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To understand the effect that participating in walking groups has on aged women with eating disorders eg on their mental wellbeing, perception of self, relationship with food or anxiety.

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Ensuring this research doesn't just further stigmatize people living with eating disorders by trying to find a 'cure', but rather promotes their health and wellbeing. Can mitigate this by involving people with eating disorders in the research and making sure interviewers reflect on their own views on eating disorders so as not to view people with them as having a deficit. (this is a really good short letter explaining it https://jeatdisord.biomedcentral.com/articles/10.1186/s40337-021-00428-2#Tab1 )

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Anonymity - only record personal information if absolutely necessary.

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The literature on eating disorders in the elderly population is currently quite limited.

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Qualitative research will allow us to explore the thoughts, emotions and experiences of the participants in a way which is not possible with quantitative research.

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Mention the basic approach we will use, eg case study, semi-structured interviews?

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Describe our process for ensuring informed consent

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Consider risk of causing harm to participants, eg emotional distress from talking about their experiences of eating disorder - could refer to the UoM Distress Policy https://www.staffnet.manchester.ac.uk/rbe/ethics-integrity/ethics/app-prep/

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The method of obtaining informed consent should be carefully considered (i.e. written, verbal, implied via the return of a questionnaire/survey) and appropriate supporting documentation appended to the ethics application. It may be appropriate to have more than one consenting method if your study involves different groups of participants.

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If they have a regular pattern of physical activity and if not what is their take/understanding on it? 

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If they have a regular pattern of physical activity and if not what is their take/understanding on it? 

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To further establish that eating disorders can occur across all ages.

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To further establish that eating disorders can occur across all ages.

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It seems like this topic is covered in week 4 so it might be worth whoever is writing up this section reading a little bit in advance in the week 4 content

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Can use the research to add understanding of the intervention. Typically for interventions, the establishment of a SURG(service user research group) allows for greater intervention understanding. So, a by-product of this research could be the improvement of the intervention with the target population as we are asking the sample questions related to their experiences of the intervention. There is strong evidence that including a SURG improves study retention (Szmukler, 2009), data interpretation (Gillard et al., 2010) and participant engagement (Staley et al., 2013).

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Can use the research to add understanding of the intervention. Typically for interventions, the establishment of a SURG(service user research group) allows for greater intervention understanding. So, a by-product of this research could be the improvement of the intervention with the target population as we are asking the sample questions related to their experiences of the intervention. There is strong evidence that including a SURG improves study retention (Szmukler, 2009), data interpretation (Gillard et al., 2010) and participant engagement (Staley et al., 2013).

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An interview can give us greater understanding of the effect of w walking group by allowing the exploration of participant thoughts, feelings and experience. A greater understanding can influence the treatment options available to healthcare professionals. Local policies can be affected - more funding into groups and activities like a walking group.

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To mitigate the ethical issue of the stigmatizing individuals living with eating disorders as needing to find a 'cure' - can ensure that the interview questions do not include asking the ppt about 'recovery' or their eating disorder, but keep them focussed on the experiences of the walking group and the affect of it.

To mitigate the ethical issue of causing distress due to the topic - can ensure informed consent is taken which details the aims of the research; and ensure an adequate debrief is given, which highlights where ppts can receive support (internal and external wellbeing services, helplines etc.).

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On a broader note- Questions can be based on initial perspective on group walking before starting th programme. Comments on what and how their persecutive has changed/or not during the process. Barriers and facilitators they face? How supported did they feel if the exercise program was led by a health organisation? 

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On a broader note- Questions can be based on initial perspective on group walking before starting th programme. Comments on what and how their persecutive has changed/or not during the process. Barriers and facilitators they face? How supported did they feel if the exercise program was led by a health organisation? 

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Will help to establish the significance of the role of social support in dealing with mental health 

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Will help to establish the significance of the role of social support in dealing with mental health 

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1)    How have your views towards exercise been affected since you've taken part in the walking group?

2)    Do you think your eating habits have changed since taking part in the eating group, and if so, in what way?

3)    Can you describe your experience of meeting new people through the walking group?

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Interviews then a qualitative analysis, e.g., thematic analysis (easiest to talk about as there are numerous guides of how to conduct it). The most popular one is Clarke and Braun 2006.

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Interviews then a qualitative analysis, e.g., thematic analysis (easiest to talk about as there are numerous guides of how to conduct it). The most popular one is Clarke and Braun 2006.

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Ethical issues of researcher biases. Here would be where reflexivity is briefly spoken about (or in the justification/research section. A common approach is known as bracketing (Tufford & Newman, 2010). If the researcher has too many preconceptions, it could taint the research and also cause harm to participants (Richards & Schwartz, 2002).

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Ethical issues of researcher biases. Here would be where reflexivity is briefly spoken about (or in the justification/research section. A common approach is known as bracketing (Tufford & Newman, 2010). If the researcher has too many preconceptions, it could taint the research and also cause harm to participants (Richards & Schwartz, 2002).

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In addition, could be some questions regarding how the intervention could be improved. This would link to research suggesting that receiving participant guidance can greatly improve interventions. 

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In addition, could be some questions regarding how the intervention could be improved. This would link to research suggesting that receiving participant guidance can greatly improve interventions. 

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a brief overview of the sampling used. It would most likely be purposive, i.e., choosing a group of elderly people with eating disorders in a care setting whereby the intervention can occur. Within this, it would be worth briefly critically discussing the pro's and con's of this approach to sampling. For example, it may limit generalisability (as it is not a random sample) but it could inform specific and useful insights into how this population perceives the intervention and how it could be improved in their view.

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a brief overview of the sampling used. It would most likely be purposive, i.e., choosing a group of elderly people with eating disorders in a care setting whereby the intervention can occur. Within this, it would be worth briefly critically discussing the pro's and con's of this approach to sampling. For example, it may limit generalisability (as it is not a random sample) but it could inform specific and useful insights into how this population perceives the intervention and how it could be improved in their view.

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I found a definition for SURG online. "The central aim of the SURG is to build meaningful and reciprocal relationships between... researchers and service users when thinking through research problems, designing studies, preparing grant applications and ultimately conducting and disseminating research". https://bit.ly/3CikbRV
I think our study approach and aim is different from SURG.

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Excellent questions so far. Please let’s keep in mind that we are expected to choose 4-6 questions, and these should focus on the objective i.e. the impact of walking group participation on eating disorder