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Learning what matters for patients: qualitative evaluation of a health promotion program for those with serious mental illness
Shiner, B ; Whitley, R ; Van Citters, A. D ; Pratt, S. I ; Bartels, S. J .
Afiliação
  • Shiner, B ; Department of Psychiatry. Dartmouth Medical School. One Medical Center Drive. Lebanon. USA
  • Whitley, R ; Department of Psychiatry. Dartmouth Medical School. One Medical Center Drive. Lebanon. USA
  • Van Citters, A. D ; Department of Community and Family Medicine. Dartmouth Medical School. Lebanon. USA
  • Pratt, S. I ; Department of Psychiatry. Dartmouth Medical School. One Medical Center Drive. Lebanon. USA
  • Bartels, S. J ; Department of Psychiatry. Dartmouth Medical School. One Medical Center Drive. Lebanon. USA
Health promot. int ; 23(3): 275-282, Sept. 2008. tab
Artigo em Inglês | CidSaúde - Cidades saudáveis | ID: cid-59710
Biblioteca responsável: BR67.1
Localização: BR67.1
ABSTRACT
Sedentary lifestyle, poor dietary behaviors and metabolic alterations associated with psychiatric medications contribute to poor health and high rates of obesity among individuals with serious mental illness (SMI). Interventions that increase engagement in physical exercise, dietary modifications, lifestyle changes and preventive health care can provide health benefits across the lifespan. These interventions have led to substantial physical improvements in some persons with SMI, while others have not improved or have experienced worsening physical health. We set out to identify characteristics of a health promotion program that persons with SMI associated with physical health improvements. Interviews were conducted with eight participants from the In SHAPE health-promotion program who lost at least 10 pounds or diminished their waist circumference by at least 10 cm. Interviews aimed to determine which aspects of the program were perceived to be most helpful in promoting physical health improvement. Among successful participants, three themes emerged, highlighting the importance of (i) individualized interventions promoting engagement in the program; (ii) relationships with health-promotion program employees and (iii) self-confidence resulting from program participation. Health-promotion programs that target these areas may have better success in achieving health benefits for persons with SMI. (AU)
Assuntos
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Coleções: Bases de dados temática Base de dados: CidSaúde - Cidades saudáveis Assunto principal: Comportamento do Consumidor / Promoção da Saúde / Transtornos Mentais Tipo de estudo: Estudo de avaliação / Pesquisa qualitativa Limite: Adulto / Feminino / Humanos / Masculino Idioma: Inglês Revista: Health promot. int Ano de publicação: 2008 Tipo de documento: Artigo Instituição/País de afiliação: Department of Community and Family Medicine/USA / Department of Psychiatry/USA
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Coleções: Bases de dados temática Base de dados: CidSaúde - Cidades saudáveis Assunto principal: Comportamento do Consumidor / Promoção da Saúde / Transtornos Mentais Tipo de estudo: Estudo de avaliação / Pesquisa qualitativa Limite: Adulto / Feminino / Humanos / Masculino Idioma: Inglês Revista: Health promot. int Ano de publicação: 2008 Tipo de documento: Artigo Instituição/País de afiliação: Department of Community and Family Medicine/USA / Department of Psychiatry/USA
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