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首页> 外文期刊>BMC Psychiatry >Collaborative, individualised lifestyle interventions are acceptable to people with first episode psychosis; a qualitative study
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Collaborative, individualised lifestyle interventions are acceptable to people with first episode psychosis; a qualitative study

机译：首次精神病患者可以接受协作的，个性化的生活方式干预;定性研究

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The adverse impact of unhealthy lifestyle choices and the prescription of antipsychotic medications contribute to weight gain, poor cardiovascular health and reduced life expectancy for people with psychosis. The present study aimed to explore the acceptability and perceived outcomes of a lifestyle intervention designed to prevent or reduce weight gain in people with first-episode psychosis. This was a qualitative study using a data-driven approach. People recovering from first-episode psychosis recruited from UK early intervention services and taking part in the active arm of a randomised controlled trial of a lifestyle intervention (the InterACT trial), were interviewed using a semi-structured interview schedule. Interviews were transcribed verbatim and analysed using Framework Analysis. Participants valued the collaborative and individualised approach taken by the intervention deliverers, and formed high quality relationships with them. Aspects of the intervention that were positively appraised included goal setting, social opportunities, and progress monitoring. Benefits of the intervention, including increased levels of exercise; improved diet and physical health; increased psychological wellbeing (e.g. confidence, self-esteem); and improved social relationships, were identified by participants, independent of actual weight loss. Future interventions should ensure that workers have the skills to form high quality relationships with users, and to individualise the intervention according to users’ needs and preferences. Future trials that test healthy living interventions should consider supplementing physical outcome measures with wider psychosocial outcome assessments, in particular social relationship quality, psychological wellbeing, self-esteem and self-efficacy. Current Controlled Trials: ISRCTN22581937 . Date of registration: 27 October 2010?(retrospectively registered).
机译：不健康的生活方式选择和服用抗精神病药的不良影响会导致体重增加，心血管健康不良以及精神病患者的预期寿命缩短。本研究旨在探讨一种旨在预防或减少首发精神病患者体重增加的生活方式干预措施的可接受性和可感知的结果。这是使用数据驱动方法的定性研究。从英国早期干预服务机构招募的首发精神病中康复并参加了一项生活方式干预的随机对照试验（InterACT试验）的积极参与者，均采用半结构化访谈时间表进行了访谈。访谈被逐字记录，并使用框架分析进行了分析。参与者重视干预提供者采取的协作和个性化方法，并与他们建立了高质量的关系。积极评估的干预措施包括目标设定，社会机会和进度监控。干预的好处，包括增加运动水平;改善饮食和身体健康;增加心理健康（例如信心，自尊心）;参与者确定了与社交关系的改善，而与实际体重减轻无关。未来的干预措施应确保工作人员具有与用户建立高质量关系并根据用户的需求和偏好进行个性化干预的技能。未来测试健康生活干预措施的试验应考虑以更广泛的社会心理成果评估来补充身体成果指标，尤其是社会关系质量，心理健康，自尊和自我效能感。电流对照试验：ISRCTN22581937。注册日期：2010年10月27日？（追溯注册）。

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