Barriers to uptake of physical activity in community-based patients with schizophrenia

The transcending benefits of physical activity for individuals with schizophrenia: A systematic review and meta-ethnography

“…Out of a possible 106 articles identified by title, eleven articles met the inclusion criteria: Eight studies (Faulkner and Sparkes, 1999;Fogarty et al, 2005;Gorczynski et al, 2013;Johnstone et al, 2009;Leutwyler et al, 2013;Roberts and Bailey, 2013;Sandel, 1982;Weissman, 2006) considered the experiences of individuals with schizophrenia and three studies (Happell, 2012;Hedlund, 2013;Leutwyler et al, 2012) considered the experiences of HCPs. Figure 1 provides the results of the search within a PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) flow diagram (Moher et al, 2009).…”

“…3.3.1.1 Sub-theme 1: The influence of culture and identity on physical activity engagement There was a culture of being sedentary at the out/in-patient centre they attended (Fogarty, 2005;Gorczynski et al, 2013;Johnstone, 2009), and patients were generally perceived by HCPs as lacking motivation towards physical activity, despite staff efforts. This may be due to the side effects of medication (Weissman, 2006) or because patients had actual or perceived physical health limitations (Happell et al, 2012;Johnstone et al, 2009;Weissman, 2006;Leutwyler et al, 2013).…”

“…This may be due to the side effects of medication (Weissman, 2006) or because patients had actual or perceived physical health limitations (Happell et al, 2012;Johnstone et al, 2009;Weissman, 2006;Leutwyler et al, 2013). In general, patients felt vulnerable, isolated, and often expressed a low sense of self-worth (Faulkner and Sparkes, 1999;Hedlund et al, 2013;Johnstone et al, 2009;Weissman, 2006).…”

“…However, the participants and HCPs identified varied levels of physical activity engagement; although some individuals had a specific routine in place others did less and defined physical activity in a different way. For example, one patient in the research by Johnstone et al (2009) stated that "making it to the bus stop is physical activity for me". Importantly, individuals highlighted the need for tailored programs, such as consideration for those who are elderly, in pain, or who had previous injuries.…”

Master’s level mental health nursing competencies, a prerequisite for equal health among service users in mental health care

“…When trying to inspire service users in mental health services, it is important to make physical activity as intrinsically motivating as possible by focusing on the positive experiences of the activity itself, as well as helping to develop daily routines for physical exercise (Sörensen, 2005). Common barriers to physical activity have been identified as limited experience of physical activity engagement: the impact of the mental ill health and effects of medication, in addition to discrimination and safety concerns (Johnstone, Nicil, & Donaghy et al, 2009; McDevitt, Snyder, & Miller et al, 2006). Master’s level mental health nurses can implement strategies to make the person feel capable to achieve a healthier lifestyle, as the opposite experience could lead to a feeling of failure and result in avoidance behaviour related to physical activity (Wärdig, Bachrach-Lindström, & Lindström et al, 2015).…”