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运用变革性叙事技巧为非正式照料者生成赋能叙事:半结构化访谈、主题分析与方法示范

Using the Transformative Storytelling Technique to Generate Empowering Narratives for Informal Caregivers: Semistructured Interviews, Thematic Analysis, and Method Demonstration.

作者信息

Petrovic Milica, Bonanno Silvia, Landoni Marta, Ionio Chiara, Hagedoorn Mariët, Gaggioli Andrea

机构信息

ExperienceLab, Università Cattolica del Sacro Cuore, Milan, Italy.

Università Cattolica del Sacro Cuore, Brescia, Italy.

出版信息

JMIR Form Res. 2022 Aug 2;6(8):e36405. doi: 10.2196/36405.

Abstract

BACKGROUND

The transformative storytelling technique is an innovative top-down approach to narrative therapy that aims to provide building blocks for creating flourishing narratives for target groups or populations. This approach acts as a facilitator for implementing the human-centered design in developing digital self-help tools for larger samples or target groups.

OBJECTIVE

This study applied the transformative storytelling technique, as a new approach in mental health, to develop empowering audio narratives for informal caregivers.

METHODS

A narrative inquiry was conducted with 17 informal caregivers (16 women and 1 man) who completed a semistructured interview, "Caregiver Life Story," acquiring information about the beginning of the role, rising action, and critical point of the role. The participants' ages ranged from 41 to 84 years, with all participants providing care for at least a 6-month period. This inquiry was guided by the transformative storytelling technique, and aimed to collect data relevant to creating fictional stories based on real-life themes.

RESULTS

Twenty-five overall themes were distinguished across three a priori-set categories, providing narrative building blocks for the informal caregiver life stories. The final empowering caregiver life story was created as an example for this study, demonstrating the application of the transformative storytelling technique in an informal care context.

CONCLUSIONS

The creation of empowering stories for populations or target groups in mental health care requires a unified and guided approach that will follow clear guidelines and storytelling principles. The transformative storytelling technique is a first of its kind in the mental health context, representing an initial step in enabling and supporting the creation of meaningful stories and the development of relatable, but productive, narratives. Such narratives have the potential to serve across media and digital platforms for supporting and improving well-being, and potentially triggering self-change in the target group or population.

摘要

背景

变革性叙事技巧是叙事疗法中一种创新的自上而下的方法,旨在为目标群体或人群构建繁荣的叙事提供基础要素。这种方法有助于在为更大样本或目标群体开发数字自助工具时实施以人为本的设计。

目的

本研究应用变革性叙事技巧这一心理健康领域的新方法,为非正式照护者开发赋能音频叙事。

方法

对17名非正式照护者(16名女性和1名男性)进行了叙事探究,他们完成了一次半结构化访谈“照护者生活故事”,获取了有关照护角色开始、情节发展和关键节点的信息。参与者年龄在41岁至84岁之间,所有参与者的照护时长至少为6个月。该探究以变革性叙事技巧为指导,旨在收集与基于现实生活主题创作虚构故事相关的数据。

结果

在三个预先设定的类别中区分出了25个总体主题,为非正式照护者的生活故事提供了叙事构建要素。本研究创作了最终的赋能照护者生活故事示例,展示了变革性叙事技巧在非正式照护情境中的应用。

结论

为精神卫生保健中的人群或目标群体创作赋能故事需要一种统一且有指导的方法,遵循明确的指导方针和叙事原则。变革性叙事技巧在精神卫生领域尚属首次,是朝着促成并支持创作有意义的故事以及发展相关但富有成效的叙事迈出的第一步。此类叙事有可能通过各种媒体和数字平台发挥作用,以支持和改善幸福感,并有可能引发目标群体或人群的自我改变。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ede7/9382549/615eb73e5c02/formative_v6i8e36405_fig1.jpg

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