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Influences on participation in a programme addressing loneliness among people with depression and anxiety: findings from the Community Navigator Study
BACKGROUND: Loneliness is associated with negative outcomes, including increased mortality and is common among people with mental health problems. This qualitative study, which was carried out as part of a feasibility trial, aimed to understand what enables and hinders people with severe depression...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7689977/ https://www.ncbi.nlm.nih.gov/pubmed/33243222 http://dx.doi.org/10.1186/s12888-020-02961-x |
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author | Frerichs, Johanna Billings, Jo Barber, Nick Chhapia, Anjie Chipp, Beverley Shah, Prisha Shorten, Anna Stefanidou, Theodora Johnson, Sonia Evans, Brynmor Lloyd Pinfold, Vanessa |
author_facet | Frerichs, Johanna Billings, Jo Barber, Nick Chhapia, Anjie Chipp, Beverley Shah, Prisha Shorten, Anna Stefanidou, Theodora Johnson, Sonia Evans, Brynmor Lloyd Pinfold, Vanessa |
author_sort | Frerichs, Johanna |
collection | PubMed |
description | BACKGROUND: Loneliness is associated with negative outcomes, including increased mortality and is common among people with mental health problems. This qualitative study, which was carried out as part of a feasibility trial, aimed to understand what enables and hinders people with severe depression and/or anxiety under the care of secondary mental health services in the United Kingdom to participate in the Community Navigator programme, and make progress with feelings of depression, anxiety and loneliness. The programme consisted of up to ten meetings with a Community Navigator and three optional group sessions. METHODS: Semi-structured interviews were carried out with participants (n = 19) shortly after programme completion. A co-produced two-stage qualitative approach, involving narrative and reflexive thematic analysis, was undertaken by members of the study’s working group, which included experts by experience, clinicians and researchers. RESULTS: The narrative analysis showed that individuals have varied goals, hold mixed feelings about meeting other people and define progress differently. From the thematic analysis, six themes were identified that explained facilitators and challenges to participating in the programme: desire to connect with others; individual social confidence; finding something meaningful to do; the accessibility of resources locally; the timing of the programme; and the participant’s relationship with the Community Navigator. CONCLUSIONS: We found that people with severe depression and/or anxiety supported by secondary mental health services may want to address feelings of loneliness but find it emotionally effortful to do so and a major personal challenge. This emotional effort, which manifests in individuals differently, can make it hard for participants to engage with a loneliness programme, though it was through facing personal challenges that a significant sense of achievement was felt. Factors at the individual, interpersonal and structural level, that enable or hinder an individual’s participation should be identified early, so that people are able to make the best use out of the Community Navigator or other similar programmes. |
format | Online Article Text |
id | pubmed-7689977 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-76899772020-11-30 Influences on participation in a programme addressing loneliness among people with depression and anxiety: findings from the Community Navigator Study Frerichs, Johanna Billings, Jo Barber, Nick Chhapia, Anjie Chipp, Beverley Shah, Prisha Shorten, Anna Stefanidou, Theodora Johnson, Sonia Evans, Brynmor Lloyd Pinfold, Vanessa BMC Psychiatry Research Article BACKGROUND: Loneliness is associated with negative outcomes, including increased mortality and is common among people with mental health problems. This qualitative study, which was carried out as part of a feasibility trial, aimed to understand what enables and hinders people with severe depression and/or anxiety under the care of secondary mental health services in the United Kingdom to participate in the Community Navigator programme, and make progress with feelings of depression, anxiety and loneliness. The programme consisted of up to ten meetings with a Community Navigator and three optional group sessions. METHODS: Semi-structured interviews were carried out with participants (n = 19) shortly after programme completion. A co-produced two-stage qualitative approach, involving narrative and reflexive thematic analysis, was undertaken by members of the study’s working group, which included experts by experience, clinicians and researchers. RESULTS: The narrative analysis showed that individuals have varied goals, hold mixed feelings about meeting other people and define progress differently. From the thematic analysis, six themes were identified that explained facilitators and challenges to participating in the programme: desire to connect with others; individual social confidence; finding something meaningful to do; the accessibility of resources locally; the timing of the programme; and the participant’s relationship with the Community Navigator. CONCLUSIONS: We found that people with severe depression and/or anxiety supported by secondary mental health services may want to address feelings of loneliness but find it emotionally effortful to do so and a major personal challenge. This emotional effort, which manifests in individuals differently, can make it hard for participants to engage with a loneliness programme, though it was through facing personal challenges that a significant sense of achievement was felt. Factors at the individual, interpersonal and structural level, that enable or hinder an individual’s participation should be identified early, so that people are able to make the best use out of the Community Navigator or other similar programmes. BioMed Central 2020-11-26 /pmc/articles/PMC7689977/ /pubmed/33243222 http://dx.doi.org/10.1186/s12888-020-02961-x Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Frerichs, Johanna Billings, Jo Barber, Nick Chhapia, Anjie Chipp, Beverley Shah, Prisha Shorten, Anna Stefanidou, Theodora Johnson, Sonia Evans, Brynmor Lloyd Pinfold, Vanessa Influences on participation in a programme addressing loneliness among people with depression and anxiety: findings from the Community Navigator Study |
title | Influences on participation in a programme addressing loneliness among people with depression and anxiety: findings from the Community Navigator Study |
title_full | Influences on participation in a programme addressing loneliness among people with depression and anxiety: findings from the Community Navigator Study |
title_fullStr | Influences on participation in a programme addressing loneliness among people with depression and anxiety: findings from the Community Navigator Study |
title_full_unstemmed | Influences on participation in a programme addressing loneliness among people with depression and anxiety: findings from the Community Navigator Study |
title_short | Influences on participation in a programme addressing loneliness among people with depression and anxiety: findings from the Community Navigator Study |
title_sort | influences on participation in a programme addressing loneliness among people with depression and anxiety: findings from the community navigator study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7689977/ https://www.ncbi.nlm.nih.gov/pubmed/33243222 http://dx.doi.org/10.1186/s12888-020-02961-x |
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