The role of life context and self-defined well-being in the outcomes that matter to people with a diagnosis of schizophrenia

2.50
Hdl Handle:
http://hdl.handle.net/2436/620710
Title:
The role of life context and self-defined well-being in the outcomes that matter to people with a diagnosis of schizophrenia
Authors:
Lloyd, Helen ( 0000-0002-2916-1874 ) ; Lloyd, Joanne ( 0000-0003-3891-7247 ) ; Fitzpatrick, Ray; Peters, Michele
Abstract:
Objective Conduct a deep exploration of the outcomes that matter to people with a diagnosis of schizophrenia and understand from their perspective how these outcomes can be achieved. Sample and Methods In-depth qualitative interviews were conducted with 22 people with a diagnosis of schizophrenia. Interviews were analysed using thematic frameworks, and a realist informed theories of change approach. Results Our study revealed the potential causal relationships between the context of a person's life, short-term goals and long-term outcomes. We provide a nuanced and detailed exploration of outcomes that matter for people with schizophrenia in relation to self-defined well-being. Achieving life milestones, feeling safe and outcomes related to improved physical health along with employment, a positive sense of self and psychosocial outcomes, were highly valued. For short- and long-term outcomes to be achieved, individuals required medication with minimal side-effects, cognitive behavioural therapy, family/social support and meaningful activities in their lives. Well-being was influenced by life context and short- and long-term outcomes, but in a circular nature also framed what short-term goals could be achieved. Conclusions Working with people with a diagnosis of schizophrenia to identify and achieve better outcomes will necessitate a person-centred approach. This will require an appreciation of the relationship between the statutory and non-statutory resources that are available and a consideration of an individual's current well-being status. This approach acknowledges personal strengths and encourages ownership of goals and supports self-management.
Citation:
The role of life context and self-defined well-being in the outcomes that matter to people with a diagnosis of schizophrenia 2017, 20 (5):1061 Health Expectations
Publisher:
John Wiley & Sons Ltd
Journal:
Health Expectations
Issue Date:
Oct-2017
URI:
http://hdl.handle.net/2436/620710
DOI:
10.1111/hex.12548
Additional Links:
http://doi.wiley.com/10.1111/hex.12548
Type:
Article
Language:
en
ISSN:
1369-6513
Sponsors:
EUFAMI
Appears in Collections:
FEHW

Full metadata record

DC FieldValue Language
dc.contributor.authorLloyd, Helenen
dc.contributor.authorLloyd, Joanneen
dc.contributor.authorFitzpatrick, Rayen
dc.contributor.authorPeters, Micheleen
dc.date.accessioned2017-10-02T09:36:26Z-
dc.date.available2017-10-02T09:36:26Z-
dc.date.issued2017-10-
dc.identifier.citationThe role of life context and self-defined well-being in the outcomes that matter to people with a diagnosis of schizophrenia 2017, 20 (5):1061 Health Expectationsen
dc.identifier.issn1369-6513en
dc.identifier.doi10.1111/hex.12548-
dc.identifier.urihttp://hdl.handle.net/2436/620710-
dc.description.abstractObjective Conduct a deep exploration of the outcomes that matter to people with a diagnosis of schizophrenia and understand from their perspective how these outcomes can be achieved. Sample and Methods In-depth qualitative interviews were conducted with 22 people with a diagnosis of schizophrenia. Interviews were analysed using thematic frameworks, and a realist informed theories of change approach. Results Our study revealed the potential causal relationships between the context of a person's life, short-term goals and long-term outcomes. We provide a nuanced and detailed exploration of outcomes that matter for people with schizophrenia in relation to self-defined well-being. Achieving life milestones, feeling safe and outcomes related to improved physical health along with employment, a positive sense of self and psychosocial outcomes, were highly valued. For short- and long-term outcomes to be achieved, individuals required medication with minimal side-effects, cognitive behavioural therapy, family/social support and meaningful activities in their lives. Well-being was influenced by life context and short- and long-term outcomes, but in a circular nature also framed what short-term goals could be achieved. Conclusions Working with people with a diagnosis of schizophrenia to identify and achieve better outcomes will necessitate a person-centred approach. This will require an appreciation of the relationship between the statutory and non-statutory resources that are available and a consideration of an individual's current well-being status. This approach acknowledges personal strengths and encourages ownership of goals and supports self-management.en
dc.description.sponsorshipEUFAMIen
dc.language.isoenen
dc.publisherJohn Wiley & Sons Ltden
dc.relation.urlhttp://doi.wiley.com/10.1111/hex.12548en
dc.rightsArchived with thanks to Health Expectationsen
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectschizophreniaen
dc.subjectwellbeingen
dc.subjectoutcomesen
dc.subjectpatient-reporteden
dc.subjectqualitativeen
dc.titleThe role of life context and self-defined well-being in the outcomes that matter to people with a diagnosis of schizophreniaen
dc.typeArticleen
dc.identifier.journalHealth Expectationsen
dc.contributor.institutionPeninsula Medical School; Plymouth University; Devon UK-
dc.contributor.institutionSchool of Psychology; Sport and Exercise; Staffordshire University; Stoke on Trent UK-
dc.contributor.institutionNuffield Department of Population Health; University of Oxford; Oxford UK-
dc.contributor.institutionNuffield Department of Population Health; University of Oxford; Oxford UK-
dc.date.accepted2017-
rioxxterms.funderEUFAMIen
rioxxterms.identifier.projectUoW021017JLen
rioxxterms.versionVoRen
rioxxterms.licenseref.urihttps://creativecommons.org/CC BY-NC-ND 4.0en
rioxxterms.licenseref.startdate2017-10-02en
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