Using machine‐assisted topic analysis to expedite thematic analysis of free‐text data: Exemplar investigation of factors influencing health behaviours and wellbeing during the COVID‐19 pandemic

Ward, Emma, Naughton, Felix, Belderson, Pippa, Papakonstantinou, Trisevgeni, Ainsworth, Ben, Hanson, Sarah, Notley, Caitlin and Bondaronek, Paulina (2025) Using machine‐assisted topic analysis to expedite thematic analysis of free‐text data: Exemplar investigation of factors influencing health behaviours and wellbeing during the COVID‐19 pandemic. British Journal of Health Psychology, 30 (3). ISSN 1359-107X

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Abstract

Objectives: Investigate the use of machine learning to expedite thematic analysis of qualitative data concerning factors that influenced health behaviours and wellbeing during the COVID-19 pandemic. Design: Qualitative investigation using Machine-Assisted Topic Analysis (MATA) of free-text data collected from a prospective cohort. Methods: Free-text survey data (2177 responses from 762 participants) of influences on health behaviours and wellbeing were collected among UK participants recruited online, using Qualtrics at 3, 6, 12 and 24 months after the COVID-19 pandemic started. MATA, which employs structural topic modelling (STM), was used (in R) to discern latent topics within the responses. Two researchers independently labelled topics and collaboratively organized them into themes, with ‘sense checking’ from two additional researchers. Plots and rankings were generated, showing change in topic prevalence by time. Total researcher time to complete analysis was collated. Results: Fifteen STM-generated topics were labelled and integrated into six themes: the influences of and impacts on (1) health behaviours, (2) physical health (3) mood and (4) how these interacted, partly moderated by (5) external influences of control and (6) reflections on wellbeing and personal growth. Topic prevalence varied meaningfully over time, aligning with changes in the pandemic context. Themes were generated (excluding write-up) with 20 h combined researcher time. Conclusions: MATA shows promise as a resource-saving method for thematic analysis of large qualitative datasets whilst maintaining researcher control and insight. Findings show the interconnection between health behaviours, physical health and wellbeing over the pandemic, and the influence of control and reflective processes.

Item Type: Article
Additional Information: Thanks to the University of East Anglia Qualitative Research Forum for facilitating discussion and helping to further our thinking on this important topic. We sincerely thank all research participants for their commitment to completing surveys and for sharing their perspectives.
Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
Faculty of Medicine and Health Sciences > School of Health Sciences
UEA Research Groups: Faculty of Medicine and Health Sciences > Research Centres > Public Health
Faculty of Social Sciences > Research Centres > Centre for Research on Children and Families
Faculty of Medicine and Health Sciences > Research Centres > Norwich Institute for Healthy Aging
Faculty of Medicine and Health Sciences > Research Groups > Behavioural and Implementation Science
Faculty of Medicine and Health Sciences > Research Groups > Health Promotion
Faculty of Social Sciences > Research Groups > Child Protection & Family Support
Faculty of Medicine and Health Sciences > Research Groups > Nutrition and Preventive Medicine
Faculty of Medicine and Health Sciences > Research Groups > Epidemiology and Public Health
Faculty of Medicine and Health Sciences > Research Groups > Public Health and Health Services Research (former - to 2023)
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Depositing User: LivePure Connector
Date Deposited: 12 Sep 2025 14:30
Last Modified: 14 Sep 2025 06:30
URI: https://ueaeprints.uea.ac.uk/id/eprint/100400
DOI: 10.1111/bjhp.70017

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