Exploring the impact of the COVID-19 pandemic and shift to online formats on hearing voices group facilitators in the UK

BackgroundThis study explores the impact on Hearing Voices Group (HVG) facilitators on the rapid shift to using video-teleconferencing communication (VTC) to host HVGs triggered by the COVID-19 global pandemic.MethodA qualitative, interview-based design was implemented, adopting a Grounded Theory approach. Semi-structured interviews were conducted with seven HVG facilitators from across the UK using VTC.ResultsNine major themes were identified with four overarching thematic categories; (1) Societal reality & change; (2) Increased reliance on technology; (3) Impact on groups; (4) Impact on facilitator role.DiscussionA preliminary theory is presented which discusses the inter-relating impact on facilitators and HVGs, in the context of increased reliance on technology, social reality and social change. The recurring themes of limited understanding of and access to IT, and the lack of support structures for HVG facilitators need addressing to support the future efficacy of VTC-mediated HVGs. Limitations are discussed alongside suggestions for future practice.