Digital Public Defence: Monica Strand

Master in Nursing Science Monica Strand at Institute of Clinical Medicine will be defending the thesis The role of Internet-based interventions for  recovery-oriented mental health care. Experiences of use from the perspectives of service users and health providers for the degree of PhD (Philosophiae Doctor).

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Photo: Katrine Lunke

The public defence will be held as a video conference over Zoom.

The defence will follow regular procedure as far as possible, hence it will be open to the public and the audience can ask ex auditorio questions when invited to do so.

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Due to copyright reasons, an electronic copy of the thesis must be ordered from the faculty. In order for the faculty to have time to process the order, it must be received by the faculty no later than 2 days prior to the public defence. Orders received later than 2 days before the defence will not be processed. Inquiries regarding the thesis after the public defence must be addressed to the candidate.

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Adjudication committee

  • First opponent: Professor Ulla-Karin Schön, University of Stockholm, Sweden
  • Second opponent: Professor Anders Johan Wickstrøm Andersen,
    University of Agder, Grimstad
  • Third member and chair of the evaluation committee: Professor Anne Moen, Institute of Health and Society, University of Oslo

Chair of defence

Professor Ragnhild Hellesø, Institute of Health and Society, University of Oslo 

Principal Supervisor

Deede Gammon, Oslo University Hospital

Summary

Digital support for recovery-oriented care in mental health

Monica Strand and collaborators studied the role of digital support in transitions towards recovery-oriented practices for persons with long-term mental health problems. Few have studied how digital solutions might support recovery-oriented processes and practices in mental health care.  Inspired by participatory research, Strand and colleagues conducted a scoping review in addition to a mixed-methods study and two qualitative studies.

A secure digital solution called ReConnect was used by 29 service users and 27 health providers for a minimum of six months in two mental health care communities. ReConnect included various modules that supported service users in activities such as formulating goals and coping strategies. Health providers could access some of the same modules as service users and health providers and service users could communicate through messaging. A peer support forum moderated by an experienced service user consultant also facilitated local in-person meetings.    

Service users and health providers (dyads) who used ReConnect together did so in highly diverse ways. To use written communication in the dyads in addition to working with the service users’ goals appeared to strengthen the person-centered nature of collaboration. Difficulties arose when expectations for use were not aligned nor addressed in the dyad. Assessment of the quality of the relationships in the dyad and readiness for use of digital support appear therefore to be essential before introduction. Service users particularly valued the combination of online and offline peer support that lowered thresholds for meaningful activities in the community and new friendships.  Digital solutions such as ReConnect have the potential to support personal recovery, particularly if accompanied by an organizational commitment to support recovery practices, including support for new roles and ways of collaboration in the dyads. 

Additional information

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Published Nov. 27, 2020 1:59 PM - Last modified May 12, 2021 10:12 AM