Engaging Without Exposing: Use of a Fictional Character to Facilitate Mental Health Talk in Focus Groups With Men Who Have Been Subject to the Criminal Justice System

Owens, Christabel; Carter, Mary; Shenton, Deborah; Byng, Richard; Quinn, Cath

doi:10.1177/1049732318785359

Cited by 7 publications

(7 citation statements)

References 34 publications

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“…Discussions were hosted on the virtual learning environment Blackboard CourseSites®, which allowed each participant to create a username and to post anonymously to the discussions. To guide group discussions, we used vignettes, a method that has been found to be effective in facilitating group discussions of potentially difficult topics (Owens et al, 2018). Here, the vignettes used were modeled upon Fick et al’s (2013) work which used standardized case vignettes to explore delirium knowledge and recognition in nurses.…”

Section: Methodsmentioning

confidence: 99%

Identifying and Responding to Delirium in Acute Stroke: Clinical Team Members’ Understandings

et al. 2020

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Delirium is associated with increased mortality, morbidity, and length of hospital stay. In the acute stroke setting, delirium identification is challenging due to the complexity of cognitive screening in this patient group. The aim of this study was to explore how members of interprofessional stroke-unit teams identified and responded to a potential delirium in a patient. Online focus groups and interviews utilizing case vignettes were conducted with 15 participants: nurses, occupational therapists, speech and language therapists, and physiotherapists working in acute stroke services. Participants’ understandings of delirium varied, most participants did not identify the symptoms of a possible hypoactive delirium, and nearly all participants discussed delirium symptoms in tentative terms. Aspects of interprofessional working were discussed through the expression of distinct roles around delirium identification. Although participants demonstrated an ethos of person-focused care, there are ongoing challenges involved in early identification and management of delirium in stroke survivors.

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Section: Methodsmentioning

confidence: 99%

Identifying and Responding to Delirium in Acute Stroke: Clinical Team Members’ Understandings

et al. 2020

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“…We were able to examine how these themes worked in combination, as well as singularly and explore similarities and differences to how they functioned across a variety of cases. This new knowledge was incorporated, along with learning from the other parts of the ‘Engager’ programme (Brand et al, 2019 ; Lennox et al, 2017 ; Owens et al, 2018 ; Pearson et al, 2015 ) into the four key elements of the Implementation Delivery Platform: the manual, the training, supervision and interagency organisational agreements.…”

Section: Discussionmentioning

confidence: 99%

“…The aim of the ‘Engager’ programme was to develop and evaluate a complex collaborative care intervention for prisoners with common mental health problems that supports their transition into the community and facilitates joined-up working between health and CJS services (Kirkpatrick et al, 2018 ). ‘Engager’ was iteratively developed from a number of sources, including a realist review of the scientific and grey literatures (Pearson et al, 2015 ), a series of focus groups (Owens, Carter, Shenton, Byng, & Quinn, 2018 ), the lived experience of a group of peer researchers (Taylor, Gill, Gibson, Byng, & Quinn, 2018 ), and a realist formative process evaluation (Brand et al, 2019 ) embedded in a pilot trial (Lennox et al, 2017 ). In designing and planning its delivery, we wanted to try and identify key elements of practice and to understand what was, and was not, effective in helping to engage people, maintain their contact and improve their mental health and general wellbeing.…”

Section: Introductionmentioning

confidence: 99%

“…Our initial program theory had three important presumptions; 1) ‘Engager’ practitioners are the main intervention resource, and together with the prison leaver produce outcomes; 2) individuals’ problems are diverse, therefore flexibility was prioritised over fixed protocolisation of intervention components; 3) ensuring delivery in challenging contexts would require substantial and well-focussed resource and a comprehensive implementation platform would be required. Therefore, to augment theory based initially on an analysis of literature (Pearson et al, 2015 ) and personal accounts (Owens et al, 2018 ), we set out to learn from services that were providing support and/or treatment for people with mental health problems who are involved with the CJS and where there was little or no published literature.

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Section: Introductionmentioning

confidence: 99%

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Using multiple case studies of health and justice services to inform the development of a new complex intervention for prison-leavers with common mental health problems (Engager)

et al. 2021

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Background People in the criminal justice system have complex needs but often do not make use of services outside of prison, in many cases due to poorly joined up working between health and criminal justice services. The ‘Engager’ programme aimed to develop a complex collaborative care intervention for people leaving prison with common mental health problems that could support their transition into the community and facilitate joined up working between health, justice and social services. To augment our core intervention theory, we wanted to learn from innovative and forward-thinking services providing interagency support and/or treatment for people experiencing common mental health problems within the criminal justice system. We wanted to identify key elements of interagency practice to understand what was and was not effective in engaging people, maintaining their contact and improving mental health and other aspects of their lives. Method We used a multiple case study design with a focused ethnographic approach in four study sites. Data came from three sources (documents, field notes and semi-structured interviews) underwent a framework analysis. Results We identified seven main themes, namely: collaboration, client engagement, client motivation, supervision, therapeutic approach, peers and preparations for ending. Engaging and motivating clients was dependent on the relationship built with the professional. This relationship was developed through building trust and rapport, which required time and respectful, open and honest communication. Professionals were often unable to build this relationship effectively if they did not work in effective interagency collaborations, particularly those which included shared practices and were supported by effective supervision. Conclusions The multiple case study design contributed insights as to how health and justice services work together. The main themes identified are well known factors in health and justice co-working. However, the novel insights were gleaned examining interdependence and interactions in complex, multifactorial phenomena and practice, in particular the importance of shared practice and supervision models. The approach of selecting a small number of cases representing identified knowledge gaps contributed a valuable addition to the program theory and delivery for an innovative complex intervention.

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“…Healthcare today is increasingly focused on evidence-based medicine and practice, and it is within this context the role of storytelling has previously been explored and promoted as a learning tool (Gray, 2009; Greenhalgh, 1999; Regehr, 2004). Besides facilitating participant activation, storytelling also has the advantage that it can be easier for the participants to touch upon sensitive topics because their attitudes, knowledge, and experiences primarily will be expressed with the story instead of having to expose themselves (Owens et al, 2018). This is supported by the findings in a recent systematic review on storytelling as a research tool used to explore insights and either inform an intervention or to serve as an intervention itself in public health (McCall et al, 2021).…”

Section: Once Upon a Timementioning

confidence: 99%

Storytelling in Focus Group Discussions: A Narrative Approach to Phenomena With Temporal Dimensions in Medical Education Research

Gjessing,

Kristensen,

Risør

2023

International Journal of Qualitative Methods

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People can express experiences, opinions, and perspectives in stories. In a story, the experiences can be relived and discovered independently of time and place. In medical education, it is a fundamental premise that time progresses, and it is within this temporal space that students learn, acquire competencies, and form identity. It is also within this space that much qualitative research is conducted. However, qualitative examinations at one point in time will result in only a snapshot of a dynamic phenomenon that evolves over time. Existing approaches to qualitative research are often inadequate to accommodate this dynamic development without applying a time- and cost-consuming design such as longitudinal investigations. The purpose of this paper is to present storytelling as a useful research approach to include temporal dimensions in cross-sectional qualitative data collection. We describe the background for the approach, argue for its use, and provide a practical example of storytelling with the use of a fictional character in online focus group discussions to explore a dynamic phenomenon in medical education research. Overall, storytelling offers a narrative approach to qualitative research that allows the researcher to explore phenomena across time and space. The approach has the advantage that it can be used in different formats both oral and written, digital or physical.

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Engaging Without Exposing: Use of a Fictional Character to Facilitate Mental Health Talk in Focus Groups With Men Who Have Been Subject to the Criminal Justice System

Cited by 7 publications

References 34 publications

Identifying and Responding to Delirium in Acute Stroke: Clinical Team Members’ Understandings

Identifying and Responding to Delirium in Acute Stroke: Clinical Team Members’ Understandings

Using multiple case studies of health and justice services to inform the development of a new complex intervention for prison-leavers with common mental health problems (Engager)

Storytelling in Focus Group Discussions: A Narrative Approach to Phenomena With Temporal Dimensions in Medical Education Research

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