The utility of ‘Ding Ding Lok’ in rehabilitation service for adult persons with intellectual disability: A thematic analysis on reports by service staff

2019 ◽  
pp. 174462951985855
Author(s):  
Ocean Hoi-yeung Hung ◽  
Joey Chung-yee Ma
Keyword(s):  
Intellectual Disability ◽  
Thematic Analysis ◽  
Personal Growth ◽  
Cognitive Abilities ◽  
Rehabilitation Service ◽  
Positive Interactions ◽  
Service Users ◽  
Perceived Benefits ◽  
Staff Members ◽  
Service Staff

This article introduces ‘Ding Ding Lok’ (DDL), a group game especially designed for persons affected by mild-to-moderate intellectual disability and explores its utility in rehabilitation service settings in Hong Kong. Reports from service staff who participated in the pilot project were analysed using thematic analysis. Two key questions were explored: (1) staff members’ perceived benefits of the game for service users and (2) source of enjoyment for staff members in the game process. Results of the thematic analysis generated four themes, including ‘Social Repertoire Expansion’, ‘Exercising Cognitive Abilities’, ‘Leisure & Recreation’ and ‘Personal growth’ for the first question on perceived benefits and five themes including ‘Positive interactions’, ‘Users’ positive feelings’, ‘Increased understanding’, ‘Game design’ and ‘Users’ improvement’ for the second question on source of enjoyment for staff members. On the whole, DDL was perceived to be highly beneficial for the service users and were regarded as very enjoyable to the participating service staff.

Consumer participation at Specialist Homelessness Services: Do the homeless have a say in the services they receive?

2017 ◽  
Vol 61 (6) ◽  
pp. 1095-1115 ◽  
Author(s):  
Darren Phillips ◽  
Ahmed Bawa Kuyini
Keyword(s):  
Thematic Analysis ◽  
New South ◽  
Homeless Persons ◽  
Consumer Participation ◽  
Service Users ◽  
Consumer Group ◽  
Staff Members ◽  
South Wales ◽  
Future Policy ◽  
Policy Direction

This study in the state of New South Wales, Australia, explored what Specialist Homelessness Services are currently implementing in regard to consumer participation, what is working and what barriers to consumer participation have been encountered by both service users and providers. Three staff members, one consumer volunteer and 10 homeless persons from three services were interviewed. The interviews were analysed using thematic analysis. The study found that while consumers have some opportunities to participate, and that participation is beneficial, there were barriers to participation, such as staff attitudes and the nature of the consumer group. The implications of these findings for staff, consumers and future policy direction are discussed.

Preparing a workforce across sectors: staff experiences of developing an Australian first, mental health and intellectual disability initiative for youth (MHIDI-Y)

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Richard Whitehead ◽  
Liza Hopkins ◽  
Michelle Kehoe ◽  
Glenda Pedwell
Keyword(s):  
Mental Health ◽  
Intellectual Disability ◽  
Thematic Analysis ◽  
Family System ◽  
Content Type ◽  
Implementation Phase ◽  
Staff Members ◽  
Client Group ◽  
The Family ◽  
Staff Experiences

Purpose The purpose of this study is to investigate the experiences of staff during the development and implementation of an Australian-first, family-focussed service addressing the mental health needs of young people (aged 12–25 years) with an intellectual disability. This study aims to understand the challenges and successes of the staff team when navigating their way in a new program working with a complex client group. Design/methodology/approach This study used a thematic analysis on data collected from focus groups at two time points in the implementation phase of the new program. Thematic analysis of the data was conducted to identify important themes relating to the staff’s challenges, successes and learning. Findings The findings showed that there was a lot of adaptation needed for staff members trained in either mental health, or disability, but not both. Another key finding was the importance of working with the young person’s family system as well as their existing system of support services. This major focus of the work for staff could be challenging due issues arising in the family unit and a lack of collaboration between services. Working with this complex client group was viewed as challenging and stress inducing; however, the motivation and attitudes of staff were found to be positive factors in the running of the program. Originality/value This paper makes an original contribution to the field, as it provides a unique look at staff experiences when needing to adapt to a new and challenging workplace that was the first-of-its-kind in Australia.

scholarly journals People with dementia as peer workers, challenges, and benefits: a thematic analysis and nominal groups study

2017 ◽  
Vol 29 (7) ◽  
pp. 1185-1192 ◽  
Author(s):  
Joshua Stott ◽  
Joanne Marie Sweeney ◽  
Luke Koschalka ◽  
Luke O'Connor ◽  
Amanda Mwale
Keyword(s):  
Focus Groups ◽  
Thematic Analysis ◽  
Power Dynamics ◽  
Service Users ◽  
Cognitive Deterioration ◽  
Staff Members ◽  
National Initiatives ◽  
People With Dementia ◽  
Nominal Groups ◽  
Key Issues

ABSTRACTBackground:There are national initiatives to involve service users in service delivery. However, programs employing people with dementia as peer support workers (PSWs) in memory services are in their infancy. This study is the first to explore the challenges and benefits to staff and peers involved in such a program.Methods:Focus groups, structured based on nominal groups (NG) methodology were run with PSWs and clinical staff from two memory services. In total, there were 12 participants, with three focus groups: PSWs alone (n = 3); staff members alone (n = 6); and PSWs and staff members combined (n = 6). Data were analyzed through thematic analysis of recorded session content and the ranking of themes inherent in an NG approach.Results:Perceived benefits of the PSW program were similar for staff and PSWs and included personal benefits for PSWS and stereotype reduction for staff. More challenges were reported by staff than PSWs, but both groups agreed that role definition and dealing with the cognitive deterioration inherent in dementia were key issues.Conclusions:The PSW program does have benefits for involved staff and PSWs. However, the challenges identified highlight the need for careful and consensual setup and consideration of power dynamics, with agreed roles and clear guidelines to deal with cognitive deterioration.

Therapeutic communities for people with intellectual disability and complex needs

2015 ◽  
Vol 9 (3) ◽  
pp. 124-131 ◽  
Author(s):  
Jon Taylor ◽  
Simon Crowther ◽  
Christian Bryant
Keyword(s):  
Intellectual Disability ◽  
Design Methodology ◽  
Therapeutic Communities ◽  
Service Users ◽  
Content Type ◽  
Complex Needs ◽  
Staff Members ◽  
Residential Culture ◽  
People With Intellectual Disabilities ◽  
Structured Literature Review

Purpose – The purpose of this paper is to describe the use and value of therapeutic communties (TCs) in services for people with intellectual disabilities (IDs) and complex needs. Design/methodology/approach – A structured literature review of TC in ID services. Findings – TCs have been used in a range of in-patient services for people with IDs. Although outcome studies are scarce, those that exist offer promising indications of such service designs. Originality/value – TCs have seen a recent increase of interest in ID services. This paper provides an overview of these services and outlines the benefits that such a residential culture can offer for both service users and staff members.

Development of an online transdisciplinary student wellbeing bundle: a thematic analysis (Preprint)

2020 ◽  
Author(s):  
Jena Buchan ◽  
Bonnie Clough ◽  
Jonathan Munro ◽  
Tatjana Ewais ◽  
Jaime Wallis ◽  
...  
Keyword(s):  
Focus Groups ◽  
Thematic Analysis ◽  
Personal Growth ◽  
Professional Staff ◽  
Self Awareness ◽  
Online Student ◽  
Student Wellbeing ◽  
Community Connectedness ◽  
Emerging Themes ◽  
Further Development

BACKGROUND The consequences of burnout for tertiary students across the health professions are well documented and include higher rates of mental health challenges, suicide, alcoholism, and relationship problems. As a key stakeholder in University-offered wellbeing services and support, it is desirable for students to hold a central role in development of such resources, particularly given effectiveness relies on student uptake. Hence there is a compelling need to develop a student-driven approach to promote wellbeing in the tertiary setting at individual, curricula, and systems levels. OBJECTIVE Based on this need, an online student-focused platform was developed using a bottom-up approach to support participant-driven enhancement of wellbeing and resilience to counteract burnout. This study reports on the development of the initial online “Student Bundle”, providing a foundation to inform the design of more locally based approaches to improve wellness and prevent burnout. METHODS Students and academic and professional staff from Griffith University Health groups were invited to participate in a series of focus groups. Sessions sought to collect information on desired structure, resources and overall content of the Student Bundle, with a thematic analysis undertaken to identify emerging themes. RESULTS Focus groups were conducted separately with staff (n=17) and students (n=7). Six main themes in relation to the development of the bundle emerged: Communication/Engagement; Accessibility/Flexibility; Professional practice; Community; Awareness; and Opportunity for personal growth. Stakeholders emphasized a bundle should be engaging and proactive to address wellbeing issues, incorporate aspects linked to professional identity and foster community, connectedness and self-awareness, providing an opportunity for growth. CONCLUSIONS Our research has revealed significant needs in relation to how an online student-focused wellbeing bundle could be delivered and what it could provide. Findings from this study will be used to guide further development and implementation of a multimodal, interactive student wellbeing bundle.

Obesity and cancer: student therapeutic radiographers’ understanding of obesity and cancer and their role in weight management

2021 ◽  
pp. 1-7
Author(s):  
Manmeet Kaur ◽  
Laura Charlesworth
Keyword(s):  
Weight Management ◽  
Current Knowledge ◽  
Education Institution ◽  
Service Users ◽  
Healthy Weight ◽  
Online Questionnaire ◽  
Staff Members ◽  
Margin Of Error ◽  
Management Advice ◽  
Obesity And Cancer

Abstract Aims: To explore student therapeutic radiographers’ understanding of obesity and cancer and to identify if student therapeutic radiographers believe that radiographers should have a role within weight management. Materials and Methods: This study used a self-completed online questionnaire (google forms) to collect data from Radiotherapy and Oncology students, studying at one Higher Education Institution, to gain an understanding of their current knowledge of weight management. A retrospective margin of error calculation was carried out, showing a 9% margin of error with a 90% confidence level. Results: In total 57 responses were received, n = 50 BSc students and n = 7 pre-registration MSc students. Three key barriers to openly discussing weight loss management with service users emerged from the questionnaire data; these were a lack of time, lack of clear guidelines and lack of confidence. These barriers could potentially be addressed by improving education and training, making it easier for therapeutic radiographers to openly discuss weight management with service users. Findings: Awareness of guidelines was suboptimal, with 82% (n = 47) of respondents unaware of any guidelines. In addition to this, the majority of students identified a lack of confidence as a barrier to them providing weight management advice. Despite this, 54·4% of respondents agreed that radiographers should have a role in providing weight management advice, with 22·2% of respondents being unsure. Findings suggest that behaviour change is required amounts both students and staff members, so that healthcare professionals are more inclined to have healthy weight management discussions. Perhaps more specialist roles need to be developed, so that healthy weight management discussions can become a norm.

scholarly journals Nature-Based Rehabilitation for Patients with Long-Standing Stress-Related Mental Disorders: A Qualitative Evidence Synthesis of Patients’ Experiences

2021 ◽  
Vol 18 (13) ◽  
pp. 6897
Author(s):  
Anna Bergenheim ◽  
Gunnar Ahlborg ◽  
Susanne Bernhardsson
Keyword(s):  
Mental Disorders ◽  
Personal Growth ◽  
Full Text ◽  
Evidence Synthesis ◽  
Cochrane Library ◽  
Qualitative Evidence Synthesis ◽  
Perceived Benefits ◽  
Positive Health ◽  
Work Disabilities ◽  
The Cochrane Library

Stress-related mental disorders contribute to work disabilities globally and are a common cause for sick leave. Nature-based rehabilitation (NBR) is a multi-disciplinary approach offered to this patient group on a limited scale. Qualitative studies provide insight into patients’ experiences of NBR, and there is a need to synthesize and assess the certainty of evidence for patient-experienced benefits. The aim was to identify, appraise, and synthesize studies reporting experiences and perceived benefits of participation in multidisciplinary, group-based NBR of adult patients with long-standing stress-related mental disorders. PubMed, Embase, CINAHL, AMED, APA PsycInfo, and the Cochrane Library were searched from inception to December 2020. Reference lists of relevant publications were searched. After title and abstract screening, full-text articles were retrieved and assessed for inclusion. The methodological quality of the included studies was assessed, and certainty of evidence was appraised according to CERQual. The search yielded 362 unique records; 19 full-text publications were assessed for eligibility, and 5 studies were included in the synthesis. The studies were considered relevant regarding context, population, and intervention, and quality was generally assessed as moderate to high. Extracted texts were inductively coded and organized into 16 descriptive themes and 4 broad, analytical themes: Instilling calm and joy; Needs being met; Gaining new insights; and Personal growth. Experiences and perceived benefits of participating in NBR and spending time in a nature environment were described as positive for recovery. Nine of the descriptive themes were based on explicit results from at least four of the five studies. Confidence in the evidence of the qualitative findings ranged from moderate to low. Moderate-to-low certainty evidence from the included studies suggests that patients with long-standing stress-related mental disorders experience positive health effects from participating in NBR.

scholarly journals Mental health nurses’ perceptions of attachment style as a construct in a medium secure hospital: a thematic analysis

2015 ◽  
Vol 10 (4) ◽  
pp. 218-233 ◽  
Author(s):  
Nikki Boniwell ◽  
Leanne Etheridge ◽  
Ruth Bagshaw ◽  
Joanne Sullivan ◽  
Andrew Watt
Keyword(s):  
Attachment Theory ◽  
Attachment Style ◽  
Thematic Analysis ◽  
Service User ◽  
Attachment Styles ◽  
Personality Development ◽  
Educational Interventions ◽  
Service Users ◽  
Structured Interviews ◽  
Content Type

Purpose – Attachment Theory can be regarded as central to the concept of relational security. There is a paucity of research examining the coherence of this construct for ward-based staff. The paper aims to discuss these issues. Design/methodology/approach – Five female nurses from the acute admission and assessment ward of a UK medium secure unit acted as participants. Semi-structured interviews were conducted, and inductive thematic analysis was applied. Findings – Six themes; “staff-service user relationships”, “staff diversities”, “service user backgrounds”, “variability in service users’ presentations”, “service users with personality disorder are problematic” and “nurses do not use attachment” emerged from the data. The nurses used heuristic models of attachment-related behaviour and they lacked knowledge of constructs associated with Attachment Theory. Research limitations/implications – Acute admissions may not be representative of all treatment contexts. Traditional models of attachment style may have only limited relevance in forensic services. Practical implications – Limited knowledge and confidence in the nurses regarding how Attachment Theory might apply to service users is interesting because it may limit the extent to which care, treatment and risk management might be informed by an understanding of service user representations of therapeutic relationships. Training and educational interventions for nurses that enhance understanding of personality development and attachment styles are warranted. Originality/value – The importance of nurses for achieving relational security is emphasised and the adequacy of their training is questioned.

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