Coventry, Peter orcid.org/0000-0003-0625-3829, Young, Ben orcid.org/0000-0001-6451-9360, Balogun, Abisola Olatokunbo orcid.org/0000-0002-8177-9081 et al. (17 more authors) (2021) Determinants of physical health self-management behaviours in adults with serious mental illness:a systematic review. Frontiers in psychiatry. 723962. ISSN 1664-0640
Abstract
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.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2021 Coventry, Young, Balogun-Katang, Taylor, Brown, Kitchen, Kellar, Peckham, Bellass, Wright, Alderson, Lister, Holt, Doherty, Carswell, Hewitt, Jacobs, Osborn, Boehnke and Siddiqi. |
Dates: |
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Institution: | The University of York |
Academic Units: | The University of York > Faculty of Social Sciences (York) > Social Policy and Social Work (York) > York Environmental Sustainability Institute The University of York > Faculty of Sciences (York) > Health Sciences (York) The University of York > Faculty of Sciences (York) > Hull York Medical School (York) The University of York > Faculty of Social Sciences (York) > Centre for Health Economics (York) |
Funding Information: | Funder Grant number NIHR-CCF RP-PG-1016-20003 |
Depositing User: | Pure (York) |
Date Deposited: | 27 Jul 2021 14:50 |
Last Modified: | 02 Apr 2025 09:43 |
Published Version: | https://doi.org/10.3389/fpsyt.2021.723962 |
Status: | Published |
Refereed: | Yes |
Identification Number: | 10.3389/fpsyt.2021.723962 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:176564 |