Severe mental illness and type 2 diabetes: using theory and research evidence to develop complex behaviour change interventions

Journal article


Jones, J, McBain, HB, Lamontagne-Godwin, F, Mulligan, K, Haddad, M, Flood, C, Thomas, D and Simpson, A (2016). Severe mental illness and type 2 diabetes: using theory and research evidence to develop complex behaviour change interventions. Journal of psychiatric and mental health nursing. 23 (5), pp. 312-321.
AuthorsJones, J, McBain, HB, Lamontagne-Godwin, F, Mulligan, K, Haddad, M, Flood, C, Thomas, D and Simpson, A
Abstract

This paper provides a critical review of the literature on severe mental illness (SMI) and type 2 diabetes and presents an argument for the development of theory‐based interventions tailored specifically for people with these co‐existing conditions. Individuals with SMI are at an increased risk of physical health problems, with a high prevalence of type 2 diabetes among this population. Yet, it is estimated that up to 70% of cases of diabetes among people with SMI are undiagnosed (Holt & Mitchell 2015), which has many clinical implications for the individuals themselves and the health care professionals involved in their care. Changes in lifestyle can significantly reduce the risk of developing diabetes in the first place and also reduce the risks of complications from the condition. However, lifestyle changes relating to diet, exercise and smoking can be particularly challenging for people with SMI. There is good evidence that educating people with diabetes about the disease in general and behaviour change to manage the condition can have a positive impact on clinical outcomes in the general population (Steinsbekk et al. 2012). However, less is known regarding the effectiveness and appropriateness of existing diabetes self‐management programmes for people with SMI. This essay will present an argument for the use of theory and research evidence to strengthen the development and implementation of new interventions specifically for people with SMI and type 2 diabetes.

KeywordsHumans; Diabetes Mellitus, Type 2; Self Care; Risk Reduction Behavior; Mental Disorders; Comorbidity
Year2016
JournalJournal of psychiatric and mental health nursing
Journal citation23 (5), pp. 312-321
PublisherWiley: 12 months
ISSN1351-0126
Digital Object Identifier (DOI)doi:10.1111/jpm.12311
Web address (URL)http://openaccess.city.ac.uk/14889/
Publication dates
Print16 Jun 2016
Publication process dates
Deposited23 May 2019
Accepted19 Apr 2016
Accepted author manuscript
License
CC BY-NC 4.0
EditorsGray, Richard, Hughes, Elizabeth and Bressington, Daniel
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https://openresearch.lsbu.ac.uk/item/873v4

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