Use of Photovoice to Understand the Experience of Taking Psychotropic Medications.

Previous work has reported that medication experience may affect medication-related problems, adherence, and quality of life. The purpose of this study was to explore medication experience of individuals taking psychotropic medication from the patient perspective using photovoice methodology. Nineteen participants were given a camera and were asked to photograph their medication experience. Individual and focus group sessions were held for photo reflection and discussion. Transcript data were analyzed to arrive at a model of medication experience. Specific medication experiences, including recognizing medication's benefits, occurrence of side effects, developing medication-taking routine, feeling burden from medications, and benefiting from nonmedication therapies, influenced medication acceptance, but in varying ways. Participants wanted their providers to understand their medication experience. Health care providers should consider exploring medication experience of patients with mental illness. Additional research is needed to evaluate whether exploring patients' medication experience in the clinical setting can improve patient-centered health care outcomes.

Self-stigma of antidepressant users through secondary analysis of PhotoVoice data.

INTRODUCTION: Aspects of self-stigma and medication-related stigma among individuals with depressive disorders remain largely unexplored. The primary objective of this study is to highlight and characterize self-stigma and medication-related stigma experiences of antidepressant users. METHODS: This is a secondary analysis of data obtained from PhotoVoice studies examining psychotropic medication experiences. Transcripts of reflections from 12 individuals self-reporting a depressive disorder diagnosis and receipt of a prescription for an antidepressant were included. A directed content analysis approach based on expansion of the Self-Stigma of Depression Scale and an iterative process of identification of medication-stigma and stigma-resistance were used. Total mentions of self-stigma, stigma resistance, medication stigma, and underlying themes were tallied and evaluated. RESULTS: Self-stigma was mentioned a total of 100 times with at least 2 mentions per participant. Self-blame was the most prominent construct of self-stigma and was mentioned nearly twice as often as any other self-stigma construct. Most participants also made mentions of self-stigma resistance. Half of the individual participants mentioned stigma resistance more times than they mentioned self-stigma, which suggests some surmounting of self-stigma. Medication-related stigma was also prominent, denoting negativity about the presence of medications in one's life. DISCUSSION: Self-stigma related to self-blame may be problematic for antidepressant users. Identification and measurement of stigma resistance, especially in peer interactions, may represent a promising concept in overcoming self-stigma. Future work should explore emphasizing self-blame aspects when designing interventions to reduce self-stigma among individuals with depressive disorders and explore development of tools to measure stigma resistance.

Exploration of Learning during an International Health Elective Using Photovoice Methodology.

Based on surveys and structured interviews, International Health Experiences (IHEs) improve cultural sensitivity, communication, and self-confidence among health professions students. However, open-ended methods to explore student learning during an IHE are not widely utilized. We sought to explore pharmacy student-identified learning during an IHE in an open-ended fashion using Photovoice methodology. Pharmacy students on an IHE in Guatemala were given disposable cameras and asked to photograph images that reflected their learning. Through the application of Photovoice methodology students captured, reflected upon, and presented photos to describe the learning they experienced. Themes were drawn from the reflective and focus group data collected. During three IHEs, six students captured seventy-seven photos. Four main learning themes emerged: culture/cultural competence, professional growth, shifting of attitudes, and meaningful/emotional experiences. Pharmacy students documented learning in expected (cultural competence, professional growth) and unexpected (emotional experiences) domains during an IHE. Photovoice may be an effective methodology for the exploration of learning, allowing students to capture their own learning including and beyond what is expected by their instructors.

Using Photovoice to explore patients' experiences with mental health medication: A pilot study.

INTRODUCTION: The objective of this research is to explore and share the medication experience of those with a mental illness in order to gain understanding of the patient's medication perceptions as well as the impact of medication upon patients' lives. METHODS: Patients with a mental disorder were given cameras and asked to capture the experience of "living with my medication." Using Photovoice methodology, participants reflected on their photos individually and in focus groups. Conceptual themes were drawn from the data. RESULTS: Five participants captured an average of 14 photos each. Self-efficacy with mental illness, mental and physical health connections, and education were the 3 most prominent themes. Aspects of medications were interwoven within these themes but were not the primary focus of the participants. DISCUSSION: Medication experiences of patients with mental illness may encompass much more than the medications themselves.

Development and Examination of a Family Triadic Measure to Examine Quality of Life Family Congruence in Nursing Home Residents and Two Family Members.

Objective: The overall purpose of this study was to propose and test a conceptual model and apply family analyses methods to understand quality of life family congruence in the nursing home setting. Method: Secondary data for this study were from a larger study, titled Measurement, Indicators and Improvement of the Quality of Life (QOL) in Nursing Homes. Research literature, family systems theory and human ecological assumptions, fostered the conceptual model empirically testing quality of life family congruence. Results: The study results supported a model examining nursing home residents and two family members on quality of life family congruence. Specifically, family intergenerational dynamic factors, resident personal and social-psychological factors, and nursing home family input factors were examined to identify differences in quality of life family congruence among triad families. Discussion: Formal family involvement and resident cognitive functioning were found as the two most influential factors to quality of life family congruence (QOLFC).

Perceptions of Successful Aging: Intergenerational Voices Value Well-Being.

This study explored the perceptions of successful aging from intergenerational perspectives. A total of 66 participants were interviewed from three different generations including college students, parents, and grandparents. After qualitative data collection and analyses were used, five conceptual categories emerged from the data that related to perceptions of successful aging. The five concepts include wisdom, health, financial stability, staying active, and well-being. Conceptual categories emerged from the participants of different generations, and some were interconnected across generations. Each category is representative of major thematic patterns. Well-being was the primary concept which emerged because all three generations perceived and explicitly discussed well-being as the most valued aspect of successful aging. Previous successful aging research informed the use of a bio-psycho-social theoretical lens to frame the study findings and discussion.

Meeting the challenge of continuing education with eLearning.

For many of us, the concept of "e" anything invokes a sense of skepticism and even dread. However, the Web and all it has to offer is certainly an integral part of modern life and, once reconciled, offers great opportunities for commerce and knowledge building. One particular area of promise is that of online learning or "eLearning" as it is referred to in the literature. Particularly for sonographers and technologists, the ability to travel to seminars and conferences on hospital budgets and time is a distant memory. Conversely, the pressure to stay current with CE requirements is greater than ever. With the growing phenomena of accreditation and the use of that as standard for quality care, these staff members are under more pressure than ever to maintain their certification. There is also the issue of accountability. What is being done to track employee training and assist in on-going development? How do we know that the program was appropriate for that particular employee and that an adequate ROI was achieved from a learning perspective? With eLearning, the opportunity to track the employee's progress, scores and areas of interest are possible. This can assist the administrator in "managing" the learning within the group and taking an active role in the development of the staff. The ultimate eLearning experience provides the right content at the right time. It motivates people to learn and apply their knowledge and skills to improve their individual and organizational performance. This is achieved by providing learners with easy and immediate access to the content. The design elements of the site should include a friendly format that facilitates easy navigation through the content. Other helpful features are: book-marking that allows the student to return to the last page studied, interactivity, visualization technologies, and feedback throughout the learning experience. The opportunities for the utilization of eLearning in the global medical community are remarkable. eLearning facilitates learning at anytime and anywhere. It reduces the obstacles of time and distance, providing greater equality of opportunity.