Barriers and Facilitators of a Healthy Lifestyle Among Persons with Serious and Persistent Mental Illness: Perspectives of Community Mental Health Providers

McKibbin, Christine L.; Kitchen, Katherine A.; Wykes, Thomas L.; Lee, Aaron A.

doi:10.1007/s10597-013-9650-2

Cited by 38 publications

(31 citation statements)

References 32 publications

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“…Eating, sleeping, and behaving well, not smoking and not drinking alcohol, and meditating and having a faith are important supports for a healthy lifestyle (McKibbin et al . ). Resilience is embedded within the energy of ‘striving’ to change behaviour and arrive at the feeling of success.…”

Section: Discussionmentioning

confidence: 97%

Meaning of resilience as described by people with schizophrenia

Sumskis

Moxham

Caputi

2016

Int J Mental Health Nurs

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The aim of the present study was to understand the meaning of resilience, as described by people with schizophrenia. Building resilience is a component of recovery-oriented mental health care, and yet almost no research has been conducted into the resilience of people who live with schizophrenia and who are routinely considered vulnerable. Establishing the meaning of resilience in the context of schizophrenia is an important first step in building understanding. van Kaam's psychophenomenological method was used to interpret 14 interviews with people with schizophrenia who are currently well and living in the community. Resilience is invoked in the tension between opposing forces of challenge and support and in the act of 'striving' to take control of schizophrenia. Striving includes repeated, seemingly backwards steps, and during this, the person takes risks and seeks out and uses supportive people and resources. Those same supportive people and resources can also be challenging. Resilience is an energy embedded in the process of recovery from schizophrenia, and is manifest in an attitude of striving. Taking on challenges and engaging in risk is important within treatment and recovery from schizophrenia.

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Section: Discussionmentioning

confidence: 97%

Meaning of resilience as described by people with schizophrenia

Sumskis

Moxham

Caputi

2016

Int J Mental Health Nurs

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“…One explanation may be that there are several inherent obstacles to life‐style change in SMD, including low motivation, symptom load, reduced cognitive functioning, financial challenges, and sedentary side effects of medication (i.e. drowsiness and fatigue) . These challenges are difficult to influence through public health efforts.…”

Section: Discussionmentioning

confidence: 99%

Cardiovascular risk remains high in schizophrenia with modest improvements in bipolar disorder during past decade

Rødevand

Steen

Elvsåshagen

et al. 2019

Acta Psychiatr Scand

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Elvs ashagen T, Quintana DS, Reponen EJ, Mørch RH, Lunding SH, Vedal TSJ, Dieset I, Melle I, Lagerberg TV, Andreassen OA. Cardiovascular risk remains high in schizophrenia with modest improvements in bipolar disorder during past decade Objective: While CVD risk has decreased in the general population during the last decade, the situation in patients with schizophrenia (SCZ) and bipolar disorder (BD) is unknown. Methods: We compared CVD risk factors in patients with SCZ and BD recruited from 2002-2005 (2005 sample, N = 270) with patients recruited from 2006-2017 (2017 sample, N = 1011) from the same catchment area in Norway. The 2017 sample was also compared with healthy controls (N = 922) and the general population (N range = 1285-4587, Statistics Norway) from the same area and period. Results: Patients with SCZ and BD in the 2017 sample had significantly higher level of most CVD risk factors compared to healthy controls and the general population. There was no significant difference in the prevalence of CVD risk factors in SCZ between the 2005 and 2017 samples except a small increase in glucose in the 2017 sample. There were small-to-moderate reductions in hypertension, obesity, total cholesterol, low-density lipoprotein, systolic and diastolic blood pressure in the BD 2017 sample compared to the 2005 sample.Conclusion: Despite major advances in health promotion during the past decade, there has been no reduction in the level of CVD risk factors in patients with SCZ and modest improvement in BD. Significant outcomes• We found no improvement in CVD risk in patients with SCZ while patients with BD had small-tomoderate reductions in several risk factors during the past decade.• The striking increase in CVD risk factors in patients with SCZ and BD compared to the general population is a major clinical problem in psychiatry. Limitations• The study periods of the 2005 and 2017 samples are close, which may reduce the chance of detecting differences between the samples.• Fasting blood samples and information on daily smoking were retrieved from a subset of healthy controls, although a sufficiently large number for comparison with patients.

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“…Service providers have identified their beliefs that clients experience positive facilitation, in living more healthily, when, taking personal initiative, having peer support and easy access to community resources [34]. …”

Section: Desired Content Of Healthy Lifestyle Programsmentioning

confidence: 99%

A Qualitative Study Exploring Facilitators for Improved Health Behaviors and Health Behavior Programs: Mental Health Service Users’ Perspectives

Graham

Rollings

Leeuw

et al. 2014

The Scientific World Journal

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Objective. Mental health service users experience high rates of cardiometabolic disorders and have a 20–25% shorter life expectancy than the general population from such disorders. Clinician-led health behavior programs have shown moderate improvements, for mental health service users, in managing aspects of cardiometabolic disorders. This study sought to potentially enhance health initiatives by exploring (1) facilitators that help mental health service users engage in better health behaviors and (2) the types of health programs mental health service users want to develop. Methods. A qualitative study utilizing focus groups was conducted with 37 mental health service users attending a psychosocial rehabilitation center, in Northern British Columbia, Canada. Results. Four major facilitator themes were identified: (1) factors of empowerment, self-value, and personal growth; (2) the need for social support; (3) pragmatic aspects of motivation and planning; and (4) access. Participants believed that engaging with programs of physical activity, nutrition, creativity, and illness support would motivate them to live more healthily. Conclusions and Implications for Practice. Being able to contribute to health behavior programs, feeling valued and able to experience personal growth are vital factors to engage mental health service users in health programs. Clinicians and health care policy makers need to account for these considerations to improve success of health improvement initiatives for this population.

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Barriers and Facilitators of a Healthy Lifestyle Among Persons with Serious and Persistent Mental Illness: Perspectives of Community Mental Health Providers

Cited by 38 publications

References 32 publications

Meaning of resilience as described by people with schizophrenia

Meaning of resilience as described by people with schizophrenia

Cardiovascular risk remains high in schizophrenia with modest improvements in bipolar disorder during past decade

A Qualitative Study Exploring Facilitators for Improved Health Behaviors and Health Behavior Programs: Mental Health Service Users’ Perspectives

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