A qualitative exploration of service users' experiences of weight management conversations in a mental health setting

PEC innovation Pub Date : 2025-03-22 DOI:10.1016/j.pecinn.2025.100389

Emma Kemp , Catherine Haighton , Sally Faulkner , Kate McBride , Maria Raisa Jessica Aquino , Rob Wilson , Milica Vasiljevic , Craig Robson , Mish Loraine , Jill Harland , Angela M. Rodrigues

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Abstract

Objective

Healthcare professionals often use opportunistic weight management conversations, aligned with the Making Every Contact Count (MECC) approach, to provide motivational support to service users. While research supports this practice from the professionals' perspective, the views of service users on these interactions remain understudied. The aim of this study was to explore the experiences of service users with serious mental illness regarding weight management conversations with healthcare professionals.

Methods

Thirteen service users with serious mental illness (Nine inpatient, four community-based) participated in semi-structured 1–1 interviews exploring weight management support experiences. Transcript data was analysed using thematic analysis.

Results

Five key themes were developed: service users' experience of weight management conversations, developing therapeutic relationships, support for physical activity and weight management, deliverer characteristic preferences, and user descriptions of MECC.

Conclusions

Service users reported a lack of information about medication-related weight gain and suggested further staff training to improve therapeutic relationships and weight management support for service users with serious mental illness.

Innovation

This study uniquely explores service users' perspectives on weight management conversations within mental health care, applying MECC in a novel context. It highlights the perspective of individuals with serious mental illness on weight-related issues, challenging existing practices, and proposing strategies for integrating physical health support in mental health settings.

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目标医疗保健专业人员经常利用与 "让每次接触都有价值"（MECC）方法相一致的机会性体重管理谈话，为服务使用者提供动力支持。虽然从专业人员的角度来看，研究支持这种做法，但服务使用者对这些互动的看法仍未得到充分研究。本研究旨在探讨患有严重精神疾病的服务使用者与医护人员进行体重管理谈话的经验。方法13 名患有严重精神疾病的服务使用者（9 名住院病人，4 名社区病人）参加了半结构化的 1-1 访谈，探讨体重管理支持经验。结果提出了五个关键主题：服务使用者对体重管理谈话的体验、治疗关系的发展、对体育锻炼和体重管理的支持、提供者的特征偏好以及使用者对 MECC 的描述。创新点这项研究独特地探讨了服务使用者对精神健康护理中体重管理谈话的看法，将 MECC 应用到了一个新颖的环境中。它强调了患有严重精神疾病的个人对体重相关问题的看法，对现有的做法提出了质疑，并提出了在精神健康环境中整合身体健康支持的策略。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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