Developing a whole-school mental health and wellbeing intervention through pragmatic formative process evaluation: A case-study of innovative local practice within the School Health Research Network
Journal article
Gobat, Nina, Littlecot, Hannah, Williams, Andy, McEwan, Kirsten, Stanton, Helen, Robling, Michael, Rollnick, Stephen, Murphy, Simon and Evans, Rhiannon 2021. Developing a whole-school mental health and wellbeing intervention through pragmatic formative process evaluation: A case-study of innovative local practice within the School Health Research Network. BMC Public Health. https://doi.org/10.1186/s12889-020-10124-6
| Authors | Gobat, Nina, Littlecot, Hannah, Williams, Andy, McEwan, Kirsten, Stanton, Helen, Robling, Michael, Rollnick, Stephen, Murphy, Simon and Evans, Rhiannon |
|---|---|
| Abstract | The evidence-base for whole school approaches aimed at improving student mental health and wellbeing remains limited. This may be due to a focus on developing and evaluating de-novo, research led interventions, while neglecting the potential of local, contextually-relevant innovation that has demonstrated acceptability and feasibility. This study reports a novel approach to modelling and refining the theory of a whole-school restorative approach, alongside plans to scale up through a national educational infrastructure in order to support robust scientific evaluation. A pragmatic formative process evaluation was conducted of a routinized whole-school restorative approach aimed at improving student mental health and wellbeing in Wales. The study reports seven phases of the pragmatic formative process evaluation that may be undertaken in the development and evaluation of interventions already in routine practice: 1) identification of innovative local practice; 2) scoping review of evidence-base to identify existing intervention programme theory; outcomes; and contextual characteristics that influence programme theory and implementation; 3) establishment of a Transdisciplinary Action Research (TDAR) group; 4) co-production of an initial intervention logic model with stakeholders; 5) confirmation of logic model with stakeholders; 6) planning for intervention refinement; and 7) planning for feasibility and outcome evaluation. The phases of this model may be iterative and not necessarily sequential. Formative, pragmatic process evaluations support researchers, policy-makers and practitioners in developing a robust scientific evidence-base for acceptable and feasible local innovation that does not have a clear evidence base. The case of a whole-school restorative approach provides a case example of how such an evaluation may be undertaken. |
| Keywords | Process evaluation; Intervention development; Restorative approach |
| Year | 2021 |
| Journal | BMC Public Health |
| Publisher | BMC |
| ISSN | 1471-2458 |
| Digital Object Identifier (DOI) | https://doi.org/10.1186/s12889-020-10124-6 |
| Web address (URL) | http://hdl.handle.net/10545/625548 |
| hdl:10545/625548 | |
| Publication dates | 18 Jan 2021 |
| Publication process dates | |
| Deposited | 22 Jan 2021, 11:37 |
| Accepted | 23 Dec 2020 |
| Contributors | University of Oxford, Cardiff University and University of Derby |
| File | File Access Level Open |
| File | File Access Level Open |
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Ludd-Widger, Fiona V., Cannings-John, Rebecca, Channon, Sue, Fitzsimmons, Deborah, Hood, Kerenza, Jones, Kerina H., Kemp, Alison, Kenkre, Joyce, Longo, Mirella, McEwan, Kirsten, Moody, Gwenllian, Owen-Jones, Eleri, Sanders, Julia, Segrott, Jeremy and Robling, Mike 2017. Assessing the medium-term impact of a home-visiting programme on child maltreatment in England: protocol for a routine data linkage study. BMJ Open. https://doi.org/10.1136/bmjopen-2016-015728Availability of breastfeeding peer-support in the UK: a cross-sectional survey.
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Hales, Charlotte, Taylor, Peter N., Channon, Sue, Paradice, Ruth, McEwan, Kirsten, Zhang, Lei, Gyedu, Michael, Bakhsh, Ameen, Okosieme, Onyebuchi, Muller, Ilaria, Draman, Mohd S., Gregory, John W., Dayan, Colin, Lazarus, John H., Rees, D Aled and Ludgate, Marian 2018. Controlled antenatal thyroid screening II: Effect of treating maternal suboptimal thyroid function on child cognition. The Journal of clinical endocrinology and metabolism. https://doi.org/10.1210/jc.2017-02378Evaluation of a web-based self-compassion intervention to reduce student assessment anxiety.
McEwan, Kirsten, Elander, James and Gilbert, Paul 2018. Evaluation of a web-based self-compassion intervention to reduce student assessment anxiety. Interdisciplinary Education and Psychology.Fears of happiness and compassion in relationship with depression, alexithymia, and attachment security in a depressed sample.
Gilbert, Paul, McEwan, Kirsten, Catarino, Francisca, Baião, Rita and Palmeira, Lara 2013. Fears of happiness and compassion in relationship with depression, alexithymia, and attachment security in a depressed sample. British Journal of Clinical Psychology. https://doi.org/10.1111/bjc.12037A descriptive study of feelings of arrested escape (entrapment) and arrested anger in people presenting to an emergency department following an episode of self-harm.
Clarke, Martin, McEwan, Kirsten, Ness, Jennifer, Waters, Keith, Basran, Jaskaran and Gilbert, Paul 2016. A descriptive study of feelings of arrested escape (entrapment) and arrested anger in people presenting to an emergency department following an episode of self-harm. Frontiers in Psychiatry. https://doi.org/10.3389/fpsyt.2016.00155A pilot study mapping citizens' interaction with urban nature
Ferrara, E., Liotta, A., Erhan, L., Ndubuaku, M., Giusto, D., Richardson, M., Sheffield, D. and McEwan, K. 2018. A pilot study mapping citizens' interaction with urban nature. IEEE International Symposium on Dependable, Autonomic and Secure Computing. Athens, Greece 12 - 15 Aug 2018 IEEE. https://doi.org/10.1109/dasc/picom/datacom/cyberscitec.2018.00-21A Demographic Analysis of Urban Nature Utilization
Ferrara, E., Liotta, A., Ndubuaku, M., Erhan, L., Giusto, D., Richardson, M., Sheffield, D. and McEwan, K. 2018. A Demographic Analysis of Urban Nature Utilization. 10th Computer Science and Electronic Engineering Conference. 19 - 21 Sep 2018 IEEE Xplore. https://doi.org/10.1109/ceec.2018.8674206Pragmatic Randomised controlled trial of a trauma-focused guided self-help Programme versus InDividual trauma-focused cognitive behavioural therapy for post-traumatic stress disorder (RAPID): trial protocol.
Nollett, Claire, Lewis, Catrin, Kitchiner, Neil, Roberts, Neil, Addison, Katy, Brookes-Howell, Lucy, Cosgrove, Sarah, Cullen, Katherine, Ehlers, Anke, Heke, Sarah, Kelson, Mark, Lovell, Karina, Madden, Kim, McEwan, Kirsten, McNamara, Rachel, Philips, Ceri, Pickles, Timothy, Simon, Natalie and Bisson, Jonathan 2018. Pragmatic Randomised controlled trial of a trauma-focused guided self-help Programme versus InDividual trauma-focused cognitive behavioural therapy for post-traumatic stress disorder (RAPID): trial protocol. BMC Psychiatry. 18 (77), pp. 1-14. https://doi.org/10.1186/s12888-018-1665-3A pilot feasibility study exploring the practising of compassionate imagery exercises in a nonclinical population
McEwan, Kirsten and Gilbert, Paul 2015. A pilot feasibility study exploring the practising of compassionate imagery exercises in a nonclinical population. Psychology and Psychotherapy: Theory, Research and Practice. https://doi.org/10.1111/papt.12078Compassion motivations: Distinguishing submissive compassion from genuine compassion and its association with shame, submissive behavior, depression, anxiety and stress
Catarino, Francisca, Gilbert, Paul, McEwan, Kirsten and Baião, Rita 2014. Compassion motivations: Distinguishing submissive compassion from genuine compassion and its association with shame, submissive behavior, depression, anxiety and stress. Journal of Social and Clinical Psychology. https://doi.org/10.1521/jscp.2014.33.5.399Forms of self-criticising/attacking & self-reassuring scale: Psychometric properties and normative study
Baião, Rita, Gilbert, Paul, McEwan, Kirsten and Carvalho, Sérgio 2014. Forms of self-criticising/attacking & self-reassuring scale: Psychometric properties and normative study. Psychology and Psychotherapy: Theory, Research and Practice. https://doi.org/10.1111/papt.12049Fears of negative emotions in relation to fears of happiness, compassion, alexithymia and psychopathology in a depressed population: A preliminary study
Gilbert, Paul, McEwan, Kirsten, Catarino, Francisca and Baião, Rita 2014. Fears of negative emotions in relation to fears of happiness, compassion, alexithymia and psychopathology in a depressed population: A preliminary study. Journal of Depression and Anxiety. https://doi.org/10.4172/2167-1044.S2-004Fears of compassion in a depressed population: Implication for psychotherapy
Gilbert, Paul, McEwan, Kirsten, Catarino, Francisca and Baião, Rita 2014. Fears of compassion in a depressed population: Implication for psychotherapy. Journal of Depression and Anxiety. https://doi.org/10.4172/2167-1044.S2-003The physiological and emotional effects of touch: Assessing a hand-massage intervention with high self-critics
Maratos, Frances A., Duarte, Joana, Barnes, Christopher, McEwan, Kirsten, Sheffield, David and Gilbert, Paul 2017. The physiological and emotional effects of touch: Assessing a hand-massage intervention with high self-critics. Psychiatry Research. 250, pp. 221-227. https://doi.org/10.1016/j.psychres.2017.01.066Joy and calm: how an evolutionary functional model of affect regulation informs positive emotions in nature
Richardson, Miles, McEwan, Kirsten, Maratos, Frances A. and Sheffield, David 2016. Joy and calm: how an evolutionary functional model of affect regulation informs positive emotions in nature. Evolutionary Psychological Science. https://doi.org/10.1007/s40806-016-0065-5Do therapeutic imagery practices affect physiological and emotional indicators of threat in high self-critics?
Duarte, Joana, McEwan, Kirsten, Barnes, Christopher, Gilbert, Paul and Maratos, Frances A. 2015. Do therapeutic imagery practices affect physiological and emotional indicators of threat in high self-critics? Psychology and Psychotherapy: Theory, Research and Practice. https://doi.org/10.1111/papt.12043Facial expressions depicting compassionate and critical emotions: the development and validation of a new emotional face stimulus set
McEwan, Kirsten, Gilbert, Paul, Dandeneau, Stephane, Lipka, Sigrid, Maratos, Frances A., Paterson, Kevin B. and Baldwin, Mark 2014. Facial expressions depicting compassionate and critical emotions: the development and validation of a new emotional face stimulus set. PLos ONE. https://doi.org/10.1371/journal.pone.0088783