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Perceptions of barriers and benefits to physical activity among outpatients in psychiatric rehabilitation.

Authors
McDevitt-J; Snyder-M; Miller-A; Wilbur-J
Source
J Nurs Scholarsh 2006 Mar; 38(1):50-55
NIOSHTIC No.
20039649
Abstract
PURPOSE: To explore perceived barriers and benefits to physical activity in people with serious and persistent mental illness (SPMI) who were enrolled in community-based psychiatric rehabilitation. DESIGN AND METHODS: Four focus groups, two for men and two for women, were held with a total of 34 outpatients from two program sites. The investigators used a semistructured interview guide to facilitate the discussions. Audiotapes of the discussions were transcribed and analyzed for concepts and themes. FINDINGS: Significant barriers to physical activity were: mental illness symptoms, medications, weight gain from medications, fear of discrimination, and safety concerns. Being in a psychiatric rehabilitation program offered comfort and belonging, but it also had the effect of leaving activity initiation up to the program staff, which some participants perceived was part of required program compliance. However, participants viewed physical activity positively, and they linked being active to improved mental health. CONCLUSIONS: Outpatients in psychiatric rehabilitation valued physical activity, but mental illness symptoms, medication sedation, weight gain, fear of unsafe conditions, fear of discrimination, and interpretations of program compliance were barriers. Confronting how attitudes and barriers specific to this population can affect activity and reframing program compliance to include the independent initiation of activity as part of improving health might help clients of mental health services to become more active.
Keywords
Humans; Men; Women; Mental-disorders; Mental-illness; Drug-therapy; Age-groups; Psychological-disorders; Psychological-factors; Psychotropic-drugs; Weight-factors; Author Keywords: Focus groups; Schizophrenia; Mental disorders; Physical activity; Exercise
Contact
Dr. Judith McDevitt, University of Illinois at Chicago, College of Nursing (MC 802), 845 South Damen Avenue, Chicago, IL 60612
CODEN
IMNSEP
Publication Date
20060301
Document Type
Journal Article
Email Address
jmcdev1@uic.edu
Funding Type
Grant
Fiscal Year
2006
NTIS Accession No.
NTIS Price
Identifying No.
Grant-Number-T42-OH-008672
Issue of Publication
1
ISSN
1527-6546
Source Name
Journal of Nursing Scholarship
State
IL
Performing Organization
University of Illinois-Chicago
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