‘The book’s a conversation starter’: a realist exploration of the salutogenic potential of reading for pleasure

• Published in: Medical humanities Vol. 50; no. 3; pp. 504 - 512
• Main Authors: Sirisena, Mihirini, Lhussier, Monique, Kaner, Eileen, Wearn, Angela, Gray, Joanne, James, Rebecca, Redgate, Sam
• Format: Journal Article
• Language: English
• Published: United States BMJ Publishing Group Ltd and Institute of Medical Ethics 30.04.2024
• Subjects: arts in health/arts and health; Mental health care; Original research; Qualitative Research; Mental health care; Qualitative Research; arts in health/arts and health
• ISSN: 1468-215X; 1473-4265
• DOI: 10.1136/medhum-2023-012880

Reading for Wellbeing (RfW) is a pilot initiative, aimed at improving mental health and well-being through supporting access and increasing opportunities to read for pleasure. RfW was implemented across six North-East local authorities in England and employed Community Reading Workers to support access to books and reading for targeted populations. The current study used realist methodology to understand context, potential mechanisms of action, acceptability and reported outcomes. Data generation and analysis were conducted iteratively, using focus groups, interviews and observations.The analysis of the collated data highlighted that a positive attitude towards reading and a desire for social connections were significant motivators for engagement with RfW. This paper postulates eight programme theories relating to that context, which describe key mechanisms within RfW linked to engagement with reading, well-being, connections and practice. The paper concludes that previous notions of positivity associated with reading for pleasure enable participants to experience RfW as a positive social encounter. This positive social encounter enhances participants’ multiple resistance resources such as increased sense of self-efficacy and connectedness that could impact on their sense of well-being.