Service user experiences of REFOCUS: a process evaluation of a pro-recovery complex intervention

Purpose: Policy is increasingly focused on implementing a recovery-orientation within mental health services, yet the subjective experience of individuals receiving a pro-recovery intervention is under-studied. The aim of this study was to explore the service user experience of receiving a complex, pro-recovery intervention (REFOCUS), which aimed to encourage the use of recovery-supporting tools and support recovery-promoting relationships. Methods: Interviews (n=24) and two focus groups (n=13) were conducted as part of a process evaluation and included purposive sample of service users who received the complex, pro-recovery intervention within the REFOCUS randomised controlled trial (ISRCTN02507940). Thematic analysis was used to analyse the data. Results: Participants reported that the intervention supported the development of an open and collaborative relationship with staff, with new conversations around values, strengths and goals. This was experienced as hope-inspiring and empowering. However, others described how the recovery tools were used without context, meaning participants were unclear of their purpose and did not see their benefit. During the interviews, some individuals struggled to report any new tasks or conversations occurring during the intervention. Conclusion: Recovery-supporting tools can support the development of a recovery-promoting relationship, which can contribute to positive outcomes for individuals. The tools should be used, in a collaborative and flexible manner. Information exchanged around values, strengths and goals should be used in care-planning. As some service users struggled to report their experience of the intervention, alternative evaluation approaches need to be considered if the service user experience is to be fully captured

Recovery in Psychosis from a Service User Perspective: A Systematic Review and Thematic Synthesis of Current Qualitative Evidence

There is a growing number of qualitative accounts regarding recovery from psychosis from a service user perspective. The aim of this study was to conduct a systematic review of these qualitative accounts. A thematic synthesis was utilised to synthesise and analyse seventeen studies included in the review. Studies were included if they used a qualitative methodology to explore service users’ experiences of recovery from psychosis as a primary research question. All included studies were subjected to a quality assessment. The analysis outlined three subordinate themes: the recovery journey, facilitators of recovery (e.g. faith and spirituality, personal agency and hope), and barriers to recovery (e.g. stigma and discrimination, negative effects of mental health services and medication). Recovery is an idiosyncratic process but includes key components which are important to people who experience psychosis. These should be explored within clinical practice

Improving evaluation of nonlethal tools for carnivore management and conservation: evaluating fladry to protect an endangered species from a generalist mesocarnivore

Carnivore conservation and management are global research priorities focused on reversing population declines of imperiled species and identifying more effective and humane management of generalist carnivores with thriving populations. Nonlethal methods to mitigate conflict are increasingly used to advance conservation objectives; however, there is limited knowledge about the effectiveness of many nonlethal methods. We tested a nonlethal tool (fladry), that serves as a barrier to deter wolves Canis lupus and coyotes Canis latrans, for its efficacy at preventing coyotes from using prairie dog Cynomys ludovicianus colonies, the primary prey for critically endangered black-footed ferrets Mustela nigripes. We used camera trap data and an occupancy approach to evaluate the tool’s efficacy. We measured coyote response to fladry at both a coarse monthly scale (via use, attraction and avoidance probabilities) and a fine scale (via daily activity). Overall, use of areas inside exclosures declined by 60% after 60 days of fladry application and coyotes avoided some previously used areas both within and outside exclosures. Interestingly, coyotes were attracted to previously unused areas surrounding exclosures and increased activity around the periphery of fladry exclosures by 170% immediately after fladry installation, suggesting coyotes actively explored these areas and may have responded to fladry in a way that is counterintuitive to management expectations. Occupancy models provided more robust evaluation of fladry and revealed important behavioral responses relative to other common evaluation techniques (i.e. time until first detected crossing). Our results have implications for future development and evaluation of nonlethal tools for carnivore conservation and management globally

Identification of Major Sporulation Proteins of Myxococcus xanthus Using a Proteomic Approach

Myxococcus xanthus is a soil-dwelling, gram-negative bacterium that during nutrient deprivation is capable of undergoing morphogenesis from a vegetative rod to a spherical, stress-resistant spore inside a domed-shaped, multicellular fruiting body. To identify proteins required for building stress-resistant M. xanthus spores, we compared the proteome of liquid-grown vegetative cells with the proteome of mature fruiting body spores. Two proteins, protein S and protein S1, were differentially expressed in spores, as has been reported previously. In addition, we identified three previously uncharacterized proteins that are differentially expressed in spores and that exhibit no homology to known proteins. The genes encoding these three novel major spore proteins (mspA, mspB, and mspC) were inactivated by insertion mutagenesis, and the development of the resulting mutant strains was characterized. All three mutants were capable of aggregating, but for two of the strains the resulting fruiting bodies remained flattened mounds of cells. The most pronounced structural defect of spores produced by all three mutants was an altered cortex layer. We found that mspA and mspB mutant spores were more sensitive specifically to heat and sodium dodecyl sulfate than wild-type spores, while mspC mutant spores were more sensitive to all stress treatments examined. Hence, the products of mspA, mspB, and mspC play significant roles in morphogenesis of M. xanthus spores and in the ability of spores to survive environmental stress