Exploring determinants of self-management in adults with severe mental illness: a qualitative evidence synthesis

Allbwn ymchwil: Cyfraniad at gynhadleddPapuradolygiad gan gymheiriaid

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Exploring determinants of self-management in adults with severe mental illness: a qualitative evidence synthesis. / Carswell, Claire; Brown, Jennifer Valeska Elli; Balogun, Abisola Olatokunbo et al.
2021. Papur a gyflwynwyd yn RCPsych Virtual International Congress 2021.

Allbwn ymchwil: Cyfraniad at gynhadleddPapuradolygiad gan gymheiriaid

HarvardHarvard

Carswell, C, Brown, JVE, Balogun, AO, Taylor, J, Coventry, P, Kitchen, CEW, Kellar, I, Peckham, EJ, Bellass, S, Alderson, S, Lister, JE, Holt, R, Hewitt, CE, Jacobs, R, Shiers, D, Boehnke, JR, Ajjan, RA & Siddiqi, N 2021, 'Exploring determinants of self-management in adults with severe mental illness: a qualitative evidence synthesis', Papur a gyflwynwyd yn RCPsych Virtual International Congress 2021, 21/06/21 - 24/06/21. https://doi.org/10.1192/bjo.2021.93

APA

Carswell, C., Brown, J. V. E., Balogun, A. O., Taylor, J., Coventry, P., Kitchen, C. E. W., Kellar, I., Peckham, E. J., Bellass, S., Alderson, S., Lister, J. E., Holt, R., Hewitt, C. E., Jacobs, R., Shiers, D., Boehnke, J. R., Ajjan, R. A., & Siddiqi, N. (2021). Exploring determinants of self-management in adults with severe mental illness: a qualitative evidence synthesis. Papur a gyflwynwyd yn RCPsych Virtual International Congress 2021. https://doi.org/10.1192/bjo.2021.93

CBE

Carswell C, Brown JVE, Balogun AO, Taylor J, Coventry P, Kitchen CEW, Kellar I, Peckham EJ, Bellass S, Alderson S, et al. 2021. Exploring determinants of self-management in adults with severe mental illness: a qualitative evidence synthesis. Papur a gyflwynwyd yn RCPsych Virtual International Congress 2021. https://doi.org/10.1192/bjo.2021.93

MLA

VancouverVancouver

Carswell C, Brown JVE, Balogun AO, Taylor J, Coventry P, Kitchen CEW et al.. Exploring determinants of self-management in adults with severe mental illness: a qualitative evidence synthesis. 2021. Papur a gyflwynwyd yn RCPsych Virtual International Congress 2021. doi: 10.1192/bjo.2021.93

Author

Carswell, Claire ; Brown, Jennifer Valeska Elli ; Balogun, Abisola Olatokunbo et al. / Exploring determinants of self-management in adults with severe mental illness: a qualitative evidence synthesis. Papur a gyflwynwyd yn RCPsych Virtual International Congress 2021.

RIS

TY - CONF

T1 - Exploring determinants of self-management in adults with severe mental illness: a qualitative evidence synthesis

AU - Carswell, Claire

AU - Brown, Jennifer Valeska Elli

AU - Balogun, Abisola Olatokunbo

AU - Taylor, Jo

AU - Coventry, Peter

AU - Kitchen, Charlotte Emma Wray

AU - Kellar, Ian

AU - Peckham, Emily Jane

AU - Bellass, Susan

AU - Alderson, Sarah

AU - Lister, Jennie Elizabeth

AU - Holt, Richard

AU - Hewitt, Catherine Elizabeth

AU - Jacobs, Rowena

AU - Shiers, David

AU - Boehnke, Jan Rasmus

AU - Ajjan, Ramzi A

AU - Siddiqi, Najma

N1 - © The Author(s), 2021.

PY - 2021/6/21

Y1 - 2021/6/21

N2 - AimsTo systematically review and synthesise qualitative evidence about determinants of self-management in adults with SMI. The goal is to use findings from this review to inform the design of effective self-management strategies for people with SMI and LTCs.BackgroundPeople living with serious mental illness (SMI) have a reduced life expectancy by around 15–20 years, mainly due to the high prevalence of long-term physical conditions such as diabetes and heart disease. People with SMI face many challenges when trying to manage their physical health. Little is known about the determinants of self-management – managing the emotional and practical issues – of long-term conditions (LTCs) for people with SMI.MethodSix databases, including CINAHL and MEDLINE, were searched to identify qualitative studies that explored people's perceptions about determinants of self-management in adults with SMI (with or without comorbid LTCs). Self-management was defined according to the American Association of Diabetes Educator's self-care behaviours (AADE7). Determinants were defined according to the Capabilities, Opportunity, Motivations and Behaviours (COM-B) framework. Eligible studies were purposively sampled for synthesis according to the richness of the data (assessed using Ames et al (2017)'s data richness scale), and thematically synthesised.ResultTwenty-six articles were included in the synthesis. Seven studies focused on self-management of LTCs, with the remaining articles exploring self-management of SMI. Six analytic themes and 28 sub-themes were identified from the synthesis. The themes included: the additional burden of SMI; living with comorbidities; beliefs and attitudes about self-management; support from others for self-management; social and environmental factors; routine, structure and planning. Capabilities for self-management were linked to people's perceptions about the support they received for their SMI and LTC from healthcare professionals, family and friends. Opportunities for self-management were more commonly expressed in the context of social and environmental factors. Motivation for self-management was influenced by beliefs and attitudes, whilst being closely related to the burden of SMI.ConclusionThe themes identified from the synthesis suggest that capabilities, opportunities and motivations for self-management can be negatively influenced by the experience of SMI, whilst social and professional support, improved access to resources, and increased involvement in care, could promote self-management. Support programmes for people with SMI and LTCs need to account for these experiences and adapt to meet the unique needs of this population.

AB - AimsTo systematically review and synthesise qualitative evidence about determinants of self-management in adults with SMI. The goal is to use findings from this review to inform the design of effective self-management strategies for people with SMI and LTCs.BackgroundPeople living with serious mental illness (SMI) have a reduced life expectancy by around 15–20 years, mainly due to the high prevalence of long-term physical conditions such as diabetes and heart disease. People with SMI face many challenges when trying to manage their physical health. Little is known about the determinants of self-management – managing the emotional and practical issues – of long-term conditions (LTCs) for people with SMI.MethodSix databases, including CINAHL and MEDLINE, were searched to identify qualitative studies that explored people's perceptions about determinants of self-management in adults with SMI (with or without comorbid LTCs). Self-management was defined according to the American Association of Diabetes Educator's self-care behaviours (AADE7). Determinants were defined according to the Capabilities, Opportunity, Motivations and Behaviours (COM-B) framework. Eligible studies were purposively sampled for synthesis according to the richness of the data (assessed using Ames et al (2017)'s data richness scale), and thematically synthesised.ResultTwenty-six articles were included in the synthesis. Seven studies focused on self-management of LTCs, with the remaining articles exploring self-management of SMI. Six analytic themes and 28 sub-themes were identified from the synthesis. The themes included: the additional burden of SMI; living with comorbidities; beliefs and attitudes about self-management; support from others for self-management; social and environmental factors; routine, structure and planning. Capabilities for self-management were linked to people's perceptions about the support they received for their SMI and LTC from healthcare professionals, family and friends. Opportunities for self-management were more commonly expressed in the context of social and environmental factors. Motivation for self-management was influenced by beliefs and attitudes, whilst being closely related to the burden of SMI.ConclusionThe themes identified from the synthesis suggest that capabilities, opportunities and motivations for self-management can be negatively influenced by the experience of SMI, whilst social and professional support, improved access to resources, and increased involvement in care, could promote self-management. Support programmes for people with SMI and LTCs need to account for these experiences and adapt to meet the unique needs of this population.

U2 - 10.1192/bjo.2021.93

DO - 10.1192/bjo.2021.93

M3 - Paper

T2 - RCPsych Virtual International Congress 2021

Y2 - 21 June 2021 through 24 June 2021

ER -