Facilitating Partner Support for Lifestyle Change Among Adults with Serious Mental Illness: A Feasibility Pilot Study

Aschbrenner, Kelly A.; Mueser, Kim T.; Naslund, John A.; Gorin, Amy A.; Zawacki, Stacey; Pratt, Sarah I.; Kinney, Allison; Bartels, Stephen J.

doi:10.1007/s10597-017-0100-4

Cited by 13 publications

(23 citation statements)

References 43 publications

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“…We found behavior change was facilitated by relationships, a finding consistent with studies reporting a link between peer support and positive health outcomes ( Aschbrenner et al, 2016 , 2017 ). Through a qualitative methodology and approach, our findings provide a rich understanding of this association.…”

Section: Discussionsupporting

confidence: 89%

“…The authors observed a “link between making health behavior changes necessary for weight loss and perceived peer support” and identified that this link was not fully understood; they advocated for future qualitative research to explore the impact of peer support on health behavior change among MHSUs. The same authors identify positive partner support providing encouragement, practical support, and exercising together as supporting outcomes such as readiness to engage in PA and weight loss ( Aschbrenner et al, 2017 ).…”

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confidence: 99%

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Development and Evaluation of Innovative Peer-Led Physical Activity Programs for Mental Health Service Users

Graham

Larstone

Griffiths³

et al. 2017

J Nerv Ment Dis

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Mental health service users (MHSUs) have elevated rates of cardiometabolic disturbance. Improvements occur with physical activity (PA) programs. We report the development and evaluation of three innovative peer-developed and peer-led PA programs: 1) walking; 2) fitness; and 3) yoga. Qualitative evaluation with 33 MHSUs in British Columbia, Canada, occurred. These programs yielded improvements for participants, highlighted by powerful narratives of health improvement, and improved social connections. The feasibility and acceptability of innovative peer-developed and peer-led programs were shown. Analyses revealed concepts related to engagement and change. Relating core categories, we theorize effective engagement of MHSUs requires accessibility on three levels (geographic, cost, and program flexibility) and health behavior change occurs within co-constituent relationships (to self, to peers, and to the wider community). This study highlights the benefits of peer involvement in developing and implementing PA programs and provides a theoretical framework of understanding engagement and behavior change in health programs for MHSUs.

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Section: Discussionsupporting

confidence: 89%

mentioning

confidence: 99%

Development and Evaluation of Innovative Peer-Led Physical Activity Programs for Mental Health Service Users

Graham

Larstone

Griffiths³

et al. 2017

J Nerv Ment Dis

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“…Although much of the current research on PGD use within the clinical environment has been in the context of physical health treatment such as irritable bowel syndrome [ 16 ], diabetes [ 26 ], and heart failure [ 27 ], there is a growing focus on the role of PGD in mental health treatment. The early work exploring the integration of wearables into mental health treatment largely centered on their use for the adjunctive goal of weight loss [ 28 , 29 ]. The goal of this research was to determine if wearable devices designed to promote PA would be acceptable and feasible in populations in high-risk and challenging populations.…”

Section: Introductionmentioning

confidence: 99%

“…In general, it was found that people with SMI found the devices easy to use and useful for motivation, goal setting, facilitating social connection, and self-monitoring [ 28 ]. Indeed, integrating such devices into a lifestyle intervention for individuals with SMI was found to be able to significantly reduce weight below baseline levels [ 29 ].…”

Section: Introductionmentioning

confidence: 99%

Veterans’ Perspectives on Fitbit Use in Treatment for Post-Traumatic Stress Disorder: An Interview Study

Ng¹,

Reddy²,

Zalta³

et al. 2018

JMIR Ment Health

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BackgroundThe increase in availability of patient data through consumer health wearable devices and mobile phone sensors provides opportunities for mental health treatment beyond traditional self-report measurements. Previous studies have suggested that wearables can be effectively used to benefit the physical health of people with mental health issues, but little research has explored the integration of wearable devices into mental health care. As such, early research is still necessary to address factors that might impact integration including patients' motivations to use wearables and their subsequent data.ObjectiveThe aim of this study was to gain an understanding of patients’ motivations to use or not to use wearables devices during an intensive treatment program for post-traumatic stress disorder (PTSD). During this treatment, they received a complementary Fitbit. We investigated the following research questions: How did the veterans in the intensive treatment program use their Fitbit? What are contributing motivators for the use and nonuse of the Fitbit?MethodsWe conducted semistructured interviews with 13 veterans who completed an intensive treatment program for PTSD. We transcribed and analyzed interviews using thematic analysis.ResultsWe identified three major motivations for veterans to use the Fitbit during their time in the program: increase self-awareness, support social interactions, and give back to other veterans. We also identified three major reasons certain features of the Fitbit were not used: lack of clarity around the purpose of the Fitbit, lack of meaning in the Fitbit data, and challenges in the veteran-provider relationship.ConclusionsTo integrate wearable data into mental health treatment programs, it is important to understand the patient’s perspectives and motivations in using wearables. We also discuss how the military culture and PTSD may have contributed to our participants' behaviors and attitudes toward Fitbit usage. We conclude with possible approaches for integrating patient-generated data into mental health treatment settings that may address the challenges we identified.

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“…As social support has been found to be a strong predictor of exercise adoption and maintenance,47 this study targets social isolation as a barrier to engagement by providing peer-to-peer support within the Facebook group and including support partners. Previous research has found that carers have the potential to support and extend interventions that are aimed at improving chronic disease risk behaviours of people with mental illness 48. However, there is currently limited information or services available to support family and carers in helping their family members, with carers reporting they often feel disconnected from healthcare professionals 49–51.…”

Section: Discussionmentioning

confidence: 99%

Mental health informed physical activity for first responders and their support partner: a protocol for a stepped-wedge evaluation of an online, codesigned intervention

et al. 2019

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BackgroundFirst responders (police, fire and ambulance officers) are at a significantly increased risk of experiencing poor mental health, including depression and post-traumatic stress disorder. These conditions are associated with high rates of cardiovascular disease, in part due to low levels of physical activity (PA) and high levels of sedentary behaviour. Using a person’s social support system may be an effective solution to help increase PA levels to improve mental and physical health outcomes. We will examine the efficacy of a group-based online intervention in increasing PA in first responders and their support partners, iteratively codesigned with advisors with lived experience of mental illness among first responders.MethodsThis study will recruit a convenience sample of self-identified sedentary first responders and their self-selected support partners to a 10-week PA programme delivered through a private Facebook group. We will deliver education on predetermined topics related to PA and diet and provide participants with an activity tracker (Fitbit). A stepped-wedged design will be applied to compare multiple baselines to intervention and follow-up phases within subjects. Five cohorts of n=20 will be recruited, with each cohort randomised to a different baseline length. Our primary outcome will be psychological distress (Kessler-6). Secondary outcomes include feasibility, self-report and objective PA data (Simple Physical Activity Questionnaire and Fitbit accelerometry), depression and anxiety (Depression Anxiety and Stress Scale-21 items), post-traumatic stress disorder symptoms (PTSD Checklist for DSM-5), quality of life Assessment of Quality of Life-6 dimensions, sleep quality (The Pittsburgh Sleep Quality Index), suicidal ideation (Suicidal Ideation Attributes Scale) and social support for exercise. The mobile data collection platform MetricWire will be used.Ethics and disseminationEthical approval was obtained from the University of New South Wales, Deupty Vice-Chancellor Research, Human Research Ethics Committee on 3 June 2019, HC180561. Findings will be published in peer-reviewed journals and disseminated at national conferences.Trial registration numberACTRN12619000877189.

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Facilitating Partner Support for Lifestyle Change Among Adults with Serious Mental Illness: A Feasibility Pilot Study

Cited by 13 publications

References 43 publications

Development and Evaluation of Innovative Peer-Led Physical Activity Programs for Mental Health Service Users

Development and Evaluation of Innovative Peer-Led Physical Activity Programs for Mental Health Service Users

Veterans’ Perspectives on Fitbit Use in Treatment for Post-Traumatic Stress Disorder: An Interview Study

Mental health informed physical activity for first responders and their support partner: a protocol for a stepped-wedge evaluation of an online, codesigned intervention

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