Table 3 Overview of findings
Coherence • Existing understandings of health and health promotion • Perceived connections to existing goals and practices | SLIPS perceived as meaningful across providers • Based on broad understanding of health related to what gave physical and mental well-being • Integral component of ‘recovery’ as predominant treatment approach; Continuity with other health promotion initiatives had ambivalent impact |
Cognitive Participation • Engagement in implementation process | • Engagement of management varied; From integrated and continuous involvement to decoupled and ad hoc • Engagement of staff was an important challenge; Some did not buy into the concept of being role models |
Collective action • Enactment of the intervention: Approach to working with health promotion • Importance of user and staff resources | • Approach of ‘gentle motivation’ across providers • Enacting the intervention in interactions with users was challenging due to the heterogeneous user group with complex circumstances and needs; Required high level of staff engagement and flexibility |
Reflexive monitoring • On-going monitoring and adjustment of health promotion activities | • Informal, ad hoc monitoring and adjustment of activities predominant across providers |