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Opportunities, Enablers, and Barriers to the Use of Recorded Recovery Narratives in Clinical Settings

Roe, James; Brown, Susan; Yeo, Caroline; Rennick-Egglestone, Stefan; Repper, Julie; Ng, Fiona; Llewelyn-Beardsley, Joy; Hui, Ada; Cuijpers, Pim; Thornicroft, Graham; Manley, David; Pollock, Kristian; Slade, Mike

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Authors

JAMES ROE JAMES.ROE@NOTTINGHAM.AC.UK
Research Fellow

Susan Brown

Julie Repper

Profile image of FIONA NG

DR FIONA NG FIONA.NG@NOTTINGHAM.AC.UK
Principal Research Fellow

Joy Llewelyn-Beardsley

Ada Hui

Pim Cuijpers

Graham Thornicroft

David Manley

Kristian Pollock

MIKE SLADE M.SLADE@NOTTINGHAM.AC.UK
Professor of Mental Health Recovery and Social Inclusion



Abstract

© Copyright © 2020 Roe, Brown, Yeo, Rennick-Egglestone, Repper, Ng, Llewelyn-Beardsley, Hui, Cuijpers, Thornicroft, Manley, Pollock and Slade. 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.

Citation

Roe, J., Brown, S., Yeo, C., Rennick-Egglestone, S., Repper, J., Ng, F., Llewelyn-Beardsley, J., Hui, A., Cuijpers, P., Thornicroft, G., Manley, D., Pollock, K., & Slade, M. (2020). Opportunities, Enablers, and Barriers to the Use of Recorded Recovery Narratives in Clinical Settings. Frontiers in Psychiatry, 11, Article 589731. https://doi.org/10.3389/fpsyt.2020.589731

Journal Article Type Article
Acceptance Date Oct 12, 2020
Online Publication Date Oct 30, 2020
Publication Date Oct 30, 2020
Deposit Date Oct 12, 2020
Publicly Available Date Oct 30, 2020
Journal Frontiers in Psychiatry
Electronic ISSN 1664-0640
Publisher Frontiers Media
Peer Reviewed Peer Reviewed
Volume 11
Article Number 589731
DOI https://doi.org/10.3389/fpsyt.2020.589731
Keywords Education and Training, Clinical Practice, Mental Health, Online Resources, Recovery Narrative
Public URL https://nottingham-repository.worktribe.com/output/4959784
Publisher URL https://www.frontiersin.org/articles/10.3389/fpsyt.2020.589731/abstract
Additional Information Roe J, Brown S, Yeo C, Rennick-Egglestone S, Repper J, Ng F, Llewelyn-Beardsley J, Hui A, Cuijpers P, Thornicroft G, Manley D, Pollock K and Slade M (2020) Opportunities, Enablers, and Barriers to the Use of Recorded Recovery Narratives in Clinical Settings. Front. Psychiatry 11:589731. doi: 10.3389/fpsyt.2020.589731

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