TY - JOUR
T1 - Determinants of Physical Health Self-Management Behaviours in Adults With Serious Mental Illness
T2 - A Systematic Review
AU - Coventry, Peter A.
AU - Young, Ben
AU - Balogun-Katang, Abisola
AU - Taylor, Johanna
AU - Brown, Jennifer V. E.
AU - Kitchen, Charlotte
AU - Kellar, Ian
AU - Peckham, Emily
AU - Bellass, Sue
AU - Wright, Judy
AU - Alderson, Sarah
AU - Lister, Jennie
AU - Holt, Richard I. G.
AU - Doherty, Patrick
AU - Carswell, Claire
AU - Hewitt, Catherine
AU - Jacobs, Rowena
AU - Osborn, David
AU - Boehnke, Jan
AU - Siddiqi, Najma
N1 - Funding Information:
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.
Publisher Copyright:
© Copyright © 2021 Coventry, Young, Balogun-Katang, Taylor, Brown, Kitchen, Kellar, Peckham, Bellass, Wright, Alderson, Lister, Holt, Doherty, Carswell, Hewitt, Jacobs, Osborn, Boehnke and Siddiqi.
PY - 2021/8/18
Y1 - 2021/8/18
N2 - 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. Systematic Review Registration: PROSPERO, registration CRD42018099553.
AB - 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. Systematic Review Registration: PROSPERO, registration CRD42018099553.
KW - self-management
KW - behaviour change
KW - serious mental illness
KW - determinant
KW - theory
UR - http://www.scopus.com/inward/record.url?scp=85114435320&partnerID=8YFLogxK
U2 - 10.3389/fpsyt.2021.723962
DO - 10.3389/fpsyt.2021.723962
M3 - Article
C2 - 34489764
SN - 1664-1078
VL - 12
JO - Frontiers in Psychology
JF - Frontiers in Psychology
M1 - 723962
ER -
