"We're Not Just Sitting on the Periphery": A Staff Perspective of Physical Activity in Older Adults With Schizophrenia
"We're Not Just Sitting on the Periphery": A Staff Perspective of Physical Activity in Older Adults With Schizophrenia
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DOI：
10.1093/geront/gns092
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发表时间：
2013-06-01
期刊：
影响因子：
5.7
通讯作者：
Vinogradov, Sophia
中科院分区：
文献类型：
--
作者：
Leutwyler, Heather;Hubbard, Erin M.;Vinogradov, Sophia
有必要进行有针对性的身体活动干预，以改善患有精神分裂症的老年人较差的身体功能，但目前尚不可行。鉴于思维过程混乱和制度化，患有精神分裂症的老年人很可能对身体活动有独特的障碍和促进因素。有必要考虑心理健康人员对身体活动的障碍和促进因素的看法，以设计可行的干预措施。本研究的目的：描述精神卫生工作人员对精神分裂症老年人参与促进身体机能的身体活动的障碍和促进因素的看法。设计和方法：我们对 23 名照顾患有精神分裂症的老年人的心理健康工作人员进行了定性访谈。使用扎根理论方法收集和分析数据。结果：参与者对促进患有精神分裂症的老年人的身体活动感兴趣。确定的身体活动的促进因素和障碍包括心理健康、榜样和奖励、制度因素和安全。启示：为了为这一人群设计成功的身体活动干预措施，干预措施可能需要成为心理健康治疗计划的常规部分，并且患者可能需要激励措施来参与。应教育工作人员，体育活动可以提供身心健康治疗的双重益处。
Targeted physical activity interventions to improve the poor physical function of older adults with schizophrenia are necessary but currently not available. Given disordered thought processes and institutionalization, it is likely that older adults with schizophrenia have unique barriers and facilitators to physical activity. It is necessary to consider the perspective of the mental health staff about barriers and facilitators to physical activity to design a feasible intervention. Purpose of This Study: To describe the perceptions of mental health staff about barriers and facilitators to engage in physical activities that promote physical function among older adults with schizophrenia. Design and Method: We conducted qualitative interviews with 23 mental health staff that care for older adults with schizophrenia. The data were collected and analyzed with grounded theory methodology. Results: The participants were interested in promoting physical activity with older adults with schizophrenia. Facilitators and barriers to physical activity identified were mental health, role models and rewards, institutional factors, and safety. Implications: In order to design successful physical activity interventions for this population, the intervention may need to be a routine part of the mental health treatment program and patients may need incentives to participate. Staff should be educated that physical activity may provide the dual benefit of physical and mental health treatment.