A grounded theory exploration of programme theory within Waves of Wellness surf therapy intervention.

IF 2.4 3区心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Psychology & Health Pub Date : 2025-02-01 Epub Date: 2023-05-21 DOI:10.1080/08870446.2023.2214590

Jamie Marshall, Brendon Ferrier, Russell Martindale, Philip B Ward

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Abstract

Objective: Poor mental health represents a large proportion of disease burden faced by young Australians, which has been further exacerbated by the Covid-19 pandemic and the reluctance of this population to seek support. Surf therapy is a novel form of intervention targeting mental health. The objective of this study was to interrogate programme theory within surf therapy, as delivered by the Waves of Wellness Foundation (WOW) in Australia.

Methods and measures: The study utilised grounded theory to understand or develop theoretical mediators for WOW surf therapy based on interviews exploring the experiences of previous intervention participants (n = 16; mean age = 18.4 years, SD = 2.8, range 14-24). Data were analysed through constant comparative analysis.

Results: Five categories emerged from participant data as foundational to WOW programme theory: (a) Safe Space, (b) Social Support, (c) Sensory Grounding, (d) Mastery and (e) Respite. These categories have novel theoretical and practical implications for both surf therapy and wider clinical practice, especially around concepts such as delivering 'mental health by stealth' and fostering longer term 'mental health maintenance' for participants.

Conclusion: The study developed an initial WOW programme theory, highlighting the importance of foundational therapeutic structures beyond simply going surfing.

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健康冲浪疗法干预浪潮中程序理论的扎根理论探索。

目的：心理健康状况不佳是澳大利亚年轻人面临的疾病负担的很大一部分，Covid-19大流行和这一人群不愿寻求支持进一步加剧了这一负担。冲浪疗法是一种针对心理健康的新型干预形式。这项研究的目的是询问冲浪疗法中的程序理论，由澳大利亚的波浪健康基金会（WOW）提供。方法和措施：本研究利用扎根理论来理解或开发WOW冲浪疗法的理论中介，基于对先前干预参与者的访谈，探索他们的经历(n = 16；平均年龄18.4岁，SD = 2.8，范围14-24岁)。通过不断的比较分析来分析数据。结果：从参与者数据中得出了五个类别，作为WOW项目理论的基础：(a)安全空间，(b)社会支持，(c)感官基础，(d)掌握和(e)喘息。这些分类对冲浪疗法和更广泛的临床实践都有新的理论和实践意义，特别是围绕“隐形精神健康”和促进参与者长期“精神健康维护”等概念。结论：该研究发展了一个最初的WOW程序理论，强调了基础治疗结构的重要性，而不仅仅是冲浪。

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来源期刊

Psychology & Health Multiple-

CiteScore

7.30

自引率

3.00%

发文量

期刊介绍： Psychology & Health promotes the study and application of psychological approaches to health and illness. The contents include work on psychological aspects of physical illness, treatment processes and recovery; psychosocial factors in the aetiology of physical illnesses; health attitudes and behaviour, including prevention; the individual-health care system interface particularly communication and psychologically-based interventions. The journal publishes original research, and accepts not only papers describing rigorous empirical work, including meta-analyses, but also those outlining new psychological approaches and interventions in health-related fields.