Keeping the body in mind: A qualitative analysis of the experiences of people experiencing first-episode psychosis participating in a lifestyle intervention programme

被引:26
作者
Watkins, Andrew [1 ,2 ]
Denney-Wilson, Elizabeth [3 ]
Curtis, Jackie [1 ,4 ]
Teasdale, Scott [1 ,4 ]
Rosenbaum, Simon [4 ]
Ward, Philip B. [4 ,5 ]
Stein-Parbury, Jane [2 ]
机构
[1] South Eastern Sydney Local Hlth Dist, Bondi Ctr, Keeping Body Mind Program, Bondi Jct, NSW, Australia
[2] Univ Technol Sydney, Fac Hlth, Sydney, NSW, Australia
[3] Univ Sydney, Fac Med & Hlth, Sydney, NSW, Australia
[4] Univ New South Wales, Sch Psychiat, Sydney, NSW, Australia
[5] Liverpool Hosp, South Western Sydney Local Hlth Dist, Ingham Inst Appl Med Res, Schizophrenia Res Unit, Bondi Jct, NSW, Australia
关键词
antipsychotic agents; cardiovascular diseases; health promotion; lifestyle; Mental health; mental health recovery; metabolic diseases; qualitative research; PHYSICAL-ACTIVITY; ANTIPSYCHOTIC MEDICATIONS; SOCIAL SUPPORT; HEALTH BEHAVIORS; WEIGHT-GAIN; INDIVIDUALS; SCHIZOPHRENIA; BARRIERS; CHILDREN; STRIDE;
D O I
10.1111/inm.12683
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
The life expectancy gap experienced by people living with severe mental illness is primarily a result of cardiometabolic disease that is often exacerbated by side effects of antipsychotic medication. Commencement of atypical antipsychotic medication is commonly associated with weight gain. The Keeping the Body in Mind programme has demonstrated that early intervention with lifestyle activities can attenuate this weight gain and potentially improve long-term health outcomes. The aim of this study was to explore the experiences of young people who participated in the Keeping the Body in Mind programme, a targeted lifestyle intervention programme. A qualitative approach was used employing a semi-structured interview format. The interview schedule included questions related to four topics: aspects of the programmes that were useful, attributes of staff members that influenced the programme, changes in attitudes towards their own physical health, and suggestions for programme improvements. Interviews were recorded with duration ranging from 40 to 65 min. Thematic analysis was used to detect and assemble codes. These were then synthesized and classified into themes. Eleven participants were interviewed (seven males), aged between 18 and 25 years. Thematic analysis revealed four main themes: the role of physical health in mental health recovery; the importance of staff interactions; the value of peer interaction; and graduation to a sustainable healthy lifestyle. Study participants reported that they valued the programme for both their physical health and mental health recovery.
引用
收藏
页码:278 / 289
页数:12
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