From inactivity to becoming physically active: The experiences of behaviour change in people with serious mental illness

Hargreaves, Jackie; Lucock, Mike; Rodriguez, Alison

doi:10.1016/j.mhpa.2017.09.006

Cited by 26 publications

(32 citation statements)

References 46 publications

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“…As it is likely that both HCPs and patients were more confronted with those challenges, this may have contributed to perceived barriers related to MULTI and themselves, including the lack of awareness of specific content of MULTI. In line with these results, recent studies suggest that there is both a need to invest more time and emphasis to overcome those challenges by HCPs [75], as well as a need to tailor interventions to address patients’ needs and provide individually meaningful and suitable opportunities to be physically active, which may increase autonomous motivation for those activities [43, 53–55, 59, 76].…”

Section: Discussionmentioning

confidence: 99%

Implementation barriers and facilitators of an integrated multidisciplinary lifestyle enhancing treatment for inpatients with severe mental illness: the MULTI study IV

Deenik

Tenback

Tak³

et al. 2019

BMC Health Serv Res

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BackgroundDespite an increase in studies showing the efficacy of lifestyle interventions in improving the poor health outcomes for people with severe mental illness (SMI), routine implementation remains ad hoc. Recently, a multidisciplinary lifestyle enhancing treatment for inpatients with SMI (MULTI) was implemented as part of routine care at a long-term inpatient facility in the Netherlands, resulting in significant health improvements after 18 months. The current study aimed to identify barriers and facilitators of its implementation.MethodsDeterminants associated with the implementation of MULTI, related to the innovation, the users (patients, the healthcare professionals (HCPs)), and the organisational context, were assessed at the three wards that delivered MULTI. The evidence-based Measurement Instrument for Determinants of Innovations was used to assess determinants (29 items), each measured through a 5-point Likert scale and additional open-ended questions. We considered determinants to which ≥20% of the HCPs or patients responded negatively (“totally disagree/disagree”, score < 3) as barriers and to which ≥80% of HCPs or patients responded positively (“agree/totally agree”, score > 3) as facilitators. We included responses to open-ended questions if the topic was mentioned by ≥2 HCPs or patients. In total 50 HCPs (online questionnaire) and 46 patients (semi-structured interview) were invited to participate in the study.ResultsParticipating HCPs (n = 42) mentioned organisational factors as the strongest barriers (e.g. organisational changes and financial resources). Patients (n = 33) mentioned the complexity of participating in MULTI as the main barrier, which could partly be due to organisational factors (e.g. lack of time for nurses to improve tailoring). The implementation was facilitated by positive attitudes of HCPs and patients towards MULTI, including their own role in it. Open responses of HCPs and patients showed strong commitment, collaboration and ownership towards MULTI.ConclusionsThis is the first study analysing the implementation of a pragmatic lifestyle intervention targeting SMI inpatients in routine clinical care. Positive attitudes of both HCPs and patients towards such an approach facilitated the implementation of MULTI. We suggest that strategies addressing organisational implementation barriers are needed to further improve and maintain MULTI, to succeed in achieving positive health-related outcomes in inpatients with SMI.

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Section: Discussionmentioning

confidence: 99%

Implementation barriers and facilitators of an integrated multidisciplinary lifestyle enhancing treatment for inpatients with severe mental illness: the MULTI study IV

Deenik

Tenback

Tak³

et al. 2019

BMC Health Serv Res

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“…A template analysis (Crabtree & Miller, 1999; King, 2004) was used and focused on participants’ recovery stories in relation to the LSMI. Often used in health care qualitative research (e.g., Hargreaves, Lucock, & Rodriguez, 2017) and not inextricably bound to any one epistemology, template analysis is a highly practical and focused method of thematically organizing and analyzing qualitative data (particularly interview transcripts). It is especially appropriate in studies that incorporate theory into the analysis.…”

Section: Methodsmentioning

confidence: 99%

A Complexity Perspective on Narrative Identity Reconstruction in Mental Health Recovery

2019

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The issue of complex nonlinear change processes is one of the least understood aspects of recovery and one of the most difficult to apply in recovery-oriented health care. The purpose of this article is to explore the recovery stories of 17 mental health peer support workers to understand their narrative identity reconstruction in recovery using a complexity perspective. Using the Life Story Model of Identity (LSMI), a narrative thematic analysis of interviews suggests that self-mastery as part of personal agency is an important component of participants’ narrative identity reconstruction. Self-mastery is particularly evident in redemptive story turning points (positive outcome follows negative experience). A complexity perspective suggests that participants realized their adaptive capacity in relation to self-mastery as part of recovery and that its use at story turning points critically influenced their recovery journey. Further exploring self-mastery as adaptive growth in narrative identity reconstruction appears to be a fruitful research direction.

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“…Previous literature highlights that pleasurable PA has been found to be beneficial for recovery in people with mental health problems (Hargreaves, Lucock & Rodriguez, 2017;Pickett, Kendrick, Yardley, 2017). However, there is limited literature which explores what happens during PA which facilitates a pleasurable experience and the processes involved which enhance engagement.…”

Section: Introductionmentioning

confidence: 99%

“Football is pure enjoyment”: An exploration of the behaviour change processes which facilitate engagement in football for people with mental health problems

Hargreaves

Pringle

2019

Mental Health and Physical Activity

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The Leeds Beckett repository holds a wide range of publications, each of which has been checked for copyright and the relevant embargo period has been applied by the Research Services team.We operate on a standard take-down policy. If you are the author or publisher of an output and you would like it removed from the repository, please contact us and we will investigate on a case-by-case basis.Each thesis in the repository has been cleared where necessary by the author for third party copyright. If you would like a thesis to be removed from the repository or believe there is an issue with copyright, please contact us on openaccess@leedsbeckett.ac.uk and we will investigate on a case-by-case basis. Football is pure enjoyment: An exploration of the behaviour change processes which facilitate engagement in football for people with mental health problems.Hargreaves, J. M.; Pringle, A. AbstractIntroduction: Physical activity is known to be beneficial for people with mental health problems, although engagement is low. Football, provided by professional football club community trusts could aid engagement in physical activity, however little is known about the behaviour change processes which engage individuals in this type of PA. One factor which is often overlooked is affect and exploring this could help identify the behaviour change processes, which engage individuals in a professional football club-led mental health intervention. The aim of this study was to explore the experiences of individuals attending football provided by a professional club community trust to further our understanding of the behaviour change processes involved in facilitating engagement in this provision.Method: Semi-structured interviews were conducted with twelve men who played football provided by a professional football club trust. A range of mental health problems were reported and the participants were aged between 19-46. Template analysis was conducted, implementing some of the concepts from the Affective -Reflective Theory (ART).Results: The results highlighted that both affective and reflective processes of ART were evident in engaging individuals in football. Pleasurable experiences were enabled through the physical and social characteristics of football. Self-control strategies emerged which help to action engagement. The professional football club trust provided coaching knowledge and skills, team organisation and resources and feelings of belonging and responsibility.Conclusion: Application of ART to the understanding of football experiences has provided a novel exploration of the processes involved in engaging individuals in football. This has important implications for intervention design; the focus should be on providing pleasurable experiences and fostering appropriate self-control strategies.

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From inactivity to becoming physically active: The experiences of behaviour change in people with serious mental illness

Cited by 26 publications

References 46 publications

Implementation barriers and facilitators of an integrated multidisciplinary lifestyle enhancing treatment for inpatients with severe mental illness: the MULTI study IV

Implementation barriers and facilitators of an integrated multidisciplinary lifestyle enhancing treatment for inpatients with severe mental illness: the MULTI study IV

A Complexity Perspective on Narrative Identity Reconstruction in Mental Health Recovery

“Football is pure enjoyment”: An exploration of the behaviour change processes which facilitate engagement in football for people with mental health problems

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