{"id":{"repo_id":"salford","oai_identifier":"oai:salford-repository.worktribe.com:1405632"},"canonical_url":"https://search.dev.ndltd.org/etd/salford/oai:salford-repository.worktribe.com:1405632","repository":{"repo_id":"salford","name":"U. of Salford","base_url":"https://salford-repository.worktribe.com/oaiprovider"},"display":{"title":"Participatory action research to improve physical health care within a crisis resolution home treatment service","abstract":"The thesis presents a participatory action research (PAR) study focusing onimproving physical health assessment at a Crisis Resolution Home Treatment(CRHT) service. The aim of the study was to develop a robust and consistentapproach in addressing an issue that had not previously been researched. It hadbeen reported via clinical audit that physical health interventions were being missedand by means of an action research group (ARG) an inter-professional approach wasused through which co-researchers were facilitated to discuss and explore the issue.The origins and key elements of PAR are illuminated and justification is given for itschoice to answer the research questions by means of a problem-focused andcontext-specific approach within an emergent design. Five action research cyclesincluded exploring the perspectives of professionals', service user experiences and aregional survey to capture current practice. Among a number of findings serviceusersdescribed their physical well-being as extremely important and appreciatedhaving this aspect of care assessed. Professionals viewed physical and mentalhealth as inextricable and the regional survey revealed variable practice across theNorthwest of England CRHT services.The study findings were used to generate actionable knowledge to improve clinicalpractice in physical health care which ultimately led to the embedding of physicalhealth interventions within care pathways and the development of a service-userphysical health questionnaire entitled Brief Overview of Physical health (BOP).Physical health strategies were absent in CRHT services within the region, andalthough physical assessment was taking place in many services, practice wasinconsistent. This research developed an evidence based best practice frameworkthat has wider national applicability and potentially offers clarity for existing vagueDepartment of Health guidance.The challenges of utilising a PAR approach are examined including obtaining NHSethical approval, staff turnaround and length of time to complete the project. Thefindings were augmented by substantive critical reflections focusing on salientaspects of the research process. Finally, the strength of the research is the sustainedchange to clinical practice within the CRHT service commensurate with the cultural and behavioural changes that colleagues made in the process of developing practice.It is argued that the research empowered colleagues with critical and researchawareness, to continue in the process of transforming care.","abstract_html":"The thesis presents a participatory action research (PAR) study focusing onimproving physical health assessment at a Crisis Resolution Home Treatment(CRHT) service. The aim of the study was to develop a robust and consistentapproach in addressing an issue that had not previously been researched. It hadbeen reported via clinical audit that physical health interventions were being missedand by means of an action research group (ARG) an inter-professional approach wasused through which co-researchers were facilitated to discuss and explore the issue.The origins and key elements of PAR are illuminated and justification is given for itschoice to answer the research questions by means of a problem-focused andcontext-specific approach within an emergent design. Five action research cyclesincluded exploring the perspectives of professionals', service user experiences and aregional survey to capture current practice. Among a number of findings serviceusersdescribed their physical well-being as extremely important and appreciatedhaving this aspect of care assessed. Professionals viewed physical and mentalhealth as inextricable and the regional survey revealed variable practice across theNorthwest of England CRHT services.The study findings were used to generate actionable knowledge to improve clinicalpractice in physical health care which ultimately led to the embedding of physicalhealth interventions within care pathways and the development of a service-userphysical health questionnaire entitled Brief Overview of Physical health (BOP).Physical health strategies were absent in CRHT services within the region, andalthough physical assessment was taking place in many services, practice wasinconsistent. This research developed an evidence based best practice frameworkthat has wider national applicability and potentially offers clarity for existing vagueDepartment of Health guidance.The challenges of utilising a PAR approach are examined including obtaining NHSethical approval, staff turnaround and length of time to complete the project. Thefindings were augmented by substantive critical reflections focusing on salientaspects of the research process. Finally, the strength of the research is the sustainedchange to clinical practice within the CRHT service commensurate with the cultural and behavioural changes that colleagues made in the process of developing practice.It is argued that the research empowered colleagues with critical and researchawareness, to continue in the process of transforming care.","abstract_has_math":false,"creators":["Davidson, S"],"institution":null,"degree_name":null,"degree_level":"Doctoral (Level 8)","degree_discipline":null,"degree_department":null,"school":null,"contributors":[],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2026,"date_issued":"2026","date_published":"2026","updated_at":"2026-07-24T04:26:44Z","subjects":[],"languages":["en"],"rights":[],"rights_urls":[],"identifier_entries":[{"key":"dc:identifier","label":"Identifier","values":["oai:salford-repository.worktribe.com:1405632"],"render_values":[{"text":"oai:salford-repository.worktribe.com:1405632","href":null,"code":true}]}]},"links":{"outbound_url":null,"outbound_label":null,"outbound_source":null},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor.sponsor","label":"Sponsor","values":["University of Salford"]},{"key":"dc:creator","label":"Author","values":["Davidson, S"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date","label":"Dc Date","values":["2026-07-24"]},{"key":"dc:date.issued","label":"Date","values":["2026"]},{"key":"dc:relation.isreferencedby","label":"Dc Relation Isreferencedby","values":["https://salford-repository.worktribe.com/output/1405632"]},{"key":"dc:type","label":"Dc Type","values":["Thesis"]},{"key":"dc:type.qualificationlevel","label":"Dc Type Qualificationlevel","values":["Doctoral (Level 8)"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language","label":"Dc Language","values":["en"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["oai:salford-repository.worktribe.com:1405632"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["The thesis presents a participatory action research (PAR) study focusing onimproving physical health assessment at a Crisis Resolution Home Treatment(CRHT) service. The aim of the study was to develop a robust and consistentapproach in addressing an issue that had not previously been researched. It hadbeen reported via clinical audit that physical health interventions were being missedand by means of an action research group (ARG) an inter-professional approach wasused through which co-researchers were facilitated to discuss and explore the issue.The origins and key elements of PAR are illuminated and justification is given for itschoice to answer the research questions by means of a problem-focused andcontext-specific approach within an emergent design. Five action research cyclesincluded exploring the perspectives of professionals', service user experiences and aregional survey to capture current practice. Among a number of findings serviceusersdescribed their physical well-being as extremely important and appreciatedhaving this aspect of care assessed. Professionals viewed physical and mentalhealth as inextricable and the regional survey revealed variable practice across theNorthwest of England CRHT services.The study findings were used to generate actionable knowledge to improve clinicalpractice in physical health care which ultimately led to the embedding of physicalhealth interventions within care pathways and the development of a service-userphysical health questionnaire entitled Brief Overview of Physical health (BOP).Physical health strategies were absent in CRHT services within the region, andalthough physical assessment was taking place in many services, practice wasinconsistent. This research developed an evidence based best practice frameworkthat has wider national applicability and potentially offers clarity for existing vagueDepartment of Health guidance.The challenges of utilising a PAR approach are examined including obtaining NHSethical approval, staff turnaround and length of time to complete the project. Thefindings were augmented by substantive critical reflections focusing on salientaspects of the research process. Finally, the strength of the research is the sustainedchange to clinical practice within the CRHT service commensurate with the cultural and behavioural changes that colleagues made in the process of developing practice.It is argued that the research empowered colleagues with critical and researchawareness, to continue in the process of transforming care."]},{"key":"dc:title","label":"Title","values":["Participatory action research to improve physical health care within a crisis resolution home treatment service"]}]}],"canonical_facts":{"dc:contributor.sponsor":["University of Salford"],"dc:creator":["Davidson, S"],"dc:date":["2026-07-24"],"dc:date.issued":["2026"],"dc:description.abstract":["The thesis presents a participatory action research (PAR) study focusing onimproving physical health assessment at a Crisis Resolution Home Treatment(CRHT) service. The aim of the study was to develop a robust and consistentapproach in addressing an issue that had not previously been researched. It hadbeen reported via clinical audit that physical health interventions were being missedand by means of an action research group (ARG) an inter-professional approach wasused through which co-researchers were facilitated to discuss and explore the issue.The origins and key elements of PAR are illuminated and justification is given for itschoice to answer the research questions by means of a problem-focused andcontext-specific approach within an emergent design. Five action research cyclesincluded exploring the perspectives of professionals', service user experiences and aregional survey to capture current practice. Among a number of findings serviceusersdescribed their physical well-being as extremely important and appreciatedhaving this aspect of care assessed. Professionals viewed physical and mentalhealth as inextricable and the regional survey revealed variable practice across theNorthwest of England CRHT services.The study findings were used to generate actionable knowledge to improve clinicalpractice in physical health care which ultimately led to the embedding of physicalhealth interventions within care pathways and the development of a service-userphysical health questionnaire entitled Brief Overview of Physical health (BOP).Physical health strategies were absent in CRHT services within the region, andalthough physical assessment was taking place in many services, practice wasinconsistent. This research developed an evidence based best practice frameworkthat has wider national applicability and potentially offers clarity for existing vagueDepartment of Health guidance.The challenges of utilising a PAR approach are examined including obtaining NHSethical approval, staff turnaround and length of time to complete the project. 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