Cultivating independence : developing a guidebook to facilitate healthy eating competencies in adults with mental disorders

Abstract

Facilitation of independent living in the community is high on the Maltese national agenda for individuals with mental health disorders (MHD). Thus, this research project aimed to create a tailored educational tool to help promote independence and self-care among individuals with MHD. The study focused on: 1) Comparing food preferences and consumption of adults with MHD to national dietary guidelines; 2) Evaluating the skills of adults with MHD for procuring healthy meals independently; 3) Producing the educational resource. Social workers who regularly work with adults with MHD were interviewed, exploring their clients’ awareness, practices and abilities related to independent healthy living. Data obtained served to inform the development of a guidebook/cookbook to meet identified common needs. Key findings revealed that adults inconsistently adhered to dietary guidelines and preferred unhealthy foods. Mental health symptoms and institutionalisation hindered their food sourcing, food storage and cooking abilities. Subsequently, the book produced followed the Transtheoretical model, Self-efficacy theory and andragogy principles. It was highly pictorial, motivational and designed to aid learning. Study limitations included a small sample of social workers, lack of time for trialing the book and having only a Maltese version. Further research is warranted to assess effectiveness of the tool.