首页> 外文期刊>Health expectations: an international journal of public participation in health care and health policy >Finding harmony within dissonance: Engaging patients, family/caregivers and service providers in research to fundamentally restructure relationships through integrative dynamics
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Finding harmony within dissonance: Engaging patients, family/caregivers and service providers in research to fundamentally restructure relationships through integrative dynamics

机译:在不和谐中寻找和谐:从事综合动态,从事患者,家庭/照顾者和服务提供商在基本上重组关系

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Background Deeply divided ideological positions challenge collaboration when engaging youth with mental disorders, caregivers and providers in mental health research. The integrative dynamics (ID) approach can restructure relationships and overcome ‘us vs them’ thinking. Objective To assess the extent to which an experience‐based co‐design (EBCD) approach to patient and family engagement in mental health research aligned with ID processes. Methods A retrospective case study of EBCD data in which transitional‐aged youth (n?=?12), caregivers (n?=?8) and providers (n?=?10) co‐designed prototypes to improve transitions from child to adult services. Transcripts from focus groups and a co‐design event, co‐designed prototypes, the resulting model, evaluation interviews and author reflections were coded deductively based on core ID concepts, while allowing for emergent themes. Analysis was based on pattern matching. Triangulation across data sources, research team, and youth and caregiver reflections enhanced rigour. Findings The EBCD focus group discussions of touchpoints in experiences aligned with ID processes of acknowledging the past, by revealing the perceived identity mythos of each group, and allowing expression of and working through emotional pain. These ID processes were briefly revisited in the co‐design event, where the focus was on the remaining ID processes: building cross‐cutting connections and reconfiguring relationships. The staged EBCD approach may facilitate ID, by working within one's own perspective prior to all perspectives working together in co‐design. Conclusion Researchers can augment patient engagement approaches by applying ID principles with staged integration of groups to improve relations in mental health systems, and EBCD shows promise to operationalize this.
机译:背景技术在与精神障碍,护理人员和精神健康研究中的精神障碍,照顾者和供应商中攻击青年时,深深地划分思想思想挑战。综合动态(ID)方法可以重组关系并克服'美国对他们的思考。目的探讨基于经验的协同设计(EBCD)患者和家庭卫生研究中的患者和家庭参与的程度。方法对转型 - 老年青年(N?=?12),护理人员(n?=?8)和提供者(n?=?10)共同设计的原型,以改善来自儿童的过渡到成人的转型服务。根据核心ID概念,从减少核心ID概念,在减少核心ID概念,同时允许紧急主题的编码编码,共设计事件,共设计事件,共设计的原型,所产生的模型,评估访谈和作者反思。分析是基于模式匹配。跨数据来源,研究团队和青年和护理人员反思的三角测量增强了严格。通过揭示每个群体的感知身份神话,并通过情绪疼痛,通过揭示每个群体的认识性身份,并通过情绪疼痛,调查与承认过去的id进程对齐的视点的eBCD焦点小组讨论。在协同设计事件中简要重新预订了这些ID流程,其中重点是剩余的ID流程:构建跨切割连接和重新配置关系。通过在共同设计的所有观点来看,在一个人的角度来看,暂存的EBCD方法可以通过在自己的视角下工作。结论研究人员可以通过应用id原则来增强患者参与方法,以改善群体的分阶段融合来改善心理健康系统的关系,EBCD显示承诺运作这一点。

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