Lesley Marsha L, Livingood Kristi
J Psychosoc Nurs Ment Health Serv. 2015 Feb;53(2):46-53. doi: 10.3928/02793695-20150126-05.
InSHAPE (Self Help Action Plan for Empowerment), an exercise and nutrition wellness program, is gaining national recognition for its success in helping individuals with serious mental illness (SMI) improve physical fitness and dietary habits. Although gains have been reported in objective measures of fitness as participants progressed through the year-long program, there is little information about what happens with participants after program completion. To address this gap in knowledge, the authors conducted a longitudinal qualitative study in which 11 InSHAPE participants were interviewed both near the end of their year in the program and 9 months later. Participants identified the trainer's ability to contain their initial feelings of distress and form a working alliance as factors that contributed to their exercise persistence. Current findings suggest that individuals with SMI may need a longer period of time working closely with fitness trainers to sustain physical activity levels achieved during the program.
InSHAPE（增强权能自助行动计划）是一项运动与营养健康计划，因其在帮助重度精神疾病（SMI）患者改善身体素质和饮食习惯方面取得的成功而获得全国认可。尽管随着参与者完成为期一年的计划，在客观的健身指标方面有进展的报告，但关于计划完成后参与者的情况却知之甚少。为了填补这一知识空白，作者进行了一项纵向定性研究，在计划接近尾声时和9个月后对11名InSHAPE参与者进行了访谈。参与者认为，训练师控制他们最初痛苦情绪并建立工作联盟的能力是有助于他们坚持锻炼的因素。目前的研究结果表明，患有重度精神疾病的个体可能需要更长时间与健身教练密切合作，以维持在计划期间达到的身体活动水平。
