Healthy living? By whose standards? Engaging mental health service recipients to understand their perspectives of, and barriers to, healthy living.

Graham, Candida; Griffiths, Brenda; Tillotson, Sherri M.; Rollings, Crystal

doi:10.1037/prj0000009

Cited by 14 publications

(36 citation statements)

References 15 publications

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“…The focus groups directly engaged a community of mental health service users to help empower the community and individuals to develop health improvement initiatives. These focus groups were developed following on from initial research looking at service users perspectives of and barriers to healthy living [25]. …”

Section: Methodsmentioning

confidence: 99%

“…Barriers to engagement and continuance with such programs have been explored [24–28] and researchers have identified that symptoms due to illness, treatment side effects, stigma (structural, social, and self), receiving little support, and difficulties changing habits all act as significant barriers to healthier lifestyle choices for mental health service users. Authors have also, however, highlighted the need to explore facilitators and factors that might aid individuals and program development to potentiate health behavior change [25, 29]. …”

Section: Introductionmentioning

confidence: 99%

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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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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

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

Self Cite

View full text Add to dashboard Cite

show abstract

“…Three different types of stigma have been identified as barriers to healthy living; structural stigma, social stigma and self-stigma (Graham, Griffiths, & Tillotson et al, 2013). Structural stigmas refer to how mental health services are organized often apart from general health care and decreasing availability to general health care among mental health service users.…”

Section: Master’s Level Mental Health Nursing Competencies In Terms Omentioning

confidence: 99%

“…Structural stigmas refer to how mental health services are organized often apart from general health care and decreasing availability to general health care among mental health service users. Social stigmas raise how mental health service users often are viewed in an undesirable way in society, and self-stigmas integrate all types of stigma leading to a negative self-image of incompetence among service users (Graham.et al, 2013). Significant barriers to physical activity among persons with mental health problems, beside symptoms of mental illness, medications and weight gain from medications, also include fear of discrimination and safety concerns (Nyeboe & Lund, 2013).…”

Section: Master’s Level Mental Health Nursing Competencies In Terms Omentioning

confidence: 99%

“…Nurse-based physical healthcare in mental health services is in its early stages (Happel, Platania-Phung, & Scott, 2014a), and master’s level mental health nurses have an important task to assist service users to understand and verbalize potential physical health risks, and to find out what motivates them to adopt health behaviours (Hultsjö & Syrén, 2013). Studies are showing that further skills and training are required among master’s level mental health nurses to gain a holistic approach including empowering service recipients to engage in realistic, innovative, and pragmatic solutions (Graham et al, 2013; Happell, Platania-Phung, & Scott, 2014b; Happell, Scott, & Platania-Phung et al, 2012). This implies the master’s level mental health nursing competence is essential to support equal health among mental health service users.…”

Section: Skillsmentioning

confidence: 99%

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Master’s level mental health nursing competencies, a prerequisite for equal health among service users in mental health care

Jormfeldt

Doyle

Ellilä

et al. 2018

International Journal of Qualitative Studies on Health and Well

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Purpose: This discussion paper aims to explore the need of a clarified definition of master’s level mental health nursing competencies in terms of knowledge, skills and attitudes in a European context. Mental health service users have, in spite of their right to equal overall health, higher rates of physical illness and are more likely to experience premature death than the general population. Implementation of a holistic concept of health comprising mental, physical and social aspects of health in mental health services has previously proved to be challenging. Methods: Master’s level mental health nursing competencies in recent literature are discussed and illuminated in terms of knowledge, skills and attitudes in order to enable the promotion of equal overall health among service users in mental health services. Results: The discussion show contents, values and utility of master’s level mental health nursing competencies in mental health services and contribute to reduced role ambiguity by distinguishing master’s level responsibilities from undergraduate nursing tasks and obligations of other professionals in mental health care. Conclusion: This discussion paper shapes implications for developments in master’s level mental health nursing education curricula.

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Perceptions of control over different causes of death and the accuracy of risk estimations

Brown

Sillence

Pepper

2023

J Public Health (Berl.)

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Background A large number of deaths could be avoided by improving health behaviours. The degree to which people invest in their long-term health is influenced by how much they believe they can control their risk of death. Identifying causes of death believed to be uncontrollable, but likely to occur, may provide actionable targets for health interventions to increase control beliefs and encourage healthier behaviours. Method We recruited a nationally representative online sample of 1500 participants in the UK. We assessed perceived control, perceived personal likelihood of death, certainty of risk estimation, and perceived knowledge for 20 causes of death. We also measured overall perceived uncontrollable mortality risk (PUMR) and perceived prevalence for each of the Office for National Statistics’ categories of avoidable death. Findings Risk of death due to cancer was considered highly likely to occur but largely beyond individual control. Cardiovascular disease was considered moderately controllable and a likely cause of death. Drugs and alcohol were perceived as risks both high in control and low in likelihood of death. However, perceptions of control over specific causes of death were found not to predict overall PUMR, with the exception of cardiovascular disease. Finally, our sample substantially overestimated the prevalence of drug and alcohol-related deaths in the UK. Conclusions We suggest that more can be done by public health communicators to emphasise the lifestyle and behavioural changes that individuals can make to reduce their general cancer risk. More work is needed to understand the barriers to engaging with preventative behaviours and maintaining a healthy heart. Finally, we call for greater journalistic responsibility when reporting health risks to the public.

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Healthy living? By whose standards? Engaging mental health service recipients to understand their perspectives of, and barriers to, healthy living.

Cited by 14 publications

References 15 publications

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

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

Master’s level mental health nursing competencies, a prerequisite for equal health among service users in mental health care

Perceptions of control over different causes of death and the accuracy of risk estimations

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