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Table 1 Problems developing a healthy living programme

From: Understanding the problems developing a healthy living programme in patients with serious mental illness: a qualitative study

Themes and definitions

Representative transcript excerpts

Attitudes and experiences of patients towards a healthy living programme

[a] Refers to an indifference to their future and longevity of life.

“Is it – oh goodness. Well I will just have to wait and see what happens, doctor”.

[b] Refers to the effect of their health (both physical and mental) affecting the likelihood of participation in a healthy living group.

“I was thinking about it before I came to see you and I thought I will just be honest. I have no got – I don’t have the attitude of mind...”

“Well this true, I mean, I am lucky so far that physically I am haven’t suffered a lot with pain; I don’t know what the story would be like if I was in pain”.

 

“It is just my arthritis that gets me down. Strong painkillers help my hands, but my back and my knees and feet are very bad”.

Awareness of the risks of an unhealthy lifestyle

[c] Refers to awareness of unhealthy aspects of their lifestyle, but failure to lead to a change in behaviour.

“The fat”.

[d] Refers to awareness of individuals about risk from, for example, their dietary intake. Effect of their salt intake on their hypertension,

“I have tried the semi-skimmed and I cannot stand it. I mean it would be okay if I wasn’t taking cereal. I could take it in tea and coffee but I can’t take it in cereal. I have got some and I flung it out”.

 

“Clogs your arteries. Anything you like isn’t good for you - that is the problem”.

 

“Well as you say reduce the salt. I never thought about that raises the blood pressure I am glad you told me about that”.