Mediating engagement in a social network intervention for people living with a long‐term condition: A qualitative study of the role of facilitation.

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  • Additional Information
    • Affiliation:
      School of Health Sciences, University of Southampton, Southampton, UK
      NIHR CLAHRC Wessex, University of Southampton, Southampton, UK
    • Subject Terms:
    • Subject Terms:
    • Abstract:
      Background: Successful facilitation of patient‐centred interventions for self‐management support has traditionally focussed on individual behaviour change. A social network approach to self‐management support implicates the need for facilitation that includes an orientation to connecting to and mobilizing support and resources from other people and the local environment. Objective: To identify the facilitation processes through which engagement with a social network approach to self‐management is achieved. Method: Thematic analysis was used to analyse data from a longitudinal study design using quasi‐ethnographic methods comprising non‐participant observation, video and qualitative interviews involving 30 participants living with a long‐term condition recruited from a marginalized community. Results: Findings centred on three themes about the social network approach facilitation processes: reversing the focus on the self by bringing others into view; visualization and reflection as a mediator of positive disruption and linking to new connections; personalized matching of valued activities as a means of realizing preference elicitation. Discussion and conclusions: Engagement processes with a social network approach illuminated the relevance of cognizance of an individual's immediate social context and forefronting social participation with others as the bases of self‐management support of a long‐term condition. This differs from traditional guided facilitation of health behaviour interventions that frame health as a matter of personal choice and individual responsibility.
    • Journal Subset:
      Europe; Health Services Administration; Peer Reviewed; UK & Ireland
    • ISSN:
      1369-6513
    • MEDLINE Info:
      NLM UID: 9815926
    • Publication Date:
      20200701
    • Publication Date:
      20200701
    • DOI:
      http://dx.doi.org/10.1111/hex.13048
    • Accession Number:
      144279124
  • Citations
    • ABNT:
      JAMES, E. et al. Mediating engagement in a social network intervention for people living with a long‐term condition: A qualitative study of the role of facilitation. Health Expectations, [s. l.], v. 23, n. 3, p. 681–690, 2020. DOI 10.1111/hex.13048. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=144279124. Acesso em: 15 ago. 2020.
    • AMA:
      James E, Kennedy A, Vassilev I, Ellis J, Rogers A. Mediating engagement in a social network intervention for people living with a long‐term condition: A qualitative study of the role of facilitation. Health Expectations. 2020;23(3):681-690. doi:10.1111/hex.13048
    • APA:
      James, E., Kennedy, A., Vassilev, I., Ellis, J., & Rogers, A. (2020). Mediating engagement in a social network intervention for people living with a long‐term condition: A qualitative study of the role of facilitation. Health Expectations, 23(3), 681–690. https://doi.org/10.1111/hex.13048
    • Chicago/Turabian: Author-Date:
      James, Elizabeth, Anne Kennedy, Ivaylo Vassilev, Jaimie Ellis, and Anne Rogers. 2020. “Mediating Engagement in a Social Network Intervention for People Living with a Long‐term Condition: A Qualitative Study of the Role of Facilitation.” Health Expectations 23 (3): 681–90. doi:10.1111/hex.13048.
    • Harvard:
      James, E. et al. (2020) ‘Mediating engagement in a social network intervention for people living with a long‐term condition: A qualitative study of the role of facilitation’, Health Expectations, 23(3), pp. 681–690. doi: 10.1111/hex.13048.
    • Harvard: Australian:
      James, E, Kennedy, A, Vassilev, I, Ellis, J & Rogers, A 2020, ‘Mediating engagement in a social network intervention for people living with a long‐term condition: A qualitative study of the role of facilitation’, Health Expectations, vol. 23, no. 3, pp. 681–690, viewed 15 August 2020, .
    • MLA:
      James, Elizabeth, et al. “Mediating Engagement in a Social Network Intervention for People Living with a Long‐term Condition: A Qualitative Study of the Role of Facilitation.” Health Expectations, vol. 23, no. 3, June 2020, pp. 681–690. EBSCOhost, doi:10.1111/hex.13048.
    • Chicago/Turabian: Humanities:
      James, Elizabeth, Anne Kennedy, Ivaylo Vassilev, Jaimie Ellis, and Anne Rogers. “Mediating Engagement in a Social Network Intervention for People Living with a Long‐term Condition: A Qualitative Study of the Role of Facilitation.” Health Expectations 23, no. 3 (June 2020): 681–90. doi:10.1111/hex.13048.
    • Vancouver/ICMJE:
      James E, Kennedy A, Vassilev I, Ellis J, Rogers A. Mediating engagement in a social network intervention for people living with a long‐term condition: A qualitative study of the role of facilitation. Health Expectations [Internet]. 2020 Jun [cited 2020 Aug 15];23(3):681–90. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=144279124