Evidence map›Paper›PMID 42761194›Full record

ArticleFrontiers in psychiatry2026

A qualitative analysis of experiences in veteran voices and visions groups: developing a participant-informed model of connection, acceptance, and social integration.

LeeAnn Akouri-Shan, Logan Leathem, Erica Hua Fletcher, Ronald Calderon, Susanna Friedlander, Ippolytos Kalofonos

Abstract read
In one paragraph

Article in Frontiers in psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

LeeAnn Akouri-ShanDepartment of Psychiatry and Biobehavioral Sciences, Semel Institute for Neuroscience and Human Behavior, University of Los Angeles, California, Los Angeles, CA, United States.
Logan LeathemDepartment of Psychiatry and Biobehavioral Sciences, Semel Institute for Neuroscience and Human Behavior, University of Los Angeles, California, Los Angeles, CA, United States.
Erica Hua FletcherDepartment of Psychiatry and Biobehavioral Sciences, Semel Institute for Neuroscience and Human Behavior, University of Los Angeles, California, Los Angeles, CA, United States.
Ronald CalderonVeterans Affairs Greater Los Angeles Healthcare System, Los Angeles, CA, United States.
Susanna FriedlanderVeterans Affairs Greater Los Angeles Healthcare System, Los Angeles, CA, United States.
Ippolytos KalofonosDepartment of Psychiatry and Biobehavioral Sciences, Semel Institute for Neuroscience and Human Behavior, University of Los Angeles, California, Los Angeles, CA, United States.

Funding

Clinical Research Training in Schizophrenia and Other PsychosesT32MH122395 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI KEITH H NUECHTERLEIN · 2021 to 2026
$1.8M
NIMH NIH HHS T32 MH122395
6 · The paper itself

Abstract

Purpose/Aims: This study applied a model of transformation for Hearing Voices Groups in the US developed by Hornstein et al. to Veteran Voices and Visions (VVV) groups adapted for a Veterans Affairs healthcare system. The aims were twofold: (1) identify instances of Discovery, Reframing, and Change and empirically confirm the salience of this model for our groups; and (2) identify the specific dynamics of change in our groups, thus refining and elaborating upon the existing model. Method: This study used a qualitative design with in-depth semi-structured interviews that were assessed pre-intervention, at 8 weeks, and at 16 weeks with 24 participants within five groups. Interviews were recorded and transcribed. Abductive analysis of the interview transcripts was conducted, first drawing theoretical insights from Hornstein et al.'s framework to organize and synthesize qualitative data deductively then using inductive rapid qualitative analysis to enrich and develop a theory of change specific to this study population. Findings: While data from this study mostly align with the Hornstein et al. model of transformation, in our data, findings from each phase seemed to emphasize a different theme than that foregrounded in the Hornstein et al. model. We articulate these differences in a refined model of transformation. Our model makes an additional refinement by delineating two distinct tracks: an inner track reflecting how the group influences participants' relationships with themselves and their own experiences, and an outer track reflecting how participants relate to fellow group members. We also consider barriers and facilitators within each phase. Implications: Our findings indicate that the Hearing Voices approach can be successfully adapted to a large public mental healthcare system. They also provide a model for engagement with groups during the initial weeks and months of group attendance. VVV groups provided a valuable setting for connection, acceptance, and community that led to a greater sense of belonging and social integration.

Indexed as

conceptual modelhallucinationshearing voicespeer supportqualitative researchrecoverysupport groupveteran mental health

Identifiers

PMID42761194
PMCPMC13585751

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.