What is the impact of recovery colleges on students? A thematic synthesis of qualitative evidence

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Abstract

Purpose

Recovery colleges have expanded over the last decade, providing educational courses and workshops on topics of mental health and well-being, co-delivered by peer workers and clinicians. This review aims to synthesise findings from the qualitative literature to explore the impact of recovery colleges on student well-being.

Design/Methodology/Approach

A systematic search of the qualitative literature was conducted in December 2021. Four databases were searched: Emerald, PubMed, ProQuest and Scopus. In total, 11 studies met the criteria for review and were subject to thematic synthesis.

Findings

Five themes were generated including “A shift in power”, “Being connected”, “Personal growth”, “Adopting the role of a student” and “Meeting expectations”.

Research Limitations Implications

These findings were consistent with previous literature, which suggest that much of the recovery college’s impact lies in its ethos, which promotes empowerment and inclusivity. However, the review also drew attention to lesser explored areas of the recovery college such as how students understand the support on offer from the recovery college and manage their expectations around this.

Practical Implications

Several studies lacked methodological and analytical rigour and may well suffer from self-selecting samples leading to an overwhelmingly positive experience. Evaluation by independent researchers is paramount.

Originality/value

It is nearly eight years since this area was previously reviewed during which time considerable growth in the literature has resulted.

Related collections

Most cited references 43

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Reflecting on reflexive thematic analysis

Virginia Braun, Victoria Clarke (2020)

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Is Open Access

Methods for the thematic synthesis of qualitative research in systematic reviews

James Thomas, Angela Harden (2008)

Background There is a growing recognition of the value of synthesising qualitative research in the evidence base in order to facilitate effective and appropriate health care. In response to this, methods for undertaking these syntheses are currently being developed. Thematic analysis is a method that is often used to analyse data in primary qualitative research. This paper reports on the use of this type of analysis in systematic reviews to bring together and integrate the findings of multiple qualitative studies. Methods We describe thematic synthesis, outline several steps for its conduct and illustrate the process and outcome of this approach using a completed review of health promotion research. Thematic synthesis has three stages: the coding of text 'line-by-line'; the development of 'descriptive themes'; and the generation of 'analytical themes'. While the development of descriptive themes remains 'close' to the primary studies, the analytical themes represent a stage of interpretation whereby the reviewers 'go beyond' the primary studies and generate new interpretive constructs, explanations or hypotheses. The use of computer software can facilitate this method of synthesis; detailed guidance is given on how this can be achieved. Results We used thematic synthesis to combine the studies of children's views and identified key themes to explore in the intervention studies. Most interventions were based in school and often combined learning about health benefits with 'hands-on' experience. The studies of children's views suggested that fruit and vegetables should be treated in different ways, and that messages should not focus on health warnings. Interventions that were in line with these suggestions tended to be more effective. Thematic synthesis enabled us to stay 'close' to the results of the primary studies, synthesising them in a transparent way, and facilitating the explicit production of new concepts and hypotheses. Conclusion We compare thematic synthesis to other methods for the synthesis of qualitative research, discussing issues of context and rigour. Thematic synthesis is presented as a tried and tested method that preserves an explicit and transparent link between conclusions and the text of primary studies; as such it preserves principles that have traditionally been important to systematic reviewing.