No Cover Image

E-Thesis 64481 views 130 downloads

General practioners' and psychiatrists' attitudes to and involvement in cardiovascular health promotion for people with serious mental illness (SMI). / Jude Nnamdi Chukwuma

Swansea University Author: Jude Nnamdi Chukwuma

Abstract

Background: People with serious mental illness (SMI) have higher than average rates of cardiovascular disorders, and tend to die young from these and other common diseases. Health promotion and lifestyle counselling may be able to contribute to reducing morbidity and mortality in this very vulnerabl...

Full description

Published: 2012
Institution: Swansea University
Degree level: Doctoral
Degree name: Ph.D
URI: https://cronfa.swan.ac.uk/Record/cronfa42275
Tags: Add Tag
No Tags, Be the first to tag this record!
first_indexed 2018-08-02T18:54:18Z
last_indexed 2019-10-21T16:47:31Z
id cronfa42275
recordtype RisThesis
fullrecord <?xml version="1.0"?><rfc1807><datestamp>2018-08-29T14:34:08.8024728</datestamp><bib-version>v2</bib-version><id>42275</id><entry>2018-08-02</entry><title>General practioners' and psychiatrists' attitudes to and involvement in cardiovascular health promotion for people with serious mental illness (SMI).</title><swanseaauthors><author><sid>77cd8369ca1fbd393036b0bf278badee</sid><ORCID>NULL</ORCID><firstname>Jude Nnamdi</firstname><surname>Chukwuma</surname><name>Jude Nnamdi Chukwuma</name><active>true</active><ethesisStudent>true</ethesisStudent></author></swanseaauthors><date>2018-08-02</date><abstract>Background: People with serious mental illness (SMI) have higher than average rates of cardiovascular disorders, and tend to die young from these and other common diseases. Health promotion and lifestyle counselling may be able to contribute to reducing morbidity and mortality in this very vulnerable population. Aims: To investigate General Practitioners' (GPs)' and psychiatrists' attitudes to cardiovascular health promotion for people with SMI, establish their levels of involvement in these activities, and explore any associations between the health practitioners' own health behaviours / lifestyles and their attitudes to and involvement in cardiovascular health promotion for people with SMI. Hypotheses: (1)GPs are more likely than psychiatrists to report positive attitudes to health promotion for people with SMI. (2) GPs are more likely than psychiatrists to report involvement in cardiovascular health promotion for people with SMI. (3) There are no differences between GPs and psychiatrists in terms of the effects of their own health behaviours on their attitudes to cardiovascular health promotion for people with SMI. (4) There are no differences between GPs and psychiatrists in terms of the effects of the practitioners' own health lifestyles on their involvement in cardiovascular health promotion for people with SMI. Conclusions: In this questionnaire based survey, GPs and psychiatrists differed in their attitudes to and reported involvement in cardiovascular health promotion for people with SMI. Factors other than professional status were also important. The first hypothesis was partially rejected - GPs were more negative than psychiatrists - but this was less important than respondents' belief in their own counselling skills and taking responsibility for life style interventions. Given that the final model only accounted for 7.3% of the variance other factors must also be important. Hypothesis two was accepted as, conversely, GPs were significantly more likely than psychiatrists actually to be involved in delivering cardiovascular health promotion to people with SMI. Hypothesis three was accepted. However, it was noted that GPs were more likely than psychiatrists to be current smokers and to report alcohol use. When testing hypothesis four, a weak relationship was found between 'no current alcohol use' and being involved in health promotion, although this effect was less significant than being a GP, rather than a psychiatrist. The main limitations of the study are: the sampling frame, and the self report nature of the data. The former may have led to selection bias. The latter may have led to reporting bias. These are mitigated by the high response rate and the demographic similarity of the sample to the general population of GPs. (Abstract shortened by ProQuest.).</abstract><type>E-Thesis</type><journal/><journalNumber></journalNumber><paginationStart/><paginationEnd/><publisher/><placeOfPublication/><isbnPrint/><issnPrint/><issnElectronic/><keywords>Medicine.;Mental health.</keywords><publishedDay>31</publishedDay><publishedMonth>12</publishedMonth><publishedYear>2012</publishedYear><publishedDate>2012-12-31</publishedDate><doi/><url/><notes/><college>COLLEGE NANME</college><department>Swansea University Medical School</department><CollegeCode>COLLEGE CODE</CollegeCode><institution>Swansea University</institution><degreelevel>Doctoral</degreelevel><degreename>Ph.D</degreename><apcterm/><lastEdited>2018-08-29T14:34:08.8024728</lastEdited><Created>2018-08-02T16:24:28.6513889</Created><path><level id="1">Faculty of Medicine, Health and Life Sciences</level><level id="2">Swansea University Medical School - Medicine</level></path><authors><author><firstname>Jude Nnamdi</firstname><surname>Chukwuma</surname><orcid>NULL</orcid><order>1</order></author></authors><documents><document><filename>0042275-02082018162441.pdf</filename><originalFilename>10797983.pdf</originalFilename><uploaded>2018-08-02T16:24:41.6470000</uploaded><type>Output</type><contentLength>3535972</contentLength><contentType>application/pdf</contentType><version>E-Thesis</version><cronfaStatus>true</cronfaStatus><embargoDate>2018-08-02T16:24:41.6470000</embargoDate><copyrightCorrect>false</copyrightCorrect></document></documents><OutputDurs/></rfc1807>
spelling 2018-08-29T14:34:08.8024728 v2 42275 2018-08-02 General practioners' and psychiatrists' attitudes to and involvement in cardiovascular health promotion for people with serious mental illness (SMI). 77cd8369ca1fbd393036b0bf278badee NULL Jude Nnamdi Chukwuma Jude Nnamdi Chukwuma true true 2018-08-02 Background: People with serious mental illness (SMI) have higher than average rates of cardiovascular disorders, and tend to die young from these and other common diseases. Health promotion and lifestyle counselling may be able to contribute to reducing morbidity and mortality in this very vulnerable population. Aims: To investigate General Practitioners' (GPs)' and psychiatrists' attitudes to cardiovascular health promotion for people with SMI, establish their levels of involvement in these activities, and explore any associations between the health practitioners' own health behaviours / lifestyles and their attitudes to and involvement in cardiovascular health promotion for people with SMI. Hypotheses: (1)GPs are more likely than psychiatrists to report positive attitudes to health promotion for people with SMI. (2) GPs are more likely than psychiatrists to report involvement in cardiovascular health promotion for people with SMI. (3) There are no differences between GPs and psychiatrists in terms of the effects of their own health behaviours on their attitudes to cardiovascular health promotion for people with SMI. (4) There are no differences between GPs and psychiatrists in terms of the effects of the practitioners' own health lifestyles on their involvement in cardiovascular health promotion for people with SMI. Conclusions: In this questionnaire based survey, GPs and psychiatrists differed in their attitudes to and reported involvement in cardiovascular health promotion for people with SMI. Factors other than professional status were also important. The first hypothesis was partially rejected - GPs were more negative than psychiatrists - but this was less important than respondents' belief in their own counselling skills and taking responsibility for life style interventions. Given that the final model only accounted for 7.3% of the variance other factors must also be important. Hypothesis two was accepted as, conversely, GPs were significantly more likely than psychiatrists actually to be involved in delivering cardiovascular health promotion to people with SMI. Hypothesis three was accepted. However, it was noted that GPs were more likely than psychiatrists to be current smokers and to report alcohol use. When testing hypothesis four, a weak relationship was found between 'no current alcohol use' and being involved in health promotion, although this effect was less significant than being a GP, rather than a psychiatrist. The main limitations of the study are: the sampling frame, and the self report nature of the data. The former may have led to selection bias. The latter may have led to reporting bias. These are mitigated by the high response rate and the demographic similarity of the sample to the general population of GPs. (Abstract shortened by ProQuest.). E-Thesis Medicine.;Mental health. 31 12 2012 2012-12-31 COLLEGE NANME Swansea University Medical School COLLEGE CODE Swansea University Doctoral Ph.D 2018-08-29T14:34:08.8024728 2018-08-02T16:24:28.6513889 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Medicine Jude Nnamdi Chukwuma NULL 1 0042275-02082018162441.pdf 10797983.pdf 2018-08-02T16:24:41.6470000 Output 3535972 application/pdf E-Thesis true 2018-08-02T16:24:41.6470000 false
title General practioners' and psychiatrists' attitudes to and involvement in cardiovascular health promotion for people with serious mental illness (SMI).
spellingShingle General practioners' and psychiatrists' attitudes to and involvement in cardiovascular health promotion for people with serious mental illness (SMI).
Jude Nnamdi Chukwuma
title_short General practioners' and psychiatrists' attitudes to and involvement in cardiovascular health promotion for people with serious mental illness (SMI).
title_full General practioners' and psychiatrists' attitudes to and involvement in cardiovascular health promotion for people with serious mental illness (SMI).
title_fullStr General practioners' and psychiatrists' attitudes to and involvement in cardiovascular health promotion for people with serious mental illness (SMI).
title_full_unstemmed General practioners' and psychiatrists' attitudes to and involvement in cardiovascular health promotion for people with serious mental illness (SMI).
title_sort General practioners' and psychiatrists' attitudes to and involvement in cardiovascular health promotion for people with serious mental illness (SMI).
author_id_str_mv 77cd8369ca1fbd393036b0bf278badee
author_id_fullname_str_mv 77cd8369ca1fbd393036b0bf278badee_***_Jude Nnamdi Chukwuma
author Jude Nnamdi Chukwuma
author2 Jude Nnamdi Chukwuma
format E-Thesis
publishDate 2012
institution Swansea University
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Medicine{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Medicine
document_store_str 1
active_str 0
description Background: People with serious mental illness (SMI) have higher than average rates of cardiovascular disorders, and tend to die young from these and other common diseases. Health promotion and lifestyle counselling may be able to contribute to reducing morbidity and mortality in this very vulnerable population. Aims: To investigate General Practitioners' (GPs)' and psychiatrists' attitudes to cardiovascular health promotion for people with SMI, establish their levels of involvement in these activities, and explore any associations between the health practitioners' own health behaviours / lifestyles and their attitudes to and involvement in cardiovascular health promotion for people with SMI. Hypotheses: (1)GPs are more likely than psychiatrists to report positive attitudes to health promotion for people with SMI. (2) GPs are more likely than psychiatrists to report involvement in cardiovascular health promotion for people with SMI. (3) There are no differences between GPs and psychiatrists in terms of the effects of their own health behaviours on their attitudes to cardiovascular health promotion for people with SMI. (4) There are no differences between GPs and psychiatrists in terms of the effects of the practitioners' own health lifestyles on their involvement in cardiovascular health promotion for people with SMI. Conclusions: In this questionnaire based survey, GPs and psychiatrists differed in their attitudes to and reported involvement in cardiovascular health promotion for people with SMI. Factors other than professional status were also important. The first hypothesis was partially rejected - GPs were more negative than psychiatrists - but this was less important than respondents' belief in their own counselling skills and taking responsibility for life style interventions. Given that the final model only accounted for 7.3% of the variance other factors must also be important. Hypothesis two was accepted as, conversely, GPs were significantly more likely than psychiatrists actually to be involved in delivering cardiovascular health promotion to people with SMI. Hypothesis three was accepted. However, it was noted that GPs were more likely than psychiatrists to be current smokers and to report alcohol use. When testing hypothesis four, a weak relationship was found between 'no current alcohol use' and being involved in health promotion, although this effect was less significant than being a GP, rather than a psychiatrist. The main limitations of the study are: the sampling frame, and the self report nature of the data. The former may have led to selection bias. The latter may have led to reporting bias. These are mitigated by the high response rate and the demographic similarity of the sample to the general population of GPs. (Abstract shortened by ProQuest.).
published_date 2012-12-31T03:52:39Z
_version_ 1763752604244901888
score 10.999161

Similar Items