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“When I Go There, I Feel Like I Can Be Myself.” Exploring Programme Theory within the Wave Project Surf Therapy Intervention

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  • Jamie Marshall

    (School of Applied Sciences, Edinburgh Napier University, 9 Sighthill Court, Edinburgh EH11 4BN, UK
    Physical Activity for Health Research Centre, Institute for Sport, Physical Education and Health Sciences The University of Edinburgh Holyrood Road, Edinburgh EH8 8AQ, UK)

  • Paul Kelly

    (Physical Activity for Health Research Centre, Institute for Sport, Physical Education and Health Sciences The University of Edinburgh Holyrood Road, Edinburgh EH8 8AQ, UK)

  • Ailsa Niven

    (Physical Activity for Health Research Centre, Institute for Sport, Physical Education and Health Sciences The University of Edinburgh Holyrood Road, Edinburgh EH8 8AQ, UK)

Abstract

Mental health issues in young people are a priority for health and social care. Surf therapy is an innovative intervention that may help address this health burden globally. While increasing evidence demonstrates the effectiveness of surf therapy, there has been limited exploration as to how it achieves its outcomes. Such theoretical exploration is important for service optimisation, monitoring and proliferation. This research aimed to adopt, for the first time, a rigorous grounded theory approach to explore underlying programme theory within the Wave Project surf therapy intervention. Participants ( n = 22, 14 males and 8 females; mean age = 14 years, SD = 3.5, range 8–23) were interviewed about their intervention experiences. Data were analysed through constant comparative analysis and memo writing. Two core categories reflected mediators by which surf therapy may achieve its outcomes: “Self-Selected Pacing and Progression While Surfing” and “Creation of Emotional and Physical Safe Space at Beach”. Three antecedent (linking known inputs to core categories) and three consequent categories (linking core categories to associated outputs) were also identified. These demonstrate theorised pathways from known inputs to associated outcomes within the intervention. These important findings provide plausible evidence on how to optimise the Wave Project’s delivery in tackling mental health burden.

Suggested Citation

  • Jamie Marshall & Paul Kelly & Ailsa Niven, 2019. "“When I Go There, I Feel Like I Can Be Myself.” Exploring Programme Theory within the Wave Project Surf Therapy Intervention," IJERPH, MDPI, vol. 16(12), pages 1-17, June.
  • Handle: RePEc:gam:jijerp:v:16:y:2019:i:12:p:2159-:d:240993
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    References listed on IDEAS

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    1. Mireia Gascon & Margarita Triguero-Mas & David Martínez & Payam Dadvand & Joan Forns & Antoni Plasència & Mark J. Nieuwenhuijsen, 2015. "Mental Health Benefits of Long-Term Exposure to Residential Green and Blue Spaces: A Systematic Review," IJERPH, MDPI, vol. 12(4), pages 1-26, April.
    2. Bell, Sarah L. & Foley, Ronan & Houghton, Frank & Maddrell, Avril & Williams, Allison M., 2018. "From therapeutic landscapes to healthy spaces, places and practices: A scoping review," Social Science & Medicine, Elsevier, vol. 196(C), pages 123-130.
    3. Belinda Wheaton & Georgina Roy & Rebecca Olive, 2017. "Exploring Critical Alternatives for Youth Development through Lifestyle Sport: Surfing and Community Development in Aotearoa/New Zealand," Sustainability, MDPI, vol. 9(12), pages 1-16, December.
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    Cited by:

    1. Martina Burtscher & Easkey Britton, 2022. "“ There Was Some Kind of Energy Coming into My Heart ”: Creating Safe Spaces for Sri Lankan Women and Girls to Enjoy the Wellbeing Benefits of the Ocean," IJERPH, MDPI, vol. 19(6), pages 1-17, March.

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