DIGITAL STORYTELLING AS A SOCIAL WORK INTERVENTION FOR BEREAVED - - PowerPoint PPT Presentation

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DIGITAL STORYTELLING AS A SOCIAL WORK INTERVENTION FOR BEREAVED - - PowerPoint PPT Presentation

DIGITAL STORYTELLING AS A SOCIAL WORK INTERVENTION FOR BEREAVED FAMILY MEMBERS ABIGAIL J. ROLBIECKI, PHD, MPH, MSW KARLA WASHINGTON, PHD, LCSW INTRODUCTION Abigail J. Rolbiecki Social worker & scholar Narrative interventionist


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DIGITAL STORYTELLING AS A SOCIAL WORK INTERVENTION FOR BEREAVED FAMILY MEMBERS

ABIGAIL J. ROLBIECKI, PHD, MPH, MSW KARLA WASHINGTON, PHD, LCSW

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INTRODUCTION

Abigail J. Rolbiecki

Social worker & scholar

Narrative interventionist – Photo elicitation methods and Digital Storytelling

Background in trauma & adverse life experiences

Bereaved sibling

Constructivist & Storyteller

Karla Washington

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“In some ways suffering ceases to be suffering at the moment it finds a meaning…” – Viktor Frankl

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STORYTELLING AND THE SEARCH FOR MEANING

Organization of memory in a chronological timeline.

Developing and verbalizing the story promotes meaning-making and healing.

Storytelling has been shown to reduce:

Depression

Anxiety

Storytelling has been shown to improve:

Self-efficacy

Communication skills

Social support

Quality of life

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DIGITAL STORYTELLING AS A SW BEREAVEMENT INTERVENTION

University of Missouri, Center for Patient-Centered Outcomes Research

Awarded 20k internal funds

Primary Aim: Feasibility of Digital Storytelling as a Bereavement Intervention Criteria for participation:

Bereaved family member

Bereaved up to 2.5 years

Willing to participate in the intervention and share story

N = 14

n = 6 Cancer Death

n = 3 Dementia Death

n = 3 Non-illness related death (e.g., accident)

n = 2 “Other” illness related death (e.g., heart disease/death)

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WHAT IS DIGITAL STORYTELLING?

Multi-media, narrative intervention combining photography, music, and spoken word.

Commonly used in community health intervention, education, and journalism.

Palliative care and health storytelling research:

Decreased PTSD

Decreased depression and anxiety

Improved ability to make meaning

Pediatric palliative care – legacy making.

Adapted Gillies and Neimeyer model.

Figure 1. Adapted Constructivist Meaning-Making Model

Source: Gillies, J. & Neimeyer, R.A. (2006) Loss, grief, and the search for significance: Toward a model of meaning reconstruction in bereavement. Journal of Constructivist Psychology, 19, 31-65.

Loss of family patient Emotional Distress (depression /anxiety) Digital Storytelling Process:

  • Sense making
  • Benefit Finding
  • Identity Change

Pre-loss meaning Structures:

  • Daily activities
  • Self-perceptions
  • Interpersonal

relationships

  • Views of future and

world

  • Spirituality

Post-loss meaning Structures:

  • New activities/re-

examined priorities

  • New self/personal growth
  • New relationships with

living & continuing bonds with dead

  • New views of world and

future

  • New faith

Decreased Distress Reduced risk

  • f Complicated

Grief

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RECRUITMENT STRATEGY

Convenient recruitment strategy

MU Info

  • Most successful

Flyering

Snowball (word of mouth)

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ACTIVITIES AFTER CONSENT

In person meeting 5-day workshops (two full days; two optional ½ days; 1 final ½ day for group share) Group story circles  script development/sharing.

Story Circle 1: Identifying the story; timeline

Story Circle 2: Sharing the narrative with the group

Story Circle 3: Sharing the actual digital story

Individual journaling supported script development. Think visually

What photos or other artifacts can bring life to the parts of your narrative

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VISUALIZING THE SCRIPT: THE STORYBOARD/TIMELINE

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CREATING THE DIGITAL STORY

Recorded narratives (via iPad) iMovie (readily available software on ALL newer apple products)

  • Free
  • PC equivalent – Windows moviemaker

Demo the digital story Finalize and upload to sharable file

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SHARING THE DIGITAL STORY

Story Circle 3 (or final story circle) Most powerful piece to Digital Storytelling Symbolic of a person re-entering their world with a narrative solely authored by themselves. Reclaimed control over their story, and their healing.

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EXAMPLE DIGITAL STORY

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PRELIMINARY FINDINGS

 Main finding/goal: This is a FEASIBLE intervention approach for this study

population.

 DS can be feasibly implemented in smart technology (i.e., an Apple IPad Air 2).  Participants found the intervention helpful/meaningful

“Digital Storytelling really helped me focus on what I think the purpose of my family going through this was. I can take what we’ve gone through and find meaning and purpose in the [experience].”

 Participants primarily valued having devoted time and space to craft their

stories (with support) and share them with others who had experienced similar loss.

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QUALITATIVE DATA

 Participants felt this approach supports open communication about feelings of grief

and loss.

 Participants felt this approach supported the meaning-making process, particularly in

terms of them making sense of their loss experience (i.e., understanding it’s purpose in their life).

 Participants felt this would be an important intervention approach for individuals

who are preparing for the loss of their loved one:

“there are these long period where caregivers are waiting for their loved ones to die…having something like storytelling as a [tool] for processing grief would [be] extremely helpful.”

 Participants ended feeling proud of their product, as well as more self-confident in

their ability to use technology (a finding we were not necessarily anticipating).

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IMPACT ON DEPRESSION AND ANXIETY

Figure 1. Distribution of Depression

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CONCLUSIONS

  • Digital Storytelling is a highly feasible psychosocial intervention that holds great promise as a tool to support

healing among individuals bereaved by chronic illness.

  • The workshop format provided ample support for participants to learn to use Digital Storytelling technologies;

including participants with varying levels of experience with such technologies.

  • Participants cited the physical space, dedicated time, emotional support, and technological support as elements of

the Digital Storytelling Experience that contributed to its benefit.

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THANK-YOU!

Abigail J. Rolbiecki, PhD, MPH, MSW Rolbieckia@health.missouri.edu