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In Solidarity with International Women’s Day:
What difference did a woman make in your life today?
- One idea per Post-It -
Images by: @GoKateShoot
REIMAGINING GLOBAL PUBLIC HEALTH
March 8, 2017
Part 2: Need Gathering and Interviewing
Reprise: Framing and reframing
2
Concrete
Abstract
Observe and Notice
Frame and ReFrame
Imagine and Design
Experiment to Learn
Analysis (Why?)
Synthesis (How?)
Innovation Cycle
See the water
3
See the Water
A little exercise
Observation
Write a one-paragraph description of this photograph
Try to describe what you see in such a way that your readers will be able to visualize without having the picture before them
Observation
Read your descriptions to one another
As you listen, notice in what details your descriptions are similar or different
How can your differences be explained? How can we know what is correct and what is not?
How do you see the water?
1. Get out of your water.
2. Look more closely at the water and all that goes on in it.
3. Talk to other creatures that live in the water.
4. Perturb the water.
5. Chase down the old fish and ask him what he meant.
If I ask you to build me a bridge….
Goals/Outcomes
Desired Outcomes
Observation and interviewing
to see the water
4
Getting to WHY Ethnographic research starts with basic questions Then moves beyond the whats To understand the whys From actions to feelings People make sense Designing for use and usability addresses “what”. Innovation comes from understanding “why”
Ethnographic interviews are different…
An extended open-ended conversation exploring needs, emotions, and aspirations The interviewee does 90% of the talking The interview is more than data gathering. You must be ready to hear something new and be changed by it.
time
Wrap-Up
Kickoff Intro
Build Rapport
Reflection Grand Tour
Introduction
Rising Action
Climax Denouement
Michael Barry, Needfinding, Stanford University
Anatomy of an Interview
time
Wrap-Up
Kickoff Intro
Build Rapport
Reflection Grand Tour
Establish an interview partnership
Michael Barry, Needfinding, Stanford University
Anatomy of an Interview: Introduction
The informant may be confused as to exactly what is happening
Be direct — “Why don’t we sit down here?”, put them at ease
Find a good place for the interview — if possible arrange comfortable seating, adequate lighting, and a low noise - traffic location
Describe your purpose: “We’re going to explore how decisions get made in the Emergency Room.”
Outline the interview: “We’re going to spend the day with you. We’ll be watching how the organization works, and later ask you and your staff some questions”
Let them know that their knowledge is important: "I've never been a waiter. It looks pretty hard to keep all your customers happy. Can you help me understand how you do it”.
Michael Barry, Needfinding, Stanford University
Anatomy of an Interview: Introduction
time
Wrap-Up
Kickoff Intro
Build Rapport
Reflection Grand Tour
Shift the focus to them by having them introduce themselves and their lives
Michael Barry, Needfinding, Stanford University
Anatomy of an Interview: Kickoff
At the end of your introduction, make a clear transition over to them:
“So maybe the best place to start is to have you introduce yourselves and tell us a bit about the band…”
Clarify with lots of follow-up questions. This section helps to get the respondent talking and feeling at ease.
Michael Barry, Needfinding, Stanford University
Anatomy of an Interview: Kickoff
time
Wrap-Up
Kickoff Intro
Build Rapport
Reflection Grand Tour
Most of your time will be spent making a connection
Michael Barry, Needfinding, Stanford University
Anatomy of an Interview: Build Rapport
Informants may be defensive initially, providing only short answers “Oh you know...normal stuff. Just like everyone else. No big deal”. Be patient. Continue asking descriptive questions to build their confidence and trust. Reassure the informant that they are doing okay — “I don’t know...is this the kind of thing you want to know?” Tell them “Absolutely, exactly what we need”.
Michael Barry, Needfinding, Stanford University
Anatomy of an Interview: Build Rapport
time
Wrap-Up
Kickoff Intro
Build Rapport
Reflection Grand Tour
Explore the details of their world both physical and mental Look for critical issues and disconnects
Michael Barry, Needfinding, Stanford University
Anatomy of an Interview: Grand Tour
This may be a walk around a bedroom, factory, or mobile phone. There is incredible detail in the Grand Tour, including things you would never think to ask “Tell me about the picture in your battery door”. Ask your informant to act out interactions or open up hidden areas.
Michael Barry, Needfinding, Stanford University
Anatomy of an Interview: Grand Tour
Interview Questions (1 of 3)
28
• Sequence — “Walk me through a typical day… then what do you do next?”
• Specific Examples — “Let's take yesterday for example, where did you get your lunch?”
• Peer Comparison — “Do your colleagues share your lunch habits?”
• Other Viewpoint Comparison — “What would other moms think about that?”
• ProjecLon — “What do you think would happen if…”
Interview Questions (2 of 3)
29
• Naïve Outsider PerspecLve — “I’m not from Boston, tell me about this Dunkin’ Donuts thing.”
• QuanLty — “How many of your relaLves fall into that category?”
• Changes Over Time — “How are things different than they were a year ago?”
• Tasks and organizaLonal structures — “Can you draw me a diagram of your daily interacLons within school?”
• ReflecLng Back — “So, what I hear you saying is….. is that right?”
Interview Questions (3 of 3)
30
• SuggesLve Opinion — “Some people have very negaLve feelings about checking email during class, while others don't at all. What are your feelings about it?”
• NaLve Language — “Why do you call your office ‘the command post’?”
• ClarificaLon — “…and when you say ‘lunch is lunch,’ what do you mean exactly?”
• ExhausLve List — “What are all the places you like to eat lunch in average week?”
• Point to Their ReacLon — “Why do you roll your eyes when you say that?”
time
Wrap-Up
Kickoff Intro
Build Rapport
Reflection Grand Tour
Take a break and review what you have learned, then encourage personal insights and discussions of why
Michael Barry, Needfinding, Stanford University
Anatomy of an Interview: Reflection
After you have spent a good deal of time with the informant, he or she may be more able to offer up personal insights, describe their plans, dreams, passions, etc. It’s okay here to offer theories about the informant for their evaluation or to ask the informant to generate their own theories
Michael Barry, Needfinding, Stanford University
Anatomy of an Interview: Reflection
time
Wrap-Up
Kickoff Intro
Build Rapport
Reflection Grand Tour
Amazing things happen when the interview is over
Michael Barry, Needfinding, Stanford University
Anatomy of an Interview: Wrap-up
At the end of the allotted time, thank them and tell them how helpful they have been. Ask them for any final thoughts, or if they have any questions for you. The notion that the interview is over often jars loose a lot of comments, thoughts, and insights. Keep the camera/tape recorder rolling.
Michael Barry, Needfinding, Stanford University
Anatomy of an Interview: Wrap-up
Suppose you were to conduct an interview on
access to healthcare. What questions might you ask?
Please form groups of THREE and identify yourselves as persons A, B and C
Health Care Access Interview:
Ask – Learn about your partner’s health care access experiences. Get specific. Answer – Only what is comfortable Watch – Capture key insights and stories; observe the interview process
A B C
Round 1
Round 2
Round 3
Ask
Ask
Ask
Answer
Answer
Answer
Watch
Watch
Watch
Health Care Access Interview
Debrief Interview Techniques
§ What worked? • What didn’t work?
Capture the “story in”
5
Concrete
Abstract
Analysis Synthesis
Tell a new story
Figure out the story
Customer-focused Design Develops New Customer Stories
A glucose monitoring story: Oh, I always take it with me. Once on a date I put the stuff inside a silver cigarette case and stuck it in my back pocket. I went to a concert and at some point someone stole it. They must have liked the case! I even asked the performers to make an announcement, that I needed that stuff, but nobody returned anything. I ended up going to the emergency room at 3 am to get a new pack.
Generating Insights:
§ Share the stories you heard when you were “asking”, one minute per story.
§ As you listen to the other 4-5 stories from your teammates seek patterns and connections among stories
§ What common themes did you hear?
§ What insights do you have about health care access?
What can you do with “stories in”? Tell them….
Test them…
Translate them into “how might we?” questions:
– How can we…? (e.g., how can we make it easier to close the centrifuge?)
– How might we…? (e.g., how might we deliver this product through a direct sales channel?)
– In what ways might…? (e.g., in what ways might we provide more access points for our customers?)
– What might be all the …? (e.g., what might be all the ways we can increase perceived value to the customer?)
Maternal Health Care Access
6
“Pay attention to how [people] might like to interact with [you or solutions you are offering], and a remarkable change takes place. You can do more than simply satisfy their immediate needs. You might actually make [them] feel like heroes.” Maxim isn’t a sales person he’s a specialist!
https://vimeo.com/91008610 0 – 3:30
Births to Women Receiving Late or No Prenatal Care (2014) Source: National KIDS COUNT
How does this data tell a different story than what you heard today?
Feedback
Please take five minutes to help us improve by filling out this short survey: http://bit.ly/rx-survey Contact: → Rachel Dzombak: [email protected] → Robbie Snyder: [email protected]
What else can I do? ● Attend our next workshop on April 12th ● Visit reimaginingx.com for more resources