Tabvuma Tracy, Stanton Robert, Huang Ya-Ling, Happell Brenda
Faculty of Health, Southern Cross University, Lismore, New South Wales, Australia.
School of Health, Medical and Applied Sciences, Central Queensland University, Rockhampton, Queensland, Australia.
Int J Ment Health Nurs. 2025 Jul;34(4):e70114. doi: 10.1111/inm.70114.
Despite the implementation of physical health policies, research and interventions, people diagnosed with mental health conditions (referred to as consumers) continue to experience increased morbidity and mortality compared with the general population. Underpinning this disparity, systemic and personal barriers continue to impede consumers' abilities, commitment and resourcing towards health behaviour changes. Evidence suggests appropriately skilled, interpersonally capable and empowered healthcare professionals like Physical Health Nurse Consultants can deliver person-centred physical health care aligning with goal-setting theory. However, little to no research focuses on the application of goal-setting theory regarding physical health interventions for consumers. This qualitative exploratory study seeks to explore consumers' views and experiences using goal-setting to co-develop and implement their personalised health goals. Between November 2020 and April 2021, fourteen consenting consumers participated in 30-to-60-min semi-structured individual interviews that were transcribed and thematically analysed. Three themes identified from the data reflect consumers' positive experience of health goal-setting with the PHNC. The themes communicate: (i) the process of goal-setting, (ii) techniques, barriers and facilitators to implementing and sustaining, and (iii) impact of health goals. Consumers perceived collaborative care-planning processes aligning with goal-setting theory facilitated co-development and implementation of varying health goals and goal types. Barriers to consumers' health goal attainment were effectively mitigated by the PHNC who applied elements of goal-setting theory to increase congruency with their physical and mental capacity and commitment. Subsequently, consumers indicated positive impacts on several health domains indicating the value of the PHNC in supporting behaviour change and directing future research regarding consumer physical health interventions to underpin behaviour change theories and measure both clinical and personal outcomes.
尽管实施了身体健康政策、开展了相关研究并进行了干预，但与普通人群相比，被诊断患有精神疾病的人（称为消费者）的发病率和死亡率仍在上升。造成这种差异的根本原因是，系统性和个人障碍继续阻碍消费者改变健康行为的能力、意愿和资源获取。有证据表明，像身体健康护士顾问这样具备适当技能、人际沟通能力强且有自主权的医疗保健专业人员可以提供符合目标设定理论的以患者为中心的身体健康护理。然而，几乎没有研究关注目标设定理论在针对消费者的身体健康干预措施中的应用。这项定性探索性研究旨在探讨消费者对使用目标设定来共同制定和实施个性化健康目标的看法和体验。在2020年11月至2021年4月期间，14名同意参与的消费者参加了30至60分钟的半结构化个人访谈，访谈内容被转录并进行了主题分析。从数据中识别出的三个主题反映了消费者在与身体健康护士顾问共同设定健康目标方面的积极体验。这些主题传达了：（i）目标设定的过程，（ii）实施和维持目标的技巧、障碍和促进因素，以及（iii）健康目标的影响。消费者认为与目标设定理论相一致的协作式护理计划过程促进了不同健康目标和目标类型的共同制定和实施。身体健康护士顾问通过应用目标设定理论的要素来提高与消费者身心能力和意愿的一致性，有效缓解了消费者实现健康目标的障碍。随后，消费者表示在几个健康领域产生了积极影响，这表明身体健康护士顾问在支持行为改变以及指导未来关于消费者身体健康干预措施的研究以支持行为改变理论并衡量临床和个人结果方面具有价值。
