Designing Videos With and for Adults With ADHD for an Online Intervention: Participatory Design Study and Thematic Analysis of Feedback (Preprint)

2021 ◽  
Author(s):  
Eivind Flobak ◽  
Emilie Sektnan Nordby ◽  
Frode Guribye ◽  
Robin Kenter ◽  
Tine Nordgreen ◽  
...  
Keyword(s):  
Mental Health ◽  
Thematic Analysis ◽  
Role Models ◽  
Participatory Design ◽  
Qualitative Data ◽  
Online Intervention ◽  
Second Phase ◽  
Therapeutic Principles ◽  
Video Vignettes ◽  
Everyday Experiences

BACKGROUND When designing online interventions, it is important to adapt the therapeutic content to the values and needs of the target group. Adults with attention deficit hyperactivity disorder (ADHD) represent a heterogeneous group experiencing a wide range of both strengths and difficulties related to the core symptoms of the diagnosis. An online intervention attuned to their needs is expected to support them in their everyday lives. OBJECTIVE This paper describes and evaluates a participatory process used to produce content for an online intervention for adults with ADHD relevant to their experiences and needs. The main objective of this process was to produce video vignettes that clarify core training principles of the intervention by establishing connections between the content and the participants' everyday experiences. METHODS In this paper, we report on the qualitative data related to the design and evaluation of video vignettes for an online intervention. Our research was conducted in two phases. In the first phase, 12 adults with ADHD, 2 clinicians, and 2 research assistants participated in the production of video vignettes for the online intervention. In the second phase, we collected qualitative feedback on the videos from participants (n=109) that followed a clinical trial of the intervention. After the trial, a subgroup of the participants (n=7) was interviewed in-depth regarding their experiences with the videos. The qualitative data were analyzed using thematic analysis. RESULTS In the first phase, the participants with ADHD contributed with experiences from everyday situations they qualified as challenging. In the process, we navigated between therapeutic principles and the participants' experiential perspectives to create content relevant and consistent with the target group's values and experiences. In the thematic analysis of the second phase, we identified three themes related to the participants experiences and interpretation of the video vignettes: (1) recognition of ADHD-related challenges, (2) connection with the characters and the situations, and (3) video protagonists as companions and role models for change. CONCLUSIONS A participatory design process for designing online mental health interventions can be used to probe and balance between the therapeutic principles defined by clinicians and the participants’ experiences of mental health issues in the production of therapeutic content. In our study, the inclusion of video vignettes in an online intervention enabled a contextualized and relevant presentation of everyday experiences and psychosocial factors in the life of an adult with ADHD. CLINICALTRIAL https://clinicaltrials.gov/ct2/show/NCT04511169

scholarly journals On the Question of Integrating Spirituality with Counselling in India

2016 ◽  
Vol 15 (1) ◽  
pp. 35
Author(s):  
Thomas Joseph Parayil ◽  
Tony Sam George
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Thematic Analysis ◽  
Health Professionals ◽  
Qualitative Data ◽  
Treatment Process ◽  
Years Of Experience ◽  
Structured Interviews

This paper explores the therapists’ views and experience on spiritual components in counselling. Qualitative data were collected through semi-structured interviews, and thematic analysis used. The participants were nine mental health professionals from different backgrounds with 15 to 30 years of experience in the field. The four main themes that emerged are faith in God, the power of prayer, forgiveness and wholesome treatment process  

scholarly journals Starting from the Same Spot: Exploring Mindfulness Meditation and Student Transitions in the Introductory Health Promotion Classroom

2021 ◽  
Vol 44 (1) ◽  
pp. 256-276
Author(s):  
Madison MacQuarrie ◽  
Nicole Blinn ◽  
Samantha MacLellan ◽  
Megan Flynn ◽  
Jessie Meisner ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Promotion ◽  
Data Collection ◽  
Student Perceptions ◽  
Thematic Analysis ◽  
Classroom Environment ◽  
Online Survey ◽  
Qualitative Data ◽  
Mindfulness Meditation ◽  
Qualitative Data Collection

The purpose of this research was to explore student perceptions of mindfulness meditation (MM) in an introductory health promotion course, and how the use of MM during class might relate to the transitions experienced by students. Qualitative data collection took place through an online survey and in-person interviews. Data were analyzed using thematic analysis. Four key themes were identified from this research. First, that MM facilitates a sense of peace and calm; second, that MM encourages students to focus; third, MM helps promote student mental health; and finally, MM positively changes the classroom environment. Challenges and recommendations were also described. Keywords: mindfulness, meditation, university, transitions

scholarly journals Shared Living Experiences by Physicians have a Positive Impact on Mental Health Attitudes and Stigma among Medical Students: A Mixed-Methods Study

2020 ◽  
Vol 7 ◽  
pp. 238212052096807
Author(s):  
Andrés Martin ◽  
Julie Chilton ◽  
Cecilia Paasche ◽  
Nicole Nabatkhorian ◽  
Hilary Gortler ◽  
...  
Keyword(s):  
Mental Health ◽  
Mixed Methods ◽  
Medical Students ◽  
Focus Groups ◽  
Thematic Analysis ◽  
Role Models ◽  
Help Seeking ◽  
Mixed Methods Study ◽  
Care Providers ◽  
The Impact

Introduction: Medical culture can make trainees feel like there is neither room for mistakes, nor space for personal shortcomings in the makeup of physicians. A dearth of role models who can exemplify that it is acceptable to need support compounds barriers to help-seeking once students struggle. We conducted a mixed-methods study to assess the impact of physicians sharing their living experiences with medical students. Methods: Second-year medical students participated, through synchronized videoconferencing, in an intervention consisting of 3 physicians who shared personal histories of vulnerability (e.g. failure on high-stakes exams; immigration and acculturation stress; and personal psychopathology, including treatment and recovery), followed by facilitated, small-group discussions. For the quantitative component, students completed the Opening Minds to Stigma Scale for Health Care Providers (OMS-HC) before and after the intervention. For the qualitative component, we conducted focus groups to explore the study intervention. We analyzed anonymized transcripts using thematic analysis aided by NVivo software. Results: We invited all students in the class (n = 61, 46% women) to participate in the research component. Among the 53 participants (87% of the class), OMS-HC scores improved after the intervention ( P = .002), driven by the Attitudes ( P = .003) and Disclosure ( P < .001) subscales. We conducted 4 focus groups, each with a median of 6 participants (range, 5-7). We identified, through iterative thematic analysis of focus group transcripts, active components before, during, and after the intervention, with unexpected vulnerability and unarmored mutuality as particularly salient. Conclusions: Sharing histories of personal vulnerability by senior physicians can lessen stigmatized views of mental health and normalize help-seeking among medical students. Synchronous videoconferencing proved to be an effective delivery mechanism for the intervention in a ‘virtual wellness’ format. Candid sharing by physicians has the potential to enhance students’ ability to recognize, address, and seek help for their own mental health needs.

scholarly journals ‘Everyone is different’: Seeking consensus, determining priorities and decision making in the AIMhi-Y App second phase participatory design project (Preprint)

2021 ◽  
Author(s):  
Josie Povey ◽  
Michelle Sweet ◽  
Tricia Nagel ◽  
Anne Lowell ◽  
Fiona Shand ◽  
...  
Keyword(s):  
Mental Health ◽  
Participatory Design ◽  
Scientific Literature ◽  
Reference Group ◽  
User Preferences ◽  
Second Phase ◽  
Design Strategies ◽  
Design Processes ◽  
Design Project ◽  
Health Initiative

BACKGROUND Participatory Design methodology is commonly used to engage youth in the co-design of digital mental health (dMH) resources. However, challenges with this approach such as selection bias, differing user preferences, tensions between formative and summative research methods and adequate resourcing have been reported [1, 2]. In response to limited reporting of co-design processes in the literature, in this paper we provide an in-depth account of the processes used in the second phase of Participatory Design in development of the Aboriginal and Islander Mental Health initiative for youth (AIMhi-Y) Application. OBJECTIVE In response to limited reporting of co-design processes in the literature, in this paper we provide an in-depth account of the processes used in the second phase of Participatory Design in development of the Aboriginal and Islander Mental Health initiative for youth (AIMhi-Y) Application. METHODS A first idea prototype, generated from a formative phase of the AIMhi-Y project [3], was refined through a series of youth co-design workshops, integration of the scientific literature, six service provider interviews and engagement with an Indigenous Youth Reference Group (IYRG). Generative design strategies, storyboarding, discussion and voting strategies were used. RESULTS Throughout this participatory design project, we identified app features preferred by participants and assessed their alignment with current recommendations and scientific literature. Findings from the co-design process are presented across nine app characteristic domains. Integration of findings into app design proved complex. Although we were able to include most preferred features identified by youth to some degree, the available budget restricted what was able to be integrated into the prototype and a process of prioritisation was required. CONCLUSIONS Participatory design is often cited in the development of dMH resources; however, methods are diverse and often lack detailed description. This study reports processes and strategies used to seek consensus and determine priorities in the development of a dMH resource for Aboriginal and Torres Strait Islander youth, providing an example to inform others seeking to use participatory design with a similar cohort.

scholarly journals A Risk Exchange: Health and Mobility in the Context of Climate and Environmental Change in Bangladesh—A Qualitative Study

2021 ◽  
Vol 18 (5) ◽  
pp. 2629
Author(s):  
Patricia Nayna Schwerdtle ◽  
Kate Baernighausen ◽  
Sayeda Karim ◽  
Tauheed Syed Raihan ◽  
Samiya Selim ◽  
...  
Keyword(s):  
Climate Change ◽  
Mental Health ◽  
Quality Of Care ◽  
Health Risks ◽  
Thematic Analysis ◽  
Health Determinants ◽  
Physical And Mental Health ◽  
Health And Wellbeing ◽  
Healthcare Environment

Background: Climate change influences patterns of human mobility and health outcomes. While much of the climate change and migration discourse is invested in quantitative predictions and debates about whether migration is adaptive or maladaptive, less attention has been paid to the voices of the people moving in the context of climate change with a focus on their health and wellbeing. This qualitative research aims to amplify the voices of migrants themselves to add nuance to dominant migration narratives and to shed light on the real-life challenges migrants face in meeting their health needs in the context of climate change. Methods: We conducted 58 semi-structured in-depth interviews with migrants purposefully selected for having moved from rural Bhola, southern Bangladesh to an urban slum in Dhaka, Bangladesh. Transcripts were analysed using thematic analysis under the philosophical underpinnings of phenomenology. Coding was conducted using NVivo Pro 12. Findings: We identified two overarching themes in the thematic analysis: Firstly, we identified the theme “A risk exchange: Exchanging climate change and health risks at origin and destination”. Rather than describing a “net positive” or “net negative” outcome in terms of migration in the context of climate change, migrants described an exchange of hazards, exposures, and vulnerabilities at origin with those at destination, which challenged their capacity to adapt. This theme included several sub-themes—income and employment factors, changing food environment, shelter and water sanitation and hygiene (WaSH) conditions, and social capital. The second overarching theme was “A changing health and healthcare environment”. This theme also included several sub-themes—changing physical and mental health status and a changing healthcare environment encompassing quality of care and barriers to accessing healthcare. Migrants described physical and mental health concerns and connected these experiences with their new environment. These two overarching themes were prevalent across the dataset, although each participant experienced and expressed them uniquely. Conclusion: Migrants who move in the context of climate change face a range of diverse health risks at the origin, en route, and at the destination. Migrating individuals, households, and communities undertake a risk exchange when they decide to move, which has diverse positive and negative consequences for their health and wellbeing. Along with changing health determinants is a changing healthcare environment where migrants face different choices, barriers, and quality of care. A more migrant-centric perspective as described in this paper could strengthen migration, climate, and health governance. Policymakers, urban planners, city corporations, and health practitioners should integrate the risk exchange into practice and policies.

Asking the Hard Questions: Psychologists’ Discomfort With Inquiring About Sexual Abuse Histories

2021 ◽  
pp. 107780122110145
Author(s):  
Belinda Nixon ◽  
Elly Quinlan
Keyword(s):  
Mental Health ◽  
Sexual Abuse ◽  
Mental Health Professionals ◽  
Thematic Analysis ◽  
Health Professionals ◽  
Early Career ◽  
Evidence Based ◽  
Structured Interviews ◽  
Early Career Psychologists ◽  
University Training

The literature on sexual abuse indicates low rates of inquiry by mental health professionals. This study explores early career psychologists’ experiences of inquiry into their clients’ sexual abuse histories. Twelve Australian psychologists participated in semi-structured interviews with transcripts analyzed using thematic analysis. The vast majority of participants reported that they did not routinely inquire about sexual abuse with barriers including not knowing what to do, discomfort, stigma, and fear of negative outcomes. Participants asserted that their university training in sexual abuse inquiry was inadequate. Findings emphasize the need for the development of an evidence-based framework for sexual abuse training.

scholarly journals “The most lonely condition I can imagine”: Psychosocial impacts of endometriosis on women’s identity

2020 ◽  
pp. 095935352093060
Author(s):  
Jennifer M Cole ◽  
Sarah Grogan ◽  
Emma Turley
Keyword(s):  
Chronic Pain ◽  
Social Relationships ◽  
Thematic Analysis ◽  
Online Survey ◽  
Qualitative Data ◽  
Physical Symptoms ◽  
Role Expectations ◽  
Social Connections ◽  
Women's Identity ◽  
Psychosocial Impacts

Endometriosis is a condition which affects around 1–2% of women worldwide and has profound effects on their everyday lives. Previous research has tended to focus on physical symptoms (such as chronic pain); how women manage changes to their identity and relationships as a result of endometriosis has received less attention. This paper discusses qualitative data examining how women negotiate changes to identity while living with endometriosis, in a social context where women are expected to minimise their symptoms and conform to feminine role expectations. We conducted thematic analysis of 34 replies to an online survey seeking qualitative text responses. The women identified disruptions to personal identity as a result of living with endometriosis. They talked about not feeling like themselves (Theme 1) and about reactions from medical and social connections prompting feelings that they were going “mad” (Theme 2). Participants also expressed feeling as though they were a burden to loved ones (Theme 3), which often resulted in self-silencing (Theme 4). Findings are discussed in the context of Western expectations of women’s roles in social relationships and suggest that professionals who support women with endometriosis should be aware of strategies such as self-silencing which may reduce effective self-care.

Transition Experiences of Indian Nurses Into Australian Mental Health System

2021 ◽  
pp. 104365962110263
Author(s):  
Bindu Joseph ◽  
Michael Olasoji ◽  
Cheryl Moss ◽  
Wendy Cross
Keyword(s):  
Mental Health ◽  
Thematic Analysis ◽  
Mental Health System ◽  
Methodological Approach ◽  
Hermeneutic Phenomenology ◽  
Dual Culture ◽  
The Past ◽  
Transition Experience ◽  
Depth Interview ◽  
Insight Into

Introduction: In the past decade, there has been an influx of migrant nurses from India to Australia. Migrant professionals have specific transition needs associated with working in Mental Health (MH). This study aimed to explore the transition experience of overseas trained nurses from India working in Australian MH settings. Method: Hermeneutic phenomenology was the methodological approach used in the study. The participants ( N = 16) were overseas trained nurses from India. Data were collected through in-depth interview and analysed using thematic analysis. Results: The findings resulted in the identification of the following themes: (1) Living in dual culture, (2) Loneliness, (3) Discrimination, and (4) Feeling incomplete. Discussion: It is evident that the transition to work in MH in Australia was a journey of mixed experiences. While certain findings of this study are comparable with experiences of migrant nurses in other settings, it provides insight into those that are working in MH.

scholarly journals Protected engagement time on older adult mental health wards: A thematic analysis of the views of patients, carers, and staff

2017 ◽  
Vol 27 (2) ◽  
pp. 608-618 ◽  
Author(s):  
Emily Dodd ◽  
Richard Cheston ◽  
Charlie Procter ◽  
Sarah Heneker ◽  
Richard Gray ◽  
...  
Keyword(s):  
Mental Health ◽  
Older Adult ◽  
Thematic Analysis ◽  
Adult Mental Health
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