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 |
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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. |
doi_str_mv | 10.1097/NMD.0000000000000746 |
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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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