The Other 23 Hours: A Qualitative Study of Fitness Provider Perspectives on Social Support for Health Promotion for Adults with Mental Illness

被引:7
作者
Aschbrenner, Kelly [1 ,2 ]
Mueser, Kim [3 ]
Bartels, Stephen [4 ,5 ]
Carpenter-Song, Elizabeth [4 ,5 ]
Pratt, Sarah [4 ,5 ]
Barre, Laura [6 ]
Naslund, John [7 ]
Kinney, Allison [8 ]
机构
[1] Geisel Sch Med Dartmouth, Psychiat Res Ctr, Dept Psychiat, Concord, NH 03301 USA
[2] Geisel Sch Med Dartmouth, Psychiat Res Ctr, Dartmouth Inst, Concord, NH 03301 USA
[3] Boston Univ, Boston, MA 02215 USA
[4] Geisel Sch Med Dartmouth, Dept Psychiat Community & Family Med, Hanover, NH USA
[5] Geisel Sch Med Dartmouth, Dartmouth Inst, Hanover, NH USA
[6] Cornell Univ, Div Nutr Sci, Ithaca, NY 14853 USA
[7] Dartmouth Inst, Lebanon, NH USA
[8] Geisel Sch Med Dartmouth, Hanover, NH USA
关键词
families; health promotion; intervention; serious mental illness; social support; LIFE-STYLE INTERVENTIONS; WEIGHT-LOSS; PHYSICAL-ACTIVITY; SCHIZOPHRENIA; DISEASE; TRIAL; PREVALENCE; PREVENTION; STRATEGIES; SMOKING;
D O I
10.1093/hsw/hlv006
中图分类号
C916 [社会工作、社会管理、社会规划];
学科分类号
1204 ;
摘要
Current efforts to reduce the increased risk of premature death from preventable cardiovascular disease among adults with serious mental illness (SMI) through lifestyle change have had limited success. Engaging informal support systems to promote healthy behaviors in everyday life may increase the effectiveness of health promotion interventions targeting this at-risk population. In-depth semistructured interviews were conducted with 10 fitness trainers serving adults with SMI in a health promotion program at community mental health centers to explore their perspectives on the potential of enlisting support from significant others for health behavior change. Trainers reported that the majority of participants had a relative or significant other who influenced their health behaviors, and they saw potential value in involving them in efforts to improve health outcomes by extending support into participants' daily lives. They did not feel qualified to work with families of individuals with mental illness, but they were willing to partner with providers who had experience in this area. Social workers who practice with families could play a critical role on health promotion teams addressing cardiovascular risk in adults with SMI by using their skills and experiences to engage families in supporting a relative through the process of health behavior change.
引用
收藏
页码:91 / 99
页数:9
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