A Pragmatic Delphi Exploring Barriers and Facilitators to Emergency Responder/Healthcare Workers' Participation in the Blue Light Surf Club Therapy Intervention

Emergency responders/healthcare workers face significant mental health burdens associated with their integral roles within society. Alongside the need for more mental health support, a major contributing factor to this burden are barriers to accessing suitable support. The aim of this study was to build consensus on the barriers/facilitators to a proposed surf therapy intervention supporting this population, the Blue Light Surf Club (BLSC). Where possible the study also explored pragmatic solutions from the perspectives of potential participants. Given the primary aim of building consensus, a Delphi method was utilised alongside 18 emergency responders/healthcare workers from a range of different roles in central Scotland (7 males and 11 females; mean age = 38.2 years; standard deviation = 11 years; range 19-54). Participants were surveyed about their perceptions of barriers/facilitators to accessing the proposed BLSC surf therapy programme. Four rounds of questions were required before a priori defined consensus was reached across all generated items. The outcome of the research was a set of recommendations for the implementation of the BLSC grouped around three themes: Intervention Access, Intervention Delivery and Intervention Structure. These recommendations offer insight and practical suggestions for overcoming established barriers to accessing mental health support for this population. The findings of this study have direct implications for the design stage of the BLSC surf therapy intervention while also supporting a wide range of similar interventions aimed at the emergency responder/healthcare population. These pragmatic recommendations are of value both in terms of their contribution to academic discussion around supporting this population, and the direct support they offer to comparable community-based organisations.