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Tytuł pozycji:

The mechanisms and processes of connection: developing a causal chain model capturing impacts of receiving recorded mental health recovery narratives.

Tytuł:
The mechanisms and processes of connection: developing a causal chain model capturing impacts of receiving recorded mental health recovery narratives.
Autorzy:
Ng F; School of Health Sciences, Institute of Mental Health, University of Nottingham, Nottingham, UK. .
Charles A; School of Health Sciences, Institute of Mental Health, University of Nottingham, Nottingham, UK.
Pollock K; School of Health Sciences, University of Nottingham, Nottingham, UK.
Rennick-Egglestone S; School of Health Sciences, Institute of Mental Health, University of Nottingham, Nottingham, UK.
Cuijpers P; Department of Clinical, Neuro & Developmental Psychology, Amsterdam Public Health Research Institute, Vrije Universiteit, Amsterdam, Netherlands.
Gillard S; Population Health Research Institute, St. George's University of London, London, UK.
van der Krieke L; University Medical Center Groningen, University Center of Psychiatry, University of Groningen, Groningen, Netherlands.
Bongaardt R; Department of Health, Social and Welfare Studies, Faculty of Health and Social Sciences, University of South-Eastern Norway, Porsgrunn, Norway.
Pomberth S; Nottinghamshire Healthcare NHS Foundation Trust, Nottingham, UK.
Repper J; Implementing Recovery for Organisational Change (ImROC), Nottingham, UK.
Roe J; National Institute for Health Research, ARC East Midlands, University of Nottingham, Nottingham, UK.
Llewellyn-Beardsley J; School of Health Sciences, Institute of Mental Health, University of Nottingham, Nottingham, UK.
Yeo C; School of Health Sciences, Institute of Mental Health, University of Nottingham, Nottingham, UK.
Hui A; School of Health Sciences, Institute of Mental Health, University of Nottingham, Nottingham, UK.
Hare-Duke L; School of Health Sciences, Institute of Mental Health, University of Nottingham, Nottingham, UK.
Manley D; Nottinghamshire Healthcare NHS Foundation Trust, Nottingham, UK.
Slade M; School of Health Sciences, Institute of Mental Health, University of Nottingham, Nottingham, UK.
Źródło:
BMC psychiatry [BMC Psychiatry] 2019 Dec 21; Vol. 19 (1), pp. 413. Date of Electronic Publication: 2019 Dec 21.
Typ publikacji:
Journal Article; Research Support, Non-U.S. Gov't
Język:
English
Imprint Name(s):
Original Publication: London : BioMed Central, [2001-
MeSH Terms:
Empirical Research*
Mental Health Recovery*/trends
Models, Psychological*
Mental Disorders/*psychology
Mental Disorders/*therapy
Narrative Medicine/*methods
Adolescent ; Adult ; Aged ; England/epidemiology ; Female ; Humans ; Male ; Mental Disorders/diagnosis ; Mental Health Services/trends ; Middle Aged ; Narration ; Narrative Medicine/trends ; Qualitative Research ; Social Stigma ; Young Adult
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Grant Information:
RP-PG-0615-20016 United Kingdom DH_ Department of Health
Contributed Indexing:
Keywords: Causal chain model; Connection; Mental health; Narrative; Qualitative; Recovery; Recovery narrative; Recovery story
Entry Date(s):
Date Created: 20191223 Date Completed: 20200616 Latest Revision: 20220129
Update Code:
20240105
PubMed Central ID:
PMC6925452
DOI:
10.1186/s12888-019-2405-z
PMID:
31864315
Czasopismo naukowe
Background: Mental health recovery narratives are a core component of recovery-oriented interventions such as peer support and anti-stigma campaigns. A substantial number of recorded recovery narratives are now publicly available online in different modalities and in published books. Whilst the benefits of telling one's story have been investigated, much less is known about how recorded narratives of differing modalities impact on recipients. A previous qualitative study identified connection to the narrator and/or to events in the narrative to be a core mechanism of change. The factors that influence how individuals connect with a recorded narrative are unknown. The aim of the current study was to characterise the immediate effects of receiving recovery narratives presented in a range of modalities (text, video and audio), by establishing the mechanisms of connection and the processes by which connection leads to outcomes.
Method: A study involving 40 mental health service users in England was conducted. Participants were presented with up to 10 randomly-selected recovery narratives and were interviewed on the immediate impact of each narrative. Thematic analysis was used to identify the mechanisms of connection and how connection leads to outcome.
Results: Receiving a recovery narrative led participants to reflect upon their own experiences or those of others, which then led to connection through three mechanisms: comparing oneself with the narrative and narrator; learning about other's experiences; and experiencing empathy. These mechanisms led to outcomes through three processes: the identification of change (through attending to narrative structure); the interpretation of change (through attending to narrative content); and the internalisation of interpretations.
Conclusions: This is the first study to identify mechanisms and processes of connection with recorded recovery narratives. The empirically-based causal chain model developed in this study describes the immediate effects on recipients. This model can inform selection of narratives for use in interventions, and be used to support peer support workers in recounting their own recovery narratives in ways which are maximally beneficial to others.
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