Claire Anne Hanlon, Jennifer Chopra, Jane Boland, David McIlroy, Helen Poole, Pooja Saini
{"title":"James‘Place模型对经历自杀危机的男性的可接受性和保真度的混合方法评估。","authors":"Claire Anne Hanlon, Jennifer Chopra, Jane Boland, David McIlroy, Helen Poole, Pooja Saini","doi":"10.1080/21642850.2023.2265142","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Research supports development of informal, community-based suicide prevention interventions that can be tailored to suit men's unmet needs. The James' Place model (JPM) is a community-based, clinical suicide prevention intervention for men experiencing suicidal crisis. Evidence supports the efficacy of the JPM and there are plans to expand to additional sites across the UK. This study evaluates therapists perceived acceptability of the JPM, and if fidelity to the planned delivery of the model is maintained within therapeutic practice.</p><p><strong>Method: </strong>A mixed-methods design was used. Descriptive analyses of 30 completed intervention cases were examined to review fidelity of the model against the intervention delivery plan. Eight therapists took part in semi-structured interviews between November 2021 and March 2022 exploring the perceived acceptability, and barriers and facilitators to delivering the JPM.</p><p><strong>Results: </strong>Descriptive analyses of James' Place audit notes revealed high levels of adherence to the JPM amongst therapists, but highlighted components of the model needed to be tailored according to individual men's needs. Thematic analysis led to the development of five themes. The first theme, <i>therapeutic environment</i> highlighted importance of the therapy setting. The second theme identified was <i>specialised suicide prevention training</i> in the JPM that facilitated therapists understanding and expertise. The third theme identified was <i>therapy engagement</i> which discusses men's engagement in therapy. The fourth theme, <i>person-centred care</i> related to adaptation of delivery of JPM components. The final theme, <i>adapting the JPM to individual needs</i> describes tailoring of the JPM by therapists to be responsive to individual men's needs.</p><p><strong>Conclusion: </strong>The findings evidence therapist's acceptability and their moderate adherence to the JPM. Flexibility in delivery of the JPM enables adaptation of the model and co-production of therapy to meet men's needs. Implications for clinical practice are discussed.</p>","PeriodicalId":12891,"journal":{"name":"Health Psychology and Behavioral Medicine","volume":"11 1","pages":"2265142"},"PeriodicalIF":2.4000,"publicationDate":"2023-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e6/ed/RHPB_11_2265142.PMC10572045.pdf","citationCount":"0","resultStr":"{\"title\":\"A mixed-methods evaluation of the acceptability and fidelity of the James' Place model for men experiencing suicidal crisis.\",\"authors\":\"Claire Anne Hanlon, Jennifer Chopra, Jane Boland, David McIlroy, Helen Poole, Pooja Saini\",\"doi\":\"10.1080/21642850.2023.2265142\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Research supports development of informal, community-based suicide prevention interventions that can be tailored to suit men's unmet needs. The James' Place model (JPM) is a community-based, clinical suicide prevention intervention for men experiencing suicidal crisis. Evidence supports the efficacy of the JPM and there are plans to expand to additional sites across the UK. This study evaluates therapists perceived acceptability of the JPM, and if fidelity to the planned delivery of the model is maintained within therapeutic practice.</p><p><strong>Method: </strong>A mixed-methods design was used. Descriptive analyses of 30 completed intervention cases were examined to review fidelity of the model against the intervention delivery plan. Eight therapists took part in semi-structured interviews between November 2021 and March 2022 exploring the perceived acceptability, and barriers and facilitators to delivering the JPM.</p><p><strong>Results: </strong>Descriptive analyses of James' Place audit notes revealed high levels of adherence to the JPM amongst therapists, but highlighted components of the model needed to be tailored according to individual men's needs. Thematic analysis led to the development of five themes. The first theme, <i>therapeutic environment</i> highlighted importance of the therapy setting. The second theme identified was <i>specialised suicide prevention training</i> in the JPM that facilitated therapists understanding and expertise. The third theme identified was <i>therapy engagement</i> which discusses men's engagement in therapy. The fourth theme, <i>person-centred care</i> related to adaptation of delivery of JPM components. The final theme, <i>adapting the JPM to individual needs</i> describes tailoring of the JPM by therapists to be responsive to individual men's needs.</p><p><strong>Conclusion: </strong>The findings evidence therapist's acceptability and their moderate adherence to the JPM. Flexibility in delivery of the JPM enables adaptation of the model and co-production of therapy to meet men's needs. 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A mixed-methods evaluation of the acceptability and fidelity of the James' Place model for men experiencing suicidal crisis.
Background: Research supports development of informal, community-based suicide prevention interventions that can be tailored to suit men's unmet needs. The James' Place model (JPM) is a community-based, clinical suicide prevention intervention for men experiencing suicidal crisis. Evidence supports the efficacy of the JPM and there are plans to expand to additional sites across the UK. This study evaluates therapists perceived acceptability of the JPM, and if fidelity to the planned delivery of the model is maintained within therapeutic practice.
Method: A mixed-methods design was used. Descriptive analyses of 30 completed intervention cases were examined to review fidelity of the model against the intervention delivery plan. Eight therapists took part in semi-structured interviews between November 2021 and March 2022 exploring the perceived acceptability, and barriers and facilitators to delivering the JPM.
Results: Descriptive analyses of James' Place audit notes revealed high levels of adherence to the JPM amongst therapists, but highlighted components of the model needed to be tailored according to individual men's needs. Thematic analysis led to the development of five themes. The first theme, therapeutic environment highlighted importance of the therapy setting. The second theme identified was specialised suicide prevention training in the JPM that facilitated therapists understanding and expertise. The third theme identified was therapy engagement which discusses men's engagement in therapy. The fourth theme, person-centred care related to adaptation of delivery of JPM components. The final theme, adapting the JPM to individual needs describes tailoring of the JPM by therapists to be responsive to individual men's needs.
Conclusion: The findings evidence therapist's acceptability and their moderate adherence to the JPM. Flexibility in delivery of the JPM enables adaptation of the model and co-production of therapy to meet men's needs. Implications for clinical practice are discussed.
期刊介绍：
Health Psychology and Behavioral Medicine: an Open Access Journal (HPBM) publishes theoretical and empirical contributions on all aspects of research and practice into psychosocial, behavioral and biomedical aspects of health. HPBM publishes international, interdisciplinary research with diverse methodological approaches on: Assessment and diagnosis Narratives, experiences and discourses of health and illness Treatment processes and recovery Health cognitions and behaviors at population and individual levels Psychosocial an behavioral prevention interventions Psychosocial determinants and consequences of behavior Social and cultural contexts of health and illness, health disparities Health, illness and medicine Application of advanced information and communication technology.
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