Reflective practice and transcultural psychiatry peer e-learning between Somaliland and the UK: a qualitative evaluation

Mia Prosser; Thomas Stephenson; Jai Mathur; Hanieh Enayati; Abdirasak Kadie; Manal Mohamed Abdi; Jibril I.M. Handuleh; Roxanne C. Keynejad

doi:10.1186/s12909-020-02465-y

Reflective practice and transcultural psychiatry peer e-learning between Somaliland and the UK: a qualitative evaluation

Mia Prosser, Thomas Stephenson, Jai Mathur, Hanieh Enayati, Abdirasak Kadie, Manal Mohamed Abdi, Jibril I.M. Handuleh^*, Roxanne C. Keynejad

^*Corresponding author for this work

Health Service & Population Research

Research output: Contribution to journal › Article › peer-review

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114 Downloads (Pure)

Abstract

Background: Reflective practice is a key skill for healthcare professionals. E-learning programmes have the potential to develop reflective practice in remote settings and low- and middle-income countries (LMICs), where access to in-person reflective groups may be reduced. ‘Aqoon’ is a global mental health peer-to-peer e-learning programme between Somaliland and UK medical students. We aimed to explore participants’ experiences of participating in the Aqoon programme, including their experiences of reflective practice. Methods: Thirty-three medical students (22 Somaliland, 11 UK) enrolled in Aqoon. We matched volunteer learners in trios, to meet online to discuss anonymised clinical cases relevant to chapters of the World Health Organization’s mental health gap action programme (mhGAP) intervention guide. We conducted thematic analysis of learners’ reflective writing and post-programme focus group transcripts. Results: Twenty-four students (73%) attended at least three online discussions (14 Somaliland, 10 UK). Somaliland and UK students described improved reflective skills and greater recognition of stigma towards mental ill-health. Themes included gaining memorable insights from peer discussions which would impact their medical education. UK students emphasised improved cultural understanding of common psychiatric presentations whilst Somaliland students reflected on increased clinical confidence. Discussion: Integrating reflective practice into Aqoon showed the potential for low-cost e-learning interventions to develop cross-cultural reflective practice among medical students in diverse settings.

Original language	English
Article number	58
Journal	Bmc Medical Education
Volume	21
Issue number	1
Early online date	15 Jan 2021
DOIs	https://doi.org/10.1186/s12909-020-02465-y
Publication status	E-pub ahead of print - 15 Jan 2021

Keywords

E-learning
Health partnerships
Intercultural awareness
Intercultural practice
Medical education
Peer-to-peer education
Reflective practice
Somaliland
Transcultural psychiatry
United Kingdom

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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Cite this

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title = "Reflective practice and transcultural psychiatry peer e-learning between Somaliland and the UK: a qualitative evaluation",

abstract = "Background: Reflective practice is a key skill for healthcare professionals. E-learning programmes have the potential to develop reflective practice in remote settings and low- and middle-income countries (LMICs), where access to in-person reflective groups may be reduced. {\textquoteleft}Aqoon{\textquoteright} is a global mental health peer-to-peer e-learning programme between Somaliland and UK medical students. We aimed to explore participants{\textquoteright} experiences of participating in the Aqoon programme, including their experiences of reflective practice. Methods: Thirty-three medical students (22 Somaliland, 11 UK) enrolled in Aqoon. We matched volunteer learners in trios, to meet online to discuss anonymised clinical cases relevant to chapters of the World Health Organization{\textquoteright}s mental health gap action programme (mhGAP) intervention guide. We conducted thematic analysis of learners{\textquoteright} reflective writing and post-programme focus group transcripts. Results: Twenty-four students (73%) attended at least three online discussions (14 Somaliland, 10 UK). Somaliland and UK students described improved reflective skills and greater recognition of stigma towards mental ill-health. Themes included gaining memorable insights from peer discussions which would impact their medical education. UK students emphasised improved cultural understanding of common psychiatric presentations whilst Somaliland students reflected on increased clinical confidence. Discussion: Integrating reflective practice into Aqoon showed the potential for low-cost e-learning interventions to develop cross-cultural reflective practice among medical students in diverse settings.",

keywords = "E-learning, Health partnerships, Intercultural awareness, Intercultural practice, Medical education, Peer-to-peer education, Reflective practice, Somaliland, Transcultural psychiatry, United Kingdom",

author = "Mia Prosser and Thomas Stephenson and Jai Mathur and Hanieh Enayati and Abdirasak Kadie and Abdi, {Manal Mohamed} and Handuleh, {Jibril I.M.} and Keynejad, {Roxanne C.}",

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AU - Stephenson, Thomas

AU - Mathur, Jai

AU - Enayati, Hanieh

AU - Kadie, Abdirasak

AU - Abdi, Manal Mohamed

AU - Handuleh, Jibril I.M.

AU - Keynejad, Roxanne C.

PY - 2021/1/15

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KW - Health partnerships

KW - Intercultural awareness

KW - Intercultural practice

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KW - Reflective practice

KW - Somaliland

KW - Transcultural psychiatry

KW - United Kingdom

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ER -

Reflective practice and transcultural psychiatry peer e-learning between Somaliland and the UK: a qualitative evaluation

Abstract

Keywords

UN SDGs

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