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Determinants of Physical Health Self-Management Behaviours in Adults With Serious Mental Illness: A Systematic Review

Coventry, PA; Young, B; Balogun-Katang, A; Taylor, J; Brown, JVE; Kitchen, C; Kellar, I; ... Siddiqi, N; + view all (2021) Determinants of Physical Health Self-Management Behaviours in Adults With Serious Mental Illness: A Systematic Review. Frontiers in Psychiatry , 12 , Article 723962. 10.3389/fpsyt.2021.723962. Green open access

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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.

Type: Article
Title: Determinants of Physical Health Self-Management Behaviours in Adults With Serious Mental Illness: A Systematic Review
Open access status: An open access version is available from UCL Discovery
DOI: 10.3389/fpsyt.2021.723962
Publisher version: https://doi.org/10.3389/fpsyt.2021.723962
Language: English
Additional information: Copyright © 2021 Coventry, Young, Balogun-Katang, Taylor, Brown, Kitchen, Kellar, Peckham, Bellass, Wright, Alderson, Lister, Holt, Doherty, Carswell, Hewitt, Jacobs, Osborn, Boehnke and Siddiqi. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (http://creativecommons.org/licenses/by/4.0/). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
Keywords: self-management, behaviour change, serious mental illness, determinant, theory
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry
URI: https://discovery.ucl.ac.uk/id/eprint/10134976
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