2023-09-28 14:46:10 +00:00
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abstract: 'Self-care, which refers to what people do to prevent disease and
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maintain good health, can alleviate negative health consequences of
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people experiencing homelessness. The aim of the study was to apply a
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theoretically informed approach in exploring engagement of people
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experiencing homelessness in self-care and to identify factors that can
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be targeted in future health and social care interventions. Qualitative
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semi-structured interviews were conducted with 28 participants
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opportunistically recruited from a specialist homelessness healthcare
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centre of North East Scotland, the United Kingdom (UK). An interview
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schedule was developed based on the theoretical domains framework (TDF).
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Interviews were audio-recorded and transcribed verbatim. Six aspects of
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self-care were explored, including (a) self-awareness of physical and
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mental health, (b) health literacy, including health seeking behaviour,
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(c) healthy eating, (d) risk avoidance or mitigation, (v) physical
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activity and sleep and (e) maintaining personal hygiene. Thematic
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analysis was conducted by two independent researchers following the
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Framework Approach. Participants described low engagement in self-care.
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Most of the barriers to engagement in self-care by participants were
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related to `environmental context and resources'' domain of TDF.
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Participants often resorted to stealing or begging for food. Many
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perceived having low health literacy to interpret health-related
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information. Visits to churches and charities to get a shower or to
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obtain free meals were commonplace. Participants expressed pessimism
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that there was `nothing'' they could do to improve their health and
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described perceived barriers often too big for them to overcome.
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Alienation, lack of social support and the perception that they had done
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irreversible damage to their health prevented their involvement in
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self-care. The theme of `social circle'' held examples of both enabler
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and barriers in participants'' uptake of risky behaviours. Health and
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social services should work with persons experiencing homelessness in
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designing and delivering targeted interventions that address contextual
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barriers, multi-morbidity, health literacy and self-efficacy.'
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affiliation: 'Paudyal, V (Corresponding Author), Univ Birmingham, Sch Pharm, Insititute
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Clin Sci, Birmingham, W Midlands, England.
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Paudyal, Vibhu, Univ Birmingham, Inst Clin Sci, Birmingham, W Midlands, England.
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MacLure, Katie; McKenzie, Myra, Robert Gordon Univ, Fac Hlth \& Social Care, Aberdeen,
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Scotland.
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Forbes-McKay, Katrina, Robert Gordon Univ, Appl Social Studies, Aberdeen, Scotland.
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MacLeod, Joan, Aberdeen City Community Hlth Partnership, NHS Grampian South Cluster,
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Aberdeen, Scotland.
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Smith, Ann, Aberdeen City Community Hlth Partnership, NHS Grampian North Cluster,
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Aberdeen, Scotland.
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Stewart, Derek, Qatar Univ, Coll Pharm, Doha, Qatar.'
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author: Paudyal, Vibhu and MacLure, Katie and Forbes-McKay, Katrina and McKenzie,
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Myra and MacLeod, Joan and Smith, Ann and Stewart, Derek
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author-email: v.paudyal@bham.ac.uk
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author_list:
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- family: Paudyal
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given: Vibhu
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- family: MacLure
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given: Katie
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- family: Forbes-McKay
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given: Katrina
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- family: McKenzie
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given: Myra
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- family: MacLeod
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given: Joan
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- family: Smith
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given: Ann
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- family: Stewart
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given: Derek
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da: '2023-09-28'
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doi: 10.1111/hsc.12850
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earlyaccessdate: SEP 2019
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eissn: 1365-2524
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files: []
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issn: 0966-0410
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journal: HEALTH \& SOCIAL CARE IN THE COMMUNITY
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keywords: health behaviours; homelessness; self-care
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keywords-plus: 'ASSERTIVE COMMUNITY TREATMENT; HIGH-INCOME COUNTRIES; USE DISORDERS;
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HOUSING 1ST; MORTALITY; INTERVENTIONS; OUTCOMES'
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language: English
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month: JAN
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number: '1'
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number-of-cited-references: '49'
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orcid-numbers: 'MacLure, Katie/0000-0003-0686-948X
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Paudyal, Vibhu/0000-0002-4173-6490'
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pages: 160-172
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papis_id: 424cd547032eb4598fdc961678258074
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ref: Paudyal2020ifi
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researcherid-numbers: 'MacLure, Katie/GRJ-8912-2022
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'
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times-cited: '17'
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title: '`If I die, I die, I don''t care about my health'': Perspectives on self-care
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of people experiencing homelessness'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000485848000001
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usage-count-last-180-days: '3'
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usage-count-since-2013: '13'
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volume: '28'
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web-of-science-categories: Public, Environmental \& Occupational Health; Social Work
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year: '2020'
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