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

Lloyd, Helen and LLOYD, Joanne and Fitzpatrick, Raymond and Peters, Michele (2017) The role of life context and self- defined well- being in the outcomes that matter to people with a diagnosis of schizophrenia. Health Expectations, 2017. pp. 1-12.

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Abstract or description

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.
KEYWORDS
Goals, patient centred outcomes research, qualitative research, schizophrenia

Item Type: Article
Faculty: School of Life Sciences and Education > Psychology
Depositing User: Joanne LLOYD
Date Deposited: 06 Apr 2017 08:37
Last Modified: 06 Apr 2017 08:37
URI: http://eprints.staffs.ac.uk/id/eprint/3042

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