Service user experiences of REFOCUS: a process evaluation of a pro-recovery complex intervention

Purpose: Policy is increasingly focused on implementing a recovery-orientation within mental health services, yet the subjective experience of individuals receiving a pro-recovery intervention is under-studied. The aim of this study was to explore the service user experience of receiving a complex,...

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Main Authors: Wallace, Genevieve, Bird, Victoria, Leamy, Mary, Bacon, Faye, Le Boutillier, Clair, Janosik, Monika, Macpherson, Rob, Williams, Julie, Slade, Mike
Format: Article
Published: Springer Verlag 2016
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Online Access:https://eprints.nottingham.ac.uk/33999/
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author Wallace, Genevieve
Bird, Victoria
Leamy, Mary
Bacon, Faye
Le Boutillier, Clair
Janosik, Monika
Macpherson, Rob
Williams, Julie
Slade, Mike
author_facet Wallace, Genevieve
Bird, Victoria
Leamy, Mary
Bacon, Faye
Le Boutillier, Clair
Janosik, Monika
Macpherson, Rob
Williams, Julie
Slade, Mike
author_sort Wallace, Genevieve
building Nottingham Research Data Repository
collection Online Access
description Purpose: Policy is increasingly focused on implementing a recovery-orientation within mental health services, yet the subjective experience of individuals receiving a pro-recovery intervention is under-studied. The aim of this study was to explore the service user experience of receiving a complex, pro-recovery intervention (REFOCUS), which aimed to encourage the use of recovery-supporting tools and support recovery-promoting relationships. Methods: Interviews (n=24) and two focus groups (n=13) were conducted as part of a process evaluation and included purposive sample of service users who received the complex, pro-recovery intervention within the REFOCUS randomised controlled trial (ISRCTN02507940). Thematic analysis was used to analyse the data. Results: Participants reported that the intervention supported the development of an open and collaborative relationship with staff, with new conversations around values, strengths and goals. This was experienced as hope-inspiring and empowering. However, others described how the recovery tools were used without context, meaning participants were unclear of their purpose and did not see their benefit. During the interviews, some individuals struggled to report any new tasks or conversations occurring during the intervention. Conclusion: Recovery-supporting tools can support the development of a recovery-promoting relationship, which can contribute to positive outcomes for individuals. The tools should be used, in a collaborative and flexible manner. Information exchanged around values, strengths and goals should be used in care-planning. As some service users struggled to report their experience of the intervention, alternative evaluation approaches need to be considered if the service user experience is to be fully captured.
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spelling nottingham-339992020-05-04T17:54:42Z https://eprints.nottingham.ac.uk/33999/ Service user experiences of REFOCUS: a process evaluation of a pro-recovery complex intervention Wallace, Genevieve Bird, Victoria Leamy, Mary Bacon, Faye Le Boutillier, Clair Janosik, Monika Macpherson, Rob Williams, Julie Slade, Mike Purpose: Policy is increasingly focused on implementing a recovery-orientation within mental health services, yet the subjective experience of individuals receiving a pro-recovery intervention is under-studied. The aim of this study was to explore the service user experience of receiving a complex, pro-recovery intervention (REFOCUS), which aimed to encourage the use of recovery-supporting tools and support recovery-promoting relationships. Methods: Interviews (n=24) and two focus groups (n=13) were conducted as part of a process evaluation and included purposive sample of service users who received the complex, pro-recovery intervention within the REFOCUS randomised controlled trial (ISRCTN02507940). Thematic analysis was used to analyse the data. Results: Participants reported that the intervention supported the development of an open and collaborative relationship with staff, with new conversations around values, strengths and goals. This was experienced as hope-inspiring and empowering. However, others described how the recovery tools were used without context, meaning participants were unclear of their purpose and did not see their benefit. During the interviews, some individuals struggled to report any new tasks or conversations occurring during the intervention. Conclusion: Recovery-supporting tools can support the development of a recovery-promoting relationship, which can contribute to positive outcomes for individuals. The tools should be used, in a collaborative and flexible manner. Information exchanged around values, strengths and goals should be used in care-planning. As some service users struggled to report their experience of the intervention, alternative evaluation approaches need to be considered if the service user experience is to be fully captured. Springer Verlag 2016-06-30 Article PeerReviewed Wallace, Genevieve, Bird, Victoria, Leamy, Mary, Bacon, Faye, Le Boutillier, Clair, Janosik, Monika, Macpherson, Rob, Williams, Julie and Slade, Mike (2016) Service user experiences of REFOCUS: a process evaluation of a pro-recovery complex intervention. Social Psychiatry and Psychiatric Epidemiology, 51 (9). pp. 1275-1284. ISSN 0933-7954 Recovery health service and population research process evaluation complex intervention http://link.springer.com/article/10.1007/s00127-016-1257-9 doi:10.1007/s00127-016-1257-9 doi:10.1007/s00127-016-1257-9
spellingShingle Recovery
health service and population research
process evaluation
complex intervention
Wallace, Genevieve
Bird, Victoria
Leamy, Mary
Bacon, Faye
Le Boutillier, Clair
Janosik, Monika
Macpherson, Rob
Williams, Julie
Slade, Mike
Service user experiences of REFOCUS: a process evaluation of a pro-recovery complex intervention
title Service user experiences of REFOCUS: a process evaluation of a pro-recovery complex intervention
title_full Service user experiences of REFOCUS: a process evaluation of a pro-recovery complex intervention
title_fullStr Service user experiences of REFOCUS: a process evaluation of a pro-recovery complex intervention
title_full_unstemmed Service user experiences of REFOCUS: a process evaluation of a pro-recovery complex intervention
title_short Service user experiences of REFOCUS: a process evaluation of a pro-recovery complex intervention
title_sort service user experiences of refocus: a process evaluation of a pro-recovery complex intervention
topic Recovery
health service and population research
process evaluation
complex intervention
url https://eprints.nottingham.ac.uk/33999/
https://eprints.nottingham.ac.uk/33999/
https://eprints.nottingham.ac.uk/33999/