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Mjøsund NH, Eide T, Kufås E, Faugli A, Eilertsen G. Mental health promotion as perceived by Norwegian adolescents with somatically ill parents - an interpretative phenomenological analysis. Health Psychol Behav Med 2023; 11:2213298. [PMID: 37201175 PMCID: PMC10187081 DOI: 10.1080/21642850.2023.2213298] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2022] [Accepted: 05/03/2023] [Indexed: 05/20/2023] Open
Abstract
Objective Having a somatically ill parent can influence adolescents' daily lives and mental health. This study aimed to explore the lived experiences of mental health promotion among adolescents with a somatically ill parent, based on a salutogenic orientation. Methods Individual interviews with 11 adolescents (13-18 years of age) with a somatically ill parent were conducted. The data were analysed according to interpretative phenomenological analysis. Results A superordinate theme, feeling at home in a house of mental health-promoting conversations, frames the participants' perceptions of a prominent mental health promotion experience, including decisive characteristics of the significant conversation partners and different important conversation contexts. The metaphor of feeling at home expresses that the participants ascribe the conversations taking place there as promoting mental health. The themes elucidate the superordinate theme: (a) significant conversation partners characterised by the three subthemes: (i) being available, (ii) being competent and (iii) being caring and (b) rooms reflecting conversation contexts containing four subthemes: (i) room of increased knowledge, (ii) room of disclosure, (iii) room for meeting points and (iv) room for breaks. Conclusion Adolescents with a somatically ill parent perceived that conversations about important topics with significant others with special characteristics in distinct contexts promoted mental health.
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Affiliation(s)
- Nina Helen Mjøsund
- Division of Mental Health and Addiction, Vestre Viken Hospital Trust, Drammen, Norway
- Nina Helen Mjøsund Division of Mental Health and Addiction, Vestre Viken Hospital Trust, Drammen, NO3004, Norway
| | - Torill Eide
- University of South-Eastern Norway – Campus Drammen, Drammen, Norway
| | - Elin Kufås
- Division of Mental Health and Addiction, Vestre Viken Hospital Trust, Drammen, Norway
| | - Anne Faugli
- Division of Mental Health and Addiction, Vestre Viken Hospital Trust, Drammen, Norway
| | - Grethe Eilertsen
- University of South-Eastern Norway – Campus Drammen, Drammen, Norway
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Subu MA, Holmes D, Arumugam A, Al-Yateem N, Maria Dias J, Rahman SA, Waluyo I, Ahmed FR, Abraham MS. Traditional, religious, and cultural perspectives on mental illness: a qualitative study on causal beliefs and treatment use. Int J Qual Stud Health Well-being 2022; 17:2123090. [PMID: 36097886 PMCID: PMC9481114 DOI: 10.1080/17482631.2022.2123090] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 09/07/2022] [Indexed: 11/21/2022] Open
Abstract
PURPOSE Limited information is known from studies regarding traditional, religious, and cultural perspectives on mental illness and the use of traditional and alternative therapies by mentally ill people in Indonesia. This study explored traditional, religious, and cultural beliefs about causes of mental illness and the use of traditional/alternative treatments for mentally ill patients. METHOD We adopted a qualitative content analysis method as proposed by Schreier. This study was conducted at a mental Hospital in Indonesia. We interviewed 15 nurses and 15 patients. Data were analysed using qualitative content analysis method. RESULTS Five discrete but interrelated themes emerged: 1) Possessed illness and belief in supernatural forces; 2) Sinful or cursed illness; 3) Witchcraft or human-made illness; 4) traditional/alternative treatments; and 5) Barriers to treatment of mental illness. CONCLUSION Traditional/alternative treatments play an important role in meeting the need for mental health treatment. The findings are relevant for mental health nurses who provide direct to their patients, and for other areas of mental health practice. We also found a lack of knowledge about the causes of mental illness among patients and families. Education should be at the heart of mental health promotion to raise the level of mental health literacy in Indonesia.
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Affiliation(s)
- Muhammad Arsyad Subu
- College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates
- Adjunct Faculty, Universitas Binawan, Jakarta, Indonesia
| | - Dave Holmes
- Faculty of Health Sciences, University of Ottawa, Ottawa, IL, Canada
| | - Ashokan Arumugam
- College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates
| | - Nabeel Al-Yateem
- College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates
- Adjunct Faculty, Universitas Binawan, Jakarta, Indonesia
| | | | - Syed Azizur Rahman
- College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates
| | - Imam Waluyo
- Politeknik Yayasan Cahaya Padmakumara, Jakarta, Indonesia
| | - Fatma Refaat Ahmed
- College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates
| | - Mini Sara Abraham
- College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates
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Iasiello M, Muir-Cochrane E, van Agteren J, Fassnacht DB. The Effect of Psychological Distress on Measurement Invariance in Measures of Mental Wellbeing. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph191610072. [PMID: 36011705 PMCID: PMC9408727 DOI: 10.3390/ijerph191610072] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/07/2022] [Revised: 08/10/2022] [Accepted: 08/12/2022] [Indexed: 05/31/2023]
Abstract
A growing literature supports the expansion of mental health assessment to include indicators of mental wellbeing; however, the concurrent use of measures of wellbeing and distress introduces potential sources of measurement error. The current study examines whether the mental health continuum short form is invariant to the level of participants' psychological distress. Measurement invariance testing was conducted within an Australian population (n = 8406) who participated in an online survey. The depression anxiety stress scale was used to construct a non-distressed group (n = 6420) and a severe-distress group (n = 1968). Results showed that metric invariance was not observed, as item loadings on the latent variables were significantly different between the groups. This signifies that wellbeing items may be interpreted and valued differently by distressed and non-distressed individuals. Metric non-invariance indicates that total and subscale scores may not be equivalent, and caution is required when making comparisons between these groups.
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Affiliation(s)
- Matthew Iasiello
- Mental Health and Wellbeing Program, Lifelong Health Theme, South Australian Health and Medical Research Institute, Adelaide 5000, Australia
- College of Nursing and Health Science, Flinders University, Adelaide 5042, Australia
| | - Eimear Muir-Cochrane
- College of Nursing and Health Science, Flinders University, Adelaide 5042, Australia
| | - Joep van Agteren
- Mental Health and Wellbeing Program, Lifelong Health Theme, South Australian Health and Medical Research Institute, Adelaide 5000, Australia
- College of Education, Psychology, and Social Work, Flinders University, Adelaide 5042, Australia
| | - Daniel B. Fassnacht
- College of Education, Psychology, and Social Work, Flinders University, Adelaide 5042, Australia
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Eide T, Faugli A, Kufås E, Mjøsund NH, Eilertsen G. Mental health as perceived by Norwegian adolescents living with parental somatic illness: Living in an earthquake zone. Int J Qual Stud Health Well-being 2021; 15:1783064. [PMID: 32597347 PMCID: PMC7482674 DOI: 10.1080/17482631.2020.1783064] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
Purpose Severe parental somatic illnesses can influence the entire family, including adolescents’ everyday life, psychosocial functioning and health. Within salutogenesis, it is highlighted that stressor life events, such as parental somatic illness, might lead to a chain of events that can produce tension. There is a lack of in-depth understanding regarding how adolescents living in a situation with a severely somatically ill parent (SIP) perceive their own mental health. The aim of this study was therefore to explore the lived experience of Norwegian adolescents living with an SIP, and their perception of the parental illness’ influence on their mental health. Methods Interpretative phenomenological analysis was used. In-depth interviews were conducted with 11 adolescents (aged 13–18 years) who had an SIP. Two adolescents with an SIP participated in study preparation and data analysis. Results Adolescents perceived parental somatic illness as a multifaceted influence on their mental health as it represented both personal and relational strain and growth. Their perceptions can be conceptualized by the super-ordinate theme “living in an earthquake zone”, and by two themes, “inner shakes—but not falling apart” and “relational aftershocks—gains and losses”. Conclusion For adolescents, parental somatic illness means personal and relational strain and growth.
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Affiliation(s)
- Torill Eide
- Department of Health, Social and Welfare Studies, Faculty of Health and Social Sciences, University of South-Eastern Norway , Drammen, Norway
| | - Anne Faugli
- Division of Mental Health and Addiction, Vestre Viken Hospital Trust , Drammen, Norway
| | - Elin Kufås
- Division of Mental Health and Addiction, Vestre Viken Hospital Trust , Drammen, Norway
| | - Nina Helen Mjøsund
- Division of Mental Health and Addiction, Vestre Viken Hospital Trust , Drammen, Norway
| | - Grethe Eilertsen
- Department of Nursing and Health Sciences, Faculty of Health and Social Sciences, University of South-Eastern Norway , Drammen, Norway
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Promoting Sustainable Wellbeing: Integrating Positive Psychology and Environmental Sustainability in Education. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17196968. [PMID: 32977640 PMCID: PMC7579264 DOI: 10.3390/ijerph17196968] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/26/2020] [Revised: 09/17/2020] [Accepted: 09/22/2020] [Indexed: 01/23/2023]
Abstract
This article proposes an integrative policy approach to defining and promoting wellbeing through the joint lenses of positive psychology and environmental sustainability. The study suggests that while both positive education and environmental education address various aspects of wellbeing, a common definition is still absent. The study proposes a framework for advancing a mutual concept of wellbeing: “sustainable wellbeing”, integrating aspects of individual wellbeing and the wellbeing of the environment. Sustainable wellbeing is achieved when improving individual wellbeing is correlated with improving the wellbeing of other members of society and the natural environment. It suggests a framework for integrating the benefits of positive education and environmental education into a coherent approach for exploring, discussing, and experiencing sustainable wellbeing. The paper mainly develops, explores, and demonstrates ten rules for implementing sustainable wellbeing literacy in schools, based on cognitive behavioral therapy and positive psychology insights. It contributes to the development and understanding of wellbeing, highlights the benefits of parallel developments of two distinct educational fields, and offers practical guidelines for implementing educational programs. Furthermore, the paper contributes to developing 21st century educational systems and further develops the emerging field of positive sustainability.
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Malterud K, Elvbakken KT. Patients participating as co-researchers in health research: A systematic review of outcomes and experiences. Scand J Public Health 2019; 48:617-628. [PMID: 31319762 DOI: 10.1177/1403494819863514] [Citation(s) in RCA: 32] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
Abstract
Aims: We aimed to map out the scope and type of health research studies with patients involved as co-researchers throughout the research process and to explore the outcomes and experiences of such research. Methods: We conducted a narrative review by systematically searching selected databases. A total of 1451 hits were identified and screened, and 17 studies were included and categorised by type of health problem, design, publication sources and modes of presentation. We conducted an inductive, iterative analysis of outcomes and experiences of patient involvement. Results: We identified two types of impact from studies with patients participating as co-researchers: (a) patient involvement as primary focus, where seven articles largely reported and reflected upon the shared experiences, and (b) patient involvement as strategy, where 10 articles presented results from empirical studies of specific health problems, with patient involvement used as a strategy to expand understanding. The first group of studies reported collaborative processes and resource investments, while the second group addressed specific health problems from a distinctive perspective due to patient involvement. Several studies in both groups repeated or confirmed positive values of user involvement rather than providing original findings. In both groups, methodological standards were often downgraded to provide access for the co-researchers. Conclusions: These articles, where the co-researcher model represents the contemporary superior level of patient involvement, may indicate that mere collaboration efforts are prioritised at the expense of knowledge outcomes and scientific quality. Collaboration formats other than participation as co-researchers may be necessary for patient involvement in medical research to add to the existing knowledge.
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Affiliation(s)
- Kirsti Malterud
- Research Unit for General Practice, NORCE Norwegian Research Centre, Norway.,Department of Global Public Health and Primary Care, University of Bergen, Norway.,Research Unit for General Practice and Section of General Practice, Department of Public Health, University of Copenhagen, Denmark
| | - Kari Tove Elvbakken
- Department of Administration and Organization Theory, University of Bergen, Norway
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Mjøsund NH, Eriksson M, Espnes GA, Vinje HF. Reorienting Norwegian mental healthcare services: listen to patients' learning appetite. Health Promot Int 2019; 34:541-551. [PMID: 29579203 DOI: 10.1093/heapro/day012] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Reorientation of healthcare services towards more efficient health promotion interventions is an urgent matter. Despite policies and guidelines being in place, it is the least developed key action area of the Ottawa charter. User involvement, or the voice of the patient, is missing from the knowledge base of health promotion in the mental healthcare services. The aim of this study was to add experiential knowledge from former patients. We explored the lived experience of 12 former inpatients at a mental healthcare hospital. We describe what they perceive as mental health promoting efforts. A salutogenic theoretical framework and the methodology of interpretative phenomenological analysis were used. The analysis revealed an appetite for learning in order to develop an in depth understanding of their former experiences. This was motivated by a desire to master daily life despite living with an illness and to increase health and well-being. The participants perceived the learning processes within the healthcare setting as mental health promoting. This craving for a better life is compatible with health promotion. It may turn out to be an opportunity to complement the curative activity of healthcare services with health promotion educational activities.
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Affiliation(s)
- Nina Helen Mjøsund
- Department of Mental Health Research and Development, Vestre Viken Hospital Trust, Drammen, Norway
| | - Monica Eriksson
- Department of Health Sciences, Center on Salutogenesis, University West, Trollhättan, Sweden
| | - Geir Arild Espnes
- NTNU Center for Health Promotion Research, Department of Public Health and Nursing, Norwegian University of Science and Technology, Trondheim, Norway
| | - Hege Forbech Vinje
- Department of Health, Social and Welfare Studies, Faculty of Health and Social Sciences, University College of Southeast Norway, Kongsberg, Norway
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Choudhry FR, Khan TM, Park MSA, Golden KJ. Mental Health Conceptualization and Resilience Factors in the Kalasha Youth: An Indigenous Ethnic and Religious Minority Community in Pakistan. Front Public Health 2018; 6:187. [PMID: 30065918 PMCID: PMC6056674 DOI: 10.3389/fpubh.2018.00187] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2018] [Accepted: 06/13/2018] [Indexed: 11/13/2022] Open
Abstract
The Kalasha are a religious, ethnic, and linguistic minority community in Pakistan. They are indigenous people living in remote valleys of the Hindu Kush Mountains in northern Pakistan, neighboring Afghanistan. The Kalasha are pastoral, as well as agricultural people to some extent, although they are increasingly facing pressures from globalization and social change, which may be influencing youth and community development. Their traditional world view dichotomizes and emphasizes on the division of the pure (Onjeshta) and the impure (Pragata). There remains a scarcity of literature on mental health and resilience of indigenous communities in South Asia and Pakistan generally, and the polytheistic Kalasha community specifically. Thus, the current study was conducted with the aim to explore the cultural protective factors (resilience) of the Kalasha youth (adolescents and emerging adults) and to explore their perceived etiological understandings and preferred interventions for mental health support systems. The theoretical framework of Bronfenbrenner's (1, 2) ecological systems model was used. Interpretative Phenomenological Analysis (IPA) was conducted, considering the advantage of its idiographic approach and the “double hermeneutic” analytic process. This methodology was consistent with the aim to understand and make sense of mental health and resilience from the Kalasha indigenous perspective. A total of 12 in-depth interviews were conducted with adolescents and emerging adults (5 males, 7 females), along with ethnographic observations. The analysis revealed 3 superordinate themes of mental health perceptions and interventions, each with more specific emergent themes: (1) Psychological Resilience/Cultural Protective Factors Buffering Against Mental Health Problems (Intra-Communal Bonding & Sharing; Kalasha Festivals & Traditions; Purity Concept; Behavioral Practice of Happiness and Cognitive Patterns); (2) Perceived Causes of Mental Health Issues (Biological & Psychosocial; Supernatural & Spiritual; Environmental); and (3) Preferred Interventions [Shamanic Treatment; Ta'awiz (Amulets); Communal Sharing & Problem Solving; Medical Treatment; Herbal Methods]. The overall findings point to the need for developing culturally-sensitive and indigenous measures and therapeutic interventions. The findings highlighted the Kalasha cultural practices which may promote resilience. The findings also call for indigenous sources of knowledge to be considered when collaboratively designing public health programs.
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Affiliation(s)
- Fahad R Choudhry
- Department of Psychology, Jeffrey Cheah School of Medicine and Health Sciences, Monash University, Bandar Sunway, Malaysia.,National Institute of Psychology, Quaid-i-Azam University, Islamabad, Pakistan
| | - Tahir M Khan
- Institute of Pharmaceutical Science, University of Veterinary and Animal Sciences, Lahore, Pakistan
| | - Miriam Sang-Ah Park
- Department of Psychology, Jeffrey Cheah School of Medicine and Health Sciences, Monash University, Bandar Sunway, Malaysia.,School of Social and Health Sciences, Leeds Trinity University, Leeds, United Kingdom
| | - Karen J Golden
- Department of Psychology, Jeffrey Cheah School of Medicine and Health Sciences, Monash University, Bandar Sunway, Malaysia
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Mjøsund NH, Vinje HF, Eriksson M, Haaland-Øverby M, Jensen SL, Kjus S, Norheim I, Portaasen IL, Espnes GA. Salutogenic service user involvement in nursing research: A case study. J Adv Nurs 2018; 74:2145-2156. [PMID: 29752825 DOI: 10.1111/jan.13708] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2018] [Revised: 03/04/2018] [Accepted: 03/22/2018] [Indexed: 11/30/2022]
Abstract
AIM The aim was to explore the process of involving mental healthcare service users in a mental health promotion research project as research advisors and to articulate features of the collaboration which encouraged and empowered the advisors to make significant contributions to the research process and outcome. BACKGROUND There is an increasing interest in evaluating aspects of service user involvement in nursing research. Few descriptions exist of features that enable meaningful service user involvement. We draw on experiences from conducting research which used the methodology interpretative phenomenological analysis to explore how persons with mental disorders perceived mental health. Apart from the participants in the project, five research advisors with service user experience were involved in the entire research process. DESIGN We applied a case study design to explore the ongoing processes of service user involvement. METHODS Documents and texts produced while conducting the project (2012-2016), as well as transcripts from multistage focus group discussions with the research advisors, were analysed. RESULTS The level of involvement was dynamic and varied throughout the different stages of the research process. Six features: leadership, meeting structure, role clarification, being members of a team, a focus on possibilities and being seen and treated as holistic individuals, were guiding principles for a salutogenic service user involvement. These features strengthened the advisors' perception of themselves as valuable and competent contributors. CONCLUSION Significant contributions from research advisors were promoted by facilitating the process of involvement. A supporting structure and atmosphere were consistent with a salutogenic service user involvement.
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Affiliation(s)
- Nina Helen Mjøsund
- Department of Mental Health Research and Development, Vestre Viken Hospital Trust, Drammen, Norway
| | - Hege Forbech Vinje
- Department of Health, Social and Welfare Studies, Faculty of Health and Social Sciences, University of South-Eastern Norway, Norway, Kongsberg, Norway
| | - Monica Eriksson
- Center on Salutogenesis, Department of Health Sciences, University West, Trollhättan, Sweden
| | - Mette Haaland-Øverby
- Department of Mental Health Research and Development, Vestre Viken Hospital Trust, Drammen, Norway
| | - Sven Liang Jensen
- Department of Mental Health Research and Development, Vestre Viken Hospital Trust, Drammen, Norway
| | - Solveig Kjus
- Department of Mental Health Research and Development, Vestre Viken Hospital Trust, Drammen, Norway
| | - Irene Norheim
- Department of Mental Health Research and Development, Vestre Viken Hospital Trust, Drammen, Norway
| | - Inger-Lill Portaasen
- Department of Mental Health Research and Development, Vestre Viken Hospital Trust, Drammen, Norway
| | - Geir Arild Espnes
- NTNU Center for Health Promotion Research, Norwegian University of Science and Technology, Trondheim, Norway
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Langeland E, Gjengedal E, Vinje HF. Building salutogenic capacity: a year of experience from a salutogenic talk-therapy group. INTERNATIONAL JOURNAL OF MENTAL HEALTH PROMOTION 2016. [DOI: 10.1080/14623730.2016.1230070] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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11
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Mjøsund NH, Eriksson M, Espnes GA, Haaland-Øverby M, Jensen SL, Norheim I, Kjus SHH, Portaasen IL, Vinje HF. Service user involvement enhanced the research quality in a study using interpretative phenomenological analysis - the power of multiple perspectives. J Adv Nurs 2016; 73:265-278. [PMID: 27509545 DOI: 10.1111/jan.13093] [Citation(s) in RCA: 41] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/17/2016] [Indexed: 11/28/2022]
Abstract
AIM The aim of this study was to examine how service user involvement can contribute to the development of interpretative phenomenological analysis methodology and enhance research quality. BACKGROUND Interpretative phenomenological analysis is a qualitative methodology used in nursing research internationally to understand human experiences that are essential to the participants. Service user involvement is requested in nursing research. DESIGN We share experiences from 4 years of collaboration (2012-2015) on a mental health promotion project, which involved an advisory team. METHODS Five research advisors either with a diagnosis or related to a person with severe mental illness constituted the team. They collaborated with the research fellow throughout the entire research process and have co-authored this article. We examined the joint process of analysing the empirical data from interviews. Our analytical discussions were audiotaped, transcribed and subsequently interpreted following the guidelines for good qualitative analysis in interpretative phenomenological analysis studies. RESULTS The advisory team became 'the researcher's helping hand'. Multiple perspectives influenced the qualitative analysis, which gave more insightful interpretations of nuances, complexity, richness or ambiguity in the interviewed participants' accounts. The outcome of the service user involvement was increased breadth and depth in findings. CONCLUSION Service user involvement improved the research quality in a nursing research project on mental health promotion. The interpretative element of interpretative phenomenological analysis was enhanced by the emergence of multiple perspectives in the qualitative analysis of the empirical data. We argue that service user involvement and interpretative phenomenological analysis methodology can mutually reinforce each other and strengthen qualitative methodology.
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Affiliation(s)
- Nina Helen Mjøsund
- Department of Mental Health Research and Development, Vestre Viken Hospital Trust, Drammen, Norway
| | - Monica Eriksson
- Center on Salutogenesis, Department of Health Sciences, University West, Trollhättan, Sweden
| | - Geir Arild Espnes
- Center for Health Promotion Research, Norwegian University of Science and Technology, Trondheim, Norway
| | - Mette Haaland-Øverby
- Department of Mental Health Research and Development, Vestre Viken Hospital Trust, Drammen, Norway
| | - Sven Liang Jensen
- Department of Mental Health Research and Development, Vestre Viken Hospital Trust, Drammen, Norway
| | - Irene Norheim
- Department of Mental Health Research and Development, Vestre Viken Hospital Trust, Drammen, Norway
| | | | - Inger-Lill Portaasen
- Department of Mental Health Research and Development, Vestre Viken Hospital Trust, Drammen, Norway
| | - Hege Forbech Vinje
- Department of Health Promotion, Faculty of Health Sciences, University College of Southeast Norway, Kongsberg, Norway
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12
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Coulombe S, Radziszewski S, Meunier S, Provencher H, Hudon C, Roberge P, Provencher MD, Houle J. Profiles of Recovery from Mood and Anxiety Disorders: A Person-Centered Exploration of People's Engagement in Self-Management. Front Psychol 2016; 7:584. [PMID: 27199819 PMCID: PMC4844930 DOI: 10.3389/fpsyg.2016.00584] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2016] [Accepted: 04/08/2016] [Indexed: 12/21/2022] Open
Abstract
Context: A shift toward person-centered care has been occurring in services provided to people with mood and anxiety disorders. Recovery is recognized as encompassing personal aspects in addition to clinical ones. Guidelines now recommend supporting people's engagement in self-management as a complementary recovery avenue. Yet the literature lacks evidence on how individualized combinations of self-management strategies used by people relate to their clinical and personal recovery indicators. Objectives: The aims of this study were to identify profiles underlying mental health recovery, describe the characteristics of participants corresponding to each profile, and examine the associations of profiles with criterion variables. Method: 149 people recovering from anxiety, depressive, or bipolar disorders completed questionnaires on self-management, clinical recovery (symptom severity), personal recovery (positive mental health), and criterion variables (personal goal appraisal, social participation, self-care abilities, coping). Results: Latent profile analysis (LPA) revealed three profiles. The Floundering profile included participants who rarely used self-management strategies and had moderately severe symptoms and the lowest positive mental health. The Flourishing profile was characterized by frequent use of self-empowerment strategies, the least severe symptoms, and the highest positive mental health. Participants in the Struggling profile engaged actively in several self-management strategies focused on symptom reduction and healthy lifestyle. They concomitantly reported high symptom severity and moderately high positive mental health. The study revealed that Floundering was associated with higher probabilities of being a man, being single, and having a low income. People in the Flourishing profile had the most favorable scores on criterion variables, supporting the profiles' construct validity. Discussion: The mixed portrait of Struggling participants on recovery indicators suggests the relationship between health engagement and recovery is more intricate than anticipated. Practitioners should strive for a holistic understanding of their clients' self-management strategies and recovery indicators to provide support personalized to their profile. While people presenting risk factors would benefit from person-centered support, societal efforts are needed in the long term to reduce global health inequalities. The integration of constructs from diverse fields (patient-centered care, chronic illness, positive psychology) and the use of person-oriented analysis yielded new insights into people's engagement in their health and well-being.
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Affiliation(s)
- Simon Coulombe
- Department of Psychology, Université du Québec à Montréal, Montréal QC, Canada
| | | | - Sophie Meunier
- Department of Psychology, Université du Québec à Montréal, Montréal QC, Canada
| | | | - Catherine Hudon
- Department of Family Medicine and Emergency Medicine, Université de Sherbrooke Sherbrooke, QC, Canada
| | - Pasquale Roberge
- Department of Family Medicine and Emergency Medicine, Université de Sherbrooke Sherbrooke, QC, Canada
| | | | - Janie Houle
- Department of Psychology, Université du Québec à Montréal, MontréalQC, Canada; Research Centre, Institut universitaire en santé mentale de Montréal, MontréalQC, Canada
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