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

Bibliographic Data

ID19506552
AuthorsIvaylo Vassilev (0000-0002-2206-8247, NIHR CLAHRC Wessex University of Southampton Southampton UK, corresponding author), Anne Rogers (0000-0002-7231-790X, NIHR CLAHRC Wessex University of Southampton Southampton UK), Anne Kennedy (0000-0003-4570-9104, NIHR CLAHRC Wessex University of Southampton Southampton UK), Chad Oatley (0000-0002-1034-3694, School for Sport, Health and Social Sciences Solent University Southampton UK), Elizabeth James (0000-0001-9355-0295, NIHR CLAHRC Wessex University of Southampton Southampton UK)
Year2019
Volume22
Issue2
Pages173-182
Publication date2019-04-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueHealth Expectations (JOURNAL)
Journal identifiersISSN: 1369-6513 • E-ISSN: 1369-7625
PublisherWiley (PUBLISHER • GB)
DOI10.1111/hex.12839
PMID30318769
OpenAlexW2895986018
LanguageEN
Citations received5
References cited26

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

Community engagement · Negotiation · Personal network · Political science · Public relations · Social support · Sociology · Status quo · Applied Psychology · Chronic Disease Management Strategies · Computer Science · Health Policy Implementation Science · Mental Health and Patient Involvement · Psychology · Social Psychology

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