The Mmogo-Method™: An Exploration of Experiences through Visual Projections

Relational experiences of community members participating in a rural health initiative with interprofessional students

Background. A South African faculty of health sciences created a forum for the community to voice their relational experiences with interprofessional students through visual projections. No other studies that explore such experiences using the Mmogo method could be located. Objective. To gain an understanding of the relational experiences of community members participating in Lifestyle-groups as part of a rural health initiative with interprofessional student groups. Methods. The Mmogo method is a qualitative, structured, observation technique. Participants constructed visual projections representing specific relationships. Thereafter, during a group discussion, participants explained the meaning of their projections. The visual data were analysed according to their literal presentation and subjective, symbolic meaning. A thematic analysis was used for the transcribed data. Results. Thirteen of the 24 visual projections were of a quality that allowed visual analysis; all 24 members participated in the discussions. Light was identified as an overarching theme to represent the community-student interaction. Sub-themes and categories associated with light were healthier lifestyles (knowledge sharing, lifestyle transformation, improved health outcomes), solidarity (reciprocity, collaboration, person centredness, multidimensional approach) and affirmation (gratitude and acceptance). Conclusion. Though some statements by participants related to health education as opposed to health dialogue highlighted areas requiring improvement, the findings correlated with the outcomes prescribed for students by this rural health initiative. Emotional connections in relational experiences could facilitate higher levels of self-efficacy in communities. The question is whether a stronger emphasis on health dialogue can be a catalyst for improved self-efficacy.

Experiences of Postnatal Mothers with Healthcare Providers in Rural Kenya: Insights from Applying the Mmogo Method

PURPOSE

To explore the experiences of postnatal mothers with health care providers during postnatal care in rural Kenya.

DESIGN

This was a visual-based narrative inquiry study that applied the Mmogo method® - a visual projective data-collection method.

METHODS

The participants were women (n=26) receiving postnatal care at purposively sampled rural health facilities (n=4) in Laikipia County Kenya.

FINDINGS

Two themes emerged from this study. First, the mothers had positive experiences with health care providers. Secondly, the mothers expressed expectations to enhance future experiences with health care providers.

CONCLUSIONS

Mothers had positive experiences and various expectations to enhance future experiences with health care providers that related to their postnatal needs. The mothers proposed the possible use of mobile phones by health care providers to meet their health education needs as well as receive psychological support.

CLINICAL EVIDENCE

Health care providers can use mobile phone devices to call and address some of the postnatal needs during the postnatal period.

A diabetes peer support intervention: Patient experiences using the Mmogo-method®

BACKGROUND

Self-management is the backbone of diabetes care. For the patient with type 2 diabetes, this implies making decisions about a healthy diet, regular exercise and taking treatment appropriately. Some patients may experience barriers to the self-management of diabetes, such as lack of support. In this respect, peer support has been identified as a promising strategy in the self-management of diabetes.

AIM

The study aimed to explore the experiences of adults with type 2 diabetes who took part in a diabetes peer support intervention in the Free State, South Africa. Such information may lead to the development of practical methods for diabetes self-management and control.

METHODS

Twelve purposively sampled Sesotho-speaking women (aged 51-84 years) participated in the Mmogo-method®, a visual-based narrative enquiry. Textual data from audio recordings of discussions, visual data from photographs of constructions and field notes were triangulated and analysed thematically.

RESULTS

Participants described the peer support intervention as very valuable. They regarded community health workers as an important source of support. Three themes emerged from the intervention: positive lifestyle changes, continuous support, and improved confidence and sense of connectedness. This was a significant finding reported in patients with diabetes, as it will contribute to successfully sustaining effective self-management behaviour.

CONCLUSIONS

Peer support for patients with type 2 diabetes appeared to be a valued intervention, as participants related well to community health workers, who are ideally positioned in the healthcare system to provide the service.

Negative emotions and consumers’ preventive health behavior: a multi-method exploratory study

Purpose

As the emotional/experiential aspect is still marginalized in the literature, this paper aims to explore the role of negative emotions associated with past experiences (PEs) in explaining the preventive health behavior (PHB) of the consumers with a chronic disease.

Design/methodology/approach

From the perspective of experiential marketing, a multi-method exploratory study was conducted among consumers with type 2 diabetes. The investigation process applied phenomenological interviews, visual projections and consumer diaries to adequately capture the emotional responses related to consumer experience of healthy diet behavior.

Findings

The results of a methodological triangulation show that the generation of negative emotions associated with PE with the PHB stimulates adopting healthy eating behavior rather than restraining it.

Research limitations/implications

The multi-method protocol chosen for this experiential study is a response to the methodological requirements for a broader conception of consumer experience in the context of chronic diseases. This protocol can be used for further empirical investigation of emotional reactions experienced in consumer behavior in the broad sense.

Practical implications

Managerial implications are provided for health-care professionals on how to implement marketing strategies and practices based on the identified consumer profiles.

Originality/value

This study highlights the significant role of experienced emotional responses in explaining the adoption of the PHB and underlines that not all decisions are rational. It also contributes to the literature by specifying a mixed-method approach of data collection for deeper investigation of the consumer’s emotional responses to the health behavior experience.

Loneliness of older black South African women subjected to forcible relocation

Background: A cohort of older black South African women, forcibly relocated during apartheid, has grown old in these places. Even after 50 years, residents in a rural township expressed no connection to place and ruptured intergenerational relations. Their sense of community was based almost exclusively on their links with others who shared their history of relocation.

Objective: This article seeks to understand loneliness of a group of older women who have been rendered vulnerable by longstanding exclusion from community, services and material resources. We use loneliness as a metric for exclusion from social relations.

Methods: Sixteen Setswana-speaking women in Ikageng, a township in North West Province of South Africa (age 61–73), participated in the Mmogo-method® and open-ended interviews. Textual data were analyzed using thematic analysis, visual data analysis of elements and symbolic representations of loneliness.

Results: Loneliness is a powerfully unpleasant experience of not being able to interact with other people in general, or more specifically as a result of the loss of particular people (including spouses, parents and children) and isolation provoked by the impact of relational interactions and group dynamics. Loneliness was mitigated by socializing and gathering for traditional activities, performing spiritual rituals, and keeping busy individually or with others, thus reinforcing a core theme that any social interaction alleviates loneliness.

Conclusions: Even though loneliness is powerfully unpleasant, it is an expression of the importance of social interactions formed in a particular context. In the face of longstanding societal exclusion and disconnection from community, social connections are central to identity and to survival.

The Mmogo-Method: Application, Experiences, and Lessons Learnt in Researching Radiography Students' Experiences and Coping With Death and Dying

PURPOSE

This study aimed to share the application, experiences, and lessons learnt regarding the value of the Mmogo-method that is a visual projective research method, in the context of exploring the experiences and coping of undergraduate diagnostic radiography students with death and dying patients in the workplace.

METHODS

Verbatim data were gathered during the debriefing phase of the adapted Mmogo-method technique from the participants. In addition, the reflective memos of the independent coder and interviewer were used as data sources.

RESULTS

The experiences of various stakeholders positively supported the use of the visual projective research method. The method enabled them to freely and openly verbalise their experiences of coping with death and dying in the workplace. Juxtaposing these was one experience of indifference.

CONCLUSION

The Mmogo-method provides rich data and enables an ethically and methodologically rigorous opportunity to obtain new insights into sensitive topics. It is recommended for consideration when researching sensitive topics.

Toward a Culturally and Contextually Sensitive Understanding of Resilience

Extant theories of resilience, or the process of adjusting well to adversity, privilege the voices of minority-world young people. Consequently, the resilience of marginalized, majority-world youth is imperfectly understood, and majority-world social ecologies struggle to facilitate resilience in ways that respect the insights of majority-world youth and their cultural and contextual positioning. Accordingly, this article makes audible, as it were, the voices of 181 rural, Black, South African adolescents with the purpose of explicating which resilience-supporting processes characterize their positive adjustment to disadvantaged life-worlds, and how contextual and cultural realities shape such processes. Deductive and inductive analyses of a narrative and visual data set, generated in the qualitative phase of an explanatory mixed-methods study, revealed that universally occurring resilience-supporting mechanisms inform positive adjustment. Importantly, which mechanisms these youth prioritized, and the form these mechanisms take, are shaped by contextual realities of absent men and commonplace suffering, and a cultural reality of strong women, human and spiritual care, and valorization of education. Attention to these adolescents’ voices not only prompts specific, culturally and contextually relevant leverage points for resilience but also reinforces the importance of attending to young people’s preferred pathways of resilience in order to understand and champion resilience in socially just ways.

(Re)creating community: Experiences of Older Women Forcibly Relocated During Apartheid

This article explores sense of community with a group of older African women, who were forcibly relocated during apartheid. The situation of a marginalised group, with a history of disconnection from younger generations and from place, provides an opportunity to consider the relevance of community in later life. The research was conducted at a day centre for older people in the North West Province of South Africa, more than 50 years after forced relocations took place. Eleven older women (70 years and older) participated. Qualitative data were obtained through visual research methods and group discussions and were thematically analysed. Findings were that place and sense of belonging as well as elements of community were relevant. Participants reported limited connections to place in either childhood or current communities. Post relocation, a sense of belonging was expressed only in relation to a shared-interest community of peers that addressed their needs for safety, emotional support and instrumental care. Also, generational relations were strained, giving rise to a sense of loss of a community where both young and old were responsible for each other. Constrained resource communities have a profound impact on opportunities to create a sense of belonging. © 2013 The Authors. Journal of Community & Applied Social Psychology published by John Wiley & Sons Ltd.

The role of context and the interpersonal experience of loneliness among older people in a residential care facility

Older people are more prone to experience loneliness when living in residential care facilities. The purpose of this study was to explore older people's experiences of loneliness in the context of institutionalized care. A voluntary and convenience-based sample of 10 white South African older people (age range 62 to 82 years; three men and seven women) was drawn. Data on the subjective experience of loneliness were then gathered through the Mmogo-method, whereby drawings were employed to explore matters and issues of importance in the lives of older people that could be used to deal with loneliness. Data were analyzed thematically and visually as well as through the use of keywords in context. The results showed that older people experienced loneliness in terms of having unavailable interactions due to loss, and an absence of meaningful interpersonal interactions. Meaningful interpersonal interactions were described as when the older people had regular contact and a variety of interactions. Ineffective interpersonal styles (e.g. taking a controlling position in relationships and being rigid) elicited rejection and isolation, and were associated with a lack of confirmatory interpersonal relationships. It is recommended that greater emphasis should be placed on creating awareness of unhealthy group dynamics as well as on psychosocial interventions to develop group support. Interpersonal styles, either effective or ineffective, take place in a social context, which, in this research, was observed to be unsafe, lacking in care, and a non-stimulating environment.