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PEER COACHING TO PROMOTE SUPERVISED FITNESS TRAINING FOR OLDER VETERANS WITH PSYCHOTIC DISORDERS

机译:开展同伴辅导促进患有精神障碍的老年退伍军人进行有监督的健身训练

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摘要

Older Veterans with psychotic disorders experience high rates of life-threatening medical conditions and persistent cognitive, psychiatric, and social impairment which contributes to risk for early institutionalization. Supervised fitness training, in which participants complete a set of recommended exercises under the supervision of exercise physiologists in a gym facility, decreases risk for functional decline among older Veterans. The present study describes the development of a coaching intervention, delivered by VA Peer Specialists (Veterans with a lived experience of mental illness), to promote participation in supervised fitness training among older Veterans with psychotic disorders. Four focus groups were conducted with a panel of older Veterans with mental illness to inform the intervention; the following themes emerged: “Encouragement plus accountability,” “Power in numbers”, “Finding internal motivation in each person,” “Exercise to stay sane,” and “Making exercise part of daily life.” Information from panel discussions was iteratively integrated to inform intervention structure/content.
机译:患有精神病的老年退伍军人经历着威胁生命的医疗状况,并且持续存在认知,精神病和社会障碍,这会导致早期机构化风险。监督健身训练,参加者在健身房的运动生理学家的指导下完成一系列建议的锻炼,从而降低了老龄退伍军人功能下降的风险。本研究描述了由VA Peer专科医生(具有丰富精神病经验的退伍军人)提供的教练干预的发展,以促进患有精神病的老年退伍军人参加有监督的健身训练。与一组患有精神疾病的老年退伍军人进行了四个焦点小组的交流,以为干预提供依据。出现了以下主题:“鼓励加问责制”,“数字力量”,“发现每个人的内部动机”,“保持头脑清醒的锻炼力”和“使运动成为日常生活的一部分”。来自小组讨论的信息经过迭代整合,以为干预结构/内容提供信息。

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