Specific design features of an interpretative phenomenological analysis study

Substance use amongst people with schizophrenia is well-established: up to 50% report using illicit substances. The occurrence of both conditions can also induce people to disengage from mental health services. The research question sought to understand, from the perspective of both service users and clinicians, cannabis use within the experience of people with schizophrenia. The transcripts of the seven participants and the two focus groups were analysed using interpretative phenomenological analysis. Service Users and Clinicians were recruited from Assertive outreach community-based teams. seven male service users who described their ethnic identity as 'black', diagnosed with schizophrenia and a history of treatment disengagement and 12 clinicians who worked with this client group. The two component study involved semi-structured interviews with the Service Users and two focus groups with the Clinicians. Service Users perceived cannabis use as a means by which they could 'reestablish their identity' that had been damaged and the social consequences of diagnosis. Clinicians similarly perceived drugs, cannabis in particular, as a significant part of the service users' life. This study provides greater depth to understanding cannabis use within the experience of people with a diagnosis of schizophrenia.

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“…Further details of the research methods can be found in Ref. (Wagstaff & Williams ) and under review.…”

Section: Design and Methodsmentioning

confidence: 99%

Perspectives of cannabis use in the life experience of men with schizophrenia

Wagstaff

Graham

Farrell

et al. 2017

Int J Mental Health Nurs

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“…There were two rounds of interviews, with a main interview with the seven service users followed by a second ‘clarifying’ interview with six of the service users. For further detail see Wagstaff & Williams (). All the interviews with the participants were audio recorded and professionally transcribed verbatim.…”

Section: Methodsmentioning

confidence: 99%

Experiences of mental health services for ‘black’ men with schizophrenia and a history of disengagement: A qualitative study

Wagstaff

Graham

Farrell

et al. 2016

Int J Mental Health Nurs

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Whilst mental disorders can be disabling they are also treatable, yet engagement with services is often poor and disengagement from treatment is a major concern for mental health nurses. Participants were service users typically perceived as the most disengaged from mental health services, yet they were willing to engage in the research interviews. The seven participants were all male with a diagnosis of schizophrenia, a history of disengagement from mental health services and described their ethnicity as ‘black’. Participants were under the care of Assertive Outreach Teams and were recruited after the researcher was introduced to them by clinicians who were working with them. After ethical approval, in‐depth, semi‐structured interviews were used to elicit the experiences of participants. Through interpretative phenomenological analysis, themes were developed. Interpretative Phenomenological analysis generated four themes: (i) “People just keep hounding me”, (ii) Antipathy to Medication, (iii) Choice and the value of services, (iv) Stigmatisation and identity. By rigorously examining how service users with schizophrenia make sense of their experience of their relationship with mental health services, there is potential to give voice to the experiences of the recipients of mental health services. This study uncovered the complex nature of disengagement and in view of this there may never be a straightforward mechanism developed to engage all people with schizophrenia with mental health services. When the participants’ experiences are considered in a broader social context it may be possible to reflect on how services can be adapted to facilitate better engagement.

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“…Analysis will attempt to uncover the key themes and meanings that emerge from interviews. IPA appears appropriate to this specific research question, in that it engages in interpretative methodology to access an individual's cognitive inner world, is able to capture convergence and divergence of the lived experiences and furthermore acknowledges the subjective, unique form of experience of one person in a given context in a given point in time (Smith et al ., ; Wagstaff, ). IPA acknowledges that the researcher's involvement with the participant's story has an interpretative element (Murray & Holmes, ).…”

Section: Methodsmentioning

confidence: 99%

‘It's different, but it's the same’: perspectives of young adults with siblings with intellectual disabilities in residential care

Jacobs¹,

Macmahon²

2016

Brit J Learn Disabil

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Accessible summary• Siblings often play important roles in the lives of people with intellectual disabilities.• This study suggests that young adults who have siblings in residential care can feel isolated in their experience.• Adolescence appears to be a turning point and a time when siblings become aware of future caretaking responsibilities.• There is a need for support for siblings of children and adults with intellectual disabilities who live in residential care. AbstractBackground: Siblings often play significant roles in the lives of people with intellectual disabilities. This study aimed to give voice to young adults whose siblings have an intellectual disability and are in residential care. Materials and Methods: Six participants were interviewed, with interpretative phenomenological analysis methodology employed. Results: Emergent themes included family and sibling relationships and concerns for the future. However, ambivalence, in terms of conflicting feelings within participants themselves, was striking. Dissonances within narratives included identifying as 'one family' whilst living apart, experiencing guilt while being supportive of the residential placement, and emphasising the normality of the sibling experience whilst also feeling different and isolated. Conclusion: These findings reflect the particular complexity of sibling relationships when the person with an intellectual disability lives in residential care. There is a need to understand more about the perspectives of siblings, and the influence that residential care may have upon these.

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Specific design features of an interpretative phenomenological analysis study

Abstract: The distinctive design of this study further emphasises the flexibility of IPA, while simultaneously showing fidelity to the core principles underlying the research methodology.

Cited by 34 publications

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Perspectives of cannabis use in the life experience of men with schizophrenia

Perspectives of cannabis use in the life experience of men with schizophrenia

Experiences of mental health services for ‘black’ men with schizophrenia and a history of disengagement: A qualitative study

‘It's different, but it's the same’: perspectives of young adults with siblings with intellectual disabilities in residential care

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