A qualitative study of social facilitators and barriers to health behavior change among persons with serious mental illness.
This qualitative focus group study was conducted to explore social facilitators and barriers to health behavior change in persons with serious mental illness engaged in a healthy lifestyle intervention. Six focus group interviews were conducted with a total of 30 clients stratified by "high" and "low" achievers in the program based on clinically significant weight loss or significant increase in fitness. Thematic analysis of focus group discussions revealed that emotional, practical, and mutual support from family members and significant others were social facilitators to health behavior change, while unhealthy social environments was a barrier. Participants in the "high" achiever group reported more mutual support for health behavior change than participants in the "low" achiever group. Results highlight the need for researchers and clinicians to consider the potential role of family and significant others as health supporters for persons with mental illness who could encourage healthy behavior in the social environment.
Dartmouth Center for Aging Research, 46 Centerra Parkway, Lebanon, NH 03766, USA. kelly.aschbrenner@dartmouth.edu
Kelly
K
Aschbrenner
Elizabeth
E
Carpenter-Song
Kim
K
Mueser
Allison
A
Kinney
Sarah
S
Pratt
Stephen
S
Bartels
D000328:Adult; D000368:Aged; D001294:Attitude to Health; D003156:Community Mental Health Services; D005190:Family / Q000523:psychology; D005260:Female; D017144:Focus Groups; D015438:Health Behavior; D006293:Health Promotion; D006801:Humans; D007398:Interpersonal Relations; D007407:Interviews as Topic; D008019:Life Style; D008297:Male; D001523:Mental Disorders / Q000523:psychology*; D008875:Middle Aged; D036301:Qualitative Research; D012720:Severity of Illness Index; D012931:Social Environment; D012932:Social Facilitation; D012944:Social Support