Improving Peer Online Forums (iPOF): protocol for a realist evaluation of peer online mental health forums to inform practice and policy.

HEALTH ECONOMICS MENTAL HEALTH Patient Participation QUALITATIVE RESEARCH

Journal

BMJ open
ISSN: 2044-6055
Titre abrégé: BMJ Open
Pays: England
ID NLM: 101552874

Informations de publication

Date de publication:
30 07 2023
Historique:
medline: 1 8 2023
pubmed: 31 7 2023
entrez: 30 7 2023
Statut: epublish

Résumé

Peer online mental health forums are commonly used and offer accessible support. Positive and negative impacts have been reported by forum members and moderators, but it is unclear why these impacts occur, for whom and in which forums. This multiple method realist study explores underlying mechanisms to understand how forums work for different people. The findings will inform codesign of best practice guidance and policy tools to enhance the uptake and effectiveness of peer online mental health forums. In workstream 1, we will conduct a realist synthesis, based on existing literature and interviews with approximately 20 stakeholders, to generate initial programme theories about the impacts of forums on members and moderators and mechanisms driving these. Initial theories that are relevant for forum design and implementation will be prioritised for testing in workstream 2.Workstream 2 is a multiple case study design with mixed methods with several online mental health forums differing in contextual features. Quantitative surveys of forum members, qualitative interviews and Corpus-based Discourse Analysis and Natural Language Processing of forum posts will be used to test and refine programme theories. Final programme theories will be developed through novel triangulation of the data.Workstream 3 will run alongside workstreams 1 and 2. Key stakeholders from participating forums, including members and moderators, will be recruited to a Codesign group. They will inform the study design and materials, refine and prioritise theories, and codesign best policy and practice guidance. Ethical approval was granted by Solihull Research Ethics Committee (IRAS 314029). Findings will be reported in accordance with RAMESES (Realist And MEta-narrative Evidence Syntheses: Evolving Standards) guidelines, published as open access and shared widely, along with codesigned tools. ISRCTN 62469166; the protocol for the realist synthesis in workstream one is prospectively registered at PROSPERO CRD42022352528.

Identifiants

pubmed: 37518092
pii: bmjopen-2023-075142
doi: 10.1136/bmjopen-2023-075142
pmc: PMC10387651
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

e075142

Informations de copyright

© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY. Published by BMJ.

Déclaration de conflit d'intérêts

Competing interests: None declared.

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Auteurs

Fiona Lobban (F)

Spectrum Centre, Division of Health Research, Lancaster University, Lancaster, UK f.lobban@lancaster.ac.uk.

Matthew Coole (M)

School of Computing and Communications, Lancaster University, Lancaster, UK.

Emma Donaldson (E)

Berkshire Healthcare NHS Foundation Trust, Berkshire, UK.

Zoe Glossop (Z)

Spectrum Centre, Division of Health Research, Lancaster University, Lancaster, UK.

Jade Haines (J)

Berkshire Healthcare NHS Foundation Trust, Berkshire, UK.

Rose Johnston (R)

Spectrum Centre, Division of Health Research, Lancaster University, Lancaster, UK.

Steven H Jones (SH)

Spectrum Centre, Division of Health Research, Lancaster University, Lancaster, UK.

Christopher Lodge (C)

Spectrum Centre, Division of Health Research, Lancaster University, Lancaster, UK.

Karen Machin (K)

Spectrum Centre, Division of Health Research, Lancaster University, Lancaster, UK.

Paul Marshall (P)

Spectrum Centre, Division of Health Research, Lancaster University, Lancaster, UK.

Rachel Meacock (R)

Division of Population Health, Health Services Research & Primary Care, University of Manchester, Manchester, UK.

Kate Penhaligon (K)

Berkshire Healthcare NHS Foundation Trust, Berkshire, UK.

Tamara Rakić (T)

Spectrum Centre, Division of Health Research, Lancaster University, Lancaster, UK.

Mat Rawsthorne (M)

Behavioural Data Science, Virtual Health Labs Ltd, Nottingham, UK.

Paul Rayson (P)

School of Computing and Communications, Lancaster University, Lancaster, UK.

Heather Robinson (H)

Spectrum Centre, Division of Health Research, Lancaster University, Lancaster, UK.

Jo Rycroft-Malone (J)

Faculty of Health and Medicine, Lancaster University, Lancaster, UK.

Elena Semino (E)

Linguistics and English Language, Lancaster University, Lancaster, UK.

Nick Shryane (N)

Social Statistics, University of Manchester, Manchester, UK.

Sara Wise (S)

Berkshire Healthcare NHS Foundation Trust, Berkshire, UK.

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Classifications MeSH