An online intervention for increasing physical activity in individuals with mood disorders at risk for cardiovascular disease: Design considerations

Sylvia, Louisa G.; Faulkner, Madelaine; Rakhilin, Marina; Amado, Selen; Gold, Alexandra K.; Albury, Evan A.; Dinerman, Jacob G.; Dohse, Heidi; Tovey, Roberta; Turner, Jon; Schopfer, David W.; Pletcher, Mark J.; Nierenberg, Andrew A.

doi:10.1016/j.jad.2021.04.094

Cited by 9 publications

(4 citation statements)

References 42 publications

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“…Staff felt that the NHS should provide phones and wearables and cover the cost of app subscriptions and data allowance. If the NHS is to cover app subscriptions and data allowance, the cost-effectiveness of DLIs needs to be considered to reduce the digital divide [ 30 , 37 , 38 ].…”

Section: Discussionmentioning

confidence: 99%

Digital Lifestyle Interventions for Young People With Mental Illness: A Qualitative Study Among Mental Health Care Professionals

Sawyer,

Carney,

Hassan

et al. 2024

JMIR Hum Factors

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Background Given the physical health disparities associated with mental illness, targeted lifestyle interventions are required to reduce the risk of cardiometabolic disease. Integrating physical health early in mental health treatment among young people is essential for preventing physical comorbidities, reducing health disparities, managing medication side effects, and improving overall health outcomes. Digital technology is increasingly used to promote fitness, lifestyle, and physical health among the general population. However, using these interventions to promote physical health within mental health care requires a nuanced understanding of the factors that affect their adoption and implementation. Objective Using a qualitative design, we explored the attitudes of mental health care professionals (MHCPs) toward digital technologies for physical health with the goal of illuminating the opportunities, development, and implementation of the effective use of digital tools for promoting healthier lifestyles in mental health care. Methods Semistructured interviews were conducted with MHCPs (N=13) using reflexive thematic analysis to explore their experiences and perspectives on using digital health to promote physical health in youth mental health care settings. Results Three overarching themes from the qualitative analysis are reported: (1) motivation will affect implementation, (2) patients’ readiness and capability, and (3) reallocation of staff roles and responsibilities. The subthemes within, and supporting quotes, are described. Conclusions The use of digital means presents many opportunities for improving the provision of physical health interventions in mental health care settings. However, given the limited experience of many MHCPs with these technologies, formal training and additional support may improve the likelihood of implementation. Factors such as patient symptomatology, safety, and access to technology, as well as the readiness, acceptability, and capability of both MHCPs and patients to engage with digital tools, must also be considered. In addition, the potential benefits of data integration must be carefully weighed against the associated risks.

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Section: Discussionmentioning

confidence: 99%

Digital Lifestyle Interventions for Young People With Mental Illness: A Qualitative Study Among Mental Health Care Professionals

Sawyer,

Carney,

Hassan

et al. 2024

JMIR Hum Factors

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“…Promisingly those with little experience using digital platforms could use them after assistance from peer coaches (Olmos-Ochoa et al, 2019 ; Young et al, 2017 ) or training sessions (Brunette et al, 2016 ). Therefore, to reduce the digital divide in future, it would be crucial to have human support available in mental healthcare settings to facilitate use, such as digital navigators (Sylvia et al, 2021 ; Wisniewski, Gorrindo, Rauseo-Ricupero, Hilty, & Torous, 2020 ; Wisniewski & Torous, 2020 ).…”

Section: Discussionmentioning

confidence: 99%

Digital health behaviour change interventions in severe mental illness: a systematic review

Sawyer,

McKeon,

Hassan

et al. 2023

Psychol. Med.

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The use of digital technologies as a method of delivering health behaviour change (HBC) interventions is rapidly increasing across the general population. However, the role in severe mental illness (SMI) remains overlooked. In this study, we aimed to systematically identify and evaluate all of the existing evidence around digital HBC interventions in people with an SMI. A systematic search of online electronic databases was conducted. Data on adherence, feasibility, and outcomes of studies on digital HBC interventions in SMI were extracted. Our combined search identified 2196 titles and abstracts, of which 1934 remained after removing duplicates. Full-text screening was performed for 107 articles, leaving 36 studies to be included. From these, 14 focused on physical activity and/or cardio-metabolic health, 19 focused on smoking cessation, and three concerned other health behaviours. The outcomes measured varied considerably across studies. Although over 90% of studies measuring behavioural changes reported positive changes in behaviour/attitudes, there were too few studies collecting data on mental health to determine effects on psychiatric outcomes. Digital HBC interventions are acceptable to people with an SMI, and could present a promising option for addressing behavioural health in these populations. Feedback indicated that additional human support may be useful for promoting adherence/engagement, and the content of such interventions may benefit from more tailoring to specific needs. While the literature does not yet allow for conclusions regarding efficacy for mental health, the available evidence to date does support their potential to change behaviour across various domains.

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“…First, both the limited number of studies in this review and their heterogeneity in measurement precluded the meta-analysis and limited our ability to draw clear conclusions. Encouragingly, this is a rapidly evolving field, and several promising protocols were identified during article screening (eg, study by Sylvia et al [ 100 ]). We are hopeful that more evidence will become available in the next several years.…”

Section: Discussionmentioning

confidence: 99%

The Effectiveness of Internet-Guided Self-help Interventions to Promote Physical Activity Among Individuals With Depression: Systematic Review

Tang¹,

Gierc²,

Lam³

et al. 2022

JMIR Ment Health

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Background Depression is a prevalent and debilitating mental disorder and a leading cause of disability worldwide. Physical activity (PA) interventions have been shown to alleviate depressive symptoms. However, not all patients have access to PA programing tailored for depression. Internet-guided self-help (IGSH) interventions may be an effective option for increasing PA among people with depression who cannot or prefer not to access supervised exercise treatment. Objective We aimed to evaluate the effectiveness of IGSH interventions in increasing PA and alleviating depressive symptoms in people with depression. Methods A systematic literature search was conducted for randomized controlled trials and quasiexperimental studies using 9 electronic databases. The review was registered in PROSPERO (2020 CRD42020221713). Results A total of 4 randomized controlled trials (430 participants) met the inclusion criteria. Of these, 3 were web-based and 1 was app-based. Three studies found IGSH interventions to have medium to large effects on decreasing depressive symptoms but not on increasing PA compared with waitlist or usual care. One study showed increased self-reported PA but no significant difference in depressive symptoms in the intervention group compared with the control group. Goal setting was the most common behavior change technique used in the interventions. Dropout rates within the intervention groups were relatively low (0%-19%). Conclusions Our findings suggested that IGSH PA interventions are feasible and have the potential to reduce depressive symptoms in people with depression. More well-designed and tailored interventions with different combinations of behavior change techniques, particularly those targeting the emotion domain, are needed to assess the overall effectiveness and feasibility of using IGSH interventions to increase PA among people with depression. Trial Registration PROSPERO CRD42020221713; https://tinyurl.com/ysaua5bu

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An online intervention for increasing physical activity in individuals with mood disorders at risk for cardiovascular disease: Design considerations

Cited by 9 publications

References 42 publications

Digital Lifestyle Interventions for Young People With Mental Illness: A Qualitative Study Among Mental Health Care Professionals

Digital Lifestyle Interventions for Young People With Mental Illness: A Qualitative Study Among Mental Health Care Professionals

Digital health behaviour change interventions in severe mental illness: a systematic review

The Effectiveness of Internet-Guided Self-help Interventions to Promote Physical Activity Among Individuals With Depression: Systematic Review

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