Determinants of Physical Health Self-Management Behaviours in Adults With Serious Mental Illness: A Systematic Review.
Determinants of Physical Health Self-Management Behaviours in Adults With Serious Mental Illness: A Systematic Review.
复制标题
成人严重精神疾病患者身体健康自我管理行为的决定因素：系统综述。
DOI：
10.3389/fpsyt.2021.723962
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发表时间：
2021
影响因子：
4.7
通讯作者：
Siddiqi N
中科院分区：
文献类型：
--
作者：
Coventry PA;Young B;Balogun-Katang A;Taylor J;Brown JVE;Kitchen C;Kellar I;Peckham E;Bellass S;Wright J;Alderson S;Lister J;Holt RIG;Doherty P;Carswell C;Hewitt C;Jacobs R;Osborn D;Boehnke J;Siddiqi N
行为干预可以支持采用更健康的生活方式并改善身体健康结果，但目前尚不清楚哪些因素可能推动此类干预在严重精神疾病患者中取得成功。我们系统地确定和审查的证据之间的关联的决定因素的身体健康自我管理行为的成年人与SMI。美国糖尿病教育者自我保健行为协会（AADE-7）的数据映射到新的作用机制（MoA）框架。28项研究被纳入审查，报告了104个决定因素-行为联系的证据。对能力的信念和对后果的信念是行为的最重要决定因素，特别是对于身体活动和健康饮食。有一些证据表明，情绪和环境背景和资源在决定降低风险，积极和服用药物方面发挥了作用。我们发现与解决问题相关的证据非常有限，没有研究评估MoAs和健康应对之间的联系。虽然审查主要确定的证据，缺乏有效的和客观的措施，自我管理行为的横断面研究协会，这些研究结果可以促进识别行为改变技术与假设的联系，以支持自我管理的人与SMI。系统综述注册：PROSPERO，注册CRD 42018099553。
Behavioural interventions can support the adoption of healthier lifestyles and improve physical health outcomes, but it is unclear what factors might drive success of such interventions in people with serious mental illness (SMI). We systematically identified and reviewed evidence of the association between determinants of physical health self-management behaviours in adults with SMI. Data about American Association of Diabetes Educator's Self-Care Behaviours (AADE-7) were mapped against the novel Mechanisms of Action (MoA) framework. Twenty-eight studies were included in the review, reporting evidence on 104 determinant-behaviour links. Beliefs about capabilities and beliefs about consequences were the most important determinants of behaviour, especially for being physically active and healthy eating. There was some evidence that emotion and environmental context and resources played a role in determining reducing risks, being active, and taking medications. We found very limited evidence associated with problem solving, and no study assessed links between MoAs and healthy coping. Although the review predominantly identified evidence about associations from cross-sectional studies that lacked validated and objective measures of self-management behaviours, these findings can facilitate the identification of behaviour change techniques with hypothesised links to determinants to support self-management in people with SMI. Systematic Review Registration: PROSPERO, registration CRD42018099553.
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影响因子：
17.1
作者：
Bacchetti P;Deeks SG;McCune JM
通讯作者：
McCune JM
影响因子：
15.2
作者：
Coventry, Peter;Bower, Peter;Gibson, Martin
通讯作者：
Gibson, Martin
影响因子：
1.9
作者：
Barre, Laura K.;Ferron, Joelle C.;Whitley, Rob
通讯作者：
Whitley, Rob
影响因子：
2.7
作者：
Berti, Loretta;Bonfioli, Elena;Burti, Lorenzo
通讯作者：
Burti, Lorenzo
影响因子：
4.7
作者：
Arbour-Nicitopoulos KP;Duncan MJ;Remington G;Cairney J;Faulkner GE
通讯作者：
Faulkner GE