Document Type
Article
Publication Date
7-15-2020
Abstract
BACKGROUND: People with SMI have often been excluded in advocacy efforts focused on physical health, health care and health and social policy.
OBJECTIVE: Following a Photovoice project focused on barriers to healthy eating and physical activity in urban neighbourhoods, participant-researchers were invited to present their insights in community advocacy settings. The purpose of this study was to explore the feasibility and participant-researchers' experience of these community advocacy activities.
DESIGN: We held four focus groups with the eight participant-researchers after each community advocacy activity to explore their experience with public speaking, presenting their experiences and advocating.
SETTING AND PARTICIPANTS: People with serious mental illness who were overweight/obese living in supportive housing.
ANALYSIS APPROACH: Qualitative analysis of the focus group transcripts, using a modified grounded theory approach followed by structured coding focused on empowerment, participation and non-discrimination.
RESULTS: Participant-researchers gave three oral presentations of their photographs at a variety of community-based programmes and settings and participated in a rally to advocate for SNAP benefits. Two themes emerged from analysis: (a) Empowerment (the level of choice, influence and control that users of mental health services can exercise over events in their lives) and (b) Barriers to Empowerment (obstacles to participation and well-being).
CONCLUSIONS: This evaluation strengthens the evidence that it is feasible for participant-researchers in Photovoice projects to engage in robust advocacy activities, such as presentations and discussions with local policymakers. During focus groups, participant-researchers demonstrated realistic optimism towards their roles as change agents and influencers in spite of acknowledged systemic barriers.
Recommended Citation
Weinstein, Lara Carson; Chilton, Mariana; Turchi, Renee; Klassen, Ann C; LaNoue, Marianna; Silvero, Alexis; and Cabassa, Leopoldo J, "'It's common sense that an individual must eat': Advocating for food justice with people with psychiatric disabilities through photovoice." (2020). Department of Family & Community Medicine Faculty Papers. Paper 55.
https://jdc.jefferson.edu/fmfp/55
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.
PubMed ID
32671916
Language
English
Comments
This is the final published version of the article from Health Expectations, 2020, Special Issue, Pages 1-13.
The final version of the article can also be found at https://doi.org/10.1111/hex.13101
Copyright Weinstein et.al.