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Palmer VJ, Wheeler AJ, Jazayeri D, Gulliver A, Hegarty K, Moorhouse J, Orcher P, Banfield M. Lost in translation: a narrative review and synthesis of the published international literature on mental health research and translation priorities (2011-2023). J Ment Health 2024:1-17. [PMID: 38536149 DOI: 10.1080/09638237.2024.2332808] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2023] [Accepted: 01/04/2024] [Indexed: 05/03/2024]
Abstract
BACKGROUND Priority setting in mental health research is arguably lost in translation. Decades of effort has led to persistent repetition in what the research priorities of people with lived-experience of mental ill-health are. AIM This was a narrative review and synthesis of published literature reporting mental health research priorities (2011-2023). METHODS A narrative framework was established with the questions: (1) who has been involved in priority setting? With whom have priorities been set? Which priorities have been established and for whom? What progress has been made? And, whose priorities are being progressed? RESULTS Seven papers were identified. Two were Australian, one Welsh, one English, one was from Chile and another Brazilian and one reported on a European exercise across 28 countries (ROAMER). Hundreds of priorities were listed in all exercises. Prioritisation mostly occured from survey rankings and/or workshops (using dots, or post-it note voting). Most were dominated by clinicians, academics and government rather than people with lived-experience of mental ill-health and carer, family and kinship group members. CONCLUSION One lived-experience research led survey was identified. Few studies reported lived-experience design and development involvement. Five of the seven papers reported responses, but no further progress on priorities being met was reported.
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Affiliation(s)
- Victoria J Palmer
- The ALIVE National Centre for Mental Health Research Translation, The University of Melbourne, Griffith University, The Australian National University, Carlton, Australia
- The Department of General Practice and Primary Care, Melbourne Medical School, The University of Melbourne, Melbourne, Australia
| | - Amanda J Wheeler
- The ALIVE National Centre for Mental Health Research Translation, The University of Melbourne, Griffith University, The Australian National University, Carlton, Australia
- Centre for Mental Health, Griffith University, Brisbane, Australia
- Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand
| | - Dana Jazayeri
- The ALIVE National Centre for Mental Health Research Translation, The University of Melbourne, Griffith University, The Australian National University, Carlton, Australia
| | - Amelia Gulliver
- The ALIVE National Centre for Mental Health Research Translation, The University of Melbourne, Griffith University, The Australian National University, Carlton, Australia
- Centre for Mental Health Research, National Centre for Epidemiology and Population Health, College of Health and Medicine, The Australian National University, Canberra, Australia
| | - Kelsey Hegarty
- The ALIVE National Centre for Mental Health Research Translation, The University of Melbourne, Griffith University, The Australian National University, Carlton, Australia
- The Department of General Practice and Primary Care, Melbourne Medical School, The University of Melbourne, Melbourne, Australia
- The Royal Women's Hospital, Melbourne, Australia
| | - Joshua Moorhouse
- The ALIVE National Centre for Mental Health Research Translation, The University of Melbourne, Griffith University, The Australian National University, Carlton, Australia
| | - Phillip Orcher
- The ALIVE National Centre for Mental Health Research Translation, The University of Melbourne, Griffith University, The Australian National University, Carlton, Australia
| | - Michelle Banfield
- The ALIVE National Centre for Mental Health Research Translation, The University of Melbourne, Griffith University, The Australian National University, Carlton, Australia
- Centre for Mental Health Research, National Centre for Epidemiology and Population Health, College of Health and Medicine, The Australian National University, Canberra, Australia
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Deering K, Brimblecombe N, Matonhodze JC, Nolan F, Collins DA, Renwick L. Methodological procedures for priority setting mental health research: a systematic review summarising the methods, designs and frameworks involved with priority setting. Health Res Policy Syst 2023; 21:64. [PMID: 37365647 DOI: 10.1186/s12961-023-01003-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2022] [Accepted: 05/18/2023] [Indexed: 06/28/2023] Open
Abstract
BACKGROUND Research priority setting aims to identify research gaps within particular health fields. Given the global burden of mental illness and underfunding of mental health research compared to other health topics, knowledge of methodological procedures may raise the quality of priority setting to identify research with value and impact. However, to date there has been no comprehensive review on the approaches adopted with priority setting projects that identify mental health research, despite viewed as essential knowledge to address research gaps. Hence, the paper presents a summary of the methods, designs, and existing frameworks that can be adopted for prioritising mental health research to inform future prioritising projects. METHOD A systematic review of electronic databases located prioritisation literature, while a critical interpretive synthesis was adopted whereby the appraisal of methodological procedures was integrated into the synthesis of the findings. The synthesis was shaped using the good practice checklist for priority setting by Viergever and colleagues drawing on their following categories to identify and appraise methodological procedures: (1) Comprehensive Approach-frameworks/designs guiding the entire priority setting; (2) Inclusiveness -participation methods to aid the equal contribution of stakeholders; (3) Information Gathering-data collecting methods to identify research gaps, and (4) Deciding Priorities-methods to finalise priorities. RESULTS In total 903 papers were located with 889 papers removed as either duplicates or not meeting the inclusion and exclusion criteria. 14 papers were identified, describing 13 separate priority setting projects. Participatory approaches were the dominant method adopted but existing prioritisation frameworks were modified with little explanation regarding the rationale, processes for adaptation and theoretical foundation. Processes were predominately researcher led, although with some patient involvement. Surveys and consensus building methods gathered information while ranking systems and thematic analysis tend to generate finalised priorities. However, limited evidence found about transforming priorities into actual research projects and few described plans for implementation to promote translation into user-informed research. CONCLUSION Prioritisation projects may benefit from justifying the methodological approaches taken to identify mental health research, stating reasons for adapting frameworks alongside reasons for adopting particular methods, while finalised priorities should be worded in such a way as to facilitate their easy translation into research projects.
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Affiliation(s)
- Kris Deering
- University of Exeter Medical School, St Luke's Campus, 79 Heavitree Rd, Exeter, EX1 2LT, United Kingdom.
| | - Neil Brimblecombe
- London South Bank University, 103 Borough Road, London, SE1 0AA, United Kingdom
| | - Jane C Matonhodze
- University of Greenwich, Avery Hill Campus, Southwood Site, Avery Hill Road, London, SE9 2UG, United Kingdom
| | - Fiona Nolan
- Anglia Ruskin University, Chelmsford Campus Bishop Hall Lane, Chelmsford, CM1 1SQ, United Kingdom
| | - Daniela A Collins
- London South Bank University, 103 Borough Road, London, SE1 0AA, United Kingdom
| | - Laoise Renwick
- The University of Manchester, Oxford Rd, Manchester, M13 9PL, United Kingdom
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Baumann LA, Brütt AL. Comparing an in-person workshop and a postal Delphi survey for involving health service users in health care and health research prioritization. Health Expect 2022; 26:199-212. [PMID: 36346143 PMCID: PMC9854299 DOI: 10.1111/hex.13646] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2022] [Revised: 09/13/2022] [Accepted: 10/19/2022] [Indexed: 11/11/2022] Open
Abstract
INTRODUCTION To involve health service users in health care and health research priority setting, different methods exist. Which method is most suitable under which circumstances is unknown. We compared a postal Delphi survey and an in-person workshop to involve health service users in priority settings for rehabilitative care and research in Germany. METHODS One hundred and eighty-four former rehabilitants were randomly assigned to a postal Delphi survey (n = 152) or an in-person workshop (n = 32). Two hundred and seventy-six employees in rehabilitation were also invited to the Delphi Survey. The methodological comparison refers only to the sample of rehabilitants. Within each method, the participants agreed on the top 10 priorities for practice improvement and research in rehabilitative care. The priorities were compared descriptively. Participants' satisfaction was measured with the Public and Patient Engagement Evaluation Tool. The usability of both methods was compared based on the effort, time and material costs required for implementation. RESULTS Seventy-five former rehabilitants and 41 employees in rehabilitation completed both Delphi survey rounds. Eleven former rehabilitants participated in the in-person workshop. Priorities for practice improvement showed a high degree of overlap between both methods whereas research priorities differed greatly. Participants of the in-person workshop felt significantly better prepared, more listened to and more likely to feel that different views on the topics were discussed. Participants of the Delphi survey expressed difficulties in understanding all survey questions. The Delphi survey was more elaborate in preparation and implementation but caused lower material costs. CONCLUSION The differences in research priorities between the two methods could be due to the different samples, differences in the individual interests of participants or differences in the prioritization process. In-person workshops seem to be more appropriate for complex topics, where clarifications of questions and deeper discussions are needed. Delphi surveys seem to be more suitable for easily understandable topics, larger sample sizes and when fewer financial resources are available. PATIENT OR PUBLIC CONTRIBUTION The different study phases were supported by employees in rehabilitation and former rehabilitants (e.g., developing study documents, and interpreting results).
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Affiliation(s)
- Lisa Ann Baumann
- Department of Health Services ResearchCarl von Ossietzky University of OldenburgOldenburgGermany
| | - Anna L. Brütt
- Department of Health Services ResearchCarl von Ossietzky University of OldenburgOldenburgGermany
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Yamaguchi S, Abe M, Kawaguchi T, Igarashi M, Shiozawa T, Ogawa M, Yasuma N, Sato S, Miyamoto Y, Fujii C. Multiple stakeholders' perspectives on patient and public involvement in community mental health services research: A qualitative analysis. Health Expect 2022; 25:1844-1860. [PMID: 35657162 PMCID: PMC9327805 DOI: 10.1111/hex.13529] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2021] [Revised: 04/19/2022] [Accepted: 05/10/2022] [Indexed: 11/29/2022] Open
Abstract
Background Patient and public involvement (PPI) has become essential in health research. However, little is known about multiple stakeholders' perspectives on the implementation of PPI in community mental health research settings. The present study aimed to qualitatively analyse multiple stakeholders' views on PPI, including potential concerns, barriers and approaches. Methods This study involved conducting focus group interviews and collecting qualitative data from 37 participants in multiple stakeholder groups (patients = 6, caregivers = 5, service providers = 7, government staff = 5 and researchers = 14) in the community mental health field. The data were qualitatively analysed using a data‐driven approach that derived domains, themes and subthemes related to perspectives on PPI and to specific challenges and approaches for implementing PPI. Results The qualitative analysis identified four domains. The ‘Positive views and expectations regarding PPI’ domain consisted of themes related to supportive views of PPI in a mental health service research setting and improvements in the quality of research and service. The ‘General concerns about PPI’ domain included themes concerning the need for non‐PPI research and tokenism, excessive expectations concerning social changes and use of evidence from PPI research, and heavy burdens resulting from PPI. The ‘Specific issues regarding the implementation of PPI’ domain consisted of four themes, including academic systems, selection methods (e.g., representativeness and conflict of interest issues), relationship building, and ambiguous PPI criteria. In particular, all stakeholder groups expressed concerns about relational equality during PPI implementation in Japan. The ‘Approaches to PPI implementation’ domain included themes such as facilitating mutual understanding, creating a tolerant atmosphere, establishing PPI support systems (e.g., training, ethics and human resource matching) and empowering patient organizations. Conclusion The study replicated most of the barriers and approaches to PPI reported by qualitative research in Western counties. However, utilization of evidence produced by PPI research and partnership in the PPI process may be particularly serious issues in Japan. Future PPI studies should carefully address solutions that fit each culture. Patient or Public Contribution A patient‐researcher was involved in all stages of this project, from development of the research topic and the protocol to manuscript preparation.
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Affiliation(s)
- Sosei Yamaguchi
- Department of Community Mental Health and Law, National Institute of Mental Health, National Center of Neurology and Psychiatry, Kodaira, Tokyo, Japan
| | - Makiko Abe
- Department of Community Mental Health and Law, National Institute of Mental Health, National Center of Neurology and Psychiatry, Kodaira, Tokyo, Japan
| | - Takayuki Kawaguchi
- Department of Community Mental Health and Law, National Institute of Mental Health, National Center of Neurology and Psychiatry, Kodaira, Tokyo, Japan
| | - Momoka Igarashi
- Department of Community Mental Health and Law, National Institute of Mental Health, National Center of Neurology and Psychiatry, Kodaira, Tokyo, Japan
| | - Takuma Shiozawa
- Department of Community Mental Health and Law, National Institute of Mental Health, National Center of Neurology and Psychiatry, Kodaira, Tokyo, Japan
| | - Makoto Ogawa
- Department of Community Mental Health and Law, National Institute of Mental Health, National Center of Neurology and Psychiatry, Kodaira, Tokyo, Japan
| | - Naonori Yasuma
- Department of Community Mental Health and Law, National Institute of Mental Health, National Center of Neurology and Psychiatry, Kodaira, Tokyo, Japan
| | - Sayaka Sato
- Department of Community Mental Health and Law, National Institute of Mental Health, National Center of Neurology and Psychiatry, Kodaira, Tokyo, Japan
| | - Yuki Miyamoto
- Department of Psychiatric Nursing, Graduate School of Medicine, The University of Tokyo, Bunkyo, Tokyo, Japan
| | - Chiyo Fujii
- Department of Community Mental Health and Law, National Institute of Mental Health, National Center of Neurology and Psychiatry, Kodaira, Tokyo, Japan
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Mental Health Peer Worker Perspectives on Resources Developed from Lived Experience Research Findings: A Delphi Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19073881. [PMID: 35409560 PMCID: PMC8998053 DOI: 10.3390/ijerph19073881] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 01/23/2022] [Revised: 03/22/2022] [Accepted: 03/23/2022] [Indexed: 02/05/2023]
Abstract
Lived experience research is potentially useful for assisting the recovery journeys of people experiencing mental health challenges, when presented in user-friendly formats. Consumer peer workers are ideally placed to introduce such resources to the people they work with. This study sought to explore the perspectives of expert consumer peer workers on the potential use of lived experience research resources in peer work practice. In particular: (1) what research topics would be most useful; and (2) what considerations are important for developing user-friendly and useful resources using findings from this research. A hybrid Delphi study was conducted. Eighteen expert peer workers participated in online group interviews, which included a semi-structured discussion and modified nominal group technique. These were followed by two rounds of surveys, which focused on prioritising the identified topics. Participants identified 47 topics suitable for lived experience research resources, 42 of which reached consensus as useful for consumers. A priority list of topics for use in peer work was identified through examination and grouping of peer worker rankings of the usefulness of resources for their work with consumers. The highest priority topics were as follows: developing and maintaining social networks; how peer workers can support consumers in their recovery journey; having choice with medications and participating in the decision-making process; and knowing your rights and responsibilities. Participants noted, however, that the usefulness of each topic ultimately depended on individual consumer's needs. They highlighted that a variety of formats and presentation were required to reach diverse consumer groups.
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Lignou S, Singh I. Pharmaceutical industry, academia and people with experience of mental illness as partners in research: a need for ethical guidance. Wellcome Open Res 2021. [DOI: 10.12688/wellcomeopenres.16166.2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Background: Several social and policy developments have led to research partnerships in mental health research, which depart from traditional research models. One form of such partnerships is among Research institutions, Industry (pharmaceutical and biotech) and People with lived experience of mental illness (RIPs) in the NIHR services. There are several benefits but also challenges in such partnerships. An ethics-based approach to anticipating and addressing such problems is lacking. Given the expansion of RIPs in treatment development for mental health illness, guidance to support ethical and effective collaborations in NIHR-funded mental health research is essential. Methods: To develop a moral framework for evaluating the ethics of RIPs, we systematically searched PubMed for peer-reviewed literature discussing good practices in research partnerships. Searches were also conducted in websites of known organizations supporting patient engagement with industry in mental health research and in the references of short-listed articles. Following application of exclusion criteria, remaining articles were critically examined and summarised to synthesise principles for ethical RIPs and inform clear guidance and practices. Results: Critical analysis and synthesis of the short-listed articles highlighted the need for two sets of principles to guide ethical RIPs: principles for (a) RIPs as a trustworthy enterprise and (b) fair RIPs. We discuss the application of these principles in problem-solving strategies that can support best practice in establishing fair and effective research partnerships among research institutions, industry and people with lived experience of mental illness in the NIHR services. Conclusions: Ethical guidance is needed to prevent and address challenges in RIPs and to promote the scientific and social benefits of these new research partnership models in mental health research in the NIHR services. We show how the proposed moral framework can guide research partners in designing, sustaining and assessing ethical and effective mental health research collaborations.
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Abayomi JC, Charnley MS, Cassidy L, Mccann MT, Jones J, Wright M, Newson LM. A patient and public involvement investigation into healthy eating and weight management advice during pregnancy. Int J Qual Health Care 2020; 32:28-34. [PMID: 32022232 DOI: 10.1093/intqhc/mzz081] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2018] [Revised: 05/03/2019] [Accepted: 05/13/2019] [Indexed: 12/17/2022] Open
Abstract
OBJECTIVE To conduct patient and public involvement (PPI) to gain insight into the experience of healthy eating and weight management advice during pregnancy. DESIGN PPI in the planning and development of health interventions, aiming to ensure patient-centred care. Optimum nutrition and weight management are vital for successful pregnancy outcomes, yet many services report poor attendance and engagement. SETTING Community venues in Liverpool and Ulster (UK). PARTICIPANTS Two PPI representatives were involved in all aspects of the study: design, interview questions, recruitment and collection/analysis of feedback. INTERVENTION Feedback was collected via note taking during group discussions, two in Liverpool (n = 10 & 5); two in Ulster (n = 7 & 9) and an interview (n = 1, in Ulster). MAIN OUTCOME MEASURES Transcript data were collated and thematic analysis was applied in analysis. RESULTS Thematic analysis identified three themes: (i) weight gain is inevitable in pregnancy; (ii) healthy eating advice is important but currently lacks consistency and depth and (iii) expectations regarding the type of knowledge/support. CONCLUSIONS PPI provides opportunity to enhance research design and offers valuable insight towards the needs of healthcare users. Pregnant women want positive health messages, with a focus on what they can/should do, rather than what they should not do. Midwives need to consider their communication with pregnant women, to ensure that their unique relationship is maintained, especially when the topics of diet and weight management are addressed. A well-designed digital intervention could improve access to pregnancy-specific nutrition information; empowering midwives to communicate patient-centred, healthy eating messages with confidence. This has the potential to change dietary and weight management behaviour in pregnant women.
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Affiliation(s)
- J C Abayomi
- Applied Health & Social Care, Faculty of Health, Social Care & Medicine, Edge Hill University, St Helen's Road, Ormskirk, Lancashire L39 4QP
| | - M S Charnley
- Applied Health & Social Care, Faculty of Health, Social Care & Medicine, Edge Hill University, St Helen's Road, Ormskirk, Lancashire L39 4QP
| | - L Cassidy
- Ulster University, Cromore Road, Coleraine BT52 1SA Northern Ireland, UK
| | - M T Mccann
- Ulster University, Cromore Road, Coleraine BT52 1SA Northern Ireland, UK
| | - J Jones
- Liverpool Women's Hospital, Crown Street, Liverpool L8 7SS, UK
| | - M Wright
- Liverpool Women's Hospital, Crown Street, Liverpool L8 7SS, UK
| | - L M Newson
- Faculty of Science, Byrom Street, Liverpool L3 3AF, UK
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Lignou S, Singh I. Pharmaceutical industry, academia and people with experience of mental illness as partners in research: a need for ethical guidance. Wellcome Open Res 2020. [DOI: 10.12688/wellcomeopenres.16166.1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Background: Several social and policy developments have led to research partnerships in mental health research, which depart from traditional research models. One form of such partnerships is among research institutions, industry (pharmaceutical and biotech) and people with lived experience of mental illness (RIPs). There are several benefits but also ethical challenges in RIPs. An ethics-based approach to anticipating and addressing such ethical issues in mental health research is lacking. Given the expansion of RIPs in treatment development for mental health illness, guidance to support ethical and trustworthy collaborative mental health research projects is essential. Methods: To develop a moral framework for evaluating the ethics of RIPs, we systematically searched PubMed for peer-reviewed literature discussing good practices in research partnerships. Searches were also conducted in websites of known organizations supporting patient engagement with industry in mental health research and in the references of short-listed articles. Following application of exclusion criteria, remaining articles were critically examined and summarised to synthesise principles for ethically acceptable RIPs and inform clear guidance and practices. Results: Critical analysis and synthesis of the short-listed articles highlighted the need for two sets of principles to guide ethical RIPs: principles for (a) RIPs as a trustworthy enterprise (e.g. public accountability, transparency) and (b) fair RIPs (e.g. effective governance, respect). We discuss the application of these principles in problem-solving strategies that can support best practice in establishing fair and successful mental health research partnerships among research institutions, industry and people with lived experience of mental illness. Conclusions: Ethical guidance is needed to prevent and address challenges in RIPs and to promote the scientific and social benefits of these new research partnership models in mental health research. We show how the proposed moral framework can guide research partners in designing, sustaining and assessing ethical and trustworthy collaborative mental health research projects.
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Levelink M, Voigt-Barbarowicz M, Brütt AL. Priorities of patients, caregivers and health-care professionals for health research - A systematic review. Health Expect 2020; 23:992-1006. [PMID: 32643854 PMCID: PMC7696132 DOI: 10.1111/hex.13090] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2019] [Revised: 04/30/2020] [Accepted: 05/03/2020] [Indexed: 12/21/2022] Open
Abstract
Background Based on subjective experience, patients can identify research priorities important for health services research. A systematic method for priority setting has been developed by the James Lind Alliance. Objective This article reviews the literature on the research priorities of patients, caregivers and health‐care professionals and presents the prioritized research themes and prioritization methods used. Search strategy Three electronic databases were searched on 22 May 2018. The search was not limited to any time period or language. Inclusion criteria The included studies reported the identification and prioritization of research priorities involving patients, relatives and caregivers. Each included paper addressed a specific ICD‐coded health problem, and at least one‐third of the sample involved in the prioritization process was affected by the health problem. Data extraction and synthesis The 10 top‐ranked research priorities were included in the thematic analysis. With an inductive approach, a system of identified themes and subthemes was developed from the research priorities. Each research priority was assigned to one research theme. Main results The priority lists of 34 publications involving 331 research priorities were included. Nine main themes represent the content of the research priorities. The most frequently represented main themes are ‘Treatment’, ‘Patients’ and ‘Health condition’. The distribution of the research priorities varied depending on the health conditions and prioritization methods. Discussion and conclusions This review provides a comprehensive overview of the overarching research themes in research priorities of affected individuals. The results can guide future patient‐oriented research.
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Affiliation(s)
- Michael Levelink
- Department of Health Services Research, School of Medicine and Health Sciences, Carl von Ossietzky University Oldenburg, Oldenburg, Germany
| | - Mona Voigt-Barbarowicz
- Department of Health Services Research, School of Medicine and Health Sciences, Carl von Ossietzky University Oldenburg, Oldenburg, Germany
| | - Anna Levke Brütt
- Department of Health Services Research, School of Medicine and Health Sciences, Carl von Ossietzky University Oldenburg, Oldenburg, Germany
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Evans J, Papoulias S(C. Between funder requirements and 'jobbing scientists': the evolution of patient and public involvement in a mental health biomedical research centre - a qualitative study. RESEARCH INVOLVEMENT AND ENGAGEMENT 2020; 6:12. [PMID: 32322407 PMCID: PMC7164170 DOI: 10.1186/s40900-020-00185-7] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/03/2019] [Accepted: 03/24/2020] [Indexed: 05/16/2023]
Abstract
BACKGROUND In the UK, there has been a strong drive towards patient and public involvement (PPI) in health research. Its benefits include improvements in the quality, relevance and acceptability of research, and empowerment, self-respect and value for service users. Organisational context can significantly influence the operationalisation of PPI. Research has highlighted power asymmetries between clinicians, researchers and service users. A resistance to power sharing, tokenism and assimilation into the existing culture suggest that a consultative, technocratic form of PPI is operating within health research settings. The aim of the study was to explore the development of PPI within a London based mental health biomedical research centre (BRC) over a period of 10 years from its inception. METHODS This qualitative study compared data from 52 organisational documents and 16 semi-structured interviews with staff and service users associated with PPI within the Maudsley BRC. The data were analysed using inductive thematic analysis. Study design, data collection, analysis and write up were conducted by service user researchers. RESULTS Our analysis showed a picture of increasing activity and acceptance of PPI, its alignment with the broader BRC research agenda, progressive involvement of service users in governance, and the development of a collaborative culture in research processes. The presence of salaried service user researchers in the organisation was key to this progress. However, PPI remained localised and under resourced and there was a reluctance to change working practices which resulted in perceptions of tokenism. Service users faced conflicting expectations and were expected to assimilate rather than challenge the organisation's 'biomedical agenda'. CONCLUSIONS Service user researchers may play a key role in establishing PPI in a scientific, hierarchical research environment. Adoption of a more democratic approach to involvement would build on the good work already being done and help to transform the culture and research processes. However, such an adoption requires considerable changes to the funding and policy environment orienting health research.
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Affiliation(s)
- Joanne Evans
- Department of Psychology, King’s College London, London, SE5 8AF UK
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Caldeira S, Romeiro J, Martins H, Casaleiro T. The therapeutic dimension of research about spirituality: Particularities of cancer, mental health and infertility. Nurs Forum 2019; 54:488-491. [PMID: 31152458 DOI: 10.1111/nuf.12356] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2019] [Revised: 04/11/2019] [Accepted: 05/12/2019] [Indexed: 11/28/2022]
Abstract
Healthcare is moving from a biomedical paradigm into a holistic paradigm, which includes all dimensions and needs of patients and families. Health conditions may trigger a spiritual journey for believers or non-believers bringing to light the nature of the human being and its vulnerable condition. Healthcare professionals are full participants in this life and health scenario and have an unquestionable duty related to the provision of spiritual care, on the basis of legislation, ethical codes, and on research evidence. Researchers are seizing better and broader knowledge about spirituality in healthcare, and research about this phenomenon is growing internationally. But, spirituality is considered complex, an area of intimacy and deep subjective meaning. These factors may raise some ethical concerns when submitting research projects to the ethics committees. In this paper, the authors share their experience in research about spirituality in the beginning of life issues/infertility and with adults with severe health conditions, and describe participants' perspectives on research engagement.
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Affiliation(s)
- Sílvia Caldeira
- Centre for Interdisciplinary Research in Health, Institute of Health Sciences, Universidade Católica Portuguesa, Lisbon, Portugal
| | - Joana Romeiro
- Centre for Interdisciplinary Research in Health, Institute of Health Sciences, Universidade Católica Portuguesa, Lisbon, Portugal
| | - Helga Martins
- Institute of Health Sciences, Universidade Católica Portuguesa, Lisbon, Portugal
| | - Tiago Casaleiro
- Institute of Health Sciences, Universidade Católica Portuguesa, Lisbon, Portugal
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Wadman R, Williams AJ, Brown K, Nielsen E. Supported and valued? A survey of early career researchers' experiences and perceptions of youth and adult involvement in mental health, self-harm and suicide research. RESEARCH INVOLVEMENT AND ENGAGEMENT 2019; 5:16. [PMID: 31164992 PMCID: PMC6489170 DOI: 10.1186/s40900-019-0149-z] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/02/2018] [Accepted: 04/09/2019] [Indexed: 05/26/2023]
Abstract
BACKGROUND Patient and public involvement (PPI) in mental health research, including self-harm and suicide research, is desirable (as with other health topics) but may involve specific challenges given the perceived sensitivity of the topic. This is particularly so when involving young people. We explore the experiences and perceptions of Early Career Researchers (ECRs) undertaking youth and adult involvement work in mental health, self-harm and/or suicide research. We consider current practice, barriers and facilitators. METHODS An online survey of a convenience sample of ECRs (N = 41) undertaking research on mental health, self-harm and/or suicide. Questions examined the perceived value of involvement work, involvement methods used, funding availability and the extent to which researchers felt knowledgeable, supported and confident in their involvement activities. Descriptive statistics are presented with appropriate tests. Open-ended questions, related to barriers and facilitators for involvement work, were subjected to an inductive thematic analysis. RESULTS Youth and adult involvement work were valued to a similar extent, though institutions were reported to value youth involvement to a lesser extent. Researchers' knowledge, confidence and support ratings were comparable for youth and adult involvement. The involvement methods used with young people and adults were also similar, with analysing data being the least popular method used and developing resources (e.g. information sheets) being the most popular method used. Less than a third of participants reported that funding was available for their research involvement activities. Barriers to involvement in research on mental health, self-harm and suicide were: ethical issues and perceived risk; real costs (in terms of money/time) versus perceived value; and the challenge of recruiting people. Facilitators to involvement work were: expert examples, expertise and guidelines; and investment in involvement work. CONCLUSIONS ECRs in the fields of mental health, self-harm and suicide are engaged in youth and adult involvement work. They value (find worthwhile) youth and adult involvement work to a similarly high extent, but feel their institutions may regard youth involvement slightly less highly than adult involvement. ECRs rate themselves as feeling similarly knowledgeable, confident and supported when doing involvement activities with both age groups. Nonetheless, significant barriers to involvement work on these topics are reported and are generally issues that need to be tackled at an institutional level (ethical/governance issues and lack of funding).
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Affiliation(s)
- Ruth Wadman
- Department of Health Sciences, The University of York, York, UK
| | - A. Jess Williams
- Institute for Mental Health, School of Psychology, University of Birmingham, Birmingham, UK
| | - Katherine Brown
- Self-Harm Research Group, School of Psychology, The University of Nottingham, Nottingham, UK
| | - Emma Nielsen
- Self-Harm Research Group, School of Psychology, The University of Nottingham, Nottingham, UK
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13
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Banfield MA, Morse AR, Gulliver A, Griffiths KM. Mental health research priorities in Australia: a consumer and carer agenda. Health Res Policy Syst 2018; 16:119. [PMID: 30541546 PMCID: PMC6292010 DOI: 10.1186/s12961-018-0395-9] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2018] [Accepted: 11/20/2018] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The perspectives of mental health consumers and carers are increasingly recognised as important to the development and conduct of research. However, research directions are still most commonly developed without consumer and carer input. This project aimed to establish priorities for mental health research driven by the views of consumers and carers in Australia. METHOD The project was conducted in two studies. Firstly, a face-to-face discussion forum held in the Australian Capital Territory (Study 1; n = 25), followed by a national online survey (Study 2; n = 70). Participants in both studies were members of the community who identified as a mental health consumer, carer or both. In Study 1, participants developed topics for mental health research in small group discussions, then voted on which topics, developed across all groups and sorted into thematic areas, were a priority. An online survey was developed from these research topics. Study 2 participants were asked to rate topics on a 5-point priority scale and rank the relative importance of the highest-rated topics. RESULTS At the forum, 79 topics were generated and grouped into 14 thematic areas. Votes on priorities were spread across a large number of topics, with the greatest overall support for research relating to integrating care that is sensitive to past experiences of trauma into mental health service delivery (trauma-informed care). Survey responses were similarly spread, with the majority of research topics rated as important by at least 50% of participants and no clear individual priorities for research identified. Amongst items rated as important by approximately 80% of participants, key research areas included the delivery of services, and consumer and carer involvement. CONCLUSIONS Australian mental health consumers and carers demonstrate a strong understanding of the mental health system and its inadequacies. Although clear specific priorities are difficult to establish, consistent areas of focus are services and the role consumers and carers can play in their improvement. However, for consumer and carer views to be at the forefront of research, it is important to regularly update research agendas and work in partnership across the whole research process.
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Affiliation(s)
- Michelle A Banfield
- Centre for Mental Health Research, The Australian National University, 63 Eggleston Rd, Acton, ACT, 2601, Australia.
| | - Alyssa R Morse
- Centre for Mental Health Research, The Australian National University, 63 Eggleston Rd, Acton, ACT, 2601, Australia
| | - Amelia Gulliver
- Centre for Mental Health Research, The Australian National University, 63 Eggleston Rd, Acton, ACT, 2601, Australia
| | - Kathleen M Griffiths
- Research School of Psychology, The Australian National University, Acton, Australia
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14
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Happell B, Gordon S, Bocking J, Ellis P, Roper C, Liggins J, Platania-Phung C, Scholz B. Mental Health Researchers' Views About Service User Research: A Literature Review. Issues Ment Health Nurs 2018; 39:1010-1016. [PMID: 30451553 DOI: 10.1080/01612840.2018.1475524] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
Abstract
Services users are becoming actively involved in mental health research. How this is perceived by other researchers is not well known. The aim of this article is to review the international literature exploring other mental health researchers' views of service users conducting research, between 1996 and 2016. Searches of multiple databases (PubMed, PsycINFO, CINAHL, and Google Scholar) were undertaken. Combinations of terms related to service user research and mental health researcher perspectives, views, and attitudes were used. Manual inquiry of reference lists was also undertaken. Relevant papers were coded by topic, location, study design, and other dimensions. Five articles met inclusion criteria. Most referred to perceived benefits, such as greater validity of research findings, challenges of collaborating with service users, and the validity of research findings. There was some evidence of more openness to mental health service users providing suggestions, preferably in early stages of the research process. Reluctance to co-research with service users was reported. There is limited research directly addressing other mental health researchers' views about service user research; barriers to inclusion (whether involvement, co-production or user-controlled) and creating incongruence with health policy statements. Further research to more fully understand these attitudes and how they might be influenced is warranted.
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Affiliation(s)
- Brenda Happell
- a School of Nursing and Midwifery , University of Newcastle , Newcastle, New South Wales , Australia
| | - Sarah Gordon
- b Department of Psychological Medicine, School of Medicine and Health Sciences , University of Otago , Wellington , New Zealand
| | - Julia Bocking
- c SYNERGY: Nursing and Midwifery Research Centre , University of Canberra and ACT Health , Canberra , Australia
| | - Pete Ellis
- b Department of Psychological Medicine, School of Medicine and Health Sciences , University of Otago , Wellington , New Zealand
| | - Cath Roper
- d Department of Nursing, Faculty of Health Sciences , Centre for Psychiatric Nursing, The University of Melbourne , Melbourne , Australia
| | | | - Chris Platania-Phung
- a School of Nursing and Midwifery , University of Newcastle , Newcastle, New South Wales , Australia
| | - Brett Scholz
- f ANU Medical School, College of Health and Medicine, Australian National University , Canberra , Australia
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15
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Maassen EF, Regeer BJ, Bunders JFG, Regeer EJ, Kupka RW. A research agenda for bipolar disorder developed from a patients' perspective. J Affect Disord 2018; 239:11-17. [PMID: 29990657 DOI: 10.1016/j.jad.2018.05.061] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/05/2017] [Revised: 05/02/2018] [Accepted: 05/28/2018] [Indexed: 11/26/2022]
Abstract
BACKGROUND Diagnosis and treatment of bipolar disorder is complex. Health care is supported by clinical guidelines, which are highly based on scientific evidence. However, such care does not necessarily correspond to preferred care according to patients. In order to narrow the gap between scientifically based guidelines and the patient's perceptions of the best clinical practice, additional research is needed. The aim of this study was to create a patient based research agenda for bipolar disorder to enhance the alignment between patients' needs and care system. METHODS A mixed method study design was employed consisting of two phases: consultation and prioritization. In the consultation phase, six focus group discussions with patients (n = 35) were conducted to explore research needs according to patients, resulting in 23 research topics. Subsequently, these topics were prioritized by means of a questionnaire with patients (n = 219). RESULTS Patients with bipolar disorder mentioned a variety of research topics covered by the following five themes: causes of disorder; pharmacotherapy; non-pharmacological treatment; diagnosis; and recovery & recovery oriented care. 'Etiology' was the topic with highest priority. DISCUSSION The theme 'causes of disorder' is prioritized highest. We argue that this can be explained by the added value of an explanatory framework for appropriate treatment and recovery. The theme 'recovery & recovery oriented care' is currently underrepresented in actual research. It is argued that in order to bridge the knowledge and implementation gap, social science and health system research is needed in addition to biomedical research.
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Affiliation(s)
- Eva F Maassen
- Athena Institute, Faculty of Earth and Life Sciences, VU University Amsterdam, Boelelaan 1085, 1081HV Amsterdam, The Netherlands; Altrecht Institute for Mental Health Care, Nieuwe Houtenseweg 12, 3524 SH, Utrecht, The Netherlands.
| | - Barbara J Regeer
- Athena Institute, Faculty of Earth and Life Sciences, VU University Amsterdam, Boelelaan 1085, 1081HV Amsterdam, The Netherlands.
| | - Joske F G Bunders
- Athena Institute, Faculty of Earth and Life Sciences, VU University Amsterdam, Boelelaan 1085, 1081HV Amsterdam, The Netherlands.
| | - Eline J Regeer
- Altrecht Institute for Mental Health Care, Nieuwe Houtenseweg 12, 3524 SH, Utrecht, The Netherlands.
| | - Ralph W Kupka
- Altrecht Institute for Mental Health Care, Nieuwe Houtenseweg 12, 3524 SH, Utrecht, The Netherlands; GGZ inGeest/VU University Medical Center, Department of Psychiatry, A.J. Ernststraat 1187, 1081 HL, Amsterdam, The Netherlands.
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16
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Cheetham J, Holttum S, Springham N, Butt K. 'I can see it and I can feel it, but I can't put my finger on it': A Foucauldian discourse analysis of experiences of relating on psychiatric inpatient units. Psychol Psychother 2018; 91:317-331. [PMID: 29076611 DOI: 10.1111/papt.12162] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/23/2015] [Revised: 09/21/2017] [Indexed: 11/28/2022]
Abstract
OBJECTIVES Research has shown interpersonal relationships influence experiences of inpatient psychiatric services. This study explored inpatient staff and service users' talk about relating, and consequences on available/limited social actions. DESIGN A Foucauldian discourse analysis was used to analyse transcribed semi-structured interviews and focus groups with current inpatient staff members and members of a service-user involvement group. METHOD Two focus groups (service users n = 10; staff n = 6) and five interviews (service users n = 2; staff n = 3) were held, with participants responding to questions regarding the discursive object of 'experiences of relating on inpatient wards'. RESULTS A dominant 'medical-technical-legal' discourse was seen, alongside a counter discourse of 'ordinary humane relating'. Through the tensions between these discourses emerged a discourse of 'collaborative exploration'. CONCLUSION The medical-technical-legal discourse perpetuates notions of mental illness as impenetrable to relating. Staff fear of causing harm and positions of legal accountability generate mistrust which obstructs relating, whilst patients expect to be asked their opinions on their experiences and to be involved in deciding what treatment to accept, and experience frustration and alienation when this is not forthcoming. Ordinary humane relating was described as vital for service users in regaining a sense of self, although not considered enough in itself to promote recovery/wellness. 'Treatment for my problems' was constructed by service users as emerging through the collaborative exploration discourse, where therapeutic relationships can develop, enabling change and a return to safety. PRACTITIONER POINTS Discourse analysis of how we talk can help us understand the complexities of being, working, and relating on psychiatric inpatient units. Relating as constructed through the medical-technical-legal discourse is seen as the most legitimized but least fulfilling for staff and service users alike. Both staff and service users want purposefully therapeutic, collaborative relationships however, the environment does not currently appear to support these ways of relating emerging with legitimacy. Some simple steps might be taken to begin the shift towards more fulfilling and therapeutic ways of relating being privileged in psychiatric inpatient environments.
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Affiliation(s)
- John Cheetham
- South London and Maudsley NHS Foundation Trust, Mental Health in Learning Disabilities Team, CTC, Maudsley Hospital, London, UK
| | - Sue Holttum
- Salomons Centre for Applied Psychology, Canterbury Christ Church University, Canterbury, UK
| | | | - Kate Butt
- Oxleas NHS Foundation Trust, Dartford, UK
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17
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Happell B, Gordon S, Bocking J, Ellis P, Roper C, Liggins J, Platania-Phung C, Scholz B. How did I not see that? Perspectives of nonconsumer mental health researchers on the benefits of collaborative research with consumers. Int J Ment Health Nurs 2018. [PMID: 29527786 DOI: 10.1111/inm.12453] [Citation(s) in RCA: 25] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
Coproduction of research between consumers of mental health services and nonconsumer mental health researchers is increasing. There is some research available describing consumer perspectives of this experience. However, there is a notable lack of research on other (nonconsumer) researcher experiences of and views about consumer involvement in coproduced research. A qualitative exploratory study was undertaken to examine perspectives of mental health researchers about consumer involvement in research. In-depth individual interviews were undertaken with 11 nonconsumer mental health researchers in Australia and New Zealand. Interview transcripts were analysed to identify major themes. There were three interacting themes: the salience of experiential difference, expanded learning, and enhanced research. The dynamic between different perspectives and learning had the effect of enhancing research across the spectrum of study phases and in ensuring research was of value to different groups. The findings emphasize the important contribution consumer researchers can make to mental health research by bringing their unique perspective and enhancing an environment of mutual learning. Findings also point to the need for foregrounding the numerous benefits of joint research between consumer and other researchers to enhance and improve clinical practice and the development of policy.
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Affiliation(s)
- Brenda Happell
- Synergy: Nursing and Midwifery Research Centre, University of Canberra and ACT Health, Canberra, Australian Capital Territory, Australia
| | - Sarah Gordon
- Department of Psychological Medicine, School of Medicine and Health Sciences, University of Otago, Wellington, Wellington, New Zealand
| | - Julia Bocking
- Synergy: Nursing and Midwifery Research Centre, University of Canberra and ACT Health, Canberra, Australian Capital Territory, Australia
| | - Pete Ellis
- Department of Psychological Medicine, School of Medicine and Health Sciences, University of Otago, Wellington, Wellington, New Zealand
| | - Cath Roper
- Faculty of Health Sciences, Department of Nursing, Centre for Psychiatric Nursing, The University of Melbourne, Melbourne, Victoria, Australia
| | | | - Chris Platania-Phung
- Synergy: Nursing and Midwifery Research Centre, University of Canberra and ACT Health, Canberra, Australian Capital Territory, Australia
| | - Brett Scholz
- Synergy: Nursing and Midwifery Research Centre, University of Canberra and ACT Health, Canberra, Australian Capital Territory, Australia
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18
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Banfield M, Randall R, O'Brien M, Hope S, Gulliver A, Forbes O, Morse AR, Griffiths K. Lived experience researchers partnering with consumers and carers to improve mental health research: Reflections from an Australian initiative. Int J Ment Health Nurs 2018; 27:1219-1229. [PMID: 29847015 DOI: 10.1111/inm.12482] [Citation(s) in RCA: 40] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 04/29/2018] [Indexed: 11/28/2022]
Abstract
UNLABELLED Consumer and carer involvement in mental health research is a growing and developing field. Whilst there has been policy and in-principle support for such involvement from governments around the world, lived experience researchers conducting academic research in partnership with other consumers and carers remains uncommon. ACACIA The Australian Capital Territory Consumer and Carer Mental Health Research Unit is based at The Australian National University and employs academic researchers with lived experience to undertake research directly relevant to the needs of mental health consumers and carers with the aim of influencing policy and practice. In this study, we share our experience of developing and conducting research within ACACIA to provide a model for meaningfully engaging mental health consumers and carers throughout the research process.
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Affiliation(s)
- Michelle Banfield
- ACACIA: The ACT Consumer and Carer Mental Health Research Unit, Centre for Mental Health Research, The Australian National University, Acton, Australian Capital Territory, Australia
| | - Rebecca Randall
- ACACIA: The ACT Consumer and Carer Mental Health Research Unit, Centre for Mental Health Research, The Australian National University, Acton, Australian Capital Territory, Australia
| | - Mearon O'Brien
- ACACIA: The ACT Consumer and Carer Mental Health Research Unit, Centre for Mental Health Research, The Australian National University, Acton, Australian Capital Territory, Australia
| | - Sophie Hope
- ACACIA: The ACT Consumer and Carer Mental Health Research Unit, Centre for Mental Health Research, The Australian National University, Acton, Australian Capital Territory, Australia
| | - Amelia Gulliver
- ACACIA: The ACT Consumer and Carer Mental Health Research Unit, Centre for Mental Health Research, The Australian National University, Acton, Australian Capital Territory, Australia
| | - Owen Forbes
- ACACIA: The ACT Consumer and Carer Mental Health Research Unit, Centre for Mental Health Research, The Australian National University, Acton, Australian Capital Territory, Australia
| | - Alyssa R Morse
- ACACIA: The ACT Consumer and Carer Mental Health Research Unit, Centre for Mental Health Research, The Australian National University, Acton, Australian Capital Territory, Australia
| | - Kathleen Griffiths
- ACACIA: The ACT Consumer and Carer Mental Health Research Unit, Centre for Mental Health Research, The Australian National University, Acton, Australian Capital Territory, Australia.,Research School of Psychology, The Australian National University, Acton, Australian Capital Territory, Australia
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19
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Pinfold V, Cotney J, Hamilton S, Weeks C, Corker E, Evans-Lacko S, Rose D, Henderson C, Thornicroft G. Improving recruitment to healthcare research studies: clinician judgements explored for opting mental health service users out of the time to change viewpoint survey. J Ment Health 2017; 28:42-48. [DOI: 10.1080/09638237.2017.1340598] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
| | | | | | | | - Elizabeth Corker
- Health Services and Population Sciences, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London, UK
| | - Sara Evans-Lacko
- Health Services and Population Sciences, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London, UK
| | - Diana Rose
- Health Services and Population Sciences, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London, UK
| | - Claire Henderson
- Health Services and Population Sciences, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London, UK
| | - Graham Thornicroft
- Health Services and Population Sciences, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London, UK
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20
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Ghisoni M, Wilson CA, Morgan K, Edwards B, Simon N, Langley E, Rees H, Wells A, Tyson PJ, Thomas P, Meudell A, Kitt F, Mitchell B, Bowen A, Celia J. Priority setting in research: user led mental health research. RESEARCH INVOLVEMENT AND ENGAGEMENT 2017; 3:4. [PMID: 29062529 PMCID: PMC5611630 DOI: 10.1186/s40900-016-0054-7] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/30/2016] [Accepted: 12/23/2016] [Indexed: 05/29/2023]
Abstract
PLAIN ENGLISH SUMMARY Involving people in health research is increasingly recognised as being important to make sure that research is focused more on the needs of people who use health services. At present, ideas about what should be researched most often comes from researchers and/or health professionals like doctors and nurses rather than people with a lived experience of mental illness. In this study, we will talk with this group of people from across Wales to explore what they think research into their health services should focus on. The findings from this work will help to influence the work of the National Centre for Mental Health Research Partnership Group; as well as` researchers and health professionals and others who concentrate on mental health research. The Research group is a partnership between people with a lived experience of mental ill health and professionals with an interest in mental ill health. The group plan to take forward the ideas that came from this research and some of the ideas have already been used to increase funding in the area of mental health research. ABSTRACT Background This paper is the result of continued collaboration between members of the Service User and Carer Research Partnership, based in Wales and supported by the National Centre for Mental Health, Health and Care Research Wales, and Hafal. The aim of this study was to explore the research priorities of people with experience of mental health services which include people with a lived experience of mental ill health, their carers, and professionals. Method A nominal group technique was used to gather data. A one-day workshop 'Getting Involved in Research: Priority Setting' was held to gather the ideas and suggestions for research priorities from people who have experience of mental health services. Results Twenty-five participants attended the workshop. 5 were mental health professionals, 20 had a lived experience of mental ill health, (of which 3 were also carers). 11 were male and 14 were female. 120 research ideas were generated across 6 'Ideas Generating Workstations'. Participants took part in a 3 stage vote to narrow down the ideas to 2 main research priorities. Conclusion The two main research priority areas that were identified:'Developing the knowledge of mental health issues amongst school-aged children' as a vehicle to overcome stigma and discrimination, and to support young people to manage their own mental health.'Developing education as a tool for recovery', for example by peer support. In addition, participants engaged in a notable discussion over the research priority: 'How are carers supported during the recovery of the person for whom they care?'
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Affiliation(s)
- Marjorie Ghisoni
- School of Health Care Sciences, Bangor University, Fron Heulog, Ffriddoedd Road, Bangor, Gwynedd, North Wales LL57 2EF UK
| | - Christine Ann Wilson
- Hafal, Unit B3, Lakeside technology Park, Phoenix Way, Llansamlet, Swansea, Wales SA79FE UK
| | - Karen Morgan
- Mental Health Service User Involvement Officer, Gwent Association of Voluntary Organisations, Ty Derwen, Church Road, Newport, South Wales NP19 7EJ UK
| | - Bethan Edwards
- 80,Penallta Road, Ystrad Mynach, Hengoed, Wales CF82 7BG UK
| | - Natalie Simon
- Health and Care Research Wales Support Centre, Castlebridge 4, 15-19 Cowbridge Road East, Cardiff, CF11 9AB Wales, UK
| | - Emma Langley
- Health and Care Research Wales Support Centre, Castlebridge 4, 15-19 Cowbridge Road East, Cardiff, CF11 9AB Wales, UK
| | | | - Amanda Wells
- 6 Hafan Deg, Llanfair Caereinion, Powys Wales SY21 0RU UK
| | - Philip John Tyson
- University of South Wales, Treforest Campus, Pontypridd, Wales CF37 1DL UK
| | - Phil Thomas
- Hafal, Unit B3, Lakeside technology Park, Phoenix Way, Llansamlet, Swansea, Wales SA79FE UK
| | - Allen Meudell
- 80,Penallta Road, Ystrad Mynach, Hengoed, Wales CF82 7BG UK
| | - Frank Kitt
- Hafal, Unit B3, Lakeside technology Park, Phoenix Way, Llansamlet, Swansea, Wales SA79FE UK
| | - Brian Mitchell
- National Centre for Mental Health, Hadyn Ellis Building, Maindy Road, Cardiff, CF24 4HQ UK
| | - Alan Bowen
- National Centre for Mental Health, Hadyn Ellis Building, Maindy Road, Cardiff, CF24 4HQ UK
| | - Jason Celia
- Hafal, Unit B3, Lakeside technology Park, Phoenix Way, Llansamlet, Swansea, Wales SA79FE UK
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22
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Happell B, Ewart SB, Platania-Phung C, Stanton R. Participative mental health consumer research for improving physical health care: An integrative review. Int J Ment Health Nurs 2016; 25:399-408. [PMID: 27159221 DOI: 10.1111/inm.12226] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/24/2016] [Revised: 02/18/2016] [Accepted: 02/22/2016] [Indexed: 02/04/2023]
Abstract
People with mental illness have a significantly lower life expectancy and higher rates of chronic physical illnesses than the general population. Health care system reform to improve access and quality is greatly needed to address this inequity. The inclusion of consumers of mental health services as co-investigators in research is likely to enhance service reform. In light of this, the current paper reviews mental health consumer focussed research conducted to date, addressing the neglect of physical health in mental health care and initiatives with the aim of improving physical health care. The international literature on physical healthcare in the context of mental health services was searched for articles, including mental health consumers in research roles, via Medline, CINAHL and Google Scholar, in October 2015. Four studies where mental health consumers participated as researchers were identified. Three studies involved qualitative research on barriers and facilitators to physical health care access, and a fourth study on developing technologies for more effective communication between GPs and patients. This review found that participatory mental health consumer research in physical health care reform has only become visible in the academic literature in 2015. Heightened consideration of mental health consumer participation in research is required by health care providers and researchers. Mental health nurses can provide leadership in increasing mental health consumer research on integrated care directed towards reducing the health gap between people with and without mental illness.
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Affiliation(s)
- Brenda Happell
- Nursing and Midwifery Research Centre, University of Canberra, Faculty of Health, and ACT Health, Australian Capital Territory, Australia.
| | - Stephanie B Ewart
- Nursing and Midwifery Research Centre, University of Canberra, Faculty of Health, and ACT Health, Australian Capital Territory, Australia
| | - Chris Platania-Phung
- Nursing and Midwifery Research Centre, University of Canberra, Faculty of Health, and ACT Health, Australian Capital Territory, Australia
| | - Robert Stanton
- Nursing and Midwifery Research Centre, University of Canberra, Faculty of Health, and ACT Health, Australian Capital Territory, Australia.,Central Queensland University, School of Medical and Applied Sciences, Queensland, Australia
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23
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Robotham D, Wykes T, Rose D, Doughty L, Strange S, Neale J, Hotopf M. Service user and carer priorities in a Biomedical Research Centre for mental health. J Ment Health 2016; 25:185-8. [PMID: 27068151 PMCID: PMC4898158 DOI: 10.3109/09638237.2016.1167862] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Affiliation(s)
- Dan Robotham
- a Institute of Psychiatry, Psychology & Neuroscience , King's College London , UK
| | - Til Wykes
- a Institute of Psychiatry, Psychology & Neuroscience , King's College London , UK
| | - Diana Rose
- a Institute of Psychiatry, Psychology & Neuroscience , King's College London , UK
| | - Lisa Doughty
- a Institute of Psychiatry, Psychology & Neuroscience , King's College London , UK
| | - Sally Strange
- a Institute of Psychiatry, Psychology & Neuroscience , King's College London , UK
| | - Joanne Neale
- a Institute of Psychiatry, Psychology & Neuroscience , King's College London , UK
| | - Matthew Hotopf
- a Institute of Psychiatry, Psychology & Neuroscience , King's College London , UK
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24
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Mawn L, Welsh P, Stain HJ, Windebank P. Youth Speak: increasing engagement of young people in mental health research. J Ment Health 2015; 24:271-5. [PMID: 26193175 DOI: 10.3109/09638237.2014.998810] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
BACKGROUND Patient and Public Involvement is now an essential part of health-related research. Evidence suggests that research that involves patients and members of the public can enhance methodological rigor and facilitate the implementation of research findings. AIMS Our paper describes the development of a youth research group (Youth Speak) aimed at increasing youth engagement in mental health research. METHOD We provide a selective review of the literature and outline the challenges and benefits of involving young people in research. Examples of how our group has facilitated involvement and the challenges we have encountered are also discussed. RESULTS Meaningful involvement of young people in mental health research is poorly documented or significantly lacking given the dearth of published literature. This may reflect the difficulty of obtaining sustained funding which is required to facilitate non-tokenistic involvement or a perception that young people are unable to provide meaningful contributions in this area. CONCLUSIONS By establishing groups such as Youth Speak, which focus on the long-term involvement and development of young people in all stages of the research process, we hope to empower young people so that they can reshape youth mental health services.
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Affiliation(s)
- Lauren Mawn
- a School for Medicine, Pharmacy & Health, Durham University , Durham , UK and
| | - Patrick Welsh
- a School for Medicine, Pharmacy & Health, Durham University , Durham , UK and
| | - Helen J Stain
- a School for Medicine, Pharmacy & Health, Durham University , Durham , UK and
| | - Phoebe Windebank
- b Youth Speak on Mental Health Research, Wolfson Research Institute, Durham University , Durham , UK
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Wykes T. Great expectations for participatory research: what have we achieved in the last ten years? World Psychiatry 2014; 13:24-7. [PMID: 24497239 PMCID: PMC3918010 DOI: 10.1002/wps.20086] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
Affiliation(s)
- Til Wykes
- Department of Psychology; Institute of Psychiatry, King's College London, De Crespigny Park; London SE5 8AF UK
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Tambuyzer E, Van Audenhove C. Service user and family carer involvement in mental health care: divergent views. Community Ment Health J 2013; 49:675-85. [PMID: 23292304 DOI: 10.1007/s10597-012-9574-2] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/06/2011] [Accepted: 12/21/2012] [Indexed: 11/29/2022]
Abstract
This study assessed differences between service users', family carers' and mental healthcare providers' perceptions on service user and family carer involvement in mental healthcare. We conducted questionnaires in care networks for persons with serious and persistent mental illness, among 111 service users, 73 family carers and 216 mental healthcare providers. Many aspects of service user and family carer involvement are achieved to satisfactory levels while other aspects are scarcely realized. Service users and mental healthcare providers perceive family carer involvement as less important and realized than service user involvement. Family carers hold more favorable views on the importance and realization of involvement than do mental healthcare providers. The implementation of stakeholders' involvement in healthcare is ongoing. Notwithstanding great efforts, service users' and family carers' involvement preferences are not yet fully considered. Developing procedures, training and monitoring cycles regarding involvement may enhance this situation.
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Affiliation(s)
- Else Tambuyzer
- LUCAS, Centre for Care Research and Consultancy, KU Leuven, Kapucijnenvoer 39, PB 5310, 3000, Leuven, Belgium,
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Abstract
BACKGROUND It is deemed good practice to involve patients routinely in research but no study has investigated the practical benefits, particularly to successful recruitment. AIMS To identify whether patient involvement is associated with study success. METHOD All studies listed on the Mental Health Research Network (MHRN) portfolio database (n = 374) were interrogated using logistic regression, ANOVA and Pearson's correlation to identify associations with study characteristics, funding bodies and recruitment success. RESULTS Patient involvement increased over time although in some areas of research it was limited. Some funders, especially the National Institute for Health Research (NIHR), had more associated patient involvement than others. Studies that involved patients to a greater extent were more likely to have achieved recruitment targets (χ(2) = 4.58, P<0.05), defined as reaching at least 90% of the target. CONCLUSIONS This is the first time associations with study success have been identified for patient involvement. Researchers might now consider ways to involve patients more comprehensively as this is associated with study success. Further research is needed to explore this finding.
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Affiliation(s)
- Liam Ennis
- Liam Ennis, BSc, Health Services and Population Research Department, Institute of Psychiatry, London; Til Wykes, PhD, Psychology Department, Institute of Psychiatry, London, UK
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Tyson PJ. A service user-initiated project investigating the attitudes of mental health staff towards clients and services in an acute mental health unit. J Psychiatr Ment Health Nurs 2013; 20:379-86. [PMID: 22591380 DOI: 10.1111/j.1365-2850.2012.01929.x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Mental Health Service Users (MHSU) are becoming increasingly recognized as very valuable contributors to the research process. The current study originated from the idea of a group of MHSU within a service user and carer research group. They wanted to investigate the attitudes of mental health staff towards clients in an acute mental health setting, as well as their attitudes towards certain aspects of service. An amended version of the 'Attitudes Towards Acute Mental Health Scale' was sent to nursing and allied staff at an acute psychiatric unit within the Gloucestershire 2gether NHS Foundation Trust. Fifty-seven of the 200 anonymous questionnaires were returned. Generally positive opinions of MHSU were obtained, but there were divided opinions on questions regarding the aetiology of mental health problems (e.g. social vs. genetic determinants). Opinions on aspects of the admissions process, therapeutic aspects of care, the use of medication and the use of control and restraint techniques were also obtained. Demographic variables of staff age, status and years of experience in mental health were found to be associated with attitudes and opinions. This MHSU-initiated study has extended the literature on mental health staff attitudes towards clients and services in an acute mental health setting. This study is split into two parts, Part A is focused on the process of involving MHSU in this project, Part B is concerned with the empirical investigation.
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Affiliation(s)
- P J Tyson
- Psychology and Counselling, School of Sport, Health and Applied Social Sciences, University of Wales, Newport, Caerleon Campus, Caerleon, UK.
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Abstract
Consumer recovery is now enshrined in the national mental health policy of many countries. If this construct, which stems from the consumer/user/survivor movement, is truly to be the official and formal goal of mental health services, then it must be the yardstick against which evidence-based practice (EBP) is judged. From a consumer-recovery perspective, this paper re-examines aspects of services chosen for study, methodologies, outcomes measures, and standards of evidence associated with EBP, those previously having been identified as deficient and in need of expansion. One of the significant differences between previous investigations and the present study is that the work, writing, perspectives, and advocacy of the consumer movement has developed to such a degree that we now have a much more extensive body of material upon which to critique EBP and inform and support the expansion of EBP. Our examination reinforces previous findings and the ongoing need for expansion. The consumer recovery-focused direction, resources, frameworks, and approaches identified through the present paper should be used to expand the aspects of services chosen for study, methodologies, outcomes measures, and standards of evidence. This expansion will ultimately enable services to practice in a manner consistent with the key characteristics of supporting personal recovery.
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Affiliation(s)
- Sarah E Gordon
- Department of Psychological Medicine, University of Otago Wellington, New Zealand.
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Jones S, Beck A, Deville M. Enhancing self-management for service users and carers: how can technology help? J Ment Health 2012; 20:505-8. [PMID: 22126630 DOI: 10.3109/09638237.2011.608751] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Springham N. Building a knowledge base about risk in art therapy: A response to ‘Risk discourse in art therapy’. INTERNATIONAL JOURNAL OF ART THERAPY 2012. [DOI: 10.1080/17454832.2012.659121] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Banfield MA, Barney LJ, Griffiths KM, Christensen HM. Australian mental health consumers' priorities for research: qualitative findings from the SCOPE for Research project. Health Expect 2012; 17:365-75. [PMID: 22221624 DOI: 10.1111/j.1369-7625.2011.00763.x] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
Abstract
BACKGROUND There is growing acceptance of the importance of the consumer viewpoint in mental health research. Previous studies have identified differences in research priorities between researchers and mental health consumers in Australia defined broadly. However, little is known about the research priorities of consumers with specific mental health conditions. OBJECTIVE The aim of this study was to explore Australian mental health consumers' priorities for depression and bipolar disorder research. DESIGN Focus groups with consumers and individual telephone interviews with consumer advocates. Participants were asked to discuss the topics they believed were priorities for depression or bipolar disorder research. Transcripts were thematically analysed using NVivo 7. SETTING AND PARTICIPANTS Ten people with depression and 19 with bipolar disorder participated in face-to-face focus groups held in three Australian capital cities. Five participants with each disorder participated in online focus groups. Five Australian consumer advocates with experience of depression and six with experience of bipolar disorder were individually interviewed by telephone. RESULTS Participants raised a broad variety of topics for research. The most salient themes included the need for research on medication, and lifestyle and psychosocial influences on depression and bipolar disorder. CONCLUSIONS Participants' priorities reflect an interest in a holistic approach to mental health research that examines the influences of everyday life and psychosocial influences both on the development and on the management of these disorders. Their focus was on research that explores individualized care and the active role that consumers can play in their own care and recovery.
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Affiliation(s)
- Michelle A Banfield
- Australian Primary Health Care Research Institute, The Australian National UniversityCentre for Mental Health Research, The Australian National University, Canberra ACT, Australia
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Banfield MA, Griffiths KM, Christensen HM, Barney LJ. SCOPE for Research: mental health consumers' priorities for research compared with recent research in Australia. Aust N Z J Psychiatry 2011; 45:1078-85. [PMID: 22034831 DOI: 10.3109/00048674.2011.624084] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
OBJECTIVE The aim of this study was to identify consumer priorities for research on depression and bipolar disorder in Australia. METHOD Australian consumers with personal experience of depression or bipolar disorder were surveyed online about research priorities for their condition using a questionnaire developed from an earlier qualitative phase of the SCOPE for Research project. Participants were asked to rate the importance of a number of broad research areas, specific research topics, target groups and settings in which to conduct research. These ratings were then compared to the content of relevant Australian research published between 1997 and 2006. RESULTS Consumers rated research into the management and treatment of depression and bipolar disorder of highest priority. Further, consumers rated those at risk of a mood disorder as the most important target groups for research and prioritized research conducted in health settings such as community mental health services ahead of research in other settings. There was some concordance between consumers' ratings of the broad topic areas and settings in which to conduct research and the amount of published research on these topic areas and settings. However, there was little published research on the highest ranked consumer-rated specific topics and target groups for research. CONCLUSIONS Overall, there were substantial differences between the priorities of consumers and the recent research output, suggesting gaps in the Australian research base on mood disorders. The results of this study should be used to inform future research to ensure that it is guided by the priorities of the ultimate beneficiaries of the research, mental health consumers.
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Affiliation(s)
- Michelle A Banfield
- Australian Primary Health Care Research Institute, Level 1, Ian Potter House, Australian National University, Corner of Gordon and Marcus Clarke Streets, Acton, ACT 0200, Australia. Michelle.Banfi
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Tischler V, D'Silva K, Cheetham A, Goring M, Calton T. Involving patients in research: the challenge of patient-centredness. Int J Soc Psychiatry 2010; 56:623-33. [PMID: 19734181 DOI: 10.1177/0020764009104281] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
BACKGROUND The concept of patient-centredness is increasingly being incorporated into modern healthcare practice, yet little attention has been given to the development of patient-centred principles in research. AIMS This study aimed to establish convergent validity for a definition of patient-centredness using abstracts from schizophrenia research and to explore the experiences of psychiatrists and service users taking part in research that was designed to be patient-centred. METHODS Mixed methods were used in this community study. RESULTS Thirteen service users and three psychiatrists took part. Service users rated eight of 60 research abstracts as patient-centred, even though 30 of these had been previously rated as such by psychiatrists. There was some accord between psychiatrist and service user ratings as seven out of eight abstracts were identified by both groups as patient-centred. Process aspects of research were valued by service users, for example, being respected as collaborators. Both groups reported benefits to participation in patient-centred research, such as feeling valued and breaking down barriers between doctor and patient. CONCLUSIONS While there is some agreement between professionals and service users as to what constitutes patient-centred research, other process-related factors are important. Patient-centred research is valued by both service users and doctors and should be incorporated into future studies.
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MacInnes D, Beer D, Keeble P, Rees D, Reid L. Service-user involvement in forensic mental health care research: areas to consider when developing a collaborative study. J Ment Health 2010; 20:464-72. [PMID: 20874511 DOI: 10.3109/09638231003728109] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
BACKGROUND Although service-users are increasingly involved in the conduct of research in mental health settings, involvement in forensic mental health settings is limited. AIMS This paper looks at the factors perceived by professionals and service-users as important for developing collaborative research in forensic mental health settings. METHOD Following a collaborative research project undertaken in three forensic mental health units, the researchers involved in the project (professionals and service-users) reviewed factors perceived as important for developing service-user research in secure settings. RESULTS Three broad themes were identified. The main issues considered within these themes were detailed. CONCLUSIONS Service-users in forensic mental health settings are able to have full involvement in research.
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