Research and Strategic Partnerships, Nepean Blue Mountains Local Health District, Penrith, NSW, Australia.
Discipline of Occupational Therapy, School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Camperdown, NSW, Australia.
Aust Occup Ther J. 2023 Jun;70(3):354-365. doi: 10.1111/1440-1630.12859. Epub 2023 Jan 27.
Students from a range of health disciplines need to learn from people with lived experience of mental distress and recovery to develop recovery capabilities for mental health practice.
The aims of this study are to describe the co-design of a teaching resource, to explore the experience of people with lived experience during the resource development, and to evaluate the outcome of the resource on student recovery capabilities.
Using a sequential mixed method, a project group consisting of six people with lived experience and 10 academics from five health disciplines was convened to co-develop teaching resources. People with lived experience met independently without researchers on several occasions to decide on the key topics and met with the research team monthly. The teaching resource was used in mental health subjects for two health professional programmes, and the Capabilities for Recovery-Oriented Practice Questionnaire (CROP-Q) was used before and after to measure any change in student recovery capabilities. Scores were compared using the Wilcoxon signed rank test. The people with lived experience were also interviewed about their experience of being involved in constructing the teaching resources. Interviews were audiotaped, transcribed, and analysed thematically.
The finished resource consisted of 28 short videos and suggested teaching plans. Occupational therapy and nursing student scores on the CROP-Q prior to using the educational resource (n = 33) were 68 (median) and post scores (n = 28) were 74 (median), indicating a statistically significant improvement in recovery capability (P = 0.04). Lived experience interview themes were (i) the importance of lived experience in education; (ii) personal benefits of participating; (iii) co-design experience; and (iv) creating the resource.
Co-design of teaching resources with people with lived experience was pivotal to the success and quality of the final product, and people with lived experience described personal benefits of participating in resource development. More evidence to demonstrate the use of the CROP-Q in teaching and practice is needed.
来自不同健康学科的学生需要向有心理困扰和康复经历的人学习,以培养心理健康实践中的康复能力。
本研究旨在描述教学资源的共同设计,探讨经历者在资源开发过程中的体验,并评估资源对学生康复能力的结果。
采用序贯混合方法,召集了一个由 6 名经历者和来自五个健康学科的 10 名学者组成的项目小组,共同开发教学资源。经历者在没有研究人员的情况下多次单独会面,确定关键主题,并每月与研究团队会面。该教学资源用于两个健康专业课程的心理健康科目,使用康复导向实践能力问卷(CROP-Q)在使用前后测量学生康复能力的任何变化。使用 Wilcoxon 符号秩检验比较得分。还对经历者参与构建教学资源的经验进行了访谈。访谈进行了录音、转录,并进行了主题分析。
完成的资源包括 28 个短视频和建议的教学计划。使用教育资源之前(n=33)和之后(n=28),职业治疗和护理专业学生的 CROP-Q 得分分别为 68(中位数)和 74(中位数),表明康复能力有统计学显著提高(P=0.04)。经历者访谈的主题包括(i)经历者在教育中的重要性;(ii)参与的个人收益;(iii)共同设计经验;和(iv)创建资源。
与经历者共同设计教学资源对最终产品的成功和质量至关重要,经历者描述了参与资源开发的个人收益。需要更多证据来证明 CROP-Q 在教学和实践中的使用。