Exploring research-participant perceptions of experience sampling studies on self-harm.

Area of Science:

• Psychology
• Clinical Psychology
• Research Methodology

Background:

• Experience sampling research (ESM) is crucial for understanding self-injurious thoughts and behaviors (SITBs).
• Concerns exist regarding the demanding nature of ESMs for individuals with SITB histories.
• Unresolved questions remain about participant responses to these intensive research designs.

Purpose of the Study:

• To explore how individuals with a history of SITBs engage with and perceive experience sampling methods (ESMs) targeting these outcomes.
• To investigate potential benefits and harms associated with participating in ESM studies for SITBs.
• To inform ethical research practices and enhance the validity of the SITB evidence base.

Main Methods:

• A mixed-methods investigation combining quantitative and qualitative data from 109 community-dwelling adults with a history of significant SITBs.
• Quantitative analyses assessed participant ratings of study experience (satisfaction, feasibility, stress) and iatrogenic effects.
• Qualitative investigation used reflexive thematic analysis of open-ended responses to explore perceptions of the research process.

Main Results:

• Most participants reported satisfactory and feasible study experiences, with no undue stress.
• Little evidence of iatrogenic effects (intensification of SITBs) was observed across repeated assessments.
• Qualitative themes included enhanced self-awareness, confronting guarded experiences, emotion regulation, self-related change, and inconvenience.

Conclusions:

• ESMs targeting SITBs appear feasible and generally safe for individuals with a history of these behaviors.
• Participant experiences encompass self-awareness, emotional processing, and personal change, alongside practical inconveniences.
• Researchers should consider these potential benefits and harms to ensure ethical ESM implementation in SITB research.