A Novel Visual Tool to Assist Therapy Clients' Narrative and to Disclose Difficult Life Events: The Life Story Board

Medina-Muñoz, María-Fernanda; Chase, Rob; Roger, Kerstin; Loeppky, Carla; Mignone, Javier

doi:10.1521/jsyt.2016.35.1.21

Cited by 8 publications

(5 citation statements)

References 11 publications

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“…The Vidaview Life Story Board (LSB) tool was developed in order to help break down communication barriers in the therapeutic setting by facilitating discussion of difficult life experiences [ 32 – 35 ]. The LSB permits interviewers and participant to co-construct a visual “life-scape”, using a board, markers and customized picture-magnets, which depicts a participant’s lived experience, including personal, relational and temporal aspects.…”

Section: Methodsmentioning

confidence: 99%

Expanding conceptualizations of harm reduction: results from a qualitative community-based participatory research study with people who inject drugs

et al. 2017

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BackgroundThe perspectives of people who use drugs are critical in understanding why people choose to reduce harm in relation to drug use, what practices are considered or preferred in conceptualizations of harm reduction, and which environmental factors interfere with or support the use of harm reduction strategies. This study explores how people who inject drugs (PWID) think about harm reduction and considers the critical imperative of equity in health and social services delivery for this community.MethodsThis community-based participatory research study was conducted in a Canadian urban centre. Using a peer-based recruitment and interviewing strategy, semi-structured qualitative interviews were conducted by and with PWID. The Vidaview Life Story Board, an innovative tool where interviewers and participant co-construct a visual “life-scape” using a board, markers, and customized picture magnets, was used to facilitate the interviews. The topics explored included injection drug use and harm reduction histories, facilitators and barriers to using harm reduction strategies, and suggestions for improving services and supports.ResultsTwenty-three interviews with PWID (14 men and 9 women) were analysed, with a median age of 50. Results highlighted an expanded conceptualization of harm reduction from the perspectives of PWID, including motivations for adopting harm reduction strategies and a description of harm reduction practices that went beyond conventional health-focused concerns. The most common personal practices that PWID used included working toward moderation, employing various cognitive strategies, and engaging in community activities. The importance of social or peer support and improving self-efficacy was also evident. Further, there was a call for less rigid eligibility criteria and procedures in health and social services, and the need to more adequately address the stigmatization of drug users.ConclusionsThese findings demonstrated that PWID incorporate many personal harm reduction practices in their daily lives to improve their well-being, and these practices highlight the importance of agency, self-care, and community building. Health and social services are needed to better support these practices because the many socio-structural barriers this community faces often interfere with harm reduction efforts. Finally, “one size does not fit all” when it comes to harm reduction, and more personalized or de-medicalized conceptualizations are recommended.

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Section: Methodsmentioning

confidence: 99%

Expanding conceptualizations of harm reduction: results from a qualitative community-based participatory research study with people who inject drugs

et al. 2017

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“…They also posited that the tool encouraged greater participation and reflexivity among the participants. Several studies have outlined how visual methods are more participatory and provide a more holistic view of the topics being researched [16][17][18][19] . Additionally, participatory visual methods help in shifting power imbalances between the researcher and the participants and provide more meaningful engagement with participants 12 .…”

Section: Discussionmentioning

confidence: 99%

“…However, the RAs found that it also served as a means to reveal information that was previously not known and encouraged pregnant women to explore their pregnancy experiences and reflect on them. Visual methods, such as timelines, when combined with interviews, focus "attention beyond what is possible through talk alone, thus becoming not only a piece of data in its own right but a vehicle through which further data were produced" [16][17][18][19][20] .…”

Section: Discussionmentioning

confidence: 99%

Visualizing participant experiences in maternal and child nutrition studies using timeline mapping

et al. 2020

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Iron and folic acid (IFA) supplementation is one of the most cost-effective interventions to prevent and treat anemia during pregnancy. Despite having the highest global burden of anemia among pregnant women, rates of IFA uptake in pregnancy in India are still very low, particularly in the state of Uttar Pradesh. While there have been several studies that explored challenges around IFA consumption and adherence, there is a paucity of studies that have synthesized this information into a single visual tool that can help program implementers understand the challenges and identify potential areas of intervention. Timeline maps were developed as a visual qualitative tool to explore the nuances of health behaviors among pregnant women with respect to antenatal care (ANC) services, including IFA consumption. Timeline maps were used to visually document critical events pertaining to ANC services chronologically, including details on contact points with the health system and events specific to IFA distribution, consumption and counselling. Six research assistants (RAs) were trained on how to use timeline maps and record participant narratives. The RAs later participated in a focus group discussion to gain insight about their experiences using the tool. RAs reported that the timeline maps were easy-to-use and facilitated in-depth conversations with participants. RAs shared that they were able to actively engage the participants in co-creating the maps. The visual nature of the tool prompted participants’ recall of key pregnancy events and reflexivity. Challenges reported with the tool/process included recollection of past events and potential misrepresentation of information. These highlight a need to restructure training processes. Our findings indicate that timeline maps have the potential to be used in a variety of other program contexts, and merit further exploration.

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“…RAs posited that the tool encouraged greater participation and reflexivity among the participants. Several studies have outlined how visual methods of elicitation are more participatory and provide a more holistic view of the topics being researched [15][16][17] .…”

Section: Discussionmentioning

confidence: 99%

Visualizing participant experiences in maternal and child nutrition studies using timeline mapping

et al. 2019

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Iron and folic acid (IFA) supplementation is one of the most cost-effective interventions to prevent and treat anemia during pregnancy. Despite having the highest global burden of anemia among pregnant women, rates of IFA uptake in pregnancy in India are still very low, particularly in the state of Uttar Pradesh. Timeline maps were developed as a visual qualitative tool to explore the nuances of health behaviors among pregnant women with respect to antenatal care (ANC) services, including IFA consumption. Timeline maps were used to elicit and visually document critical events pertaining to ANC services chronologically, including details on contact points with the health system and events specific to IFA distribution, consumption and counselling. The tool consists of a horizontal straight line with nine suspended boxes corresponding to each month of pregnancy, with legends on how to illustrate IFA receipt and consumption. In this instance, the woman’s last menstrual period and expected date of delivery were used as a frame of reference for the duration of pregnancy. Six research assistants (RAs) were trained on how to use timeline maps to elicit and record participant narratives. The RAs later participated in a focus group discussion to gain insight about their experiences using the tool. The timeline maps were easy-to-use and facilitated in-depth conversations with participants. RAs were able to actively engage the participants in co-creating the maps. The visual nature of the tool prompted participants’ recall of key pregnancy events and reflexivity. Challenges reported with the tool/process included recollection of past events and potential misrepresentation of information. These highlight a need to restructure training processes. Our findings indicate that timeline maps have the potential to be used in a variety of other program contexts, and merit further exploration.

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A Novel Visual Tool to Assist Therapy Clients' Narrative and to Disclose Difficult Life Events: The Life Story Board

Abstract: This article describes an innovative play board and kit called the Vidaview

Cited by 8 publications

References 11 publications

Expanding conceptualizations of harm reduction: results from a qualitative community-based participatory research study with people who inject drugs

Expanding conceptualizations of harm reduction: results from a qualitative community-based participatory research study with people who inject drugs

Visualizing participant experiences in maternal and child nutrition studies using timeline mapping

Visualizing participant experiences in maternal and child nutrition studies using timeline mapping

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