Determinants of physical health self-management behaviours in adults with serious mental illness: a systematic review

Coventry, P. A. et al. (2021) Determinants of physical health self-management behaviours in adults with serious mental illness: a systematic review. Frontiers in Psychiatry, 12, 723962. (doi: 10.3389/fpsyt.2021.723962)

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Abstract

Behavioural interventions can support the adoption of healthier lifestyles and improve physical health outcomes, but it is unclear what factors might drive success of such interventions in people with serious mental illness (SMI). We systematically identified and reviewed evidence of the association between determinants of physical health self-management behaviours in adults with SMI. Data about American Association of Diabetes Educator’s Self-Care Behaviours (AADE-7) were mapped against the novel Mechanisms of Action (MoA) framework. Twenty-eight studies were included in the review, reporting evidence on 104 determinant-behaviour links. Beliefs about capabilities and beliefs about consequences were the most important determinants of behaviour, especially for being physically active and healthy eating. There was some evidence that emotion and environmental context and resources played a role in determining reducing risks, being active, and taking medications. We found very limited evidence associated with problem solving, and no study assessed links between MoAs and healthy coping. Although the review predominantly identified evidence about associations from cross-sectional studies that lacked validated and objective measures of self-management behaviours, these findings can facilitate the identification of behaviour change techniques with hypothesised links to determinants to support self-management in people with SMI.

Item Type:Articles
Additional Information:Funding: This paper reports work undertaken as part of DIAMONDS, which was funded by the National Institute for Health Research under its Programme Grants for Applied Research (project number RP-PG-1016-20003). PC was partly funded by the UK Research and Innovation Closing the Gap Network+ (ES/S004459/1) and the NIHR Applied Research Collaboration Yorkshire and Humber.
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Young, Dr Ben
Authors: Coventry, P. A., Young, B., Balogun, A., Taylor, J., Brown, J. V.E., Kitchen, C., Kellar, I., Peckham, E., Bellass, S., Wright, J., Alderson, S., Lister, J., Holt, R. I.G., Doherty, P., Carswell, C., Hewitt, C., Jacobs, R., Osborn, D., Boehnke, J., and Siddiqi, N.
Subjects:R Medicine > RZ Other systems of medicine
College/School:College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > Mental Health and Wellbeing
Journal Name:Frontiers in Psychiatry
Publisher:Frontiers Media
ISSN:1664-0640
ISSN (Online):1664-0640
Copyright Holders:Copyright © 2021 Coventry, Young, Balogun-Katang, Taylor, Brown, Kitchen, Kellar, Peckham, Bellass, Wright, Alderson, Lister, Holt, Doherty, Carswell, Hewitt, Jacobs, Osborn, Boehnke and Siddiqi
First Published:First published in Frontiers in Psychiatry 12: 723962
Publisher Policy:Reproduced under a Creative Commons licence

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