A narrative synthesis investigating the use and value of social support to promote physical activity among individuals with schizophrenia

Groß, Julia; Vancampfort, Davy; Stubbs, Brendon; Gorczynski, Paul; Soundy, Andrew

doi:10.3109/09638288.2015.1024343

Cited by 40 publications

(42 citation statements)

References 65 publications

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“…For instance, an approach such as a narrative synthesis that is able to identify elements of the intervention that are attributed directly or indirectly to the results obtained. For instance, our group recently developed such a review that could be used for such a purpose [27]. Such an approach would be a unique and valuable irst step in providing a new solution to inactivity and lack of adherence to interventions in people with MS.…”

Section: Social Supportmentioning

confidence: 99%

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Determining the use and value of social support in Telerehabiliation Interventions for individuals with Multiple Sclerosis: A narrative synthesis review

Soundy¹

2017

J Nov Physiother Rehabil

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Background: Telerehabilitation has been identifi ed as an effective treatment that promotes exercise rehabilitation in individuals with multiple sclerosis (MS). Social support is recognised as a core element of such interventions. However further research is needed to consider the role and value of different social support domains. Aim:Review available literature to assess and synthesise the use and value of social support within telerehabilitation interventions for individuals with MS.Method: A narrative synthesis was conducted. A systematic search of included articles was conducted. Electronic databases were searched from inception to January 2017. Other search methods were undertaken. Evaluation and synthesis of included articles utilised risk of bias assessment and a 4-stage synthesis process.Main Results: A total of fourteen studies, involving 718 participants (505 female, 213 male; aggregated mean age 47.6 years) with MS, were included. Esteem support was the most frequently reported method of social support, followed by informational, emotional and tangible. It would appear social support can be benefi cial in assisting participants to adhere to treatment interventions. Visual feedback may be directly benefi cial to improve impaired balance in individuals with MS. A model for future interventions is provided. Conclusions:Social support appears to increase the adherence of participants with MS to telerehabilitation interventions. Unique fi ndings provide an indication for the direction and content of future interventions. Further research is necessary to ascertain the optimal types and frequencies of social support delivery and its effect on health outcomes for participants with MS.

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Section: Social Supportmentioning

confidence: 99%

“…Studies must reference at least 1 of the 4 dimensions of social support [27], in their methods section. This allows for comparisons between studies so the synthesis can be useful.…”

Section: Selection Criteria For the Reviewmentioning

confidence: 99%

Determining the use and value of social support in Telerehabiliation Interventions for individuals with Multiple Sclerosis: A narrative synthesis review

Soundy¹

2017

J Nov Physiother Rehabil

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“…Anecdotally, those with strong social support or internal motivation had highest attendance. Facilitating social support and increasing internal motivation during the first six weeks of the program may improve overall adherence to an exercise intervention 384,385 . Social support could be increased by encouraging participants to exercise with a friend or someone they know, or by facilitating a 'team' environment among exercise participants, e.g.…”

Section: Discussionmentioning

confidence: 99%

“…We are not aware of studies that have investigated personal training (PT) as a specific source of support. Qualitative studies have found that participants identify acknowledgement of progress, monitoring of attendance, humour, and providing esteem support in the form of verbal encouragement and reinforcement 357 , as effective exercise facilitator styles 228,230,234 . A survey of physical therapists also identified the importance of esteem support from health professionals and promoting enjoyment and autonomy 358 .…”

Section: Introductionmentioning

confidence: 99%

Measuring and positively influencing physical activity and sedentary behaviour in adults with mental illness

Chapman¹

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Background: Mental illness has a high global prevalence, and is associated with higher risk of chronic physical conditions, and reduced psychosocial functioning and life expectancy. Physical activity (PA) protects against chronic disease and mortality risk, and reduces depression and anxiety. Prolonged sedentary behaviour (SB) can have deleterious metabolic consequences, and may be associated with poor mental health.Accurate measurement of PA and SB is important for assessing health risk, and evaluating behaviour change interventions. Objective measures (e.g. accelerometers) allow for unbiased measurement, but do not assess the context of participation, which may be important for intervention planning. Questionnaires can assess context, however, they are prone to reporting errors. The feasibility of using these measures, and the impact of standard data management procedures, has not been assessed in adults with mental illness.PA interventions may positively influence PA levels of adults with mental illness. It is important to understand PA attitudes when designing interventions, as well as the acceptability and efficacy of different exercise approaches. Aims and objectives:The overarching aim of this PhD was to measure, understand, and positively influence the PA patterns of non-institutionalised adults with mental illness. Specific objectives were to: i) assess the utility of questionnaires and accelerometers for measuring PA and SB; ii) investigate questionnaire and accelerometer data management procedures; iii) measure PA and SB levels; iv) assess PA attitudes and opinions; and v) assess the feasibility and acceptability of two exercise protocols. Data from two research studies are presented in six thesis chapters. Study 1Design: Cross-sectional.Method: Participants were adult clients of mental health services. Participants completed self-administered questionnaires on the time spent in PA and SB in different contexts, wore an ActiGraph GT3x+ accelerometer on the hip for 7-days, and rated the ease/difficulty of completing the questionnaires and accelerometry. Participants also completed self-administered questionnaires on PA attitudes and opinions.Results: 142 participants completed the questionnaires (mean age=40yrs, female=43%); of these, 99 (70%) completed the accelerometry (mean age=40yrs, female=47%).ii Participants found it easier to report PA than SB, and to complete accelerometry than questionnaires. Defining a valid day of accelerometry using standard absolute criteria biased the sample by excluding participants with short waking hours; defining a valid day relative to waking hours prevented this bias. The median self-reported time spent in moderate-to-vigorous physical activity (MVPA) and SB was 4.5 hours/week and 10.7 hours/day respectively. Walking for transport, and sitting to watch TV, contributed most to these self-report estimates. The median accelerometer-derived time spent in MVPA and SB was 26 minutes/day and 9.2 hours/day respectively; 7% of MVPA time was in bouts of 10 minutes or ...

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“…We are not aware of studies that have investigated personal training (PT) as a specific source of support. Qualitative studies have found that participants identify acknowledgement of progress, monitoring of attendance, humour, and providing esteem support in the form of verbal encouragement and reinforcement (Gross et al, 2015), as effective exercise facilitator styles (J. McDevitt et al, 2006;Roberts et al, 2013;Tetlie et al, 2009). A survey of physical therapists also identified the importance of esteem support from health professionals and promoting enjoyment and autonomy .…”

Section: Introductionmentioning

confidence: 99%

Physical activity patterns, attitudes and counselling among adults with mental illness

Fraser¹

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___________________________________________________________________The life expectancy of adults with mental illness is significantly less than that of the general population. This is largely due to poor physical health. Physical activity is consistently recommended for the prevention and management of noncommunicable diseases and also has mental health benefits. The aim of this thesis was to understand and promote physical activity in adults with mental illness, to improve physical health.Study One was a cross-sectional study of inpatients in a private hospital. It assessed the (i) feasibility of self-report and objective measurement of physical activity and sedentary behaviour, (ii) levels of physical activity and sedentary behaviour, and (iii) physical activity attitudes and preferences for contexts and sources of support. 101 participants completed questionnaires on physical activity and sitting time, activity preferences and attitudes, psychological distress and sociodemographic and health variables. 38 also wore an accelerometer for 7 consecutive days.Feasibility of measurement was assessed in terms of participant engagement; selfreported ease/difficulty; extreme self-report data values; and adherence to accelerometer wear time criteria. Findings demonstrated that inpatient adults with mental illness can engage with both questionnaire and accelerometry measurement, that it was more feasible but less acceptable to wear an accelerometer than to complete questionnaires, and that this was not influenced by level of psychological distress.Questionnaire data were used to determine time spent in (i) walking and moderateand vigorous-intensity activity (MVPA), and (ii) domain specific sitting time.Accelerometry was used to determine mean daily time spent in MVPA and sedentary behaviour. Bivariate associations between self-reported MVPA, sedentary behaviour and explanatory variables of gender, age, education, body mass and distress were analysed using regression analyses. Self-report data indicated a median of 32 minutes/day in MVPA and a median of 761 minutes/day in sedentary behaviour.iii Accelerometry data indicated an average of 37 minutes/day in MVPA and 664 minutes/day in sedentary behaviour. Analyses indicated no significant associations between explanatory variables and MVPA or sedentary behaviour.Questionnaire data were used to determine (i) physical activity interest; (ii) reasons to do activity; (iii) general knowledge regarding activity benefits; (iv) preferences for activity type, context and sources of support; and (v) activity barriers. More than three quarters (77%) of participants expressed high interest to do physical activity while in hospital, with the most common reasons being to maintain physical health and improve emotional wellbeing (≥95%). More than 90% of participants agreed physical activity was beneficial for managing psychological wellbeing, heart disease, stress, diabetes and quality of life; but fewer than half agreed that activity had benefits for serious mental illness. Part...

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A narrative synthesis investigating the use and value of social support to promote physical activity among individuals with schizophrenia

Cited by 40 publications

References 65 publications

Determining the use and value of social support in Telerehabiliation Interventions for individuals with Multiple Sclerosis: A narrative synthesis review

Determining the use and value of social support in Telerehabiliation Interventions for individuals with Multiple Sclerosis: A narrative synthesis review

Measuring and positively influencing physical activity and sedentary behaviour in adults with mental illness

Physical activity patterns, attitudes and counselling among adults with mental illness

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