Evidence map›Paper›PMID 24966198›Full record

ArticleQualitative health research2014

Contextual Factors in the Health of People With Serious Mental Illness.

Leopoldo J Cabassa, Elizabeth Siantz, Andel Nicasio, Peter Guarnaccia, Roberto Lewis-Fernández

Abstract read
In one paragraph

Article in Qualitative health research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Leopoldo J CabassaColumbia University, New York, New York, USA ljc2139@columbia.edu.
Elizabeth SiantzUniversity of Southern California, Los Angeles, California, USA.
Andel NicasioNew York State Psychiatric Institute, New York, New York, USA.
Peter GuarnacciaRutgers, The State University of New Jersey, New Brunswick, New Jersey, USA.
Roberto Lewis-FernándezColumbia University, New York, New York, USA.

Funding

IMPLEMENTATION RESEARCH INSTITUTE FOR MENTAL HEALTH SERVICES IRI-MHSR25MH080916 · NIMH · WASHINGTON UNIVERSITY · PI Byron James Powell · 2009 to 2026
$3.7M
Motivational Antidepressant Therapy for HispanicsR01MH077226 · NIMH · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI LEWIS-FERNANDEZ, ROBERTO · 2007 to 2011
$2.9M
Implementing Health Care Interventions for Hispanics with Serious Mental IllnessK01MH091118 · NIMH · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI CABASSA, LEOPOLDO J · 2011 to 2015
$927k
NIMHD NIH HHS L60 MD001850NIMH NIH HHS K01 MH091118NIMH NIH HHS R01 MH077226NIMH NIH HHS R25 MH080916
6 · The paper itself

Abstract

People living with serious mental illness (SMI) have shorter life expectancies than the general population. We examined how contextual factors influence the physical health of this population. We conducted interviews, focus groups, and participant observations with stakeholders from six behavioral health organizations. We found that consumers' avoidance of overt disagreement during medical visits, their mistrust of medical institutions, and cultural variations in body image influenced the clinical encounter. Mental health providers' ambivalence about intervening in consumers' physical health, primary care providers' misattribution of physical symptoms to mental disorders, and providers' stigmatization of consumers shaped clinical encounters. Consumers' diets were shaped by food environments and social norms associated with traditional diets. Internal and external factors impacted consumers' physical activity. In this article, we illustrate the importance of considering contextual factors in the development and implementation of interventions aimed at improving the physical health of people with SMI.

Indexed as

culture / cultural competencehealth and well-beingmental health and illnessresearch, qualitative

Identifiers

PMID24966198
PMCPMC4276729

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.