Wallace Genevieve, Bird Victoria, Leamy Mary, Bacon Faye, Le Boutillier Clair, Janosik Monika, MacPherson Rob, Williams Julie, Slade Mike
Health Service and Population Research Department, Institute of Psychiatry, Psychology & Neuroscience, King's College London, De Crespigny Park, London, UK.
Wolfson Institute of Preventive Medicine, Queen Mary University of London, Newham Centre for Mental Health, London, E13 8SP, UK.
Soc Psychiatry Psychiatr Epidemiol. 2016 Sep;51(9):1275-84. doi: 10.1007/s00127-016-1257-9. Epub 2016 Jun 30.
Policy is increasingly focused on implementing a recovery-orientation within mental health services, yet the subjective experience of individuals receiving a pro-recovery intervention is under-studied. The aim of this study was to explore the service user experience of receiving a complex, pro-recovery intervention (REFOCUS), which aimed to encourage the use of recovery-supporting tools and support recovery-promoting relationships.
Interviews (n = 24) and two focus groups (n = 13) were conducted as part of a process evaluation and included a purposive sample of service users who received the complex, pro-recovery intervention within the REFOCUS randomised controlled trial (ISRCTN02507940). Thematic analysis was used to analyse the data.
Participants reported that the intervention supported the development of an open and collaborative relationship with staff, with new conversations around values, strengths and goals. This was experienced as hope-inspiring and empowering. However, others described how the recovery tools were used without context, meaning participants were unclear of their purpose and did not see their benefit. During the interviews, some individuals struggled to report any new tasks or conversations occurring during the intervention.
Recovery-supporting tools can support the development of a recovery-promoting relationship, which can contribute to positive outcomes for individuals. The tools should be used in a collaborative and flexible manner. Information exchanged around values, strengths and goals should be used in care-planning. As some service users struggled to report their experience of the intervention, alternative evaluation approaches need to be considered if the service user experience is to be fully captured.
政策越来越注重在精神卫生服务中实施以康复为导向的方法，然而，接受促进康复干预的个人的主观体验却鲜有研究。本研究的目的是探讨服务使用者接受一种复杂的促进康复干预（REFOCUS）的体验，该干预旨在鼓励使用支持康复的工具并促进有助于康复的关系。
作为过程评估的一部分，进行了访谈（n = 24）和两个焦点小组讨论（n = 13），样本为在REFOCUS随机对照试验（ISRCTN02507940）中接受复杂的促进康复干预的服务使用者。采用主题分析法对数据进行分析。
参与者报告称，该干预有助于与工作人员建立开放协作的关系，并围绕价值观、优势和目标展开新的对话。这被视为鼓舞希望和赋予力量的体验。然而，其他人描述了康复工具的使用缺乏背景信息，这意味着参与者不清楚其目的，也看不到其益处。在访谈中，一些人难以汇报干预期间出现的任何新任务或对话。
支持康复的工具可以促进有助于康复的关系的发展，这有助于为个人带来积极成果。这些工具应以协作和灵活的方式使用。围绕价值观、优势和目标交流的信息应应用于护理计划。由于一些服务使用者难以汇报他们对干预的体验，若要全面了解服务使用者的体验，需要考虑采用其他评估方法。
