1
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Foster JC, Hodges HR, Beloborodova A, Cohodes EM, Phillips MQ, Anderson E, Fagbenro B, Gee DG. Integrating developmental neuroscience with community-engaged approaches to address mental health outcomes for housing-insecure youth: Implications for research, practice, and policy. Dev Cogn Neurosci 2024; 68:101399. [PMID: 38875770 PMCID: PMC11225708 DOI: 10.1016/j.dcn.2024.101399] [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: 12/30/2023] [Revised: 03/16/2024] [Accepted: 05/30/2024] [Indexed: 06/16/2024] Open
Abstract
One in three children in the United States is exposed to insecure housing conditions, including unaffordable, inconsistent, and unsafe housing. These exposures have detrimental impacts on youth mental health. Delineating the neurobehavioral pathways linking exposure to housing insecurity with children's mental health has the potential to inform interventions and policy. However, in approaching this work, carefully considering the lived experiences of youth and families is essential to translating scientific discovery to improve health outcomes in an equitable and representative way. In the current paper, we provide an introduction to the range of stressful experiences that children may face when exposed to insecure housing conditions. Next, we highlight findings from the early-life stress literature regarding the potential neurobehavioral consequences of insecure housing, focusing on how unpredictability is associated with the neural circuitry supporting cognitive and emotional development. We then delineate how community-engaged research (CEnR) approaches have been leveraged to understand the effects of housing insecurity on mental health, and we propose future research directions that integrate developmental neuroscience research and CEnR approaches to maximize the impact of this work. We conclude by outlining practice and policy recommendations that aim to improve the mental health of children exposed to insecure housing.
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Affiliation(s)
- Jordan C Foster
- Yale University, Department of Psychology, New Haven, CT, United States.
| | - H R Hodges
- University of Minnesota, Institute of Child Development, Minneapolis, MN, United States
| | - Anna Beloborodova
- Yale University, Department of Psychology, New Haven, CT, United States
| | - Emily M Cohodes
- Yale University, Department of Psychology, New Haven, CT, United States
| | | | | | | | - Dylan G Gee
- Yale University, Department of Psychology, New Haven, CT, United States.
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2
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Mackelprang JL, Graves JM, Schulz HM. Using Photovoice to Explore Determinants of Health among Homeless and Unstably Housed Women. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2024; 21:195. [PMID: 38397685 PMCID: PMC10887878 DOI: 10.3390/ijerph21020195] [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: 12/30/2023] [Revised: 02/05/2024] [Accepted: 02/06/2024] [Indexed: 02/25/2024]
Abstract
The lived experiences of homeless and unstably housed women, including their health-related priorities, are understudied in smaller metropolitan and rural communities. In this study, we partnered with a day center for women who experience homelessness in Spokane, Washington. We used Photovoice, a community-based participatory action research method, to explore the health-related concerns, needs, and behavior of women who are homeless or unstably housed. Participant-generated photographs and group interview data were analyzed using thematic analysis. Three themes were generated: "These are my supports", "I'm trying to make my health better", and "[My] choices are very limited". The themes illustrated individual, interpersonal, community, and societal strengths and vulnerabilities aligned with the social ecological model. Participants demonstrated resourcefulness, creativity, and hope as they strived toward health improvement. Trauma-informed, strengths-based approaches that respect the autonomy of homeless and unstably housed women and that amplify their voices are needed to minimize power imbalances in research, policy, and practice. This includes an imperative for healthcare and social work programs to ready graduates to deliver effective, empathic services by increasing their knowledge of social determinants of health and of the stigma faced by marginalized communities. Moreover, collaborating with these communities when designing, implementing, and evaluating services is critical.
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Affiliation(s)
- Jessica L. Mackelprang
- Department of Psychological Sciences, Swinburne University of Technology, Melbourne 3122, Australia
| | - Janessa M. Graves
- Department of Family Medicine, School of Medicine, University of Washington, Seattle, WA 98195, USA
- College of Nursing-Spokane, Washington State University, Spokane, WA 99201, USA;
| | - Halle M. Schulz
- College of Nursing-Spokane, Washington State University, Spokane, WA 99201, USA;
- Honors College, Washington State University, Pullman, WA 99164, USA
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3
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Witkowski K, Marr MD, da Silva NM, Vertovec J. Safe but stifled: Assessing the impact of space and place on risk and adaptive response among shelter residents during the COVID-19 pandemic. Health Place 2023; 83:103087. [PMID: 37536171 DOI: 10.1016/j.healthplace.2023.103087] [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: 04/04/2023] [Revised: 07/15/2023] [Accepted: 07/16/2023] [Indexed: 08/05/2023]
Abstract
The COVID-19 pandemic dramatically changed society's interactions with spaces and places. This is especially true for shelter residents who had greater perceived risks of contracting the virus, largely because of communal living. To understand how shelter residents conceptualized their risk and resilience, we implemented a PhotoVoice project with five artists living in a Miami, FL shelter. Although these residents sometimes perceived the shelter as safe, it was often to the detriment of self-determination. Despite profound restrictions, residents still found ways to adapt to their environment. This article helps shelters and scholars alike better understand the ways that residents conceptualize their lived environments and highlights opportunities to empower residents despite challenging circumstances.
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Affiliation(s)
- Kaila Witkowski
- Florida Atlantic University, School of Public Administration, 777 Glades Road, Boca Raton, FL, 33431-0991, USA.
| | - Matthew D Marr
- Florida International University, Department of Global & Sociocultural Studies, SIPA 330 Modesto A. Maidique Campus, Miami, FL, 33199, USA
| | - Natalia Marques da Silva
- Stetson University, Homer and Dolly Hand Art Center, 421 N. Woodland Blvd., Unit 8252, DeLand, Florida, 32723, USA
| | - John Vertovec
- Behavioral Science Research Institute, 2600 Douglas Rd. Suite 712, Coral Gables, FL, 33134, USA
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4
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Koren A, Mottola E. Marginalized youth participation in a civic engagement and leadership program: Photovoice and focus group empowerment activity. JOURNAL OF COMMUNITY PSYCHOLOGY 2023; 51:1756-1769. [PMID: 36378083 DOI: 10.1002/jcop.22959] [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: 07/09/2022] [Revised: 09/22/2022] [Accepted: 10/19/2022] [Indexed: 05/23/2023]
Abstract
To evaluate marginalized youth participation in a civic engagement and leadership program accompanied by a photovoice activity. This study employed an exploratory qualitative method through semistructured focus group discussions among 11 participating teens, as well as 63 photographs from the photovoice activity and their accompanied narratives. The data was coded, and themes related to teens concerns and workshop impact were summarized. Focus group and photovoice analyses showed similar themes related to the experience of participants empowerment, identity recognition, community awareness, and desire for civic engagement. Participants conveyed concerns about gender and race discrimination, community drug abuse, littering, teen pregnancy, and overcrowded schools. This study has implications for professionals and researchers engaging with marginalized teens in the community. Photovoice methodology can complement any program that has teen empowerment among their goals of allowing participants to have a voice.
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Affiliation(s)
- Ainat Koren
- Susan and Alan Solomont School of Nursing, Zuckerberg College of Health Sciences, University of Massachusetts, Lowell, Massachusetts, USA
| | - Elena Mottola
- Massachusetts General Hospital, Boston, Massachusetts, USA
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5
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Aparicio EM, Shpiegel S, Martinez-Garcia G, Sanchez A, Jasczynski M, Ventola M, Channell Doig A, Robinson JL, Smith R. Experiences of the COVID-19 pandemic among young parents with foster care backgrounds: A participatory action PhotoVoice study. CHILDREN AND YOUTH SERVICES REVIEW 2023; 148:106872. [PMID: 36817404 PMCID: PMC9922206 DOI: 10.1016/j.childyouth.2023.106872] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/01/2021] [Revised: 01/19/2023] [Accepted: 02/08/2023] [Indexed: 06/18/2023]
Abstract
The COVID-19 pandemic has had a disproportionate impact on many vulnerable populations, including youth in foster care and parents of young children. In this study, we worked with nine parenting current and former foster youth to share their experiences of the COVID-19 pandemic through photography. Data were collected between January and March 2021 during a series of three virtual PhotoVoice sessions, then transcripts of PhotoVoice sessions and participant-selected captioned photographs were analyzed using thematic analysis. Themes in participants' photographs included 1) Pandemic Parenting and 2) Making the Best of It. Findings indicate the need to expand mental health services, protect essential workers, and ensure young parents receive support navigating medical and social welfare systems and the process of receiving pandemic relief-related benefits.
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Affiliation(s)
- Elizabeth M Aparicio
- Department of Behavioral and Community Health School of Public Health University of Maryland, 4200 Valley Dr, Suite 1234, College Park, MD 20742, United States
| | - Svetlana Shpiegel
- Department of Social Work and Child Advocacy Montclair State University, 1 Normal Ave. Dickson Hall, Room 370, Montclair, NJ 07043, United States
| | | | - Alexander Sanchez
- Department of Behavioral and Community Health School of Public Health University of Maryland, 4200 Valley Dr, Suite 1234, College Park, MD 20742, United States
| | - Michelle Jasczynski
- Department of Behavioral and Community Health School of Public Health University of Maryland, 4200 Valley Dr, Suite 1234, College Park, MD 20742, United States
| | - Marissa Ventola
- Department of Social Work and Child Advocacy Montclair State University, 1 Normal Ave. Dickson Hall, Room 370, Montclair, NJ 07043, United States
| | - Amara Channell Doig
- Department of Behavioral and Community Health School of Public Health University of Maryland, 4200 Valley Dr, Suite 1234, College Park, MD 20742, United States
| | - Jennifer L Robinson
- Department of Behavioral and Community Health School of Public Health University of Maryland, 4200 Valley Dr, Suite 1234, College Park, MD 20742, United States
| | - Rhoda Smith
- Erikson Institute, 451 N. La Salle St. Chicago, IL 60654, United States
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6
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Nathan S, Hodgins M, Wirth J, Ramirez J, Walker N, Cullen P. The use of arts-based methodologies and methods with young people with complex psychosocial needs: A systematic narrative review. Health Expect 2023; 26:795-805. [PMID: 36628644 PMCID: PMC10010092 DOI: 10.1111/hex.13705] [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: 09/15/2022] [Revised: 12/22/2022] [Accepted: 01/02/2023] [Indexed: 01/12/2023] Open
Abstract
BACKGROUND Arts-based methodologies and methods (ABM) can elicit rich and meaningful data with seldom-heard groups and empower participants in research. Young people with complex psychosocial needs could be better engaged in research using arts-based approaches to overcome communication and literacy issues as well as distrust of those with power, including researchers. A critical review of the use and impact of ABM among this population is timely. The purpose of this review is to synthesize and examine the experience and use of ABM with young people with complex psychosocial needs. METHODS A systematic narrative literature review was conducted with a search of the literature from 2009 to 2021. All abstracts were reviewed independently by two authors and full papers were screened for eligibility against inclusion and exclusion criteria. Data synthesis focused on a descriptive numerical summary and a thematic analysis focused on key patterns across papers relating to the review objectives. RESULTS AND DISCUSSION A total of 25 papers were included. The most common issues of focus were mental health (n = 10) and homelessness (n = 11) and methods using Photovoice (n = 12) and Body Mapping (n = 5). Individual interview data (n = 20) were the most commonly analysed, followed by created works (n = 19). Less than half the studies involved young people in the interpretation of the data collected. Knowledge translation was not described in almost half the studies, with public exhibits (n = 7) and forums with service providers (n = 4) being the most common activities. Key themes across the studies were valued over traditional methods in eliciting data, ABM as an approach to engage these young people in research and the impact of the use of ABM on participants and on key stakeholders through knowledge translation. CONCLUSIONS The growing field of ABM presents opportunities to enhance research with young people with complex psychosocial needs by promoting meaningful exploration of experiences, engaging participants in research and strengthening knowledge translation. The involvement of young people in the interpretation of data and ensuring that knowledge translation occurs are key areas for future attention. PATIENT OR PUBLIC CONTRIBUTION The findings of this review will inform future research to improve the engagement of young people with complex psychosocial needs in research and promote power sharing between researchers and research participants.
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Affiliation(s)
- Sally Nathan
- School of Population Health, UNSW Sydney, Sydney, New South Wales, Australia
| | - Michael Hodgins
- School of Clinical Medicine, UNSW Sydney, Sydney, New South Wales, Australia
| | - Jonathan Wirth
- School of Population Health, UNSW Sydney, Sydney, New South Wales, Australia
| | - Jacqueline Ramirez
- School of Population Health, UNSW Sydney, Sydney, New South Wales, Australia
| | - Natasha Walker
- School of Population Health, UNSW Sydney, Sydney, New South Wales, Australia
| | - Patricia Cullen
- School of Population Health, UNSW Sydney, Sydney, New South Wales, Australia.,The George Institute for Global Health, UNSW Sydney, New South Wales Australia, Newtown, New South Wales, Australia.,Ngarruwan Ngadju: First Peoples Health and Wellbeing Research Centre, University of Wollongong, Wollongong, New South Wales, Australia
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7
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B De Oliveira B. A photoelicitation exploration on formally homeless people experience with Universal Credit: System error and 'the government don't care'. JOURNAL OF COMMUNITY PSYCHOLOGY 2022; 50:2458-2474. [PMID: 35001401 DOI: 10.1002/jcop.22789] [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: 09/22/2021] [Revised: 12/20/2021] [Accepted: 12/20/2021] [Indexed: 06/14/2023]
Abstract
This article explores the impact of Universal Credit (UC) on a group of formerly homeless people who were forcibly made to experience a system of full of errors and government that, in their view, did not care. The experience of a marginalised and vulnerable group with complex needs allows one to consider the impacts of welfare reforms on vulnerable people. The research was conducted with formerly homeless contacted via organisations that support people who experienced homelessness in Brighton, Southeast of the UK. Five people (32 years and older) participated. Qualitative data were obtained in photo-elicitation interviews and were thematically analysed. Findings were that they faced a system of error as well as experiencing a sense the government did not care about their situation. The participants expressed their views on how the UC process made them 'struggle' and caused them to have to 'use food banks', and argued that the staff did not know the policy. The system is singled out as the cause of UC claimants' destitution. For the participants, policymakers' negligence, contempt, and detachment were not hard to understand. The article provides implications for practice and research.
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Affiliation(s)
- Bruno B De Oliveira
- Faculty Sport, Health and Social Science, Solent University, Southampton, UK
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8
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What about Using Photovoice for Health and Safety? INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph182211985. [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] [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.
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9
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Dion A, Klevor A, Nakajima A, Andersson N. Evidence-based priorities of under-served pregnant and parenting adolescents: addressing inequities through a participatory approach to contextualizing evidence syntheses. Int J Equity Health 2021; 20:118. [PMID: 33971905 PMCID: PMC8111962 DOI: 10.1186/s12939-021-01458-7] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2020] [Accepted: 04/26/2021] [Indexed: 11/10/2022] Open
Abstract
Purpose This study describes an interdiscursive evidence-based priority setting process with pregnant and parenting adolescents and their services providers. Methods A mixed methods literature review identified studies reporting on perinatal outcomes and experiences of adolescents during pregnancy to 12 months post-partum published in Canada after 2000. We also calculated relative risks for common perinatal risk factors and outcomes for adolescents compared to adult populations from 2012 to 2017 based on data from a provincial database of maternal and newborn outcomes. Two trained peer researchers identified outcomes most relevant to their peers. We shared syntheses results with four service providers and 13 adolescent mothers accessing services at a community service organization, who identified and prioritized their areas of concern. We repeated the process for the identified priority issue and expanded upon it through semi-structured interviews. Results Adolescent mothers face higher rates of poverty, abuse, anxiety and depression than do adult mothers. Adolescents prioritized the experience of judgment in perinatal health and social services, particularly as it contributed to them being identified as a child protection risk. Secondary priorities included loss of social support and inaccessibility of community resources. The experience of judgment in adolescent perinatal health literature was summarized around: being invisible, seen as incapable and seen as a risk. Adolescent mothers adapted these categories, emphasizing organizational and social barriers. Conclusions Young marginalized women are disproportionately affected by inequities in perinatal outcomes, yet their perspectives are rarely centered in efforts to address these inequities. This research addresses health inequities by presenting a robust, transparent and participatory approach to priority setting as a way to better represent the perspectives of those who carry the greatest burden of health inequities in evidence syntheses. In our work, marginalized adolescent parents adapted published literature around the experience and consequences of social stigma on perinatal outcomes, shifting our understanding of root causes and possible solutions. Supplementary Information The online version contains supplementary material available at 10.1186/s12939-021-01458-7.
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Affiliation(s)
- Anna Dion
- Participatory Research at McGill (PRAM), Department of Family Medicine, McGill University, Montreal, Quebec, Canada.
| | | | - Amy Nakajima
- Bruyere Continuing Care, Wabano Centre for Aboriginal Health, Consultant Gynecologist, Ottawa, Canada
| | - Neil Andersson
- Participatory Research at McGill (PRAM), Department of Family Medicine, McGill University, Montreal, Quebec, Canada.,Centro de Investigación de Enfermedades Tropicales (CIET), Universidad Autónoma de Guerrero, Acapulco, Mexico
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10
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Phipps M, Dalton L, Maxwell H, Cleary M. Combining Self-Determination Theory and Photo-Elicitation to Understand the Experiences of Homeless Women. Issues Ment Health Nurs 2021; 42:164-171. [PMID: 32749909 DOI: 10.1080/01612840.2020.1789785] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
Homelessness is a complex and gendered experience. To understand this complexity, novel theoretical frameworks and appropriate research methods are required. Most women living without homes have experienced some form of abuse or mental health issues before becoming, being or exiting homelessness and there is high prevalence of trauma in this vulnerable population. Researchers investigating women's homelessness need to ensure the research process is not retraumatising. This paper proposes a theoretical framework that combines self-determination theory (SDT) and photo-elicitation to support and guide research conducted with women who are at risk of negative effects of power imbalances and retraumatisation in research. The framework offers new opportunities to sensitively study women's homelessness by leveraging a strengths-based premise and empowering procedures to increase women's control in the research process. Embedding this method within the SDT research framework repositions women from objects of research to being competent, autonomous, active and empowered agents in the research process.
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Affiliation(s)
- Monique Phipps
- School of Health Sciences, University of Tasmania, Sydney, NSW, Australia
| | - Lisa Dalton
- School of Health Sciences, University of Tasmania, Launceston, Tasmania, Australia
| | - Hazel Maxwell
- School of Health Sciences, University of Tasmania, Sydney, NSW, Australia
| | - Michelle Cleary
- School of Nursing, University of Tasmania, Sydney, NSW, Australia
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11
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Calvo F, Carbonell X, Johnsen S. Information and communication technologies, e-Health and homelessness: A bibliometric review. COGENT PSYCHOLOGY 2019. [DOI: 10.1080/23311908.2019.1631583] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
Affiliation(s)
- Fran Calvo
- FPE, Universitat de Girona, Girona, Spain
- FPCEE Blanquerna, Universitat Ramon Llull, Barcelona, Spain
| | | | - Sarah Johnsen
- Institute for Social Policy, Housing, Equalities Research, Heriot-Watt University, Edinburgh, Scotland
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12
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Levy K, Grant PC, Depner RM, Tenzek KE, Pailler ME, Beaupin LK, Breier JM, Byrwa DJ. The Photographs of Meaning Program for Pediatric Palliative Caregivers: Feasibility of a Novel Meaning-Making Intervention. Am J Hosp Palliat Care 2019; 36:557-563. [PMID: 30665322 DOI: 10.1177/1049909118824560] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND Research indicates that informal caregiving can have intense physical and mental impact on the individual. Relative to caregivers of adults, pediatric palliative caregivers appear less in literature despite experiencing greater mental, physical, financial, and social strain. There is limited research on the creation and evaluation of interventions specifically for this population despite clear need. OBJECTIVE This study aims to evaluate the feasibility and engagement of the Photographs of Meaning Program, a modified meaning-making intervention for pediatric palliative caregivers. DESIGN Participants completed a pre-post intervention meaning-in-life measure. Over a 9-week period, participants followed a meaning-making curriculum whereby they created and shared photo narratives via social media. As part of the intervention, a community photo exhibition was held featuring these photo narratives. Exit interviews were also conducted at study close. SETTING/PARTICIPANTS Nine individuals providing informal care to children in a pediatric palliative care program participated in the intervention. All participants were female and are older than 18 years. Settings for research include participant homes and at The Center for Hospice and Palliative Care in Cheektowaga, New York. RESULTS Participants posted 95 photographs and 96 narratives during the intervention, posting on average once each week. Statistical analysis within the small sample indicated an increased presence of meaning in the lives of participants ( P = .022). Exit interviews conveyed satisfaction with the intervention. CONCLUSIONS Findings suggest that the Photographs of Meaning Program is a practical intervention with life-enhancing potential for pediatric palliative. Future research should aim to collect additional evidence of the intervention's effectiveness.
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Affiliation(s)
- Kathryn Levy
- 1 Palliative Care Institute, The Center for Hospice & Palliative Care, Cheektowaga, NY, USA
| | - Pei C Grant
- 1 Palliative Care Institute, The Center for Hospice & Palliative Care, Cheektowaga, NY, USA
| | - Rachel M Depner
- 1 Palliative Care Institute, The Center for Hospice & Palliative Care, Cheektowaga, NY, USA.,2 Department of Counseling, School and Educational Psychology, University at Buffalo, The State University of New York, Buffalo, NY, USA
| | - Kelly E Tenzek
- 3 Department of Communication, University at Buffalo, The State University of New York, Buffalo, NY, USA
| | - Megan E Pailler
- 4 Department of Psychosocial Oncology, Roswell Park Cancer Institute, Buffalo, NY, USA
| | | | - Jennifer M Breier
- 1 Palliative Care Institute, The Center for Hospice & Palliative Care, Cheektowaga, NY, USA
| | - David J Byrwa
- 1 Palliative Care Institute, The Center for Hospice & Palliative Care, Cheektowaga, NY, USA.,6 School of Medicine, University at Buffalo, The State University of New York, Buffalo, NY, USA
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13
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Stevenson A, Oldfield J, Ortiz E. Image and word on the street: a reflexive, phased approach to combining participatory visual methods and qualitative interviews to explore resilience with street connected young people in Guatemala City. QUALITATIVE RESEARCH IN PSYCHOLOGY 2019. [DOI: 10.1080/14780887.2018.1557769] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- Andrew Stevenson
- Manchester Metropolitan University, Department of Psychology, Manchester, England
| | - Jeremy Oldfield
- Manchester Metropolitan University, Department of Psychology, Manchester, England
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14
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Lyons T, Krüsi A, Pierre L, Small W, Shannon K. THE IMPACT OF CONSTRUCTION AND GENTRIFICATION ON AN OUTDOOR TRANS SEX WORK ENVIRONMENT: VIOLENCE, DISPLACEMENT AND POLICING. SEXUALITIES 2017; 20:881-903. [PMID: 29379380 PMCID: PMC5786169 DOI: 10.1177/1363460716676990] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
The objective of this study was to investigate how environmental and structural changes to a trans outdoor work environment impacted sex workers in Vancouver, Canada. The issue of changes to the work area arose during qualitative interviews with 33 trans sex workers. In response, ethnographic walks that incorporated photography were undertaken with trans sex workers. Changes to the work environment were found to increase vulnerabilities to client violence, displace trans sex workers, and affect policing practices. Within a criminalized context, construction and gentrification enhanced vulnerabilities to violence and harassment from police and residents.
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Affiliation(s)
- Tara Lyons
- Kwantlen Polytechnic University, Surrey, Canada
- British Columbia Centre for Excellence in HIV/AIDS, Vancouver, Canada
| | - Andrea Krüsi
- British Columbia Centre for Excellence in HIV/AIDS, Vancouver, Canada
- University of British Columbia, Vancouver, Canada
| | - Leslie Pierre
- Providing Alternatives, Counselling & Education (PACE) Society, Vancouver, Canada
| | - Will Small
- British Columbia Centre for Excellence in HIV/AIDS, Vancouver, Canada
- Simon Fraser University, Burnaby, Canada
| | - Kate Shannon
- British Columbia Centre for Excellence in HIV/AIDS, Vancouver, Canada
- University of British Columbia, Vancouver, Canada
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15
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Abstract
This research examined rural and urban women’s experiences of gender-based violence in Chimaltenango, Guatemala. Photovoice methodology was used to describe and analyze local realities and vulnerabilities, and ethnographic techniques added cultural and contextual factors. While the initial focus was on intimate partner violence, results showed that violence for women exists from childhood to senior years. Participants noted gaps in services and participated in a public strategy workshop to address these. Challenges and opportunities are presented around the enduring and complex global crisis of gendered violence. Photovoice is a powerful method for organizations to better understand and respond to local issues.
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Affiliation(s)
- Lynne Duffy
- University of New Brunswick, Moncton, New Brunswick, Canada
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16
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Lyons T, Krüsi A, Pierre L, Kerr T, Small W, Shannon K. Negotiating Violence in the Context of Transphobia and Criminalization: The Experiences of Trans Sex Workers in Vancouver, Canada. QUALITATIVE HEALTH RESEARCH 2017; 27:182-190. [PMID: 26515922 PMCID: PMC4848175 DOI: 10.1177/1049732315613311] [Citation(s) in RCA: 46] [Impact Index Per Article: 6.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
A growing body of international evidence suggests that sex workers face a disproportionate burden of violence, with significant variations across social, cultural, and economic contexts. Research on trans sex workers has documented high incidents of violence; however, investigations into the relationships between violence and social-structural contexts are limited. Therefore, the objective of this study was to qualitatively examine how social-structural contexts shape trans sex workers' experiences of violence. In-depth semistructured interviews were conducted with 33 trans sex workers in Vancouver, Canada, between June 2012 and May 2013. Three themes emerged that illustrated how social-structural contexts of transphobia and criminalization shaped violent experiences: (a) transphobic violence, (b) clients' discovery of participants' gender identity, and (c) negative police responses to experiences of violence. The findings demonstrate the need for shifts in sex work laws and culturally relevant antistigma programs and policies to address transphobia.
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Affiliation(s)
- Tara Lyons
- University of British Columbia, Vancouver, British Columbia, Canada
| | - Andrea Krüsi
- University of British Columbia, Vancouver, British Columbia, Canada
| | - Leslie Pierre
- Providing Alternatives, Counselling & Education (PACE) Society, Vancouver, British Columbia, Canada
| | - Thomas Kerr
- University of British Columbia, Vancouver, British Columbia, Canada
| | - Will Small
- Simon Fraser University, Burnaby, British Columbia, Canada
| | - Kate Shannon
- University of British Columbia, Vancouver, British Columbia, Canada
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Photovoice: A Strategy to Better Understand the Reproductive and Sexual Health Needs of Young Mothers. J Pediatr Adolesc Gynecol 2016; 29:467-475. [PMID: 26992608 DOI: 10.1016/j.jpag.2016.03.001] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/17/2015] [Revised: 02/05/2016] [Accepted: 03/01/2016] [Indexed: 11/22/2022]
Abstract
STUDY OBJECTIVE Adolescent women face significant sexual and reproductive health challenges and are more vulnerable than their male peers. Photovoice methodology might allow them to provide more meaningful and accurate representations of the health challenges they encounter. Our objectives were to: (1) use Photovoice to understand how young mothers frame reproductive and sexual health within the context of their lives; (2) explore how they define reproductive and sexual health; (3) identify youth perspectives on how their life situations influence their ability to affect their health; and (4) connect their perspectives to social determinants of health framework to facilitate implementation of effective programs and policies to address their needs. DESIGN, SETTING, PARTICIPANTS, INTERVENTIONS, AND MAIN OUTCOME MEASURES: This was a prospective qualitative community-based participatory research study involving young women (ages 15-25 years) recruited from a local youth outreach center. A 9-step validated qualitative participatory approach that combined documentary photography with focus groups was used. Qualitative analysis was conducted with NVivo version 10 software (QSR International Inc., Burlington, MA, USA). Data were coded and themes were developed. RESULTS Thirty women were recruited and nine women completed the study. Key themes included: personal sexual health practices and coping skills, influence of poverty, physical environments, community resources and sexual health services, education, and stigma of pregnancy. Participating in community-based participatory research empowered participants to advocate for their own health. CONCLUSION Photovoice methodology contributes to understanding complex factors influencing sexual and reproductive health of young mothers. This participatory-based methodology highlights their individual situations, allowing us to seek connections, create analytical perspectives from which to relate their situations to root causes, and consider strategies for change.
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Lyons T, Krüsi A, Pierre L, Smith A, Small W, Shannon K. Experiences of Trans Women and Two-Spirit Persons Accessing Women-Specific Health and Housing Services in a Downtown Neighborhood of Vancouver, Canada. LGBT Health 2016; 3:373-8. [PMID: 27575593 DOI: 10.1089/lgbt.2016.0060] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
Abstract
PURPOSE Little is known about trans womens' experiences accessing gender-segregated health and housing services, particularly services for marginalized individuals living in poverty. As such, we conducted a qualitative investigation into experiences of accessing women-specific health and housing services among trans women and two-spirit persons in a downtown neighborhood of Vancouver, Canada. METHODS Between June 2012 and May 2013 interviews were conducted with 32 trans women and two-spirit individuals who had accessed women-specific health and/or housing services. Participants were recruited from four open prospective cohorts of sex workers and individuals who use drugs. Interview data were analyzed using a participatory analysis approach with two participants who were hired as research assistants. RESULTS Participants were generally able to access women-specific services in the neighborhood. However, there were reports of discrimination related to gender identity, discrimination based on gender expression (e.g., requirement of a feminine gender expression), and lack of staff intervention in harassment from other service users. CONCLUSION Trans women and two-spirit persons in our study relied upon services for their health and safety and, therefore, exclusion from women-specific services had potentially severe adverse consequences such as homelessness and sexual violence. Recommendations to improve accessibility, including policy development and procedural recommendations, are put forth.
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Affiliation(s)
- Tara Lyons
- 1 Gender and Sexual Health Initiative, British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital , Vancouver, Canada .,2 Department of Criminology, Kwantlen Polytechnic University , Surrey, Canada
| | - Andrea Krüsi
- 1 Gender and Sexual Health Initiative, British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital , Vancouver, Canada .,3 School of Population and Public Health, University of British Columbia , Vancouver, Canada
| | - Leslie Pierre
- 4 Providing Alternatives Counselling & Education Society (PACE) , Vancouver, Canada
| | | | - Will Small
- 1 Gender and Sexual Health Initiative, British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital , Vancouver, Canada .,6 Faculty of Health Sciences, Simon Fraser University , Burnaby, Canada
| | - Kate Shannon
- 1 Gender and Sexual Health Initiative, British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital , Vancouver, Canada .,3 School of Population and Public Health, University of British Columbia , Vancouver, Canada
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Cuthill F. Political representation for social justice in nursing: lessons learned from participant research with destitute asylum seekers in the UK. Nurs Inq 2016; 23:211-22. [PMID: 27562573 DOI: 10.1111/nin.12132] [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] [Accepted: 11/22/2015] [Indexed: 11/28/2022]
Abstract
The concept of social justice is making a revival in nursing scholarship, in part in response to widening health inequalities and inequities in high-income countries. In particular, critical nurse scholars have sought to develop participatory research methods using peer researchers to represent the 'voice' of people who are living in marginalized spaces in society. The aim of this paper is to report on the experiences of nurse and peer researchers as part of a project to explore the experiences of people who find themselves destitute following the asylum process in the UK. In seeking to explore social injustice, three challenges are identified: lack of a robust political theory, institutional/professional constraints and an absence of skills to engage with the politics of social (in)justice. Each challenge is presented, opposing voices outlined and some possible solutions are suggested. The work of political theorist Nancy Fraser is used as a conceptual framework, in particular her focus on mis/framing and political representation for social justice. In addition, it is suggested that social justice needs to be further embedded in nursing policy and curriculum. Finally, nurses are encouraged to develop practical political skills to engage with both politics and the media in a neoliberal globalizing world.
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Affiliation(s)
- Fiona Cuthill
- School of Health in Social Science, University of Edinburgh, Edinburgh, UK
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Esau D, Ho PT, Blair GK, Duffy D, O’Hara NN, Kapoor V, Ajiko M. Engaging youth in rural Uganda in articulating health priorities through Photovoice. Glob Health Promot 2016; 24:59-67. [DOI: 10.1177/1757975915614167] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Youth living in rural Uganda represent over 20% of the country’s population. Despite the size of this demographic segment of the population, there is a paucity of data on their health priorities. Engaging people in understanding their own health status has proven to be an effective mechanism for health promotion. The objective of this study was to use Photovoice, a community-based, participatory action research methodology, to understand the current health priorities of youth living in rural Uganda. Thirty-two students between the ages of 13 and 17 were recruited from four schools within the region of Soroti, Uganda. Participants were given a disposable camera and were asked to photograph situations that contributed or detracted from their health status. The cameras were then returned to the investigators and each photo taken by the participant was reviewed with the investigators during a semi-structured interview. Codes were applied to the photographs and organized into overarching themes. Each participant chose one to two photos that were most representative of their health priorities for a secondary analysis. Participants provided 499 photos that met the eligibility criteria. The most common themes presented in the photographs were ‘hygiene’ ( n = 73, 12.4%), ‘nutrition’ ( n = 69, 11.7%), and ‘cleanliness’ ( n = 48, 8%). ‘Hygiene’ ( n = 6, 14.6%) and ‘exercise’ ( n = 6, 14.6%) were the most common priorities articulated in the representative photographs. Photovoice proved to be an effective method to assess and express the health concerns of youth in rural Uganda. Study participants were able to articulate their health concerns and priorities through photographs and reflect on opportunities for health promotion through subsequent interviews.
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Affiliation(s)
- Daniel Esau
- Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada
| | - Pak To Ho
- Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada
| | - Geoffrey K. Blair
- Department of Surgery, University of British Columbia, Vancouver, BC, Canada
| | - Damian Duffy
- Office of Pediatric Surgical Evaluation and Innovation, BC Children’s Hospital, Vancouver BC, Canada
| | - Nathan N. O’Hara
- Office of Pediatric Surgical Evaluation and Innovation, BC Children’s Hospital, Vancouver BC, Canada
| | - Videsh Kapoor
- Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada
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