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

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 - https://www.scopus.com/pages/publications/85114435320

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 -