Participant Observation as a Method for Evaluating a Mental Health Promotion Program with Older Persons

Tindale, Joseph

doi:10.1017/s0714980800007753

Cited by 2 publications

(2 citation statements)

References 5 publications

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“…The four research questions were: a Critical ethnography, involving participant observation, was the approach used in the study to examine the discharge decision-making process for elderly patients. Participant observation is an appropriate method when the aim is to explicate how things happen (Miles & Huberman, 1994;Sankar & Gubrium, 1994;Tindale, 1993). The critical part of the ethnography refers to an interest in going beyond mere description of a process to identifying its effects and to making sense of them in terms of the broader social and/or organizational context (Forester, 1993;Thomas, 1993).…”

Section: Review Of the Literaturementioning

confidence: 99%

A Critical Ethnography of the Process of Discharge Decision-Making for Elderly Patients

Wells

1997

Can. J. Aging

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A critical ethnography of the process of discharge decision-making for elderly patients was conducted to examine the nature of the process over the total course of patients' hospital stays. The focus was on describing the timing and conditions of decision-making, the related activities of professionals, professionals' perceptions of the process, and the effects of the process on those involved and on the hospital organization. Data analysis demonstrated that the process is not intricately linked with patients' clinical progress, that often inaccurate assumptions about the importance of patient-related clinical and social factors and organizational parameters underlie decisions, and that professionals' perceptions of the process are shaped by organizational imperatives. In the current process, resources are used inefficiently and humanitarian and ethical consequences arise for participants. The analysis supports attempts to achieve greater congruence between the discharge decision process and the patient's clinical progress so that the fiscal and humanitarian goals of the hospital can be achieved.

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Section: Review Of the Literaturementioning

confidence: 99%

A Critical Ethnography of the Process of Discharge Decision-Making for Elderly Patients

Wells

1997

Can. J. Aging

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“…Targeting high-risk populations for ill health is a common methodological practice in MHP. Thus, in old age for instance, involving changes in the individual's functional capacity, social participation and mental health, supportive interventions aiming at improving and sustaining mental well-being in older patients are highly recommended [ 9 ]. In overall high-risk populations such as people with restricted socioeconomic resources, those experiencing job loss and unemployment, migrants and refugees or other marginalized groups constitute groups in need of supportive MHP interventions [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Education in mental health promotion and its impact on the participants' attitudes and perceived mental health

et al. 2011

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BackgroundAlthough the promotion of mental health (MHP) through education and training is widely accepted, there is scarce evidence for its effectiveness in the literature from outcome studies worldwide. The present study aimed to assess the effect of a three-semester MHP educational program on the recipients' opinions towards mental illness and on their own self-assessed health.MethodsRespondents were 78 attendees who completed the assessment battery at the first (baseline) and the last session (end) of the training course. They were primary care physicians or other professionals, or key community agents, working in the greater Athens area. The course consisted of 44 sessions (4 h each), over a 3-semester period, focusing on the principles and methods of mental health promotion, the main aspects of major psychiatric disorders, and on relevant to health skills. Assessment instruments included the Opinion about Mental Illness (OMI) scale and the General Health Questionnaire (GHQ-28).ResultsThe mean scores of three OMI factors, that is, social discrimination, social restriction and social integration, and the two GHQ-28 subscales, that is, anxiety/insomnia and social dysfunction, were significantly improved by the end of the training course.ConclusionsThe results of this study provide evidence, with limitations, for the short-term effectiveness of the implemented educational MHP program on an adult group of recipients-key agents in their community. Because interventions for strengthening positive opinions about mental illness and enhancing self-assessed health constitute priority aims of mental health promotion, it would be beneficial to further investigate the sustainability of the observed positive changes. In addition it would be useful to examine (a) the possible interplay between the two outcome measures, that is, the effect of opinions of recipients about mental health on their perceived health, and (b) the applicability of this intervention in individuals with different sociodemographic profiles.

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Participant Observation as a Method for Evaluating a Mental Health Promotion Program with Older Persons

Cited by 2 publications

References 5 publications

A Critical Ethnography of the Process of Discharge Decision-Making for Elderly Patients

A Critical Ethnography of the Process of Discharge Decision-Making for Elderly Patients

Education in mental health promotion and its impact on the participants' attitudes and perceived mental health

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