An ethnographic study of the incentives and barriers to lifestyle interventions for people with severe mental illness

Abstract

This study provides evidence about the incentives and barriers to lifestyle interventions from service users' perspective, which should inform developments to improve the delivery of lifestyle interventions for this group.

Getting to More Effective Weight Management in Antipsychotic-Treated Youth: A Survey of Barriers and Preferences

“…32 Second, families indicated that primary barriers to participation in or completion of a behavioral weight loss program were mostly related to psychiatric diagnosis or symptoms, as has been reported in adult mentally ill populations. 20,21,33 Caregivers also frequently cited a preference for in-session support to expose the child to new foods and PAs. Finally, pragmatic challenges with time management, costs, and transportation were cited as common barriers to participating in treatment.…”

“…[17][18][19] Although the available evidence base in this area is limited, a small number of studies suggest that factors specifically related to psychiatric illness, including behavioral symptoms (e.g., social anxiety, paranoia, and lack of initiative), medication effects (sedation and excessive weight gain preventing physical mobility), and lack of transportation or social support often prevent mentally ill adults from engaging in weight loss treatment. 20,21 Programming that increases health knowledge and that offers social engagement and daily structure is cited as promoting engagement in behavioral weight loss programs. 22 There have been no published reports of behavioral weight loss interventions in antipsychotic treated youth, and no data are available regarding the preferences for and barriers to participating in behavioral weight loss interventions in this uniquely at-risk population.…”

The transcending benefits of physical activity for individuals with schizophrenia: A systematic review and meta-ethnography

“…Out of a possible 106 articles identified by title, eleven articles met the inclusion criteria: Eight studies (Faulkner and Sparkes, 1999;Fogarty et al, 2005;Gorczynski et al, 2013;Johnstone et al, 2009;Leutwyler et al, 2013;Roberts and Bailey, 2013;Sandel, 1982;Weissman, 2006) considered the experiences of individuals with schizophrenia and three studies (Happell, 2012;Hedlund, 2013;Leutwyler et al, 2012) considered the experiences of HCPs. Figure 1 provides the results of the search within a PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) flow diagram (Moher et al, 2009).…”

“…In recent years, interest has developed in understanding the experiences of people with schizophrenia of engaging in physical activity (Gorczynski et al, 2013;Leutwyler et al, 2013;Roberts and Bailey, 2013). Whilst ascertaining the view of the patient experience is clearly valuable, interest has also grown in ascertaining the views and experiences of health care professionals (HCPs) that implement physical activity in clinical practice (Leutwyler et al, 2012;Soundy et al, 2014;Stanton, 2013).…”

“…Ultimately, HCPs have a key role facilitating physical activity in people with schizophrenia and much can be learnt from their experiences. Qualitative research by several authors (Gorczynski et al, 2013;Leutwyler et al, 2013;Roberts and Bailey, 2013) has highlighted important findings which provided a deeper understanding of the experiences and challenges faced by people with schizophrenia trying to engage in physical activity. Further, previous reviews (Roberts and Bailey, 2011;Soundy et al, 2012) have identified the value of including rich qualitative data in order to further understanding within this domain of research.…”