Table_1_Introducing Open Dialogue as part of the WHO QualityRights Project in South Korea: experiences and opinions from an introductory workshop and 1-year pilot practice.DOCX

This study explores the subjective experiences of participants in a 5-day Open Dialogue (OD) workshop and a 1-year pilot practice, conducted as part of the WHO QualityRights Project in South Korea. Twenty-four participants, selected through purposive sampling, completed surveys immediately after the workshop and 1 year later. Data were analyzed through both statistical and thematic approaches. A statistically significant decrease in the availability of “Flexibility and Mobility” was observed across all participants (p = 0.044) and a significant reduction in the availability of “Tolerance of Uncertainty” (p = 0.04) was noted among participants who engaged in network meetings over the course of 1 year. Qualitative analysis revealed that participants initially felt ambivalent toward OD due to systemic, cultural, and professional challenges. However, through experiential learning, their ambivalence shifted to hope, fostering solidarity and a more positive outlook for future OD practice. Participants recognized that implementing OD supported human rights, while addressing personal, organizational, and policy challenges. The findings provide important insights for developing OD training and implementation guidelines in South Korea. Recommendations include focusing on experiential learning and selecting mixed-group trainees from catchment area institutions, emphasizing the support of client rights, and considering individual, organizational, and systemic levels for successful implementation. This study represents a new case of OD dissemination through a top-down national research and development project and its integration into the WHO QualityRights service package, suggesting complementary potential between OD and global human rights-based mental health initiatives.

本研究深入探讨了参与者在为期五天的开放式对话（OD）研讨会及作为世界卫生组织质量权利项目韩国部分的一年期试点实践中的主观体验。通过目的抽样选取的二十四名参与者，在研讨会结束后以及一年后均完成了问卷调查。数据通过统计和主题分析方法进行了分析。研究发现，所有参与者中“灵活性与流动性”的可用性均出现了统计学上的显著下降（p = 0.044），而在参与了一年间网络会议的参与者中，“对不确定性的容忍度”的可用性也出现了显著的减少（p = 0.04）。定性分析显示，参与者最初因系统、文化和专业挑战对OD持有矛盾态度。然而，通过经验学习，他们的矛盾情绪转变为希望，促进了团结并对未来OD实践的积极展望。参与者认识到，实施OD不仅支持人权，还能解决个人、组织和政策挑战。研究结果为韩国OD培训和实施指南的制定提供了重要洞见。建议包括注重经验学习，从服务区域机构中选拔混合组别的培训学员，强调支持客户权利，并考虑个人、组织和系统层面以实现成功的实施。本研究代表了一种新的OD传播案例，即通过自上而下的国家级研究与发展项目及其融入世界卫生组织质量权利服务包，暗示了OD与全球基于人权的心理健康倡议之间的互补潜力。