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. 1997 Nov-Dec;4(6):501–510. doi: 10.1136/jamia.1997.0040501

Table 2.

List 1
Distinctive Characteristics of Q-methodology
Population Sampling
Specific sampling principles and techniques used in survey research are not necessarily relevant to person sampling in Q-methodology given the contrasting research orientation and purpose. Participant selection can be governed by theoretical (persons are chosen because of their special relevance to the goals of the study, or purposive sampling) or by pragmatic (anyone will suffice, or convenience sampling) considerations. Because of its intensive orientation, Q-methodology tends to use person samples that are small, and single case studies; a preference in keeping with the behaviorist dictum that it is more informative to study one subject for 1,000 hours than 1,000 subjects for 1 hour.3
Validity
Due to its qualitative aspects, questions of research validity in Q-methodology are assessed differently than in quantitative research methods.29 The Q-sorting operation is wholly subjective in the sense that it represents my point of view. There is no external criterion by which to appraise an individual's perspective.1 Each individual's rank-ordered set of statements is considered a valid expression of their opinion.
Content validity of the Q-sample is addressed by thorough literature review and by eliciting expert advice of those associated with the field under investigation. Face validity of the text and statement wording is addressed by leaving the statements in the participants' words, edited only slightly for grammar and readability.
Item validity, as understood in more traditional survey research, does not apply to the study of subjectivity. In Q-methodology, one expects the meaning of an item to be interpreted individually. The meaning of how each item was individually interpreted becomes apparent in the rank-ordering and in follow-up interviews.
Reliability
Reliability of Q-methodology has been proven through test-retest studies and assessment of reliable schematics. For test-retest reliability, studies have shown that administering the same instrument (Q-sample) to the same individuals at two points in time have typically resulted in correlation coefficients of.80 or higher.2,30,31,32 Q-methodology has also produced consistent findings in two more types of study comparisons: first, when administering the same set of statement to different person samples; and second, when pursuing the same research topic, but using different sets of statements and different person samples.28,30,31,32,33 For reliability and stability of identified opinion clusters (schematics), findings were consistent when the instrument was administered to different person samples, and even when different Q-samples and person samples were used.33
Generalizability
Most Q-methodology studies are exploratory and qualitative in nature and tend not to use random sample designs. Generalizations rarely occur beyond the immediate set of participants and are typically not based on the numerical distribution of study participants among factors. The value of Q-methodology lies in uncovering valid and authentic opinion clusters and does not occur beyond the immediate set of participants. The value of Q-methodology lies in uncovering opinion clusters. Once identified, their prevalence among the larger population can be subsequently tested using large group surveys and standard variance analytic methods. The purpose of a typology is not the creation of an exhaustive classification scheme but to find something in the material worthy of classification, and to provide some of the categories.34