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  1. Article: Exploring the Methodological Benefits and Challenges of Utilising a Photovoice Methodology With Individuals in Recovery From Problem Substance Use.

    Smith, Emma / Carter, Melody / Walklet, Elaine / Hazell, Paul

    Qualitative health research

    2024  , Page(s) 10497323231217601

    Abstract: Photovoice is a type of visual research method which supports participants to reflect upon their experiences by capturing digital images. It is a methodology that is routinely used with groups that could be considered vulnerable, as a way of allowing ... ...

    Abstract Photovoice is a type of visual research method which supports participants to reflect upon their experiences by capturing digital images. It is a methodology that is routinely used with groups that could be considered vulnerable, as a way of allowing participants to tell their stories for themselves. This article details the process of conducting a Photovoice study with individuals in recovery from problem substance use and reflects on the methodological benefits and challenges of utilising a visual research methodology with this population. Researchers wishing to conduct a Photovoice study with individuals in recovery should be mindful of striking a delicate balance between respecting an individual's autonomy and ensuring their wellbeing. Although ethically complex, Photovoice is an ideal method for research with this population as it allows participants to convey meaning and introduce narratives for themselves in an engaging way.
    Language English
    Publishing date 2024-01-11
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1275716-0
    ISSN 1552-7557 ; 1049-7323
    ISSN (online) 1552-7557
    ISSN 1049-7323
    DOI 10.1177/10497323231217601
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    Zs.A 4632: Show issues Location:
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  2. Article ; Online: Investigating recovery from problem substance use using digital photovoice.

    Smith, Emma / Carter, Melody / Walklet, Elaine / Hazell, Paul

    Journal of community psychology

    2022  Volume 51, Issue 3, Page(s) 1378–1393

    Abstract: This study investigates the complex process of recovery from problem substance use using a visual research method known as 'Photovoice'. Seven service users from a harm reduction drug service were given digital cameras and asked to photograph 'people, ... ...

    Abstract This study investigates the complex process of recovery from problem substance use using a visual research method known as 'Photovoice'. Seven service users from a harm reduction drug service were given digital cameras and asked to photograph 'people, places, and things' meaningful to them in their recovery. These photographs were then used as a catalyst for discussion during two in-depth interviews. This study demonstrates the nuanced experiences of recovery as some participants expressed feeling isolated while others reflected upon their access to various forms of social capital. These findings recognise the link between social capital and recovery outcomes, while also reflecting upon how services might imbed the need for relationship quality within artificial recovery networks. The use of photographs is a novel way of providing voice to the lived experience of service users and adds to the discussion and debate concerning how recovery services may develop.
    MeSH term(s) Humans ; Substance-Related Disorders ; Harm Reduction
    Language English
    Publishing date 2022-10-28
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1491194-2
    ISSN 1520-6629 ; 0090-4392
    ISSN (online) 1520-6629
    ISSN 0090-4392
    DOI 10.1002/jcop.22957
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  3. Article ; Online: What are Photovoice studies?

    Smith, Emma / Carter, Melody / Walklet, Elaine / Hazell, Paul

    Evidence-based nursing

    2021  Volume 25, Issue 1, Page(s) 6–7

    MeSH term(s) Humans ; Photography ; Research Design
    Language English
    Publishing date 2021-12-13
    Publishing country England
    Document type Journal Article
    ZDB-ID 1425988-6
    ISSN 1468-9618 ; 1367-6539
    ISSN (online) 1468-9618
    ISSN 1367-6539
    DOI 10.1136/ebnurs-2021-103499
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  4. Article ; Online: Application of Health Psychology: Development of a Practitioner Training Intervention in Anaphylaxis.

    Walklet, Elaine / Mahoney, Béré / Bradley, Eleanor / OʼHickey, Steve

    The Journal of continuing education in the health professions

    2019  Volume 39, Issue 2, Page(s) 130–135

    Abstract: Adrenaline autoinjectors (AAIs) improve outcomes and reduce fatalities in patients with anaphylaxis, but many patients neither carry them nor know how to use them. Practitioner training in evidence-based strategies designed to increase patient adherence ... ...

    Abstract Adrenaline autoinjectors (AAIs) improve outcomes and reduce fatalities in patients with anaphylaxis, but many patients neither carry them nor know how to use them. Practitioner training in evidence-based strategies designed to increase patient adherence could improve the likelihood of AAI adherence and increase confidence among practitioners to initiate discussions about practical and perceptual barriers to AAI adherence. This article reports the development of a new practitioner training intervention, grounded in health psychology theory and evidence designed for practitioners in contact with patients with anaphylaxis to encourage adherence to AAIs. Potential implications for the design, implementation, and evaluation of future practitioner training in strategies they can use to encourage anaphylaxis patients' AAI adherence are discussed. Although designed for those working with anaphylaxis patients, this step-by-step process to encouraging adherence could be adapted for practitioners working with patients living with other long-term conditions.
    MeSH term(s) Anaphylaxis/drug therapy ; Anaphylaxis/physiopathology ; Epinephrine/therapeutic use ; Health Personnel/education ; Health Personnel/trends ; Humans ; Practice, Psychological ; Program Development/methods ; Sympathomimetics/therapeutic use
    Chemical Substances Sympathomimetics ; Epinephrine (YKH834O4BH)
    Language English
    Publishing date 2019-05-02
    Publishing country United States
    Document type Journal Article
    ZDB-ID 639445-0
    ISSN 1554-558X ; 0894-1912
    ISSN (online) 1554-558X
    ISSN 0894-1912
    DOI 10.1097/CEH.0000000000000254
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    Zs.B 2557: Show issues Location:
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  5. Article ; Online: Experiences of implant loss after immediate implant-based breast reconstruction: qualitative study.

    Mahoney, B / Walklet, E / Bradley, E / Thrush, S / Skillman, J / Whisker, L / Barnes, N / Holcombe, C / Potter, S

    BJS open

    2020  Volume 4, Issue 3, Page(s) 380–390

    Abstract: Background: Immediate implant-based breast reconstruction (IBBR) is the most commonly performed reconstructive procedure in the UK, but almost one in ten women experience implant loss and reconstructive failure after this technique. Little is known ... ...

    Abstract Background: Immediate implant-based breast reconstruction (IBBR) is the most commonly performed reconstructive procedure in the UK, but almost one in ten women experience implant loss and reconstructive failure after this technique. Little is known about how implant loss impacts on patients' quality of life. The first phase of the Loss of implant Breast Reconstruction (LiBRA) study aimed to use qualitative methods to explore women's experiences of implant loss and develop recommendations to improve care.
    Methods: Semistructured interviews were conducted with a purposive sample of women who experienced implant loss after immediate IBBR, performed for malignancy or risk reduction across six centres. Interviews explored decision-making regarding IBBR, and experiences of implant loss and support received. Thematic analysis was used to explore the qualitative interview data. Sampling, data collection and analysis were undertaken concurrently and iteratively until data saturation was achieved.
    Results: Twenty-four women were interviewed; 19 had surgery for malignancy and five for risk reduction. The median time between implant loss and interview was 42 (range 22-74) months. Ten women had undergone secondary reconstruction, two were awaiting surgery, and 12 had declined further reconstruction. Three key themes were identified: the need for accurate information about the risks and benefits of IBBR; the need for more information about 'early-warning' signs of postoperative problems, to empower women to seek help; and better support following implant loss.
    Conclusion: Implant loss is a devastating event for many women. Better preoperative information and support, along with holistic patient-centred care when complications occur, may significantly improve the experience and outcome of care.
    MeSH term(s) Adult ; Aged ; Breast Implantation/methods ; Breast Implants/adverse effects ; Breast Neoplasms/psychology ; Breast Neoplasms/surgery ; Female ; Humans ; Interviews as Topic ; Mammaplasty/adverse effects ; Mammaplasty/methods ; Middle Aged ; Postoperative Complications/etiology ; Prosthesis Failure ; Qualitative Research ; Quality of Life ; United Kingdom
    Language English
    Publishing date 2020-03-17
    Publishing country England
    Document type Journal Article ; Multicenter Study ; Research Support, Non-U.S. Gov't
    ISSN 2474-9842
    ISSN (online) 2474-9842
    DOI 10.1002/bjs5.50275
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Improving adrenaline autoinjector adherence: A psychologically informed training for healthcare professionals.

    Mahoney, Béré / Walklet, Elaine / Bradley, Eleanor / O'Hickey, Steve

    Immunity, inflammation and disease

    2019  Volume 7, Issue 3, Page(s) 214–228

    Abstract: Background: Clinicians draw on instructional approaches when training patients with anaphylaxis to use adrenaline autoinjectors, but patient use is poor. Psychological barriers to these behaviours exist but are not considered routinely when training ... ...

    Abstract Background: Clinicians draw on instructional approaches when training patients with anaphylaxis to use adrenaline autoinjectors, but patient use is poor. Psychological barriers to these behaviours exist but are not considered routinely when training patients to use autoinjectors. Health Psychology principles suggest exploring these factors with patients could improve their autoinjector use.
    Objective: To evaluate the impact of a 90-minute workshop training clinicians in strategies and techniques for exploring and responding to psychological barriers to autoinjector use with patients. Attendees' knowledge, confidence and likelihood of using the strategies were expected to improve.
    Methods: Impact was evaluated using a longitudinal mixed-method design. Twenty-nine clinicians (general and specialist nurses, general practitioners, and pharmacists) supporting patients with anaphylaxis in UK hospitals and general practice attended. Self-rated knowledge, confidence, and likelihood of using the strategies taught were evaluated online 1 week before, 1 to 3, and 6 to 8 weeks after the workshop. Clinicians were invited for telephone interview after attending to explore qualitatively the workshop impact.
    Results: χ
    Conclusion: Training clinicians in psychologically informed strategies produce sustained improvements in their confidence and knowledge around patient autoinjector education, and their likelihood of using strategies in clinical practice.
    Clinical relevance: Exploring psychological barriers should be part of training patients with anaphylaxis in autoinjector use.
    MeSH term(s) Adult ; Anaphylaxis/drug therapy ; Anaphylaxis/prevention & control ; Education, Medical/methods ; Education, Medical/statistics & numerical data ; Epinephrine/administration & dosage ; Female ; General Practitioners/psychology ; General Practitioners/statistics & numerical data ; Health Personnel/psychology ; Health Personnel/statistics & numerical data ; Humans ; Male ; Middle Aged ; Nurse Clinicians/psychology ; Nurse Clinicians/statistics & numerical data ; Pharmacists/psychology ; Pharmacists/statistics & numerical data ; Physicians/psychology ; Physicians/statistics & numerical data ; Self Administration/methods ; Self Administration/statistics & numerical data ; Surveys and Questionnaires ; Vasoconstrictor Agents/administration & dosage
    Chemical Substances Vasoconstrictor Agents ; Epinephrine (YKH834O4BH)
    Language English
    Publishing date 2019-07-09
    Publishing country England
    Document type Journal Article
    ZDB-ID 2740382-8
    ISSN 2050-4527 ; 2050-4527
    ISSN (online) 2050-4527
    ISSN 2050-4527
    DOI 10.1002/iid3.264
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  7. Article ; Online: Pain during cardiac implantable electronic device implantation.

    Wilson, David G / Brewster, Nicki / Taylor, Robin J / Trevelyan, Amelia / Apostolakis, Michail / Goyal, Deepak / Foster, Will / Walklet, Elaine / Bradley, Eleanor

    The British journal of cardiology

    2021  Volume 28, Issue 4, Page(s) 43

    Abstract: In order to evaluate the extent and causes of pain during cardiac implantable electronic device (CIED) implantation in our hospital, a prospective audit over a 23-month period using a patient selfreporting questionnaire was undertaken. In total, 599 ... ...

    Abstract In order to evaluate the extent and causes of pain during cardiac implantable electronic device (CIED) implantation in our hospital, a prospective audit over a 23-month period using a patient selfreporting questionnaire was undertaken. In total, 599 procedures were reported, 52.9% for
    Language English
    Publishing date 2021-10-13
    Publishing country England
    Document type Journal Article
    ZDB-ID 1354589-9
    ISSN 1753-4313 ; 0969-6113
    ISSN (online) 1753-4313
    ISSN 0969-6113
    DOI 10.5837/bjc.2021.043
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    Zs.A 4578: Show issues Location:
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  8. Article: Do Psychosocial Interventions Improve Quality of Life and Wellbeing in Adults with Neuromuscular Disorders? A Systematic Review and Narrative Synthesis.

    Walklet, Elaine / Muse, Kate / Meyrick, Jane / Moss, Tim

    Journal of neuromuscular diseases

    2016  Volume 3, Issue 3, Page(s) 347–362

    Abstract: Quality of life and well-being are frequently restricted in adults with neuromuscular disorders. As such, identification of appropriate interventions is imperative. The objective of this paper was to systematically review and critically appraise ... ...

    Abstract Quality of life and well-being are frequently restricted in adults with neuromuscular disorders. As such, identification of appropriate interventions is imperative. The objective of this paper was to systematically review and critically appraise quantitative studies (RCTs, controlled trials and cohort studies) of psychosocial interventions designed to improve quality of life and well-being in adults with neuromuscular disorders. A systematic review of the published and unpublished literature was conducted. Studies meeting inclusion criteria were appraised using a validated quality assessment tool and results presented in a narrative synthesis. Out of 3,136 studies identified, ten studies met criteria for inclusion within the review. Included studies comprised a range of interventions including: cognitive behavioural therapy, dignity therapy, hypnosis, expressive disclosure, gratitude lists, group psychoeducation and psychologically informed rehabilitation. Five of the interventions were for patients with Amyotrophic Lateral Sclerosis (ALS). The remainder were for patients with post-polio syndrome, muscular dystrophies and mixed disorders, such as Charcot-Marie-Tooth disease, myasthenia gravis and myotonic dystrophy. Across varied interventions and neuromuscular disorders, seven studies reported a short-term beneficial effect of intervention on quality of life and well-being. Whilst such findings are encouraging, widespread issues with the methodological quality of these studies significantly compromised the results. There is no strong evidence that psychosocial interventions improve quality of life and well-being in adults with neuromuscular disorders, due to a paucity of high quality research in this field. Multi-site, randomised controlled trials with active controls, standardised outcome measurement and longer term follow-ups are urgently required.
    MeSH term(s) Amyotrophic Lateral Sclerosis/psychology ; Amyotrophic Lateral Sclerosis/rehabilitation ; Charcot-Marie-Tooth Disease/psychology ; Charcot-Marie-Tooth Disease/rehabilitation ; Cognitive Behavioral Therapy ; Disclosure ; Humans ; Hypnosis ; Mental Health ; Muscular Dystrophies/psychology ; Muscular Dystrophies/rehabilitation ; Myasthenia Gravis/psychology ; Myasthenia Gravis/rehabilitation ; Myotonic Dystrophy/psychology ; Myotonic Dystrophy/rehabilitation ; Neuromuscular Diseases/psychology ; Neuromuscular Diseases/rehabilitation ; Patient Education as Topic ; Postpoliomyelitis Syndrome/psychology ; Postpoliomyelitis Syndrome/rehabilitation ; Quality of Life
    Language English
    Publishing date 2016-11-17
    Publishing country Netherlands
    Document type Journal Article ; Review ; Systematic Review
    ISSN 2214-3599
    ISSN 2214-3599
    DOI 10.3233/JND-160155
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  9. Article ; Online: 'Because it kind of falls in between, doesn't it? Like an acute thing and a chronic': The psychological experience of anaphylaxis in adulthood.

    Walklet, Elaine / Taylor, Charlotte / Bradley, Eleanor / Mahoney, Berenice / Scurlock-Evans, Laura / O'Hickey, Steve

    Journal of health psychology

    2016  Volume 23, Issue 12, Page(s) 1579–1589

    Abstract: Anaphylaxis is a serious, rare condition increasing in prevalence. This study explored the psychological experience of adult-onset anaphylaxis from patient, family and staff perspectives. Semi-structured interviews were conducted with 12 participants. ... ...

    Abstract Anaphylaxis is a serious, rare condition increasing in prevalence. This study explored the psychological experience of adult-onset anaphylaxis from patient, family and staff perspectives. Semi-structured interviews were conducted with 12 participants. Two global themes emerged from thematic analysis: 'controllability' ('an unknown and distressing experience', 'the importance of control over triggers' and 'responsibility but no control: the impact on others') and 'conflict' ('rejecting illness identity', 'minimisation of risk', 'accessing specialist care: running in slow motion' and 'patient-centred versus service-centred care'). Findings highlight the importance of perceived control and emphasise the presence of conflict in the experience of this complex, episodic condition.
    MeSH term(s) Acute Disease ; Adult ; Aged ; Anaphylaxis/psychology ; Chronic Disease ; Female ; Humans ; Interviews as Topic ; Male ; Middle Aged ; Qualitative Research
    Language English
    Publishing date 2016-08-23
    Publishing country England
    Document type Journal Article
    ZDB-ID 2021897-7
    ISSN 1461-7277 ; 1359-1053
    ISSN (online) 1461-7277
    ISSN 1359-1053
    DOI 10.1177/1359105316664130
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  10. Article ; Online: Effects of written emotional disclosure on implicit self-esteem and body image.

    O'Connor, Daryl B / Hurling, Robert / Hendrickx, Hilde / Osborne, Gabrielle / Hall, Josephine / Walklet, Elaine / Whaley, Ann / Wood, Helen

    British journal of health psychology

    2011  Volume 16, Issue 3, Page(s) 488–501

    Abstract: Objectives: Negative body image has a significant impact on self-esteem, disordered eating, and general health. Writing about distressing events and experiences has been found to have beneficial effects on psychological and physical health outcomes. ... ...

    Abstract Objectives: Negative body image has a significant impact on self-esteem, disordered eating, and general health. Writing about distressing events and experiences has been found to have beneficial effects on psychological and physical health outcomes. This study investigated whether a written self-disclosure intervention, compared to a writing about body image success stories (WSS) intervention, had beneficial effects on self-esteem and body image.
    Design and methods: One hundred and fifty-eight women (aged 18-22 years) were allocated to either: written emotional disclosure (WED); WSS; or a control, non-emotional writing condition. All measures were completed at baseline and at follow-up 4 weeks later.
    Results: A condition by time interaction was observed for implicit self-esteem, such that levels of self-esteem were improved 4 weeks later in the WED condition. Implicit self-esteem was also found to be greater following WED compared to the control condition, but not following WSS.
    Conclusions: This is the first study to demonstrate that WED has beneficial effects on implicit outcome measures such as self-esteem indicating that the positive effects of expressive writing may initially operate by influencing automatically activated attitudes towards the self. The impact of WED on implicit self-esteem may have implications for future health.
    MeSH term(s) Adolescent ; Body Image ; Depression ; Emotions ; Female ; Humans ; Self Concept ; Surveys and Questionnaires ; Truth Disclosure ; United Kingdom ; Young Adult
    Language English
    Publishing date 2011-09
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2026500-1
    ISSN 2044-8287 ; 1359-107X
    ISSN (online) 2044-8287
    ISSN 1359-107X
    DOI 10.1348/135910710X523210
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