在中等安全的心理健康环境中增加身体活动的障碍和促进因素：对工作人员看法的探讨

IF 2.3 3区医学 Q2 PSYCHIATRY

Mental Health and Physical Activity Pub Date : 2024-12-07 DOI:10.1016/j.mhpa.2024.100663

Kiara Lewis , Gloria Roden-Lui , Guy Faulkner , Simon Gibbon , Catherine Hewitt , Elizabeth Hughes , Wajid Khan , Mike Lucock , Bal Singh , Phil Walters , Judith Watson , Tammi Walker

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引用次数: 0

摘要

体育活动对严重精神疾病（SMI）患者的益处已得到广泛认可，但对于处于中等安全环境中的患者来说，还存在额外的环境障碍，这些障碍尚未得到充分探索。本研究的目的是从员工的角度探讨在中等安全环境中的感知障碍和促进因素。方法在两个英国中等安全的NHS设置中，对合格和不合格的工作人员（n = 24）进行半结构化焦点小组。Michie的COM-B框架被用于主题指南和数据分析。结果在中等安全环境中活动的机会不仅取决于设施的可用性，还取决于工作人员的可用性和支持此类活动的意愿。当采取个性化的方法时，工作人员熟练且积极地支持这些活动，那么在中等安全环境中，重度精神障碍患者就有可能进行身体活动。结论在安全环境中，重度精神障碍患者增加自身体育活动的自主性较弱，但建议通过适当的机会和工作人员的激励，可以提高他们的活动能力。

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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Barriers and facilitators to increasing physical activity in medium secure mental health settings: An exploration of staff perceptions

Purpose

The benefits of physical activity for people with severe mental illness (SMI) is widely recognised but for those in medium secure settings there are additional environmental barriers to being active that have not been fully explored. The aim of this study was to explore the perceived barriers and facilitators from the perspective of staff within the medium secure setting.

Method

Semi-structured focus groups were conducted with qualified and unqualified staff (n = 24) across two UK medium secure NHS settings. Michie's COM-B framework was used to inform the topic guide and the analysis of the data.

Results

The opportunities to be active in medium secure settings depend not only on access to facilities but also staff availability and willingness to support such activities. When an individualised approach is taken, and staff are skilled and motivated to support such activities then it is possible for people with SMI in medium secure settings to be physically active.

Conclusion

People with SMI in secure settings have reduced autonomy to increase their own physical activities but it was suggested that with the appropriate opportunities and the motivation of staff their capability to be active could be enhanced.

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来源期刊

Mental Health and Physical Activity PSYCHIATRY-

CiteScore

6.70

自引率

6.40%

发文量

审稿时长

32 days

期刊介绍： The aims of Mental Health and Physical Activity will be: (1) to foster the inter-disciplinary development and understanding of the mental health and physical activity field; (2) to develop research designs and methods to advance our understanding; (3) to promote the publication of high quality research on the effects of physical activity (interventions and a single session) on a wide range of dimensions of mental health and psychological well-being (eg, depression, anxiety and stress responses, mood, cognitive functioning and neurological disorders, such as dementia, self-esteem and related constructs, psychological aspects of quality of life among people with physical and mental illness, sleep, addictive disorders, eating disorders), from both efficacy and effectiveness trials;