Qualitative Analyses

Data will be digitally recorded, transcribed verbatim, and managed in NVivo 11 (QSR International). Concepts that relate to the usability and value of the intervention will be coded [141] and reviewed by investigators to resolve differences and minimize biases [141]. Revisions to the interview guide and codebook will reflect emerging themes.

To reveal the ethical, legal, and social implications of the intervention, we will apply methods used successfully in previous research [142]. Following this, data will be re-examined using four bioethical concepts—relational autonomy, care, social justice, and privacy—to draw out the normative implications of the intervention which are sensitive to ethical issues common to at-home care for seniors [143]. A retroductive process will be used that involves moving between observations and concepts and allows the interplay between individuals’ lives and larger social and contextual forces to be understood [144,145]. The four concepts will not be used simply as containers to categorize data uncritically to aid in the social and ethical analysis of the data. Rigor will be maintained by keeping a reflexive journal and audit trail [141] and ensuring that the purpose of the research, theoretical assumptions, and method of data analysis are congruent [146].