Hannah Kate Lewis and Una Foye
The current policy landscape advocates for the involvement of people with lived experience in the co-production and co-delivery of mental health services. However, evidence on how…
Abstract
Purpose
The current policy landscape advocates for the involvement of people with lived experience in the co-production and co-delivery of mental health services. However, evidence on how to do this safely and effectively for people with eating disorders (EDs) is lacking. The purpose of this study was to explore and synthesis the implementation of ED interventions which involved lived-experience and to evaluate the associated benefits and risks to participants.
Design/methodology/approach
This study will conduct a systematic review of ED interventions which involve people with lived experience of an ED. A total of seven databases and four subject-specific journals were searched using Boolean search terms.
Findings
The search yielded ten eligible studies. Involvement procedures were extracted which highlighted variation with some roles being continuous and active and others being isolated and passive. Qualitative results were extracted and thematically analysed which demonstrated many benefits from involving people with lived experience, such as normalisation of experiences, inspiration to recover and the sharing of insight, as well as some risks such as disingenuity and exposure to triggering content.
Practical implications
The implications of this review highlight the need for policy and guidance to minimise variation across procedures and implementation of co-production to ensure positive outcomes and benefits for participants, given the current landscape. More research in the benefits and risks for those involved in the delivery of the interventions is needed to ensure that co-production and peer support is delivered as safely and effectively as possible.
Originality/value
This was the first systematic review since 2016 (Fogarty et al., 2016) to assess peer-mentorship programmes in ED treatments, whilst expanding the remit to include wider definitions of peer-support and peer-mentorships such as co-production and co-design in research.
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Dieter Declercq, Eshika Kafle, Jade Peters, Sam Raby, Dave Chawner, James Blease and Una Foye
Eating disorders (EDs) remain a major health concern, and their incidence has further increased since the COVID-19 pandemic. Given the equally increasing demands on treatments and…
Abstract
Purpose
Eating disorders (EDs) remain a major health concern, and their incidence has further increased since the COVID-19 pandemic. Given the equally increasing demands on treatments and service provision and the high levels of relapse post-treatment, it is important that research explore novel and innovative interventions that can further support recovery for individuals with EDs. There is growing evidence that arts interventions are beneficial for recovery from EDs. This study aims to evaluate the feasibility of conducting a stand-up comedy course to support ED recovery.
Design/methodology/approach
The study used a qualitative interview study design to evaluate the recovery benefits of participating in stand-up comedy workshops for a pilot group of people in recovery from EDs (n = 10).
Findings
The comedy intervention was well-attended and had high acceptability and feasibility. For most individuals, participating in the course had a positive impact, including promoting personal recovery (PR) outcomes across all five elements of the CHIME framework. Unique assets of the course included providing participants with an opportunity to distance themselves from everyday worries of living with an ED; the opportunity to cognitively reframe situations by making them the object of humour; and providing a safe space to (re-)build a positive sense of self.
Originality/value
This is the first study, to the best of the authors’ knowledge, that evaluates stand-up comedy workshops for ED recovery and further demonstrates the potential of arts interventions and the relevance of PR frameworks in this field.
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Paul Best, Una Foye, Brian Taylor, Diane Hazlett and Roger Manktelow
Little research has focused on the quality and availability of interactive online support services retrieved through search engines. The purpose of this paper is twofold; first…
Abstract
Purpose
Little research has focused on the quality and availability of interactive online support services retrieved through search engines. The purpose of this paper is twofold; first, to review and assess the availability and accessibility of interactive online support available to individuals in suicidal crisis. Second, to field test a new tool developed specifically to evaluate both the quality of online information and the quality of interactive support.
Design/methodology/approach
A collection of six terms relating to suicidal distress were generated and inputted across three major search engines (Google, Yahoo and Ask). Following initial exclusions, the remaining web sites were analysed using the SPAT (Site, Publisher, Audience and Timeliness) tool and recently developed COSAT (Crisis and Online Support Appraisal Tool) tool.
Findings
The quality of web sites retrieved was variable, with only 1.9 per cent deemed as high-quality interactive support resources. Google had the greatest precision of searching, but ease of access through search engines was generally limited. No significant difference was found in the quality of web sites located on pages 1 or 2 of search engine results. Overall, community and voluntary sector web sites averaged higher quality and interactive support rating's compared to publicly funded web sites.
Research limitations/implications
The newly developed COSAT tool may provide a positive first step towards a standardised measure of online quality and interactive support, although further testing and validation is required with a larger sample size.
Originality/value
To the authors knowledge little research has focused on the quality and availability of interactive online support services retrieved through search engines.