Perspectives of Overweight Latinos With Serious Mental Illness on Barriers and Facilitators to Health Behavior Change
Perspectives of Overweight Latinos With Serious Mental Illness on Barriers and Facilitators to Health Behavior Change
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DOI：
10.1037/lat0000020
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发表时间：
2015-02-01
期刊：
影响因子：
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通讯作者：
Bartels, Stephen J.
中科院分区：
文献类型：
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作者：
Jimenez, Daniel E.;Aschbrenner, Kelly;Bartels, Stephen J.
严重精神疾病（SMI）和拉丁裔可能会产生复杂的健康差距，使个人处于发病率过高和过早死亡的特别高风险之中。需要采取文化敏感的策略来改善这一人群的健康行为，包括锻炼和健康饮食。这项定性研究的目的是探讨促进者，障碍和偏好的健康行为改变与SMI的拉丁美洲人。半结构化的采访进行了20名拉美裔与SMI谁参加了一项随机试验，评估激励健康促进干预的有效性，在形状。访谈探讨了健康行为改变的促进者和障碍，重点是家庭的作用和锻炼偏好。参与者确定的主要促进者是有人（专业人士或重要人士）让他们对参与健康行为负责。对健康行为进行持久改变的一个主要障碍是文化对食物的影响。与举重等剧烈运动相比，参与者更喜欢在音乐声中进行有氧运动，以保持头脑清醒。这项探索性研究提供了深入了解的观点，经验和偏好的拉美裔与SMI参与健康促进干预。调查结果将用于告知未来的健康促进工作，以满足种族多样化，服务不足的社区的需求。
Serious mental illness (SMI) and Latino ethnicity can produce a compounded health disparity, placing individuals at particularly high risk for excess morbidity and premature mortality. Culturally sensitive strategies are needed to improve health behaviors, including exercise and healthy eating within this population. The purpose of this qualitative study was to explore facilitators, barriers, and preferences for health behavior change among Latinos with SMI. Semistructured interviews were conducted with 20 Latinos with SMI who were enrolled in a randomized trial evaluating the effectiveness of a motivational health promotion intervention, In SHAPE. The interviews explored perceived facilitators and barriers to health behavior change, focusing on the role of family, and exercise preferences. The primary facilitator identified by participants was having someone (either professional or significant other) to hold them accountable for engaging in healthy behaviors. A major barrier to making lasting health behavior change was cultural influences on food. Participants preferred aerobic exercises set to music that kept their minds occupied in contrast to strenuous activities such as weight lifting. This exploratory research provides insight into the perspectives, experiences, and preferences of Latinos with SMI participating in a health promotion intervention. Findings will be used to inform future health promotion efforts adapted to meet the needs of an ethnically diverse, underserved community.