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👩🏾‍⚕️Methods for Public Health Practice

Primary Data Collection Methods

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Why This Matters

In public health practice, the method you choose to collect data fundamentally shapes what you can learn—and what actions you can take. You're not just being tested on whether you can name these methods; you're being evaluated on your ability to match the right data collection approach to specific research questions, populations, and resource constraints. Understanding the distinction between quantitative vs. qualitative data, self-reported vs. objective measures, and individual vs. community-level approaches will determine how well you can design studies and critique existing research.

Each method in this guide represents a deliberate trade-off between depth and breadth, between what people say they do and what they actually do, between efficiency and engagement. When you encounter these methods on exams or in practice, ask yourself: What kind of data does this produce? What biases might it introduce? When would this be the best choice? Don't just memorize definitions—know what each method reveals and what it obscures.


Quantitative Self-Report Methods

These methods efficiently collect standardized data from large populations, relying on participants to accurately report their own behaviors, attitudes, and experiences. The trade-off is scale versus depth—you gain statistical power but lose nuance.

Surveys and Questionnaires

  • Most efficient method for large-scale data collection—can reach hundreds or thousands of respondents through online, paper, or face-to-face administration
  • Question design determines data quality; closed-ended questions yield quantifiable data while open-ended questions capture richer responses at the cost of analysis complexity
  • Validity and reliability must be established through pilot testing; poorly designed questions introduce systematic bias that undermines entire studies

Ecological Momentary Assessment

  • Captures real-time data through mobile devices—participants respond to prompts or log experiences as they happen throughout daily life
  • Dramatically reduces recall bias by eliminating the gap between experience and reporting; critical for studying fluctuating states like mood, pain, or substance use
  • High participant burden can lead to dropout; best suited for short-term intensive studies rather than long-term surveillance

Compare: Surveys vs. Ecological Momentary Assessment—both rely on self-report, but surveys capture retrospective snapshots while EMA captures experiences in the moment. If an exam question asks about minimizing recall bias, EMA is your answer; if it asks about population-level prevalence, traditional surveys win.


Qualitative Interview Methods

These approaches prioritize depth over breadth, generating rich narrative data that reveals the "why" behind behaviors and experiences. The mechanism here is human conversation—structured to varying degrees—that allows participants to explain their perspectives in their own words.

Interviews (Structured, Semi-Structured, and Unstructured)

  • Structure level determines flexibility; structured interviews use fixed questions for consistency, semi-structured allow follow-up probes, and unstructured interviews flow conversationally
  • Best for exploring complex topics where you need to understand individual experiences, decision-making processes, or sensitive subjects in depth
  • Time-intensive analysis required; transcription and coding demand significant resources but yield insights surveys cannot capture

Focus Groups

  • Group dynamics generate unique data—interaction among 6-10 participants reveals shared norms, points of disagreement, and socially constructed meanings
  • Facilitator skill is critical; must balance drawing out quieter participants while preventing dominant voices from controlling the conversation
  • Ideal for exploring community attitudes and testing how messages or interventions might be received before broader implementation

Compare: Individual Interviews vs. Focus Groups—interviews reveal personal depth and are better for sensitive topics, while focus groups expose social dynamics and shared community perspectives. Choose interviews when confidentiality matters; choose focus groups when you need to understand how ideas circulate within groups.


Observational Methods

These methods capture what people actually do rather than what they say they do, addressing the fundamental gap between self-reported and actual behavior. The underlying principle is that observation accesses behavior directly, bypassing the filters of memory, social desirability, and self-perception.

Direct Observation

  • Systematic watching and recording of behaviors or events in natural contexts; can use structured checklists or open-ended field notes
  • Captures actual practices rather than self-reported behaviors—essential when studying hand hygiene, food preparation, or other behaviors people may misreport
  • Observer bias and reactivity are key threats; people may change behavior when watched, and observers may record selectively based on expectations

Participant Observation

  • Researcher actively engages in the community or setting being studied, gaining insider perspective while maintaining analytical distance
  • Reveals social dynamics and cultural contexts that outsiders would miss; particularly valuable for understanding marginalized or hard-to-reach populations
  • Ethical complexity is heightened—informed consent, dual roles, and potential influence on the community require careful navigation

Compare: Direct Observation vs. Participant Observation—direct observation maintains researcher distance for objectivity, while participant observation sacrifices some objectivity for deeper contextual understanding. Use direct observation for behavioral counts; use participant observation for understanding meaning and culture.


Objective Measurement Methods

These approaches collect biological or physical data that doesn't depend on participant reporting, providing the most objective evidence of health status. The principle is that bodies don't lie—physiological measures bypass cognitive and social biases entirely.

Physical Measurements and Examinations

  • Collects objective health indicators—height, weight, blood pressure, waist circumference, and other anthropometric or clinical measures
  • Requires trained personnel and standardized protocols to ensure accuracy; measurement error can be systematic if training is inadequate
  • Essential for validating self-report and for outcomes that participants cannot accurately self-assess, such as undiagnosed hypertension

Biospecimen Collection

  • Biological samples (blood, saliva, urine, hair) provide data on biomarkers, exposures, and disease states impossible to capture otherwise
  • Strict ethical and logistical protocols required for collection, storage, transport, and analysis; cold chain maintenance and informed consent are non-negotiable
  • Critical for understanding biological mechanisms of health disparities and for epidemiological studies linking exposures to outcomes

Compare: Physical Measurements vs. Biospecimen Collection—both provide objective data, but physical measurements are non-invasive and yield immediate results, while biospecimens require laboratory analysis but reveal internal biological states. Physical measurements work for field settings; biospecimens require infrastructure.


Participatory and Community-Engaged Methods

These methods shift power toward community members, positioning them as active contributors to knowledge generation rather than passive subjects. The mechanism is empowerment—community participation increases relevance, validity, and likelihood of action on findings.

Photovoice

  • Participants photograph their own experiences—cameras become tools for documenting community realities from insider perspectives
  • Combines visual evidence with narrative explanation; participants select and discuss images, creating qualitative data with powerful advocacy potential
  • Empowers marginalized communities to define problems and solutions on their own terms; findings often drive policy discussions and resource allocation

Community Mapping

  • Visual representations of resources, assets, and challenges—community members create maps showing what exists and what's missing in their environment
  • Reveals spatial relationships and access barriers; particularly useful for understanding how geography shapes health behaviors and outcomes
  • Engages communities in priority-setting; the mapping process itself builds collective awareness and mobilizes action

Compare: Photovoice vs. Community Mapping—both are participatory and produce visual data, but photovoice captures individual experiences and perspectives while community mapping creates collective spatial knowledge. Use photovoice for advocacy and storytelling; use community mapping for resource assessment and intervention planning.


Quick Reference Table

ConceptBest Examples
Large-scale quantitative dataSurveys, Questionnaires
Minimizing recall biasEcological Momentary Assessment
In-depth individual perspectivesSemi-structured Interviews, Unstructured Interviews
Group dynamics and social normsFocus Groups
Actual vs. self-reported behaviorDirect Observation, Participant Observation
Objective health measurementPhysical Measurements, Biospecimen Collection
Community empowerment and engagementPhotovoice, Community Mapping
Cultural context and meaningParticipant Observation, Focus Groups

Self-Check Questions

  1. A researcher wants to understand why adolescents in a specific neighborhood don't use the local health clinic. Which two methods would best capture both individual barriers and community-level perceptions, and why?

  2. Compare and contrast ecological momentary assessment with traditional surveys. In what specific research scenario would EMA be clearly superior, and what trade-offs would you accept?

  3. You're studying hand hygiene practices among food service workers. Why might direct observation yield different results than a survey, and what threats to validity would you need to address with the observational approach?

  4. An FRQ asks you to design a community needs assessment using participatory methods. Which methods from this guide would you select, and how would you sequence them to build community engagement?

  5. A study uses biospecimen collection to measure cotinine levels (a nicotine metabolite) alongside self-reported smoking status. What is the methodological rationale for including both measures, and what might discrepancies between them reveal?