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Identifying the processes of change and engagement from using a social network intervention for people with long-term conditions: a qualitative study

Identifying the processes of change and engagement from using a social network intervention for people with long-term conditions: a qualitative study
Identifying the processes of change and engagement from using a social network intervention for people with long-term conditions: a qualitative study
Background: personal and community networks are recognized as influencing and shaping self‐management activities and practices. An acceptable intervention which facilitates self‐management by mobilizing network support and improves network engagement has a positive impact on health and quality of life. This study aims to identify the processes through which such changes and engagement take place.

Methods: the study was conducted in the south of England in 2016‐2017 and adopted a longitudinal case study of networks design. Purposive sample of respondents with long‐term conditions (n = 15) was recruited from local groups. Barriers and facilitators to implementation were explored in interviews with key stakeholders (5).

Results: intervention engagement leads to a deepening of relationships within networks, adding new links and achieving personal objectives relevant for improving the health and well‐being of users and network members. Such changes are supported through two pathways: the mobilization of network capabilities and by acting as a nudge. The first is a gradual process where potentially relevant changes are further contemplated by forefronting immediate concerns and negotiating acceptable means for achieving change, prioritizing objective over subjective valuations of support provided by network members and rehearsing justifications for keeping the status quo or adopting change. The second pathway changes are enacted through the availability of a potential fit between individual, network and environmental conditions of readiness.

Conclusions: the two pathways of network mobilization identified in this study illuminate the individual, network and environmental level processes involved in moving from cognitive engagement with the intervention to adopting changes in existing practice.
1369-6513
Vassilev, Ivaylo
d76a5531-4ddc-4eb2-909b-a2a1068f05f3
Rogers, Anne
105eeebc-1899-4850-950e-385a51738eb7
Kennedy, Anne
e059c1c7-d6d0-41c8-95e1-95e5273b07f8
Oatley, Chad
50f195e2-c6d5-48fa-aabd-d6236cc2eafe
James, Elizabeth
b7e90b5a-da45-4459-ae84-150adc07e988
Vassilev, Ivaylo
d76a5531-4ddc-4eb2-909b-a2a1068f05f3
Rogers, Anne
105eeebc-1899-4850-950e-385a51738eb7
Kennedy, Anne
e059c1c7-d6d0-41c8-95e1-95e5273b07f8
Oatley, Chad
50f195e2-c6d5-48fa-aabd-d6236cc2eafe
James, Elizabeth
b7e90b5a-da45-4459-ae84-150adc07e988

Vassilev, Ivaylo, Rogers, Anne, Kennedy, Anne, Oatley, Chad and James, Elizabeth (2018) Identifying the processes of change and engagement from using a social network intervention for people with long-term conditions: a qualitative study. Health Expectations. (doi:10.1111/hex.12839).

Record type: Article

Abstract

Background: personal and community networks are recognized as influencing and shaping self‐management activities and practices. An acceptable intervention which facilitates self‐management by mobilizing network support and improves network engagement has a positive impact on health and quality of life. This study aims to identify the processes through which such changes and engagement take place.

Methods: the study was conducted in the south of England in 2016‐2017 and adopted a longitudinal case study of networks design. Purposive sample of respondents with long‐term conditions (n = 15) was recruited from local groups. Barriers and facilitators to implementation were explored in interviews with key stakeholders (5).

Results: intervention engagement leads to a deepening of relationships within networks, adding new links and achieving personal objectives relevant for improving the health and well‐being of users and network members. Such changes are supported through two pathways: the mobilization of network capabilities and by acting as a nudge. The first is a gradual process where potentially relevant changes are further contemplated by forefronting immediate concerns and negotiating acceptable means for achieving change, prioritizing objective over subjective valuations of support provided by network members and rehearsing justifications for keeping the status quo or adopting change. The second pathway changes are enacted through the availability of a potential fit between individual, network and environmental conditions of readiness.

Conclusions: the two pathways of network mobilization identified in this study illuminate the individual, network and environmental level processes involved in moving from cognitive engagement with the intervention to adopting changes in existing practice.

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Accepted/In Press date: 4 September 2018
e-pub ahead of print date: 14 October 2018
Published date: 15 October 2018

Identifiers

Local EPrints ID: 425362
URI: http://eprints.soton.ac.uk/id/eprint/425362
ISSN: 1369-6513
PURE UUID: 2dbbd223-0717-4ae0-ab2c-c0be45683e86
ORCID for Ivaylo Vassilev: ORCID iD orcid.org/0000-0002-2206-8247
ORCID for Anne Kennedy: ORCID iD orcid.org/0000-0003-4570-9104
ORCID for Elizabeth James: ORCID iD orcid.org/0000-0001-9355-0295

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Date deposited: 16 Oct 2018 16:30
Last modified: 30 Apr 2024 01:43

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Contributors

Author: Ivaylo Vassilev ORCID iD
Author: Anne Rogers
Author: Anne Kennedy ORCID iD
Author: Chad Oatley
Author: Elizabeth James ORCID iD

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