Community and cultural engagement for people with lived experience of mental health conditions: what are the barriers and enablers?
Community and cultural engagement for people with lived experience of mental health conditions: what are the barriers and enablers?
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DOI：
10.1186/s40359-022-00775-y
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发表时间：
2022-03-16
期刊：
影响因子：
3.6
通讯作者：
Fancourt D
中科院分区：
文献类型：
--
作者：
Baxter L;Burton A;Fancourt D
社区和文化参与可以支持康复，帮助症状管理，并增加有精神卫生状况生活经历的人的社会联系。然而，研究表明，有精神健康问题的人在参与方面遇到了很大的障碍。本研究的目的是探讨精神健康状况患者参与社区和文化活动的障碍和促进因素。对23名有轻度至中度精神健康状况的人进行了定性访谈研究。数据按主题进行分析，并将主题映射到行为的能力、机会和动机模型（COM-B）的领域。从分析中确定了11个主题。三个主题涉及参与者能力：身体技能、心理特征和身体健康限制；三个主题涉及机会：负担能力和可及性、群体的结构和性质以及他人对参加的支持。动机有五个主题：创造性身份、恢复和应对、享受和乐趣、与他人联系、信息和计划。参与者被激励通过“创造性的身份”参与社区和文化活动，相信参与有助于从精神疾病中恢复，并渴望与他人联系和交朋友。参与的动机是由活动的愉快性质维持的。然而，参与者参与的能力受到了费用、难以接近、有时是无组织的活动以及与参加相关的社交焦虑的阻碍。一些参与者有身体上的限制，如疲劳或身体健康问题需要克服。可以解决这些障碍的干预措施包括同伴支持，对社会处方者进行培训，以说明身份和以前的参与经验，对社区组织进行培训，以提供一个欢迎和结构化的环境，并向社区组织提供长期可持续的资金，以补贴出诊、交通或设备成本。由于现有的社会不平等和社会焦虑，有精神健康状况的人可能面临在社区和文化参与方面遇到障碍的风险，然而，相信参与将有助于精神健康是促进参与的一个因素。未来的研究需要测试潜在的干预措施的有效性，以解决障碍和利用这里确定的促进因素，使社会更具包容性的社区和志愿部门，并在英国为经历心理健康问题的人提供潜在的更敏感和有效的社会处方服务。在线版本包含补充材料，可在10.1186/s40359-022-00775-y获得。
Community and cultural engagement can support recovery, help symptom management and increase social connections for people with lived experience of mental health conditions. However, research suggests that people with mental health conditions experience significant barriers to participation. The aim of this study was to explore barriers and enablers of participation in community and cultural activities among people with mental health conditions. A qualitative interview study with 23 people with mild-to-moderate mental health conditions was undertaken. Data were analysed thematically, and themes were mapped to domains of the Capability, Opportunity and Motivation Model of Behaviour (COM-B). Eleven themes were identified from the analysis. Three themes involved participant Capability: physical skills, psychological traits and physical health limitations and three themes related to Opportunity: affordability and accessibility, structure and nature of the group, and support from others to attend. Five themes mapped to Motivation: creative identity, recovery and coping, enjoyment and fun, connecting with others, and information and planning. Participants were motivated to engage with community and cultural activities through “a creative identity”, belief that engagement would help recovery from mental illness, and a desire to connect with others and make friends. Motivation to participate was sustained by the enjoyable nature of activities. However, participants’ ability to engage was hampered by the expense, inaccessibility and sometimes unstructured nature of activities, and social anxiety associated with attending. Some participants had physical limitations such as fatigue or physical health problems to overcome. Interventions that could address these barriers include peer support, training for social prescribers to account for identity and previous experiences of participation, training for community organisations in providing a welcoming and structured environment, and provision of long-term sustainable funding to community organisations to subsidise attendance, transport or equipment costs. People with mental health conditions may be at risk of experiencing barriers to community and cultural engagement due to existing social inequalities and social anxiety, however believing that involvement will support mental health was an enabler to participation. Future studies are needed to test the effectiveness of potential interventions to address the barriers and harness the facilitators identified here, to enable a more socially inclusive community and voluntary sector, and a potentially more responsive and effective social prescribing service in the UK for people experiencing mental health problems. The online version contains supplementary material available at 10.1186/s40359-022-00775-y.
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DOI：
10.1016/j.socscimed.2020.113221
发表时间：
2020-09
期刊：
Social science & medicine (1982)
影响因子：
--
作者：
Fancourt D;Baxter L
通讯作者：
Baxter L
DOI：
10.1186/1748-5908-6-42
发表时间：
2011-04-23
期刊：
Implementation science : IS
影响因子：
--
作者：
Michie S;van Stralen MM;West R
通讯作者：
West R
影响因子：
0.7
作者：
Andonian, Lynne
通讯作者：
Andonian, Lynne
DOI：
10.1111/j.1447-0349.2012.00862.x
发表时间：
2013-06-01
影响因子：
5.6
作者：
Crone, Diane M.;O'Connell, Elaine E.;James, David V. B.
通讯作者：
James, David V. B.
影响因子：
4.5
作者：
Fancourt, Daisy;Baxter, Louise;Lorencatto, Fabiana
通讯作者：
Lorencatto, Fabiana