Development and Evaluation of Innovative Peer-Led Physical Activity Programs for Mental Health Service Users

被引:10
作者
Graham, Candida R. [1 ,2 ]
Larstone, Roseann [1 ]
Griffiths, Brenda [2 ]
de Leeuw, Sarah [1 ,3 ]
Anderson, Lesley [1 ]
Powell-Hellyer, Stephanie [1 ]
Long, Nansi [4 ]
机构
[1] Univ Northern British Columbia, Northern Med Program, 3333 Univ Way, Prince George, BC V2N 4Z9, Canada
[2] Univ British Columbia, Fac Med, Vancouver, BC, Canada
[3] Univ British Columbia, Sch Populat & Publ Hlth, Vancouver, BC, Canada
[4] BC Schizophrenia Soc, Prince George Branch, Activ Ctr Empowerment, Prince George, BC, Canada
关键词
Physical activity programs; mental health service users; peer leadership; program evaluation; BEHAVIORAL WEIGHT-LOSS; LIFE-STYLE INTERVENTION; SMOKING-CESSATION; ILLNESS; SCHIZOPHRENIA; SUPPORT; PEOPLE; PERSPECTIVES; INDIVIDUALS; MORTALITY;
D O I
10.1097/NMD.0000000000000746
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Mental health service users (MHSUs) have elevated rates of cardiometabolic disturbance. Improvements occur with physical activity (PA) programs. We report the development and evaluation of three innovative peer-developed and peer-led PA programs: 1) walking; 2) fitness; and 3) yoga. Qualitative evaluation with 33 MHSUs in British Columbia, Canada, occurred. These programs yielded improvements for participants, highlighted by powerful narratives of health improvement, and improved social connections. The feasibility and acceptability of innovative peer-developed and peer-led programs were shown. Analyses revealed concepts related to engagement and change. Relating core categories, we theorize effective engagement of MHSUs requires accessibility on three levels (geographic, cost, and program flexibility) and health behavior change occurs within co-constituent relationships (to self, to peers, and to the wider community). This study highlights the benefits of peer involvement in developing and implementing PA programs and provides a theoretical framework of understanding engagement and behavior change in health programs for MHSUs.
引用
收藏
页码:840 / 847
页数:8
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