BACKGROUND Mental health recovery narratives are a core component of recovery-oriented interventions such as peer support and anti-stigma campaigns. A substantial number of recorded recovery narratives are now publicly available online in different modalities and in published books. Whilst the benefits of telling one's story have been investigated, much less is known about how recorded narratives of differing modalities impact on recipients. A previous qualitative study identified connection to the narrator and/or to events in the narrative to be a core mechanism of change. The factors that influence how individuals connect with a recorded narrative are unknown. The aim of the current study was to characterise the immediate effects of receiving recovery narratives presented in a range of modalities (text, video and audio), by establishing the mechanisms of connection and the processes by which connection leads to outcomes. METHOD A study involving 40 mental health service users in England was conducted. Participants were presented with up to 10 randomly-selected recovery narratives and were interviewed on the immediate impact of each narrative. Thematic analysis was used to identify the mechanisms of connection and how connection leads to outcome. RESULTS Receiving a recovery narrative led participants to reflect upon their own experiences or those of others, which then led to connection through three mechanisms: comparing oneself with the narrative and narrator; learning about other's experiences; and experiencing empathy. These mechanisms led to outcomes through three processes: the identification of change (through attending to narrative structure); the interpretation of change (through attending to narrative content); and the internalisation of interpretations. CONCLUSIONS This is the first study to identify mechanisms and processes of connection with recorded recovery narratives. The empirically-based causal chain model developed in this study describes the immediate effects on recipients. This model can inform selection of narratives for use in interventions, and be used to support peer support workers in recounting their own recovery narratives in ways which are maximally beneficial to others.

中文翻译：

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联系的机制和过程：开发一个因果链模型，捕捉接收记录的心理健康恢复叙述的影响。

背景 心理健康恢复叙述是面向恢复的干预措施的核心组成部分，例如同伴支持和反污名运动。大量记录的恢复叙述现在以不同的方式和出版的书籍在网上公开提供。虽然已经调查了讲述一个人的故事的好处，但人们对不同方式的记录叙述如何影响接受者知之甚少。之前的一项定性研究确定了与叙述者和/或叙述中的事件的联系是变化的核心机制。影响个人如何与记录的叙述联系的因素尚不清楚。当前研究的目的是描述接收以多种方式（文本、视频和音频）呈现的恢复叙述的直接影响，通过建立联系机制和联系导致结果的过程。方法 进行了一项涉及英格兰 40 名心理健康服务用户的研究。向参与者展示了多达 10 个随机选择的恢复叙述，并就每个叙述的直接影响接受了采访。主题分析用于确定联系机制以及联系如何导致结果。结果 接受康复叙述后，参与者会反思自己或他人的经历，然后通过三种机制建立联系：将自己与叙述和叙述者进行比较；学习他人的经验；并体验同理心。这些机制通过三个过程产生结果： 识别变化（通过关注叙述结构）；变化的解释（通过关注叙述内容）；以及解释的内在化。结论 这是第一项确定与记录的康复叙述相关的机制和过程的研究。本研究中开发的基于经验的因果链模型描述了对接受者的直接影响。该模型可以告知选择用于干预的叙述，并用于支持同伴支持工作者以最有利于他人的方式讲述他们自己的康复叙述。本研究中开发的基于经验的因果链模型描述了对接受者的直接影响。该模型可以告知选择用于干预的叙述，并用于支持同伴支持工作者以最有利于他人的方式讲述他们自己的康复叙述。本研究中开发的基于经验的因果链模型描述了对接受者的直接影响。该模型可以告知选择用于干预的叙述，并用于支持同伴支持工作者以最有利于他人的方式讲述他们自己的康复叙述。