Qualitative Health Research最新文献_第7页

Navigating the Perils of Pregnancy and Childbirth Among Youth in La Pointe, Haiti: Insights Captured Through Community Photovoice Research. 在海地拉波因特的青年中导航怀孕和分娩的危险：通过社区照片语音研究捕获的见解。

IF 2.6 2区医学

Qualitative Health Research Pub Date : 2025-07-23 DOI: 10.1177/10497323251347161

Tonya A MacDonald, Marie-Carmèle Charles, Olès Dorcely, Françoise D Volcy Bonne Anney, Medge Dona Mular, Lovenska Sylvestre, Rose Andrele Bien Aimé, Elizabeth K Darling, Saara Greene, Sandra Moll, Carmen Logie, Lawrence Mbuagbaw

{"title":"Navigating the Perils of Pregnancy and Childbirth Among Youth in La Pointe, Haiti: Insights Captured Through Community Photovoice Research.","authors":"Tonya A MacDonald, Marie-Carmèle Charles, Olès Dorcely, Françoise D Volcy Bonne Anney, Medge Dona Mular, Lovenska Sylvestre, Rose Andrele Bien Aimé, Elizabeth K Darling, Saara Greene, Sandra Moll, Carmen Logie, Lawrence Mbuagbaw","doi":"10.1177/10497323251347161","DOIUrl":"https://doi.org/10.1177/10497323251347161","url":null,"abstract":"In Haiti, surviving pregnancy and childbirth is especially tenuous for young women, who are already marginalized. One of the four leading causes of death for women 20-24 years old is pregnancy- or childbirth-related. An important gap remains regarding youth perspectives of maternal health and well-being within their communities. We conducted a community-based participatory research study using Photovoice to understand the lived experiences of 17 young women from La Pointe, Haiti, and its surrounding rural communities, who survived a maternal near-miss, a grave obstetric event that one narrowly escapes. Youth participants took photographs and participated in individual interviews and focus groups to represent and share their pregnancy and birthing experiences. Visual and narrative data were analyzed by participants and our community research team using reflexive thematic analysis. The five main themes represent a perilous maternal journey. The themes included (a) the social context youth are embedded within, (b) structural, systemic and political forces youth face, (c) pain and suffering throughout youth maternal experiences, (d) search for support during the maternal trajectory, and (e) youth-generated solutions for improved maternal health and well-being. Our findings amplify youth voices on the pressing need to address multiple, intersecting issues that shape maternal health and well-being for all women with particular attention to the needs of young women. Understanding the experiences of Haitian youth survivors of maternal near-misses can inform research, practice, and policy to curb maternal deaths and maternal near-misses among young women within low-resource settings.","PeriodicalId":48437,"journal":{"name":"Qualitative Health Research","volume":" ","pages":"10497323251347161"},"PeriodicalIF":2.6,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692081","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

"Rising Like Phoenix From the Ashes": An Arts-Based Qualitative Study of Mental Health Resilience and Recovery in Romania. “凤凰涅槃”：罗马尼亚心理健康复原力和恢复的艺术定性研究。

IF 2.6 2区医学

Qualitative Health Research Pub Date : 2025-07-19 DOI: 10.1177/10497323251355120

Lucian Hadrian Milasan, Orsolya Finta

{"title":"\"Rising Like Phoenix From the Ashes\": An Arts-Based Qualitative Study of Mental Health Resilience and Recovery in Romania.","authors":"Lucian Hadrian Milasan, Orsolya Finta","doi":"10.1177/10497323251355120","DOIUrl":"https://doi.org/10.1177/10497323251355120","url":null,"abstract":"The philosophy underpinning mental health care has undergone a shift from a biomedical, deficit model to a recovery-oriented, strengths-based approach prioritizing individual abilities, experiences, and skills. Within this context, it is paramount to understand how resilience is experienced by people living with mental distress, and the role it plays in the recovery process. This arts-based qualitative study aims to explore the meanings and experiences of resilience as part of the recovery journey of nine mental health service users from a community day center in Romania. In Romania, the mental health system and research into mental distress and recovery have been traditionally guided by a biomedical approach. This is the first study conducted from the perspective of people living with mental distress in Romania, revealing the experiential and conceptual complexities of resilience in their recovery. Thematic analysis of data generated through ten creative workshops, a focus group, and art-elicited semi-structured interviews revealed four key themes of resilience intertwined with participants' experiences of recovery: re(dis)covering the authentic self, symbiosis with the day center, navigating conflicts (with self, society, and the psychiatric system), and leaving the past behind. The insights from participants' verbal contributions triangulated with their artwork provided a deeper understanding of resilience within the cultural context of Romania. The findings add to an increasing body of evidence that informs the reformation of mental health practices in line with the perspectives on resilience held by people experiencing mental distress.","PeriodicalId":48437,"journal":{"name":"Qualitative Health Research","volume":" ","pages":"10497323251355120"},"PeriodicalIF":2.6,"publicationDate":"2025-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144668780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

I Want to Break Myself, When I'm Already Broken: Experiences of Gambling in Relation to a "Rock Bottom" Hypothesis. 当我已经崩溃时，我想要击垮自己：与“谷底”假说相关的赌博体验。

IF 2.6 2区医学

Qualitative Health Research Pub Date : 2025-07-19 DOI: 10.1177/10497323251357212

Ellen Gerle, Tove Lundberg, Björn Hofvander, Anders Håkansson

引用次数: 0

Launching a Living Ethics Initiative to Explore Patients' Psychological Distress in a Highly Specialized Interdisciplinary Care Clinic. 开展一项生活伦理倡议，探讨在高度专业化的跨学科护理诊所患者的心理困扰。

IF 2.6 2区医学

Qualitative Health Research Pub Date : 2025-07-18 DOI: 10.1177/10497323251353435

Bénédicte D'Anjou, Katherine Desjardins, Julie Ianniruberto, Danielle Méthot, Valérie Poulin, Rémi Rabasa-Lhoret, Eric Racine

{"title":"Launching a Living Ethics Initiative to Explore Patients' Psychological Distress in a Highly Specialized Interdisciplinary Care Clinic.","authors":"Bénédicte D'Anjou, Katherine Desjardins, Julie Ianniruberto, Danielle Méthot, Valérie Poulin, Rémi Rabasa-Lhoret, Eric Racine","doi":"10.1177/10497323251353435","DOIUrl":"https://doi.org/10.1177/10497323251353435","url":null,"abstract":"Ethical issues are often difficult to discuss openly in clinical settings. However, silence can be detrimental to both patients and healthcare providers, and may impede improvements in clinical practices. In this paper, we report on the initial process of launching a living ethics initiative to identify, explore, and address a relevant ethical issue-that is, unaddressed psychological distress among people living with a rare or complex chronic disease-with the staff and patients of a highly specialized interdisciplinary care clinic in Montreal (Canada). Although previous research has addressed psychological distress, few studies have taken a participatory qualitative research and ethics approach, integrating the perspectives of both patients and healthcare providers. This paper specifically outlines the initial phases of a five-phase living lab project, from identifying the issue to exploring stakeholders' understanding of the problem. Semi-structured interviews were conducted with patients and clinic staff, followed by a qualitative content analysis that relied on deductive and inductive coding strategies. Overall, our study sheds light on the concept of psychological distress, causes of patients' psychological distress, consequences of patients' psychological distress, mitigating factors of patients' psychological distress, management of patients' psychological distress within a given healthcare environment, and potential avenues for improvement. By creating an ethical space where patients and healthcare providers could reflect on and discuss this issue, this initiative has not only deepened our understanding of patients' psychological distress but has also initiated a paradigm shift in this clinical setting, recognizing that patients' psychological distress is a fundamental human issue that concerns everyone.","PeriodicalId":48437,"journal":{"name":"Qualitative Health Research","volume":" ","pages":"10497323251353435"},"PeriodicalIF":2.6,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144668782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

"This Disease Is a Verdict You Must Live With for the Rest of Your Life": Experiences and Perspectives From People Living With Adult-Onset Myotonic Dystrophy Type 1. “这种疾病是你必须终生忍受的判决”：成人型肌强直性营养不良患者的经历和观点。

IF 2.6 2区医学

Qualitative Health Research Pub Date : 2025-07-10 DOI: 10.1177/10497323251356979

Kristin Allergodt, Bente Kristensen, Ulla Werlauff, Pia Dreyer, Marit Kirkevold, Charlotte Handberg

{"title":"\"This Disease Is a Verdict You Must Live With for the Rest of Your Life\": Experiences and Perspectives From People Living With Adult-Onset Myotonic Dystrophy Type 1.","authors":"Kristin Allergodt, Bente Kristensen, Ulla Werlauff, Pia Dreyer, Marit Kirkevold, Charlotte Handberg","doi":"10.1177/10497323251356979","DOIUrl":"https://doi.org/10.1177/10497323251356979","url":null,"abstract":"Myotonic dystrophy type 1 (DM1) is a progressive, multisystemic neuromuscular disease. DM1 has a biopsychosocial impact, causing physical and cognitive impairment and limitations in activity and participation as well as having social consequences. The aim of our study was to investigate experiences of and perspectives on living and coping with adult-onset DM1 to inform future targeted rehabilitation services. We conducted semi-structured individual interviews with 25 people with adult-onset DM1. Observational notes were taken during the interviews. Our study used the interpretive description methodology and Herbert Blumer's theory of Symbolic Interactionism as the theoretical lens. The analysis identified two categorical themes and six subthemes: The meaning of living with DM1 and DM1's influence on relations. Our findings showed that participants with adult-onset DM1 found meaning in their disease by reflecting on being diagnosed, understanding health information, and how DM1 influences daily living. Additionally, DM1 affected the participants' interactions with others, thereby also influencing their relations. Our study contributes insights into how the intricate interaction with social relations and surroundings contributes to finding meaning when living with adult-onset DM1.","PeriodicalId":48437,"journal":{"name":"Qualitative Health Research","volume":" ","pages":"10497323251356979"},"PeriodicalIF":2.6,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144601963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

"Clean Addict": A "Semantic Warning Sign" and a Bridge to an Integrated Recovery Identity. “戒毒成瘾者”：一个“语义警告标志”和通往综合康复身份的桥梁。

IF 2.6 2区医学

Qualitative Health Research Pub Date : 2025-07-07 DOI: 10.1177/10497323251355119

Gilad Dagan, Nehami Baum

{"title":"\"Clean Addict\": A \"Semantic Warning Sign\" and a Bridge to an Integrated Recovery Identity.","authors":"Gilad Dagan, Nehami Baum","doi":"10.1177/10497323251355119","DOIUrl":"https://doi.org/10.1177/10497323251355119","url":null,"abstract":"In this qualitative study, we explored how professionals specializing in the treatment of substance use disorder (SUD) perceive and use SUD-related terminology. Thirty-two professionals from diverse disciplines (social workers, psychologists, and psychiatrists) were recruited using purposive sampling. Data were collected through individual semi-structured interviews conducted in person or via Zoom, and analyzed using the reflexive thematic method, grounded in the constructivist epistemological framework. The findings revealed that professionals utilize the terms \"addict\" and \"clean addict\" and perceive them as \"semantic warning signs,\" intended to reinforce clients' vigilance by emphasizing the chronic nature of SUD. The interviewees also articulated the dual role of these terms in shaping clients' identity transition during recovery-supporting continuity of the \"addict\" identity while potentially limiting broader identity integration. These findings highlight SUD professionals' nuanced and context-sensitive approaches, as reflected in their choice of terminology, recognizing both its clinical utility and its limitations. They underscore the importance of professionals' perspectives in shaping therapeutic SUD terminology and reveal how professional terms serve as culturally embedded constructs that can carry stigmatizing connotations in some contexts while empowering recovery in others. This sheds light on the need for further cross-cultural research to explore these dynamics in diverse linguistic and cultural contexts.","PeriodicalId":48437,"journal":{"name":"Qualitative Health Research","volume":" ","pages":"10497323251355119"},"PeriodicalIF":2.6,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Trust in AI Is a "Fluid Process": Building Trust of AI Through Clinicians' Needs in the BreastScreen Victoria Program-A Qualitative Study. 对人工智能的信任是一个“流动的过程”：通过临床医生在维多利亚乳房筛查项目中的需求建立对人工智能的信任——一项定性研究。

IF 2.6 2区医学

Qualitative Health Research Pub Date : 2025-07-02 DOI: 10.1177/10497323251351521

Maho Omori, Prabhathi Basnayake, Helen M L Frazer, Louise Keogh, Katrina Kunicki, Jocelyn F Lippey

{"title":"Trust in AI Is a \"Fluid Process\": Building Trust of AI Through Clinicians' Needs in the BreastScreen Victoria Program-A Qualitative Study.","authors":"Maho Omori, Prabhathi Basnayake, Helen M L Frazer, Louise Keogh, Katrina Kunicki, Jocelyn F Lippey","doi":"10.1177/10497323251351521","DOIUrl":"https://doi.org/10.1177/10497323251351521","url":null,"abstract":"Research on trust in healthcare AI has grown significantly over the last five years, underscoring its vital role in AI adoption within healthcare services. While the multi-dimensional nature of trust in AI is well-documented, the literature lacks an integrative framework to fully understanding its dynamics. This study explores clinicians' perceptions of using AI in breast screening, focusing on the evolving nature of trust in AI within a complex clinical environment. Through thematic analysis of focus groups and interviews with 27 clinicians from the population-based BreastScreen program in Victoria, Australia, we highlight that trust in healthcare AI is fluid and multi-layered. Clinicians considered the broader care context when evaluating the potential of AI in their clinical practice. Their conflicting views coexisted-seeing \"AI as an opportunity\" to improve service delivery and client experiences and recognizing \"uncertainties\" surrounding its use. Optimism about AI, framed as opportunity, was tempered by skepticism stemming from factors, such as distrust in AI's performance, uncertainty regarding its role in their clinical practice, personal experiences with AI, and organizational barriers. Ethical, legal, and regulatory considerations also significantly influenced trust. We draw on the Trust and Acceptance of Artificial Intelligence Technology framework developed by Stevens and Stetson (2023) to interpret the paradoxical combination of optimism and skepticism observed in our participants. We argue that trust in AI is not a fixed attribute but a dynamic process, shaped by the interplay of technology-related, human-related, and context-related factors. Our findings have practical implications for AI adoption in healthcare.","PeriodicalId":48437,"journal":{"name":"Qualitative Health Research","volume":" ","pages":"10497323251351521"},"PeriodicalIF":2.6,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Story Circles of Black Doulas, Cultural Brokers for Birthing People in Healthcare. 黑人产婆的故事圈，医疗保健中分娩者的文化经纪人。

IF 2.6 2区医学

Qualitative Health Research Pub Date : 2025-07-01 Epub Date: 2024-10-18 DOI: 10.1177/10497323241280828

Kacie C A Blackman, Urmeka Jefferson, Wyconda Cotton-Curtis, Detrich Galloway

{"title":"Story Circles of Black Doulas, Cultural Brokers for Birthing People in Healthcare.","authors":"Kacie C A Blackman, Urmeka Jefferson, Wyconda Cotton-Curtis, Detrich Galloway","doi":"10.1177/10497323241280828","DOIUrl":"10.1177/10497323241280828","url":null,"abstract":"Doula care services (in-person, hybrid, and virtual) during the COVID-19 pandemic may vary. The purpose of this study was to explore doulas' experiences as birthing professionals and epistemological resources assisting Black birthing families during the pandemic. Virtual qualitative story circles were conducted with 11 Black doulas who attended births as doulas from January 2020 to December 2021. Participants were recruited in California. The story circles were audio recorded and transcribed verbatim. Transcripts were analyzed using content analysis, with attention to the influence of epistemic injustice (types of injustices inflicted on marginalized groups) on service provision. Additionally, we employed Patricia Hill Collins' Black Feminist Theory which describes \"Black women's ways of knowing\" that disrupts and challenges existing epistemologies. Narrative data revealed (1) doulas are positioned as possessors of epistemic influence in birthing spaces with intersecting social identities, (2) a pervasive oppression of doulas' knowledge, (3) epistemological resilience and disruption, and (4) a commitment to Black indigenous practices. Despite these epistemic unfair structures, systems, and experiences, Black doulas reimagine and establish pathways for birthing families to navigate the healthcare system during intrapartum care.","PeriodicalId":48437,"journal":{"name":"Qualitative Health Research","volume":" ","pages":"932-945"},"PeriodicalIF":2.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Attending to Power: Stakeholder Perspectives on Training Physicians to Address Intimate Partner Violence. 关注权力：利益相关者对培训医生处理亲密伴侣暴力问题的看法》（Attending to Power: Stakeholder Perspectives on Training Physicians to Address Intimate Partner Violence.

IF 2.6 2区医学

Qualitative Health Research Pub Date : 2025-07-01 Epub Date: 2024-10-17 DOI: 10.1177/10497323241276409

Alice Cavanagh, Melissa Kimber, Harriet L MacMillan, Stacey A Ritz, Meredith Vanstone

{"title":"Attending to Power: Stakeholder Perspectives on Training Physicians to Address Intimate Partner Violence.","authors":"Alice Cavanagh, Melissa Kimber, Harriet L MacMillan, Stacey A Ritz, Meredith Vanstone","doi":"10.1177/10497323241276409","DOIUrl":"10.1177/10497323241276409","url":null,"abstract":"Intimate partner violence (IPV) is associated with a wide range of mental and physical health concerns. Research suggests that many physicians lack knowledge and skills to adequately respond to patients experiencing IPV. In order to better integrate physicians' contributions into intersectoral responses to IPV, we asked stakeholders with expertise and experience related to IPV about the knowledge, skills, attitudes, and behaviors they wanted them to have. Guided by principles of interpretive description, and using a key informant method, we conducted unstructured interviews with 18 stakeholders in IPV-related frontline, managerial, or policy roles in Ontario, Canada. Data collection and analysis proceeded iteratively through 2022; \"thoughtful practitioners\" outside the research team were recruited at key junctures to provide feedback on formative findings. Stakeholders suggested that \"attending to power\" should be a core principle for medical practice related to IPV. Attending to power encompassed understanding interactional, organizational, and structural power dynamics related to IPV and purposefully engaging with power, by taking action to empower people subjected to violence. Specific recommendations for practice concerned four focal contexts: relationships between partners, between patients and providers, between providers, and in social systems and structures. Strengthening physicians' capacity to attend to power dynamics relevant to their IPV practice is an important step in both improving medical care for people experiencing IPV and integrating physician contributions into other services and supports.","PeriodicalId":48437,"journal":{"name":"Qualitative Health Research","volume":" ","pages":"837-846"},"PeriodicalIF":2.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12117120/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

"Without IPS I Think I Would Really Fall Apart": Individual Placement and Support as Experienced by People With Mental Illness-Phenomenological Peer Research Study. "没有 IPS，我想我真的会崩溃"：精神疾病患者体验到的个人安置和支持--同侪现象学研究。

IF 2.6 2区医学

Qualitative Health Research Pub Date : 2025-07-01 Epub Date: 2024-10-21 DOI: 10.1177/10497323241275046

Marianna Agata Borowska, Kristin Berre Ørjasæter, Marit Borg, Barbara Stenvall, Alexandra Silbermann, Miles Rinaldi, Eóin Killackey, Arnstein Mykletun, Cathrine Moe

{"title":"\"Without IPS I Think I Would Really Fall Apart\": Individual Placement and Support as Experienced by People With Mental Illness-Phenomenological Peer Research Study.","authors":"Marianna Agata Borowska, Kristin Berre Ørjasæter, Marit Borg, Barbara Stenvall, Alexandra Silbermann, Miles Rinaldi, Eóin Killackey, Arnstein Mykletun, Cathrine Moe","doi":"10.1177/10497323241275046","DOIUrl":"10.1177/10497323241275046","url":null,"abstract":"Having a job is an important component of recovery from mental illness and a source of economic, social, and health benefits. Most people experiencing severe mental illness (SMI) want to work but are excluded from employment opportunities. Employment specialists (ESs) working in individual placement and support (IPS) teams help persons struggling with SMI obtain competitive employment. This study is a qualitative phenomenological study of 10 IPS participants in the Norwegian context, serving to develop a deeper understanding of the IPS phenomenon as it is experienced in the everyday life of IPS participants. The study was designed as a peer research project including four members of a competence group with experience in IPS and SMI. The results, analyzed using the reflective lifeworld research approach, revealed four constituents: \"Having a safety net along the way toward employment,\" \"Feeling more like a person, not just a patient,\" \"Brighter future,\" and \"Going above and beyond employment support.\" IPS functions as an anchor in participants' journey toward employment. Strong and meaningful relationships with an ES seem crucial for IPS participants to gain the strength and confidence essential to engage in the job search. IPS participants experience various challenges in everyday life, resulting in ESs exceeding their vocational role to cover the unmet needs that health services seem unable to fully address. Closer coordination between vocational and health services, as well as a deeper focus on everyday life issues, will positively affect IPS participants' vocational outcomes and quality of life.","PeriodicalId":48437,"journal":{"name":"Qualitative Health Research","volume":" ","pages":"847-862"},"PeriodicalIF":2.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12117130/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0