Qualitative Forschung mit dem „Concept of                     Candidacy“

Pfister, Andreas

doi:10.1024/0939-5911/a000539

Cited by 4 publications

(4 citation statements)

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“…Discussing the results in the light of the concept of candidacy Our results contribute knowledge to the existing corpus of research that used the concept of candidacy to better understand processes of a person's identi cation of their candidacy for various health and public services [39][40][41][42][43][44][46][47][48][49][50]. Also for the eld of FAPS, we can state that the concept of candidacy, used as a "sensitizing concept" [52], helps us better understand journeys to services [45]. Furthermore, our study, by using the concept of candidacy, is as far as we know the rst study that speci es processes and circumstances of socio-economically deprived families' identi cation of their candidacy for FAPS.…”

Section: Adding Knowledge To the Existent Body Of Scienti C Literaturementioning

confidence: 64%

“…The concept of candidacy was further developed by Mackenzie et al [39]. It has been considered useful to understand journeys of vulnerable groups not only through different kinds of health services [40][41][42][43][44][45][46][47][48][49][50] but also through public services in general [39]. The candidacy journey through health services consists of seven stages: identi cation of candidacy; navigation of services; permeability of services; appearing at services and asserting candidacy; adjudication by professionals; offers of, resistance to, services; operating conditions and local production of candidacy ( [39], p. 809).…”

Section: Introductionmentioning

confidence: 99%

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Limited access to family-based addiction prevention services for socio-economically deprived families in Switzerland: a grounded theory study

Pfister

Koschmieder

Wyss

2020

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Background: Families living in poor socio-economic circumstances, already confronted with social and health inequalities, are often not reached by family-based addiction prevention services. Besides quantitative models and health literacy approaches, qualitative research is lacking that could shed light on the exact circumstances and processes that lead to hindered addiction prevention service uptake by these families. Drawing on the concept of candidacy, we therefore reconstructed how socio-economically deprived parents and their (pre)adolescent children in the German-speaking part of Switzerland (non-)identified their candidacy for family-based addiction prevention services.Methods: Following grounded theory, we collected and analysed data in an iterative-cyclical manner using theoretical sampling and theoretical coding techniques. Sixteen families with children aged 10–14 years were interviewed in depth (parent/s and child separately). All but one family lived below the at-risk-of-poverty threshold.Results: Socio-economically deprived families’ modes of recognizing and handling problems in everyday life were found to be core phenomena that structure the process towards (non)identification of candidacy for family-based addiction prevention services. Four modes anchored within socio-demographic resources were found: Families with mode A perceived their current life situation as existentially-threatening and focused daily coping on the main pressing problem. Others (mode B) perceived prevalent multiple problems as normal (now); problems were normalized, often not recognized as such. In mode C families, problems were pragmatically recognized at a low threshold and pragmatically dealt with, mostly within the family. In mode D families, problems were constantly produced and dealt with early by the worried and anxious parents monitoring their child. From modes D to A, vulnerability increased concerning non-identification of candidacy for family-based addiction prevention services. Further, thematic relevance of addiction prevention, past experience with offers, integration in systems of assistance, strategies to protect the family, and families’ search for information influenced whether identification of candidacy took place.Conclusions: Socio-economically deprived families differ in modes of problem construction and handling in everyday life; this differently opens up or closes routes to family-based addiction prevention. Addiction prevention practice should build on a bundle of diverse strategies for outreach to these families, stressing especially interventions on the structural and environmental level.

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Section: Adding Knowledge To the Existent Body Of Scienti C Literaturementioning

confidence: 64%

Section: Introductionmentioning

confidence: 99%

Limited access to family-based addiction prevention services for socio-economically deprived families in Switzerland: a grounded theory study

Pfister

Koschmieder

Wyss

2020

Preprint

Self Cite

View full text Add to dashboard Cite

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“…The concept of candidacy emerged from a "critical interpretive synthesis" of the scienti c literature and empirical studies on access to healthcare by vulnerable groups in the UK [1,5]. It has been considered useful for understanding the journeys of vulnerable groups not only through different kinds of health services [41][42][43][44][45][46][47][48][49][50][51] but also through public services in general [52]. The concept of candidacy draws on an interactionist and process-oriented perspective and sees access to services as in uenced by simultaneously ongoing processes determined by users and health services.…”

Section: Existing Barriers and Identi Cation Of Candidacy For Servicesmentioning

confidence: 99%

Limited access to family-based addiction prevention services for socio-economically deprived families in Switzerland: a grounded theory study

Pfister

Koschmieder

Wyss

2020

Preprint

Self Cite

View full text Add to dashboard Cite

Background: Families living in poor socio-economic circumstances, already confronted with social and health inequalities, are often not reached by family-based addiction prevention services. Besides quantitative models and health literacy approaches, qualitative research is lacking that could shed light on the exact circumstances and processes that lead to hindered addiction prevention service uptake by these families. Drawing on the concept of candidacy, we therefore reconstructed how socio-economically deprived parents and their (pre)adolescent children in the German-speaking part of Switzerland (non-)identified their candidacy for family-based addiction prevention services.Methods: Following grounded theory, we collected and analysed data in an iterative-cyclical manner using theoretical sampling and theoretical coding techniques. Sixteen families with children aged 10–14 years were interviewed in depth (parent/s and child separately). All but one family lived below the at-risk-of-poverty threshold.Results: Socio-economically deprived families’ modes of recognizing and handling problems in everyday life were found to be core phenomena that structure the process towards (non)identification of candidacy for family-based addiction prevention services. Four modes anchored within socio-demographic resources were found: Families with mode A perceived their current life situation as existentially threatening and focused daily coping on the main pressing problem. Others (mode B) perceived prevalent multiple problems as normal (now); problems were normalized, often not recognized as such. In mode C families, problems were pragmatically recognized at a low threshold and pragmatically dealt with, mostly within the family. In mode D families, problems were constantly produced and dealt with early by the worried and anxious parents monitoring their child. From modes D to A, vulnerability increased concerning non-identification of candidacy for family-based addiction prevention services. Further, thematic relevance of addiction prevention, past experience with offers, integration in systems of assistance, strategies to protect the family, and families’ search for information influenced whether identification of candidacy took place.Conclusions: Socio-economically deprived families differ in modes of problem construction and handling in everyday life; this differently opens up or closes routes to family-based addiction prevention. Addiction prevention practice should build on a bundle of diverse strategies for outreach to these families, stressing especially interventions on the structural and environmental level.

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“…Es heisst auf Deutsch übersetzt «Konzept der Kandidat:innenschaft». Das Concept of Candidacy zeigt auf, dass und wie die Inanspruchnahme von Gesundheitsversorgung durch Interaktions-und Aushandlungsprozesse zwischen potentiellen Nutzer:innen und der Gesundheitsversorgung beeinflusst wird (ausführlich dazu Pfister, 2018). Das erste Stadium -gewissermassen das Nadelöhr zur Versorgung -ist die Identifikation der eigenen Kandidatur für eine bestimmte (Gesundheits-) Dienstleistung.…”

Section: Introductionunclassified

Wege der Erreichbarkeit sozioökonomisch benachteiligter Familien

Pfister¹,

Koschmieder²,

Wyss³

2023

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3.1 Die Hilfesysteme -vielfältige Anlaufstellen und Themen 3.2 Die Beziehungsintensität zu den Hilfesystemen variiert 3.3 Positive beziehungsweise negative Erfahrungen mit Hilfesystemen beeinflussen die (künftige) Verankerung in Hilfesystemen 3.4 Bedeutung der Art der Verankerung in Hilfesystemen für den Zugang zur (Sucht-)Prävention 3.5 Schlussfolgerungen für die (Sucht-)Prävention Praxisperspektive: Manfred Dachs, Direktor Soziale Dienste der Stadt Zürich, und Vanda Wrubel, Mitarbeiterin Fachstab Kinderund Jugendhilfe der Sozialen Dienste der Stadt Zürich 4. SCHUTZSTRAGIEN RESPEKTIEREN 4.1 Proaktive Schutzstrategie -Identifizierung als Kandidat:in 4.2 Defensive Schutzstrategien -Barriere für die Identifizierung als Kandidat:in 4.2.1 Vermeidung von Hinweisen auf Probleme in der Familie 4.2.2 Vermeidung von spezifischen Orten oder Personen 4.3 Schlussfolgerungen für die (Sucht-)Prävention

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Qualitative Forschung mit dem „Concept of Candidacy“

Cited by 4 publications

References 28 publications

Limited access to family-based addiction prevention services for socio-economically deprived families in Switzerland: a grounded theory study

Limited access to family-based addiction prevention services for socio-economically deprived families in Switzerland: a grounded theory study

Limited access to family-based addiction prevention services for socio-economically deprived families in Switzerland: a grounded theory study

Wege der Erreichbarkeit sozioökonomisch benachteiligter Familien

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