Final published version
Licence: CC BY: Creative Commons Attribution 4.0 International License
Research output: Contribution to Journal/Magazine › Journal article › peer-review
Research output: Contribution to Journal/Magazine › Journal article › peer-review
}
TY - JOUR
T1 - Designing a Library of Lived Experience for Mental Health
T2 - integrated realist synthesis and experience-based co-design study in UK mental health services
AU - Marshall, Paul
AU - Barbrook, John
AU - Collins, Grace
AU - Foster, Sheena
AU - Glossop, Zoe
AU - Inkster, Clare
AU - Jebb, Paul
AU - Johnston, Rose
AU - Jones, Steven H
AU - Khan, Hameed
AU - Lodge, Christopher
AU - Machin, Karen
AU - Michalak, Erin
AU - Powell, Sarah
AU - Russell, Samantha
AU - Rycroft-Malone, Jo
AU - Slade, Mike
AU - Whittaker, Lesley
AU - Lobban, Fiona
PY - 2024/1/31
Y1 - 2024/1/31
N2 - OBJECTIVE: Living Library events involve people being trained as living 'Books', who then discuss aspects of their personal experiences in direct conversation with attendees, referred to as 'Readers'. This study sought to generate a realist programme theory and a theory-informed implementation guide for a Library of Lived Experience for Mental Health (LoLEM).DESIGN: Integrated realist synthesis and experience-based co-design.SETTING: Ten online workshops with participants based in the North of England.PARTICIPANTS: Thirty-one participants with a combination of personal experience of using mental health services, caring for someone with mental health difficulties and/or working in mental health support roles.RESULTS: Database searches identified 30 published and grey literature evidence sources which were integrated with data from 10 online co-design workshops conducted over 12 months. The analysis generated a programme theory comprising five context-mechanism-outcome (CMO) configurations. Findings highlight how establishing psychological safety is foundational to productive Living Library events (CMO 1). For Readers, direct conversations humanise others' experiences (CMO 2) and provide the opportunity to flexibly explore new ways of living (CMO 3). Through participation in a Living Library, Books may experience personal empowerment (CMO 4), while the process of self-authoring and co-editing their story (CMO 5) can contribute to personal development. This programme theory informed the co-design of an implementation guide highlighting the importance of tailoring event design and participant support to the contexts in which LoLEM events are held.CONCLUSIONS: The LoLEM has appeal across stakeholder groups and can be applied flexibly in a range of mental health-related settings. Implementation and evaluation are required to better understand the positive and negative impacts on Books and Readers.TRIAL REGISTRATION NUMBER: PROSPERO CRD42022312789.
AB - OBJECTIVE: Living Library events involve people being trained as living 'Books', who then discuss aspects of their personal experiences in direct conversation with attendees, referred to as 'Readers'. This study sought to generate a realist programme theory and a theory-informed implementation guide for a Library of Lived Experience for Mental Health (LoLEM).DESIGN: Integrated realist synthesis and experience-based co-design.SETTING: Ten online workshops with participants based in the North of England.PARTICIPANTS: Thirty-one participants with a combination of personal experience of using mental health services, caring for someone with mental health difficulties and/or working in mental health support roles.RESULTS: Database searches identified 30 published and grey literature evidence sources which were integrated with data from 10 online co-design workshops conducted over 12 months. The analysis generated a programme theory comprising five context-mechanism-outcome (CMO) configurations. Findings highlight how establishing psychological safety is foundational to productive Living Library events (CMO 1). For Readers, direct conversations humanise others' experiences (CMO 2) and provide the opportunity to flexibly explore new ways of living (CMO 3). Through participation in a Living Library, Books may experience personal empowerment (CMO 4), while the process of self-authoring and co-editing their story (CMO 5) can contribute to personal development. This programme theory informed the co-design of an implementation guide highlighting the importance of tailoring event design and participant support to the contexts in which LoLEM events are held.CONCLUSIONS: The LoLEM has appeal across stakeholder groups and can be applied flexibly in a range of mental health-related settings. Implementation and evaluation are required to better understand the positive and negative impacts on Books and Readers.TRIAL REGISTRATION NUMBER: PROSPERO CRD42022312789.
U2 - 10.1136/bmjopen-2023-081188
DO - 10.1136/bmjopen-2023-081188
M3 - Journal article
C2 - 38296304
VL - 14
JO - BMJ Open
JF - BMJ Open
SN - 2044-6055
IS - 1
M1 - e081188
ER -