Incentives and barriers to lifestyle interventions for people with severe mental illness: a narrative synthesis of quantitative, qualitative and mixed methods studies

Roberts, Seren; Bailey, Jois Elisabeth

doi:10.1111/j.1365-2648.2010.05546.x

Cited by 148 publications

(188 citation statements)

References 59 publications

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“…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.…”

Section: Discussionmentioning

confidence: 99%

“…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. However, studies of barriers to participation in and preferences for weight loss treatment in non-mentally ill obese youth can offer useful information.…”

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confidence: 99%

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

et al. 2016

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Background: Mentally ill youth are at risk for developing obesity, especially when they require antipsychotic treatment; moreover, they may face unique challenges in adhering to behavioral weight loss interventions. The aims of this project were to characterize the challenges families of youth with psychiatric disorders face when engaging in weight loss treatment and to gather information on attitudes and preferences for weight management interventions in this population.Methods: We devised a telephone survey to evaluate caregiver-perceived barriers/challenges to and preferences for behavioral weight loss treatment in overweight or obese mentally ill youth ages 6-18 treated with an antipsychotic agent in an outpatient setting.Results: A total of 26 parents or primary caregivers completed the survey. The most commonly cited barriers to participation in physical activity (PA) and maintaining a healthy diet were child's dislike of PA and child's preference for energy-dense foods, respectively, which were impacted by psychiatric symptoms. Preferences for weight loss treatment included individualized, prescribed meal plans and shopping lists, and exercise support/demonstration, with a preference for Internet or cell phone applications to help with monitoring food intake and exercise.Conclusions: These results suggest that targets for obesity treatment in this population include individualized, specific support that takes into account the child's motivation, which is effected by psychiatric symptoms. Tools for providing support may include the use of telehealth visits and mobile device applications for self-monitoring.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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

et al. 2016

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“…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. However, these reviews did not attempt to combine the views of HCPs with patients' experiences of physical activity.…”

Section: Introductionmentioning

confidence: 99%

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

Soundy

Freeman

Stubbs

et al. 2014

Psychiatry Research

104

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HCPs towards physical activity. All included studies were synthesised within a meta-ethnographic approach, including completing a methodological quality assessment. The search strategy identified 106 articles, 11 of which were included in the final analysis. Eight articles considered patients' experiences and perceptions, and three articles considered the experiences and perceptions of HCPs. A total of 108 patients and 65 HCPs were included. Three main themes were identified: (1) the influence of identity, culture and the environment on physical activity engagement, (2) access and barriers to participation in physical activity, and (3) the benefits of engaging in physical activity.Aspects within the built, social and political environment as well as aspects of social cognition and perceptual biases influence participation in physical activity for individuals with schizophrenia.Specific recommendations for HCPs are given to help promote physical activity in this population group.

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“…Healthcare professionals, in particular master’s level mental health nurses, need to consider matters that may hinder or encourage individuals with mental health issues to participate in lifestyle interventions to achieve sufficient benefits (Roberts & Bailey, 2011). Simple measures may reduce potential barriers and improve participation in lifestyle interventions (Robson & Gray, 2007).…”

Section: Skillsmentioning

confidence: 99%

“…Support regarding lifestyle changes can focus on strengthening the person’s self-efficacy based on the person’s own experiences, as the meaning of lifestyle changes can be understood as a person’s internal and external endeavours, to make well-considered decisions (Lundström, Hedman Ahlström, & Jormfeldt et al, 2017). Thus, it may be crucial to emphasize a moderate intervention level that facilitates participation and social interactions among group members to perceive oneself as a capable person (Roberts & Bailey, 2011). 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).…”

Section: Skillsmentioning

confidence: 99%

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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Incentives and barriers to lifestyle interventions for people with severe mental illness: a narrative synthesis of quantitative, qualitative and mixed methods studies

Cited by 148 publications

References 59 publications

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

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

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

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

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