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Facilitators and barriers to adoption and maintenance of healthy diets and physical activity among the serious mentally ill: a qualitative systematic review

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TitleInfo
Title
Facilitators and barriers to adoption and maintenance of healthy diets and physical activity among the serious mentally ill: a qualitative systematic review
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Sunday
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1959-
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Sunday Olaode
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author
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Salmond
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Susan
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Susan Salmond
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Advisory Committee
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chair
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Jadotte
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Yuri
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Yuri Jadotte
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Advisory Committee
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co-chair
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Rutgers University
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degree grantor
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School of Nursing - RBHS
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school
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theses
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2019
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2019-10
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English
Abstract (type = abstract)
Objectives: The objective of this review was to examine the barriers and facilitators to adopting healthy dietary habits and active lifestyle behaviors, and the responses of the SMI population to different approaches that have been employed in addressing these challenges.
Introduction: The SMI adult population are at higher risk of poor health and have mortality rates at least twice as higher from preventable diseases compared to that of the general population. Lack of physical activity and unhealthy eating are known factors that contribute to poor clinical outcomes in adults suffering from serious mental illness.

Inclusion criteria: This systematic review included any qualitative studies that described the facilitators and barriers to healthy diets and physical activity among 18 years of age or older suffering from serious mental illness (SMI) residing in the community and are being treated with antipsychotic medication.

Methods: This review followed the Joanna Briggs Institute (JBI) approach for qualitative systematic reviews. This review considered any qualitative studies published in full text, English language, and between 2006 when facilitators and barriers to adopting and maintaining healthy diets and physical activities among SMI living in the community were first examined and August 2018 when the search was completed. A three-part comprehensive search of databases for published and unpublished studies. Articles were screened for fit with the inclusion criteria, assessment of methodological quality by two independent reviewers was completed using the JBI critical appraisal tool.

Results: Eighteen articles, representing studies conducted across eight countries and a total of 440 participants (378 individuals suffering from SMI and 62 providers), met the criteria for inclusion. A total of 169 findings were extracted and combined to form 12 categories based on similarities and meanings and then aggregated into 4 synthesized findings (meta-syntheses). 1) Social barriers—stigma and access are significant barriers to healthy eating and physical activity; 2) The disabling physical and psychological symptoms of mental illness, medication side effects and accompanying co-morbid conditions are significant barriers to healthy eating and physical activity; 3) Structured wellness/health promotion programs that include provider and family support and the opportunity to establish connections with others facilitate accomplishment of healthy eating and physical activity; and 4) Physical activity enhances enjoyment in life and well-being and can positively impact mental health symptoms.

Conclusions: The major conclusion of this review is promoting structured physical activity and healthy eating, reducing social barriers and creating knowledge, a general awareness that physical activity and healthy eating prevent disease and SMI are an at-risk group with notable disparities in health outcomes and greater efforts must be taken to improve knowledge not only of those with SMI but their professional and family caregivers.

Implications for practice: The current culture and standard of practice in the provision of services to the mentally ill needs to change—active measures to reduce stigma, provide integrated, supportive, and holistic care is needed.
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Topic
Post-Master's DNP Practice
Subject (authority = LCSH)
Topic
Mentally ill -- Health and hygiene
Subject (authority = local)
Topic
Physical activity
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Topic
Healthy diets
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Topic
Serious mental illness
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Topic
Barriers and facilitators
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Rutgers University Electronic Theses and Dissertations
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ETD_10134
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1 online resource (104 pages) : illustrations
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DNP
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Includes bibliographical references
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School of Nursing (RBHS) DNP Projects
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rucore10004500001
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doi:10.7282/t3-s0cr-hd90
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ETD doctoral
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Rights

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The author owns the copyright to this work.
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Sunday
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Permission or license
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2019-07-18 17:55:49
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Sunday Olaode
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Rutgers University. School of Nursing - RBHS
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Author Agreement License
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I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
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Embargo
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2019-10-31
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2021-10-30
Detail
Access to this PDF has been restricted at the author's request. It will be publicly available after October 30th, 2021.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
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