{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T04:21:19Z","timestamp":1774930879084,"version":"3.50.1"},"reference-count":26,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2020,3,11]],"date-time":"2020-03-11T00:00:00Z","timestamp":1583884800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000724","name":"Health Foundation","doi-asserted-by":"publisher","award":["UoS 15940\/01"],"award-info":[{"award-number":["UoS 15940\/01"]}],"id":[{"id":"10.13039\/501100000724","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Expectations"],"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Successful facilitation of patient\u2010centred interventions for self\u2010management support has traditionally focussed on individual behaviour change. A social network approach to self\u2010management support implicates the need for facilitation that includes an orientation to connecting to and mobilizing support and resources from other people and the local environment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To identify the facilitation processes through which engagement with a social network approach to self\u2010management is achieved.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Thematic analysis was used to analyse data from a longitudinal study design using quasi\u2010ethnographic methods comprising non\u2010participant observation, video and qualitative interviews involving 30 participants living with a long\u2010term condition recruited from a marginalized community.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Findings centred on three themes about the social network approach facilitation processes: reversing the focus on the self by bringing others into view; visualization and reflection as a mediator of positive disruption and linking to new connections; personalized matching of valued activities as a means of realizing preference elicitation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion and conclusions<\/jats:title><jats:p>Engagement processes with a social network approach illuminated the relevance of cognizance of an individual's immediate social context and forefronting social participation with others as the bases of self\u2010management support of a long\u2010term condition. This differs from traditional guided facilitation of health behaviour interventions that frame health as a matter of personal choice and individual responsibility.<\/jats:p><\/jats:sec>","DOI":"10.1111\/hex.13048","type":"journal-article","created":{"date-parts":[[2020,3,12]],"date-time":"2020-03-12T03:19:11Z","timestamp":1583983151000},"page":"681-690","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Mediating engagement in a social network intervention for people living with a long\u2010term condition: A qualitative study of the role of facilitation"],"prefix":"10.1111","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9355-0295","authenticated-orcid":false,"given":"Elizabeth","family":"James","sequence":"first","affiliation":[{"name":"School of Health Sciences University of Southampton Southampton UK"},{"name":"NIHR CLAHRC Wessex University of Southampton Southampton UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne","family":"Kennedy","sequence":"additional","affiliation":[{"name":"School of Health Sciences University of Southampton Southampton UK"},{"name":"NIHR CLAHRC Wessex University of Southampton Southampton UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2206-8247","authenticated-orcid":false,"given":"Ivaylo","family":"Vassilev","sequence":"additional","affiliation":[{"name":"School of Health Sciences University of Southampton Southampton UK"},{"name":"NIHR CLAHRC Wessex University of Southampton Southampton UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0068-3318","authenticated-orcid":false,"given":"Jaimie","family":"Ellis","sequence":"additional","affiliation":[{"name":"School of Health Sciences University of Southampton Southampton UK"},{"name":"NIHR CLAHRC Wessex University of Southampton Southampton UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7231-790X","authenticated-orcid":false,"given":"Anne","family":"Rogers","sequence":"additional","affiliation":[{"name":"School of Health Sciences University of Southampton Southampton UK"},{"name":"NIHR CLAHRC Wessex University of Southampton Southampton UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,3,11]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/hsc.12176"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10728-016-0335-1"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/1742395314534275"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/jech-2018-211107"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/1748-5908-6-56"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.f2882"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.7453\/gahmj.2013.042"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/hex.12453"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.genhosppsych.2006.03.005"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0098340"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-14-719"},{"issue":"4","key":"e_1_2_10_13_1","first-page":"1","article-title":"How do health behaviour interventions take account of social context? 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