Exploring the use of digital interventions by people with severe mental illness to support their physical health: A mixed methods study

Gillis, Cathy, Williams, Julie, Gillett, George, McGrath, Ray, Ang, Karen, Bakolis, Ioannis, Arias de la Torre, Jorge, Tredget, Gracie, Gaughran, Fiona, Cross, Sean, Stepan, Natalia, Sevdalis, Nick and Khadjesari, Zarnie ORCID: https://orcid.org/0000-0002-2958-9555 (2024) Exploring the use of digital interventions by people with severe mental illness to support their physical health: A mixed methods study. Issues in Mental Health Nursing, 45 (1). pp. 9-26. ISSN 0161-2840

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Abstract

People with severe mental illness (SMI) are more likely to experience physical health conditions than the general population. Little is known about the experience of people with SMI using digital health interventions (DHIs) to support their physical health. We explored how people with SMI use DHIs to support their physical health, the acceptability, factors affecting use, and impact on physical health. This was a three-stage mixed methods study (1) online survey of people with SMI; (2) interviews with a subsample of participants from Stage 1; (3) stakeholder workshops. Participants were generally satisfied with the DHIs they used. The most popular DHIs were targeted at diet, exercise, and weight management. Factors that encouraged use included simplicity and data-linkage. Concerns included costs, data security, and reliability of information. Positive impacts included accountability and tangible physical health benefits. Mental health impacted engagement with DHIs. DHIs were seen as a useful tool to monitor physical health but could not replace contact with clinical services. DHIs were considered useful and acceptable by people with SMI and may be used as an extension of clinical care. The specific needs and priorities of people with SMI should be considered both in developing and recommending interventions.

Item Type: Article
Additional Information: Funding information: This work was supported by the Maudsley Charity.GG is funded by a Health Education England (HEE)/ NIHR Academic Clinical Fellowship for this project. FG is in part supported by the National Institute for Health Research’s (NIHR) Biomedical Research Centre at South London and Maudsley NHS Foundation Trust and King’s College London, the Maudsley Charity and the National Institute for Health Research (NIHR) Applied Research Collaboration South London (NIHR ARC South London) at King’s College Hospital NHS Foundation Trust. NS’s research is supported by the National Institute for Health Research (NIHR) Applied Research Collaboration (ARC) South London at King’s College Hospital NHS Foundation Trust. NS is a member of King’s Improvement Science, which offers co-funding to the NIHR ARC South London and is funded by King’s Health Partners (Guy’s and St Thomas’ NHS Foundation Trust, King’s College Hospital NHS Foundation Trust, King’s College London and South London and Maudsley NHS Foundation Trust), and Guy’s and St Thomas’ Foundation. ZK is supported by the National Institute for Health Research (NIHR) Applied Research Collaboration East of England. The views expressed are those of the author(s) and not necessarily those of the NIHR or the Department of Health and Social Care.
Uncontrolled Keywords: phychiatric mental health,sdg 3 - good health and well-being ,/dk/atira/pure/subjectarea/asjc/2900/2921
Faculty \ School: Faculty of Medicine and Health Sciences > School of Health Sciences
UEA Research Groups: Faculty of Medicine and Health Sciences > Research Centres > Norwich Institute for Healthy Aging
Faculty of Medicine and Health Sciences > Research Groups > Behavioural and Implementation Science
Faculty of Medicine and Health Sciences > Research Groups > Health Promotion
Faculty of Medicine and Health Sciences > Research Centres > Lifespan Health
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Depositing User: LivePure Connector
Date Deposited: 11 Jan 2024 01:40
Last Modified: 26 Jan 2024 02:14
URI: https://ueaeprints.uea.ac.uk/id/eprint/94147
DOI: 10.1080/01612840.2023.2279207

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