|
Intervention satisfaction
| Service user and provider relationships |
“I've had episodes where I would be on a real good streak of losing, and then I would gain 2 or 4 pounds. She … never judged me for that. She's never down-pulled me for that. She's told me it's okay to fall … She said you just [have to] get back up and brush yourself off and keep going. And she's the best support person I have right now.” (Service user)
|
|
Intervention engagement
| Progress toward goals |
“When we do break it down and they do start to feel good about themselves, like when we can get them to break down smaller, and they do see, like, ‘Oh, I lost that 5 pounds. That was pretty easy. I want to lose 5 more or 10 more.' When they start to build up their confidence and see that they can do it, then I think it's successful, for sure.” (Provider)
|
| Educational tools |
“That's been a lot of help. I actually go online with that too. She gave me a few websites to go on, like the facts of diets and stuff and myths and stuff like that…. The 1 … paper they brought over that [the wellness nurse] had created … like on day 1 … there would be [something] that you could take out. You know, don't do this for this day and don't do that for that day. Like soda, make sure you drink more water … it was just like taking things out.” (Service user)
|
|
Positive impact of wellness coaching
| Creation of goals |
“Well, pretty much we just talk about with the weight being on me, it's not so good for all my physical stuff. So pretty much sometimes she'll make … a weight-loss goal of how much I want to lose by a certain date, and if it's kind of unrealistic, she makes it realistic, you know? … So, yeah, she's helped me in that line.” (Service user)
|
| Achievements |
“I've actually exceeded my goal The weight I am now, I haven't been since I was a young teenager … I lost 25 pounds in the beginning and I've actually lost closer to 45. I feel like I have more energy.” (Service user)
|
|
Agency support
| Evolution of health and wellness |
“We're putting in the works, nutrition. And then when it gets nicer, a walking group and a garden … and trying to make a dynamic change; a culture shift with the group that we're working with So I'll be interested to see in 6 months, where we are.” (Provider)
|
|
Barriers to engaging service users in interventions
| Staff turnover |
“Yeah, she just started this recently, a few months ago. But they had changed my case manager 3 times in that time, so we didn't really get far…. I know there was a little bit of a discussion with all 3 [about health and wellness] Because it seemed like every time I had to do the new update thing, it was a new case worker … So hopefully they're done changing people.” (Service user)
|
| Acute life circumstances |
“Yeah, there are definitely times that we don't [talk about health and wellness]. Obviously, if they're in some type of psychiatric crisis, we're concentrating on that. (Provider)
|
