1
|
Barborini C, Goodyear T, Kia H, Gilbert M, Ferlatte O, Knight R. "To smoke feels gender": Exploring the transformative and emancipatory capacities of cannabis among transgender, non-binary and gender non-conforming (TGNC) youth. THE INTERNATIONAL JOURNAL OF DRUG POLICY 2024; 131:104536. [PMID: 39141958 DOI: 10.1016/j.drugpo.2024.104536] [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: 01/18/2024] [Revised: 07/05/2024] [Accepted: 07/08/2024] [Indexed: 08/16/2024]
Abstract
BACKGROUND Transgender, non-binary and gender non-conforming (herein, "TGNC") youth (15-24 years old) face overlapping minority stressors (e.g., gender discrimination, lack of access to gender-affirming care, rejection, violence) that contribute to mental health inequities. TGNC youth also use substances at higher rates when compared to cisgender youth, including some of the highest rates of cannabis use in Canada. METHODS This community-based participatory research study provides an in-depth qualitative, photovoice-based analysis examining how cannabis use features within the gender experiences of a sample of TGNC youth in British Columbia (BC). We conducted in-depth, semi-structured interviews with 27 TGNC youth (15-24 years old) from across British Columbia. Interviews were designed to elicit discussions about the photos youth had taken as well as various gender and mental health experiences related to their cannabis use. Analysis and identification of emergent themes was guided by social constructivist grounded theory as well as queer and trans theorizing and informed by community-based research approaches through regular meetings with our team's Substance Use Beyond the Binary Youth Action Committee comprised of TGNC youth who use substances. RESULTS Three overarching themes pertaining to cannabis use and gender experiences amongst TGNC youth in our study were generated. First, participants used cannabis purposefully and strategically to enact diverse gender expressions and embodiments. Second, participants leveraged cannabis to support introspection whilst mobilizing identity discovery and development. Finally, participants mobilized cannabis as a vehicle for accessing moments of gender euphoria and affirmation. CONCLUSIONS These findings identify how some TGNC youth use cannabis to purposefully and strategically facilitate their mental health, well-being, identity development and self-expression. This research reveals critically important experiential and embodied dimensions of cannabis use that have not historically been considered in cannabis-related policy and the provision of care, including mental health and substance use-related care.
Collapse
Affiliation(s)
- Christian Barborini
- British Columbia Centre on Substance Use, 1045 Howe St Suite 400, Vancouver BC, V6Z 2A9, Canada; School of Population and Public Health, University of British Columbia, 2206 E Mall, Vancouver BC, V6T 1Z3, Canada
| | - Trevor Goodyear
- British Columbia Centre on Substance Use, 1045 Howe St Suite 400, Vancouver BC, V6Z 2A9, Canada; School of Nursing, University of British Columbia, T201-2211 Wesbrook Mall, Vancouver BC, V6T 2B5, Canada
| | - Hannah Kia
- School of Social Work, University of British Columbia, 2080 West Mall, Vancouver BC, V6T 1Z2, Canada
| | - Mark Gilbert
- School of Population and Public Health, University of British Columbia, 2206 E Mall, Vancouver BC, V6T 1Z3, Canada
| | - Olivier Ferlatte
- École de Santé Publique, Université de Montréal, 7101 ave du Parc, bureau 3123, Montréal QC, H3N 1X9, Canada; Centre de recherche en santé publique (CReSP), 7101 ave du Parc, bureau 3123, Montréal QC, H3N 1X9, Canada
| | - Rod Knight
- British Columbia Centre on Substance Use, 1045 Howe St Suite 400, Vancouver BC, V6Z 2A9, Canada; École de Santé Publique, Université de Montréal, 7101 ave du Parc, bureau 3123, Montréal QC, H3N 1X9, Canada; Centre de recherche en santé publique (CReSP), 7101 ave du Parc, bureau 3123, Montréal QC, H3N 1X9, Canada.
| |
Collapse
|
2
|
Li S, Gulley J, Booty M, Firchow B, McGladrey ML. Using Photovoice to Improve Engagement in Community Health Assessments Addressing Behavioral Health. J Behav Health Serv Res 2024:10.1007/s11414-024-09885-4. [PMID: 38710979 DOI: 10.1007/s11414-024-09885-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/07/2024] [Indexed: 05/08/2024]
Abstract
Behavioral health disorders are well-known to have close links with the social determinants of health, yet little is known about how impacted communities perceive these links. Qualitative participatory methods can not only provide insight into how communities conceptualize these relationships but also empower those with lived experience to contextualize their perspectives and formulate calls to action. This study used Photovoice as a participatory method to supplement the Clark County Health Department Community Health Assessment and determine priority facilitators and barriers contributing to the behavioral health of Clark County, KY, residents. A secondary aim was to gain a greater understanding of how the Photovoice methodology impacts community engagement efforts in Community Health Assessments. Twenty-three Clark County residents participated in four Photovoice groups involving five weekly sessions, which included photograph "show and tell," critical group dialogue, participatory analysis, and planning for dissemination. Secondary analysis of Photovoice focus group discussions revealed behavioral health facilitators and barriers were most influenced by (1) public sector unresponsiveness, (2) strong partnerships formed between community and grassroots organizations, and (3) the siloed division of responsibility between agencies and across sectors. The authors also found the Photovoice method successfully enhanced engagement and empowered those with lived experience to frame their perspectives of the behavioral health landscape. This project has implications for enhancing community engagement and empowerment in behavioral health-focused public health assessments and shaping policy to promote multi-sector collaboration.
Collapse
Affiliation(s)
- Stacey Li
- School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA, 70118, USA.
| | | | - Marisa Booty
- University of Kentucky College of Arts and Sciences, Lexington, KY, 40506, USA
| | - Bradley Firchow
- University of Kentucky College of Medicine, Lexington, KY, 40506, USA
| | | |
Collapse
|
3
|
McKenzie SK, Mathieson F, Das T, Genuchi MC, Oliffe JL. Understanding Men's Lived Experience of Mental Distress Through Metaphors. Am J Mens Health 2024; 18:15579883241260920. [PMID: 38888189 PMCID: PMC11186386 DOI: 10.1177/15579883241260920] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2024] [Revised: 05/17/2024] [Accepted: 05/23/2024] [Indexed: 06/20/2024] Open
Abstract
The use of tailored language, which involves a clinician's ability to adapt communication styles and employ accessible terms and concepts, has long been touted as key to engaging men with mental health services. Metaphors are one communication device that can provide men with ways through which to meaningfully express themselves and communicate their mental distress experiences. Using qualitative photovoice research, the current study examined how New Zealand-based men (n = 21) communicatively constructed their meaning of mental distress through metaphors. Analysis of interview data was used to derive three metaphor groupings men consistently drew on to articulate their lived experiences: metaphors of emotions (darkness and weight), metaphors of survival (battle and entity), and metaphors of disembodiments (debility and entrapment). The findings highlight the power of metaphors as a tool for men in communicating their experiences of mental distress and are valuable for health professionals to contemplate across an array of contexts. The implications and importance of a metaphor-enriched perspective for engaging men in professional health care settings and services are discussed.
Collapse
Affiliation(s)
- Sarah K. McKenzie
- Department of Psychological Medicine, University of Otago, Wellington, New Zealand
| | - Fiona Mathieson
- Department of Psychological Medicine, University of Otago, Wellington, New Zealand
| | - Tiara Das
- Department of Psychological Medicine, University of Otago, Wellington, New Zealand
| | - Matthew C. Genuchi
- Department of Psychological Science, Boise State University, Boise, ID, USA
| | - John L. Oliffe
- School of Nursing, University of British Columbia, Vancouver, Canada
- Department of Nursing, The University of Melbourne, Parkville, Melbourne, Australia
| |
Collapse
|
4
|
Ortiz-Paredes D, Chanady T, Wassef K, Knight R, Ferlatte O. 'I created my own access:' understanding mental healthcare access experiences among LGTBQ + youth who use cannabis in Canada. CULTURE, HEALTH & SEXUALITY 2024:1-20. [PMID: 38639032 DOI: 10.1080/13691058.2024.2340090] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/14/2023] [Accepted: 04/03/2024] [Indexed: 04/20/2024]
Abstract
In North America, LGBTQ+ youth have high rates of cannabis use and face mental health issues. We conducted a photovoice study to describe the perspectives, needs, and motivations of forty-six LGBTQ+ youth who use cannabis as they access mental healthcare services. Participants' photographs were discussed in individual semi-structured interviews conducted by peer researchers. Following a thematic analysis of the interview transcripts, we first found that, beyond medication, LGBTQ+ youth sought mental health services facilitating introspection to better understand their sexual and gender identities and mental health. Second, participants sought affirming health professionals but often felt judged by providers. Third, access to desired services was often described as uncertain and taxing, which impacted their mental health. Fourth, participants' agency was determined by their experience with mental health services, which translated into resilience to tackle access challenges and cannabis use to mitigate their mental health struggles. Our findings point to the need for mental healthcare delivery that goes beyond medication provision but which in addition foster therapeutic processes based on a holistic understanding of mental health. A trusting dynamic between health professionals and LGBTQ+ youth is imperative to counteract the feelings of stigma experienced by LGBTQ+ youth using cannabis in Canada.
Collapse
Affiliation(s)
- David Ortiz-Paredes
- École de Santé Publique de l'Université de Montréal, Montréal, QC, Canada
- Centre de Recherche en Santé Publique, Université de Montréal et CIUSSS du Centre-Sud-de-l'Île-de-Montréal, Montréal, QC, Canada
| | - Tara Chanady
- École de Santé Publique de l'Université de Montréal, Montréal, QC, Canada
- Centre de Recherche en Santé Publique, Université de Montréal et CIUSSS du Centre-Sud-de-l'Île-de-Montréal, Montréal, QC, Canada
| | - Kinda Wassef
- École de Santé Publique de l'Université de Montréal, Montréal, QC, Canada
- Centre de Recherche en Santé Publique, Université de Montréal et CIUSSS du Centre-Sud-de-l'Île-de-Montréal, Montréal, QC, Canada
| | - Rod Knight
- École de Santé Publique de l'Université de Montréal, Montréal, QC, Canada
- Centre de Recherche en Santé Publique, Université de Montréal et CIUSSS du Centre-Sud-de-l'Île-de-Montréal, Montréal, QC, Canada
| | - Olivier Ferlatte
- École de Santé Publique de l'Université de Montréal, Montréal, QC, Canada
- Centre de Recherche en Santé Publique, Université de Montréal et CIUSSS du Centre-Sud-de-l'Île-de-Montréal, Montréal, QC, Canada
| |
Collapse
|
5
|
Dulek EB, Stein CH. The Way I See It: Older Adults with Mental Illness Share Their Views of Community Life Using Photovoice. Community Ment Health J 2024; 60:457-469. [PMID: 37874437 DOI: 10.1007/s10597-023-01192-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/16/2023] [Accepted: 09/15/2023] [Indexed: 10/25/2023]
Abstract
The importance of community involvement for both older adults and individuals coping with mental illness is well documented. Yet, barriers to community integration for adults with mental illness such as social stigma, discrimination, and economic marginalization are often exacerbated by increased health and mobility challenges among older adults. Using photovoice, nine older adults with mental illness represented their views of community in photographs and group discussions over a six-week period. Participant themes of community life included physical spaces, valued social roles, and access to resources in the community. Themes were anchored by older adults' perceptions of historical and cultural time comparisons between 'how things used to be' and 'how things are now.' Barriers to community integration were often related to factors such as age, mobility, and resources rather than to mental health status. Program evaluation results suggest photovoice can promote self-reflection, learning, and collaboration among older adults with mental illness.
Collapse
Affiliation(s)
- Erin B Dulek
- Milwaukee VA Medical Center, 5000 W. National Ave, Milwaukee, WI, 53295, USA.
| | | |
Collapse
|
6
|
Vining R, Finn M. Why and how is photovoice used as a decolonising method for health research with Indigenous communities in the United States and Canada? A scoping review. Nurs Inq 2024; 31:e12605. [PMID: 37805822 DOI: 10.1111/nin.12605] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2022] [Revised: 09/11/2023] [Accepted: 09/15/2023] [Indexed: 10/09/2023]
Abstract
Globally, including in North America, Indigenous populations have poorer health than non-Indigenous populations. This health disparity results from inequality and marginalisation associated with colonialism. Photovoice is a community-based participatory research method that amplifies the voices of research participants. Why and how photovoice has been used as a decolonising method for addressing Indigenous health inequalities has not been mapped. A scoping review of the literature on photovoice for Indigenous health research in the United States and Canada was carried out. Five electronic databases and the grey literature were searched, with no time limit. A total of 215 titles and abstracts and 97 full texts were screened resulting in 57 included articles. Analysis incorporated Lalita Bharadwaj's Framework For Building Research Partnerships with First Nations Communities. Photovoice was selected to improve knowledge mobilisation and participant empowerment and engagement. Studies incorporated relationship building, meaningful data collection, and public dissemination but had a lesser focus on the inclusion of Indigenous peer researchers or participant involvement in analysis. For photovoice to truly realise its decolonising potential, it must be incorporated into a broader participatory and decolonising research paradigm. In addition, more resources are required to support the involvement of Indigenous people in the research process.
Collapse
Affiliation(s)
- Rebecca Vining
- Centre for Global Health, Trinity College Dublin, Dublin, Ireland
- Department of Geography, Maynooth University, Kildare, Ireland
| | - Mairéad Finn
- Centre for Global Health, Trinity College Dublin, Dublin, Ireland
- Graduate School of Healthcare Management, Royal College of Surgeons in Ireland, Dublin, Ireland
| |
Collapse
|
7
|
Longhurst P, Aspell J, Todd J, Swami V. "There's No Separating My View of My Body from My Autism": A qualitative study of positive body image in autistic individuals. Body Image 2024; 48:101655. [PMID: 38042087 DOI: 10.1016/j.bodyim.2023.101655] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/11/2023] [Revised: 11/21/2023] [Accepted: 11/22/2023] [Indexed: 12/04/2023]
Abstract
While scholars have investigated positive body image across diverse populations, extant theory largely excludes those with differing socio-cognitive experiences, such as autistic individuals. Using constructivist grounded theory, this study sought to develop a grounded theory of positive body image in autistic individuals. One-to-one interviews with photo-elicitation were conducted with 20 autistic adults (7 women, 8 men, 5 non-binary/agender; aged 18-53 years) from the United Kingdom. Through a process of open, axial, and focused coding, a grounded theory was developed around a core category of positive body image in autistic adults and was found to comprise six themes: body connection, body acceptance, appreciating body functionality and neurodivergent strengths, having a body-positive protective filter, taking care of the body, and body and appearance neutrality. Our findings suggest that some aspects of positive body image in autistic individuals are consistent with those found in neurotypical adults. However, positive body image in autistic individuals further encompasses both the sensory (i.e., how the body is felt) and aesthetic (i.e., how the body is seen) body. These findings may stimulate research aimed at improving positive body image in autistic populations.
Collapse
Affiliation(s)
- Phaedra Longhurst
- School of Psychology and Sport Science, Anglia Ruskin University, Cambridge, United Kingdom.
| | - Jane Aspell
- School of Psychology and Sport Science, Anglia Ruskin University, Cambridge, United Kingdom
| | - Jennifer Todd
- School of Psychology and Sport Science, Anglia Ruskin University, Cambridge, United Kingdom; Centre for Psychological Medicine, Perdana University, Kuala Lumpur, Malaysia
| | - Viren Swami
- School of Psychology and Sport Science, Anglia Ruskin University, Cambridge, United Kingdom; Centre for Psychological Medicine, Perdana University, Kuala Lumpur, Malaysia
| |
Collapse
|
8
|
Winds K, Marka T, Salcher B, Rieser N, Skrivanek C, Hochrainer M, Trost-Schrems J, Rainer LJ, Hitzl W, Augner C, Plattner B. Glow up: does a professional photoshoot intervention affect self-esteem and emotions among adolescent psychiatric patients?-A longitudinal intervention study. Front Psychiatry 2024; 15:1310252. [PMID: 38463433 PMCID: PMC10920346 DOI: 10.3389/fpsyt.2024.1310252] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/09/2023] [Accepted: 02/06/2024] [Indexed: 03/12/2024] Open
Abstract
Background Today, online communication is shaped by a billion-dollar social media (SM) and social networking site (SNS) industry. Visual content consumed by children and adolescents has been shown to influence behavioral patterns, state emotions, and self-esteem (SE). In this study, we introduced a novel intervention creating visual content through a professional photoshoot and investigated its impact on state emotions and SE in child and adolescent psychiatric (CAP) patients. Methods Standardized and validated self-rating questionnaires were used to assess SE, state emotions, coping mechanisms, psychopathological symptoms, and internet use behavior at baseline. SE and state emotions were monitored at different time points around a professional photoshoot within 45 CAP patients (30 female patients; mean age, 15.1 years) using a longitudinal design. Results Within-subject repeated-measures ANOVA and bootstrapped paired-sample t-tests showed a significant fluctuation in state emotions and SE throughout the intervention. Spearman correlations and univariate logistic regressions revealed that internalizing symptomatology and maladaptive coping significantly worsened the outcome of the intervention on state emotions and SE in girls. Internet-related variables heightened the positive effect of the intervention in boys and lowered SE in girls during the intervention. Conclusion The photo intervention had various gender-specific effects. Boys did benefit from the intervention in terms of longitudinal outcome on positive state emotions (PE) and SE, even positively influenced by SNS and SM. Thus, it might be concluded that online social comparison was processed more beneficial in boys. In contrast, when working with visual content in girls, psychopathology and coping must be considered. Internet consumption in general, especially SM and SNS, was related to low SE in girls. Nevertheless, when therapeutically accompanied, the "glow up moment" during the shoot (high on PE and SE; low on negative state emotions) could be used as an index moment for therapeutic reflection.
Collapse
Affiliation(s)
- Kornelius Winds
- University Clinics for Child and Adolescent Psychiatry and Psychotherapeutic Medicine, Salzburger Landeskliniken, Paracelsus Medical University, Salzburg, Austria
- Centre for Cognitive Neuroscience Salzburg, Paris Lodron University Salzburg, Salzburg, Austria
| | - Theresa Marka
- University Clinics for Child and Adolescent Psychiatry and Psychotherapeutic Medicine, Salzburger Landeskliniken, Paracelsus Medical University, Salzburg, Austria
- Centre for Cognitive Neuroscience Salzburg, Paris Lodron University Salzburg, Salzburg, Austria
| | - Bernhard Salcher
- Department of Environment and Biodiversity, Paris Lodron University Salzburg, Salzburg, Austria
| | - Nicole Rieser
- University Clinics for Child and Adolescent Psychiatry and Psychotherapeutic Medicine, Salzburger Landeskliniken, Paracelsus Medical University, Salzburg, Austria
| | - Christine Skrivanek
- University Clinics for Psychiatry, Psychotherapy and Psychosomatics, Salzburger Landeskliniken, Paracelsus Medical University, Salzburg, Austria
| | - Michelle Hochrainer
- University Clinics for Pediatrics, Paracelsus Medical University, Salzburg, Austria
| | - Julia Trost-Schrems
- University Clinics for Child and Adolescent Psychiatry and Psychotherapeutic Medicine, Salzburger Landeskliniken, Paracelsus Medical University, Salzburg, Austria
| | - Lucas J. Rainer
- University Clinics for Child and Adolescent Psychiatry and Psychotherapeutic Medicine, Salzburger Landeskliniken, Paracelsus Medical University, Salzburg, Austria
- Centre for Cognitive Neuroscience Salzburg, Paris Lodron University Salzburg, Salzburg, Austria
- University Clinics for Psychiatry, Psychotherapy and Psychosomatics, Salzburger Landeskliniken, Paracelsus Medical University, Salzburg, Austria
- University Clinics for Neurology, Salzburger Landeskliniken, Paracelsus Medical University, Salzburg, Austria
| | - Wolfgang Hitzl
- Research Office Biostatistics, Paracelsus Medical University, Salzburg, Austria
| | - Christoph Augner
- University Clinics for Psychiatry, Psychotherapy and Psychosomatics, Salzburger Landeskliniken, Paracelsus Medical University, Salzburg, Austria
- Institute for Human Resources Research in Health Care, Salzburger Landeskliniken, Paracelsus Medical University, Salzburg, Austria
| | - Belinda Plattner
- University Clinics for Child and Adolescent Psychiatry and Psychotherapeutic Medicine, Salzburger Landeskliniken, Paracelsus Medical University, Salzburg, Austria
- Centre for Cognitive Neuroscience Salzburg, Paris Lodron University Salzburg, Salzburg, Austria
| |
Collapse
|
9
|
Xavier SM, Barbosa S, Correia AF, Dindo V, Sequeira M, Maia T, Goes AR. Images that speak: A Portuguese Photovoice study on the psychosocial experience of a migrant population from Cape Verde after a first episode of psychosis. Transcult Psychiatry 2023:13634615231187252. [PMID: 37519012 DOI: 10.1177/13634615231187252] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 08/01/2023]
Abstract
Several migrant populations have been identified worldwide as high-risk groups for psychosis because of their experience of social adversity. Recent evidence suggests that the local contexts in which these populations live should be addressed in their complexity to take into account individual and larger societal environmental aspects. This study aimed to assess the lived experiences of a group of migrant Cape Verdean patients, who had been recently hospitalized for a first episode of psychosis in a mental health service on the outskirts of Lisbon, Portugal. The study used Photovoice, a qualitative participatory research method in which people's experiences are documented through photography. Six individuals were recruited, and five weekly sessions were conducted to collect data that were analyzed thematically. Emergent themes addressed two main categories of well-being and illness. Participant concepts of well-being were rooted in a definition of freedom encompassing cultural expression, conveyed by familiar environments and supporting communities. Cultural differences may be experienced as important obstacles for well-being and can be associated with feelings of oppression and guilt. Participants' accounts focused on positive aspects of life despite illness and on personal concepts of recovery. The study findings contribute to knowledge of the dynamics of migrants' social experience and underscore the importance of socially and culturally informed mental healthcare institutions.
Collapse
Affiliation(s)
| | | | | | - Vera Dindo
- Hospital Professor Doutor Fernando Fonseca
- Sahlgrenska University Hospital
| | - Márcia Sequeira
- Hospital Professor Doutor Fernando Fonseca
- Hunter New England Health District
| | | | | |
Collapse
|
10
|
Goodyear T, Ferlatte O, Fast D, Salway T, Jenkins E, Robinson S, Knight R. Using photovoice to understand experiences of opioid use among sexual and gender minority youth in Vancouver, Canada. CULTURE, HEALTH & SEXUALITY 2023; 25:599-616. [PMID: 35622430 PMCID: PMC9701249 DOI: 10.1080/13691058.2022.2079153] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/17/2021] [Accepted: 05/15/2022] [Indexed: 05/10/2023]
Abstract
In Canada, sexual and gender minority youth use opioids at disproportionately high rates. Yet, little is known about the distinct contexts of opioid use within this group, challenging capacity to develop well founded policy and practice supports. This case study aims to examine - in depth - the experiences and contexts of opioid use among a sample of four sexual and gender minority youth in Vancouver, Canada. Qualitative data from photovoice methods and in-depth, semi-structured interviews were collected in 2019. Analysis adopted a reflexive thematic approach from a critical interpretive standpoint, informed by minority stress theory. Three interconnected themes were constructed: (i) minoritised contexts of entry into and continuation of opioid use; (ii) mental health-maintaining and stress-mitigating effects of opioid use in the context of minoritisation; and (iii) intersections of stigma, violence and poverty with opioid use and minoritisation. Findings suggest that the health of sexual and gender minority youth who use opioids is shaped by minority stress and overlapping forms of structural marginalisation. They signal the need for responsive strategies that hold promise in supporting this population, including advancing integrated approaches to substance use and mental health care alongside interventions targeted towards the social and structural determinants of health.
Collapse
Affiliation(s)
- Trevor Goodyear
- School of Nursing, University of British Columbia, Vancouver, BC, Canada
- British Columbia Centre on Substance Use, Vancouver, BC, Canada
| | - Olivier Ferlatte
- British Columbia Centre on Substance Use, Vancouver, BC, Canada
- École de Santé Publique de l’Université de Montréal, Montreal, QC, Canada
- Centre de Recherche en Santé Publique, Université de Montréal et CIUSSS du Centre-Sud-de-l’Île-de-Montréal, Montreal, QC, Canada
| | - Danya Fast
- British Columbia Centre on Substance Use, Vancouver, BC, Canada
- Department of Medicine, University of British Columbia, Vancouver, BC, Canada
| | - Travis Salway
- British Columbia Centre for Disease Control, Vancouver, BC, Canada
- Centre for Gender and Sexual Health Equity, Vancouver, BC, Canada
- Faculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada
| | - Emily Jenkins
- School of Nursing, University of British Columbia, Vancouver, BC, Canada
| | - Samantha Robinson
- School of Nursing, University of British Columbia, Vancouver, BC, Canada
- British Columbia Centre on Substance Use, Vancouver, BC, Canada
| | - Rod Knight
- British Columbia Centre on Substance Use, Vancouver, BC, Canada
- Department of Medicine, University of British Columbia, Vancouver, BC, Canada
| |
Collapse
|
11
|
Mooney R, Bhui K. Analysing multimodal data that have been collected using photovoice as a research method. BMJ Open 2023; 13:e068289. [PMID: 37068902 PMCID: PMC10111907 DOI: 10.1136/bmjopen-2022-068289] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 04/19/2023] Open
Abstract
BACKGROUND Creative arts practice can enhance the depth and quality of mental health research by capturing and foregrounding participants' lived experience. Creative methods are emotionally activating and promote multiple perspectives, tolerating ambiguities and uncertainties, which are shared and even celebrated. KEY ARGUMENTS Methods such as photovoice use imagery to elucidate narratives that are not easily captured by more traditional interview-based research techniques. However, the use of creative methods and participatory research remains novel as there is little guidance of how to navigate conceptual, practical, and analytical challenges. CONCLUSION This paper considers these challenges, and puts forward practical and theory informed recommendations, using as study of photovoice methods for investigating ethnic inequalities in the use of the mental health act (Co-Pact) as a case study.
Collapse
Affiliation(s)
- Roisin Mooney
- CHiMES Collaborative, Department of Psychiatry, University of Oxford, Oxford, UK
| | - Kamaldeep Bhui
- CHiMES Collaborative, Department of Psychiatry, University of Oxford, Oxford, UK
- Nuffield Department of Primary Care Health Sciences, Wadham College, University of Oxford, Oxford, UK
- Global Policy Institute, Queen Mary University London, London, UK
| |
Collapse
|
12
|
Gamieldien F, Galvaan R, Myers B, Sorsdahl K. Mental Health Service Users and Their Caregivers Perspectives on Personal Recovery from Severe Mental Health Conditions in Cape Town, South Africa: A Qualitative Study. JOURNAL OF PSYCHOSOCIAL REHABILITATION AND MENTAL HEALTH 2023; 11:201-219. [PMID: 38887754 PMCID: PMC11180021 DOI: 10.1007/s40737-023-00341-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/08/2022] [Accepted: 03/25/2023] [Indexed: 06/20/2024]
Abstract
Severe mental health conditions (SMHCs) significantly contribute to the global disease burden. In low-and-middle-income countries (LMICs) like South Africa, the long-term impact of SMHCs on individuals and their families is serious. However, mental health services focus on clinical recovery, with little attention given to the personal recovery needs of mental health service users (MHSUs) and their caregivers. The CHIME framework outlines five domains characterising personal recovery: connectedness, hope and optimism about the future, identity, meaning in life, and empowerment. This qualitative, descriptive study sought insights from male MHSUs and their caregivers on their perspectives of personal recovery from SMHCs. Four male MHSUs and three of their caregivers were purposively selected from Cape Flats communities in the Western Cape. Data were collected using visual participatory methods, including photovoice, life graphs, community maps, and photo-elicitation interviews with MHSUs. In addition, semi-structured interviews were held with caregivers. Data were thematically analysed, and two main themes emerged: Finding meaningful participation and affirming agency. These themes describe how diverse contextual, socioeconomic, political, demographic, cultural, and spiritual factors help and hinder personal recovery. MHSUs and their caregivers sought support from mental health non-profit organisations (MH-NPOs) because of stigmatising attitudes from their communities. MH-NPOs provided MHSUs with long-term relational support and opportunities to build their capacities which helped them access living, learning, working and socialising opportunities. Understanding the diverse needs of MHSUs and including MH-NPOs in scaling up community-based mental health services in LMICs will enable more accessible services that support personal recovery.
Collapse
Affiliation(s)
- Fadia Gamieldien
- Department of Psychiatry and Mental Health, Alan J. Flisher Centre for Public Mental Health, University of Cape Town, 46 Sawkins Road, Rondebosch, Cape Town, 7700 South Africa
- Division of Occupational Therapy, Department of Health and Rehabilitation Sciences, University of Cape Town, Cape Town, South Africa
- Inclusive Practices Africa Research Unit, Department of Health and Rehabilitation Sciences, University of Cape Town, Cape Town, South Africa
| | - Roshan Galvaan
- Division of Occupational Therapy, Department of Health and Rehabilitation Sciences, University of Cape Town, Cape Town, South Africa
- Inclusive Practices Africa Research Unit, Department of Health and Rehabilitation Sciences, University of Cape Town, Cape Town, South Africa
| | - Bronwyn Myers
- Curtin enAble Institute, Faculty of Health Sciences, Curtin University, Perth, WA Australia
- Alcohol, Tobacco and Other Drug Research Unit, South African Medical Research Council, Cape Town, South Africa
- Division of Addiction Psychiatry, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa
| | - Katherine Sorsdahl
- Department of Psychiatry and Mental Health, Alan J. Flisher Centre for Public Mental Health, University of Cape Town, 46 Sawkins Road, Rondebosch, Cape Town, 7700 South Africa
| |
Collapse
|
13
|
Dixon K, Fossey E, Petrakis M. Using photovoice to explore women's experiences of a women-only prevention and recovery care service in Australia. HEALTH & SOCIAL CARE IN THE COMMUNITY 2022; 30:e5839-e5847. [PMID: 36069171 PMCID: PMC10087405 DOI: 10.1111/hsc.14015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/04/2021] [Revised: 07/21/2022] [Accepted: 08/20/2022] [Indexed: 06/15/2023]
Abstract
Women should be able to access mental health services that are safe, free from harassment and abuse. Yet, research indicates that women experiencing mental health issues are often not safe in mixed gender environments, and especially in inpatient settings. This qualitative study draws on a photo-elicitation method ('photovoice') and semi-structured interviews to explore women's experiences of a sub-acute women-only prevention and recovery care (PARC) service in Australia. Twelve women experiencing mental health issues were recruited via an aftercare peer support group for recent service participants. The women took photographs guided by the central question: 'What were your experiences of a women-only prevention and recovery care service?' They then shared these photographs with the researchers and each other, and described them in detail. Four key themes were identified by thematic analysis of the photovoice visual and narrative data: (a) Only women can understand what women go through; (b) I feel safer with no men around due to my history of trauma; (c) This environment feels safe, making it easier to talk and (d) Staff are accessible and make time for me to talk about difficult topics. Woven throughout the women's narratives was the expressed desire to feel safe and supported during the process of recovering. Aspects of service delivery that contributed to these feelings and facilitated shared support were also valued in this setting. These findings indicate that access to women-only services and peer support are not only valued by women experiencing mental health issues, but need to be more widely available to support their recovery. They also underline the importance of a trauma-informed approach for improving the gender sensitivity of services.
Collapse
Affiliation(s)
- Karen Dixon
- Department of Occupational Therapy, School of Primary and Allied Health Care, Faculty of Medicine, Nursing & Health SciencesMonash UniversityFrankstonVictoriaAustralia
| | - Ellie Fossey
- Department of Occupational Therapy, School of Primary and Allied Health CareMonash UniversityFrankstonVictoriaAustralia
- Living with Disability Research Centre, School of Allied HealthLa Trobe UniversityBundooraVictoriaAustralia
| | - Melissa Petrakis
- Social Work InnovationTransformation and Collaboration in Health (SWITCH) Research GroupCaulfield EastVictoriaAustralia
- School of Primary and Allied Health Care, Faculty of Medicine, Nursing and Health SciencesMonash UniversityCaulfield EastVictoriaAustralia
| |
Collapse
|
14
|
Tanner B, George N, Brubacher LJ, Morton Ninomiya ME, Peach L, Bernards S, Linklater R, George J, Wells S. Navigating Paths to Wellness: A Strengths-Based Photovoice Study Conducted with One First Nation in Southern Ontario, Canada. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:10979. [PMID: 36078690 PMCID: PMC9518375 DOI: 10.3390/ijerph191710979] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/29/2022] [Revised: 08/30/2022] [Accepted: 08/30/2022] [Indexed: 06/15/2023]
Abstract
Research on substance use challenges in First Nations communities is often deficit-focused and can reinforce paternalistic stereotypes that lead to further discrimination. In this article, we report on findings of a strengths-based Photovoice project done in collaboration with a First Nations' community in southern Ontario, Canada to better understand experiences with substance use challenges in the community. We analyzed interview data collected with seventeen individuals who have lived experience or are supporting a loved one with lived experience with a substance use challenge. Participants described sources of strength that characterized their path to wellness, including strong family and social connections, cultural practices, identity, spirituality, day-to-day activities, and helpful supports and services. Furthermore, participants made several suggestions for improving services, including the need for integrated and flexible systems of care and trustful client-provider relationships. At its core, nurturing wellness involved a transformative process involving social and/or cultural connections. The stories shared by participants demonstrate the unique and varied strengths drawn from by individuals dealing with a substance use challenge.
Collapse
Affiliation(s)
- Bryan Tanner
- Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, 100 Collip Circle Suite 200, London, ON N6G 4X8, Canada
| | | | - Laura Jane Brubacher
- Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, 100 Collip Circle Suite 200, London, ON N6G 4X8, Canada
- Department of Population Medicine, University of Guelph, Guelph, ON N1G 2W1, Canada
| | - Melody E. Morton Ninomiya
- Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, 100 Collip Circle Suite 200, London, ON N6G 4X8, Canada
- Health Sciences, Wilfrid Laurier University, Waterloo, ON N2L 3C5, Canada
| | - Laura Peach
- School of Public Health Sciences, University of Waterloo, Waterloo, ON N2L 3G1, Canada
| | - Sharon Bernards
- Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, 100 Collip Circle Suite 200, London, ON N6G 4X8, Canada
| | - Renee Linklater
- Shkaabe Makwa, Centre for Addiction and Mental Health, Toronto, ON M5S 2S1, Canada
| | - Julie George
- Mental Health, Addiction and Violence Support Program, Kettle & Stony Point Health Services, Kettle & Stony Point First Nation, Lambton Shores, ON N0N 1J1, Canada
| | - Samantha Wells
- Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, 100 Collip Circle Suite 200, London, ON N6G 4X8, Canada
- Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Toronto, ON M5S 2S1, Canada
- Dalla Lana School of Public Health, University of Toronto, Toronto, ON M5S 3B2, Canada
- Department of Epidemiology and Biostatistics, Western University, London, ON N6A 3K7, Canada
- Department of Psychiatry, University of Toronto, Toronto, ON M5S 3B2, Canada
- School of Psychology, Deakin University, Melbourne, VIC 3217, Australia
| |
Collapse
|
15
|
Abayneh S, Lempp H, Rai S, Girma E, Getachew M, Alem A, Kohrt BA, Hanlon C. Empowerment training to support service user involvement in mental health system strengthening in rural Ethiopia: a mixed-methods pilot study. BMC Health Serv Res 2022; 22:880. [PMID: 35799252 PMCID: PMC9264546 DOI: 10.1186/s12913-022-08290-x] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2022] [Accepted: 07/01/2022] [Indexed: 12/03/2022] Open
Abstract
BACKGROUND Increased service user involvement is recommended to improve weak mental health systems in low-and middle-income countries (LMICs). However, involvement is rarely implemented and interventions to support involvement are sparse. In this study we evaluated the acceptability, feasibility and perceived outcomes of an empowerment and training program for service users and health professionals to facilitate service user involvement in mental health system strengthening in rural Ethiopia. METHODS REducing Stigma among HealthcAreProvidErs (RESHAPE) is a training curriculum for service users, their caregivers and aspirational health workers, which uses PhotoVoice methodology, to prepare them in participation of mental health systems strengthening in LMICs. We delivered the RESHAPE training augmented with empowerment content developed in Ethiopia. The interactive face-to-face training was delivered to service users and caregivers (over 10 days), and health professionals (1 day) separately. The study was an uncontrolled, convergent mixed-methods design. The quantitative data consisted of process data, satisfaction questionnaire, and a retrospective pre-test survey. Qualitative data included exit and follow-up in-depth interviews with the service users. Descriptive statistics were performed for quantitative data, and qualitative data were thematically analysed. The findings were integrated through triangulation for convergent themes following analysis. RESULTS Twelve service users, 12 caregivers and 18 health professionals were enrolled, and completed the training. Participants valued the content and delivery process; the standard of the training program met their expectations and participation led to positive gains in understanding about mental illness, stigma, service-user involvement and human rights. The qualitative findings identified positive impacts, including increased self-confidence, sense of empowerment, social - and perceived therapeutic benefits. CONCLUSIONS We found that the RESHAPE training with added content for Ethiopia, delivered using the PhotoVoice methodology, is feasible, acceptable and of value to develop and implement training programmes which can empower service users to be involved in mental health system strengthening in this setting. Further study to assess the impact on health systems strengthening is warranted.
Collapse
Affiliation(s)
- Sisay Abayneh
- College of Health Sciences, School of Medicine, Department of Psychiatry, WHO Collaborating Centre in Mental Health Research and Capacity Building, Addis Ababa University, Addis Ababa, Ethiopia
- Madda Walabu University College of Education and Behavoural Studies, Robe, Ethiopia
| | - Heidi Lempp
- Centre for Rheumatic Diseases, School of Immunology and Microbial Sciences, Faculty of Life Sciences and Medicine, King’s College London, Weston Education Centre 10, Cutcombe Rd., London, SE5 9RJ UK
| | - Sauharda Rai
- Department of Psychiatry, George Washington University, Washington, DC USA
| | - Eshetu Girma
- Depatment of Preventive Medicine, School of Public Health, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia
| | - Medhanit Getachew
- Centre for Innovative Drug Development and Therapeutic Trials for Africa (CDT-Africa), College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia
| | - Atalay Alem
- College of Health Sciences, School of Medicine, Department of Psychiatry, WHO Collaborating Centre in Mental Health Research and Capacity Building, Addis Ababa University, Addis Ababa, Ethiopia
| | - Brandon A. Kohrt
- Department of Psychiatry, George Washington University, Washington, DC USA
| | - Charlotte Hanlon
- College of Health Sciences, School of Medicine, Department of Psychiatry, WHO Collaborating Centre in Mental Health Research and Capacity Building, Addis Ababa University, Addis Ababa, Ethiopia
- Centre for Innovative Drug Development and Therapeutic Trials for Africa (CDT-Africa), College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia
- Centre for Global Mental Health, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, 16 De Crespigny Park, London, SE5 8AF UK
| |
Collapse
|
16
|
Handlovsky I, Ferlatte O, Kia H, Knight R, Broom A, Oliffe J. Processes underpinning survival in gay men living with HIV and a history of suicidality. SOCIOLOGY OF HEALTH & ILLNESS 2022; 44:1132-1148. [PMID: 35614527 DOI: 10.1111/1467-9566.13500] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/21/2021] [Accepted: 05/08/2022] [Indexed: 06/15/2023]
Abstract
Gay men living with HIV represent a particularly high risk group for suicide; however, little is known about suicidality, specifically, resiliencies in the context of suicidality among this particular group of men. The current study draws on photovoice and grounded theory methods to examine the processes that underpin survival for gay men living with HIV who have experienced suicidality. Twenty-two Canadian-based gay men participated, taking photographs to depict and discuss their perspectives on resiliencies. Analyses revealed three processes that supported men's survival: (1) connecting to key supports, (2) finding sanctity in the outdoors, and (3) giving help as purposeful value-adding. Connecting to key supports highlighted the utility of connection and therapeutic communication, listening and support provided by friends, family and professionals. Finding sanctity in the outdoors emphasised the healing capacity of outdoor green spaces, and giving help as purposeful value-adding illustrated the meaning and purpose men derived from supporting others. These findings can inform public health and primary care interventions to foster gay men's resilience and coping, and ultimately suicide prevention efforts.
Collapse
Affiliation(s)
- Ingrid Handlovsky
- School of Nursing, University of Victoria, Victoria, British Columbia, Canada
- Institute on Aging & Lifelong Health, University of Victoria, Victoria, British Columbia, Canada
| | - Olivier Ferlatte
- École de Santé Publique de l'Université de Montréal, Montreal, Quebec, Canada
- Centre de Recherche en Santé Publique, Université de Montréal et CIUSSS du Centre-Sud-de-l'Île-de-Montréal, Montreal, Quebec, Canada
| | - Hannah Kia
- UBC School of Social Work, Vancouver, British Columbia, Canada
| | - Rod Knight
- UBC Faculty of Medicine, Vancouver, British Columbia, Canada
- BC Centre for Substance Use, Vancouver, British Columbia, Canada
| | | | - John Oliffe
- UBC School of Nursing, Vancouver, British Columbia, Canada
- Department of Nursing, University of Melbourne, Melbourne, Australia
| |
Collapse
|
17
|
Pichon LC, Stubbs AW, Teti M. Snap out stigma photovoice project in the U.S. South. BMC Health Serv Res 2022; 22:795. [PMID: 35725410 PMCID: PMC9208191 DOI: 10.1186/s12913-022-08147-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2022] [Accepted: 06/01/2022] [Indexed: 02/04/2023] Open
Abstract
BACKGROUND The purpose of SNAP Out Stigma (SOS) was to design and implement a community-based intervention to reduce HIV-related stigma for people living with HIV (PLWH) in the Deep South. This region is a subset of 9 states including Memphis, Tennessee (project site) driving the epidemic in the United States. The purpose of this paper is to explain how PLWH in the U.S. South used Photovoice to communicate stigmatizing lived experiences and contextualize their intersection with multi-level sources of support. METHODS PLWH attended one-on-one and/or group sessions with other PLWH. In Session 1, PLWH received a project overview, met other participants, received a camera and camera training, completed a standardized internalized stigma scale, discussed experiences of internalized stigma, and were instructed to take 3-10 pictures that captured stigma. In Session 2, PLWH discussed the pictures and their meaning. In Session 3, PLWH expanded on what they shared in previous sessions in a one-on-one interview. Thematic analysis captured key patterns of how PLWH experienced stigma. RESULTS Forty-seven PLWH attended Session 1 and were issued a camera. Of those, 35 completed sessions 2 and 3. Participants self-identified as cis man who has sex with men (n = 18), ciswoman (n = 5), transwoman (n = 10), and non-binary (n = 2). Four emergent themes intersecting with internalizations of stigma were identified including: medical, social support, church, and self. CONCLUSIONS The SOS intervention created a safe space for PLWH to share lived experiences of stigmatization. Photovoice facilitated discussion topics ranging from healing and recovery to overcoming factors of social determinants of HIV. We identified trauma-informed growth as an area of future programs for PLWH.
Collapse
Affiliation(s)
- Latrice C. Pichon
- grid.56061.340000 0000 9560 654XDivision of Social and Behavioral Sciences, The University of Memphis, School of Public Health, 3825 Desoto Avenue
- 209 Robison Hall, TN 38152 Memphis, USA
| | - Andrea Williams Stubbs
- grid.56061.340000 0000 9560 654XDivision of Social and Behavioral Sciences, The University of Memphis, School of Public Health, 3825 Desoto Avenue
- 209 Robison Hall, TN 38152 Memphis, USA
| | - Michelle Teti
- grid.134936.a0000 0001 2162 3504Department of Public Health, The University of Missouri, 806 Lewis Hall, Columbia, MO 65211 USA
| |
Collapse
|
18
|
Duijs SE, Abma T, Schrijver J, Bourik Z, Abena-Jaspers Y, Jhingoeri U, Plak O, Senoussi N, Verdonk P. Navigating Voice, Vocabulary and Silence: Developing Critical Consciousness in a Photovoice Project with (Un)Paid Care Workers in Long-Term Care. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:5570. [PMID: 35564965 PMCID: PMC9103003 DOI: 10.3390/ijerph19095570] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/21/2022] [Revised: 04/16/2022] [Accepted: 04/28/2022] [Indexed: 11/18/2022]
Abstract
Photovoice is a widely used approach for community participation in health promotion and health promotion research. However, its popularity has a flip-side. Scholars raise concerns that photovoice drifts away from its emancipatory roots, neglecting photovoice's aim to develop critical consciousness together with communities. Our four-year photovoice project aimed to unravel how the health of (un)paid care workers was shaped at the intersection of gender, class and race. This article springs from first, second and third-person inquiry within our research team of (un)paid care workers, academic researchers and a photographer. We observed that critical consciousness emerged from an iterative process between silence, voice and vocabulary. We learned that photovoice scholars need to be sensitive to silence in photovoice projects, as silence can be the starting point for finding voice, but also a result of silencing acts. Social movements and critical theories, such as intersectionality, provide a vocabulary for participants to voice their critical perspectives to change agents and to support collective action. We discuss our experiences using Frickers' concept of 'epistemic justice', arguing that critical consciousness not only requires that communities are acknowledged as reliable knowers, but that they need access to interpretative tropes to voice their personal experiences as structural.
Collapse
Affiliation(s)
- Saskia Elise Duijs
- Amsterdam UMC, Department of Ethics, Law and Humanities, Amsterdam Public Health Research Institute, De Boelenlaan 1089a, 1081 HV Amsterdam, The Netherlands; (Z.B.); (Y.A.-J.); (U.J.); (O.P.); (N.S.); (P.V.)
| | - Tineke Abma
- Department of Public Health and Primary Care, Leiden University Medical Center, Albinusdreef 2, 2333 ZA Leiden, The Netherlands;
- Leyden Academy on Vitality and Ageing, Rijnsburgerweg 10, 2333 AA Leiden, The Netherlands
| | - Janine Schrijver
- Independent Researcher/Photographer (Scholarly Artist), Sichting B.a.d., Talingstraat 5, 3082 MG Rotterdam, The Netherlands;
| | - Zohra Bourik
- Amsterdam UMC, Department of Ethics, Law and Humanities, Amsterdam Public Health Research Institute, De Boelenlaan 1089a, 1081 HV Amsterdam, The Netherlands; (Z.B.); (Y.A.-J.); (U.J.); (O.P.); (N.S.); (P.V.)
| | - Yvonne Abena-Jaspers
- Amsterdam UMC, Department of Ethics, Law and Humanities, Amsterdam Public Health Research Institute, De Boelenlaan 1089a, 1081 HV Amsterdam, The Netherlands; (Z.B.); (Y.A.-J.); (U.J.); (O.P.); (N.S.); (P.V.)
| | - Usha Jhingoeri
- Amsterdam UMC, Department of Ethics, Law and Humanities, Amsterdam Public Health Research Institute, De Boelenlaan 1089a, 1081 HV Amsterdam, The Netherlands; (Z.B.); (Y.A.-J.); (U.J.); (O.P.); (N.S.); (P.V.)
| | - Olivia Plak
- Amsterdam UMC, Department of Ethics, Law and Humanities, Amsterdam Public Health Research Institute, De Boelenlaan 1089a, 1081 HV Amsterdam, The Netherlands; (Z.B.); (Y.A.-J.); (U.J.); (O.P.); (N.S.); (P.V.)
| | - Naziha Senoussi
- Amsterdam UMC, Department of Ethics, Law and Humanities, Amsterdam Public Health Research Institute, De Boelenlaan 1089a, 1081 HV Amsterdam, The Netherlands; (Z.B.); (Y.A.-J.); (U.J.); (O.P.); (N.S.); (P.V.)
| | - Petra Verdonk
- Amsterdam UMC, Department of Ethics, Law and Humanities, Amsterdam Public Health Research Institute, De Boelenlaan 1089a, 1081 HV Amsterdam, The Netherlands; (Z.B.); (Y.A.-J.); (U.J.); (O.P.); (N.S.); (P.V.)
| |
Collapse
|
19
|
Ferlatte O, Karmann J, Gariépy G, Frohlich KL, Moullec G, Lemieux V, Hébert R. Virtual Photovoice With Older Adults: Methodological Reflections during the COVID-19 Pandemic. INTERNATIONAL JOURNAL OF QUALITATIVE METHODS 2022; 21:16094069221095656. [PMID: 35572031 PMCID: PMC9086219 DOI: 10.1177/16094069221095656] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
Photovoice is a participatory action research method in which participants take and narrate photographs to share their experiences and perspectives. This method is gaining in popularity among health researchers. Few studies, however, have described virtual photovoice data collection despite the growing interest among qualitative health researchers for online data collection. As such, the aim of this article is to discuss the implementation of a virtual photovoice study and presents some of the challenges of this design and potential solutions. The study examined issues of social isolation and mental health among older adults during the COVID-19 pandemic in the Canadian province of Québec. Twenty-six older adults took photographs depicting their experience of the pandemic that were then shared in virtual discussion groups. In this article, we discuss three key challenges arising from our study and how we navigated them. First, we offer insights into managing some of the technical difficulties related to using online meeting technologies. Second, we describe the adjustments we made during our study to foster and maintain positive group dynamics. Third, we share our insights into the process of building and maintaining trust between both researchers and participants, and amongst participants. Through a discussion of these challenges, we offer suggestions to guide the work of health promotion researchers wishing to conduct virtual photovoice studies, including with older adults.
Collapse
Affiliation(s)
- Olivier Ferlatte
- École de Santé Publique,
Université
de Montréal (ESPUM), Montreal, QC,
Canada
- Centre de Recherche en Santé
Publique (CReSP), Université de Montréal et CIUSSS du
Centre-Sud-de-l’Île-de-Montréal,
Montreal, QC, Canada
| | - Julie Karmann
- École de Santé Publique,
Université
de Montréal (ESPUM), Montreal, QC,
Canada
| | - Geneviève Gariépy
- École de Santé Publique,
Université
de Montréal (ESPUM), Montreal, QC,
Canada
| | - Katherine L. Frohlich
- École de Santé Publique,
Université
de Montréal (ESPUM), Montreal, QC,
Canada
- Centre de Recherche en Santé
Publique (CReSP), Université de Montréal et CIUSSS du
Centre-Sud-de-l’Île-de-Montréal,
Montreal, QC, Canada
| | - Gregory Moullec
- École de Santé Publique,
Université
de Montréal (ESPUM), Montreal, QC,
Canada
- CIUSSS du
Nord-de-l’Île-de-Montréal, Montreal,
QC, Canada
| | - Valérie Lemieux
- CIUSSS du
Centre-Sud-de-l’Île-de-Montréal, Direction Régionale de Santé Publique de
Montréal, Montreal, QC, Canada
| | - Réjean Hébert
- École de Santé Publique,
Université
de Montréal (ESPUM), Montreal, QC,
Canada
- Centre de Recherche en Santé
Publique (CReSP), Université de Montréal et CIUSSS du
Centre-Sud-de-l’Île-de-Montréal,
Montreal, QC, Canada
| |
Collapse
|
20
|
Seitz CM, Orsini MM. Thirty Years of Implementing the Photovoice Method: Insights From a Review of Reviews. Health Promot Pract 2022; 23:281-288. [PMID: 35285331 DOI: 10.1177/15248399211053878] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
As the use of the photovoice method has proliferated over the past three decades, several literature reviews have been conducted about implementing the method in the context of health promotion research and practice. Challenges emerged from the literature frequently enough to be reported in several reviews. As such, the purpose of this "review of reviews" was to identify and describe the various challenges to implementing photovoice as reported in published literature reviews. Taken together, the sum of the reviews' critiques about photovoice may be of particular use for developing solutions regarding challenges that limit the utility and outcomes of the method. The literature reviews included in this study were identified using PubMed, CINAHL, Google Scholar, and backward/forward chaining. The final 15 review articles included in the study were analyzed for the challenges of implementing photovoice described in each review. Four major themes emerged from the reviews: (1) inconsistent adherence to the photovoice method, (2) inconsistent evaluation of photovoice outcomes and impacts, (3) implementation challenges with specific populations, and (4) inconsistent reporting and adherence to ethical procedures. For those conducting photovoice projects in the future, the implications of the findings include maximizing participant engagement in the project from start to finish, evaluating photovoice projects for effectiveness in producing community change, and reporting ethical procedures.
Collapse
|
21
|
Mooney R, Newbigging K, McCabe R, McCrone P, Halvorsrud K, Raghavan R, Joseph D, Bhui K. Experience-based investigation and codesign of approaches to prevent and reduce Mental Health Act use (CO-PACT): a protocol. BMJ Open 2022; 12:e060086. [PMID: 35131837 PMCID: PMC8823141 DOI: 10.1136/bmjopen-2021-060086] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
INTRODUCTION The Independent Review of the Mental Health Act (MHA) in England and Wales confirmed increasing levels of compulsory detentions, especially for racialised communities. This research aims to: (a) understand the causes of and propose preventive opportunities to reduce the disproportionate use of the MHA, (b) use an adapted form of experience-based codesign (EBCD) to facilitate system-wide changes and (c) foreground the voices of service users at risk of detention to radically reform policy and implement new legislation to ensure the principles of equity are retained. METHODS AND ANALYSIS This is a qualitative study, using a comparative case study design. This study is composed of five work packages; photovoice workshops will be conducted in eight local systems with service users and healthcare professionals separately (WP1); a series of three EBCD workshops in each local system to develop approaches that reduce detentions and improve the experience of people from racialised communities. This will inform a comparative analysis and national knowledge exchange workshop (WP2); an evaluation led by the patient and public involvement group to better understand what it is like for people to participate in photovoice, codesign and participatory research (WP3); an economic evaluation (WP4) and dissemination strategy (WP5). The impact of the involvement of patients and public will be independently evaluated. ETHICS AND DISSEMINATION This study is sponsored by the University of Oxford and granted ethical approval from the NHS Research Ethics Committee and Health Research Authority (21/SC/0204). The outputs from this study will be shared through several local and national channels.
Collapse
Affiliation(s)
- Roisin Mooney
- CHiMES Collborative, Department of Psychiatry, University of Oxford, Oxford, UK
| | - Karen Newbigging
- CHiMES Collborative, Department of Psychiatry, University of Oxford, Oxford, UK
| | - Rose McCabe
- School of Health Sciences, City University of London, London, UK
| | - Paul McCrone
- Institute for Lifecourse Development, University of Greenwich, London, UK
| | - Kristoffer Halvorsrud
- NIHR ARC North Thames, Department of Applied Health Research, University College London, London, UK
| | - Raghu Raghavan
- School of Nursing and Midwifery, De Montfort University, Leicester, UK
| | - Doreen Joseph
- CHiMES Collborative, Department of Psychiatry, University of Oxford, Oxford, UK
| | - Kamaldeep Bhui
- CHiMES Collborative, Department of Psychiatry, University of Oxford, Oxford, UK
| |
Collapse
|
22
|
Gaines K, Martin C, Prichard C, Vanderford NL. Through the Lens: Youth Experiences with Cancer in Rural Appalachian Kentucky Using Photovoice. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 19:205. [PMID: 35010464 PMCID: PMC8750356 DOI: 10.3390/ijerph19010205] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/09/2021] [Revised: 12/21/2021] [Accepted: 12/23/2021] [Indexed: 06/14/2023]
Abstract
Rural Appalachian Kentucky experiences disproportionately high cancer incidence and mortality rates. This cancer burden is due to social determinants of health and cultural factors prominent in the region. The firsthand experiences of community members-especially young people-can highlight these factors and identify areas for improvement. The purpose of this study was to encourage Appalachian Kentucky youth to consider determinants of cancer and visualize the effects that cancer has on their families or communities by asking them to take photographs of cancer-related objects around them. Content analysis was performed on 238 photographs submitted by 25 students, and photographs were organized into themes, subthemes, and subtopics. The six themes that emerged were risk factors and exposures, marketing, awareness and support, health care, experiences, and metaphorical representations. Many of the submitted photographs aligned with cultural, environmental and/or situational factors prevalent in Appalachian Kentucky. Of the submitted photographs, 54 were displayed as an installment in two Kentucky art galleries. Viewer comments at the exhibitions demonstrated that young community members can educate and motivate change in those around them. Ultimately, this project demonstrates that young community members can recognize cancer-related issues around them and connect personal experiences back to the larger Appalachian Kentucky cancer disparity while also having an impact on other community members.
Collapse
Affiliation(s)
- Katie Gaines
- Markey Cancer Center, University of Kentucky, Lexington, KY 40506, USA; (K.G.); (C.M.); (C.P.)
- Department of Toxicology and Cancer Biology, College of Medicine, University of Kentucky, Lexington, KY 40506, USA
| | - Courtney Martin
- Markey Cancer Center, University of Kentucky, Lexington, KY 40506, USA; (K.G.); (C.M.); (C.P.)
| | - Chris Prichard
- Markey Cancer Center, University of Kentucky, Lexington, KY 40506, USA; (K.G.); (C.M.); (C.P.)
| | - Nathan L. Vanderford
- Markey Cancer Center, University of Kentucky, Lexington, KY 40506, USA; (K.G.); (C.M.); (C.P.)
- Department of Toxicology and Cancer Biology, College of Medicine, University of Kentucky, Lexington, KY 40506, USA
| |
Collapse
|
23
|
Lindhout P, Teunissen T, Reniers G. What about Using Photovoice for Health and Safety? INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:11985. [PMID: 34831740 PMCID: PMC8620590 DOI: 10.3390/ijerph182211985] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/10/2021] [Revised: 11/03/2021] [Accepted: 11/05/2021] [Indexed: 11/17/2022]
Abstract
The positive reception of Wang and Burris' photovoice method, published in 1997, has led to a proliferation of ways in which professionals deploy photovoice in a widening range of application fields, e.g., public health, social development and phenomenological research of human experiences. A scoping review method is used to obtain an overview of current photovoice designs and of application examples in the health and safety domain. The results show a variety of method designs. Our findings indicate that all of the photovoice designs are composed from different combinations of eleven process steps. Five generic objectives cover the range of application examples found in our literature study. We therefore condensed the variety into five generic photovoice designs for: (a) communication, (b) education, (c) exploration, (d) awareness, and (e) empowerment purposes. We propose this for use in a classification system. The potential for application of these photovoice designs in safety management is illustrated by the existence of various safety related application examples. We argue that the five generic designs will facilitate the implementation and usage of photovoice as a tool. We recommend that both a theoretical framework and guidance are further developed. We conclude that photovoice holds potential for application in health and safety management.
Collapse
Affiliation(s)
- Paul Lindhout
- Faculty TPM-VTI (S3G), Delft University of Technology, Jaffalaan 5, 2628 BX Delft, The Netherlands;
| | - Truus Teunissen
- Department of Medical Humanities, Amsterdam UMC, Location VUmc, De Boelelaan 1089a, 1081 HV Amsterdam, The Netherlands;
| | - Genserik Reniers
- Faculty TPM-VTI (S3G), Delft University of Technology, Jaffalaan 5, 2628 BX Delft, The Netherlands;
- Center for Corporate Sustainability (CEDON), KULeuven, Campus Brussels, 1000 Brussels, Belgium
- Faculty of Applied Economic Sciences and Engineering Mgmt (ENM), University of Antwerp, 2000 Antwerp, Belgium
| |
Collapse
|
24
|
Majid U, Kandasamy S. The rationales for and challenges with employing arts-based health services research (ABHSR): a qualitative systematic review of primary studies. MEDICAL HUMANITIES 2021; 47:266-273. [PMID: 32958530 DOI: 10.1136/medhum-2020-011845] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 05/22/2020] [Indexed: 06/11/2023]
Abstract
Health services research (HSR) is an interdisciplinary field that investigates and improves the design and delivery of health services from individual, group, organisational and system perspectives. HSR examines complex problems within health systems. Qualitative research plays an important role in aiding us to develop a nuanced understanding of patients, family, healthcare providers, teams and systems. However, the overwhelming majority of HSR publications using qualitative research use traditional methods such as focus groups and interviews. Arts-based research-artistic and creative forms of data collection such as dance, drama and photovoice-have had limited uptake in HSR due to the lack of clarity in the methods, their rationales and potential impacts. To address this uncertainty, we conducted a qualitative systematic review of studies that have employed arts-based research in HSR topics. We searched four databases for peer-reviewed, primary HSR studies. Using conventional content analysis, we analysed the rationales for using arts-based approaches in 42 primary qualitative studies. We found four rationales for using arts-based approaches for HSR: (1) Capture aspects of a topic that may be overlooked, ignored or not conceptualised by other methods (ie, quantitative and interview-based qualitative methods). (2) Allow participants to reflect on their own experiences. (3) Generate valuable community knowledge to inform intervention design and delivery. (4) Formulate research projects that are more participatory in nature. This review provides health services researchers with the tools, reasons, rationales and justifications for using arts-based methods. We conclude this review by discussing the practicalities of making arts-based approaches commensurable to HSR.
Collapse
Affiliation(s)
- Umair Majid
- Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada
| | - Sujane Kandasamy
- Health Research Methods, Evidence & Impact, Health Research Methdology PhD Program, McMaster University, Hamilton, Ontario, Canada
| |
Collapse
|
25
|
Vansteenkiste T, Morrens M, Westerhof GJ. Images of Recovery: A PhotoVoice Study on Visual Narratives of Personal Recovery in Persons with Serious Mental Illness. Community Ment Health J 2021; 57:1151-1163. [PMID: 33230705 DOI: 10.1007/s10597-020-00746-w] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/09/2020] [Accepted: 11/05/2020] [Indexed: 11/28/2022]
Abstract
Personal recovery has become a guiding paradigm in mental health services. Most research on recovery is based on the exploration of personal stories of service users through verbal methods. As not everyone with psychiatric problems is able to verbally formulate a recovery narrative, the current study assesses personal recovery through PhotoVoice, with emphasis on visualisation, small stories and participation. Two ten-week groups were conducted with 18 participants living with severe mental illnesses. They participated in both the collection and analysis of visual narratives. Across the images produced by participants, four main recovery themes were found : People, Places, Activities and Finding Meaning. Compared to other frameworks, the emphasis participants put on the theme Places adds value to the understanding of recovery processes. Furthermore, participants showed that recovery is about dealing with vulnerabilities as well as aspiring a meaningful life. This study demonstrates that exploring visual narratives is powerful within recovery oriented mental health.
Collapse
Affiliation(s)
- Tom Vansteenkiste
- Zorggroep Multiversum, Mortsel, Antwerp, Belgium. .,Department of Psychology, Health & Technology, University of Twente, Enschede, The Netherlands.
| | - Manuel Morrens
- Collaborative Antwerp Psychiatric Research Institute (CAPRI), Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium.,University of Antwerp Department of Psychiatry, Campus Duffel, Duffel, Belgium
| | - Gerben J Westerhof
- Department of Psychology, Health & Technology, University of Twente, Enschede, The Netherlands
| |
Collapse
|
26
|
Barry J, Monahan C, Monahan M, Murphy R, Ferguson S, Lee K, Bennett A, Gibbons P, Higgins A. "The Road We Travel": Developing a co-produced narrative for a photovoice project. J Psychiatr Ment Health Nurs 2021; 28:632-643. [PMID: 33141981 DOI: 10.1111/jpm.12709] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/31/2020] [Revised: 07/07/2020] [Accepted: 08/06/2020] [Indexed: 11/30/2022]
Abstract
WHAT IS KNOWN ON THE SUBJECT?: PhotoVoice as a participatory methodology has been used within mental health to support marginalized communities in addressing the challenges they encounter. The PhotoVoice methodology aims to encourage and foster collaborative and equal partnerships. However, reports of previous projects highlight that not every stage of the process remains participant-centric. There is limited reporting on participant involvement in the latter stages of projects, such as exhibition design. WHAT THE PAPER ADDS TO EXISTING KNOWLEDGE?: It provides a detailed description of the phases involved in planning and executing a mental health PhotoVoice project. It provides an illustration of how collaborative partnerships can extend into the design and construction of a photography exhibition and its narrative. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: PhotoVoice is an ideal methodology for use within the field of mental health nursing as it promotes service user inclusion in research, places value on lived experiences and provides a creative medium through which service users and family members can advocate for themselves and others. PhotoVoice is an effective and creative methodology for disseminating and communicating both the individual and collective outcomes to the general public. When implementing this methodology, clinicians and researchers need to be cognisant of the necessity to include participants as equal partners at every stage, including in the design of photography exhibitions and disseminating the findings to academic and public audiences. ABSTRACT: Introduction PhotoVoice is a participatory methodology in which marginalized communities represent their lived experiences through photography. While the methodology aims to foster partnerships throughout all phases, the literature suggests that in the field of mental health, some phases are often completed without participant involvement. Aims This paper elaborates on how the PhotoVoice method was used to engage service users and family members around their experience of involvement in a co-produced and co-facilitated mental health education intervention, in order to enhance public and policymakers knowledge of the project. Methods Ten participants were recruited and trained in the PhotoVoice method. Participants documented, through photography, their experiences of involvement in the education intervention. Following this, participants came together to co-produce and disseminate the photography exhibition to the public. Results PhotoVoice proved to be a flexible and creative method by which to include marginalized groups. By adhering to the collaborative principles of the methodology, service users and family members can retain decision-making power from the project's inception to its conclusion. Implications for Practice PhotoVoice is ideal for use within mental health nursing as it coincides with the recovery principle of promoting collaborative partnership between service users, family members and clinicians. Mental health nurses work directly with service users and family members throughout their recovery journey. The PhotoVoice methodology is coherent with the recovery principles of empowerment, collaboration and prioritizing the lived experiences of the individual. As such, this methodology has the potential to enhance greatly what mental health nurses can know and understand about the lived experiences of service users and family members. In turn, engaging with the PhotoVoice methodology can provide a platform from which further collaborative engagement between service users, family members and clinicians can take place.
Collapse
Affiliation(s)
- Jennifer Barry
- School of Nursing & Midwifery, Trinity College Dublin, Dublin, Ireland
| | - Christine Monahan
- Biomedical Sciences Institute, Trinity College Dublin, Dublin, Ireland
| | - Mark Monahan
- School of Nursing & Midwifery, Trinity College Dublin, Dublin, Ireland
| | - Rebecca Murphy
- School of Nursing & Midwifery, Trinity College Dublin, Dublin, Ireland.,Department of Psychology, Maynooth University, Kildare, Ireland
| | - Sharon Ferguson
- Wellness Café, An Grianan Theatre, Letterkenny, Donegal, Ireland
| | - Kelley Lee
- South East Community Healthcare, Health Service Executive, Tipperary, Ireland
| | - Anna Bennett
- School of Nursing, University of Pennsylvania, Philadelphia, PA, USA
| | | | - Agnes Higgins
- School of Nursing & Midwifery, Trinity College Dublin, Dublin, Ireland
| |
Collapse
|
27
|
Barry J, Higgins A. PhotoVoice: An Ideal Methodology for Use within Recovery-Oriented Mental Health Research. Issues Ment Health Nurs 2021; 42:676-681. [PMID: 33108234 DOI: 10.1080/01612840.2020.1833120] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
At the heart of recovery-orientated mental health care and the Patient and Public Involvement (PPI) movement, is the inclusion of experts by experience as collaborators on mental health research projects. However, embedding Public and Patient Involvement (PPI) can be challenging in academic institutions that have long-standing researcher-as-expert structures in place. PhotoVoice is a collaborative, participant-centric community-based methodology that has potential to overcome some of the challenges encountered within Public and Patient Involvement (PPI). This discursive paper describes what PhotoVoice is, why it was developed, it's application in research and its alignment to recovery principles. Thereby arguing that PhotoVoice is an ideal methodology for use within recovery-orientated research.
Collapse
Affiliation(s)
- Jennifer Barry
- School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland
| | - Agnes Higgins
- School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland
| |
Collapse
|
28
|
Halvorsrud K, Eylem O, Mooney R, Haarmans M, Bhui K. Identifying evidence of the effectiveness of photovoice: a systematic review and meta-analysis of the international healthcare literature. J Public Health (Oxf) 2021; 44:704-712. [PMID: 33823022 PMCID: PMC9424055 DOI: 10.1093/pubmed/fdab074] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2020] [Revised: 01/20/2021] [Accepted: 02/25/2021] [Indexed: 11/14/2022] Open
Abstract
Background Photovoice (PV) was conceptualized in the early 1990s to engage community members in capturing/communicating their lived experience narratives through photography. However, no meta-analyses in health research have assessed whether PV achieves its purported effects. Methods We carried forward any relevant references from a previous review identifying PV studies before 2008 and searched MEDLINE, Embase, PsycINFO and Cochrane Central Register of Controlled Trials from 2008 up until October 2019. We included both published and grey literature, in any population or context. We assessed quality with the Effective Public Health Practice Project’s (EPHPP) tool and pooled studies using the standardized mean difference (SMD) and 95% confidence intervals (CIs). Results Twenty-eight studies were included, showing significant post-treatment effects only for health knowledge (SMD, 95% CIs = 0.41, 0.09 to 0.73, n = 16) and community functions (SMD, 95% CIs = 0.22, 0.03 to 0.40, n = 4). Strong heterogeneity was indicated for health knowledge, potentially explained by a larger effect in ethnic minority populations. There was insufficient follow-up data for health knowledge, while in follow-up for community functions the post-treatment effect was lost. Conclusions PV’s post-treatment effect on health knowledge did not translate into positive health behaviours or physical and mental health outcomes, longer-term community functions, or health service outcomes.
Collapse
Affiliation(s)
- Kristoffer Halvorsrud
- Department of Psychiatry, University of Oxford, Oxford, OX3 7JX, UK.,NIHR ARC North Thames, Department of Applied Health Research, University College London, London, WC1E 7HB, UK
| | - Ozlem Eylem
- Centre for Psychiatry, Queen Mary University of London, London, EC1M 6BQ, UK.,Department of Clinical Psychology, Vrije Universiteit Amsterdam, 1081 BT Amsterdam, The Netherlands
| | - Roisin Mooney
- Department of Psychiatry, University of Oxford, Oxford, OX3 7JX, UK
| | - Maria Haarmans
- Sociology, School of Social Sciences, University of Manchester, Manchester, M13 9PL, UK
| | - Kamaldeep Bhui
- Department of Psychiatry, University of Oxford, Oxford, OX3 7JX, UK.,Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, OX2 6GG, UK
| |
Collapse
|
29
|
Donnelly S, Wilson AG, Mannan H, Dix C, Whitehill L, Kroll T. (In)Visible illness: A photovoice study of the lived experience of self-managing rheumatoid arthritis. PLoS One 2021; 16:e0248151. [PMID: 33684123 PMCID: PMC7939378 DOI: 10.1371/journal.pone.0248151] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2020] [Accepted: 02/19/2021] [Indexed: 11/22/2022] Open
Abstract
BACKGROUND Chronic illnesses, such as Rheumatoid Arthritis (RA), are a growing burden on health care systems worldwide. Self-management emphasises the patient's central role in managing their illness. This is pertinent given the majority of care is provided by the individual themselves; yet how individuals make sense of self-management in everyday life is largely unseen. OBJECTIVE The purpose of this study was to capture the strengths and concerns of individuals with RA in self-managing their illness, raise awareness of their lived experience and spark a dialogue among stakeholders. METHODS A community-based participatory approach, Photovoice, was adopted. A purposive sample of participants were tasked with taking photographs to represent the challenges and solutions to living with RA. Group workshops and semi-structured interviews were conducted to facilitate reflection, dialogue and analysis. Data analysis followed Braun and Clarke's thematic analysis. Public exhibitions were held throughout the Autumn of 2019. RESULTS Eight women and three men (n = 11) across suburban and urban regions of Ireland were recruited (mean age 57 years, disease duration 4-21 years). Participants identified four main themes which reflected the lived experience of self-managing RA: (i) I'm Here but I'm Not, (ii) Visible Illness, (iii) Medicine in All its Forms, (iv) Mind Yourself. These themes captured the challenge of reduced agency, limited contribution and participation, and a complex relationship between visible and invisible illness. Solutions focused on improving psychological and emotional resilience, particularly through personal reflection and increased agency. CONCLUSIONS Our findings suggest that RA is experienced as a fluid relationship between states of masking and surfacing of illness shaped by contextual and situational factors. Photovoice was a highly effective tool to capture and communicate this complexity. Supporting increased agency among individuals with RA to control the (in)visibility of illness and disability can inform the development of future self-management support.
Collapse
Affiliation(s)
- Susie Donnelly
- Centre for Interdisciplinary Research Education and Innovation in Health Systems (IRIS), School of Nursing, Midwifery and Health Systems, University College Dublin, Dublin, Ireland
- School of Medicine and Medical Science, Conway Institute, University College Dublin, Dublin, Ireland
| | - Anthony G. Wilson
- School of Medicine and Medical Science, Conway Institute, University College Dublin, Dublin, Ireland
| | - Hasheem Mannan
- Centre for Interdisciplinary Research Education and Innovation in Health Systems (IRIS), School of Nursing, Midwifery and Health Systems, University College Dublin, Dublin, Ireland
- FLAME University, Pune, India
| | | | - Laura Whitehill
- School of Medicine and Medical Science, Conway Institute, University College Dublin, Dublin, Ireland
| | - Thilo Kroll
- Centre for Interdisciplinary Research Education and Innovation in Health Systems (IRIS), School of Nursing, Midwifery and Health Systems, University College Dublin, Dublin, Ireland
| |
Collapse
|
30
|
Gunnarsson AB, Frisint A, Hörberg U, Wagman P. Catching sight of well-being despite a stress-related disorder. Scand J Occup Ther 2021; 29:699-707. [PMID: 33587863 DOI: 10.1080/11038128.2021.1885737] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
BACKGROUND Stress-related disorders cause suffering and difficulties in managing occupations and relationships in everyday life. A previous study of women with stress-related disorders, who photographed well-being and talked about the photographs in interviews, showed that moments of well-being still exist but further knowledge is needed about their perceptions of participating in such a study. AIM To describe how people with stress-related disorders experience taking photographs related to well-being in everyday life and reflecting on and talking about these photographs. MATERIAL AND METHODS Twelve women, 27-54 years with stress-related disorders were recruited from primary healthcare centres. They participated in interviews based on the photographs and qualitative content analysis was used. RESULTS One theme 'catching a glimpse of and momentarily capturing well-being' and four categories were identified: 'Photographing moments of well-being visualizes well-being', 'Using photographs could either facilitate or complicate the narrative', 'Changing perspective in everyday life' and 'Creating recollections of well-being'. CONCLUSIONS AND SIGNIFICANCE Introducing a focus on well-being in everyday life despite living with a stress-related disorder might contribute a valuable complement to stress rehabilitation for occupational therapists and other health professionals. Using photographs as a basis for reflections about everyday life and health/well-being also seems positive for this group.
Collapse
Affiliation(s)
- A Birgitta Gunnarsson
- Institute of Neuroscience and Physiology, Section for Health and Rehabilitation, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.,Department of Research and Development, Region Kronoberg, Växjö, Sweden
| | - Anna Frisint
- Institute of Neuroscience and Physiology, Section for Health and Rehabilitation, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
| | - Ulrica Hörberg
- Department of Health and Caring Sciences, Faculty of Health and Life Sciences, Linnaeus University, Växjö, Sweden
| | - Petra Wagman
- School of Health and Welfare, Jönköping University, Jönköping, Sweden
| |
Collapse
|
31
|
Milasan LH, Bingley AF, Fisher NR. The big picture of recovery: a systematic review on the evidence of photography-based methods in researching recovery from mental distress. Arts Health 2020; 14:165-185. [PMID: 33252304 DOI: 10.1080/17533015.2020.1855453] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
Background: In the context of a growing body of literature on incorporating visual media in researching well-being and mental health, this systematic review examined the evidence of using photography-based research methods in exploring recovery from mental distress, their outcomes, but also limitations and challenges encountered by researchers.Methodology: Six cross-disciplinary electronic databases (CINAHL, MEDLINE, Web of Science, Scopus, PsycINFO, Arts & Humanities) were systematically searched resulting in a total of 15 qualitative and mixed-methods studies included in a thematic synthesis.Results: Photo-elicitation and photovoice were identified as the main photographic methods employed in recovery research along with less common, but nonetheless creative, techniques. Four key themes were identified through thematic analysis in photography-based recovery studies: enhanced understanding, collaboration and empowerment, situatedness, and storytelling. The results of this review revealed photography as a valuable methodological tool with potential to contribute to conceptualising recovery from the stance of research participants, but also facilitate and support their recovery processes.Conclusions: Recovery research can benefit from the use of photographic methods that are widely accessible, versatile, and interactive. They may offer mental health researchers alternative ways to explore individuals' perspective on recovery in ways that are creative, empowering, and supportive of their recovery.
Collapse
Affiliation(s)
- Lucian H Milasan
- Division of Health Research, Faculty of Health and Medicine, Lancaster University, Lancashire, UK
| | - Amanda F Bingley
- Division of Health Research, Faculty of Health and Medicine, Lancaster University, Lancashire, UK
| | - Naomi R Fisher
- Division of Health Research, Faculty of Health and Medicine, Lancaster University, Lancashire, UK
| |
Collapse
|
32
|
Dietz A, Mamlekar CR, Bakas KL, McCarthy MJ, Harley D, Bakas T. A scoping review of PhotoVoice for people with post-stroke aphasia. Top Stroke Rehabil 2020; 28:219-235. [PMID: 33054682 DOI: 10.1080/10749357.2020.1806435] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
BACKGROUND PhotoVoice is a qualitative research methodology designed to engage and empower marginalized members of a community and/or to understand community needs. PhotoVoice seems aphasia-friendly because it relies on personal photographs to convey opinions regarding prespecified topics. However, PhotoVoice is based on a procedure referred to as the SHOWeD method. Participants are asked to reflect upon their photos by discussing (1) what they See, (2) what is Happening, (3) the relation to Our life, (3) Why the issue or condition exists, and then to (4) explain what can be Done to address the issue(s) at hand. Due to the linguistic demand required to convey complex thoughts and ideas inherent in this methodology, adaptations are likely required to successfully implement with people who have aphasia. AIMS A scoping review was conducted to summarize the current literature regarding the use of PhotoVoice with people who have aphasia, to address two questions:(1) Are people with post-stroke aphasia included in PhotoVoice studies?(2) What, if any, modifications are required to address post-stroke aphasia and motor impairments? MAIN CONTRIBUTION This scoping review revealed that researchers often exclude people with aphasia from post-stroke PhotoVoice research. Three studies outlined adaptations that allowed successful implementation with people who have post-stroke aphasia. CONCLUSIONS Further inquiry regarding how best to adapt PhotoVoice for people with aphasia will facilitate their ability to be included in community-based research. This is an important step in ensuring that all post-stroke stakeholders are involved in projects related to social justice and policy for stroke survivors.
Collapse
Affiliation(s)
- Aimee Dietz
- Department of Communication Sciences and Disorders, University of Cincinnati College of Allied Health Sciences, Cincinnati, OH, USA
| | - Chitrali R Mamlekar
- Department of Communication Sciences and Disorders, University of Cincinnati College of Allied Health Sciences, Cincinnati, OH, USA
| | | | - Michael J McCarthy
- College of Social and Behavioral Sciences, University of Northern Arizona, Flagstaff, AZ, USA
| | - Dana Harley
- School of Social Work, University of Cincinnati College of Allied Health Sciences, Cincinnati, OH, USA
| | - Tamilyn Bakas
- University of Cincinnati College of Nursing, Cincinnati, OH, USA
| |
Collapse
|
33
|
From self(ie)-objectification to self-empowerment: The meaning of selfies on social media in eating disorder recovery. COMPUTERS IN HUMAN BEHAVIOR 2020. [DOI: 10.1016/j.chb.2020.106420] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
|
34
|
Buchan CA. Therapeutic benefits and limitations of participatory photography for adults with mental health problems: A systematic search and literature review. J Psychiatr Ment Health Nurs 2020; 27:657-668. [PMID: 31989738 DOI: 10.1111/jpm.12606] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/23/2019] [Revised: 01/22/2020] [Accepted: 01/23/2020] [Indexed: 11/28/2022]
Abstract
WHAT IS KNOWN ON THE SUBJECT?: Participatory photography has been reported to have therapeutic benefits for participants, such as a sense of empowerment and increased self-knowledge. No known review has examined the potential of participatory photography as a therapeutic intervention in people with mental health problems. WHAT THE PAPER ADDS TO EXISTING KNOWLEDGE?: Participatory photography can have many therapeutic benefits for people with mental health problems. It can be used to work through problematic issues, can promote a sense of empowerment and strengthen therapeutic relationships. The most significant potential drawback of the process is the ethical issues that may arise with taking photographs of identifiable people. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: Participatory photography can be a helpful therapeutic intervention for some adults with mental health problems, though not all. Further research is required for the effectiveness of this intervention before it can be considered as evidence-based. ABSTRACT: Introduction Participatory photography (PP) has been reported to have therapeutic benefits for its participants, such as empowerment and critical reflection. No known review has examined this potential exclusively in people with mental health problems. Aim To identify what therapeutic benefits and limitation adults with mental health problems have experienced through PP. Method Six academic databases were systematically searched. Eleven articles met inclusion/exclusion criteria and were of medium to high quality. Themes were extracted using thematic analysis. Results Seven themes were identified: empowerment, mental processing, enhanced therapeutic relationships, peer support, creative expression, sense of achievement and enjoyment, and limitations. Discussion The limited evidence base prevents firm conclusions. PP projects higher in personal relevance and intensity were linked with the greater therapeutic benefits. Most identified themes are supported by the wider literature on PP. The limitations indicate that PP is not suitable for all and requires adaptation for individuals and the potential seriousness of ethical issues. Implications for practice Participatory photography can be a helpful therapeutic intervention for some adults with mental health problems, though not all. Further research is required to develop the limited evidence base, particularly quantitative research that would enable comparisons to be made with other interventions.
Collapse
Affiliation(s)
- Catherine A Buchan
- Division of mental health nursing and counselling, Abertay University, Dundee, UK
| |
Collapse
|
35
|
Smith JA, Merlino A, Christie B, Adams M, Bonson J, Osborne RH, Drummond M, Judd B, Aanundsen D, Fleay J, Gupta H. Using social media in health literacy research: A promising example involving Facebook with young Aboriginal and Torres Strait Islander males from the Top End of the Northern Territory. Health Promot J Austr 2020; 32 Suppl 1:186-191. [PMID: 32946620 PMCID: PMC7984039 DOI: 10.1002/hpja.421] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/29/2020] [Revised: 06/17/2020] [Accepted: 09/10/2020] [Indexed: 11/09/2022] Open
Affiliation(s)
- James A Smith
- Freemasons Centre for Male Health & Wellbeing - Northern Territory, Menzies School of Health Research, Casuarina, NT, Australia.,Charles Darwin University, Darwin, NT, Australia
| | - Anthony Merlino
- Freemasons Centre for Male Health & Wellbeing - Northern Territory, Menzies School of Health Research, Casuarina, NT, Australia
| | - Ben Christie
- Freemasons Centre for Male Health & Wellbeing - Northern Territory, Menzies School of Health Research, Casuarina, NT, Australia
| | - Mick Adams
- Edith Cowan University, Joondalup, WA, Australia
| | - Jason Bonson
- Northern Territory Department of Health, Darwin, NT, Australia
| | | | | | - Barry Judd
- Charles Darwin University, Darwin, NT, Australia.,University of Melbourne, Melbourne, VIC, Australia
| | | | - Jesse Fleay
- Edith Cowan University, Joondalup, WA, Australia
| | - Himanshu Gupta
- Freemasons Centre for Male Health & Wellbeing - Northern Territory, Menzies School of Health Research, Casuarina, NT, Australia
| |
Collapse
|
36
|
Oliffe JL, Broom A, Rossnagel E, Kelly MT, Affleck W, Rice SM. Help-seeking prior to male suicide: Bereaved men perspectives. Soc Sci Med 2020; 261:113173. [PMID: 32736099 DOI: 10.1016/j.socscimed.2020.113173] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Revised: 11/12/2019] [Accepted: 06/25/2020] [Indexed: 01/06/2023]
Abstract
Male suicide is a significant issue globally, and implicated are men's challenges around help-seeking and engagement with peer or professional mental health care. While men's reticence for help-seeking predominates as an explanatory gendered dimension for male suicide, there are significant caveats and complexities to fully understanding those practices in the context of men's mental illness and suicidality. The current photo-voice study offers considerable insight into such issues - through the eyes of the bereaved - retrospectively exploring accounts of the deceased's mental health help-seeking prior to the death. Using an interpretive design, and based on semi-structured individual photo-elicitation interviews with 20 men who had lost a male friend, family member or partner to suicide, three key dimensions were identified: 1) Entrapped by secrecy and concealing the need for help, in which the deceased hid their suicide risk and need for peer or professional mental health care; 2) Overwhelming illness that couldn't be helped, wherein the deceased had previously connected with an array of social supports and medical services but was estranged from peer and professional help ahead of the suicide, and 3) Services and systems providing ineffectual help, whereby the deceased was connected with mental health care shortly before the suicide. These themes reveal complex relations to help, and help-seeking in men lost to suicide, as well as bereaved men's reliance on normative masculinities as an explanatory framing of these practices. Discussed within a critical masculinities framework, the current study highlights the need to destigmatize men's mental illness and help-seeking as well as address significant health inequities to aid the efficiencies of men's suicide prevention programs.
Collapse
Affiliation(s)
- John L Oliffe
- School of Nursing, University of British Columbia, Vancouver, British Columbia, V6T 1Z3, Canada; Department of Nursing, University of Melbourne, Victoria, 3010, Australia.
| | - Alex Broom
- Faculty of Arts and Social Sciences, The University of Sydney, Sydney, NSW, 2006, Australia
| | - Emma Rossnagel
- School of Nursing, University of British Columbia, Vancouver, British Columbia, V6T 1Z3, Canada
| | - Mary T Kelly
- School of Nursing, University of British Columbia, Vancouver, British Columbia, V6T 1Z3, Canada
| | - William Affleck
- School of Nursing, University of British Columbia, Vancouver, British Columbia, V6T 1Z3, Canada
| | - Simon M Rice
- Orygen, The National Centre of Excellence in Youth Mental Health, Parkville, VIC, 3052, Australia; Centre for Youth Mental Health, University of Melbourne, Victoria, 3010, Australia
| |
Collapse
|
37
|
Weinstein LC, Chilton M, Turchi R, Klassen AC, LaNoue M, Silvero A, Cabassa LJ. 'It's common sense that an individual must eat': Advocating for food justice with people with psychiatric disabilities through photovoice. Health Expect 2020; 24 Suppl 1:161-173. [PMID: 32671916 PMCID: PMC8137492 DOI: 10.1111/hex.13101] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2019] [Revised: 03/25/2020] [Accepted: 06/24/2020] [Indexed: 01/02/2023] Open
Abstract
Background People with SMI have often been excluded in advocacy efforts focused on physical health, health care and health and social policy. Objective Following a Photovoice project focused on barriers to healthy eating and physical activity in urban neighbourhoods, participant‐researchers were invited to present their insights in community advocacy settings. The purpose of this study was to explore the feasibility and participant–researchers’ experience of these community advocacy activities. Design We held four focus groups with the eight participant‐researchers after each community advocacy activity to explore their experience with public speaking, presenting their experiences and advocating. Setting and Participants People with serious mental illness who were overweight/obese living in supportive housing. Analysis approach Qualitative analysis of the focus group transcripts, using a modified grounded theory approach followed by structured coding focused on empowerment, participation and non‐discrimination. Results Participant‐researchers gave three oral presentations of their photographs at a variety of community‐based programmes and settings and participated in a rally to advocate for SNAP benefits. Two themes emerged from analysis: (a) Empowerment (the level of choice, influence and control that users of mental health services can exercise over events in their lives) and (b) Barriers to Empowerment (obstacles to participation and well‐being). Conclusions This evaluation strengthens the evidence that it is feasible for participant‐researchers in Photovoice projects to engage in robust advocacy activities, such as presentations and discussions with local policymakers. During focus groups, participant‐researchers demonstrated realistic optimism towards their roles as change agents and influencers in spite of acknowledged systemic barriers.
Collapse
Affiliation(s)
- Lara Carson Weinstein
- Department of Family and Community Medicine, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USA
| | - Mariana Chilton
- Dornsife School of Public Health, Health Management and Policy, Drexel University, Philadelphia, PA, USA
| | - Renee Turchi
- Dornsife School of Public Health, Community Health and Prevention, Drexel University, Philadelphia, PA, USA
| | - Ann C Klassen
- Dornsife School of Public Health, Community Health and Prevention, Drexel University, Philadelphia, PA, USA
| | - Marianna LaNoue
- School of Population Health, Thomas Jefferson University, Philadelphia, PA, USA
| | - Alexis Silvero
- Department of Family and Community Medicine, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USA
| | - Leopoldo J Cabassa
- Brown School of Social Work, Washington University in St. Louis, St. Louis, MI, USA
| |
Collapse
|
38
|
Werremeyer A, Skoy E, Burns W, Bach-Gorman A. Photovoice as an intervention for college students living with mental illness: A pilot study. Ment Health Clin 2020; 10:237-243. [PMID: 32685335 PMCID: PMC7337996 DOI: 10.9740/mhc.2020.07.237] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
INTRODUCTION Photovoice is a participatory-action research method in which participants capture and collectively reflect upon photos of their lived experience. Photovoice participation may be beneficial for individuals living with mental illness, but its effects have not been quantitatively measured. METHODS In this pilot study, 20 college students living with a mental illness and prescribed at least 1 medication were randomized to a Photovoice group intervention or usual group counseling, which was an active control. Participants completed the BURNS Anxiety Inventory, Beck Depression Inventory, and Medication Adherence Rating Scale at baseline and 8 weeks. Between-groups comparisons were conducted. RESULTS Photovoice participants experienced a significantly greater reduction in the BURNS Anxiety Inventory (-8.5 vs -2.6; P = .049) compared to control participants. No difference was seen in change in the Beck Depression Inventory (6.7 in the Photovoice group vs 0.2 among controls; P = .26). Mean medication adherence scores worsened in both groups from baseline with no difference between the groups (1 vs 0.86; P = .16). DISCUSSION Photovoice may be a resource-efficient and effective intervention to reduce anxiety among college students with mental illness; however, it may be associated with poorer medication adherence. Further study is needed to evaluate these findings.
Collapse
Affiliation(s)
- Amy Werremeyer
- Associate Professor, Department of Pharmacy Practice, North Dakota State University, Fargo, North Dakota
- Director, Counseling Center, North Dakota State University, Fargo, North Dakota
- Assistant Director, Clinical and Crisis Services, Counseling Center, North Dakota State University, Fargo, North Dakota
| | - Elizabeth Skoy
- Associate Professor, Department of Pharmacy Practice, North Dakota State University, Fargo, North Dakota
| | - William Burns
- Director, Counseling Center, North Dakota State University, Fargo, North Dakota
| | - Amber Bach-Gorman
- Assistant Director, Clinical and Crisis Services, Counseling Center, North Dakota State University, Fargo, North Dakota
| |
Collapse
|
39
|
Vélez-Grau C. Using Photovoice to examine adolescents' experiences receiving mental health services in the United States. Health Promot Int 2020; 34:912-920. [PMID: 29986026 DOI: 10.1093/heapro/day043] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
In the U.S., fewer than half of children and adolescents who report mental disorders receive care and the needs of those who receive care have yet to be explored. There is a scarcity of studies examining the needs of adolescents with mental conditions and at risk for suicide. Learning directly from the adolescents can fill in this gap by providing insight that clinicians and researchers lack about adolescents' experience. This study uses Photovoice, a Community-Based Participatory Research method that involves focus groups and the use of cameras by participants to visually capture their reality and express their ideas through photographs. By using Photovoice, this study aims to provide an opportunity for adolescents to voice their own perspectives and for researchers and clinicians to gain an understanding of adolescents' life experience away from the treatment setting, as well as their experience as consumers of mental health services. Four participants, including two 15 year olds and two 17 year olds, were recruited from a mental health clinic in New York City. Parental consent and adolescent assent were collected per Institutional Review Board requirements. Thematic analysis was used to identify and report response patterns. Four themes emerged: (i) sense of self, (ii) family, (iii) suicidal ideation and (iv) treatment. Findings suggest that Photovoice is valued by adolescents and leads to critical thinking, self-reflection, discovering strengths and social support. Adolescents reported feeling empowered, which is the ultimate goal of Photovoice. Photovoice presents a powerful opportunity to be used as therapeutic strategy with adolescents that demands further research.
Collapse
Affiliation(s)
- Carolina Vélez-Grau
- Columbia University School of Social Work, 1255 Amsterdam Ave 9th floor, Doctoral Office, New York, NY, USA
| |
Collapse
|
40
|
Drainoni ML, Childs E, Biello KB, Biancarelli DL, Edeza A, Salhaney P, Mimiaga MJ, Bazzi AR. "We don't get much of a voice about anything": perspectives on photovoice among people who inject drugs. Harm Reduct J 2019; 16:61. [PMID: 31775757 PMCID: PMC6882205 DOI: 10.1186/s12954-019-0334-2] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2019] [Accepted: 10/10/2019] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND In the context of the current US opioid crisis, people who inject drugs (PWID) are increasingly researched, but their ability to tell their own stories may be limited. Photovoice is a participatory action research method that allows participants to use photography to directly depict their experiences. METHODS We conducted interviews with PWID (n = 33) as part of a qualitative study on the health needs of PWID in the USA to explore interest and acceptability of photovoice as a potential research method and way to share their voices. RESULTS Participants identified facilitators and barriers to participating in a future photovoice project. Facilitators included a chance to depict one's unique experience, help others in need by sharing one's own story, and photography being a more "comfortable" way to tell their stories than traditional research methods. Barriers included safety concerns, embarrassment, and ability to retain cameras. Participants also identified areas of sensitivity related to documenting drug use. CONCLUSIONS While we found broad acceptability of photovoice, barriers would need to be addressed and additional training and support for research staff and potential participants related to the ethics of public photography and engaging PWID in photovoice research would be required.
Collapse
Affiliation(s)
- Mari-Lynn Drainoni
- Section of Infectious Diseases, Department of Medicine, Boston University School of Medicine, Boston, MA, USA. .,Evans Center for Implementation and Improvement Sciences, Boston University School of Medicine, Boston, MA, USA. .,Department of Health Law, Policy & Management, Boston University School of Public Health, Boston, MA, USA. .,Center for Healthcare Organization and Implementation Research, Edith Nourse Rogers Memorial Veterans Hospital, Bedford, MA, USA.
| | - Ellen Childs
- Department of Health Law, Policy & Management, Boston University School of Public Health, Boston, MA, USA
| | - Katie B Biello
- Center for Health Equity Research, Brown University, Providence, RI, USA.,Department of Behavioral & Social Sciences, Brown University School of Public Health, Providence, RI, USA.,Department of Epidemiology, Brown University School of Public Health, Providence, RI, USA.,The Fenway Institute, Fenway Health, Boston, MA, USA
| | - Dea L Biancarelli
- Evans Center for Implementation and Improvement Sciences, Boston University School of Medicine, Boston, MA, USA.,Department of Health Law, Policy & Management, Boston University School of Public Health, Boston, MA, USA
| | - Alberto Edeza
- Center for Health Equity Research, Brown University, Providence, RI, USA.,Department of Behavioral & Social Sciences, Brown University School of Public Health, Providence, RI, USA
| | - Peter Salhaney
- Center for Health Equity Research, Brown University, Providence, RI, USA.,Department of Behavioral & Social Sciences, Brown University School of Public Health, Providence, RI, USA
| | - Matthew J Mimiaga
- Center for Health Equity Research, Brown University, Providence, RI, USA.,Department of Behavioral & Social Sciences, Brown University School of Public Health, Providence, RI, USA.,Department of Epidemiology, Brown University School of Public Health, Providence, RI, USA.,The Fenway Institute, Fenway Health, Boston, MA, USA.,Department of Psychiatry & Human Behavior, Brown University Alpert Medical School, Providence, RI, USA
| | - Angela R Bazzi
- Department of Community Health Sciences, Boston University School of Public Health, Boston, MA, USA
| |
Collapse
|
41
|
Halvorsrud K, Rhodes J, Webster GM, Francis J, Haarmans M, Dawkins N, Nazroo J, Bhui K. Photovoice as a promising public engagement approach: capturing and communicating ethnic minority people's lived experiences of severe mental illness and its treatment. BMJ Open Qual 2019; 8:e000665. [PMID: 31798067 PMCID: PMC6863667 DOI: 10.1136/bmjoq-2019-000665] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2019] [Revised: 09/24/2019] [Accepted: 10/08/2019] [Indexed: 11/04/2022] Open
Affiliation(s)
| | - James Rhodes
- Sociology, School of Social Sciences, Humanities, University of Manchester, Manchester, UK
| | | | | | - Maria Haarmans
- Sociology, School of Social Sciences, Humanities, University of Manchester, Manchester, UK
| | - Natalia Dawkins
- Centre for Psychiatry, Queen Mary University of London, London, UK
| | - James Nazroo
- Sociology, School of Social Sciences, Humanities, University of Manchester, Manchester, UK
| | - Kamaldeep Bhui
- Centre for Psychiatry, Queen Mary University of London, London, UK
| |
Collapse
|
42
|
Ferlatte O, Oliffe JL, Louie DR, Ridge D, Broom A, Salway T. Suicide Prevention From the Perspectives of Gay, Bisexual, and Two-Spirit Men. QUALITATIVE HEALTH RESEARCH 2019; 29:1186-1198. [PMID: 30547726 DOI: 10.1177/1049732318816082] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Although gay, bisexual, and two-spirit men (GBTSM) experience high rates of suicidality, there have been few empirical studies of prevention initiatives and policies that could address or reverse this major social problem. This article reports on a photovoice study of 29 GBTSM who had a history of suicidality or lost a fellow GBTSM to suicide. We focused our analysis on participants' perspectives on suicide prevention. Participants described four key considerations for GBTSM suicide prevention: (a) recognizing and addressing enduring homophobia, biphobia, and mental illness stigma; (b) provision of low-barrier, long-term, and GBTSM-affirming counseling; (c) de-isolation through peer support and community connection; and (d) fostering creativity and cultural resilience. By engaging GBTSM affected by suicide through photographs that depict their experiences and points of view, in this study, we offer concrete recommendations to reduce suicidality among GBTSM.
Collapse
Affiliation(s)
- Olivier Ferlatte
- 1 The University of British Columbia, Vancouver, British Columbia, Canada
| | - John L Oliffe
- 1 The University of British Columbia, Vancouver, British Columbia, Canada
| | - Dennis R Louie
- 1 The University of British Columbia, Vancouver, British Columbia, Canada
| | - Damien Ridge
- 2 University of Westminster, London, United Kingdom
| | - Alex Broom
- 3 University of New South Wales, Sydney, New South Wales, Australia
| | - Travis Salway
- 1 The University of British Columbia, Vancouver, British Columbia, Canada
- 4 British Columbia Center for Disease Control, Vancouver, British Columbia, Canada
| |
Collapse
|
43
|
Hall T, Kakuma R, Palmer L, Minas H, Martins J, Kermode M. Social inclusion and exclusion of people with mental illness in Timor-Leste: a qualitative investigation with multiple stakeholders. BMC Public Health 2019; 19:702. [PMID: 31174504 PMCID: PMC6554932 DOI: 10.1186/s12889-019-7042-4] [Citation(s) in RCA: 20] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2019] [Accepted: 05/23/2019] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Social inclusion is a human right for all people, including people with mental illness. It is also an important part of recovery from mental illness. In Timor-Leste, no research has investigated the social experiences of people with mental illness and their families. To fill this knowledge gap and inform ongoing mental health system strengthening, we investigated the experiences of social inclusion and exclusion of people with mental illness and their families in Timor-Leste. METHODS Eighty-five participants from the following stakeholder groups across multiple locations in Timor-Leste were interviewed: (1) people with mental illness and their families; (2) mental health and social service providers; (3) government decision makers; (4) civil society members; and (5) other community members. Framework analysis was used to analyse interview transcripts. RESULTS People with mental illness in Timor-Leste were found to face widespread, multi-faceted sociocultural, economic and political exclusion. People with mental illness were stigmatised as a consequence of beliefs that they were dangerous and lacked capacity, and experienced instances of bullying, physical and sexual violence, and confinement. Several barriers to formal employment, educational, social protection and legal systems were identified. Experiences of social inclusion for people with mental illness were also described at family and community levels. People with mental illness were included through family and community structures that promoted unity and acceptance. They also had opportunities to participate in activities surrounding family life and livelihoods that contributed to intergenerational well-being. Some, but not all, Timorese people with mental illness benefited from disability-inclusive programming and policies, including the disability pension, training programs and peer support. CONCLUSIONS These findings highlight the need to combat social exclusion of people with mental illness and their families by harnessing local Timorese sociocultural strengths. Such an approach could centre around people with mental illness and their families to: increase population mental health awareness; bolster rights-based and culturally-grounded mental health services; and promote inclusive and accessible services and systems across sectors.
Collapse
Affiliation(s)
- Teresa Hall
- Nossal Institute for Global Health, University of Melbourne, 333 Exhibition St, Melbourne, Victoria, 3004, Australia.
| | - Ritsuko Kakuma
- Centre for Global Mental Health, London School of Hygiene and Tropical Medicine, London, UK
- Centre for Mental Health, University of Melbourne, Melbourne, Australia
| | - Lisa Palmer
- School of Geography, University of Melbourne, Melbourne, Australia
| | - Harry Minas
- Centre for Mental Health, University of Melbourne, Melbourne, Australia
| | - João Martins
- Faculty of Medicine and Health Sciences, National University of Timor-Leste, Díli, Timor-Leste
| | - Michelle Kermode
- Nossal Institute for Global Health, University of Melbourne, 333 Exhibition St, Melbourne, Victoria, 3004, Australia
| |
Collapse
|
44
|
Cheezum RR, Rosso MT, Niewolak N, Cobb T. Using PhotoVoice to Understand Health Determinants of Formerly Homeless Individuals Living in Permanent Housing in Detroit. QUALITATIVE HEALTH RESEARCH 2019; 29:1043-1055. [PMID: 30547728 DOI: 10.1177/1049732318816670] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Housing First is an evidence-based approach to addressing chronic homelessness that provides permanent, low-barrier housing. Previous literature on the health of tenants of Housing First programs has primarily focused on mental health, substance use, and health care. Using the social-ecological model, we conducted a community-based participatory research (CBPR) PhotoVoice study to better understand what Housing First residents in Detroit identify as factors that impact their health. Seventeen participants were provided cameras and photography training and asked to take photos on the theme "What impacts your health and wellness?" Group sessions were held to discuss photos. Results were organized into four themes: (a) loss of jobs hurts people and communities; (b) blight, more than just abandoned buildings; (c) being pushed out by development; and (d) experiencing the "battlefield" versus feeling peaceful. The social-ecological model was used to indicate potential interventions indicated by study findings.
Collapse
Affiliation(s)
- Rebecca R Cheezum
- 1 Oakland University School of Health Sciences, Rochester, Michigan, USA
| | - Matthew T Rosso
- 2 University of Michigan School of Nursing, Ann Arbor, Michigan, USA
| | | | - Tia Cobb
- 4 Neighborhood Service Organization, Detroit, Michigan, USA
| |
Collapse
|
45
|
Carr EM, Zhang GD, Ming JHY, Siddiqui ZS. Qualitative research: An overview of emerging approaches for data collection. Australas Psychiatry 2019; 27:307-309. [PMID: 30763115 DOI: 10.1177/1039856219828164] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
OBJECTIVE The aim of this study was to introduce new approaches to conduct qualitative research that may provide valuable insight into issues related to education, training and patient care in psychiatry. CONCLUSIONS A variety of data-collection tools is available for researchers and practitioners in psychiatry. These can be used independently or in conjunction with other quantitative and qualitative methods.
Collapse
Affiliation(s)
- Elizabeth May Carr
- Final Year Medical Student, The University of Western Australia School of Medicine, Perth, WA, Australia
| | - Gary Dezhi Zhang
- Final Year Medical Student, The University of Western Australia School of Medicine, Perth, WA, Australia
| | - Jane Hung Yeong Ming
- Research Assistant, MD Education Unit, The University of Western Australia, Perth, WA, Australia
| | - Zarrin Seema Siddiqui
- Associate Professor, MD Education Unit, Faculty of Health and Medical Sciences, The University of Western Australia, Crawley, WA, Australia
| |
Collapse
|
46
|
Abstract
AbstractFor a long time researchers have used photography for different purposes, in different ways and with different focus. Photovoice is a qualitative visual research method that refers to photographs taken by the participants themselves. It has been used with different age groups and populations. The use of photovoice in older populations requires its own study of approaches, techniques and challenges. In this article, we review existing studies using photovoice with older participants specifically, to consider its potential as a qualitative research method in the field of gerontology. We discuss advantages and limitations of the method in gerontological research and provide guidelines for future studies. Our results show that photovoice has been used to study a wide range of topics in older people, from health issues and the impact of environment on health and wellbeing, to leisure experiences of groups living with HIV/AIDS. Using photovoice helps researchers to capture live experiences and perceptions of older persons and conduct engaging, involving and empowering research facilitating interaction, reflection and connection of participants. However, conducting photovoice studies can be practically challenging, such as when addressing special needs of the participants, or ethical and other feasibility issues. To conclude, photovoice has great potential for being used in gerontological research, it can be altered to fit specific goals, divergent issues studied and different research contexts.
Collapse
|
47
|
Oliffe JL, Broom A, Popa M, Jenkins EK, Rice SM, Ferlatte O, Rossnagel E. Unpacking Social Isolation in Men's Suicidality. QUALITATIVE HEALTH RESEARCH 2019; 29:315-327. [PMID: 30222044 DOI: 10.1177/1049732318800003] [Citation(s) in RCA: 21] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/12/2023]
Abstract
Social isolation has featured as a significant and oftentimes all-encompassing risk factor for male suicide, yet, as an explanatory mechanism, it has not been unpacked in terms of what it constitutes in everyday life. The current photovoice study explores the various dimensions of the lived experience of social isolation, as embedded in accounts of suicidality drawn from 35 Canadian men. Study participants narrated the following factors as underpinning their social isolation: (a) family dysfunction and estrangement, (b) marginality and feeling like misfits at school and work, (c) alienation and provisional acceptance of health care, (d) ineffectual and self-harming management, (e) intrusive dislocating thoughts, and (f) society's burdensome and immoral subjects. These interwoven but discrete spheres provide a means for understanding the phenomenology of social isolation and a basis for melding ideas about connectedness, relationality, personal history, and care, along with strategies to support and reduce men's suicidality.
Collapse
Affiliation(s)
- John L Oliffe
- 1 University of British Columbia, Vancouver, British Columbia, Canada
| | - Alex Broom
- 2 University of New South Wales, Sydney, Australia
| | - Michaela Popa
- 1 University of British Columbia, Vancouver, British Columbia, Canada
| | - Emily K Jenkins
- 1 University of British Columbia, Vancouver, British Columbia, Canada
| | | | - Olivier Ferlatte
- 1 University of British Columbia, Vancouver, British Columbia, Canada
| | - Emma Rossnagel
- 1 University of British Columbia, Vancouver, British Columbia, Canada
| |
Collapse
|
48
|
Saunders JF, Eaton AA. Social comparisons in eating disorder recovery: Using PhotoVoice to capture the sociocultural influences on women's recovery. Int J Eat Disord 2018; 51:1361-1366. [PMID: 30480834 DOI: 10.1002/eat.22978] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/05/2018] [Revised: 08/10/2018] [Accepted: 08/11/2018] [Indexed: 11/08/2022]
Abstract
OBJECTIVE This qualitative study draws on a photo-elicitation method ("PhotoVoice") and semistructured interviews to examine the role of social comparison during the eating disorder (ED) recovery process. METHOD Thirty U.S. women in self-defined recovery, ages 18-35, used photography to capture personally meaningful social and cultural influences on their recovery, including factors supporting, and hindering their recovery process. Participants then shared these photographs with the research team, and described them in detail. RESULTS Photographs and interviews were examined for social comparisons using thematic analysis, and two broad categories emerged: recovery-promoting and recovery-hindering comparisons. Across the 30 interviews, participants reported 143 recovery hindering comparisons and 100 recovery promoting comparisons. The vast majority of comparisons involved friends and media personalities, and took place in vivo or on social media platforms. The presence of "upward" and "downward" food and body comparisons that both support and hinder recovery suggests that social comparisons during the recovery process are more nuanced than previously known. DISCUSSION The classically ascribed uses of comparison in social comparison theory do not appear to hold for women in ED recovery. Comparisons should be encouraged in treatment and interventions if and only if the comparisons are meant to support the recovery process.
Collapse
Affiliation(s)
- Jessica F Saunders
- Department of Psychology, Florida International University, Miami, FL, USA
| | - Asia A Eaton
- Department of Psychology, Florida International University, Miami, FL, USA
| |
Collapse
|
49
|
Saunders JF, Eaton AA, Frazier SL. Disordered Society: Women in Eating Disorder Recovery Advise Policymakers on Change. ADMINISTRATION AND POLICY IN MENTAL HEALTH AND MENTAL HEALTH SERVICES RESEARCH 2018; 46:175-187. [PMID: 30367297 DOI: 10.1007/s10488-018-0903-9] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
This qualitative study draws on a photo-elicitation method ("PhotoVoice") and semi-structured interviews to examine the key areas stakeholders (30 young women between the ages of 18 and 35 in eating disorder recovery) identify as meaningful venues of policy-based change. Photography and the accompanying narratives capturing personally-meaningful social, cultural, and systemic influences on recovery were shared with the research team. Photographs and interviews were examined for policy implications using thematic analysis, and six areas of improvement emerged: media, healthcare practice and access, health insurance reform, education, objectification of the female body, and mental health stigma. Implications for reform are discussed.
Collapse
Affiliation(s)
- Jessica F Saunders
- Department of Psychology, Florida International University, 11200 SW 8th St., Miami, FL, 33199, USA.
| | - Asia A Eaton
- Department of Psychology, Florida International University, 11200 SW 8th St., Miami, FL, 33199, USA
| | - Stacy L Frazier
- Department of Psychology, Florida International University, 11200 SW 8th St., Miami, FL, 33199, USA
| |
Collapse
|
50
|
Mann CL, Gillezeau CN, Massazza A, Lyons DJ, Tanaka K, Yonekura K, Sekine H, Yanagisawa R, Katz CL. Fukushima Triple Disaster and the Road to Recovery: a Qualitative Exploration of Resilience in Internally Displaced Residents. Psychiatr Q 2018; 89:383-397. [PMID: 29079958 DOI: 10.1007/s11126-017-9542-7] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Six years after the March 2011 Triple Disaster, over 35,000 Japanese individuals remain in temporary housing. Evacuated residents, many of who are elderly, face mental health challenges. This study evaluates the well being of individuals living in temporary housing within Fukushima. Reactions to relocation were explored using Photovoice, a community-based participatory research method, in which a set of research questions are examined qualitatively through photographs and interviews. Seven participants (average age = 69.7) were provided cameras to answer a set of self-generated questions, a process that was repeated three times. An initial analysis found resilience among participants, which was explored using a theoretical framework of resiliency. Residents discussed how relocation has disrupted their lives and coping strategies they employ to ameliorate stressors. They were often optimistic and future-oriented, stating that they wanted to "live strong" after the disaster. These resilient mindsets were personified in action: all engaged in hobbies, critical for their emotional well being. Participants also emphasized the importance of community and familial support. The evidence of resilience in participants is encouraging, suggesting that these vulnerable elderly internally displaced residents are recovering from the disruption of relocation. These themes should be explored in larger temporary housing communities. Considering the number of relocated individuals today, understanding how to foster resilience could be used to inform the development of future temporary housing shelters.
Collapse
Affiliation(s)
- Claire L Mann
- Icahn School of Medicine at Mount Sinai, New York, NY, 10029, USA.
| | | | - Alessandro Massazza
- Department of Clinical, Educational and Health, Psychology, Faculty of Brain Sciences, University College London, London, UK
| | - Daniel J Lyons
- Department of Global Health, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | | | | | | | - Robert Yanagisawa
- Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - Craig L Katz
- Department of Medical Education and Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| |
Collapse
|