title: Stimulating client involvement and client-provider dialog through participatory video: deliberations on long-term care in a psychiatric hospital.
abstract: OBJECTIVE
  Recent trends in health care indicate a shift toward client-centered care and an emphasis on dialog between clients and providers. The aim of this study is to assess the role of video-mediated moral deliberation in stimulating dialog between clients and providers.
  
  
  METHODS
  A participatory video project carried out in a long-term care facility of a psychiatric hospital was investigated as a case study. Data were collected through interviews, a focus group and a dialog session with providers, clients, managers and a family member.
  
  
  RESULTS
  Data analysis produced four themes: (1) the video elicits discussion by affecting viewers; (2) the video raises awareness and discussion of clients' needs and desires; (3) the video and discussion give a voice to clients; and (4) the video and discussions draw attention to client-provider relations.
  
  
  CONCLUSIONS
  The study shows that video-mediated moral deliberation can be a useful tool for starting dialog between clients and care providers. It can also contribute to changes in care provision by acting as a catalyst.
  
  
  CONCLUSIONS
  This study provides an example of how video-mediated moral deliberation can be applied in the context of psychiatric care. Opportunities regarding the usefulness of video-mediated moral deliberation include training purposes and education.
authors.affiliation: Athena Institute, VU University Amsterdam, The Netherlands. a.j.vander.ham@vu.nl
authors.forename: Alida J
authors.initials: AJ
authors.lastname: van der Ham
authors.forename: Frank
authors.initials: F
authors.lastname: Kupper
authors.forename: Adee
authors.initials: A
authors.lastname: Bodewes
authors.forename: Jacqueline E W
authors.initials: JE
authors.lastname: Broerse
mesh_terms: D002755:Choice Behavior; D006801:Humans; D008297:Male; D011795:Surveys and Questionnaires; D014956:Writing