Skip to main content

Research Repository

Advanced Search

Using photovoice to understand and improve healthy lifestyles of people diagnosed with serious mental illness

Edmondson, Amanda J.; Borthwick, Rachel; Hughes, Elizabetht; Lucock, Mike


Amanda J. Edmondson

Rachel Borthwick

Elizabetht Hughes

Mike Lucock


Introduction: People diagnosed with serious mental illness (SMI) live 10-20 years less than the general population, due in part to co-existing physical illness linked to lifestyle factors. To inform individualised care plans to promote healthy lifestyles, it is important to understand the views of people diagnosed with SMI. To truly understand their lived experience, research methods should allow participants to set the agenda for discussion, enhancing engagement and empowerment in the research process.
Aim: To use a participatory research approach to capture what healthy lifestyle means to people who are diagnosed with SMI.
Method: Eight people diagnosed with SMI participated in six, weekly focus groups using Photovoice. Data were analysed using thematic analysis. Results: The overarching theme was ‘mental health is the main priority’ and the other themes were barriers to a healthy lifestyle, represented as a vicious cycle, and three themes which
were facilitators - the importance of place, meaningful activities and the importance of others.
Discussion: The methodology allowed participants to choose images that reflected their lived experience. The themes describe the interaction of physical and mental health and practical
barriers and will inform the design of individualised care plans.
Implications for Practice: In co-designing care plans, mental health nurses should draw on peoples’ preferences and explore the barriers identified in this study.

Journal Article Type Article
Acceptance Date Jul 22, 2022
Online Publication Date Jul 30, 2022
Publication Date 2022-10
Deposit Date Jul 26, 2022
Publicly Available Date Jul 31, 2023
Journal Journal of Psychiatric and Mental Health Nursing
Print ISSN 1351-0126
Publisher Wiley
Peer Reviewed Peer Reviewed
Volume 29
Issue 5
Pages 676-687
Keywords care planning, formulation, health research, mental health services, photovoice, qualitative
Public URL


Using photovoice to understand and improve healthy lifestyles of people diagnosed with serious mental illness (711 Kb)

Copyright Statement
"This is the peer reviewed version of the following article: Hughes, L. Using photovoice to understand and improve healthy lifestyles of people diagnosed with serious mental illness. Journal of Psychiatric and Mental Health Nursing, which has been published in final form at [DOI forthcoming]. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. This article may not be enhanced, enriched or otherwise transformed into a derivative work, without express permission from Wiley or by statutory rights under applicable legislation. Copyright notices must not be removed, obscured or modified. The article must be linked to Wiley’s version of record on Wiley Online Library and any embedding, framing or otherwise making available the article or pages thereof by third parties from platforms, services and websites other than Wiley Online Library must be prohibited."

You might also like

Downloadable Citations