Reflexive Content Analysis: An Approach to Qualitative Data Analysis, Reduction, and Description

Abstract

Content analysis, initially a quantitative technique for identifying patterns in qualitative data, has evolved into a widely used qualitative method. However, this evolution has resulted in a confusing array of differing qualitative content analysis approaches that lack clear distinction from other methods. To address these issues, this paper introduces reflexive content analysis, a transtheoretical and flexible researcher-oriented method for the description and reduction of manifest qualitative data. RCA is used to identify patterns in the overt surface meanings of qualitative data through the use of a hierarchical structure of quantifiable analytical strata called codes, subcategories, and categories. Each stratum exists on a continuum of abstraction with codes being the closest to the original data and categories being the most abstract. During each stage of the RCA process, reflexivity is regarded as a valuable analytical resource that is crucial for ensuring adequate description of the data. RCA is intended to be used as method for data analysis, not a methodology, and therefore can be integrated with various methodological and epistemological approaches. This paper provides an introductory guide to conducting RCA. It first presents an overview of existing challenges in qualitative content analysis methods, followed by a rationale for the development of RCA. Then, the foundational principles of RCA and key concepts that support this method are discussed. The paper culminates by outlining the process for conducting an inductive RCA within a qualitative framework, using a previous application of this method as a reference point.