A Qualitative Study of Social Facilitators and Barriers to Health Behavior Change Among Persons with Serious Mental Illness
A Qualitative Study of Social Facilitators and Barriers to Health Behavior Change Among Persons with Serious Mental Illness
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DOI：
10.1007/s10597-012-9552-8
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发表时间：
2013-04-01
影响因子：
2.7
通讯作者：
Bartels, Stephen
中科院分区：
文献类型：
--
作者：
Aschbrenner, Kelly;Carpenter-Song, Elizabeth;Bartels, Stephen
本定性焦点小组研究旨在探讨参与健康生活方式干预的严重精神疾病患者健康行为改变的社会促进因素和障碍。共对30名客户进行了六次焦点小组访谈，根据临床显着的体重减轻或显着的健身增加，将该计划的“高”和“低”成就进行了分层。焦点小组讨论的专题分析显示，来自家庭成员和重要他人的情感、实际和相互支持是健康行为改变的社会促进因素，而不健康的社会环境是障碍。在健康行为改变方面，“高”成就组的参与者比“低”成就组的参与者表现出更多的相互支持。研究结果强调，研究人员和临床医生需要考虑家庭和重要他人作为精神疾病患者健康支持者的潜在作用，他们可以鼓励社会环境中的健康行为。
This qualitative focus group study was conducted to explore social facilitators and barriers to health behavior change in persons with serious mental illness engaged in a healthy lifestyle intervention. Six focus group interviews were conducted with a total of 30 clients stratified by "high" and "low" achievers in the program based on clinically significant weight loss or significant increase in fitness. Thematic analysis of focus group discussions revealed that emotional, practical, and mutual support from family members and significant others were social facilitators to health behavior change, while unhealthy social environments was a barrier. Participants in the "high" achiever group reported more mutual support for health behavior change than participants in the "low" achiever group. Results highlight the need for researchers and clinicians to consider the potential role of family and significant others as health supporters for persons with mental illness who could encourage healthy behavior in the social environment.