Health Promotion Intervention in Mental Health Services

Research output: ThesisDoctoral Thesis (compilation)


The aim of this thesis was to define and develop the concept of health promotion in mental health services as well as to develop a questionnaire to measure patients? subjective experiences of health promotion intervention in mental health services. The samples consisted of 12 patients in study I and 12 nurses in study II as well as 135 patients in mental health services in study III and IV. Data were collected in open-ended interviews as well as from questionnaires such as the Health Promotion Intervention Questionnaire (HPIQ), the Helping Alliance (HAS), the Client satisfaction Questionnaire (CSQ), the Making Decisions Scale and the HSCL-25. Qualitative analysis and statistical methods were used when analysing the data. The thesis started with two qualitative studies that focused on how health processes are promoted in mental health nursing. The first study showed that the patients? health is promoted through interaction, attention, development and dignity. The second study showed that nurses promote health through their presence, and the balance of power and health focus in their nursing activities. Based on these findings the third and fourth study focused on the development of a reliable and valid intrument, the Health Promotion Intervention Questionnaire (HPIQ). The analyses in study III resulted in a scale containing 19 items derived from 4 factors: alliance, empowerment, educational support and practical support. The findings from study IV showed that overall perceived health promoting interventions were positively correlated to helping alliance, client satisfaction with care and empowerment. The strongest relationship was found between perceived health promotion intervention and helping alliance. The results of this thesis contribute a new understanding of health promotion in mental health services.


  • Petra Svedberg
Research areas and keywords

Subject classification (UKÄ) – MANDATORY

  • Nursing


  • Medicin (människa och djur), Nursing, Questionnaire, Medicine (human and vertebrates), Health promotion, Phenomenographic., Mental health services
Original languageEnglish
Awarding Institution
Supervisors/Assistant supervisor
Award date2007 May 23
  • Department of Health Sciences, Lund University
Print ISBNs978-91-85559-56-5
Publication statusPublished - 2007
Publication categoryResearch

Bibliographic note

Defence details Date: 2007-05-23 Time: 13:00 Place: Hörsal 01, Vårdvetenskapens hus, Baravägen 3, Lund. External reviewer(s) Name: Lützen,, Kim Title: Professor Affiliation: Institutionen för Vårdvetenskap, Ersta Sköndal Högskola, Stockholm --- The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Division of Nursing (Closed 2012) (013065000)

Total downloads

No data available