Patient and Mental Health Care Professionals’ Perspectives on Health Promotion in Psychiatric Clinical Practice: A Focus Group Study

Figures & data

Table 1. Interview guides.

		Theme	Sample questions
Step 1	Focus groups with patients	View of health	What is health/what does it mean to you? What makes you feel like you are living a healthy life?
		Quality of life	What is quality of life in your view? Is there a connection between health and quality of life?
		Motivation and barriers	What motivates you to live healthily? What can block your motivation?
	Focus groups with health care professionals	View of health	What health problems do your patients have? What in your opinion is the cause of these health problems?
		Role and responsibilities of health professional	What is needed to prevent health problems and lifestyle illnesses for your patients? What do you see as being your role with regard to prevention?  What professional groups are responsible for preventing health problems?
		Motivation and barriers	In what type of situations do you try to motivate the patient to lead a healthier life? In what type of situations is it difficult to motivate the patient?
Step 2	Focus groups with patients and health care professionals	Dialogue	When is health a subject in the dialogue between treatment provider and patient? Is it necessary for the health care professional and the patient to know each other well to talk about health?
		Responsibilities	Should the patient be prepared for a discussion about their health? Is it important for the dialogue that the health care professional acts as a role model?
		Goal/outcome	What makes a good consultation/dialogue about health? When can you talk about achieving success with regard to the patient’s health?

Figure 1. Study participants across interviews.

Table 2. Overview of the analytical steps and findings.

Codes (sample)	Subthemes	Main themes
Physical exercise Healthy diet including fresh fruit and vegetables Enjoying unhealthy things Ingrained bad habits Balanced body and mind Self-confidence, self-esteem and acceptance Encumbered access to health Possibilities and living conditions The person as a whole Must be wealthy to be healthy Demotivation of not being believed in I have no motivation – might as well stay at home and die Different perception of reality Prevention before medicating Properly medicated and unhappy about my body Not properly medicated and unhappy about my mind Not getting medical treatment is more unhealthy The lesser evil Good advice instead of empty chatter Individual and situation-based Health care professionals should not be too pally Important to safeguard relationship Responsibility to reduce excess mortality Setting thought processes in motion We must reduce the damage The patients want to take responsibility The patients want clear messages Importance of dialogue	Health as ideal and correct conduct	Health as a balancing act
	Health as experience of an emotional state
	Motivated but lacking resources	Dilemmas with health promotion
	Healthy body or healthy mind
	Professional and authentic relationship	Ideals and responsibility for health promotion in clinical practice
	Responsibility shared between patient and treatment provider

Availability of data and materials

Due to privacy protection issues and according to Danish legislation, the datasets supporting the conclusions of this article are available only to the researchers involved in the project.