Opportunities, Enablers, and Barriers to the Use of Recorded Recovery Narratives in Clinical Settings
Background: Recorded Recovery Narratives (RRNs) describing first-person lived experience accounts of recovery from mental health problems are becoming more available. Little is known about how RRNs can be used in clinical practice and clinical education.Aims: The aim of this paper is to enable imple...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2020-10-01
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| Series: | Frontiers in Psychiatry |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2020.589731/full |
| _version_ | 1818318021064654848 |
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| author | James Roe Susan Brown Caroline Yeo Stefan Rennick-Egglestone Julie Repper Fiona Ng Joy Llewelyn-Beardsley Ada Hui Pim Cuijpers Graham Thornicroft David Manley Kristian Pollock Mike Slade |
| author_facet | James Roe Susan Brown Caroline Yeo Stefan Rennick-Egglestone Julie Repper Fiona Ng Joy Llewelyn-Beardsley Ada Hui Pim Cuijpers Graham Thornicroft David Manley Kristian Pollock Mike Slade |
| author_sort | James Roe |
| collection | DOAJ |
| description | Background: Recorded Recovery Narratives (RRNs) describing first-person lived experience accounts of recovery from mental health problems are becoming more available. Little is known about how RRNs can be used in clinical practice and clinical education.Aims: The aim of this paper is to enable implementation planning for RRN interventions by identifying determinants of uptake. The objective was to identify opportunities, barriers, and enablers to the uptake of RRN interventions in clinical practice and education.Method: Three phases of focus groups were conducted with multi-professional mental health clinicians. Phase 1 (4 groups, n = 25) investigated current and possible uses of RRNs, Phase 2 (2 groups, n = 15) investigated a specific intervention delivering recovery narratives. Phase 3 (2 groups, n = 12) investigated clinical education uses. Thematic analysis was conducted.Results: RRNs can reinforce the effectiveness of existing clinical practices, by reducing communication barriers and normalizing mental health problems. They can also extend clinical practice (increase hope and connection, help when stuck). Clinical considerations are the relationship with care pathways, choice of staff and stage of recovery. In educational use there were opportunities to access lived experience perspectives, train non-clinical staff and facilitate attitudinal change. Barriers and enablers related to design (ability to use online resources, accessibility of language, ability to individualize choice of narrative), risk (triggering content, staff skills to respond to negative effects), trust in online resource (evidence base, maintenance), and technology (cost of use, technology requirements).Conclusions: RRNs can both improve and extend existing clinical practice and be an important educational resource. RRNs can improve engagement and hope, and address internalized stigma. Beneficially incorporating RRNs into clinical practice and education may require new staff skills and improved technological resources in healthcare settings. Future work could focus on the use of peer support workers views on RRN use and how to avoid unnecessary and unhelpful distress.Trial Registration Number: Work in this paper has informed three clinical trials: ISRCTN11152837; ISRCTN63197153; ISRCTN76355273. |
| first_indexed | 2024-12-13T09:46:35Z |
| format | Article |
| id | doaj.art-a21c70e0ab094ab58f626712cde4b5cd |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-12-13T09:46:35Z |
| publishDate | 2020-10-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj.art-a21c70e0ab094ab58f626712cde4b5cd2022-12-21T23:52:03ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402020-10-011110.3389/fpsyt.2020.589731589731Opportunities, Enablers, and Barriers to the Use of Recorded Recovery Narratives in Clinical SettingsJames Roe0Susan Brown1Caroline Yeo2Stefan Rennick-Egglestone3Julie Repper4Fiona Ng5Joy Llewelyn-Beardsley6Ada Hui7Pim Cuijpers8Graham Thornicroft9David Manley10Kristian Pollock11Mike Slade12National Institute for Health Research, Applied Research Collaboration (ARC) East Midlands, University of Nottingham, Nottingham, United KingdomMindtech MedTech Cooperative, Institute of Mental Health, University of Nottingham, Nottingham, United KingdomSchool of Health Sciences, Institute of Mental Health, University of Nottingham, Nottingham, United KingdomSchool of Health Sciences, Institute of Mental Health, University of Nottingham, Nottingham, United KingdomImplementing Recovery Through Organisational Change (ImROC), Nottingham, United KingdomSchool of Health Sciences, Institute of Mental Health, University of Nottingham, Nottingham, United KingdomSchool of Health Sciences, Institute of Mental Health, University of Nottingham, Nottingham, United KingdomSchool of Health Sciences, Institute of Mental Health, University of Nottingham, Nottingham, United KingdomDepartment of Clinical, Neuro and Developmental Psychology, Amsterdam Public Health Research Institute, Vrije Universiteit Amsterdam, Amsterdam, NetherlandsCentre for Global Mental Health and Centre for Implementation Science, Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United KingdomNottinghamshire Healthcare NHS Foundation Trust, Nottingham, United KingdomSchool of Health Sciences, University of Nottingham, Nottingham, United KingdomSchool of Health Sciences, Institute of Mental Health, University of Nottingham, Nottingham, United KingdomBackground: Recorded Recovery Narratives (RRNs) describing first-person lived experience accounts of recovery from mental health problems are becoming more available. Little is known about how RRNs can be used in clinical practice and clinical education.Aims: The aim of this paper is to enable implementation planning for RRN interventions by identifying determinants of uptake. The objective was to identify opportunities, barriers, and enablers to the uptake of RRN interventions in clinical practice and education.Method: Three phases of focus groups were conducted with multi-professional mental health clinicians. Phase 1 (4 groups, n = 25) investigated current and possible uses of RRNs, Phase 2 (2 groups, n = 15) investigated a specific intervention delivering recovery narratives. Phase 3 (2 groups, n = 12) investigated clinical education uses. Thematic analysis was conducted.Results: RRNs can reinforce the effectiveness of existing clinical practices, by reducing communication barriers and normalizing mental health problems. They can also extend clinical practice (increase hope and connection, help when stuck). Clinical considerations are the relationship with care pathways, choice of staff and stage of recovery. In educational use there were opportunities to access lived experience perspectives, train non-clinical staff and facilitate attitudinal change. Barriers and enablers related to design (ability to use online resources, accessibility of language, ability to individualize choice of narrative), risk (triggering content, staff skills to respond to negative effects), trust in online resource (evidence base, maintenance), and technology (cost of use, technology requirements).Conclusions: RRNs can both improve and extend existing clinical practice and be an important educational resource. RRNs can improve engagement and hope, and address internalized stigma. Beneficially incorporating RRNs into clinical practice and education may require new staff skills and improved technological resources in healthcare settings. Future work could focus on the use of peer support workers views on RRN use and how to avoid unnecessary and unhelpful distress.Trial Registration Number: Work in this paper has informed three clinical trials: ISRCTN11152837; ISRCTN63197153; ISRCTN76355273.https://www.frontiersin.org/articles/10.3389/fpsyt.2020.589731/fulleducation and trainingclinical practicemental healthonline resourcesrecovery narrative |
| spellingShingle | James Roe Susan Brown Caroline Yeo Stefan Rennick-Egglestone Julie Repper Fiona Ng Joy Llewelyn-Beardsley Ada Hui Pim Cuijpers Graham Thornicroft David Manley Kristian Pollock Mike Slade Opportunities, Enablers, and Barriers to the Use of Recorded Recovery Narratives in Clinical Settings Frontiers in Psychiatry education and training clinical practice mental health online resources recovery narrative |
| title | Opportunities, Enablers, and Barriers to the Use of Recorded Recovery Narratives in Clinical Settings |
| title_full | Opportunities, Enablers, and Barriers to the Use of Recorded Recovery Narratives in Clinical Settings |
| title_fullStr | Opportunities, Enablers, and Barriers to the Use of Recorded Recovery Narratives in Clinical Settings |
| title_full_unstemmed | Opportunities, Enablers, and Barriers to the Use of Recorded Recovery Narratives in Clinical Settings |
| title_short | Opportunities, Enablers, and Barriers to the Use of Recorded Recovery Narratives in Clinical Settings |
| title_sort | opportunities enablers and barriers to the use of recorded recovery narratives in clinical settings |
| topic | education and training clinical practice mental health online resources recovery narrative |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2020.589731/full |
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