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Content Analysis

Content analysis is a research tool used to determine the presence of certain words, themes, or concepts within some given qualitative data (i.e. text). Using content analysis, researchers can quantify and analyze the presence, meanings, and relationships of such certain words, themes, or concepts. As an example, researchers can evaluate language used within a news article to search for bias or partiality. Researchers can then make inferences about the messages within the texts, the writer(s), the audience, and even the culture and time of surrounding the text.

Description

Sources of data could be from interviews, open-ended questions, field research notes, conversations, or literally any occurrence of communicative language (such as books, essays, discussions, newspaper headlines, speeches, media, historical documents). A single study may analyze various forms of text in its analysis. To analyze the text using content analysis, the text must be coded, or broken down, into manageable code categories for analysis (i.e. “codes”). Once the text is coded into code categories, the codes can then be further categorized into “code categories” to summarize data even further.

Three different definitions of content analysis are provided below.

Definition 1: “Any technique for making inferences by systematically and objectively identifying special characteristics of messages.” (from Holsti, 1968)

Definition 2: “An interpretive and naturalistic approach. It is both observational and narrative in nature and relies less on the experimental elements normally associated with scientific research (reliability, validity, and generalizability) (from Ethnography, Observational Research, and Narrative Inquiry, 1994-2012).

Definition 3: “A research technique for the objective, systematic and quantitative description of the manifest content of communication.” (from Berelson, 1952)

Uses of Content Analysis

Identify the intentions, focus or communication trends of an individual, group or institution

Describe attitudinal and behavioral responses to communications

Determine the psychological or emotional state of persons or groups

Reveal international differences in communication content

Reveal patterns in communication content

Pre-test and improve an intervention or survey prior to launch

Analyze focus group interviews and open-ended questions to complement quantitative data

Types of Content Analysis

There are two general types of content analysis: conceptual analysis and relational analysis. Conceptual analysis determines the existence and frequency of concepts in a text. Relational analysis develops the conceptual analysis further by examining the relationships among concepts in a text. Each type of analysis may lead to different results, conclusions, interpretations and meanings.

Conceptual Analysis

Typically people think of conceptual analysis when they think of content analysis. In conceptual analysis, a concept is chosen for examination and the analysis involves quantifying and counting its presence. The main goal is to examine the occurrence of selected terms in the data. Terms may be explicit or implicit. Explicit terms are easy to identify. Coding of implicit terms is more complicated: you need to decide the level of implication and base judgments on subjectivity (an issue for reliability and validity). Therefore, coding of implicit terms involves using a dictionary or contextual translation rules or both.

To begin a conceptual content analysis, first identify the research question and choose a sample or samples for analysis. Next, the text must be coded into manageable content categories. This is basically a process of selective reduction. By reducing the text to categories, the researcher can focus on and code for specific words or patterns that inform the research question.

General steps for conducting a conceptual content analysis:

1. Decide the level of analysis: word, word sense, phrase, sentence, themes

2. Decide how many concepts to code for: develop a pre-defined or interactive set of categories or concepts. Decide either: A. to allow flexibility to add categories through the coding process, or B. to stick with the pre-defined set of categories.

Option A allows for the introduction and analysis of new and important material that could have significant implications to one’s research question.

Option B allows the researcher to stay focused and examine the data for specific concepts.

3. Decide whether to code for existence or frequency of a concept. The decision changes the coding process.

When coding for the existence of a concept, the researcher would count a concept only once if it appeared at least once in the data and no matter how many times it appeared.

When coding for the frequency of a concept, the researcher would count the number of times a concept appears in a text.

4. Decide on how you will distinguish among concepts:

Should text be coded exactly as they appear or coded as the same when they appear in different forms? For example, “dangerous” vs. “dangerousness”. The point here is to create coding rules so that these word segments are transparently categorized in a logical fashion. The rules could make all of these word segments fall into the same category, or perhaps the rules can be formulated so that the researcher can distinguish these word segments into separate codes.

What level of implication is to be allowed? Words that imply the concept or words that explicitly state the concept? For example, “dangerous” vs. “the person is scary” vs. “that person could cause harm to me”. These word segments may not merit separate categories, due the implicit meaning of “dangerous”.

5. Develop rules for coding your texts. After decisions of steps 1-4 are complete, a researcher can begin developing rules for translation of text into codes. This will keep the coding process organized and consistent. The researcher can code for exactly what he/she wants to code. Validity of the coding process is ensured when the researcher is consistent and coherent in their codes, meaning that they follow their translation rules. In content analysis, obeying by the translation rules is equivalent to validity.

6. Decide what to do with irrelevant information: should this be ignored (e.g. common English words like “the” and “and”), or used to reexamine the coding scheme in the case that it would add to the outcome of coding?

7. Code the text: This can be done by hand or by using software. By using software, researchers can input categories and have coding done automatically, quickly and efficiently, by the software program. When coding is done by hand, a researcher can recognize errors far more easily (e.g. typos, misspelling). If using computer coding, text could be cleaned of errors to include all available data. This decision of hand vs. computer coding is most relevant for implicit information where category preparation is essential for accurate coding.

8. Analyze your results: Draw conclusions and generalizations where possible. Determine what to do with irrelevant, unwanted, or unused text: reexamine, ignore, or reassess the coding scheme. Interpret results carefully as conceptual content analysis can only quantify the information. Typically, general trends and patterns can be identified.

Relational Analysis

Relational analysis begins like conceptual analysis, where a concept is chosen for examination. However, the analysis involves exploring the relationships between concepts. Individual concepts are viewed as having no inherent meaning and rather the meaning is a product of the relationships among concepts.

To begin a relational content analysis, first identify a research question and choose a sample or samples for analysis. The research question must be focused so the concept types are not open to interpretation and can be summarized. Next, select text for analysis. Select text for analysis carefully by balancing having enough information for a thorough analysis so results are not limited with having information that is too extensive so that the coding process becomes too arduous and heavy to supply meaningful and worthwhile results.

There are three subcategories of relational analysis to choose from prior to going on to the general steps.

Affect extraction: an emotional evaluation of concepts explicit in a text. A challenge to this method is that emotions can vary across time, populations, and space. However, it could be effective at capturing the emotional and psychological state of the speaker or writer of the text.

Proximity analysis: an evaluation of the co-occurrence of explicit concepts in the text. Text is defined as a string of words called a “window” that is scanned for the co-occurrence of concepts. The result is the creation of a “concept matrix”, or a group of interrelated co-occurring concepts that would suggest an overall meaning.

Cognitive mapping: a visualization technique for either affect extraction or proximity analysis. Cognitive mapping attempts to create a model of the overall meaning of the text such as a graphic map that represents the relationships between concepts.

General steps for conducting a relational content analysis:

1. Determine the type of analysis: Once the sample has been selected, the researcher needs to determine what types of relationships to examine and the level of analysis: word, word sense, phrase, sentence, themes. 2. Reduce the text to categories and code for words or patterns. A researcher can code for existence of meanings or words. 3. Explore the relationship between concepts: once the words are coded, the text can be analyzed for the following:

Strength of relationship: degree to which two or more concepts are related.

Sign of relationship: are concepts positively or negatively related to each other?

Direction of relationship: the types of relationship that categories exhibit. For example, “X implies Y” or “X occurs before Y” or “if X then Y” or if X is the primary motivator of Y.

4. Code the relationships: a difference between conceptual and relational analysis is that the statements or relationships between concepts are coded. 5. Perform statistical analyses: explore differences or look for relationships among the identified variables during coding. 6. Map out representations: such as decision mapping and mental models.

Reliability and Validity

Reliability : Because of the human nature of researchers, coding errors can never be eliminated but only minimized. Generally, 80% is an acceptable margin for reliability. Three criteria comprise the reliability of a content analysis:

Stability: the tendency for coders to consistently re-code the same data in the same way over a period of time.

Reproducibility: tendency for a group of coders to classify categories membership in the same way.

Accuracy: extent to which the classification of text corresponds to a standard or norm statistically.

Validity : Three criteria comprise the validity of a content analysis:

Closeness of categories: this can be achieved by utilizing multiple classifiers to arrive at an agreed upon definition of each specific category. Using multiple classifiers, a concept category that may be an explicit variable can be broadened to include synonyms or implicit variables.

Conclusions: What level of implication is allowable? Do conclusions correctly follow the data? Are results explainable by other phenomena? This becomes especially problematic when using computer software for analysis and distinguishing between synonyms. For example, the word “mine,” variously denotes a personal pronoun, an explosive device, and a deep hole in the ground from which ore is extracted. Software can obtain an accurate count of that word’s occurrence and frequency, but not be able to produce an accurate accounting of the meaning inherent in each particular usage. This problem could throw off one’s results and make any conclusion invalid.

Generalizability of the results to a theory: dependent on the clear definitions of concept categories, how they are determined and how reliable they are at measuring the idea one is seeking to measure. Generalizability parallels reliability as much of it depends on the three criteria for reliability.

Advantages of Content Analysis

Directly examines communication using text

Allows for both qualitative and quantitative analysis

Provides valuable historical and cultural insights over time

Allows a closeness to data

Coded form of the text can be statistically analyzed

Unobtrusive means of analyzing interactions

Provides insight into complex models of human thought and language use

When done well, is considered a relatively “exact” research method

Content analysis is a readily-understood and an inexpensive research method

A more powerful tool when combined with other research methods such as interviews, observation, and use of archival records. It is very useful for analyzing historical material, especially for documenting trends over time.

Disadvantages of Content Analysis

Can be extremely time consuming

Is subject to increased error, particularly when relational analysis is used to attain a higher level of interpretation

Is often devoid of theoretical base, or attempts too liberally to draw meaningful inferences about the relationships and impacts implied in a study

Is inherently reductive, particularly when dealing with complex texts

Tends too often to simply consist of word counts

Often disregards the context that produced the text, as well as the state of things after the text is produced

Can be difficult to automate or computerize

Textbooks & Chapters  

Berelson, Bernard. Content Analysis in Communication Research.New York: Free Press, 1952.

Busha, Charles H. and Stephen P. Harter. Research Methods in Librarianship: Techniques and Interpretation.New York: Academic Press, 1980.

de Sola Pool, Ithiel. Trends in Content Analysis. Urbana: University of Illinois Press, 1959.

Krippendorff, Klaus. Content Analysis: An Introduction to its Methodology. Beverly Hills: Sage Publications, 1980.

Fielding, NG & Lee, RM. Using Computers in Qualitative Research. SAGE Publications, 1991. (Refer to Chapter by Seidel, J. ‘Method and Madness in the Application of Computer Technology to Qualitative Data Analysis’.)

Methodological Articles  

Hsieh HF & Shannon SE. (2005). Three Approaches to Qualitative Content Analysis.Qualitative Health Research. 15(9): 1277-1288.

Elo S, Kaarianinen M, Kanste O, Polkki R, Utriainen K, & Kyngas H. (2014). Qualitative Content Analysis: A focus on trustworthiness. Sage Open. 4:1-10.

Application Articles  

Abroms LC, Padmanabhan N, Thaweethai L, & Phillips T. (2011). iPhone Apps for Smoking Cessation: A content analysis. American Journal of Preventive Medicine. 40(3):279-285.

Ullstrom S. Sachs MA, Hansson J, Ovretveit J, & Brommels M. (2014). Suffering in Silence: a qualitative study of second victims of adverse events. British Medical Journal, Quality & Safety Issue. 23:325-331.

Owen P. (2012).Portrayals of Schizophrenia by Entertainment Media: A Content Analysis of Contemporary Movies. Psychiatric Services. 63:655-659.

Choosing whether to conduct a content analysis by hand or by using computer software can be difficult. Refer to ‘Method and Madness in the Application of Computer Technology to Qualitative Data Analysis’ listed above in “Textbooks and Chapters” for a discussion of the issue.

QSR NVivo:  http://www.qsrinternational.com/products.aspx

Atlas.ti:  http://www.atlasti.com/webinars.html

R- RQDA package:  http://rqda.r-forge.r-project.org/

Rolly Constable, Marla Cowell, Sarita Zornek Crawford, David Golden, Jake Hartvigsen, Kathryn Morgan, Anne Mudgett, Kris Parrish, Laura Thomas, Erika Yolanda Thompson, Rosie Turner, and Mike Palmquist. (1994-2012). Ethnography, Observational Research, and Narrative Inquiry. Writing@CSU. Colorado State University. Available at: https://writing.colostate.edu/guides/guide.cfm?guideid=63 .

As an introduction to Content Analysis by Michael Palmquist, this is the main resource on Content Analysis on the Web. It is comprehensive, yet succinct. It includes examples and an annotated bibliography. The information contained in the narrative above draws heavily from and summarizes Michael Palmquist’s excellent resource on Content Analysis but was streamlined for the purpose of doctoral students and junior researchers in epidemiology.

At Columbia University Mailman School of Public Health, more detailed training is available through the Department of Sociomedical Sciences- P8785 Qualitative Research Methods.

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Chapter 17. Content Analysis

Introduction.

Content analysis is a term that is used to mean both a method of data collection and a method of data analysis. Archival and historical works can be the source of content analysis, but so too can the contemporary media coverage of a story, blogs, comment posts, films, cartoons, advertisements, brand packaging, and photographs posted on Instagram or Facebook. Really, almost anything can be the “content” to be analyzed. This is a qualitative research method because the focus is on the meanings and interpretations of that content rather than strictly numerical counts or variables-based causal modeling. [1] Qualitative content analysis (sometimes referred to as QCA) is particularly useful when attempting to define and understand prevalent stories or communication about a topic of interest—in other words, when we are less interested in what particular people (our defined sample) are doing or believing and more interested in what general narratives exist about a particular topic or issue. This chapter will explore different approaches to content analysis and provide helpful tips on how to collect data, how to turn that data into codes for analysis, and how to go about presenting what is found through analysis. It is also a nice segue between our data collection methods (e.g., interviewing, observation) chapters and chapters 18 and 19, whose focus is on coding, the primary means of data analysis for most qualitative data. In many ways, the methods of content analysis are quite similar to the method of coding.

Although the body of material (“content”) to be collected and analyzed can be nearly anything, most qualitative content analysis is applied to forms of human communication (e.g., media posts, news stories, campaign speeches, advertising jingles). The point of the analysis is to understand this communication, to systematically and rigorously explore its meanings, assumptions, themes, and patterns. Historical and archival sources may be the subject of content analysis, but there are other ways to analyze (“code”) this data when not overly concerned with the communicative aspect (see chapters 18 and 19). This is why we tend to consider content analysis its own method of data collection as well as a method of data analysis. Still, many of the techniques you learn in this chapter will be helpful to any “coding” scheme you develop for other kinds of qualitative data. Just remember that content analysis is a particular form with distinct aims and goals and traditions.

An Overview of the Content Analysis Process

The first step: selecting content.

Figure 17.2 is a display of possible content for content analysis. The first step in content analysis is making smart decisions about what content you will want to analyze and to clearly connect this content to your research question or general focus of research. Why are you interested in the messages conveyed in this particular content? What will the identification of patterns here help you understand? Content analysis can be fun to do, but in order to make it research, you need to fit it into a research plan.

Figure 17.1. A Non-exhaustive List of "Content" for Content Analysis

To take one example, let us imagine you are interested in gender presentations in society and how presentations of gender have changed over time. There are various forms of content out there that might help you document changes. You could, for example, begin by creating a list of magazines that are coded as being for “women” (e.g., Women’s Daily Journal ) and magazines that are coded as being for “men” (e.g., Men’s Health ). You could then select a date range that is relevant to your research question (e.g., 1950s–1970s) and collect magazines from that era. You might create a “sample” by deciding to look at three issues for each year in the date range and a systematic plan for what to look at in those issues (e.g., advertisements? Cartoons? Titles of articles? Whole articles?). You are not just going to look at some magazines willy-nilly. That would not be systematic enough to allow anyone to replicate or check your findings later on. Once you have a clear plan of what content is of interest to you and what you will be looking at, you can begin, creating a record of everything you are including as your content. This might mean a list of each advertisement you look at or each title of stories in those magazines along with its publication date. You may decide to have multiple “content” in your research plan. For each content, you want a clear plan for collecting, sampling, and documenting.

The Second Step: Collecting and Storing

Once you have a plan, you are ready to collect your data. This may entail downloading from the internet, creating a Word document or PDF of each article or picture, and storing these in a folder designated by the source and date (e.g., “ Men’s Health advertisements, 1950s”). Sølvberg ( 2021 ), for example, collected posted job advertisements for three kinds of elite jobs (economic, cultural, professional) in Sweden. But collecting might also mean going out and taking photographs yourself, as in the case of graffiti, street signs, or even what people are wearing. Chaise LaDousa, an anthropologist and linguist, took photos of “house signs,” which are signs, often creative and sometimes offensive, hung by college students living in communal off-campus houses. These signs were a focal point of college culture, sending messages about the values of the students living in them. Some of the names will give you an idea: “Boot ’n Rally,” “The Plantation,” “Crib of the Rib.” The students might find these signs funny and benign, but LaDousa ( 2011 ) argued convincingly that they also reproduced racial and gender inequalities. The data here already existed—they were big signs on houses—but the researcher had to collect the data by taking photographs.

In some cases, your content will be in physical form but not amenable to photographing, as in the case of films or unwieldy physical artifacts you find in the archives (e.g., undigitized meeting minutes or scrapbooks). In this case, you need to create some kind of detailed log (fieldnotes even) of the content that you can reference. In the case of films, this might mean watching the film and writing down details for key scenes that become your data. [2] For scrapbooks, it might mean taking notes on what you are seeing, quoting key passages, describing colors or presentation style. As you might imagine, this can take a lot of time. Be sure you budget this time into your research plan.

Researcher Note

A note on data scraping : Data scraping, sometimes known as screen scraping or frame grabbing, is a way of extracting data generated by another program, as when a scraping tool grabs information from a website. This may help you collect data that is on the internet, but you need to be ethical in how to employ the scraper. A student once helped me scrape thousands of stories from the Time magazine archives at once (although it took several hours for the scraping process to complete). These stories were freely available, so the scraping process simply sped up the laborious process of copying each article of interest and saving it to my research folder. Scraping tools can sometimes be used to circumvent paywalls. Be careful here!

The Third Step: Analysis

There is often an assumption among novice researchers that once you have collected your data, you are ready to write about what you have found. Actually, you haven’t yet found anything, and if you try to write up your results, you will probably be staring sadly at a blank page. Between the collection and the writing comes the difficult task of systematically and repeatedly reviewing the data in search of patterns and themes that will help you interpret the data, particularly its communicative aspect (e.g., What is it that is being communicated here, with these “house signs” or in the pages of Men’s Health ?).

The first time you go through the data, keep an open mind on what you are seeing (or hearing), and take notes about your observations that link up to your research question. In the beginning, it can be difficult to know what is relevant and what is extraneous. Sometimes, your research question changes based on what emerges from the data. Use the first round of review to consider this possibility, but then commit yourself to following a particular focus or path. If you are looking at how gender gets made or re-created, don’t follow the white rabbit down a hole about environmental injustice unless you decide that this really should be the focus of your study or that issues of environmental injustice are linked to gender presentation. In the second round of review, be very clear about emerging themes and patterns. Create codes (more on these in chapters 18 and 19) that will help you simplify what you are noticing. For example, “men as outdoorsy” might be a common trope you see in advertisements. Whenever you see this, mark the passage or picture. In your third (or fourth or fifth) round of review, begin to link up the tropes you’ve identified, looking for particular patterns and assumptions. You’ve drilled down to the details, and now you are building back up to figure out what they all mean. Start thinking about theory—either theories you have read about and are using as a frame of your study (e.g., gender as performance theory) or theories you are building yourself, as in the Grounded Theory tradition. Once you have a good idea of what is being communicated and how, go back to the data at least one more time to look for disconfirming evidence. Maybe you thought “men as outdoorsy” was of importance, but when you look hard, you note that women are presented as outdoorsy just as often. You just hadn’t paid attention. It is very important, as any kind of researcher but particularly as a qualitative researcher, to test yourself and your emerging interpretations in this way.

The Fourth and Final Step: The Write-Up

Only after you have fully completed analysis, with its many rounds of review and analysis, will you be able to write about what you found. The interpretation exists not in the data but in your analysis of the data. Before writing your results, you will want to very clearly describe how you chose the data here and all the possible limitations of this data (e.g., historical-trace problem or power problem; see chapter 16). Acknowledge any limitations of your sample. Describe the audience for the content, and discuss the implications of this. Once you have done all of this, you can put forth your interpretation of the communication of the content, linking to theory where doing so would help your readers understand your findings and what they mean more generally for our understanding of how the social world works. [3]

Analyzing Content: Helpful Hints and Pointers

Although every data set is unique and each researcher will have a different and unique research question to address with that data set, there are some common practices and conventions. When reviewing your data, what do you look at exactly? How will you know if you have seen a pattern? How do you note or mark your data?

Let’s start with the last question first. If your data is stored digitally, there are various ways you can highlight or mark up passages. You can, of course, do this with literal highlighters, pens, and pencils if you have print copies. But there are also qualitative software programs to help you store the data, retrieve the data, and mark the data. This can simplify the process, although it cannot do the work of analysis for you.

Qualitative software can be very expensive, so the first thing to do is to find out if your institution (or program) has a universal license its students can use. If they do not, most programs have special student licenses that are less expensive. The two most used programs at this moment are probably ATLAS.ti and NVivo. Both can cost more than $500 [4] but provide everything you could possibly need for storing data, content analysis, and coding. They also have a lot of customer support, and you can find many official and unofficial tutorials on how to use the programs’ features on the web. Dedoose, created by academic researchers at UCLA, is a decent program that lacks many of the bells and whistles of the two big programs. Instead of paying all at once, you pay monthly, as you use the program. The monthly fee is relatively affordable (less than $15), so this might be a good option for a small project. HyperRESEARCH is another basic program created by academic researchers, and it is free for small projects (those that have limited cases and material to import). You can pay a monthly fee if your project expands past the free limits. I have personally used all four of these programs, and they each have their pluses and minuses.

Regardless of which program you choose, you should know that none of them will actually do the hard work of analysis for you. They are incredibly useful for helping you store and organize your data, and they provide abundant tools for marking, comparing, and coding your data so you can make sense of it. But making sense of it will always be your job alone.

So let’s say you have some software, and you have uploaded all of your content into the program: video clips, photographs, transcripts of news stories, articles from magazines, even digital copies of college scrapbooks. Now what do you do? What are you looking for? How do you see a pattern? The answers to these questions will depend partially on the particular research question you have, or at least the motivation behind your research. Let’s go back to the idea of looking at gender presentations in magazines from the 1950s to the 1970s. Here are some things you can look at and code in the content: (1) actions and behaviors, (2) events or conditions, (3) activities, (4) strategies and tactics, (5) states or general conditions, (6) meanings or symbols, (7) relationships/interactions, (8) consequences, and (9) settings. Table 17.1 lists these with examples from our gender presentation study.

Table 17.1. Examples of What to Note During Content Analysis

One thing to note about the examples in table 17.1: sometimes we note (mark, record, code) a single example, while other times, as in “settings,” we are recording a recurrent pattern. To help you spot patterns, it is useful to mark every setting, including a notation on gender. Using software can help you do this efficiently. You can then call up “setting by gender” and note this emerging pattern. There’s an element of counting here, which we normally think of as quantitative data analysis, but we are using the count to identify a pattern that will be used to help us interpret the communication. Content analyses often include counting as part of the interpretive (qualitative) process.

In your own study, you may not need or want to look at all of the elements listed in table 17.1. Even in our imagined example, some are more useful than others. For example, “strategies and tactics” is a bit of a stretch here. In studies that are looking specifically at, say, policy implementation or social movements, this category will prove much more salient.

Another way to think about “what to look at” is to consider aspects of your content in terms of units of analysis. You can drill down to the specific words used (e.g., the adjectives commonly used to describe “men” and “women” in your magazine sample) or move up to the more abstract level of concepts used (e.g., the idea that men are more rational than women). Counting for the purpose of identifying patterns is particularly useful here. How many times is that idea of women’s irrationality communicated? How is it is communicated (in comic strips, fictional stories, editorials, etc.)? Does the incidence of the concept change over time? Perhaps the “irrational woman” was everywhere in the 1950s, but by the 1970s, it is no longer showing up in stories and comics. By tracing its usage and prevalence over time, you might come up with a theory or story about gender presentation during the period. Table 17.2 provides more examples of using different units of analysis for this work along with suggestions for effective use.

Table 17.2. Examples of Unit of Analysis in Content Analysis

Every qualitative content analysis is unique in its particular focus and particular data used, so there is no single correct way to approach analysis. You should have a better idea, however, of what kinds of things to look for and what to look for. The next two chapters will take you further into the coding process, the primary analytical tool for qualitative research in general.

Further Readings

Cidell, Julie. 2010. “Content Clouds as Exploratory Qualitative Data Analysis.” Area 42(4):514–523. A demonstration of using visual “content clouds” as a form of exploratory qualitative data analysis using transcripts of public meetings and content of newspaper articles.

Hsieh, Hsiu-Fang, and Sarah E. Shannon. 2005. “Three Approaches to Qualitative Content Analysis.” Qualitative Health Research 15(9):1277–1288. Distinguishes three distinct approaches to QCA: conventional, directed, and summative. Uses hypothetical examples from end-of-life care research.

Jackson, Romeo, Alex C. Lange, and Antonio Duran. 2021. “A Whitened Rainbow: The In/Visibility of Race and Racism in LGBTQ Higher Education Scholarship.” Journal Committed to Social Change on Race and Ethnicity (JCSCORE) 7(2):174–206.* Using a “critical summative content analysis” approach, examines research published on LGBTQ people between 2009 and 2019.

Krippendorff, Klaus. 2018. Content Analysis: An Introduction to Its Methodology . 4th ed. Thousand Oaks, CA: SAGE. A very comprehensive textbook on both quantitative and qualitative forms of content analysis.

Mayring, Philipp. 2022. Qualitative Content Analysis: A Step-by-Step Guide . Thousand Oaks, CA: SAGE. Formulates an eight-step approach to QCA.

Messinger, Adam M. 2012. “Teaching Content Analysis through ‘Harry Potter.’” Teaching Sociology 40(4):360–367. This is a fun example of a relatively brief foray into content analysis using the music found in Harry Potter films.

Neuendorft, Kimberly A. 2002. The Content Analysis Guidebook . Thousand Oaks, CA: SAGE. Although a helpful guide to content analysis in general, be warned that this textbook definitely favors quantitative over qualitative approaches to content analysis.

Schrier, Margrit. 2012. Qualitative Content Analysis in Practice . Thousand Okas, CA: SAGE. Arguably the most accessible guidebook for QCA, written by a professor based in Germany.

Weber, Matthew A., Shannon Caplan, Paul Ringold, and Karen Blocksom. 2017. “Rivers and Streams in the Media: A Content Analysis of Ecosystem Services.” Ecology and Society 22(3).* Examines the content of a blog hosted by National Geographic and articles published in The New York Times and the Wall Street Journal for stories on rivers and streams (e.g., water-quality flooding).

• There are ways of handling content analysis quantitatively, however. Some practitioners therefore specify qualitative content analysis (QCA). In this chapter, all content analysis is QCA unless otherwise noted. ↵
• Note that some qualitative software allows you to upload whole films or film clips for coding. You will still have to get access to the film, of course. ↵
• See chapter 20 for more on the final presentation of research. ↵
• . Actually, ATLAS.ti is an annual license, while NVivo is a perpetual license, but both are going to cost you at least $500 to use. Student rates may be lower. And don’t forget to ask your institution or program if they already have a software license you can use. ↵

A method of both data collection and data analysis in which a given content (textual, visual, graphic) is examined systematically and rigorously to identify meanings, themes, patterns and assumptions.  Qualitative content analysis (QCA) is concerned with gathering and interpreting an existing body of material.    

Introduction to Qualitative Research Methods Copyright © 2023 by Allison Hurst is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License , except where otherwise noted.

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• Knowledge Base
• Methodology

Content Analysis | A Step-by-Step Guide with Examples

Published on 5 May 2022 by Amy Luo . Revised on 5 December 2022.

Content analysis is a research method used to identify patterns in recorded communication. To conduct content analysis, you systematically collect data from a set of texts, which can be written, oral, or visual:

• Books, newspapers, and magazines
• Speeches and interviews
• Web content and social media posts
• Photographs and films

Content analysis can be both quantitative (focused on counting and measuring) and qualitative (focused on interpreting and understanding). In both types, you categorise or ‘code’ words, themes, and concepts within the texts and then analyse the results.

Table of contents

What is content analysis used for, advantages of content analysis, disadvantages of content analysis, how to conduct content analysis.

Researchers use content analysis to find out about the purposes, messages, and effects of communication content. They can also make inferences about the producers and audience of the texts they analyse.

Content analysis can be used to quantify the occurrence of certain words, phrases, subjects, or concepts in a set of historical or contemporary texts.

In addition, content analysis can be used to make qualitative inferences by analysing the meaning and semantic relationship of words and concepts.

Because content analysis can be applied to a broad range of texts, it is used in a variety of fields, including marketing, media studies, anthropology, cognitive science, psychology, and many social science disciplines. It has various possible goals:

• Finding correlations and patterns in how concepts are communicated
• Understanding the intentions of an individual, group, or institution
• Identifying propaganda and bias in communication
• Revealing differences in communication in different contexts
• Analysing the consequences of communication content, such as the flow of information or audience responses

Prevent plagiarism, run a free check.

• Unobtrusive data collection

You can analyse communication and social interaction without the direct involvement of participants, so your presence as a researcher doesn’t influence the results.

• Transparent and replicable

When done well, content analysis follows a systematic procedure that can easily be replicated by other researchers, yielding results with high reliability .

• Highly flexible

You can conduct content analysis at any time, in any location, and at low cost. All you need is access to the appropriate sources.

Focusing on words or phrases in isolation can sometimes be overly reductive, disregarding context, nuance, and ambiguous meanings.

Content analysis almost always involves some level of subjective interpretation, which can affect the reliability and validity of the results and conclusions.

• Time intensive

Manually coding large volumes of text is extremely time-consuming, and it can be difficult to automate effectively.

If you want to use content analysis in your research, you need to start with a clear, direct  research question .

Next, you follow these five steps.

Step 1: Select the content you will analyse

Based on your research question, choose the texts that you will analyse. You need to decide:

• The medium (e.g., newspapers, speeches, or websites) and genre (e.g., opinion pieces, political campaign speeches, or marketing copy)
• The criteria for inclusion (e.g., newspaper articles that mention a particular event, speeches by a certain politician, or websites selling a specific type of product)
• The parameters in terms of date range, location, etc.

If there are only a small number of texts that meet your criteria, you might analyse all of them. If there is a large volume of texts, you can select a sample .

Step 2: Define the units and categories of analysis

Next, you need to determine the level at which you will analyse your chosen texts. This means defining:

• The unit(s) of meaning that will be coded. For example, are you going to record the frequency of individual words and phrases, the characteristics of people who produced or appear in the texts, the presence and positioning of images, or the treatment of themes and concepts?
• The set of categories that you will use for coding. Categories can be objective characteristics (e.g., aged 30–40, lawyer, parent) or more conceptual (e.g., trustworthy, corrupt, conservative, family-oriented).

Step 3: Develop a set of rules for coding

Coding involves organising the units of meaning into the previously defined categories. Especially with more conceptual categories, it’s important to clearly define the rules for what will and won’t be included to ensure that all texts are coded consistently.

Coding rules are especially important if multiple researchers are involved, but even if you’re coding all of the text by yourself, recording the rules makes your method more transparent and reliable.

Step 4: Code the text according to the rules

You go through each text and record all relevant data in the appropriate categories. This can be done manually or aided with computer programs, such as QSR NVivo , Atlas.ti , and Diction , which can help speed up the process of counting and categorising words and phrases.

Step 5: Analyse the results and draw conclusions

Once coding is complete, the collected data is examined to find patterns and draw conclusions in response to your research question. You might use statistical analysis to find correlations or trends, discuss your interpretations of what the results mean, and make inferences about the creators, context, and audience of the texts.

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How to do thematic analysis | guide & examples, data collection methods | step-by-step guide & examples, qualitative vs quantitative research | examples & methods.

• What is content analysis?

Last updated

20 March 2023

Reviewed by

Miroslav Damyanov

When you're conducting qualitative research, you'll find yourself analyzing various texts. Perhaps you'll be evaluating transcripts from audio interviews you've conducted. Or you may find yourself assessing the results of a survey filled with open-ended questions.

Streamline content analysis

Bring all your qualitative research into one place to code and analyze with Dovetail

Content analysis is a research method used to identify the presence of various concepts, words, and themes in different texts. Two types of content analysis exist: conceptual analysis and relational analysis . In the former, researchers determine whether and how frequently certain concepts appear in a text. In relational analysis, researchers explore how different concepts are related to one another in a text. 

Both types of content analysis require the researcher to code the text. Coding the text means breaking it down into different categories that allow it to be analyzed more easily.

• What are some common uses of content analysis?

You can use content analysis to analyze many forms of text, including:

Interview and discussion transcripts

Newspaper articles and headline

Literary works

Historical documents

Government reports

Academic papers

Music lyrics

Researchers commonly use content analysis to draw insights and conclusions from literary works. Historians and biographers may apply this approach to letters, papers, and other historical documents to gain insight into the historical figures and periods they are writing about. Market researchers can also use it to evaluate brand performance and perception.

Some researchers have used content analysis to explore differences in decision-making and other cognitive processes. While researchers traditionally used this approach to explore human cognition, content analysis is also at the heart of machine learning approaches currently being used and developed by software and AI companies.

• Conducting a conceptual analysis

Conceptual analysis is more commonly associated with content analysis than relational analysis. 

In conceptual analysis, you're looking for the appearance and frequency of different concepts. Why? This information can help further your qualitative or quantitative analysis of a text. It's an inexpensive and easily understood research method that can help you draw inferences and conclusions about your research subject. And while it is a relatively straightforward analytical tool, it does consist of a multi-step process that you must closely follow to ensure the reliability and validity of your study.

When you're ready to conduct a conceptual analysis, refer to your research question and the text. Ask yourself what information likely found in the text is relevant to your question. You'll need to know this to determine how you'll code the text. Then follow these steps:

1. Determine whether you're looking for explicit terms or implicit terms.

Explicit terms are those that directly appear in the text, while implicit ones are those that the text implies or alludes to or that you can infer. 

Coding for explicit terms is straightforward. For example, if you're looking to code a text for an author's explicit use of color,  you'd simply code for every instance a color appears in the text. However, if you're coding for implicit terms, you'll need to determine and define how you're identifying the presence of the term first. Doing so involves a certain amount of subjectivity and may impinge upon the reliability and validity of your study .

2. Next, identify the level at which you'll conduct your analysis.

You can search for words, phrases, or sentences encapsulating your terms. You can also search for concepts and themes, but you'll need to define how you expect to identify them in the text. You must also define rules for how you'll code different terms to reduce ambiguity. For example, if, in an interview transcript, a person repeats a word one or more times in a row as a verbal tic, should you code it more than once? And what will you do with irrelevant data that appears in a term if you're coding for sentences? 

Defining these rules upfront can help make your content analysis more efficient and your final analysis more reliable and valid.

3. You'll need to determine whether you're coding for a concept or theme's existence or frequency.

If you're coding for its existence, you’ll only count it once, at its first appearance, no matter how many times it subsequently appears. If you're searching for frequency, you'll count the number of its appearances in the text.

4. You'll also want to determine the number of terms you want to code for and how you may wish to categorize them.

For example, say you're conducting a content analysis of customer service call transcripts and looking for evidence of customer dissatisfaction with a product or service. You might create categories that refer to different elements with which customers might be dissatisfied, such as price, features, packaging, technical support, and so on. Then you might look for sentences that refer to those product elements according to each category in a negative light.

5. Next, you'll need to develop translation rules for your codes.

Those rules should be clear and consistent, allowing you to keep track of your data in an organized fashion.

6. After you've determined the terms for which you're searching, your categories, and translation rules, you're ready to code.

You can do so by hand or via software. Software is quite helpful when you have multiple texts. But it also becomes more vital for you to have developed clear codes, categories, and translation rules, especially if you're looking for implicit terms and concepts. Otherwise, your software-driven analysis may miss key instances of the terms you seek.

7. When you have your text coded, it's time to analyze it.

Look for trends and patterns in your results and use them to draw relevant conclusions about your research subject.

• Conducting a relational analysis

In a relational analysis, you're examining the relationship between different terms that appear in your text(s). To do so requires you to code your texts in a similar fashion as in a relational analysis. However, depending on the type of relational analysis you're trying to conduct, you may need to follow slightly different rules.

Three types of relational analyses are commonly used: affect extraction , proximity analysis , and cognitive mapping .

Affect extraction

This type of relational analysis involves evaluating the different emotional concepts found in a specific text. While the insights from affect extraction can be invaluable, conducting it may prove difficult depending on the text. For example, if the text captures people's emotional states at different times and from different populations, you may find it difficult to compare them and draw appropriate inferences.

Proximity analysis

A relatively simpler analytical approach than affect extraction, proximity analysis assesses the co-occurrence of explicit concepts in a text. You can create what's known as a concept matrix, which is a group of interrelated co-occurring concepts. Concept matrices help evaluate and determine the overall meaning of a text or the identification of a secondary message or theme.

Cognitive mapping

You can use cognitive mapping as a way to visualize the results of either affect extraction or proximity analysis. This technique uses affect extraction or proximity analysis results to create a graphic map illustrating the relationship between co-occurring emotions or concepts.

To conduct a relational analysis, you must start by determining the type of analysis that best fits the study: affect extraction or proximity analysis. 

Complete steps one through six as outlined above. When it comes to the seventh step, analyze the text according to the relational analysis type they've chosen. During this step, feel free to use cognitive mapping to help draw inferences and conclusions about the relationships between co-occurring emotions or concepts. And use other tools, such as mental modeling and decision mapping as necessary, to analyze the results.

• The advantages of content analysis

Content analysis provides researchers with a robust and inexpensive method to qualitatively and quantitatively analyze a text. By coding the data, you can perform statistical analyses of the data to affirm and reinforce conclusions you may draw. And content analysis can provide helpful insights into language use, behavioral patterns, and historical or cultural conventions that can be valuable beyond the scope of the initial study.

When content analyses are applied to interview data, the approach provides a way to closely analyze data without needing interview-subject interaction, which can be helpful in certain contexts. For example, suppose you want to analyze the perceptions of a group of geographically diverse individuals. In this case, you can conduct a content analysis of existing interview transcripts rather than assuming the time and expense of conducting new interviews.

What is meant by content analysis?

Content analysis is a research method that helps a researcher explore the occurrence of and relationships between various words, phrases, themes, or concepts in a text or set of texts. The method allows researchers in different disciplines to conduct qualitative and quantitative analyses on a variety of texts.

Where is content analysis used?

Content analysis is used in multiple disciplines, as you can use it to evaluate a variety of texts. You can find applications in anthropology, communications, history, linguistics, literary studies, marketing, political science, psychology, and sociology, among other disciplines.

What are the two types of content analysis?

Content analysis may be either conceptual or relational. In a conceptual analysis, researchers examine a text for the presence and frequency of specific words, phrases, themes, and concepts. In a relational analysis, researchers draw inferences and conclusions about the nature of the relationships of co-occurring words, phrases, themes, and concepts in a text.

What's the difference between content analysis and thematic analysis?

Content analysis typically uses a descriptive approach to the data and may use either qualitative or quantitative analytical methods. By contrast, a thematic analysis only uses qualitative methods to explore frequently occurring themes in a text.

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The Content Analysis Guidebook

• Kimberly A. Neuendorf - Cleveland State University, USA
• Description

Available with   Perusall —an eBook that makes it easier to prepare for class Perusall  is an award-winning eBook platform featuring social annotation tools that allow students and instructors to collaboratively mark up and discuss their SAGE textbook. Backed by research and supported by technological innovations developed at Harvard University, this process of learning through collaborative annotation keeps your students engaged and makes teaching easier and more effective.   Learn more . 

See what’s new to this edition by selecting the Features tab on this page. Should you need additional information or have questions regarding the HEOA information provided for this title, including what is new to this edition, please email [email protected] . Please include your name, contact information, and the name of the title for which you would like more information. For information on the HEOA, please go to http://ed.gov/policy/highered/leg/hea08/index.html .

For assistance with your order: Please email us at [email protected] or connect with your SAGE representative.

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Useful resource- readable and accessible for diverse student groups

The book discusses one of the most popular communication research methods, which is discussed with students.

The book provides a practical and valuable toolkit for students of different Levels doing Content Analysis

This is an excellent book for undergraduate students interested in doing content analysis for their dissertations. It is straightforward and covers content at the appropriate level.

An excellent text for encouraging students to think beyond questionnaires and interviews when considering how they can collect and analyse data to say something about the social world.

Content analysis is one of the most used research methods in education. This book does nice job to introduce it.

It is a very good guide to content analysis which makes a nice job explaining core concepts and techniques.

This is an excellent and comprehensive guidebook for students, researchers and teachers.

I've waited a long time for the new version of this book. The new additions relating to the content analysis of the online environment are very successful (already in many of my syllabuses for next year). This is undoubtedly a must-read for any methodological course. Excellent reference book for any researcher analyzes content.

KEY FEATURES

• Numerous examples from across numerous disciplines give readers the ability to explain findings and predict future outcomes in a variety contexts. 
• Sidebars descriptions of innovative and wide-ranging content analysis projects , from both academia and commercial research, illustrate the interdisciplinary utility of content analysis.
• Pedagogical tools in an easy to understand format help readers unravel the complicated aspects of content analysis.     

NEW TO THIS EDITION

• A new chapter on " Content Analysis in the Interactive Media Age " (Ch.7) shows readers how to create, aquire, archive and code interactive media content. 
• The " Integrative Model of Content Analysis ," which explains how content analysis may be linked with source and/or receiver characteristics, has been revised to clarify a difference between "data links" and "logical links" among source-message-receiver components.
• New examples and updated references throughout  keep readers up-to-date with the latest scholarship in content analysis and its application to everyday life.
• A new section focused specifically on validity gives readers a deeper understanding of measurement and llustrates how the standards of validity interrelate.  
• A new resource section devoted to Computer Aided Text Analysis (CATA) programs such as Yoshikoder introduce readers to a growing set of options for automated analyses.  

Sample Materials & Chapters

For instructors, select a purchasing option, related products.

This title is also available on SAGE Knowledge , the ultimate social sciences online library. If your library doesn’t have access, ask your librarian to start a trial .

This title is also available on SAGE Research Methods , the ultimate digital methods library. If your library doesn’t have access, ask your librarian to start a trial .

What Is Qualitative Content Analysis?

Qca explained simply (with examples).

By: Jenna Crosley (PhD). Reviewed by: Dr Eunice Rautenbach (DTech) | February 2021

If you’re in the process of preparing for your dissertation, thesis or research project, you’ve probably encountered the term “ qualitative content analysis ” – it’s quite a mouthful. If you’ve landed on this post, you’re probably a bit confused about it. Well, the good news is that you’ve come to the right place…

Overview: Qualitative Content Analysis

• What (exactly) is qualitative content analysis
• The two main types of content analysis
• When to use content analysis
• How to conduct content analysis (the process)
• The advantages and disadvantages of content analysis

1. What is content analysis?

Content analysis is a  qualitative analysis method  that focuses on recorded human artefacts such as manuscripts, voice recordings and journals. Content analysis investigates these written, spoken and visual artefacts without explicitly extracting data from participants – this is called  unobtrusive  research.

In other words, with content analysis, you don’t necessarily need to interact with participants (although you can if necessary); you can simply analyse the data that they have already produced. With this type of analysis, you can analyse data such as text messages, books, Facebook posts, videos, and audio (just to mention a few).

The basics – explicit and implicit content

When working with content analysis, explicit and implicit content will play a role. Explicit data is transparent and easy to identify, while implicit data is that which requires some form of interpretation and is often of a subjective nature. Sounds a bit fluffy? Here’s an example:

Joe: Hi there, what can I help you with? 

Lauren: I recently adopted a puppy and I’m worried that I’m not feeding him the right food. Could you please advise me on what I should be feeding? 

Joe: Sure, just follow me and I’ll show you. Do you have any other pets?

Lauren: Only one, and it tweets a lot!

In this exchange, the explicit data indicates that Joe is helping Lauren to find the right puppy food. Lauren asks Joe whether she has any pets aside from her puppy. This data is explicit because it requires no interpretation.

On the other hand, implicit data , in this case, includes the fact that the speakers are in a pet store. This information is not clearly stated but can be inferred from the conversation, where Joe is helping Lauren to choose pet food. An additional piece of implicit data is that Lauren likely has some type of bird as a pet. This can be inferred from the way that Lauren states that her pet “tweets”.

As you can see, explicit and implicit data both play a role in human interaction  and are an important part of your analysis. However, it’s important to differentiate between these two types of data when you’re undertaking content analysis. Interpreting implicit data can be rather subjective as conclusions are based on the researcher’s interpretation. This can introduce an element of bias , which risks skewing your results.

2. The two types of content analysis

Now that you understand the difference between implicit and explicit data, let’s move on to the two general types of content analysis : conceptual and relational content analysis. Importantly, while conceptual and relational content analysis both follow similar steps initially, the aims and outcomes of each are different.

Conceptual analysis focuses on the number of times a concept occurs in a set of data and is generally focused on explicit data. For example, if you were to have the following conversation:

Marie: She told me that she has three cats.

Jean: What are her cats’ names?

Marie: I think the first one is Bella, the second one is Mia, and… I can’t remember the third cat’s name.

In this data, you can see that the word “cat” has been used three times. Through conceptual content analysis, you can deduce that cats are the central topic of the conversation. You can also perform a frequency analysis , where you assess the term’s frequency in the data. For example, in the exchange above, the word “cat” makes up 9% of the data. In other words, conceptual analysis brings a little bit of quantitative analysis into your qualitative analysis.

As you can see, the above data is without interpretation and focuses on explicit data . Relational content analysis, on the other hand, takes a more holistic view by focusing more on implicit data in terms of context, surrounding words and relationships.

There are three types of relational analysis:

• Affect extraction
• Proximity analysis
• Cognitive mapping

Affect extraction is when you assess concepts according to emotional attributes. These emotions are typically mapped on scales, such as a Likert scale or a rating scale ranging from 1 to 5, where 1 is “very sad” and 5 is “very happy”.

If participants are talking about their achievements, they are likely to be given a score of 4 or 5, depending on how good they feel about it. If a participant is describing a traumatic event, they are likely to have a much lower score, either 1 or 2.

Proximity analysis identifies explicit terms (such as those found in a conceptual analysis) and the patterns in terms of how they co-occur in a text. In other words, proximity analysis investigates the relationship between terms and aims to group these to extract themes and develop meaning.

Proximity analysis is typically utilised when you’re looking for hard facts rather than emotional, cultural, or contextual factors. For example, if you were to analyse a political speech, you may want to focus only on what has been said, rather than implications or hidden meanings. To do this, you would make use of explicit data, discounting any underlying meanings and implications of the speech.

Lastly, there’s cognitive mapping, which can be used in addition to, or along with, proximity analysis. Cognitive mapping involves taking different texts and comparing them in a visual format – i.e. a cognitive map. Typically, you’d use cognitive mapping in studies that assess changes in terms, definitions, and meanings over time. It can also serve as a way to visualise affect extraction or proximity analysis and is often presented in a form such as a graphic map.

To recap on the essentials, content analysis is a qualitative analysis method that focuses on recorded human artefacts . It involves both conceptual analysis (which is more numbers-based) and relational analysis (which focuses on the relationships between concepts and how they’re connected).

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3. When should you use content analysis?

Content analysis is a useful tool that provides insight into trends of communication . For example, you could use a discussion forum as the basis of your analysis and look at the types of things the members talk about as well as how they use language to express themselves. Content analysis is flexible in that it can be applied to the individual, group, and institutional level.

Content analysis is typically used in studies where the aim is to better understand factors such as behaviours, attitudes, values, emotions, and opinions . For example, you could use content analysis to investigate an issue in society, such as miscommunication between cultures. In this example, you could compare patterns of communication in participants from different cultures, which will allow you to create strategies for avoiding misunderstandings in intercultural interactions.

Another example could include conducting content analysis on a publication such as a book. Here you could gather data on the themes, topics, language use and opinions reflected in the text to draw conclusions regarding the political (such as conservative or liberal) leanings of the publication.

4. How to conduct a qualitative content analysis

Conceptual and relational content analysis differ in terms of their exact process ; however, there are some similarities. Let’s have a look at these first – i.e., the generic process:

• Recap on your research questions
• Undertake bracketing to identify biases
• Operationalise your variables and develop a coding scheme
• Code the data and undertake your analysis

Step 1 – Recap on your research questions

It’s always useful to begin a project with research questions , or at least with an idea of what you are looking for. In fact, if you’ve spent time reading this blog, you’ll know that it’s useful to recap on your research questions, aims and objectives when undertaking pretty much any research activity. In the context of content analysis, it’s difficult to know what needs to be coded and what doesn’t, without a clear view of the research questions.

For example, if you were to code a conversation focused on basic issues of social justice, you may be met with a wide range of topics that may be irrelevant to your research. However, if you approach this data set with the specific intent of investigating opinions on gender issues, you will be able to focus on this topic alone, which would allow you to code only what you need to investigate.

Step 2 – Reflect on your personal perspectives and biases

It’s vital that you reflect on your own pre-conception of the topic at hand and identify the biases that you might drag into your content analysis – this is called “ bracketing “. By identifying this upfront, you’ll be more aware of them and less likely to have them subconsciously influence your analysis.

For example, if you were to investigate how a community converses about unequal access to healthcare, it is important to assess your views to ensure that you don’t project these onto your understanding of the opinions put forth by the community. If you have access to medical aid, for instance, you should not allow this to interfere with your examination of unequal access.

Step 3 – Operationalise your variables and develop a coding scheme

Next, you need to operationalise your variables . But what does that mean? Simply put, it means that you have to define each variable or construct . Give every item a clear definition – what does it mean (include) and what does it not mean (exclude). For example, if you were to investigate children’s views on healthy foods, you would first need to define what age group/range you’re looking at, and then also define what you mean by “healthy foods”.

In combination with the above, it is important to create a coding scheme , which will consist of information about your variables (how you defined each variable), as well as a process for analysing the data. For this, you would refer back to how you operationalised/defined your variables so that you know how to code your data.

For example, when coding, when should you code a food as “healthy”? What makes a food choice healthy? Is it the absence of sugar or saturated fat? Is it the presence of fibre and protein? It’s very important to have clearly defined variables to achieve consistent coding – without this, your analysis will get very muddy, very quickly.

Step 4 – Code and analyse the data

The next step is to code the data. At this stage, there are some differences between conceptual and relational analysis.

As described earlier in this post, conceptual analysis looks at the existence and frequency of concepts, whereas a relational analysis looks at the relationships between concepts. For both types of analyses, it is important to pre-select a concept that you wish to assess in your data. Using the example of studying children’s views on healthy food, you could pre-select the concept of “healthy food” and assess the number of times the concept pops up in your data.

Here is where conceptual and relational analysis start to differ.

At this stage of conceptual analysis , it is necessary to decide on the level of analysis you’ll perform on your data, and whether this will exist on the word, phrase, sentence, or thematic level. For example, will you code the phrase “healthy food” on its own? Will you code each term relating to healthy food (e.g., broccoli, peaches, bananas, etc.) with the code “healthy food” or will these be coded individually? It is very important to establish this from the get-go to avoid inconsistencies that could result in you having to code your data all over again.

On the other hand, relational analysis looks at the type of analysis. So, will you use affect extraction? Proximity analysis? Cognitive mapping? A mix? It’s vital to determine the type of analysis before you begin to code your data so that you can maintain the reliability and validity of your research .

How to conduct conceptual analysis

First, let’s have a look at the process for conceptual analysis.

Once you’ve decided on your level of analysis, you need to establish how you will code your concepts, and how many of these you want to code. Here you can choose whether you want to code in a deductive or inductive manner. Just to recap, deductive coding is when you begin the coding process with a set of pre-determined codes, whereas inductive coding entails the codes emerging as you progress with the coding process. Here it is also important to decide what should be included and excluded from your analysis, and also what levels of implication you wish to include in your codes.

For example, if you have the concept of “tall”, can you include “up in the clouds”, derived from the sentence, “the giraffe’s head is up in the clouds” in the code, or should it be a separate code? In addition to this, you need to know what levels of words may be included in your codes or not. For example, if you say, “the panda is cute” and “look at the panda’s cuteness”, can “cute” and “cuteness” be included under the same code?

Once you’ve considered the above, it’s time to code the text . We’ve already published a detailed post about coding , so we won’t go into that process here. Once you’re done coding, you can move on to analysing your results. This is where you will aim to find generalisations in your data, and thus draw your conclusions .

How to conduct relational analysis

Now let’s return to relational analysis.

As mentioned, you want to look at the relationships between concepts . To do this, you’ll need to create categories by reducing your data (in other words, grouping similar concepts together) and then also code for words and/or patterns. These are both done with the aim of discovering whether these words exist, and if they do, what they mean.

Your next step is to assess your data and to code the relationships between your terms and meanings, so that you can move on to your final step, which is to sum up and analyse the data.

To recap, it’s important to start your analysis process by reviewing your research questions and identifying your biases . From there, you need to operationalise your variables, code your data and then analyse it.

5. What are the pros & cons of content analysis?

One of the main advantages of content analysis is that it allows you to use a mix of quantitative and qualitative research methods, which results in a more scientifically rigorous analysis.

For example, with conceptual analysis, you can count the number of times that a term or a code appears in a dataset, which can be assessed from a quantitative standpoint. In addition to this, you can then use a qualitative approach to investigate the underlying meanings of these and relationships between them.

Content analysis is also unobtrusive and therefore poses fewer ethical issues than some other analysis methods. As the content you’ll analyse oftentimes already exists, you’ll analyse what has been produced previously, and so you won’t have to collect data directly from participants. When coded correctly, data is analysed in a very systematic and transparent manner, which means that issues of replicability (how possible it is to recreate research under the same conditions) are reduced greatly.

On the downside , qualitative research (in general, not just content analysis) is often critiqued for being too subjective and for not being scientifically rigorous enough. This is where reliability (how replicable a study is by other researchers) and validity (how suitable the research design is for the topic being investigated) come into play – if you take these into account, you’ll be on your way to achieving sound research results.

Recap: Qualitative content analysis

In this post, we’ve covered a lot of ground – click on any of the sections to recap:

If you have any questions about qualitative content analysis, feel free to leave a comment below. If you’d like 1-on-1 help with your qualitative content analysis, be sure to book an initial consultation with one of our friendly Research Coaches.

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15 Comments

If I am having three pre-decided attributes for my research based on which a set of semi-structured questions where asked then should I conduct a conceptual content analysis or relational content analysis. please note that all three attributes are different like Agility, Resilience and AI.

Thank you very much. I really enjoyed every word.

please send me one/ two sample of content analysis

send me to any sample of qualitative content analysis as soon as possible

Many thanks for the brilliant explanation. Do you have a sample practical study of a foreign policy using content analysis?

1) It will be very much useful if a small but complete content analysis can be sent, from research question to coding and analysis. 2) Is there any software by which qualitative content analysis can be done?

Common software for qualitative analysis is nVivo, and quantitative analysis is IBM SPSS

Thank you. Can I have at least 2 copies of a sample analysis study as my reference?

Could you please send me some sample of textbook content analysis?

Can I send you my research topic, aims, objectives and questions to give me feedback on them?

please could you send me samples of content analysis?

Yes please send

really we enjoyed your knowledge thanks allot. from Ethiopia

can you please share some samples of content analysis(relational)? I am a bit confused about processing the analysis part

Is it possible for you to list the journal articles and books or other sources you used to write this article? Thank you.

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How to do a content analysis

What is content analysis?

Why would you use a content analysis, types of content analysis, conceptual content analysis, relational content analysis, reliability and validity, reliability, the advantages and disadvantages of content analysis, a step-by-step guide to conducting a content analysis, step 1: develop your research questions, step 2: choose the content you’ll analyze, step 3: identify your biases, step 4: define the units and categories of coding, step 5: develop a coding scheme, step 6: code the content, step 7: analyze the results, frequently asked questions about content analysis, related articles.

In research, content analysis is the process of analyzing content and its features with the aim of identifying patterns and the presence of words, themes, and concepts within the content. Simply put, content analysis is a research method that aims to present the trends, patterns, concepts, and ideas in content as objective, quantitative or qualitative data , depending on the specific use case.

As such, some of the objectives of content analysis include:

• Simplifying complex, unstructured content.
• Identifying trends, patterns, and relationships in the content.
• Determining the characteristics of the content.
• Identifying the intentions of individuals through the analysis of the content.
• Identifying the implied aspects in the content.

Typically, when doing a content analysis, you’ll gather data not only from written text sources like newspapers, books, journals, and magazines but also from a variety of other oral and visual sources of content like:

• Voice recordings, speeches, and interviews.
• Web content, blogs, and social media content.
• Films, videos, and photographs.

One of content analysis’s distinguishing features is that you'll be able to gather data for research without physically gathering data from participants. In other words, when doing a content analysis, you don't need to interact with people directly.

The process of doing a content analysis usually involves categorizing or coding concepts, words, and themes within the content and analyzing the results. We’ll look at the process in more detail below.

Typically, you’ll use content analysis when you want to:

• Identify the intentions, communication trends, or communication patterns of an individual, a group of people, or even an institution.
• Analyze and describe the behavioral and attitudinal responses of individuals to communications.
• Determine the emotional or psychological state of an individual or a group of people.
• Analyze the international differences in communication content.
• Analyzing audience responses to content.

Keep in mind, though, that these are just some examples of use cases where a content analysis might be appropriate and there are many others.

The key thing to remember is that content analysis will help you quantify the occurrence of specific words, phrases, themes, and concepts in content. Moreover, it can also be used when you want to make qualitative inferences out of the data by analyzing the semantic meanings and interrelationships between words, themes, and concepts.

In general, there are two types of content analysis: conceptual and relational analysis . Although these two types follow largely similar processes, their outcomes differ. As such, each of these types can provide different results, interpretations, and conclusions. With that in mind, let’s now look at these two types of content analysis in more detail.

With conceptual analysis, you’ll determine the existence of certain concepts within the content and identify their frequency. In other words, conceptual analysis involves the number of times a specific concept appears in the content.

Conceptual analysis is typically focused on explicit data, which means you’ll focus your analysis on a specific concept to identify its presence in the content and determine its frequency.

However, when conducting a content analysis, you can also use implicit data. This approach is more involved, complicated, and requires the use of a dictionary, contextual translation rules, or a combination of both.

No matter what type you use, conceptual analysis brings an element of quantitive analysis into a qualitative approach to research.

Relational content analysis takes conceptual analysis a step further. So, while the process starts in the same way by identifying concepts in content, it doesn’t focus on finding the frequency of these concepts, but rather on the relationships between the concepts, the context in which they appear in the content, and their interrelationships.

Before starting with a relational analysis, you’ll first need to decide on which subcategory of relational analysis you’ll use:

• Affect extraction: With this relational content analysis approach, you’ll evaluate concepts based on their emotional attributes. You’ll typically assess these emotions on a rating scale with higher values assigned to positive emotions and lower values to negative ones. In turn, this allows you to capture the emotions of the writer or speaker at the time the content is created. The main difficulty with this approach is that emotions can differ over time and across populations.
• Proximity analysis: With this approach, you’ll identify concepts as in conceptual analysis, but you’ll evaluate the way in which they occur together in the content. In other words, proximity analysis allows you to analyze the relationship between concepts and derive a concept matrix from which you’ll be able to develop meaning. Proximity analysis is typically used when you want to extract facts from the content rather than contextual, emotional, or cultural factors.
• Cognitive mapping: Finally, cognitive mapping can be used with affect extraction or proximity analysis. It’s a visualization technique that allows you to create a model that represents the overall meaning of content and presents it as a graphic map of the relationships between concepts. As such, it’s also commonly used when analyzing the changes in meanings, definitions, and terms over time.

Now that we’ve seen what content analysis is and looked at the different types of content analysis, it’s important to understand how reliable it is as a research method . We’ll also look at what criteria impact the validity of a content analysis.

There are three criteria that determine the reliability of a content analysis:

• Stability . Stability refers to the tendency of coders to consistently categorize or code the same data in the same way over time.
• Reproducibility . This criterion refers to the tendency of coders to classify categories membership in the same way.
• Accuracy . Accuracy refers to the extent to which the classification of content corresponds to a specific standard.

Keep in mind, though, that because you’ll need to code or categorize the concepts you’ll aim to identify and analyze manually, you’ll never be able to eliminate human error. However, you’ll be able to minimize it.

In turn, three criteria determine the validity of a content analysis:

• Closeness of categories . This is achieved by using multiple classifiers to get an agreed-upon definition for a specific category by using either implicit variables or synonyms. In this way, the category can be broadened to include more relevant data.
• Conclusions . Here, it’s crucial to decide what level of implication will be allowable. In other words, it’s important to consider whether the conclusions are valid based on the data or whether they can be explained using some other phenomena.
• Generalizability of the results of the analysis to a theory . Generalizability comes down to how you determine your categories as mentioned above and how reliable those categories are. In turn, this relies on how accurately the categories are at measuring the concepts or ideas that you’re looking to measure.

Considering everything mentioned above, there are definite advantages and disadvantages when it comes to content analysis:

Let’s now look at the steps you’ll need to follow when doing a content analysis.

The first step will always be to formulate your research questions. This is simply because, without clear and defined research questions, you won’t know what question to answer and, by implication, won’t be able to code your concepts.

Based on your research questions, you’ll then need to decide what content you’ll analyze. Here, you’ll use three factors to find the right content:

• The type of content . Here you’ll need to consider the various types of content you’ll use and their medium like, for example, blog posts, social media, newspapers, or online articles.
• What criteria you’ll use for inclusion . Here you’ll decide what criteria you’ll use to include content. This can, for instance, be the mentioning of a certain event or advertising a specific product.
• Your parameters . Here, you’ll decide what content you’ll include based on specified parameters in terms of date and location.

The next step is to consider your own pre-conception of the questions and identify your biases. This process is referred to as bracketing and allows you to be aware of your biases before you start your research with the result that they’ll be less likely to influence the analysis.

Your next step would be to define the units of meaning that you’ll code. This will, for example, be the number of times a concept appears in the content or the treatment of concept, words, or themes in the content. You’ll then need to define the set of categories you’ll use for coding which can be either objective or more conceptual.

Based on the above, you’ll then organize the units of meaning into your defined categories. Apart from this, your coding scheme will also determine how you’ll analyze the data.

The next step is to code the content. During this process, you’ll work through the content and record the data according to your coding scheme. It’s also here where conceptual and relational analysis starts to deviate in relation to the process you’ll need to follow.

As mentioned earlier, conceptual analysis aims to identify the number of times a specific concept, idea, word, or phrase appears in the content. So, here, you’ll need to decide what level of analysis you’ll implement.

In contrast, with relational analysis, you’ll need to decide what type of relational analysis you’ll use. So, you’ll need to determine whether you’ll use affect extraction, proximity analysis, cognitive mapping, or a combination of these approaches.

Once you’ve coded the data, you’ll be able to analyze it and draw conclusions from the data based on your research questions.

Content analysis offers an inexpensive and flexible way to identify trends and patterns in communication content. In addition, it’s unobtrusive which eliminates many ethical concerns and inaccuracies in research data. However, to be most effective, a content analysis must be planned and used carefully in order to ensure reliability and validity.

The two general types of content analysis: conceptual and relational analysis . Although these two types follow largely similar processes, their outcomes differ. As such, each of these types can provide different results, interpretations, and conclusions.

In qualitative research coding means categorizing concepts, words, and themes within your content to create a basis for analyzing the results. While coding, you work through the content and record the data according to your coding scheme.

Content analysis is the process of analyzing content and its features with the aim of identifying patterns and the presence of words, themes, and concepts within the content. The goal of a content analysis is to present the trends, patterns, concepts, and ideas in content as objective, quantitative or qualitative data, depending on the specific use case.

Content analysis is a qualitative method of data analysis and can be used in many different fields. It is particularly popular in the social sciences.

It is possible to do qualitative analysis without coding, but content analysis as a method of qualitative analysis requires coding or categorizing data to then analyze it according to your coding scheme in the next step.

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Content Analysis – Methods, Types and Examples

Table of Contents

Content Analysis

Definition:

Content analysis is a research method used to analyze and interpret the characteristics of various forms of communication, such as text, images, or audio. It involves systematically analyzing the content of these materials, identifying patterns, themes, and other relevant features, and drawing inferences or conclusions based on the findings.

Content analysis can be used to study a wide range of topics, including media coverage of social issues, political speeches, advertising messages, and online discussions, among others. It is often used in qualitative research and can be combined with other methods to provide a more comprehensive understanding of a particular phenomenon.

Types of Content Analysis

There are generally two types of content analysis:

Quantitative Content Analysis

This type of content analysis involves the systematic and objective counting and categorization of the content of a particular form of communication, such as text or video. The data obtained is then subjected to statistical analysis to identify patterns, trends, and relationships between different variables. Quantitative content analysis is often used to study media content, advertising, and political speeches.

Qualitative Content Analysis

This type of content analysis is concerned with the interpretation and understanding of the meaning and context of the content. It involves the systematic analysis of the content to identify themes, patterns, and other relevant features, and to interpret the underlying meanings and implications of these features. Qualitative content analysis is often used to study interviews, focus groups, and other forms of qualitative data, where the researcher is interested in understanding the subjective experiences and perceptions of the participants.

Methods of Content Analysis

There are several methods of content analysis, including:

Conceptual Analysis

This method involves analyzing the meanings of key concepts used in the content being analyzed. The researcher identifies key concepts and analyzes how they are used, defining them and categorizing them into broader themes.

Content Analysis by Frequency

This method involves counting and categorizing the frequency of specific words, phrases, or themes that appear in the content being analyzed. The researcher identifies relevant keywords or phrases and systematically counts their frequency.

Comparative Analysis

This method involves comparing the content of two or more sources to identify similarities, differences, and patterns. The researcher selects relevant sources, identifies key themes or concepts, and compares how they are represented in each source.

Discourse Analysis

This method involves analyzing the structure and language of the content being analyzed to identify how the content constructs and represents social reality. The researcher analyzes the language used and the underlying assumptions, beliefs, and values reflected in the content.

Narrative Analysis

This method involves analyzing the content as a narrative, identifying the plot, characters, and themes, and analyzing how they relate to the broader social context. The researcher identifies the underlying messages conveyed by the narrative and their implications for the broader social context.

Content Analysis Conducting Guide

Here is a basic guide to conducting a content analysis:

• Define your research question or objective: Before starting your content analysis, you need to define your research question or objective clearly. This will help you to identify the content you need to analyze and the type of analysis you need to conduct.
• Select your sample: Select a representative sample of the content you want to analyze. This may involve selecting a random sample, a purposive sample, or a convenience sample, depending on the research question and the availability of the content.
• Develop a coding scheme: Develop a coding scheme or a set of categories to use for coding the content. The coding scheme should be based on your research question or objective and should be reliable, valid, and comprehensive.
• Train coders: Train coders to use the coding scheme and ensure that they have a clear understanding of the coding categories and procedures. You may also need to establish inter-coder reliability to ensure that different coders are coding the content consistently.
• Code the content: Code the content using the coding scheme. This may involve manually coding the content, using software, or a combination of both.
• Analyze the data: Once the content is coded, analyze the data using appropriate statistical or qualitative methods, depending on the research question and the type of data.
• Interpret the results: Interpret the results of the analysis in the context of your research question or objective. Draw conclusions based on the findings and relate them to the broader literature on the topic.
• Report your findings: Report your findings in a clear and concise manner, including the research question, methodology, results, and conclusions. Provide details about the coding scheme, inter-coder reliability, and any limitations of the study.

Applications of Content Analysis

Content analysis has numerous applications across different fields, including:

• Media Research: Content analysis is commonly used in media research to examine the representation of different groups, such as race, gender, and sexual orientation, in media content. It can also be used to study media framing, media bias, and media effects.
• Political Communication : Content analysis can be used to study political communication, including political speeches, debates, and news coverage of political events. It can also be used to study political advertising and the impact of political communication on public opinion and voting behavior.
• Marketing Research: Content analysis can be used to study advertising messages, consumer reviews, and social media posts related to products or services. It can provide insights into consumer preferences, attitudes, and behaviors.
• Health Communication: Content analysis can be used to study health communication, including the representation of health issues in the media, the effectiveness of health campaigns, and the impact of health messages on behavior.
• Education Research : Content analysis can be used to study educational materials, including textbooks, curricula, and instructional materials. It can provide insights into the representation of different topics, perspectives, and values.
• Social Science Research: Content analysis can be used in a wide range of social science research, including studies of social media, online communities, and other forms of digital communication. It can also be used to study interviews, focus groups, and other qualitative data sources.

Examples of Content Analysis

Here are some examples of content analysis:

• Media Representation of Race and Gender: A content analysis could be conducted to examine the representation of different races and genders in popular media, such as movies, TV shows, and news coverage.
• Political Campaign Ads : A content analysis could be conducted to study political campaign ads and the themes and messages used by candidates.
• Social Media Posts: A content analysis could be conducted to study social media posts related to a particular topic, such as the COVID-19 pandemic, to examine the attitudes and beliefs of social media users.
• Instructional Materials: A content analysis could be conducted to study the representation of different topics and perspectives in educational materials, such as textbooks and curricula.
• Product Reviews: A content analysis could be conducted to study product reviews on e-commerce websites, such as Amazon, to identify common themes and issues mentioned by consumers.
• News Coverage of Health Issues: A content analysis could be conducted to study news coverage of health issues, such as vaccine hesitancy, to identify common themes and perspectives.
• Online Communities: A content analysis could be conducted to study online communities, such as discussion forums or social media groups, to understand the language, attitudes, and beliefs of the community members.

Purpose of Content Analysis

The purpose of content analysis is to systematically analyze and interpret the content of various forms of communication, such as written, oral, or visual, to identify patterns, themes, and meanings. Content analysis is used to study communication in a wide range of fields, including media studies, political science, psychology, education, sociology, and marketing research. The primary goals of content analysis include:

• Describing and summarizing communication: Content analysis can be used to describe and summarize the content of communication, such as the themes, topics, and messages conveyed in media content, political speeches, or social media posts.
• Identifying patterns and trends: Content analysis can be used to identify patterns and trends in communication, such as changes over time, differences between groups, or common themes or motifs.
• Exploring meanings and interpretations: Content analysis can be used to explore the meanings and interpretations of communication, such as the underlying values, beliefs, and assumptions that shape the content.
• Testing hypotheses and theories : Content analysis can be used to test hypotheses and theories about communication, such as the effects of media on attitudes and behaviors or the framing of political issues in the media.

When to use Content Analysis

Content analysis is a useful method when you want to analyze and interpret the content of various forms of communication, such as written, oral, or visual. Here are some specific situations where content analysis might be appropriate:

• When you want to study media content: Content analysis is commonly used in media studies to analyze the content of TV shows, movies, news coverage, and other forms of media.
• When you want to study political communication : Content analysis can be used to study political speeches, debates, news coverage, and advertising.
• When you want to study consumer attitudes and behaviors: Content analysis can be used to analyze product reviews, social media posts, and other forms of consumer feedback.
• When you want to study educational materials : Content analysis can be used to analyze textbooks, instructional materials, and curricula.
• When you want to study online communities: Content analysis can be used to analyze discussion forums, social media groups, and other forms of online communication.
• When you want to test hypotheses and theories : Content analysis can be used to test hypotheses and theories about communication, such as the framing of political issues in the media or the effects of media on attitudes and behaviors.

Characteristics of Content Analysis

Content analysis has several key characteristics that make it a useful research method. These include:

• Objectivity : Content analysis aims to be an objective method of research, meaning that the researcher does not introduce their own biases or interpretations into the analysis. This is achieved by using standardized and systematic coding procedures.
• Systematic: Content analysis involves the use of a systematic approach to analyze and interpret the content of communication. This involves defining the research question, selecting the sample of content to analyze, developing a coding scheme, and analyzing the data.
• Quantitative : Content analysis often involves counting and measuring the occurrence of specific themes or topics in the content, making it a quantitative research method. This allows for statistical analysis and generalization of findings.
• Contextual : Content analysis considers the context in which the communication takes place, such as the time period, the audience, and the purpose of the communication.
• Iterative : Content analysis is an iterative process, meaning that the researcher may refine the coding scheme and analysis as they analyze the data, to ensure that the findings are valid and reliable.
• Reliability and validity : Content analysis aims to be a reliable and valid method of research, meaning that the findings are consistent and accurate. This is achieved through inter-coder reliability tests and other measures to ensure the quality of the data and analysis.

Advantages of Content Analysis

There are several advantages to using content analysis as a research method, including:

• Objective and systematic : Content analysis aims to be an objective and systematic method of research, which reduces the likelihood of bias and subjectivity in the analysis.
• Large sample size: Content analysis allows for the analysis of a large sample of data, which increases the statistical power of the analysis and the generalizability of the findings.
• Non-intrusive: Content analysis does not require the researcher to interact with the participants or disrupt their natural behavior, making it a non-intrusive research method.
• Accessible data: Content analysis can be used to analyze a wide range of data types, including written, oral, and visual communication, making it accessible to researchers across different fields.
• Versatile : Content analysis can be used to study communication in a wide range of contexts and fields, including media studies, political science, psychology, education, sociology, and marketing research.
• Cost-effective: Content analysis is a cost-effective research method, as it does not require expensive equipment or participant incentives.

Limitations of Content Analysis

While content analysis has many advantages, there are also some limitations to consider, including:

• Limited contextual information: Content analysis is focused on the content of communication, which means that contextual information may be limited. This can make it difficult to fully understand the meaning behind the communication.
• Limited ability to capture nonverbal communication : Content analysis is limited to analyzing the content of communication that can be captured in written or recorded form. It may miss out on nonverbal communication, such as body language or tone of voice.
• Subjectivity in coding: While content analysis aims to be objective, there may be subjectivity in the coding process. Different coders may interpret the content differently, which can lead to inconsistent results.
• Limited ability to establish causality: Content analysis is a correlational research method, meaning that it cannot establish causality between variables. It can only identify associations between variables.
• Limited generalizability: Content analysis is limited to the data that is analyzed, which means that the findings may not be generalizable to other contexts or populations.
• Time-consuming: Content analysis can be a time-consuming research method, especially when analyzing a large sample of data. This can be a disadvantage for researchers who need to complete their research in a short amount of time.

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Content and Textual Analysis

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What is Content Analysis?

Content analysis is a research technique used to make replicable and valid inferences by interpreting and coding textual material. By systematically evaluating texts (e.g., documents, oral communication, and graphics), qualitative data can be converted into quantitative data. Although the method has been used frequently in the social sciences, only recently has it become more prevalent among organizational scholars.

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Mike Pfarrer has published award-winning research using content analysis techniques. He is co-organizer of an annual workshop on content analysis and is available if you’d like to learn more about content analysis, its applications for research, and its implications for business.

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

Published on 8.5.2024 in Vol 26 (2024)

Emerging Trends in Information-Seeking Behavior for Alpha-Gal Syndrome: Infodemiology Study Using Time Series and Content Analysis

Authors of this article:

Original Paper

• Jamie L Romeiser, PhD, MPH   ; 
• Nicole Jusko, MPH   ; 
• Augusta A Williams, SCD, MPH  

Department of Public Health and Preventive Medicine, Upstate Medical University, Syracuse, NY, United States

Corresponding Author:

Jamie L Romeiser, PhD, MPH

Department of Public Health and Preventive Medicine

Upstate Medical University

766 Irving Ave

Syracuse, NY, 13210

United States

Phone: 1 315 464 6897

Email: [email protected]

Background: Alpha-gal syndrome is an emerging allergy characterized by an immune reaction to the carbohydrate molecule alpha-gal found in red meat. This unique food allergy is likely triggered by a tick bite. Cases of the allergy are on the rise, but prevalence estimates do not currently exist. Furthermore, varying symptoms and limited awareness of the allergy among health care providers contribute to delayed diagnosis, leading individuals to seek out their own information and potentially self-diagnose.

Objective: The study aimed to (1) describe the volume and patterns of information-seeking related to alpha-gal, (2) explore correlations between alpha-gal and lone star ticks, and (3) identify specific areas of interest that individuals are searching for in relation to alpha-gal.

Methods: Google Trends Supercharged-Glimpse, a new extension of Google Trends, provides estimates of the absolute volume of searches and related search queries. This extension was used to assess trends in searches for alpha-gal and lone star ticks ( lone star tick , alpha gal , and meat allergy , as well as food allergy for comparison) in the United States. Time series analyses were used to examine search volume trends over time, and Spearman correlation matrices and choropleth maps were used to explore geographic and temporal correlations between alpha-gal and lone star tick searches. Content analysis was performed on related search queries to identify themes and subcategories that are of interest to information seekers.

Results: Time series analysis revealed a rapidly increasing trend in search volumes for alpha-gal beginning in 2015. After adjusting for long-term trends, seasonal trends, and media coverage, from 2015 to 2022, the predicted adjusted average annual percent change in search volume for alpha-gal was 33.78%. The estimated overall change in average search volume was 627%. In comparison, the average annual percent change was 9.23% for lone star tick, 7.34% for meat allergy, and 2.45% for food allergy during this time. Geographic analysis showed strong significant correlations between alpha-gal and lone star tick searches especially in recent years (ρ=0.80; P <.001), with primary overlap and highest search rates found in the southeastern region of the United States. Content analysis identified 10 themes of primary interest: diet, diagnosis or testing, treatment, medications or contraindications of medications, symptoms, tick related, specific sources of information and locations, general education information, alternative words for alpha-gal, and unrelated or other.

Conclusions: The study provides insights into the changing information-seeking patterns for alpha-gal, indicating growing awareness and interest. Alpha-gal search volume is increasing at a rapid rate. Understanding specific questions and concerns can help health care providers and public health educators to tailor communication strategies. The Google Trends Supercharged-Glimpse tool offers enhanced features for analyzing information-seeking behavior and can be valuable for infodemiology research. Further research is needed to explore the evolving prevalence and impact of alpha-gal syndrome.

Introduction

Food allergy is a growing public health concern. The global burden of food allergy is increasing, with 220 million individuals worldwide estimated to be affected by at least 1 food allergy [ 1 - 3 ]. In the United States, it is estimated that 26 million, or about 6.2%, of US adults and children have a food allergy [ 4 ]. Food allergies can induce a hefty economic burden on individuals and families due to lost labor, productivity, out-of-pocket costs, and opportunity costs [ 5 ] and can decrease the quality of life of patients in impacted physical health and mental health [ 6 , 7 ].

One somewhat unconventional food allergy on the rise is the alpha-gal allergy, also known as alpha-gal syndrome, red meat allergy, or tick bite meat allergy [ 8 ]. Alpha-gal syndrome is a type of allergy that is characterized by an immune reaction to the carbohydrate molecule galactose-alpha-1,3-galactose (alpha-gal), which is found in most mammalian or “red meat” [ 9 ]. This immune reaction can result in a variety of symptoms including hives, swelling of the face or facial features, shortness of breath, abdominal pain, gastrointestinal issues, anaphylaxis, or even fatality [ 10 ]. Whereas conventional food allergies usually involve an immediate immune response, alpha-gal allergy is characterized by the delayed onset of symptoms (ie, 3-8 hours following exposure) [ 8 , 9 , 11 , 12 ]. This delayed response, compounded with the varying clinical presentation, can make the diagnosis of the allergy challenging.

The alpha-gal allergy stands out not only due to its delayed nature but also because of the unconventional way most individuals develop the allergy. In most cases, it is thought that transmission occurs through the bite of a tick, which injects alpha-gal into the bloodstream. This sensitizes individuals to the molecule and can lead to an immune response when consuming mammalian meat [ 13 ]. Alpha-gal cases have been reported worldwide and are associated with various tick species. In the United States, however, growing evidence suggests that alpha-gal allergy is primarily linked to lone star ticks [ 14 ]. The connection between alpha-gal allergy and lone star ticks was initially described in 2011 [ 15 ] and has since been supported by subsequent studies [ 12 , 13 , 16 - 18 ]. Recent evidence from a case-control study further strengthens this association, revealing significantly higher odds of tick exposures among individuals with alpha-gal syndrome compared to controls [ 16 ].

Lone star ticks are traditionally found in the Southeastern region of the United States. However, the geographic range of lone star ticks has expanded to the Northeast [ 19 ] and Midwest in part due to climate change and sensitivity to microclimate conditions [ 18 ]. Indeed, exposure to and cases of alpha-gal allergy are also expanding beyond the Southeastern United States [ 20 ]. Recognition and general awareness of alpha-gal allergy are growing [ 21 ], but health care providers’ knowledge of the connection between lone star ticks and alpha-gal allergy may be lagging. A recent survey conducted among clinicians in Illinois revealed a lack of awareness regarding the link between lone star tick bites and alpha-gal allergy, as well as limited familiarity with diagnostic testing for the condition [ 22 ].

Because there remains considerable variation in health care providers’ knowledge of the condition [ 23 ], patients often play a critical role in driving their own diagnoses [ 24 ]. As 1 study reported, there is often a lengthy amount of time between symptom onset and diagnosis, with patients visiting multiple health care settings and receiving numerous referrals before obtaining the correct diagnosis [ 23 ]. In general, it is likely that many patients rely on finding their own sources of information to learn about the allergy and potentially self-diagnose it before receiving an official diagnosis.

The alpha-gal syndrome is not a reportable or notifiable condition and was only granted a separate International Classification of Diseases  10th Revision ( ICD-10 ) code for diagnostic identification in 2022. Therefore, little data exist on the prevalence of the allergy [ 8 ]. In the absence of incidence or prevalence data, infoveillence and infodemiology techniques can be used to help describe the overall population interest in the topic of alpha-gal [ 25 ], as well as correlations with potentially related search terms. Many studies over the past decade have used Google Trends as a tool to explore patterns in health information–seeking behavior [ 26 , 27 ]. In fact, 1 prior study using Google Trends found a high correlation between alpha-gal and lone star tick, including a general upward trend in relative search volume (RSV) [ 21 ]. Data were examined from 2004 to 2019, but it is likely that both awareness and diagnosis of the allergy have grown in the past 3 years [ 20 ].

Further, new tools have emerged that offer enhanced features for analyzing various aspects of information-seeking behavior. One such tool is Glimpse, which is an extension app of Google Trends [ 28 ]. Google Trends has been both praised and criticized for reporting all searches as RSVs [ 29 ]. RSV is a query share of a search term within a specific geography and time range, which is then normalized to the highest point of popularity within that time period [ 26 ]. A notable drawback of this approach is that the absolute volume is not provided; therefore, there is no way to track an estimated number of queries for a particular topic [ 30 ]. Because the RSV is indexed to the highest point of popularity for a term within a time period, reproducibility of research results can be challenging [ 26 , 29 ]. To address this issue, the Supercharged-Glimpse extension offers an estimate of the absolute search volume, as well as a dashboard of additional information such as related search terms. The absolute volume numbers are overlayed on the traditional RSV index graph. This tool could be useful for understanding the specific content topics and themes that people search for health information.

Additional quantification of the changing volume of information seeking for alpha-gal can provide valuable evidence regarding shifts in awareness levels and potential changes in alpha-gal prevalence. Moreover, analyzing the evolving information-seeking patterns for both alpha-gal and lone star ticks can offer insights into the changing public interest across different geographic areas. Finally, health care providers and public health officials could benefit from understanding the topics that are most relevant to their patients and the public and adjust their communication strategies for alpha-gal accordingly. Therefore, using the Google Trends Supercharged-Glimpse extension, our objectives were to (1) describe the basic volume and patterns of information seeking related to alpha-gal; (2) explore further correlations between alpha-gal and lone star ticks; and (3) understand and identify specific questions, concerns, and areas of interest that individuals are searching for in relation to alpha-gal.

Google Trends Supercharged-Glimpse

Google Trends Supercharged-Glimpse is a new web-based tool available as an extension of Google Trends [ 28 ]. Glimpse functions in parallel with Google Trends and uses a similar random sampling approach to produce reports containing multiple components of trends in web-based information–seeking behavior. Searches are conducted on the Google Trends platform, with options to specify a particular geographic location and time period (spanning from 2004 to the present day). With the Glimpse extension, estimated search trends over time are provided as an absolute volume, rather than RSV. This allows for direct comparisons of volume from separate terms conducted in separate searches. The extension also produces a list of the highest volume of keywords and questions related to the search term, which is akin to a listing of terms that information seekers use in addition to the main keyword. Reports also contain the RSV for geographic areas from Google Trends.

Search Strategy

To begin our search, we implemented a methodological framework based upon previous strategies aimed to establish a consistent approach to conducting Google Trends research [ 31 , 32 ] and adhered to a suggested checklist for documenting and reporting our search strategy [ 26 ]. We report keywords in italics and the classification of the keyword in parentheses.

Google Trends Supercharged-Glimpse was used to determine search trends for 2 alpha-gal keywords: alpha gal (search term) and meat allergy (search term). Additional keywords related to alpha-gal were explored ( alpha-gal , alpha-gal syndrome , and alpha gal syndrome ), but these terms were visibly unstable, indicating a low search volume (with most months returning less than 1000 searches) and lower likelihood of using these terms when seeking information. Because these spelling variations produced very low volumes of searches and because the Supercharged tool does not allow modifiers (eg, “+” to add the terms together), we proceeded with the analysis without aggregating these data [ 31 ] but recognized these as potential limitations. We selected lone star tick (animal) as a keyword to explore objective 2 and food allergy (search term) as a broad comparison term. All keyword searches were compared with and without the use of quotations and produced similar results in terms of volume. Data were limited to the United States due to the context of the alpha-gal and lone star tick exploration, and the time frame ranged to include all available data (from January 1, 2004, to March 1, 2023). All keyword searches were conducted separately, without combining keywords. Similar to Google Trends, the Glimpse extension performs a sampling approach to estimate the absolute search volume. As with all sampling approaches, there is a degree of variability each time the data are queried. Further, there is a degree of caching that occurs; therefore, the same search conducted in a short time period (eg, within 10 minutes) may have identical numerical results. To produce a better estimate of the absolute volume of searches for our selected search terms, data were collected at 2 PM daily for a period of 10 days (March 2-12, 2023). Data for each term were compiled and averaged for search volume over time (absolute volume), related search queries (qualitative lists), and geographic interest (RSV). To demonstrate the overlap and correlation between the traditional RSV index values from Google Trends and the absolute volume estimates from the Supercharged-Glimpse extension, the averaged absolute volume and the averaged RSV index values for alpha gal (search term) are plotted in Figure S1 in Multimedia Appendix 1 . Absolute volume over time for all terms is presented in the Results section.

Statistical Analysis

Objective 1: trends over time.

Time series analyses were used to assess the trends in all 4 keywords over the study period. A quasi-Poisson regression was fit to account for the overdispersion of the count outcome variables. The regression used a penalized spline on year to account for long-term trends in these various allergies and related searches over time. We opted to use a penalized spline because the data appeared to be nonlinear in the raw data plots. Using penalized splines on the year allowed for the flexibility to account for the complex patterns seen in the raw data plots while not overfitting the model. The seasonality of web-based searches is likely to mirror the seasonality of cases of disease [ 31 ]. Therefore, we expected to see seasonal variation in search patterns for all 4 search terms, and indeed, this is what was revealed in graphing the monthly search volumes. There are seasonal variations in tick behaviors and tick-host encounters, which both peak during the warm season [ 33 , 34 ]. Additionally, food-related anaphylaxis has been found to increase during the warm season due to oral allergies (eg, pollen-food allergy syndrome) [ 35 ]. Therefore, a binary variable was created to indicate the warm season (May-September), which was then controlled via a linear term to account for seasonal trends. Google trends data for rare diseases can be influenced by the media [ 29 ]; therefore, the dates of national media stories on alpha-gal were identified from 2012 through 2023, and this (binary variable for the months that contained national media coverage) was controlled using a linear term. The predicted absolute search volume values are shown in the Results section. The average annual percent change (AAPC) in search volume was calculated based on this adjusted model for all 4 terms [ 36 ].

Objective 2: Alpha-Gal and Lone Star Tick

While our original intent was to describe how information-seeking behavior for both alpha gal and lone star tick changed geographically and temporally from 2004 to 2022, initial data extraction efforts revealed that the RSV geographic metrics were unstable and unreliable from 2004 to 2013. This is likely due to a lower volume of searches conducted during this time period, which would increase sampling variability. To produce more stable and reproducible results for the geographic analysis, the geographic interest index values were queried and exported in 3-year time period increments (2014-2016, 2017-2019, and 2020-2022) for the alpha gal (search term) and lone star tick ( animal ) keywords. Choropleth maps were produced. The distribution of the data was found to be nonnormally distributed (Shapiro-Wilk test P values <.05 for all variables); therefore, a Spearman correlation matrix was generated to examine geographic and temporal correlations for alpha gal and lone star tick using the RSV index values for the 3 time periods (2014-2016, 2017-2019, and 2020-2022).

Objective 3: Content Analysis

A conceptual content analysis was performed on the related search query data for alpha-gal. Lists from the 10 separate days were examined and found to be nearly identical. Lists were then combined and duplicates were removed, leaving a total of 371 related searches. All 371 related search queries contained the words “alpha gal” either before or after the additional keywords (eg, alpha gal hives ). For the qualitative content analysis, an inductive coding strategy was first implemented to identify overarching themes based on the content of the data itself. We identified 10 main themes: diet, diagnosis or testing, treatment, medications or contraindications of medications, symptoms, tick related, specific sources of information and locations, general education information, alternative words for alpha-gal, and unrelated or other. Two authors (JR and NJ) independently coded the list of 371 words based on the main concept themes. The results from the coders were compared, and discrepancies were resolved for a final theme designation. This process was repeated within each theme to further identify theme-based subcategories of interest. The total number of subthemes identified was 41. The frequency of keywords in each search theme and theme-based subcategories was compiled and described. All analyses were performed using SAS (version 9.4; SAS Institute) and R Studio (R Foundation for Statistical Computing).

Ethical Considerations

All data were publicly available and unidentifiable search engine metadata. Data are not used at the individual level and do not involve human subjects; therefore, institutional review board approval was not required for this study.

Time Series Analyses

The average absolute search volumes from 2004 to March 2023 were plotted for alpha gal , meat allergy , lone star tick , and food allergy ( Figure 1 ). The comparison of the traditional RSV index values and the absolute volume estimates demonstrated near-perfect overlap, with a Spearman correlation coefficient of ρ=0.99 ( P <.001; Figure S1 in Multimedia Appendix 1 ). In the time series analysis, the estimated absolute search volume values over time were nonlinear for all 4 search terms ( Figure 2 ). The binary indicator for the warm season was a significant predictor for all 4 search terms. While all 4 search terms demonstrated this significant seasonal trend, the magnitude of the warm season term was greatest for lone star tick and lowest for food allergy. Media coverage was only a significant predictor for alpha gal , lone star tick , and meat allergy . National media coverage of alpha-gal did not significantly impact food allergy searches. Based on the expected search volumes after adjusting for seasonality and media events in the time series analysis, the AAPC from 2004 to 2022 was 18.76%, 10.87%, 7.52%, and 1.09% for alpha gal , meat allergy , lone star tick , and food allergy , respectively. Interestingly, search trend volume began to noticeably increase starting around 2015 for alpha gal. From January 2015 to January 2022, the AAPC was 33.78%, 9.23%, 7.34%, and 2.45% for alpha gal , meat allergy , lone star tick , and food allergy , respectively. The estimated total increase during this time period was 627%, 81%, 61%, and 25% for alpha gal , meat allergy , lone star tick , and food allergy searches.

Alpha-Gal and Lone Star Tick

Choropleth maps of the RSV indices for alpha gal and lone star tick , as well as the Spearman correlation coefficient for each time period, are presented in Figure 3 . All correlations were significant at P <.001. State RSV indices for alpha gal and lone star tick were moderately correlated in 2014-2016 (ρ=0.59) but became more strongly correlated in the latter 2 time periods (ρ=0.82; ρ=0.80). These correlations can be visualized by the noticeable geographic overlap observed over time between states with a high information-seeking interest in alpha gal and lone star ticks .

Content Analysis

The content analysis revealed 10 overarching themes ( Figure 4 ). Of the 10 overarching themes, 7 were further divided into subcategories.

The most diverse search theme was diet (96/371, 25.9%), which could be further divided into 6 subthemes. The most popular subtheme was composed of general inquiries (eg, what foods to avoid with alpha gal? and what foods are safe with alpha gal? ), followed by food additives (eg, gelatin , glycerin , and magnesium stearate ), red meat (ie, specific mammal inquiries ), nonmammalian food options (eg, ostrich , eggs , and turkey ), dairy products (eg, butter , milk , and cheese ), and searches for recipes.

Symptom-related searchers accounted for 11.9% (44/371) of the total related search queries. General symptom–related questions or inquiries (eg, what are the symptoms? ) were most prominent, followed by symptom onset or triggers (eg, reaction time , onset , and exercise ). The other 5 specific subtheme symptoms that emerged were skin or rash (7/44, 15.9%), neurological (4/44, 9.1%), joint pain (3/44, 6.8%), gastrointestinal (3/44, 6.8%), and cardiovascular (2/44, 4.5%) symptoms.

Diagnosis-related searchers accounted for 10.8% (40/371) of the total related searches, including 4 subthemes of general searches for testing (eg, blood test and test results ), specific searches for IgE (eg, IgE numbers and levels ), specific laboratories that perform testing, and searches for ICD-10 codes.

General Education

General education and information seeking accounted for 10.5% (39/371) of the related searches. This theme was further broken down into causes (eg, what is the cause of alpha gal? , is alpha gal genetic? , is alpha gal contagious? ), duration (eg, is alpha gal permanent? , does alpha gal go away? ), general questions (eg, what is alpha gal? ), products, information seeking on the knockout pig, and other (eg, alpha gal and COVID-19 , alpha-gal while pregnant , and prevalence ).

Specific Sources

Specific sources of information or location accounted for 10.2% (38/371) of searches. Around 24% (9/38) of these were media-specific searches (eg, alpha-gal radiolab and nytimes ), 24% (9/38) were evidence-based sources (eg, NIH , UpToDate , CDC , and Mayo Clinic ), and 21% (8/38) were location or place specific (eg, Kentucky , Lynchburg VA , and UVA ). Other subgroups included nonevidence-based sources, specific clinician or health care provider searches, and others.

Treatment-related searches accounted for 9.4% (35/371). Most searches were general (eg. how to treat alpha gal and is it curable? ), while others were specifically related to acupuncture, antihistamines, and home remedies (eg, natural remedies and essential oils ).

Medication or contraindication-related searches accounted for 7.8% (27/371) of related searches. Roughly 25% (7/27) of these searches were vaccine related (eg, flu shot and COVID-19 vaccine ). About 25% (7/27) were inquiries about medications known to contain alpha-gal (eg, heparin), while the majority (37%, 16/27) were general inquiries on what medications were necessary to avoid (eg, alpha gal in medications , drugs to avoid , alpha gal medication list , and alpha gal and anesthesia ).

Principal Findings

To our knowledge, we believe this is one of the first studies to investigate absolute search volume trends over time using the Google Supercharged-Glimpse extension app. Our analysis revealed several important trends and patterns regarding public interest and information seeking for alpha-gal allergy.

First, over the past several years, the volume of searches for the alpha-gal allergy is significantly increasing at a rapid rate. After adjusting for seasonality and national media stories, the overall increase for alpha gal searches over time was at least 6 times that of the other search terms. Interestingly, alpha gal search term volume surpassed that of meat allergy in 2019, which likely indicates an increase in the awareness of the correct terminology for the allergy. Further, while lone star tick and meat allergy search term volumes seemed to level off from 2020 to 2022, alpha gal search term interest continued to grow. National media stories were found to have a significant impact on the search volume for alpha gal , meat allergy , and lone star tick terms, highlighting the role that media can play in engaging public interest and awareness of these topics.

Geographic popularity information-seeking for the term alpha gal did not vary greatly over time and remained concentrated in the southeast regions of the United States. While this finding was similar to a study using 2019 data [ 21 ], it was somewhat unexpected. Diagnoses of alpha-gal syndrome have occurred in other geographic regions including the Northeast and Midwest [ 20 ], and cases are increasing in those areas [ 8 ]. It is possible that this finding might be reflective of how the RSV index is generated. States with larger populations could have a greater absolute volume of interest, but this might not be reflected in the RSV index. There were no states throughout time with an RSV index of 0, which indicates that people are seeking information for the alpha-gal allergy in all 50 states. This finding is similar to laboratory-based studies that show documented cases in most states [ 20 ].

Geographic searches for the terms alpha gal and lone star tick strongly overlap. States have similarly ranked RSV indices for both alpha gal and lone star tick terms, and these have strengthened over time. Of note, geographic search interest in lone star ticks appears to be expanding. Search interest maps from 2014 to 2016 and 2017 to 2019 strongly overlap with a 2016 study that documented expansions of the lone star tick range [ 19 ]. Furthermore, search interest maps from 2020 to 2022 show a similar overlap with predicted lone star tick habitat expansion models developed in 2021 [ 37 ]. It is possible, therefore, that future interest and prevalence maps for alpha-gal may expand in similar ways. This serves as a forewarning, highlighting the urgent need to expand education efforts for both the general public and health care providers.

Finally, people are seeking a broad array of topics related to alpha-gal. The largest subgroup of content searched for in conjunction with alpha-gal was tick related. Encouragingly, national media stories and evidence-based sources comprised almost 50% of the specific sources that people were searching for. Unsurprisingly, diet was the largest theme, and interest in concealed sources of exposure and food additives remains a large concern [ 11 ]. The ubiquitous presence of animal products in food, medications, and other products can make it extremely difficult for individuals to know if what they ingest is safe [ 8 ]. Given the challenges of identifying safe foods and products, there is a clear need for improved food and product labeling. Additionally, information seeking for specific symptoms highlighted the broad array of ways that alpha-gal can manifest within an individual. Symptom variety remains one of the major reasons alpha-gal remains underdiagnosed. Health care professionals should not only be familiar with the most commonly identifiable symptoms of alpha-gal such as urticaria or anaphylaxis [ 18 ] but also be knowledgeable about symptom manifestations like joint pain [ 8 ], gastrointestinal symptoms [ 12 , 18 , 38 ], dizziness, or heart palpitations [ 10 ].

Limitations

There are several limitations to this study. First, we were only able to capture information seeking on 1 search engine platform. Second, absolute search volume estimates were not available geographically, and the RSV geographic data were unstable when examined yearly. We chose to sacrifice the granularity of a year-by-year analysis in favor of more reliable results. Third, the absolute volume was also not provided for each of the related searches. Therefore, the proportional composition of the content analysis themes represents the diversity within the theme, not necessarily the popularity of the theme. It is possible that tick-related searches encompassed the majority of the volume of the related alpha-gal searches, but we cannot identify this based on the data. Finally, at the time of the initial data analysis and submission of this study, alpha-gal syndrome was only available as a search term and not a disease. Since that time, the term has become searchable on the Google Trends platform as a designated syndrome. Absolute search volume trends over time for both alpha gal (search term) and alpha-gal syndrome (syndrome) are remarkably similar, indicating there is likely direct overlap between these 2 searches. It is unknown to what degree the addition of this condition as a designated syndrome may affect the volume reported for the alpha gal (search term) in the future.

Conclusions

Information seeking for alpha-gal syndrome is rapidly increasing. Geographic overlap with lone star tick searches might suggest future expansions in alpha-gal interest and prevalence, thereby emphasizing the urgency for increased education efforts. The diverse range of topics and symptoms searched for highlights the ongoing challenges faced by individuals affected by alpha-gal. However, the content and subthemes identified can serve as a valuable guide to facilitate public health outreach and effective patient-physician communication.

Acknowledgments

We would like to thank Adam Starke for assistance in generating the choropleth maps.

Data Availability

The data sets generated and analyzed during this study are available from the corresponding author on reasonable request.

Conflicts of Interest

None declared.

Comparison of absolute search volume and relative search volume (RSV) index over time for alpha gal (search term).

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Abbreviations

Edited by A Mavragani; submitted 14.06.23; peer-reviewed by JR Medina, A Allam, S Wei; comments to author 08.02.24; revised version received 28.02.24; accepted 23.03.24; published 08.05.24.

©Jamie L Romeiser, Nicole Jusko, Augusta A Williams. Originally published in the Journal of Medical Internet Research (https://www.jmir.org), 08.05.2024.

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.

New Analysis of 3.2 Million Flexible Spending Accounts Finds Average Contributions Increasing While Half Forfeiting Funds to Their Employers

A new research report, published today by the Employee Benefit Research Institute (EBRI), provided an analysis of the activities of over 3.2 million flexible spending accounts (FSA) in 2022 and found that average contributions have increased, a vast majority of accountholders taking distributions and roughly half forfeiting back funds to their employer.

Key findings in the new research report, “Vital Statistics on Flexible Spending Accounts, 2022: Forfeitures on the Rise,” include: • The average FSA contribution in 2022 was $1,291. The vast majority, 85% of accountholders took a distribution in 2022. Among those who did, the average distribution was $1,323. • FSA contributions and distributions did not vary significantly conditional on whether or not the account had a grace-period feature, allowed rollovers or was a “use-it-or-lose-it” FSA. • After temporary COVID-era provisions allowed employers to modify FSA plans to lift caps on rollover amounts, 2022 marked a return to pre-2020 forfeiture rules. Roughly half of FSA accountholders forfeited funds to their employer in 2022. The average forfeiture was $441. • Accountholder age is strongly correlated with both contributions and distributions. Younger accountholders contributed less and were less likely to take distributions, and when they took distributions, they took smaller distributions than their older counterparts. Younger workers were also more likely to forfeit funds back to their employer. “While FSAs are a common workplace benefit, there is little empirical evidence about how much accountholders contribute, withdraw and forfeit. Shining a light on these accounts can help employers foster optimal usage of FSAs, which can help workers improve their overall financial wellness.  Pretax contributions to FSAs help workers stretch dollars further than they otherwise could, enabling them to divert dollars toward other financial needs, such as emergency savings, retirement or other savings goals. This is of particular importance given recent evidence that employers are increasingly concerned with helping workers manage high costs of living and health care costs.” said Jake Spiegel, research associate, Health and Wealth Benefits Research, EBRI.  “Forfeiting funds back to employers can potentially run counter to this goal. EBRI’s analysis finds that over half of accountholders forfeit at least part of their FSA balances back to their employers at the end of the plan year. Decision supports that guide workers through their contribution elections could help reduce forfeitures, as could reminders about remaining balances.” The EBRI FSA Database is a representative repository of information about individual flexible spending accounts. The database includes information provided by a wide variety of account recordkeepers and represents the characteristics and activity of a broad range of FSA contributors. As of Dec. 31, 2022, the EBRI Database includes over 3.2 million flexible spending accounts representing over $3.6 billion in contributions.

To view a summary of the research report, visit https://www.ebri.org/publications/research-publications/issue-briefs/content/summary/vital-statistics-on-flexible-spending-accounts--2022--forfeitures-on-the-rise.

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The paper explores the complex relationship between Generative AI technologies and the global job market. It presents a global analysis, which suggests that the latest family of Generative AI has more potential to transform jobs by automating specific tasks, rather than replacing entire job roles.

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4 Qualitative Content Analysis

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This chapter examines qualitative content analysis, a recent methodological innovation. Qualitative content analysis is defined and distinguished here from basic and interpretive approaches to content analysis. Qualitative content analysis is also distinguished from other qualitative research methods, though features and techniques overlap with other qualitative methods. Key differences in the predominant use of newly collected data and use of non-quantitative analysis techniques are detailed. Differences in epistemology and the role of researcher self-awareness and reflexivity are also discussed. Methods of graphic data presentation are illustrated. Three short exemplar studies using qualitative content analysis are described and examined. Qualitative content analysis is explored in detail in terms of its characteristic components: (1) the research purposes of content analysis, (2) target audiences, (3) epistemological issues, (4) ethical issues, (5) research designs, (6) sampling issues and methods, (7) collecting data, (8) coding and categorization methods, (9) data analysis methods, and (10) the role of researcher reflection.

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