13 results on '"CONVALESCENCE"'
Search Results
2. The Impact of the Covid-19 Pandemic on Cleft Lip and Palate Service Delivery for New Families in the United Kingdom: Medical and Community Service Provider Perspectives.
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McWilliams, Danielle, Costa, Bruna, Blighe, Sabrina, Swan, Marc C., Hotton, Matthew, Hudson, Nichola, and Stock, Nicola Marie
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SOCIAL support ,ATTITUDES of medical personnel ,RESEARCH methodology ,CONVALESCENCE ,CLEFT palate ,MEDICAL care ,FAMILIES ,INTERVIEWING ,CLEFT lip ,TREATMENT delay (Medicine) ,HOPE ,NURSE practitioners ,THEMATIC analysis ,COVID-19 pandemic ,MEDICAL needs assessment ,PSYCHOLOGICAL stress - Abstract
Objectives: Professionals in the United Kingdom providing care to new families affected by cleft lip and/or palate (CL/P) had to adapt to ensure families' needs were met during a time of uncertainty due to Covid-19. The aims of this study were to explore the impacts of the pandemic on CL/P care provision for new families from the perspectives of professionals working in medical and community settings along with any personal impact on professionals and their reflections on the future of CL/P care. Design: Semistructured interviews (n = 27) were completed about experiences from March 2020 to October 2020 with consultant cleft surgeons (n = 15), lead clinical nurse specialists (n = 8), and staff working at the Cleft Lip and Palate Association (n = 4). Transcripts were analyzed using inductive thematic analysis. Results: Three themes were identified: (1) the impact of Covid-19 on the provision of cleft care in the United Kingdom, including working conditions, delays to treatment, and Covid-19 policies; (2) the impact of the pandemic on professionals' mental health, including personal distress and concerns about Covid-19 exposure; and (3) reflections on the future of CL/P care, whereby professionals expressed both hope and concern about the Covid-19 recovery effort. Conclusions: The ongoing Covid-19 pandemic has impacted CL/P service delivery for new families significantly, warranting recommendations for cohesive psychological support for families in addition to a safe and resourced recovery effort. Support for professionals is also suggested, following existing evidence-based models for providers' needs that address the difficulties of working throughout challenging times. [ABSTRACT FROM AUTHOR]
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- 2023
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3. Recovering Individuals' Feelings About Addict and Alcoholic as Stigmatized Terms: Implications for Treatment.
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Hassett-Walker, Connie
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SUBSTANCE abuse treatment , *PSYCHOLOGY of drug abusers , *CONVALESCENCE , *SELF-perception , *SOCIAL stigma , *INTERVIEWING , *PEOPLE with alcoholism , *TERMS & phrases , *DESCRIPTIVE statistics , *RESEARCH funding , *EMOTIONS , *DATA analysis software , *THEMATIC analysis - Abstract
Background: The current emphasis among addiction treatment providers is to use person-first language, such as "a person with a substance use disorder," as a way to reduce stigma around addiction and resulting barriers to treatment. This study considers how individuals recovering from substance use feel about the terms "alcoholic" and "addict," particularly how they self-identify and whether they believe the terms carry stigma. Method: Thirty-five individuals were interviewed, recruited primarily, but not exclusively, from 12-step meetings (Alcoholics Anonymous, Narcotics Anonymous), from 3 locations throughout a rural New England state. Interviews were transcribed and coded in Atlas Ti qualitative analysis software, and a content analysis of text coded with "stigma" was conducted. Results: Some comments reflected a belief that the terms "addict" and "alcoholic" carry a stigma. However, more comments rejected the notion of these being stigmatized terms; or acknowledged the stigma but reflected the subject's lack of internalizing of any stigma. Comments reflected other themes including a sense of pride, identity and ownership when self-identifying as an addict or alcoholic. Several comments suggested that person-first language is part of a larger movement to "soften everything," without changing the underlying condition (addiction). The findings may reflect the fact that subjects were recruited from 12-step programs, where the convention is to self-identity using the terms "alcoholic" and/or "addict." Conclusions: Some individuals seeking treatment for addiction may prefer self-identifying using old-school terminology (addict, alcoholic) rather than person-first language, for a variety of reasons (eg, they do not internalize the stigma of such terms). [ABSTRACT FROM AUTHOR]
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- 2023
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4. Priorities for returning to work after traumatic injury: A public and professional involvement study.
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Gavin, James P, Kettlewell, Jade, Elliott, Abigail O, Ammour, Sandra, and Wareham, Peter
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INJURY complications ,PAIN ,SOCIAL support ,ATTITUDES of medical personnel ,INTERNET ,RESEARCH methodology ,ATTITUDE (Psychology) ,CHANGE ,CONVALESCENCE ,INTERVIEWING ,MENTAL health ,COMMUNITY support ,OCCUPATIONAL therapy ,DESCRIPTIVE statistics ,MEDICAL referrals ,INTERPERSONAL relations ,SOUND recordings ,EMPLOYMENT reentry ,THEMATIC analysis ,FATIGUE (Physiology) ,PSYCHOLOGICAL adaptation ,VOCATIONAL rehabilitation ,AMPUTATION ,STATISTICAL sampling ,WOUNDS & injuries ,MEDICAL coding - Abstract
Introduction: Following traumatic injury, occupational therapists (OTs) are pivotal in supporting people to return-to-work (RTW) and regain independence. Aim: to identify priorities for RTW after traumatic injury and highlight barriers hindering the process. Method: We recruited 17 participants with direct (i.e. trauma survivor [ n = 11]; OT trauma survivor [ n = 2]) or indirect (i.e. OT [ n = 4]) experience of returning to work following traumatic injury. Online consultations, lasting 60 min, were guided by a semi-structured script ensuring relevant topics were covered. An inductive approach was used for coding themes using thematic analysis. Findings: Sense of purpose, identity and social interaction were greater priorities for RTW, than financial stability. Major barriers were: pain and fatigue; adapting to physical changes; impacts on mental health; and lack of support (healthcare and the workplace). Participants (public and healthcare professionals) reported a lack of vocational rehabilitation in supporting trauma survivors RTW, but advocated occupational therapy for psychological recovery; purposeful engagement in occupations; and community support. Conclusion: Restoring an individual's self-identity and social connections, whilst helping control pain and fatigue, should be prioritised when planning occupational therapy for those returning to work after traumatic injury. This study was limited to 'returners', but can inform occupational therapy interventions for RTW. [ABSTRACT FROM AUTHOR]
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- 2022
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5. The experiences of veterans with mental health problems participating in an occupational therapy and resilience workshop intervention: an exploratory study.
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Vaughan-Horrocks, Hannah, Reagon, Carly, and Seymour, Alison
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RESEARCH ,FOCUS groups ,HUMAN research subjects ,RESEARCH methodology ,CONVALESCENCE ,TIME ,INTERVIEWING ,HEALTH status indicators ,MENTAL health ,PSYCHOLOGY of veterans ,REHABILITATION of people with mental illness ,OCCUPATIONAL therapy ,PHENOMENOLOGY ,INFORMED consent (Medical law) ,STATISTICAL sampling ,JUDGMENT sampling ,THEMATIC analysis ,PSYCHOLOGICAL resilience ,ADULT education workshops - Abstract
Introduction: Occupational therapy has long had a strong presence in military mental healthcare. Today's veterans have complex needs and can face challenges reintegrating into civilian life. This exploratory study investigated whether veterans receiving mental health treatment who participated in a bespoke occupational therapy and resilience workshop intervention improved their perceived participation in everyday life. Method: An interpretivist hermeneutic phenomenological approach was used to explore veterans' perspectives. Ten participants took part in two semistructured focus groups. Thematic analysis was used to identify and analyse patterns within the data. Findings: Most participants developed occupational goals and started to make lifestyle changes; participants developed an appreciation of the value of occupation; participants developed insight into their recovery journeys; and value was placed on the 'healing power' of the group. Conclusion: This exploratory study provides preliminary evidence to suggest occupational therapy was influential in helping participants understand the impact of occupation on health and start making lifestyle changes. Participants also reflected on their recovery journeys. The benefits of doing this within a group environment appear to have been particularly therapeutic. Original occupational therapy research in this specialism is sparse. This novel study provides insight that can further discussion and enhance understanding about what the profession can offer this client group. [ABSTRACT FROM AUTHOR]
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- 2021
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6. Women, Exercise, and Eating Disorder Recovery: The Normal and the Pathological.
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Hockin-Boyers, Hester and Warin, Megan
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CONVALESCENCE , *RESEARCH methodology , *YOGA , *INTERVIEWING , *SEX distribution , *QUALITATIVE research , *PATIENTS' attitudes , *HEALTH behavior , *WEIGHT lifting , *EATING disorders , *EXERCISE therapy , *WOMEN'S health , *LONGITUDINAL method , *BODY image - Abstract
The appropriate form, regularity, and intensity of exercise for individuals recovering from eating disorders is not agreed upon among health care professionals or researchers. When exercise is permitted, it is that which is mindful, embodied, and non-competitive that is considered normative. Using Canguilhem's concepts of "the normal and the pathological" as a theoretical frame, we examine the gendered assumptions that shape medical understandings of "healthy" and "dysfunctional" exercise in the context of recovery. The data set for this article comes from longitudinal semi-structured interviews with 19 women in the United Kingdom who engaged in weightlifting during their eating disorder recovery. We argue that women in recovery navigate multiple and conflicting value systems regarding exercise. Faced with aspects of exercise that are pathologized within the eating disorder literature (such as structure/routine, body transformations, and affect regulation), women re-inscribe positive value to these experiences, thus establishing exercise practices that serve them. [ABSTRACT FROM AUTHOR]
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- 2021
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7. Sick of the Sick Role: Narratives of What "Recovery" Means to People With CFS/ME.
- Author
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Cheshire, Anna, Ridge, Damien, Clark, Lucy V., and White, Peter D.
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ADAPTABILITY (Personality) , *PSYCHOLOGICAL adaptation , *CHRONIC fatigue syndrome , *CONVALESCENCE , *INTERVIEWING , *RESEARCH methodology , *RESEARCH funding , *SUPPORT groups , *SOCIAL stigma , *QUALITATIVE research , *SECONDARY analysis , *LIFESTYLES , *PATIENTS' attitudes , *DESCRIPTIVE statistics , *ATTITUDES toward illness - Abstract
Little is known about what recovery means to those with chronic fatigue syndrome/myalgic encephalomyelitis, a poorly understood, disabling chronic health condition. To explore this issue, semi-structured interviews were conducted with patients reporting improvement (n = 9) and deterioration (n = 10) after a guided self-help intervention, and analyzed via "constant comparison." The meaning of recovery differed between participants—expectations for improvement and deployment of the sick role (and associated stigma) were key influences. While some saw recovery as complete freedom from symptoms, many defined it as freedom from the "sick role," with functionality prioritized. Others redefined recovery, reluctant to return to the lifestyle that may have contributed to their illness, or rejected the concept as unhelpful. Recovery is not always about eliminating all symptoms. Rather, it is a nexus between the reality of limited opportunities for full recovery, yet a strong desire to leave the illness behind and regain a sense of "normality." [ABSTRACT FROM AUTHOR]
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- 2021
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8. Narratives of Recovery Over the First Year After Major Lower Limb Loss.
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Sanders, Phoebe, Wadey, Ross, Day, Melissa, and Winter, Stacy
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LEG surgery , *ADAPTABILITY (Personality) , *AMPUTATION , *AMPUTEES , *ARTIFICIAL limbs , *CONTENT analysis , *CONVALESCENCE , *INTERVIEWING , *LIFE skills , *RESEARCH methodology , *PARTICIPANT observation , *QUALITY of life , *RESEARCH funding , *QUALITATIVE research , *JUDGMENT sampling , *SOCIAL support , *WELL-being , *PATIENTS' attitudes - Abstract
The objectives of this research were to extend previous research by exploring the psychosocial experiences of patients over the first year after major lower limb amputation (MLLA) and identify implications for rehabilitation practice. This research took place at a United Kingdom–based National Health Service–operated prosthetic rehabilitation center. Thirty patients were recruited who had experienced MLLA within the last year and were undertaking prosthetic rehabilitation. Data were collected through semi-structured narrative interviews, observation, and a reflexive journal and analyzed using dialogical narrative analysis. The concept of well-being was used to map patients' recovery trajectories, and five narrative typologies were identified: accelerated decline, adaptation, illusory cure, muddling along, and projection. This article advances knowledge by opening up new possibilities for anticipating patients' future needs through the stories they are telling in the present and provides the basis for additional resources supporting psychosocial recovery. [ABSTRACT FROM AUTHOR]
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- 2020
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9. Cutting Ties With Pro-Ana: A Narrative Inquiry Concerning the Experiences of Pro-Ana Disengagement From Six Former Site Users.
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Firkins, Ashlyn, Twist, Jos, Solomons, Wendy, and Keville, Saskia
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ANOREXIA nervosa , *CONVALESCENCE , *DIET in disease , *DIET therapy , *EATING disorders , *FOOD habits , *INTERVIEWING , *QUESTIONNAIRES , *WORLD Wide Web , *JUDGMENT sampling , *PSYCHOLOGICAL disengagement , *SOCIAL media , *DESCRIPTIVE statistics - Abstract
Websites advocating the benefits of eating disorders ("Pro-Ana") tend to reinforce and maintain restrictive eating and purging behaviors. Yet remarkably, no study has explored individual accounts of disengagement from these sites and the associated meanings. Using narrative inquiry, this study sought to address this gap. From the interviews of six women, two overarching storylines emerged. The first closely tied disengagement to recovery with varying positions of personal agency claimed: this ranged from enforced and unwelcomed breaks that ignited change, to a personal choice that became viable through the development of alternative social and personal identities. A strong counternarrative to "disengagement as recovery" also emerged. Here, disengagement from Pro-Ana was storied alongside a need to retain an ED lifestyle. With "recovery" being just one reason for withdrawal from Pro-Ana sites, clinicians must remain curious about the meanings individuals ascribe to this act, without assuming it represents a step toward recovery. [ABSTRACT FROM AUTHOR]
- Published
- 2019
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10. The double hazard in recovery journey: The experiences of UK Chinese users of mental health services.
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Tang, Lynn
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MENTAL health services , *COMMUNICATION , *CONVALESCENCE , *DIAGNOSIS , *ETHNIC groups , *HEALTH services accessibility , *HEALTH status indicators , *INTERVIEWING , *MENTAL illness , *SELF-efficacy , *SOCIAL stigma , *QUALITATIVE research , *THEMATIC analysis - Abstract
Background: The recent interest in recovery from mental health problems has not meaningfully addressed the perspectives of ethnic minorities. Aim: To contribute to the discussion of recovery-oriented service with a study on the experience of Chinese people using UK mental health services. Methods: In-depth life history interviews were carried out with the users. The qualitative data were analysed using thematic analysis. Results: Four themes emerged as hindrances to personal recovery: (1) language difficulty creates hurdles, (2) diagnostic label is experienced as a double-edged sword, (3) treatment-related stigma and (dis)empowerment are identified, and (4) grievances are found in hospitalisation. Discussion: Having mental illness and being an ethnic minority in the UK experienced double hazard in their recovery journey. While the deprivation of agency and the stigma process in the health care system hinders their recovery, they are further disadvantaged by their ethnic minority status. Four pointers for service improvement, that apply to Chinese users in the United Kingdom and have general implications for users beyond this group, are proposed. [ABSTRACT FROM AUTHOR]
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- 2019
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11. Improving Access to Psychological Therapies (IAPT) - The Need for Radical Reform.
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Scott, Michael J.
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ANXIETY treatment , *MENTAL depression , *THERAPEUTICS , *CONVALESCENCE , *HEALTH services accessibility , *INTERVIEWING , *RESEARCH methodology , *PSYCHOTHERAPY , *QUALITY assurance - Abstract
Improving Access to Psychological Therapies is a UK government-funded initiative to widen access to the psychological treatment of depression and anxiety disorders. The author has had the opportunity to independently assess 90 Improving Access to Psychological Therapies clients, using a standardised semi-structured interview, the Structured Clinical Diagnostic Interview for DSM Disorders (SCID) and to listen to their account of interaction with the service. The results suggest that only the tip of the iceberg fully recovers from their disorder (9.2%) whether or not they were treated before or after a personal injury claim. There is a pressing need to re-examine the modus operandi of the service. [ABSTRACT FROM AUTHOR]
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- 2018
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12. Developing and Using Vignettes to Explore the Relationship Between Risk Management Practice and Recovery-Oriented Care in Mental Health Services.
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Holley, Jessica and Gillard, Steven
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CONVALESCENCE , *FOCUS groups , *INTERVIEWING , *RESEARCH methodology , *CASE studies , *MENTAL health personnel , *PATIENTS , *RISK management in business , *QUALITATIVE research , *DATA analysis , *THEMATIC analysis ,RESEARCH evaluation - Abstract
There is a lack of literature evaluating the development and use of vignettes to explore contested constructs in qualitative health care research where a conventional interview schedule might impose assumptions on the data collected. We describe the development and validation of vignettes in a study exploring mental health worker and service user understandings of risk and recovery in U.K. mental health services. Focus groups with mental health workers and service users explored study questions from experiential perspectives. Themes identified in the groups were combined with existing empirical literature to develop a set of vignettes. Feedback focus groups were conducted to validate and amend the vignettes. Following use in research interviews, results suggested that the vignettes had successfully elicited data on issues of risk and recovery in mental health services. Further research using creative, comparative methods is needed to fully understand how vignettes can best be used in qualitative health care research. [ABSTRACT FROM AUTHOR]
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- 2018
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13. The experience of mental distress and recovery among people involved with the service user/survivor movement.
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Chassot, Carolina S. and Mendes, Felismina
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MENTAL illness treatment , *SOCIAL change , *CONVALESCENCE , *INTERVIEWING , *RESEARCH methodology , *RESEARCH , *THEMATIC analysis , *MEDICAL coding , *PSYCHOLOGY - Abstract
This article examines how the personal experiences of mental distress of people involved in the British service user/survivor movement were shaped or transformed by this involvement, and the impact of involvement on their recovery journeys. The analysis was based on 12 in-depth interviews with service users/survivors who are, or were once, involved with the service user/survivor movement. Three large themes were identified regarding the ways in which social movement involvement affected the personal experience of mental distress: (a) making sense and reframing mental distress, (b) the social experience of involvement and (c) identity and identity reconstruction. We discuss how some features of the service user/survivor movement, such as self-help, user involvement, the centrality of experience to collective action, and the range of political positions adopted by activists can affect experience and recovery in different forms. As an exploratory study that looks into a complex topic, our findings illuminate the ways of surviving, recovering and experiencing mental distress in the context of a significant social movement. [ABSTRACT FROM AUTHOR]
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- 2015
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