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Being physically active — A bodily anchorage on the journey for recovery in mental ill-health
Karolinska Institutet.ORCID iD: 0000-0001-8218-1236
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: urn:nbn:se:mdh:diva-30681ISBN: 978-91-7549-579-8 (print)OAI: oai:DiVA.org:mdh-30681DiVA: diva2:891573
Public defence
2014-06-13, 13:12 (Swedish)
Available from: 2016-01-07 Created: 2016-01-07 Last updated: 2016-01-07Bibliographically approved
List of papers
1. Motivation does not come with an ending-it's the beginning of something new: Experiences of motivating persons with psychiatric disabilities to physical activity
Open this publication in new window or tab >>Motivation does not come with an ending-it's the beginning of something new: Experiences of motivating persons with psychiatric disabilities to physical activity
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.

National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-25910 (URN)10.3109/01612840.2014.901448 (DOI)000353245900010 ()2-s2.0-84906709209 (Scopus ID)
Available from: 2014-09-12 Created: 2014-09-12 Last updated: 2016-04-20Bibliographically approved
2. Moving toward Reclaiming Life: Lived Experiences of Being Physically Active Among Persons with Psychiatric Disabilities
Open this publication in new window or tab >>Moving toward Reclaiming Life: Lived Experiences of Being Physically Active Among Persons with Psychiatric Disabilities
Show others...
2013 (English)In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 34, no 10, 739-746 p.Article in journal (Refereed) Published
Abstract [en]

There is abundant documentation in research about the significant relationship between physical activity and mental health, but there is still more to be learned about what can enhance motivation to become more physically active. Fourteen persons with psychiatric disabilities were interviewed about their experiences of being physically active, and data was analyzed using a phenomenologicalhermeneutic method. Five themes emerged: Capability for Living, Liberation from a Heavy Mind, Companionship in Being in Motion, Longing for Living One’s Life, and Struggling with Limitations. The interpreted meaning of being physically active was to be moving toward reclaiming one’s life.

Keyword
body, hermeneutic phenomenology, physical activity, psychiatric care
National Category
Medical and Health Sciences
Research subject
Care Sciences
Identifiers
urn:nbn:se:mdh:diva-21753 (URN)10.3109/01612840.2013.813097 (DOI)000209366800004 ()2-s2.0-84884806993 (Scopus ID)
Available from: 2013-10-02 Created: 2013-10-02 Last updated: 2016-02-25Bibliographically approved
3. Exploring the significance of interactive video games for physical activity among persons with psychiatric disabilities using experimental single case design
Open this publication in new window or tab >>Exploring the significance of interactive video games for physical activity among persons with psychiatric disabilities using experimental single case design
(English)Manuscript (preprint) (Other academic)
Abstract [en]

Problem: Persons with psychiatric disabilities exhibit low levels of physical activity, which is a known general health risk factor. Nonetheless, physical activity is used far too little as health promotion in mental health care. Interactive video games are an emerging technology that can be used to increase physical activity levels. This study primarily aimed at exploring the significance of these games as a way to promote physical activity and health among persons with psychiatric disabilities.

Method: Two participants played the interactive video game during an intervention for a period of 15 weeks. The study was conducted as a pilot study with a single case design and with an applied mixed methods approach.

Results: Both participants increased their playing time during the intervention, and playing the game was experienced as fun, stimulating, and evolving. Through the challenge that the game provided, the participants’ motivation to continue playing seemed to be reinforced. Playing the game was found to strengthen the participants’ sense of capability and provided an experience of companionship with oneself.

Conclusions: Being physically active in this manner enabled experiences of evolvement and competence, which could be considered an essential driving force of recovery and reconnection with one’s own life. The technique can therefore be regarded as an enabling tool for physical activity — however, the value of the support from another human being cannot be overlooked.

Keyword
mental illness; physical activity; intervention; interactive video game; single case design; mixed methods
National Category
Medical and Health Sciences
Research subject
Care Sciences
Identifiers
urn:nbn:se:mdh:diva-26588 (URN)
Projects
Being physically active — A bodily anchorage on the journey for recovery in mental ill-health
Available from: 2014-11-19 Created: 2014-11-19 Last updated: 2016-02-25Bibliographically approved
4. Self-reported health and physical activity among community mental healthcare users
Open this publication in new window or tab >>Self-reported health and physical activity among community mental healthcare users
Show others...
2013 (English)In: Journal of Psychiatric and Mental Health Nursing, ISSN 1351-0126, E-ISSN 1365-2850, Vol. 20, no 1, 82-90 p.Article in journal (Refereed) Published
Abstract [en]

The aim of the study was to survey the self-reported health and physical activity in a sample of community mental healthcare users in a city of Sweden. The study was conducted through a cross-sectional design with participants requested to fill out a self-report questionnaire. Participants (n =103) were persons with psychiatric disabilities living in residential psychiatric settings and/or participating in daily activities provided by community mental healthcare services. The results showed that the group is affected with serious risk factors, such as high body mass index, low rated extent and frequency of physical activity and low self-estimated general state of health. Even though some difficulties associated with the answering process of this questionnaire emerged, these self-reported results clearly confirm the fact that persons with psychiatric disabilities constitute a vulnerable group in need for health-promoting caring activities and interventions.

Keyword
community mental health care, cross-sectional design, health, physical activity, psychiatric disabilities, self-reported
National Category
Medical and Health Sciences
Research subject
Care Sciences
Identifiers
urn:nbn:se:mdh:diva-15111 (URN)10.1111/j.1365-2850.2012.01951.x (DOI)000312992300010 ()22852556 (PubMedID)2-s2.0-84871812628 (Scopus ID)
Available from: 2012-08-10 Created: 2012-08-10 Last updated: 2016-02-25Bibliographically approved

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