A qualitative investigation of self-stigma focussed music workshops for people with mental health disorders in urban Zimbabwe

对津巴布韦城市精神健康障碍患者举办的以自我污名为中心的音乐研讨会的定性调查

• 批准号: 2426366
• 金额: --
• 依托单位: University of Nottingham
• 依托单位国家: 英国
• 项目类别: Studentship
• 财政年份: 2020
• 资助国家: 英国
• 起止时间: 2020 至 无数据
• 项目状态: 未结题
• 来源: https://gtr.ukri.org/projects?ref=studentship-2426366
• 关键词: qualitative; investigation; self; stigma; focussed

This project will explore the process and showcase of creativity in Zimbabwe, and will use creative outlets as a medium for individuals with mental health issues to form their narratives. The hope is that this will develop their identity and confidence to express their experiences in a safe environment, within the overall aim of having a positive impact on internalised stigma. Mental health stigma is widespread globally, particularly in lower income settings, inhibiting access to, and engagement with, mental health care and treatment. Embedded traditional beliefs about mental health are linked to the stigma and discrimination experienced in a Zimbabwean setting. There has been a large body of evidence growing for stigma-reduction techniques, but most of this has taken place in high-income countries and within white populations, and is therefore ineffective and invalid for other settings.Creativity (within 'health humanities') has shown multiple benefits within mental health care, including therapeutic effect, enabling expression, community cohesion and positive media coverage. Furthermore, in the Shona culture (of Zimbabwe) though mental health illness has negative connotations culturally (linked with evil spirits), creativity is linked with 'good spirits' - therefore creative strategies in reducing mental health stigma is an appropriate theme to explore within this context. This research will add to the limited understanding of appropriate stigma-reduction techniques in an African context as well as the use of a health humanities approach for mental health in the Zimbabwean culture specifically. A coproduction model will be used to carry out this mixed method research, with the qualitative aspect being the focus, to explore the following questions:- How does stigma manifest itself in Zimbabwean culture?- What impact does stigma have on individuals with mental health issues and their families?- How does creative outlet support the individual's ability to share their narrative to others? Does this impact on internalised stigma?- What are the individual's perceptions toward sharing their experiences of mental health through creative expressions?A series of focus groups and creative workshops will be run in partnership with Tariro Negitare who, as well as being a Zimbabwean musician, runs a Creative Arts Hub in local communities and has successfully done this within a research context recently with young people with an HIV diagnosis. The study will aim to recruit 30 participants.Focus groups will enable the following: the exploration of the nature of mental health stigma in the Shona culture (which will be used to create a quantitative assessment tool); the planning and delivery of the creative expression showcase; and the identification of suitable creative formats. For the duration of the focus groups, participants will be supported to express themselves creatively and form a narrative around their creations. Qualitative interviews will be used to consider the impact of the showcase on internalised stigma, through individual pre and post semi-structured interviews with the participants involved in the focus groups and showcase. The assessment tool will then be used pre and post the showcase event for measuring stigma.

该项目将探索津巴布韦创造力的过程和展示，并将利用创意渠道作为有心理健康问题的个人形成叙事的媒介。希望这将培养他们的身份和信心，以在安全的环境中表达他们的经历，总体目标是对内在的耻辱产生积极影响。心理健康耻辱在全球范围内普遍存在，特别是在低收入环境中，阻碍了获得和参与心理健康护理和治疗。关于心理健康的根深蒂固的传统信念与津巴布韦环境中经历的耻辱和歧视有关。越来越多的证据表明减少耻辱技术，但其中大部分发生在高收入国家和白人群体中，因此对于其他环境来说是无效的。创造力（在“健康人文学科”范围内）已在精神卫生保健中显示出多种好处，包括治疗效果、促进表达、社区凝聚力和积极的媒体报道。此外，在（津巴布韦）绍纳文化中，尽管精神健康疾病在文化上具有负面含义（与邪灵有关），但创造力与“好精神”相关 - 因此，减少心理健康耻辱的创造性策略是在这种背景下探索的适当主题。这项研究将增加对非洲背景下适当的耻辱减少技术的有限理解，以及特别是在津巴布韦文化中使用健康人文方法来促进心理健康。将使用联合生产模型来开展这项混合方法研究，以定性方面为重点，探讨以下问题：- 耻辱如何在津巴布韦文化中表现出来？- 耻辱对有心理健康问题的个人及其家庭有什么影响？- 创意渠道如何支持个人向他人分享自己的叙述的能力？这会影响内在的耻辱吗？ - 个人对于通过创意表达分享心理健康经历有何看法？我们将与 Tariro Negitare 合作举办一系列焦点小组和创意研讨会。Tariro Negitare 是一名津巴布韦音乐家，在当地社区运营着一个创意艺术中心，最近在一项针对艾滋病毒诊断年轻人的研究背景下成功地做到了这一点。该研究旨在招募 30 名参与者。焦点小组将实现以下目标： 探索绍纳文化中心理健康耻辱的本质（将用于创建定量评估工具）；创意表达展示的策划与交付；以及确定合适的创意格式。在焦点小组活动期间，将支持参与者创造性地表达自己并围绕他们的创作进行叙述。通过对参与焦点小组和展示的参与者进行单独的前后半结构化访谈，定性访谈将用于考虑展示对内在耻辱的影响。然后，评估工具将在展示活动前后使用，以衡量耻辱感。