Self-Management Support Needs From the Perspectives of Persons With Severe Mental Illness: A Systematic Review and Thematic Synthesis of Qualitative Research

Beentjes, Titus A. A.; Gaal, Betsie van; Achterberg, Theo van; Goossens, Peter

doi:10.1177/1078390319877953

Cited by 10 publications

(5 citation statements)

References 60 publications

(212 reference statements)

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“…Previous research reported similar results. Information and communication about pharmacological therapy are important points of attention during the treatment process of patients [31][32][33].…”

Section: Main Findingsmentioning

confidence: 99%

Medication Self-Management in Hospitalised Patients with Schizophrenia or Bipolar Disorder: The Perceptions of Patients and Healthcare Providers

Loots

Leys

Proost

et al. 2022

IJERPH

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Aim(s): The aim of the study was to explore perspectives of hospitalised patients with schizophrenia or a bipolar disorder and their healthcare providers on medication self-management. Methods: In a qualitative descriptive design, semi-structured interviews were used. Forty-nine interviews were completed (nurses n = 18; psychiatrists n = 3; hospital pharmacists n = 2; patients n = 26). Data analysis was iterative using an inductive and thematic approach. Results: From the thematic analysis of the interviews, three main themes emerged: monitoring and shared decision-making, relationship based on trust, and patient satisfaction and rehabilitation; as well as three sub-themes: available tools, patient readiness, and safety. Regular monitoring and follow-ups were considered conditions for medication self-management. All stakeholders considered that the patient, the nursing staff, and the psychiatrist should all be involved in the process of medication self-management. All healthcare providers emphasized the importance of regular re-evaluations of the patient and were worried about medication errors and misuse. Most patients considered medication self-management during hospitalisation to increase their confidence, self-reliance, and satisfaction. Many participants thought it would make a positive contribution to the recovery process. Discussion: All stakeholders were positive towards medication self-management under specific conditions. According to the participants, medication self-management offered many benefits, including the implementation of more structure for the patient, an ameliorated preparatory phase towards discharge, and an actual improvement of future adherence. All participants considered medication self-management to contribute to more profound medication knowledge and an overall improvement of their health literacy. Implications and future perspectives: These findings will be used to develop a medication self-management tool in hospitalised patients with schizophrenia or bipolar disorders.

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Section: Main Findingsmentioning

confidence: 99%

Medication Self-Management in Hospitalised Patients with Schizophrenia or Bipolar Disorder: The Perceptions of Patients and Healthcare Providers

Loots

Leys

Proost

et al. 2022

IJERPH

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“…However, they rarely talked to other people about their diabetes‐related worries and challenges. Effects of social support and peer‐support have been studied widely among people with either diabetes or severe mental illness and studies have shown that support from social networks and peers can improve self‐management of the illnesses respectively (Beentjes et al, 2020; Carpenter et al, 2019; Degnan et al, 2018; Lloyd‐Evans et al, 2014; Schram et al, 2021). However, literature on social support and peer‐support among people with severe mental illness and type 2 diabetes is sparse.…”

Section: Discussionmentioning

confidence: 99%

Schizophrenia and type 2 diabetes: Perceptions and understandings of illness management in everyday life

Rønne

Joensen

Zabell

et al. 2023

Int J Mental Health Nurs

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“…Although communicative and critical health literacy was reported to be the most crucial factor in facilitating self‐care behaviours in people diagnosed with T2DM (Wang et al., 2016), the effect of health literacy on self‐care behaviours was weaker, possibly because of diabetes distress or depression (Schinckus et al., 2018). Because negative emotional reactions or poor cognitive function may weaken the association between health literacy and self‐care behaviours in people diagnosed with SMI, they require informational and emotional support to reduce the emotional burden of their illness and acknowledge their illness‐related experiences to enable them to perform effective self‐care behaviours (Beentjes et al., 2020).…”

Section: Discussionmentioning

confidence: 99%

Diabetes self‐care behaviours among people diagnosed with serious mental illness: A cross‐sectional correlational study

Tzeng,

Tai,

Feng

et al. 2023

Psychiatric Ment Health Nurs

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Accessible SummaryWhat is known on the subject? People diagnosed with serious mental illness have a high risk of diabetes and are more likely to develop type 2 diabetes at ages below 60 years. Effective diabetes self‐care behaviours among people diagnosed with serious mental illness can improve glycaemic control and reduce vascular complications. Few studies have investigated diabetes self‐care behaviours and their associations with health literacy and self‐efficacy in people diagnosed with serious mental illness. What the paper adds to existing knowledge? Diabetes self‐care behaviours in people diagnosed with serious mental illness were suboptimal; the least frequently performed self‐care activities were self‐monitoring of blood glucose. Factors associated with diabetes self‐care behaviours are gender, age, communicative and critical health literacy and self‐efficacy. Self‐efficacy is the strongest predictor of self‐care behaviours among people diagnosed with comorbid serious mental illness and type 2 diabetes. What are the implications of practice? Mental health nurses should assess diabetes‐specific health literacy of people diagnosed with serious mental illness to ensure that they possess the knowledge and skills related to diabetes self‐care. When treating young people and those with newly diagnosed type 2 diabetes, nurses should incorporate strategies to minimise their perceptions of diabetes‐related distress and increase their confidence in managing comorbid diabetes. AbstractIntroductionPeople diagnosed with serious mental illness (SMI) experience greater challenges in managing their type 2 diabetes mellitus (T2DM) than do those diagnosed with T2DM alone.AimThis study investigated diabetes self‐care activities and the factors associated with these activities in people diagnosed with SMI in a hospital setting.MethodsA cross‐sectional correlational study was conducted among 126 people diagnosed with comorbid SMI and T2DM in Taipei, Taiwan, between October 2020 and April 2021. Data were collected using self‐report questionnaires and a chart review. Three‐step hierarchical multiple regression analysis was used to identify factors associated with diabetes self‐care behaviours.ResultsDiabetes self‐care behaviours in people diagnosed with SMI were suboptimal overall. Hierarchical multiple regression analyses revealed that age (β = 0.18, p = .037) and self‐efficacy (β = 0.27, p = .004) significantly associated with diabetes self‐care behaviours.DiscussionSelf‐efficacy is the strongest predictor of self‐care behaviours among people diagnosed with comorbid SMI and T2DM.Implications for PracticeMental health professionals should focus on enhancing confidence in managing comorbid diabetes in people diagnosed with comorbid SMI, especially young people and those with newly diagnosed T2DM.

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Self-Management Support Needs From the Perspectives of Persons With Severe Mental Illness: A Systematic Review and Thematic Synthesis of Qualitative Research

Cited by 10 publications

References 60 publications

Medication Self-Management in Hospitalised Patients with Schizophrenia or Bipolar Disorder: The Perceptions of Patients and Healthcare Providers

Medication Self-Management in Hospitalised Patients with Schizophrenia or Bipolar Disorder: The Perceptions of Patients and Healthcare Providers

Schizophrenia and type 2 diabetes: Perceptions and understandings of illness management in everyday life

Diabetes self‐care behaviours among people diagnosed with serious mental illness: A cross‐sectional correlational study

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