine uptake, infection rates, policy (support or skepticism), understanding and visualizing symptoms, child mental health, access to care, community support, and research ( Figures 1 and 2 ).

• Concern for the future or uncertainty (615/2588, 23.76% tweets): Most comments showed a concern for the future, focusing on shared statistics regarding the rate and spread of infection in children and young people and how this would affect future health outcomes. Furthermore, this group expressed concern regarding political decisions; the presence of illness in loved ones; the eventual overload and response capacity of the health system in the face of an increase in post–COVID-19 condition cases; and the need for training of health care workers (HCWs) to deal with comorbid, potentially long-term symptoms ( Figure 1 A).
• Schools (460/2588, 17.77% tweets): Comments aimed to promote vaccination policies for schoolchildren and flexible measures regarding teachers’ work and attendance, considering cases of people with prolonged symptoms. In addition, several tweets expressed dissatisfaction with school risk mitigation measures, such as the use of face masks and air filters ( Figure 1 B).
• Vaccine (386/2588, 14.9% tweets): Most tweets from this group showed their disapproval of the constant changes in the government’s decisions regarding schools and priority groups for vaccination. Between March and June 2021, the first set of tweets criticized the lack of priority in the vaccination program for schoolchildren and other at-risk groups (such as teachers). Once the authorities announced a vaccination program for schoolchildren aged 12 to 15 years ( Multimedia Appendix 4 ), most comments promoted vaccination for this group. A few comments (78/2588, 3.01%) shared concerns about the vaccine’s efficacy for children, based on the experiences of COVID-19 reinfection in adults despite having received the recommended initial doses. However, to a lesser extent (26/2588, 1%), there was a refusal to vaccinate children, citing fear of possible adverse effects. Nonetheless, it is worth noting that the community frequently refuted such comments ( Figure 1 C).
• Share statistics (334/2588, 12.91% tweets): Frequently, HCWs shared statistical data, such as the number of affected children and young people, the number of post–COVID-19 condition cases, and hospital admissions and deaths. Some of these data were used to validate the existence of the post–COVID-19 phenomenon or to express concern about it ( Figure 1 D).
• Policy (316/2588, 12.21% tweets): The comments were responsive to the policies emanating from the authorities over time ( Multimedia Appendix 4 ). There were 5 main criticisms, including changes in school closure or opening policies; HCWs question why the authorities ignore the evidence of post–COVID-19 cases in children and young people, leading them to question whether decision makers have sufficient training to control the pandemic adequately; the failure to include teachers and school workers in the COVID-19 vaccination program as well as the younger population; the lack of mitigation measures in schools, such as improvements in ventilation systems and mandatory use of masks; and the herd immunity as a plan in the government’s hidden agenda , that is, to promote work and activate the economy ( Figure 1 E).
• “Proof” (280/2588, 10.82% tweets): Most tweets in this group argued regarding the existence of children and young people with post–COVID-19 condition through pictures; statistics; scientific papers; and personal, family, and professional experiences ( Figure 1 F).
• Signs and symptoms (189/2588, 7.3% tweets): Among the symptoms described, chronic fatigue and exhaustion were the most frequent symptoms, which prevent normal activities. Other symptoms were respiratory: dyspnea, chronic cough, and shortness of breath; gastrointestinal: acute or intense abdominal pain, nausea, bloating, gastroparesis, and change in smell or taste; muscular: severe joint pain, “painful foot” and difficulty with physical activity; mental health: anxiety and low mood; topical: rash, skin rashes, and redness and pain in the eyes; and nonspecific symptoms, such as chest pain, heart palpitations, constant high body temperature, precocious puberty, hormonal changes, and erectile dysfunction ( Figure 2 A).
• Face masks (119/2588, 4.6% tweets): Face masks were widely promoted, especially in schools, because HCWs considered them as a practical and straightforward strategy to control the pandemic ( Figure 2 B).
• Skepticism (101/2588, 3.9% tweets): Comments showed reticence toward post–COVID-19 condition in children and young people. Some of the arguments focused on a perceived lack of clarity in the clinical manifestations and stressed the need to better differentiate the post–COVID-19 condition from other related symptomatologies, such as mood disorders (eg, depression and anxiety due to confinement). In contrast, several arguments agreed on the need for more scientific evidence, arguing that post–COVID-19 condition in children and young people are isolated. Other users claimed not to know of such cases instead of calling post–COVID-19 condition in children and young people SMS text message an exaggeration. In addition, several arguments favored releasing restrictions for children and young people, particularly arguments related to the use of masks, because of possible associated risks, for example, hypoxia ( Figure 2 C).
• Mental health (54/2588, 2.09% tweets): Symptoms attributable to mental health problems in children and young people were also a concern. For instance, HCWs mentioned sadness, fear of infecting their family, anxiety regarding sick parents, stress, night terrors, self-harm, and suicidal ideation. Furthermore, users discussed a perceived lack of specific support for children and young people and their families in situations such as hospitalization; prolonged COVID-19 condition; admission to intensive care; and death of a family member, schoolmate, or teacher, all situations that triggered permanent stress in these groups ( Figure 2 D).
• Community support or asking for advice (93/2588, 3.59% tweets): Some HCWs used Twitter to ask for guidance on a specific issue or share experiences of having post–COVID-19 condition or caring for children and young people or family members. Furthermore, they shared informative infographics provided by experts regarding post–COVID-19 condition in children and young people ( Figure 2 E).
• Access to health care or treatment (72/2588, 2.78% tweets): Some HCWs mentioned the lack of specialist (cardiology) support, concerns regarding prolonged National Health Service burnout, and criticisms regarding how follow-up was carried out concerning the relative symptomatology of children and young people with post–COVID-19 condition. At the same time, opening new centers for children and young people with post–COVID-19 condition generated different reactions. On the one hand, some HCWs recognized it as a substantial development, but on the other hand, some HCWs recognized it as proof of the existence of post–COVID-19 condition in children and young people, which raised concerns for the future ( Figure 2 F).
• Research (52/2588, 2% tweets): Under this theme, tweets largely promoted study on post–COVID-19 condition in children and young people or highlighted the need for further study on the subject ( Figure 2 G).
• Images (57/2588, 2.2% tweets): Images shared were primarily from scientific studies, including infographics (from organizations such as National Health Service or @LongCovidKids) and visualization of children and young people’s symptoms, such as rashes, COVID-19 toe, and joint pain. Most infographics shared by organizations (and not individuals), such as the organization LongCovidKids, were related to statistics, such as the number of children and young people with post–COVID-19 condition or the quantification of the type of symptoms experienced. Shared photographs tended to show the more “visually recognizable” symptoms of post–COVID-19 condition, such as skin lesions, rashes, or inflammation. The less visible symptoms, such as chronic fatigue and neurological issues, were represented with photographs of children and young people lying, sleeping under blankets, or duvets or on hospital beds ( Figure 2 H).

Principal Findings

Our primary objective was to explore HCWs’ perceptions concerning post–COVID-19 condition in children and young people in the United Kingdom between January 2021 and January 2022. Our findings indicated that comments made by HCWs on Twitter were responsive to announcements issued by authorities regarding the management of the COVID-19 pandemic in the United Kingdom and associated regulations on the operation of schools. The most frequent feelings and emotions were negative, mainly sadness. In turn, we identified relevant themes for HCWs, such as uncertainty or concern about the future; policies; and regulations for the prevention, management, and addressing both COVID-19 and post–COVID-19 condition in children and young people; vaccination; and the use of Twitter as a strategy to share scientific literature, management strategies, and clinical and personal experiences.

Concern from HCWs regarding the policies for addressing the COVID-19 pandemic in the children and young people in the United Kingdom (including vaccination and schools) was a recurring theme in our findings. Furthermore, concern regarding the side effects of the COVID-19 vaccine and how the vaccine might interact with preexisting physiological symptoms of post–COVID-19 condition in children and young people was a topic of discussion. Similarly, the constant change in policy making in the United Kingdom, as public health bodies and governments have tried to understand and adapt to the emergence of post–COVID-19 condition, have added to the strength of this ongoing debate [ 42 ]. The lack of up-to-date evidence on post–COVID-19 condition in children and young people prompted HCWs to rely on Twitter during the pandemic to communicate relevant information. Twitter has a broad audience reach; is used as a communication tool by politicians, health bodies, and other key influences; and facilitates real-time updates [ 43 ]. During the pandemic, HCWs, primarily those in frontline roles and local response coordination, have often been challenged to become credible spokespersons for pandemic information [ 44 ]. Such credibility directly influences public confidence and decision-making, ultimately determining the success or failure of a public health intervention [ 43 ].

Furthermore, failures in risk communication could explain the presence of uncertainty and negative feelings associated with school regulations. When people are upset, distressed, or fearful, they often do not trust the authority, decrease the perceived validity of the communication received, and find information processing difficult [ 45 ]. In this regard, Fotheringham et al [ 46 ] indicated that during 2020, school leaders in the United Kingdom faced pressures and challenges related to translating and enacting school policies, particularly with the perceived lack of agency shared by the government concerning being able to translate centrally issued guidelines. In turn, Tomson et al [ 47 ] reported that the pandemic has negatively impacted the well-being of leaders in all types of schools and across all demographic groups, affecting their ability to think clearly and solve work-related problems. Given that the protection and care of children and young people health during the COVID-19 pandemic ultimately rests with school leaders, the search for support strategies that focus on the needs of these groups becomes an urgent necessity.

Findings in Relation to Other Studies

Using Twitter’s information, this is one of the first studies to capture health professionals’ perceptions of prolonged COVID-19 in the children and young people in the United Kingdom. However, other studies have addressed post–COVID-19 condition on this social network. Callard and Peregov [ 48 ] reviewed how, through social platforms such as Twitter, patients made the persistence and heterogeneity of COVID-19 symptoms visible, thus catapulting the inclusion of post–COVID-19 condition as a relevant phenomenon in clinical and policy debates. In contrast, other authors in the last 2 years have explored on various platforms (including Twitter) the persistence of symptoms and emotional impact after months of suspected and confirmed diagnosis of COVID-19 [ 49 - 55 ], including the period of vaccination. Furthermore, others have explored web discussions regarding this phenomenon [ 56 ]. Several of these authors agree on a perceived lack of support and specific resources from governmental bodies, a lack of information or clarity in the instructions given, and the absence of formal mechanisms to allow the voices of patients and the community to be heard. The above point is critical as it highlights the gap between the needs of the population and the response provided by policy makers, which not only translates into a gap in access to health services but also limits citizen participation in decision-making on the issues that affect their own health and increases distrust toward regulations and instructions issued by the government.

Implications for Policy and Practice

Several policy recommendations and implications are targeted at various stakeholders to consider while implementing future policy guidelines to address post–COVID-19 health care delivery. First, policy makers should consider investing appropriate resources to collect data regarding post–COVID-19 condition in children and young people, specifically on the impact of COVID-19 on the mental health of children and young people. This implies working closely with researchers to streamline data collection and reporting on post–COVID-19 condition. Second, policy makers should consider providing a basic level of psychosocial support with access to quality mental health and psychosocial support services for HCWs, school staff, parents, and children and young people experiencing post–COVID-19 condition. This implies strengthening health systems, community-based programming, and mobilization. Policies must include documenting the impact of mental health and psychosocial support interventions and innovative approaches to be more widely disseminated and scaled up across different contexts and target population groups. Third, to address the criticism around frequent changes in school closure and opening policies, decision makers should develop clear, easy-to-understand school mitigation plans informed by the best available evidence. The plans should incorporate teachers, school workers, and parents to ensure all voices are included in the policy plan. Fourth, policy makers should adopt a shared decision-making approach incorporating HCWs in the decision-making process for managing the COVID-19 pandemic. Finally, government decision makers should set post–COVID-19 pandemic recovery policies informed from a health equity perspective and how this affects children and young people living with post–COVID-19 condition, factoring in childhood, family income, housing, domestic violence, access to health care, and racism.

In terms of the needed clearer road map for recommendations to support training strategies for HCWs and school staff regarding post–COVID-19 condition in children and young people, we have outlined the following 10 steps.

Step 1: Data Collection and Analysis

Our study underlines the critical need for comprehensive data on post–COVID-19 condition’s impact on the mental health of children and young people. As a first step, it is recommended that policy makers should allocate resources for the systematic collection and analysis of data on post–COVID-19 condition in children and young people, particularly focusing on mental health outcomes. These data should be used to identify the most prevalent symptoms and the most effective treatment strategies. In this context, it is recommended that experts emphasize the importance of early detection and medical consultation for mental health issues in children and young people diagnosed with post–COVID-19 condition, including mood changes, irritability, social withdrawal, memory problems, difficulty in concentrating, anxiety, depression, posttraumatic stress, school absenteeism, and suicidal ideation [ 57 , 58 ]. This entails working closely with researchers to streamline data collection and reporting on post–COVID-19 condition.

Step 2: Psychosocial Support Framework

It has been noted that globally, programs for managing post–COVID-19 condition in children and young people are heterogeneous, ranging from the use of physiotherapy, pediatric occupational therapy, and psychological support to interventions aimed at lifestyle modifications [ 59 ]. This diversity could impact differential outcomes in the treatment, recovery, and timely and effective rehabilitation of children and young people with post–COVID-19 condition. Upon analyzing the wider literature and the social media data in this study, it is recommended that a basic level of psychosocial support should be established. This would involve ensuring access to quality mental health services for HCWs, school staff, parents, and children and young people with post–COVID-19 condition. This framework should be integrated into the health system and community-based programming, emphasizing the mobilization of resources and strengthening of support networks. It is suggested that the psychosocial support framework should facilitate access to quality mental health services and support networks that are robust and responsive. Community engagement gleaned from further Twitter discourse analysis should be a helpful guide in the development of these services to ensure they meet the real and expressed needs of children and young people with post–COVID-19 condition. Practical examples of basic psychosocial support include using web support services; individual or group therapy sessions; school-based emotional support programs; and counseling sessions aimed at parents, family members, or school staff.

Step 3: Educational Mitigation Plans

The frequent policy changes around school closures highlight the necessity for stable and clear educational mitigation plans. It is recommended that these plans should be directly informed by the evidence collected and further analysis of sentiments and emotions surrounding post–COVID-19 condition in schools. Incorporating the viewpoints of teachers, parents, and school staff, as identified in our thematic analysis, will ensure that the mitigation strategies are comprehensive, feasible, and sensitive to the psychosocial impact on children and young people. School staff and policy makers should collaborate to develop clear, evidence-informed educational mitigation plans. These plans should be straightforward and involve teachers, school workers, and parents in their creation, ensuring a unified approach that considers the voices of all stakeholders.

Step 4: Shared Decision-Making in Health Care

In health care settings, the adoption of a shared decision-making model is crucial, enabling HCWs to actively contribute to the formulation of COVID-19 and post–COVID-19 policies. This inclusive approach ensures that frontline workers can provide valuable insights toward policy development. To facilitate this, the establishment of advisory committees composed of representatives from HCWs is recommended. This committee can convene regularly to deliberate on key decisions pertaining to the COVID-19 pandemic management, including prevention measures, resource distribution, and vaccination strategies. Such collaborative groups have demonstrated effectiveness in identifying priority needs within the context of a pandemic [ 60 ].

Step 5: Health Equity in Policy Setting

Post–COVID-19 recovery policies should be set with a health equity lens. This means considering factors such as family income, housing, domestic violence, access to health care, and racism and how these factors affect children and young people living with post–COVID-19 condition. Our findings emphasize the importance of framing post–COVID-19 recovery policies through a lens of health equity. The concerns raised by HCWs regarding the socioeconomic impacts, such as family income and access to health care, underline the need for policies that address not just the medical aspects of post–COVID-19 condition but also the social determinants of health. An equitable approach will ensure that children and young people from diverse backgrounds receive appropriate support.

Step 6: Documenting and Disseminating Interventions

It is vital to document the impact of mental health and psychosocial support interventions. In this context, it is crucial to implement innovative strategies to disseminate unbiased information about post–COVID-19 condition among health care professionals and educators working with children and young people, ensuring it reaches different contexts and populations. These strategies may include creating interactive multimedia resources, such as videos and mobile apps; organizing webinars; actively using social media; and forming web support groups. These groups will provide a space where patients, health care professionals, and educators can share their experiences and knowledge regarding post–COVID-19 condition. These actions will not only help reduce isolation and social stigma but also strengthen support for these groups considered vulnerable [ 61 ].

Step 7: Developing a Clear Communication Strategy

Policy makers must develop a clear communication strategy to address frequent policy changes and mitigate confusion. This strategy should be informed by the data collected and analysis conducted in Step 1. The data reveal a palpable sense of uncertainty and frustration due to frequent policy shifts, underscoring the need for a clear and consistent communication strategy. This strategy should be grounded in the evidence gathered from the health care community’s discourse and aim to minimize confusion by providing timely, transparent, and reliable information regarding post–COVID-19 policies and support services.

Step 8: Training and Support Strategies

On the basis of the findings of the comprehensive data analysis, specific training and support strategies should be developed for HCWs and school staff. These strategies should be focused on the practical aspects of identifying and managing post–COVID-19 condition in children and young people. For instance, training sessions could include practical workshops on recognizing post–COVID-19 symptoms in children and adolescents, conducting diagnostic assessments, and implementing appropriate treatment and support interventions.

Step 9: Continuous Feedback and Policy Adaptation

The continuous evolution of the post–COVID-19 phenomenon demands an iterative approach to policy making. On the basis of our study, we recommend establishing feedback mechanisms with HCWs and school staff to monitor the reception and effectiveness of implemented policies. This feedback, coupled with ongoing research, should inform policy adaptations to ensure they remain aligned with the evolving landscape of post–COVID-19 condition and its impact on children and young people.

Step 10: Evaluation and Research

Finally, there should be a commitment to ongoing evaluation and research. This will involve not only monitoring the implementation of the abovementioned steps but also supporting new research to fill any remaining gaps in understanding the long-term effects of COVID-19 on children and young people.

This sequence of steps is designed to be iterative and responsive, ensuring that the recommendations from the study are translated into concrete actions that adapt to emerging data and research findings.

Strengths and Limitations

A key strength of this study is that our social media analysis of post–COVID-19 condition contributes toward an emerging understanding of reported experiential, emotional, and practical dimensions of post–COVID-19 condition in children and young people specifically and questions of vaccine hesitancy in children and young people with post–COVID-19 condition. This is one of the few studies to collect HCWs’ perceptions regarding post–COVID-19 condition in children and young people in the United Kingdom using information from Twitter. We identify key areas that need considering attention and focus, such as the provision of psychosocial support with access to quality mental health resources to alleviate the impact of post–COVID-19 condition in children and young people and the development of clear post–COVID-19 pandemic recovery guidelines that are informed by health equity perspective, and how this affects children and young people living with post–COVID-19 condition.

One of the limitations this study acknowledges is the definition of post–COVID-19 condition in children and young people. When data were collected, the lack of consensus on the definition of post–COVID-19 condition in children and young people forced us to formulate a definition of post–COVID-19 condition in children and young people based on the available literature. Furthermore, this study is limited to the perceptions of people who used descriptors in their web biography attributable to HCWs; therefore, our results only represent some HCWs in the United Kingdom and those in other countries. In turn, this research collected data from Twitter only; therefore, further inquiry into HCWs’ perceptions of post–COVID-19 condition in children and young people required expanding to other data sources or social networks and including languages other than English. We acknowledge that demographic factors, geographic location, and individual daily activities of social media users can significantly influence language use and word choice, introducing potential biases in tweet-based data. Such biases are inherent in any analysis of social media content and can affect the generalizability of findings. For instance, our study relies on Twitter data, which do not encompass the full spectrum of global or the UK public opinion on post–COVID-19 condition in children and young people. While Twitter serves as a valuable platform for capturing real-time sentiments and experiences, it is not fully representative of all demographics and geographic regions. Our results may reflect the perspectives of more vocal or active social media users, which may not correspond to the silent majority or those without access to social media. In addition, the absence of geotagged information for many users limits our ability to conduct a more nuanced spatial analysis of the sentiments expressed.

Furthermore, our study is built upon the recognition that social media data may overrepresent certain demographic groups while underrepresenting others, such as the older population or those without reliable internet access. This skew can influence the apparent prevalence of certain views or experiences of post–COVID-19 condition. Moreover, individuals’ patterns of daily life, reflected in their social media use and content, contribute additional layers of complexity and potential bias to the discourse analyzed.

Consistent with scholarly precedents on the subject [ 62 , 63 ], our study acknowledges these biases as intrinsic limitations of social media–based research. Although our analysis did not control for these factors, we recognize their potential impact on our results. Future studies would benefit from incorporating a broader array of data sources, including interviews or focus groups, to provide a more representative and comprehensive understanding of post–COVID-19 condition in children and young people. This approach would complement our Twitter-based findings and help mitigate the biases inherent in social media data.

Conclusions

More than a year after the start of the COVID-19 pandemic, the perceptions described on Twitter by HCWs concerning the presence of post–COVID-19 condition in children and young people appear to be a relevant and timely issue as well as very responsive to the declarations and guidelines issued by the health authorities over time. The most prominent group within the discourse studied was the activist or lobbying organization @LongCovidKids, which shared the most tweets and images over the period studied. We recommend that future research focus on how web health activism is organized and carried out for children and young people with post–COVID-19 condition. Such a strategy would allow for a better understanding of the scope and impact of this phenomenon and how it can influence decision-making. Furthermore, we suggest different mitigation strategies, support, and training of HCWs and school staff regarding manifestations and treatment of post–COVID-19 condition in children and young people across all demographic areas.

Acknowledgments

The authors would like to thank the Rapid Research Evaluation and Assessment Lab, Department of Targeted Intervention, University College London, London, United Kingdom, whose support has been essential for developing this project.

Conflicts of Interest

None declared.

Filters used for the search strategy on Twitter.

Sentiment analysis framework: attitudes toward post–COVID-19 condition in children and young people.

Theme codebook: examples of tweets that fit into main themes tagged for mention of children and young people with post–COVID-19 condition.

Timeline of national governmental policies and guidelines regarding children and young people.

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Abbreviations

Edited by A Mavragani; submitted 20.06.23; peer-reviewed by R Gore, A Wahbeh; comments to author 02.11.23; revised version received 14.02.24; accepted 08.03.24; published 17.04.24.

©Macarena Chepo, Sam Martin, Noémie Déom, Ahmad Firas Khalid, Cecilia Vindrola-Padros. Originally published in the Journal of Medical Internet Research (https://www.jmir.org), 17.04.2024.

This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in the Journal of Medical Internet Research, is properly cited. The complete bibliographic information, a link to the original publication on https://www.jmir.org/, as well as this copyright and license information must be included.

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Analytical Methods

Statistical approaches to raman imaging: principal component score mapping †.

* Corresponding authors

a Ceramic Physics Laboratory, Kyoto Institute of Technology, Sakyo-ku, Matsugasaki, 606-8585 Kyoto, Japan E-mail: [email protected]

b Department of Dental Medicine, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kamigyo-ku, Kyoto 602-8566, Japan

c Department Polytechnic of Engineering and Architecture, University of Udine, Udine, Italy

d Biomedical Research Center, Kyoto Institute of Technology, Sakyo-ku, Matsugasaki, Kyoto 606-8585, Japan

e Department of Immunology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kamigyo-ku, Kyoto 602-8566, Japan

f Department of Molecular Science and Nanosystems, Ca' Foscari University of Venice, Via Torino 155, 30172 Venice, Italy

In this research, Raman imaging was employed to map various samples, and the resulting data were analyzed using a suite of automated tools to extract critical information, including intensity and signal-to-noise ratio. The acquired spectra were further processed to identify similarities and investigate patterns using principal component analysis. The objective of this study was to establish guidelines for investigating Raman imaging results, particularly when dealing with large datasets comprising thousands of relatively low-intensity spectra. The overall quality of the results was assessed, and representative locations were determined based on the main Raman bands. While automated software solutions are insufficient for removing baselines and fitting the data, statistical analysis proved to be a powerful tool for extracting valuable information directly from the raw spectral data. This approach enables the extraction of as much information as possible from large arrays of spectral data, even in complex cases where automated software may fall short. The findings of this study contribute to enhancing the analysis and interpretation of Raman imaging results, providing researchers with a robust methodology for extracting meaningful insights from complex datasets, reducing the amount of effort required during data interpretation and analysis.

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Statistical approaches to Raman imaging: principal component score mapping

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“Padgett is the ultimate ‘pro’ researcher, methods expert, and communicator. This is the one book you need for master's study, professional practice research, doctoral study, and your continuing research agenda!”

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The book offers a good overview of qualitative methods that can be used within and beyond the field of social work- I think students struggling with the aims and methods of qualitative research can find it very helpful

A very informative and accessible resource for research and teaching!

Received too late for current class. However, I would strongly recommend this text for any social research methods class. The book is filled with excellent examples and wonderful suggested readings at the end of each chapter. This is one of the most comprehensive approaches to qualitative research methods I have ever read. I believe this text would serve upper-division undergraduates and grasduate stduents very well.

• Expanded discussions of the six most commonly used qualitative approaches address ethnography, grounded theory, case study analysis, narrative approaches, phenomenological approaches, and action-oriented research.
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Theatre Arts

After 25 years as teaching design, Loyce Arthur savors her final production in the Department of Theatre Arts

“One of my favorite parts of working on a show is during the fitting, when an actor puts on their costume,” Loyce Arthur says. “You can see the transformation in their body and their attitude as everything begins to connect. It’s an aha moment. I just love watching them change and become a character right before my eyes.”  

Loyce Arthur is an associate professor of Design in the Department of Theatre Arts, coordinator of the Certificate in Social Justice & Performing Arts, and the costume designer for the UI’s production of In the Red and Brown Water. She has designed costumes for over 100 productions throughout her career, both in the U.S. and abroad. She will be retiring from the University of Iowa theatre faculty after this production and semester.

Loyce was born in Philadelphia, but her family moved to Grenada in the West Indies when she was an infant. They came back to Philadelphia when she was ten and, eventually, she would earn her undergraduate degree from the University of Pennsylvania and her MFA degree from NYU.  

“I’d always been involved in theatre and done costumes, but I didn’t know it was a profession until college,” Arthur explains her early interest in design. “I was that kid who was making dioramas, figuring out what people were wearing or what they ate and where they lived. I just enjoyed the world building or world re-creation. I love storytelling, and what we wear contributes to that storytelling.”

After NYU, she designed costumes for the Philadelphia Theatre Caravan that would tour children’s theatre festivals and venues all over the Tri-State area. During ten years with that company, Arthur taught a costume design course at UPenn—beginning a rewarding teaching and professional career that led her to SUNY Stony Brook, around the world, and later brought her here to the University of Iowa.  

“One of the reasons I came to Iowa was because of the focus on the arts,” says Loyce, who joined the Iowa theatre faculty in 1998. “Here, the arts are seen as equal to other kinds of scholarship.”

At Iowa, she has created costumes for many shows including Reefer Madness, American Idiot, and The Magic Flute. “One memorable show has to be Metamorphoses,” Arthur says, recalling working on the production of Mary Zimmermann’s play with colleagues John Cameron (Professor Emeritus) and Bryon Winn (Professor of Design). “John directed, and Bryon built the set. We had a 40-foot pool in Thayer Theatre, which posed some interesting challenges in terms of costume design. We had actors emerging from and swimming in the pool, so the costumes had to work in and out of the water. It was such a fun project.”

“Loyce makes it look effortless,” Bryon Winn describes his experience working with Arthur, “she has such a command of visual languages, textures, fabrics, cultures, color and the human form. I’ve worked with Loyce for 25 years and you could not ask for a better colleague.”

Arthur has relished the opportunity to mentor young design students and cultivate their skills. “In the design department, we always say we can teach all the techniques,” Arthur explains, “but we can’t teach the spark. It’s so exciting when a student starts making creative leaps, putting ideas together in three-dimensional forms. I love watching them explore, persevere, and grow during their time here.”  

Arthur has also been active in the Iowa City arts community—for example, spearheading the Iowa City Carnival Community Engagement Project.  

The project began when Arthur was approached by the Stanley Museum of Art (then the UI Museum of Art) to do a faculty show. “I wanted to do it around Trinidadian and Brazilian-style Carnival,” says Loyce, who has done extensive research on Carnival traditions. In 2004 she presented her work on Trinidad Carnival at a symposium in Santiago de Cuba and she has researched carnival traditions in the UK, Toronto Canada, Rio de Janeiro Brazil, the Netherlands, Trinidad, and around the world.  

In June 2008, the museum and its contents were permanently evacuated during major flooding of the Iowa River, and plans for the faculty show had to be postponed.  

“I started thinking,” Arthur says, “Wouldn’t it be interesting to do a Carnival parade here?” She teamed up with Armando Duarte, a UI professor of dance and researcher of Brazilian popular culture, Andre Harrington, Professor in Costume Design at UC San Bernardino, and Carnival designers Clary Slangy from the UK and Jamie Cezario from Brazil, along with local artists and students.

“We didn’t want it to be a pageant. We needed to get the spirit of Carnival,” Arthur explains. “For me that spirit comes from creating these garments. So, it was important for us to bring the community together and make it a collective project. We came up with the perfect tagline—Iowans Become Works of Art.” Iowa City’s Carnival parade happened annually from 2013-2020 as part of the city’s Iowa Arts Festival.

In collaboration with Lisa Schlesinger, professor and co-director of the Iowa Playwrights Workshop, and Mary Beth Easley, associate professor of directing and chair of the Department of Theatre Arts, Arthur helped establish and now coordinates the UI Certificate in Social Justice and the Performing Arts. The certificate allows performing arts students the opportunity to learn methods and practices for social justice-focused and community engaged creative work, customizing their studies towards their own advocacy interests with the help and guidance of faculty mentors.  

“Working with Loyce is fantastic,” says Jason Vernon, a second-year student in theatre arts who is pursuing a certificate in social justice and performing arts. “She’s very receptive to my interests, but she also knows how to challenge me. She asks the questions I need to get to the next level or think about engagement through a wider lens.”

In the spring semester of 2024, Arthur created costumes for Tarell Alvin McCraney’s In the Red and Brown Water, directed by Caroline Clay, assistant professor of acting.  

“I’m so glad Caroline and I got the chance to work together before I leave,” Arthur says.

In the Red and Brown Water revolves around a young woman named Oya who has opportunity and aspirations, but because of circumstances she is not able to fulfill her promise. Arthur calls the story “a slice of life in an African American community, but it’s heightened because the playwright gives the characters the names of Orishas, or divine spirits, from the Yoruba religion.”  

“There are little things in the costumes that reference the Orishas but not in an overt way,” Arthur explains her approach to the costumes. “For me, the costumes are there to help the actor understand their character and, for the audience, the costumes help reinforce the character. We spend an hour and half looking at these characters, and the costumes can really contribute to the way the audience sees and relates to the story.”

In the Red and Brown Water will be Loyce’s final production as a faculty member in the Department of Theatre Arts before she embarks on her next adventure.  

“I’d consider the next phase more of a redirection than a retirement,” Arthur says about the next phase of her career.  

In July, she will travel to Mozambique for eight weeks as part of an eco-volunteering marine conservation project working with scientists who study humpback whales—followed by a trip to South Africa to do wildlife conservation on a game reserve. Then she’ll head to Indonesia next spring to teach as a Fulbright Scholar.

“I was here for 25 years because it’s a great department,” Arthur says, looking back at her time at the University of Iowa. “It’s full of talented artists, faculty, and students who come together to produce some amazing theater. It has been my privilege and an honor to be part of this department and looking back over 25 years, if you stay in a place that long, it’s got to be a fantastic place to be. It has been one of the best times of my life.”