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“我们的声音真的能被听到吗?”共同制作一种混合干预措施以预防强迫症复发的经历:一项关于有实际经验的专家观点的定性研究。

"Are we genuinely going to have our voices heard?" The experience of co-producing a blended intervention to prevent relapse in obsessive-compulsive disorder: a qualitative study on the perspectives of experts by lived experience.

作者信息

Millar Josie F A, Higson-Sweeney Nina, Jenkins Tom A, Waites Erin F, Minns Sophie

机构信息

Department of Psychology, University of Bath, 10 West 3.25, BA2 7AY, Bath, UK.

出版信息

BMC Psychiatry. 2024 Dec 18;24(1):906. doi: 10.1186/s12888-024-06355-1.

DOI:10.1186/s12888-024-06355-1
PMID:39696127
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11654374/
Abstract

INTRODUCTION

Co-production involves researchers, practitioners and people with lived experience working in a collaborative manner, with shared power. The potential benefits of co-production are well documented. However, there is little research describing the experience of having been involved in co-production from the perspective of Experts By Lived Experience (EBLE). The aim of the present study is to explore the experiences of EBLE of obsessive-compulsive disorder (OCD) on their involvement in co-producing a blended intervention to prevent relapse for OCD.

METHODS

Five EBLE took part in semi-structured interviews enquiring about their experiences of co-producing a relapse prevention intervention. Reflexive thematic analysis was used to analyse the data.

RESULTS

Four themes were developed: (1) Welcome but unexpected therapeutic benefits; (2) The parameters of a safe space; (3) Genuine co-production brings meaningful change; and (4) Navigating the challenging terrain of co-production.

CONCLUSIONS

Overall, EBLE reported their involvement in the co-production process to have had positive impacts on both the development of the intervention and their own personal recovery journey. EBLE valued the safety created within the group, and the importance this had for allowing them to speak open and honestly about their experiences and the difficulties that can arise with the nature of the work.

摘要

引言

共同生产涉及研究人员、从业者以及有实际生活经验的人以协作的方式共同工作,并共享权力。共同生产的潜在益处已有充分记载。然而,从有实际生活经验的专家(EBLE)的角度描述参与共同生产的经历的研究却很少。本研究的目的是探讨强迫症(OCD)患者的EBLE参与共同制定混合干预措施以预防强迫症复发的经历。

方法

五名EBLE参与了半结构化访谈,询问他们共同制定复发预防干预措施的经历。采用反思性主题分析来分析数据。

结果

形成了四个主题:(1)受欢迎但意想不到的治疗益处;(2)安全空间的参数;(3)真正的共同生产带来有意义的改变;(4)在共同生产的挑战性领域中前行。

结论

总体而言,EBLE报告称他们参与共同生产过程对干预措施的制定以及他们自己的个人康复历程都产生了积极影响。EBLE重视团队中营造的安全感,以及这对于让他们能够坦诚地谈论自己的经历以及工作性质可能带来的困难的重要性。

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A cost-of-illness analysis of the economic burden of obsessive-compulsive disorder in the United Kingdom.英国强迫症经济负担的疾病成本分析。
Compr Psychiatry. 2023 Nov;127:152422. doi: 10.1016/j.comppsych.2023.152422. Epub 2023 Sep 9.
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Understanding the support needs of parents of children with obsessive-compulsive disorder: a qualitative descriptive study in the UK.了解患有强迫症儿童的父母的支持需求:英国的一项定性描述性研究。
BMC Psychiatry. 2023 May 3;23(1):309. doi: 10.1186/s12888-023-04637-8.
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Creating positive experiences of involvement in mental health research.创造积极的心理健康研究参与体验。
Lancet Psychiatry. 2023 Mar;10(3):220-227. doi: 10.1016/S2215-0366(22)00430-8. Epub 2023 Jan 22.
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Reflections, impact and recommendations of a co-produced qualitative study with young people who have experience of mental health difficulties.与有心理健康困难经历的年轻人共同开展的定性研究的反思、影响和建议。
Health Expect. 2021 May;24 Suppl 1(Suppl 1):134-146. doi: 10.1111/hex.13088. Epub 2020 Jun 9.
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Lost in the shadows: reflections on the dark side of co-production.迷失在阴影中:关于共同生产阴暗面的思考
Health Res Policy Syst. 2020 May 7;18(1):43. doi: 10.1186/s12961-020-00558-0.
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The dark side of coproduction: do the costs outweigh the benefits for health research?共同生产的阴暗面:对于健康研究来说,其成本是否超过了收益?
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"What We Have in Common": A Qualitative Analysis of Shared Experience in Peer-Delivered Services.“我们的共同点”:同伴提供服务中共同经验的定性分析。
Community Ment Health J. 2019 Aug;55(6):907-915. doi: 10.1007/s10597-019-00391-y. Epub 2019 Mar 22.
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Bull Menninger Clin. 2018 Fall;82(4):390-406. doi: 10.1521/bumc.2018.82.4.390.