Identifying barriers and facilitators for health risk behaviours among people with severe mental illness in Bangladesh and Pakistan: a qualitative study
People with severe mental illness (SMI) are at greater risk of obesity, cardiovascular disease and diabetes than the general population, due to a higher prevalence of health risk behaviours. Research is needed to inform tailored interventions to improve the health behaviours (diet, physical activity...
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2025-01-01
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| Series: | Cambridge Prisms: Global Mental Health |
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| Online Access: | https://www.cambridge.org/core/product/identifier/S2054425125100162/type/journal_article |
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| author | Badur Un Nisa Imogen Featherstone Gerardo A. Zavala Humaira Bibi Md Badruddin Saify Mahmudul Hasan Faiza Aslam Asad Tamizuddin Nizami Rumana Haque Najma Siddiqi Richard I.G. Holt Hannah Maria Jennings |
| author_facet | Badur Un Nisa Imogen Featherstone Gerardo A. Zavala Humaira Bibi Md Badruddin Saify Mahmudul Hasan Faiza Aslam Asad Tamizuddin Nizami Rumana Haque Najma Siddiqi Richard I.G. Holt Hannah Maria Jennings |
| author_sort | Badur Un Nisa |
| collection | DOAJ |
| description | People with severe mental illness (SMI) are at greater risk of obesity, cardiovascular disease and diabetes than the general population, due to a higher prevalence of health risk behaviours. Research is needed to inform tailored interventions to improve the health behaviours (diet, physical activity and sleep) of people with SMI in South Asia as these behaviours are closely linked to obesity. The study aimed to explore the barriers and facilitators to healthy diet, physical activity and good sleep among individuals with SMI. A qualitative design was employed using photovoice, semi-structured interviews and focus group discussions. Participants included 16 people with SMI, 16 caregivers and 17 health professionals in Bangladesh and Pakistan. Data were analysed thematically, informed by the socio-ecological framework. A complex interplay of individual, familial and societal factors influenced these health behaviours. Individual factors include knowledge, beliefs and mental health limitations. Caregivers play a crucial role in influencing behaviour. At the societal level, gender expectations, financial constraints and religious influences significantly impact these behaviours. The insights from this research can inform tailored interventions for this vulnerable group and highlight the need for integrated services, financial support and improved urban planning. |
| format | Article |
| id | doaj-art-e3fa0b1d9509470abfc4e7db40a113c5 |
| institution | DOAJ |
| issn | 2054-4251 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | Cambridge Prisms: Global Mental Health |
| spelling | doaj-art-e3fa0b1d9509470abfc4e7db40a113c52025-08-20T03:14:47ZengCambridge University PressCambridge Prisms: Global Mental Health2054-42512025-01-011210.1017/gmh.2025.10016Identifying barriers and facilitators for health risk behaviours among people with severe mental illness in Bangladesh and Pakistan: a qualitative studyBadur Un Nisa0https://orcid.org/0000-0001-6235-3096Imogen Featherstone1Gerardo A. Zavala2Humaira Bibi3Md Badruddin Saify4Mahmudul Hasan5Faiza Aslam6Asad Tamizuddin Nizami7Rumana Haque8Najma Siddiqi9Richard I.G. Holt10Hannah Maria Jennings11Institute of Psychiatry, https://ror.org/02maedm12 Rawalpindi Medical University , Rawalpindi, Pakistan Department of Rehabilitation Sciences, Shifa Tameer-e-Millat University, Islamabad, PakistanDepartment of Health Sciences, https://ror.org/04m01e293 University of York , York, UKDepartment of Health Sciences, https://ror.org/04m01e293 University of York , York, UKInstitute of Psychiatry, https://ror.org/02maedm12 Rawalpindi Medical University , Rawalpindi, Pakistanhttps://ror.org/00sv97b10 ARK Foundation , Dhaka, Bangladeshhttps://ror.org/00sv97b10 ARK Foundation , Dhaka, BangladeshInstitute of Psychiatry, https://ror.org/02maedm12 Rawalpindi Medical University , Rawalpindi, PakistanInstitute of Psychiatry, https://ror.org/02maedm12 Rawalpindi Medical University , Rawalpindi, Pakistanhttps://ror.org/00sv97b10 ARK Foundation , Dhaka, BangladeshDepartment of Health Sciences, https://ror.org/04m01e293 University of York , York, UK Hull York Medical School, https://ror.org/0003e4m70 University of York , York, UKHuman Development and Health, Faculty of Medicine, University of Southampton, Southampton, UK Southampton National Institute for Health Research Biomedical Research Centre, University Hospital Southampton NHS Foundation Trust, Southampton, UKDepartment of Health Sciences, https://ror.org/04m01e293 University of York , York, UK Hull York Medical School, https://ror.org/0003e4m70 University of York , York, UKPeople with severe mental illness (SMI) are at greater risk of obesity, cardiovascular disease and diabetes than the general population, due to a higher prevalence of health risk behaviours. Research is needed to inform tailored interventions to improve the health behaviours (diet, physical activity and sleep) of people with SMI in South Asia as these behaviours are closely linked to obesity. The study aimed to explore the barriers and facilitators to healthy diet, physical activity and good sleep among individuals with SMI. A qualitative design was employed using photovoice, semi-structured interviews and focus group discussions. Participants included 16 people with SMI, 16 caregivers and 17 health professionals in Bangladesh and Pakistan. Data were analysed thematically, informed by the socio-ecological framework. A complex interplay of individual, familial and societal factors influenced these health behaviours. Individual factors include knowledge, beliefs and mental health limitations. Caregivers play a crucial role in influencing behaviour. At the societal level, gender expectations, financial constraints and religious influences significantly impact these behaviours. The insights from this research can inform tailored interventions for this vulnerable group and highlight the need for integrated services, financial support and improved urban planning.https://www.cambridge.org/core/product/identifier/S2054425125100162/type/journal_articlesevere mental illnessdeveloping countriesrisk factorsbarriersfocus groups |
| spellingShingle | Badur Un Nisa Imogen Featherstone Gerardo A. Zavala Humaira Bibi Md Badruddin Saify Mahmudul Hasan Faiza Aslam Asad Tamizuddin Nizami Rumana Haque Najma Siddiqi Richard I.G. Holt Hannah Maria Jennings Identifying barriers and facilitators for health risk behaviours among people with severe mental illness in Bangladesh and Pakistan: a qualitative study Cambridge Prisms: Global Mental Health severe mental illness developing countries risk factors barriers focus groups |
| title | Identifying barriers and facilitators for health risk behaviours among people with severe mental illness in Bangladesh and Pakistan: a qualitative study |
| title_full | Identifying barriers and facilitators for health risk behaviours among people with severe mental illness in Bangladesh and Pakistan: a qualitative study |
| title_fullStr | Identifying barriers and facilitators for health risk behaviours among people with severe mental illness in Bangladesh and Pakistan: a qualitative study |
| title_full_unstemmed | Identifying barriers and facilitators for health risk behaviours among people with severe mental illness in Bangladesh and Pakistan: a qualitative study |
| title_short | Identifying barriers and facilitators for health risk behaviours among people with severe mental illness in Bangladesh and Pakistan: a qualitative study |
| title_sort | identifying barriers and facilitators for health risk behaviours among people with severe mental illness in bangladesh and pakistan a qualitative study |
| topic | severe mental illness developing countries risk factors barriers focus groups |
| url | https://www.cambridge.org/core/product/identifier/S2054425125100162/type/journal_article |
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