Including Prisoners in Research Design
Codevelopment of a Practical Guidance Toolkit to Support Intervention Delivery to Address the Physical and Mental Health of Older Prisoners (Pamhop) Study
Dados Bibliográficos
INTRODUCTION: Over the last decade, the number of older people in custody with common mental and physical health problems has increased. Little is known about the effectiveness of interventions targeting this age group. OBJECTIVE: To codevelop a practical guidance toolkit(s) to support the delivery of interventions to benefit the common mental and physical health of older people in custody. METHODS: Twelve 3-h workshops between March and April 2023 were conducted with 26 participants at two prison sites in the North of England. The six workshops in each site consisted of research-based activities and interlinked taster sessions. The research data were collected by the research team to identify the causal links between common mental and physical health problems; activity preferences; the feasibility, acceptability and sustainability of delivering the activities and engagement barriers, which formed a bespoke questionnaire. The taster sessions (drugs and alcohol for males, chair yoga for females, books and crafting, and a historical session for both males and females) were delivered by the research team and prison staff. Feedback from the workshop participants was documented using an adapted questionnaire to record the experiences of those taking part. A micro-costing framework was used to estimate the cost. RESULTS: Similar common mental and physical health factors were listed by males and females. Symptoms of common mental health problems were improved by engaging with others of the same age, conducting activities outside and a consistent prison regime. Activity preferences (e.g., creative activities) were underpinned by a sense of purpose, learning new things, gaining and sharing skills. Engagement was supported by building good relationships and offering guidance through peer support, with activities led by staff of a similar age. Activities were more likely to be deemed feasible, acceptable and sustainable when aligned with the prison strategy and in conjunction with the regime. The average cost per participant for the intervention delivery was higher for males than females (£157 vs. £89). CONCLUSION: Older people in custody report high levels of mental and physical health problems. Engagement with people in custody helps to support the development of interventions maximising possible health benefits. Further research is required to develop an evidence-base for this group of people in custody. PATIENT OR PUBLIC CONTRIBUTION: People in custody were involved in the design and implementation of the workshops. The Project Advisory Group advised us on our research methodology and evaluated the feasibility, acceptability and sustainability of the activities using a questionnaire; they also provided practical advice about the project delivery
Mental health · Psychiatry · Psychotherapist · Applied Psychology · Child Abuse and Trauma · Criminal Justice and Corrections Analysis · Psychology · Psychopathy, Forensic Psychiatry, Sexual Offending
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Adapting interventions to new contexts—the Adapt guidance
Making sense of implementation theories, models and frameworks
The health of prisoners
The Person-Based Approach to Intervention Development
Guidance on how to develop complex interventions to improve health and healthcare
Experience-based design
A meta-analysis of predictors of offender treatment attrition and its relationship to recidivism.
Better reporting of interventions
A Brief Measure for Assessing Generalized Anxiety Disorder
The PHQ-9
Developing and evaluating complex interventions
Utilising survey data and qualitative information to inform a logic model to support older people in custody with common mental and physical health problems
Patient and public involvement (PPI) in prisons
‘Taking time’
Doing Criminological Research
Improving the quality of prison research
Empowering people to help speak up about safety in primary care
New and Emerging Challenges to Heritage and Well-Being
What theory, for whom and in which context? Reflections on the application of theory in the development and evaluation of complex population health interventions
Strategies to Optimize the Use of Compassionate Release From US Prisons
Involving incarcerated individuals in the research process
Research on the 'Inside
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