Mindgardens Neuroscience Network, Sydney, NSW, Australia.
Faculty of Health, University of Technology Sydney, Sydney, NSW, Australia.
Health Promot J Austr. 2023 Feb;34(1):237-245. doi: 10.1002/hpja.633. Epub 2022 Jul 15.
People with severe mental illness have adverse health outcomes compared to the general population. Lifestyle interventions are effective in improving health outcomes in this population. Current cultural processes in mental health services do not generally incorporate physical health care practices. Innovative education is required to improve knowledge and confidence of staff in the delivery of preventative health measures.
The Keeping our Staff in Mind (KoSiM) program delivered a brief lifestyle intervention to mental health staff. A qualitative analysis following the Standards for Reporting Qualitative Research was undertaken. Semi-structured interviews designed to elicit information about the acceptability of the program and the impact of the intervention on participants' personal and professional lives. The interviews were analysed using thematic analysis, with coding independently developed and reviewed by three authors.
Of the 103 eligible participants, 75 were interviewed. Responses revealed four main themes: (i) positive changes in clinician's approach to physical health care, (ii) improvements in attitudes to self-care and family wellbeing, (iii) positive changes in workplace culture associated with physical health care delivery and (iv) high levels of acceptability of the program.
The KoSiM model may be useful in other settings as a means of changing the culture of mental health services to better integrate physical health care as a core part of mental health service provision. SO WHAT?: A novel approach using staff focussed lifestyle interventions model may cut through the resistance that is encountered when implementing proven methods of clinical intervention where cultural barriers exist.
与普通人群相比，患有严重精神疾病的人健康状况较差。生活方式干预在改善这一人群的健康结果方面是有效的。目前，心理健康服务中的文化进程通常不包括身体健康护理实践。需要创新性教育来提高员工在提供预防保健措施方面的知识和信心。
“保持员工健康意识”（KoSiM）项目向心理健康工作人员提供了简短的生活方式干预。采用了报告定性研究标准的定性分析。半结构化访谈旨在了解该项目的可接受性以及干预对参与者个人和职业生活的影响。使用主题分析对访谈进行分析，由三位作者独立开发和审查编码。
在 103 名符合条件的参与者中，有 75 人接受了采访。回应揭示了四个主要主题：（i）临床医生对身体健康护理方法的积极变化，（ii）自我保健和家庭幸福感态度的改善，（iii）与身体健康护理提供相关的工作场所文化的积极变化，以及（iv）对该计划的高度接受。
KoSiM 模型在其他环境中可能是有用的，作为一种改变心理健康服务文化的手段，将身体健康护理更好地整合为心理健康服务提供的核心部分。那么，这意味着什么呢？一种使用以员工为中心的生活方式干预模型的新方法可以克服在实施存在文化障碍的经过验证的临床干预方法时遇到的阻力。
