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

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.

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

2015 ◽  
Vol 3 (1) ◽  
pp. 11-22 ◽  
Author(s):  
Daniel E. Jimenez ◽  
Kelly Aschbrenner ◽  
Kimberly Burrows ◽  
Sarah I. Pratt ◽  
Margarita Alegría ◽  
...  

2021 ◽  
pp. 193229682110175
Author(s):  
Valéria de Cássia Sparapani ◽  
Sidney Fels ◽  
Noreen Kamal ◽  
Rebecca Ortiz La Banca ◽  
Lucila Castanheira Nascimento

Background: Video games are interactive technologies able to support children in health promotion, behavior changes, and chronic disease self-management. The use of health behavior change determinants in video game design can increase its effectiveness. This study describes the process of designing a video game for Brazilian children with T1D clarifying the use of health behavior change determinants that may influence self-management behaviors. Methods: This was a methodological study based on health behavior change theories and the user-centered design approach. The results of a qualitative study conducted with children aged 7 to 12 years identified learning needs about knowledge on diabetes and self-care tasks which contribute to inappropriate behaviors. A Behavioral Diagnosis presented health behavior change determinants, capable of influencing children’s learning needs and behaviors, that were considered to design The Heroes of Diabetes—the power of knowledge. Results: The results presented the process of designing 4 mini games with its description and theory foundation to reach children’s lack of understanding about T1D, insulin’s role, SMBG requirements, food groups and physical activity’s role in glycemic control. Knowledge, goal settings, extrinsic and intrinsic motivation determinants were related with video games design features. Conclusions: The findings support the use of health behavior change determinants into video game design as a guide to achieve children learning needs and that might influence self-management behaviors.


2018 ◽  
Vol 5 ◽  
pp. 2333794X1876536 ◽  
Author(s):  
Emily F. Gregory ◽  
Charmaine S. Wright ◽  
Meredith Matone ◽  
David M. Rubin ◽  
Scott A. Lorch

Pediatricians increasingly endorse a dual generation approach to health, in which parental health behaviors are recognized as critical to promoting child health. Positive parental behaviors often emerge during pregnancy, for reasons that remain incompletely described. We surveyed mothers in the immediate postpartum period to identify beliefs about health behavior change and characteristics of prenatal care associated with successful change. Sampling at a tertiary care hospital captured an English-speaking adult population with healthy infants. Respondents (n = 225) were predominantly non-Hispanic Black (64%) and Medicaid insured (44%). Most (71%) reported successful behavior change during pregnancy. Of those reporting change, 91% intended to sustain behaviors postnatally. Most believed that sustained change was important for their own health (94%) and their infant’s health (93%). In logistic regression, support for self-management was associated with prenatal health behavior change (odds ratio = 1.64, 95% confidence interval = 1.09-2.46). Continued support for self-management by pediatricians may benefit long-term family health.


2020 ◽  
Vol 44 (5) ◽  
pp. 559-571
Author(s):  
Megan S. Maisano ◽  
Eleanor T. Shonkoff ◽  
Sara C. Folta

Objectives: In this scoping review, we examine the current state of literature on weight-related Multiple Health Behavior Change (MHBC). Specifically, we investigate: (1) MHBC versus single health behavior change (SHBC) interventions and (2) simultaneous versus sequential MHBC approaches. Secondarily, we explore (3) attributes that predict success in MHBC, and (4) the utilization of theoretical frameworks. Methods: We retrieved studies from PubMed, Web of Science, and Google Scholar within the 2000 to 2018 range. Results: MHBC interventions proved superior for long-term weight loss when compared to SHBC approaches. However, the literature is limited. Studies investigating simultaneous and sequential MHBC approaches are also limited and have mixed results. Predictive characteristics of MHBC include behavior adherence, risk level, stage of change, self-efficacy, social support, environmental barriers, and treatment approaches. Whereas evidence evaluating theory in MHBC programs remains scant, there is promising research on constructs from the Transtheoretical Model and Social Cognitive Theory. Conclusions: MHBC approaches may better support weight loss efforts. However, further research is needed to understand the effects of behavior change order and timing, predictive features of participants and interventions, and theoretical framework utilization in these weight-loss programs.


2016 ◽  
Vol 67 (11) ◽  
pp. 1213-1225 ◽  
Author(s):  
Karen L. Whiteman ◽  
John A. Naslund ◽  
Elizabeth A. DiNapoli ◽  
Martha L. Bruce ◽  
Stephen J. Bartels

2021 ◽  
Vol 12 ◽  
Author(s):  
Alexis D. Mitchell ◽  
Laura E. Martin ◽  
Austin S. Baldwin ◽  
Sara M. Levens

Physical activity offers substantial mind-body health benefits and reduced mortality, yet many individuals are chronically underactive. Physical activity interventions may benefit from integrative approaches that join components of mindfulness and neurobiological models of behavior. Mindfulness increases one’s awareness of cognitions and physical sensations to potentially facilitate self-regulation, while neurobiological models such as the dual system model of health behavior offer guidance on improving physical activity intervention targets. This 2-phase study includes an initial development process to create brief (∼4 min) mindfulness informed guided imagery audio files that target distinct cognitive and affective processes to promote physical activity. In the second phase, participants completed a 2-week pilot intervention study to gather qualitative and quantitative data on intervention feasibility and acceptability. Participants endorsed the mindfulness informed guided imagery as easy to use, enjoyable and helpful. Over a 2-week intervention period participants reported positive shifts in behavior change, physical activity enjoyment, increased mindfulness during physical activity, and increased physical exercise self-efficacy and satisfaction. Interview data revealed that participants increased their frequency of physical activity and tended to experience positive affect during physical activity, engaged in future oriented thinking and were able to view physical activity in a more positive light. Findings support the feasibility and acceptability of an integrative online mindfulness informed guided imagery intervention to promote physical activity enjoyment and engagement. This study extends health behavior change intervention research and provides supporting evidence for a flexible and tailorable online mindfulness-based intervention.


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