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Motivation does not come with an ending-it's the beginning of something new: Experiences of motivating persons with psychiatric disabilities to physical activity
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Karolinska Institutet, Sweden.
Karolinska Institutet, Sweden.
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.ORCID iD: 0000-0002-4537-030X
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Narvik University College, Norway.ORCID iD: 0000-0002-9714-577X
2014 (English)In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 35, no 9, 713-720 p.Article in journal (Refereed) Published
Abstract [en]

Despite strong evidence for the positive relationship between physical activity and mental health, physical activity is used far too little to promote health in mental health care. Fourteen caregivers working in community mental health services were interviewed about their experiences of motivating adult persons with psychiatric disabilities to be physically active, and data were analysed using a phenomenological-hermeneutical approach. Three themes emerged: (1) An approach of conscious acts, (2) Companionship as a joint creation, and (3) Understanding as a way to create meaning. The interpreted meaning of motivating to physical activity was expressed as a dynamic way of being, relating, and understanding.

Place, publisher, year, edition, pages
2014. Vol. 35, no 9, 713-720 p.
National Category
Health Sciences
Identifiers
URN: urn:nbn:se:mdh:diva-25910DOI: 10.3109/01612840.2014.901448ISI: 000353245900010Scopus ID: 2-s2.0-84906709209OAI: oai:DiVA.org:mdh-25910DiVA: diva2:746393
Available from: 2014-09-12 Created: 2014-09-12 Last updated: 2016-04-20Bibliographically approved
In thesis
1. Being physically active — A bodily anchorage on the journey for recovery in mental ill-health
Open this publication in new window or tab >>Being physically active — A bodily anchorage on the journey for recovery in mental ill-health
2014 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Suffering from mental ill-health does not merely involve mental distress; it also often comprises deteriorated physical health. The physical consequences can be of a severe nature and may lead to premature death. Since physical inactivity has been identified as a critical health risk factor, there is an imperative need to support physical activity in persons with mental ill-health. The benefits of being physically active for persons with mental ill-health are many, but there are also considerable barriers. In mental healthcare and research, there has been increasing attention on a recovery perspective that focuses the personal journey on repossessing meaning in one’s own life. However, in the recovery perspective, as well as in mental healthcare research and praxis in general, there is a lack of recognition of the lived body of the person and the lived experiences of being physically active as a potential part of that journey.

The aim of this thesis is to contribute to our knowledge of aspects of being physically active for recovery in mental ill-health, and how this can be supported in mental healthcare. Overall, this research was conducted using a mixed methods research design, including both qualitative and quantitative methods. Philosophical and theoretical underpinnings consisting of a lifeworld perspective, of the notion of human capability, and of the existential dimensions of recovery have guided the process of seeking a comprehensive understanding of the phenomenon. An initial cross-sectional inventory of the self-reported health and physical activity of persons with mental ill-health was conducted (study I). This inventory showed that this population was a vulnerable group affected by both physical and mental health risk factors and low levels of physical activity. The lived experiences of being physically active in persons with mental ill-health were illuminated, and were interpreted to render opportunities to connect to one’s being-in-the-world and to experienced meaning (study II). As physical activity enabled a sense of meaning, the person’s ability to reclaim life was strengthened. Caregivers’ lived experiences of motivating persons with mental ill-health to be physically active were described as something more than an act of doing – it was a way of being together, sharing experiences through being physically active, and interacting with each other’s life-worlds (study III). In order to investigate a novel mode of physical activity, the use of interactive video games for physical activity among persons with mental ill-health was explored (study IV). Playing interactive video games was found to enable experiences of evolvement and competence, which can be understood as dimensions of personal recovery.

The main finding from this thesis is a recognition of the potential of physical activity for embodied recovery in mental ill-health. Three core aspects were found to articulate the qualitative significance of being physically active as meaning and capability, connectedness, and wholeness. Furthermore, it is assumed, that a person’s barriers to being physically active may not only represent realms of the mental illness itself, but also constitute expressions of disconnectedness from the lived body, as subjectively experienced disembodiment. In conclusion, there is a need to develop a more nuanced understanding of the potential of physical activity in mental healthcare, and by giving room for the lived body, experiences of embodied recovery in mental ill-health can be enabled.

Place, publisher, year, edition, pages
Stockholm: Karolinska Institutet, 2014. 73 p.
Keyword
caregivers, embodiment, lifeworld, lived body, mental healthcare, mental health nursing, mental ill-health, mixed methods research, personal recovery, phenomenological hermeneutics, physical activity, psychiatric disabilities, self-assessment, single case design
National Category
Health Sciences Other Medical Sciences
Research subject
Care Sciences
Identifiers
urn:nbn:se:mdh:diva-26589 (URN)978-91-7549-579-8 (ISBN)
Public defence
2014-06-13, 13:00 (Swedish)
Opponent
Supervisors
Available from: 2014-11-20 Created: 2014-11-19 Last updated: 2016-02-25Bibliographically approved
2. Being physically active — A bodily anchorage on the journey for recovery in mental ill-health
Open this publication in new window or tab >>Being physically active — A bodily anchorage on the journey for recovery in mental ill-health
2014 (English)Doctoral thesis, comprehensive summary (Other academic)
Place, publisher, year, edition, pages
Karolinska Institutet, 2014. 63 p.
National Category
Medical and Health Sciences
Research subject
Care Sciences
Identifiers
urn:nbn:se:mdh:diva-30681 (URN)978-91-7549-579-8 (ISBN)
Public defence
2014-06-13, 13:12 (Swedish)
Available from: 2016-01-07 Created: 2016-01-07 Last updated: 2016-01-07Bibliographically approved

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