Determinants of physical health self-management behaviours in adults with serious mental illness: a systematic review

Peter Coventry; Ben Young; Abisola Olatokunbo Balogun; Jo Taylor; Jennifer Valeska Elli Brown; Charlotte Emma Wray Kitchen; Ian Kellar; Emily Jane Peckham; Susan Bellass; Judy Wright; Sarah Alderson; Jennie Elizabeth Lister; Richard I G Holt; Patrick Joseph Doherty; Claire Carswell; Catherine Elizabeth Hewitt; Rowena Jacobs; David Osborn; Jan Rasmus Boehnke; Najma Siddiqi

doi:10.3389/fpsyt.2021.723962

Determinants of physical health self-management behaviours in adults with serious mental illness: a systematic review

Peter Coventry, Ben Young, Abisola Olatokunbo Balogun, Jo Taylor, Jennifer Valeska Elli Brown, Charlotte Emma Wray Kitchen, Ian Kellar, Emily Jane Peckham, Susan Bellass, Judy Wright, Sarah Alderson, Jennie Elizabeth Lister, Richard I G Holt, Patrick Joseph Doherty, Claire Carswell, Catherine Elizabeth Hewitt, Rowena Jacobs, David Osborn, Jan Rasmus Boehnke, Najma Siddiqi

Research output: Contribution to journal › Article › peer-review

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.

Original language	English
Article number	723962
Number of pages	27
Journal	Frontiers in psychiatry
Volume	12
DOIs	https://doi.org/10.3389/fpsyt.2021.723962
Publication status	Published - 18 Aug 2021

Bibliographical note

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10.3389/fpsyt.2021.723962Licence: CC BY

Published version
© 2021 Coventry, Young, Balogun-Katang, Taylor, Brown, Kitchen, Kellar, Peckham, Bellass, Wright, Alderson, Lister, Holt, Doherty, Carswell, Hewitt, Jacobs, Osborn, Boehnke and Siddiqi.
Final published version, 748 KBLicence: CC BY

NIHR Programme Grant: DIAMONDS - Developing and evaluating a diabetes self-management education intervention for people with severe mental illness.
Siddiqi, N., Ali, S., Boehnke, J. R., Coventry, P., Doherty, P. J., Gilbody, S., Hewitt, C. E., Parrott, S., Taylor, J. & Watson, J.
1/05/18 → 31/03/25
Project: Research project (funded) › Research

Cite this

Coventry, P., Young, B., Balogun, A. O., Taylor, J., Brown, J. V. E., Kitchen, C. E. W., Kellar, I., Peckham, E. J., Bellass, S., Wright, J., Alderson, S., Lister, J. E., Holt, R. I. G., Doherty, P. J., Carswell, C., Hewitt, C. E., Jacobs, R., Osborn, D., Boehnke, J. R., & Siddiqi, N. (2021). Determinants of physical health self-management behaviours in adults with serious mental illness: a systematic review. Frontiers in psychiatry, 12, Article 723962. https://doi.org/10.3389/fpsyt.2021.723962

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title = "Determinants of physical health self-management behaviours in adults with serious mental illness: a systematic review",

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. ",

author = "Peter Coventry and Ben Young and Balogun, {Abisola Olatokunbo} and Jo Taylor and Brown, {Jennifer Valeska Elli} and Kitchen, {Charlotte Emma Wray} and Ian Kellar and Peckham, {Emily Jane} and Susan Bellass and Judy Wright and Sarah Alderson and Lister, {Jennie Elizabeth} and Holt, {Richard I G} and Doherty, {Patrick Joseph} and Claire Carswell and Hewitt, {Catherine Elizabeth} and Rowena Jacobs and David Osborn and Boehnke, {Jan Rasmus} and Najma Siddiqi",

note = "{\textcopyright} 2021 Coventry, Young, Balogun-Katang, Taylor, Brown, Kitchen, Kellar, Peckham, Bellass, Wright, Alderson, Lister, Holt, Doherty, Carswell, Hewitt, Jacobs, Osborn, Boehnke and Siddiqi.",

year = "2021",

month = aug,

day = "18",

doi = "10.3389/fpsyt.2021.723962",

language = "English",

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journal = "Frontiers in psychiatry",

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Coventry, P , Young, B , Balogun, AO , Taylor, J , Brown, JVE , Kitchen, CEW, Kellar, I, Peckham, EJ , Bellass, S, Wright, J, Alderson, S, Lister, JE, Holt, RIG, Doherty, PJ , Carswell, C , Hewitt, CE , Jacobs, R, Osborn, D, Boehnke, JR & Siddiqi, N 2021, 'Determinants of physical health self-management behaviours in adults with serious mental illness: a systematic review', Frontiers in psychiatry, vol. 12, 723962. https://doi.org/10.3389/fpsyt.2021.723962

TY - JOUR

T1 - Determinants of physical health self-management behaviours in adults with serious mental illness

T2 - a systematic review

AU - Coventry, Peter

AU - Young, Ben

AU - Balogun, Abisola Olatokunbo

AU - Taylor, Jo

AU - Brown, Jennifer Valeska Elli

AU - Kitchen, Charlotte Emma Wray

AU - Kellar, Ian

AU - Peckham, Emily Jane

AU - Bellass, Susan

AU - Wright, Judy

AU - Alderson, Sarah

AU - Lister, Jennie Elizabeth

AU - Holt, Richard I G

AU - Doherty, Patrick Joseph

AU - Carswell, Claire

AU - Hewitt, Catherine Elizabeth

AU - Jacobs, Rowena

AU - Osborn, David

AU - Boehnke, Jan Rasmus

AU - Siddiqi, Najma

PY - 2021/8/18

Y1 - 2021/8/18

N2 - 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.

AB - 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.

U2 - 10.3389/fpsyt.2021.723962

DO - 10.3389/fpsyt.2021.723962

M3 - Article

C2 - 34489764

SN - 1664-0640

VL - 12

JO - Frontiers in psychiatry

JF - Frontiers in psychiatry

M1 - 723962

ER -

Determinants of physical health self-management behaviours in adults with serious mental illness: a systematic review

Abstract

Bibliographical note

Access to Document

Projects

NIHR Programme Grant: DIAMONDS - Developing and evaluating a diabetes self-management education intervention for people with severe mental illness.

Cite this