Do Mental Health Professionals Promote a Healthy Lifestyle among Individuals Experiencing Serious Mental Illness?

<b>Purpose:</b> While a healthy lifestyle would be an asset to people experiencing psychotic disorders, not all mental health professionals provide counselling regarding healthy behaviours, such as physical activity, healthy nutrition, and tobacco cessation. Therefore, the objective of the present study was to investigate the factors associated with health promotion practice (HPP) among mental health professionals. <b>Methods:</b> Cross-sectional survey including mental health professionals across the Province of Quebec (Canada). The promotion of health behaviour and the “Exercise in Mental Illness Questionnaire - Health Practitioner Version” and its adaptation for nutrition improvement and tobacco cessation were used to evaluate knowledge, beliefs, promotion behaviours, and barriers to HPP. <b>Results:</b> One hundred mental health professionals, most being nurses (29%) and medical doctors/psychiatrists (20%) were recruited throughout the province of Quebec (Canada). The rate of formal training among professionals was 11% for physical activity, 26% for nutrition, and 21% for tobacco cessation. Approximately 60% were promoting physical activity, 49% good nutrition, and 41% tobacco cessation. Professionals promoting healthy behaviours had a higher level of self-efficacy in HPP, were more likely to value physical health, and less likely to endorse barriers to HPP. <b>Conclusion:</b> Rates of formal training in lifestyle habits and health promotion (aiming at improving a healthy lifestyle in patients experiencing psychotic disorders) among mental health professionals are currently low in the Province of Quebec and need to be improved. In addition, the level of confidence and barriers that endorse healthy behaviours appear to be key factors in HPP among mental health professionals.

**研究目的：** 尽管健康生活方式对精神障碍患者而言是重要获益途径，但并非所有精神卫生从业者都会就身体活动、健康饮食、戒烟等健康行为提供咨询指导。因此，本研究旨在探究与精神卫生从业者健康促进实践（Health Promotion Practice, HPP）相关的影响因素。
**研究方法：** 本研究为横断面调查，研究对象覆盖加拿大魁北克省的精神卫生从业者。本研究采用健康行为促进相关评估工具、《精神疾病锻炼问卷——从业者版》，并针对健康饮食与戒烟场景对该问卷进行适配改编，以此评估从业者在健康促进实践中的知识储备、信念认知、推广行为及实践障碍。
**研究结果：** 本研究共招募100名精神卫生从业者，其中以护士（29%）与内科医生/精神科医生（20%）占比最高。从业者针对身体活动、健康饮食、戒烟的正规培训率分别为11%、26%与21%。约60%的从业者会推广身体活动，49%会推广健康饮食，41%会推广戒烟行为。开展健康行为推广的从业者，其健康促进实践的自我效能感更高，更重视躯体健康，且更少认同健康促进实践的阻碍因素。
**研究结论：** 目前加拿大魁北克省的精神卫生从业者中，针对改善精神障碍患者健康生活方式的生活习惯与健康促进正规培训率仍处于较低水平，亟待提升。此外，自我效能感水平与对健康行为推广的阻碍认知，是影响精神卫生从业者开展健康促进实践的关键因素。