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Meeting the needs? Perceived support of a nurse-led lifestyle programme for young adults with mental illness in a primary health-care setting
Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.ORCID iD: 0000-0001-7959-606X
Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
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2018 (English)In: International Journal of Mental Health Nursing, ISSN 1445-8330, E-ISSN 1447-0349, Vol. 27, no 1, p. 390-399Article in journal (Refereed) Published
Abstract [en]

Being a young adult with mental illness challenges all aspects of health, including an increased risk for developing lifestyle-related diseases. There is a lack of lifestyle programmes in primary health care that target physical, mental, and social needs for young adults with mental illness. The aim of the present study was to describe the experiences of young adults with mental illness receiving support from a nurse-led lifestyle programme, and how this support was related to their life context, including challenges and coping strategies. Two focus groups and six individual interviews were performed with 13 young adults (16–25 years), and analysed using a qualitative content analysis. The findings showed that the young adults experienced challenges in their daily lives, including psychiatric symptoms, lack of social understanding, and loneliness. The study indicated that the programme could support lifestyle habits with its components of supportive interpersonal relationships, awareness of coping strategies, understanding of health and illness, and cognitive support (e.g. schedules and reminders). However, the programme could not meet everyone's needs for new social relationships or more comprehensive support. Even so, this nurse-led programme provides health information-management strategies that could easily be integrated in a primary health-care setting.

Place, publisher, year, edition, pages
2018. Vol. 27, no 1, p. 390-399
Keywords [en]
health information management, mental illness, primary health care, young adult
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:miun:diva-30608DOI: 10.1111/inm.12333ISI: 000419717100039PubMedID: 28374967Scopus ID: 2-s2.0-85017454831OAI: oai:DiVA.org:miun-30608DiVA, id: diva2:1089240
Available from: 2017-04-19 Created: 2017-04-19 Last updated: 2018-07-06Bibliographically approved
In thesis
1. Supporting healthy lifestyle habits in persons with mental disorders: The development of a nurse-led lifestyle intervention
Open this publication in new window or tab >>Supporting healthy lifestyle habits in persons with mental disorders: The development of a nurse-led lifestyle intervention
2018 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Persons with mental disorders have an increased risk of developing health problems. One reason for this is poor lifestyle habit support. The aim of this thesis was to develop and evaluate a nurse-led lifestyle intervention for persons with mental disorders. Two versions of the intervention were conducted in the municipality (versions I, II) and one in a primary healthcare setting (version III). The educational elements of the intervention were led by nurses and practically executed by nursing staff (study II and III). In study IV education was both led and executed in practice by nurses. Data were collected through focus groups, individual interviews, and measurements. Study I, a qualitative development study, showed that, when motivating for lifestyle changes, it was important to structure daily life and provide emotional support. Loneliness, lack of knowledge and support, and general resources were identified as barriers to lifestyle changes. Version I contained health education for nursing staff and individual lifestyle habit support to persons with mental disorders, which included physical exercises and cognitive support. Study II was a qualitative acceptability study of the intervention (version I) and its assessment tools. The intervention with its relational, educational, and supportive dimensions and the assessment tools was promising. In Study III (version II), a quantitative pilot study, persons with mental disorders received health education together with the nursing staff. The intervention provided improvements to various degrees in health-related variables of quality of life, cognitive performance, walking capacity, and waist circumference. Study IV (version III), a qualitative study, included health education and individual lifestyle habit support for young adults with mental illness. The young adults experienced challenges including psychiatric symptoms, loneliness, and a lack of social understanding. The thesis results showed that the core components of the intervention with interpersonal relationships, where nursing staff played an important role, and further components such as health education and health discussions, in addition to cognitive support, worked well together to support lifestyle habit changes. Those components already exist and may therefore be easy to implement into daily nursing practice in different housing conditions and with individuals of different ages and needs for mental health care support. Group education was a way not only to develop new health strategies but also to establish social relationships. The intervention may also be modified to work with other groups of persons who need more explicit lifestyle habit support. However, to better determine the efficacy and sustainability of the intervention, larger studies over a longer time should be conducted.

 

 

Place, publisher, year, edition, pages
Sundsvall: Mid Sweden Univsersity, 2018. p. 117
Series
Mid Sweden University doctoral thesis, ISSN 1652-893X ; 279
Keywords
interpersonal relationships, lifestyle intervention, mental disorders, mental illness, nurse-led
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:miun:diva-33358 (URN)978-91-88527-46-2 (ISBN)
Public defence
2018-05-18, M108, Sundsvall, 10:30 (Swedish)
Opponent
Supervisors
Available from: 2018-03-27 Created: 2018-03-27 Last updated: 2018-04-05Bibliographically approved

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Rönngren, YlvaBjörk, AnnetteKristiansen, LisbethHaage, DavidEnmarker, IngelaAudulv, Åsa

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