Development and Evaluation of Innovative Peer-Led Physical Activity Programs for Mental Health Service Users

ABSTRACTMental health service users (MHSUs) have elevated rates of cardiometabolic disturbance. Improvements occur with physical activity (PA) programs. We report the development and evaluation of three innovative peer-developed and peer-led PA programs1) walking; 2) fitness; and 3) yoga. Qualitativ...

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Veröffentlicht in:The journal of nervous and mental disease 2017-11, Vol.205 (11), p.840-847
Hauptverfasser: Graham, Candida R, Larstone, Roseann, Griffiths, Brenda, de Leeuw, Sarah, Anderson, Lesley, Powell-Hellyer, Stephanie, Long, Nansi
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container_end_page 847
container_issue 11
container_start_page 840
container_title The journal of nervous and mental disease
container_volume 205
creator Graham, Candida R
Larstone, Roseann
Griffiths, Brenda
de Leeuw, Sarah
Anderson, Lesley
Powell-Hellyer, Stephanie
Long, Nansi
description ABSTRACTMental health service users (MHSUs) have elevated rates of cardiometabolic disturbance. Improvements occur with physical activity (PA) programs. We report the development and evaluation of three innovative peer-developed and peer-led PA programs1) walking; 2) fitness; and 3) yoga. Qualitative evaluation with 33 MHSUs in British Columbia, Canada, occurred. These programs yielded improvements for participants, highlighted by powerful narratives of health improvement, and improved social connections. The feasibility and acceptability of innovative peer-developed and peer-led programs were shown. Analyses revealed concepts related to engagement and change. Relating core categories, we theorize effective engagement of MHSUs requires accessibility on three levels (geographic, cost, and program flexibility) and health behavior change occurs within co-constituent relationships (to self, to peers, and to the wider community). This study highlights the benefits of peer involvement in developing and implementing PA programs and provides a theoretical framework of understanding engagement and behavior change in health programs for MHSUs.
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source MEDLINE; Journals@Ovid Complete
subjects Adult
Aged
Exercise
Exercise Therapy - methods
Female
Humans
Male
Mental Disorders - psychology
Mental Disorders - therapy
Mental health care
Mental Health Services
Middle Aged
Original
Peer Group
Physical Fitness
Social Support
Walking
Wellness programs
Yoga
title Development and Evaluation of Innovative Peer-Led Physical Activity Programs for Mental Health Service Users
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