scholarly journals VA Peer Providers Supporting Physical Health and Wellness Among Aging Veterans With Mental Health Conditions

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 631-631
Author(s):  
Anjana Muralidharan ◽  
Amanda Peeples ◽  
Alicia Lucksted ◽  
Richard Goldberg
Keyword(s):  
Mental Illness ◽  
Health Behavior ◽  
Behavior Change ◽  
Physical Health ◽  
Lived Experience ◽  
Group Intervention ◽  
Qualitative Interviews ◽  
Health Behavior Change ◽  
Evidence Base ◽  
Self Disclosure

Abstract There is a growing evidence base for the utility of peers in supporting physical health outcomes among aging Veterans with mental illness. This talk will consider two questions: (1) what does it mean to be a “peer” when the focus is improving physical health, and (2) how does peer support promote health behavior change? In considering these questions, select peer-delivered interventions recently or currently being tested in the VA will be discussed. Data from qualitative interviews (N=16; ages 47-75) from a recent RCT of Living Well, a peer co-facilitated group intervention promoting illness self-management, will be presented. These data shed light on the peer role, especially the role of peer self-disclosure in promoting group cohesion, social learning, self-efficacy, and health behavior change. Notably, when physical health is the focus, participants relate to peer providers across diverse characteristics, and not necessarily based on a shared lived experience of mental illness.

scholarly journals Health Behavior Change Processes Among Adults With Serious Mental Illness Engaged in Illness Self-Management

2021 ◽  
pp. 104973232199204
Author(s):  
Anjana Muralidharan ◽  
Amanda Peeples ◽  
Alicia Lucksted
Keyword(s):  
Mental Illness ◽  
Health Behavior ◽  
Behavior Change ◽  
Serious Mental Illness ◽  
Cognitive Theory ◽  
Self Regulation ◽  
Health Behavior Change ◽  
Self Management ◽  
Living Well ◽  
Management Interventions

Self-management interventions promote illness management among adults with chronic health conditions. Little is known regarding the processes by which these interventions have their effects. The present study examined how Living Well, an effective self-management intervention for adults with serious mental illness, led to health behavior change in a randomized controlled trial. A convenience subset ( N = 15) of participants completed qualitative interviews regarding the feasibility/acceptability of Living Well. An inductive secondary qualitative analysis, using a combination of interpretive phenomenological and social constructivist approaches, was conducted to examine processes of change. Results indicate that Living Well provided information and knowledge, opportunities for learning from others and real-world practice, and an interpersonally supportive environment. These active ingredients led to enhanced self-awareness, confidence, sense of control, and behavior and health status changes among participants. These findings are considered in the context of prominent behavior change theories such as social cognitive theory and self-regulation.

scholarly journals Health behavior change benefits: Perspectives of Latinos with serious mental illness

2016 ◽  
Vol 53 (3) ◽  
pp. 313-329 ◽  
Author(s):  
Daniel E. Jimenez ◽  
Kimberly Burrows ◽  
Kelly Aschbrenner ◽  
Laura K. Barre ◽  
Sarah I. Pratt ◽  
...  
Keyword(s):  
Mental Illness ◽  
Health Behavior ◽  
Behavior Change ◽  
Serious Mental Illness ◽  
Health Behavior Change

scholarly journals Perspectives of overweight Latinos with serious mental illness on barriers and facilitators to health behavior change.

2015 ◽  
Vol 3 (1) ◽  
pp. 11-22 ◽  
Author(s):  
Daniel E. Jimenez ◽  
Kelly Aschbrenner ◽  
Kimberly Burrows ◽  
Sarah I. Pratt ◽  
Margarita Alegría ◽  
...  
Keyword(s):  
Mental Illness ◽  
Health Behavior ◽  
Behavior Change ◽  
Serious Mental Illness ◽  
Health Behavior Change ◽  
Barriers And Facilitators

scholarly journals We need reproducible health behavior change interventions to help adults with severe mental illness

2018 ◽  
Author(s):  
Paquito Bernard ◽  
Samuel St-Amour ◽  
Celia Kingsbury ◽  
Ahmed Jerome Romain
Keyword(s):  
Health Psychology ◽  
Mental Illness ◽  
Health Behavior ◽  
Behavior Change ◽  
Behavioral Medicine ◽  
Severe Mental Illness ◽  
Interdisciplinary Collaboration ◽  
Health Behavior Change ◽  
Behavior Change Interventions

In conclusion, future HB change interventions for adults with severe metal illness should require more interdisciplinary collaboration between behavioral medicine, health psychology and psychiatry.

What Is Slowing Us Down? Six Challenges to Accelerating Advances in Health Behavior Change

2020 ◽  
Vol 54 (12) ◽  
pp. 948-959
Author(s):  
Alexander J Rothman ◽  
Paschal Sheeran
Keyword(s):  
Health Behavior ◽  
Behavior Change ◽  
Empirical Work ◽  
Health Behavior Change ◽  
Evidence Base ◽  
Theoretical Development ◽  
Experimental Medicine ◽  
Effective Interventions ◽  
And Behavior

Abstract Background Accelerating advances in health behavior change requires releasing the brake, as well as applying the throttle. This paper discusses six challenges or “brakes” that have slowed progress. Purpose/Methods/Results We engage with six issues that limit investigators’ ability to delineate and test the strategy–target and target–behavior relations that underlie effective interventions according to the experimental medicine approach. We discuss the need for guidance on how to identify the relevant mechanism of action (target) in an intervention and whether a periodic table of health behavior constructs might aid investigators. Experimental and correlational analyses (prospective surveys and behavior change techniques) have been used to test the validity of targets, and we present evidence that there is little agreement among the findings from different research designs. Whereas target engagement is typically analyzed in terms of increasing scores on constructs that impel behavior change, we discuss the role of impeding targets and the benefits of adopting a broader construal of potential targets and approaches to engagement. There is presently a paucity of competitive tests regarding which strategies best engage targets and we discuss empirical criteria and conceptual developments that could enhance the evidence base. Finally, we highlight the need to take “context” or conditional intervention effects more seriously by leveraging the interplay between questions about why interventions work and questions about when and for whom they work. Conclusion Candid appraisal of the challenges facing research on health behavior change can generate new opportunities for theoretical development and offer direction and cumulative impetus for empirical work.

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