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Tan Y, Pinder D, Bayoumi I, Carter R, Cole M, Jackson L, Watson A, Knox B, Chan-Nguyen S, Ford M, Davison CM, Bartels SA, Purkey E. Family and community resilience: a Photovoice study. Int J Equity Health 2024; 23:62. [PMID: 38504281 PMCID: PMC10949719 DOI: 10.1186/s12939-024-02142-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2023] [Accepted: 03/03/2024] [Indexed: 03/21/2024] Open
Abstract
BACKGROUND Adverse childhood experiences (ACEs), in combination with adverse community environments, can result in traumatic stress reactions, increasing a person's risk for chronic physical and mental health conditions. Family resilience refers to the ability of families to withstand and rebound from adversity; it involves coping with disruptions as well as positive growth in the face of sudden or challenging life events, trauma, or adversities. This study aimed to identify factors contributing to family and community resilience from the perspective of families who self-identified as having a history of adversity and being resilient during the COVID-19 pandemic. METHODS This study used Photovoice, a visual participatory research method which asks participants to take photographs to illustrate their responses to a research question. Participants consisted of a maximum variation sample of families who demonstrated family level resilience in the context of the pair of ACEs during the COVID-19 pandemic. Family members were asked to collect approximately five images or videos that illustrated the facilitators and barriers to well-being for their family in their community. Semi-structured in-depth interviews were conducted using the SHOWeD framework to allow participants to share and elucidate the meaning of their photos. Using thematic analysis, two researchers then independently completed line-by-line coding of interview transcripts before collaborating to develop consensus regarding key themes and interpretations. RESULTS Nine families were enrolled in the study. We identified five main themes that enhanced family resilience: (1) social support networks; (2) factors fostering children's development; (3) access and connection to nature; (4) having a space of one's own; and (5) access to social services and community resources. CONCLUSIONS In the context of additional stresses related to the COVID-19 pandemic, resilient behaviours and strategies for families were identified. The creation or development of networks of intra- and inter-community bonds; the promotion of accessible parenting, housing, and other social services; and the conservation and expansion of natural environments may support resilience and health.
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Affiliation(s)
- Yvonne Tan
- School of Medicine, Queen's University, 80 Barrie Street, Kingston, ON, K7L 3N6, Canada
| | - Danielle Pinder
- Department of Public Health Sciences, Queen's University, 62 Fifth Field Company Lane, Kingston, ON, K7L 3N6, Canada
| | - Imaan Bayoumi
- Department of Public Health Sciences, Queen's University, 62 Fifth Field Company Lane, Kingston, ON, K7L 3N6, Canada
- Department of Family Medicine, Queen's University, 220 Bagot Street, Kingston, ON, K7L 5E9, Canada
| | - Rifaa Carter
- Department of Family Medicine, Queen's University, 220 Bagot Street, Kingston, ON, K7L 5E9, Canada
| | - Michele Cole
- Department of Family Medicine, Queen's University, 220 Bagot Street, Kingston, ON, K7L 5E9, Canada
| | - Logan Jackson
- Department of Family Medicine, Queen's University, 220 Bagot Street, Kingston, ON, K7L 5E9, Canada
| | - Autumn Watson
- Department of Family Medicine, Queen's University, 220 Bagot Street, Kingston, ON, K7L 5E9, Canada
| | - Bruce Knox
- Department of Family Medicine, Queen's University, 220 Bagot Street, Kingston, ON, K7L 5E9, Canada
| | - Sophy Chan-Nguyen
- Department of Family Medicine, Queen's University, 220 Bagot Street, Kingston, ON, K7L 5E9, Canada
| | - Meghan Ford
- Department of Family Medicine, Queen's University, 220 Bagot Street, Kingston, ON, K7L 5E9, Canada
- Department of Psychology, Queen's University, Humphrey Hall, 62 Arch Street, Kingston, ON, K7L 3N6, Canada
| | - Colleen M Davison
- Department of Public Health Sciences, Queen's University, 62 Fifth Field Company Lane, Kingston, ON, K7L 3N6, Canada
| | - Susan A Bartels
- Department of Public Health Sciences, Queen's University, 62 Fifth Field Company Lane, Kingston, ON, K7L 3N6, Canada
- Department of Emergency Medicine, Queen's University, 76 Stuart Street, Kingston, ON, K7L 4V7, Canada
| | - Eva Purkey
- Department of Public Health Sciences, Queen's University, 62 Fifth Field Company Lane, Kingston, ON, K7L 3N6, Canada.
- Department of Family Medicine, Queen's University, 220 Bagot Street, Kingston, ON, K7L 5E9, Canada.
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