Increasing physical activity and healthy diet in outpatients with mental disorders: a randomized-controlled evaluation of two psychological interventions

Petzold, Moritz Bruno; Mumm, Jennifer; Bischoff, Sophie; Große, Julia; Plag, Jens; Brand, Ralf; Ströhle, Andreas

doi:10.1007/s00406-018-0941-z

Cited by 13 publications

(7 citation statements)

References 69 publications

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“…In the literature, another study evaluating the results of interventions with a healthy lifestyle scale in mentally ill patients could not be encountered, and the changes in nutrition and physical activities of patients were evaluated with different measurement tools. As a result of interventional studies aimed at increasing physical activity and healthy nutrition, there are results showing that healthy nutrition and physical activity habits of individuals with SMI are increased 10,34,36 . The results of this study support the research results in the literature, 44,45 and programs implemented by a nurse have a positive effect on the level of healthy nutrition and physical activity of individuals with SMI.…”

Section: Discussionsupporting

confidence: 86%

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Effect of a nurse‐led intervention program on the physical health and quality of life of individuals with severe mental illness

Ince

Günüşen

2021

Perspect Psychiatr Care

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Purpose The aim of this study was to investigate the effect of nurse‐led intervention programs on patients' physical health, physical activities, healthy lifestyle behaviors, and quality of life. Design and Methods The research was conducted with a quasi‐experimental design. The sample consisted of 33 individuals with severe mental illness. Data were collected with the Healthy Lifestyle Behavior Scale II, the Short Form‐36 Quality‐of‐Life Instrument, and pedometers. Findings The individuals in the intervention group showed a statistically significant decrease in waist circumference and increases in the physical activity and nutrition dimensions of healthy lifestyle behaviors and the physical function of quality of life. No statistically significant changes were detected in anthropometric measurements, healthy lifestyle behaviors, or quality‐of‐life subscales in the control group. Practice Implications Mental health nursing and psychiatric nurses should plan and implement interventions to encourage healthy eating and physical activity for patients.

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Section: Discussionsupporting

confidence: 86%

“…is more prevalent among psychiatric patients than the normal population. This affects the physical health of individuals negatively and causes excessive weight gain 10,11 . The mortality and morbidity of individuals with SMI depend largely on modifiable lifestyle risk factors.…”

Section: Introductionmentioning

confidence: 99%

Effect of a nurse‐led intervention program on the physical health and quality of life of individuals with severe mental illness

Ince

Günüşen

2021

Perspect Psychiatr Care

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“…Studies have shown higher physical activity among outpatients [ 38 ], whereas other studies have shown higher physical activity among inpatients [ 35 ]. Two, in the studies by Petzold et al [ 39 ] and Chapman et al [ 37 ], the patients were recruited by flyers and doctors, resulting perhaps in higher rates of physical activity due to self-motivation and potentially excluding patients with no interest in physical activity. In our analysis, all patients admitted to the wards were included, showing a more realistic view by decreasing selection bias.…”

Section: Discussionmentioning

confidence: 99%

Tracking changes in physical activity during inpatient treatment in a psychiatric clinic in Germany by asking two simple questions

Roempler

Petzold

Bendau

et al. 2023

Eur Arch Psychiatry Clin Neurosci

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Increasing physical activity is essential to improve psychiatric patients’ physical and mental health. This study aimed to characterise the physical activity levels of inpatients in a general psychiatric clinic and to determine the feasibility of using a simple tool in everyday practice to assess physical activity levels in standard patient documentation. We assessed the level of physical activity undertaken by patients treated on an inpatient basis in a psychiatric hospital over 20 months. A total of 328 patients were included in the analysis. Physical activity was measured using a slightly altered version of the Exercise as a vital sign (EVS) questionnaire. All information was extracted from letters of discharge. During inpatient treatment, moderate to vigorous activity levels increased, and more patients engaged in physical activity. Patients with mood or anxiety disorders displayed the most considerable increase in physical activity. Patients with other diagnoses, such as schizophrenia, benefitted less or not at all. Factors associated with physical activity included—among others—history of substance use, education and month of admission. Investigating the feasibility of standardised documentation of physical activity showed fluctuation in documentation rates throughout the study. The level of physical activity performed by psychiatric patients can be increased during inpatient treatment. Implementing physical activity level as part of standard patient documentation is a first step in gathering data to assess the need for interventions to achieve an optimal physical activity in psychiatric patients throughout inpatient treatment.

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“…First studies using MoVo‐Model in populations with mental disorders show that the model might be as helpful for the design of interventions in this population as in populations without mental disorders (Petzold et al, 2017). Interventions built on this model lead to promising effects in patients with mental disorders (Gohner, Dietsche, & Fuchs, 2015; Petzold et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

Step Away from Depression—Study protocol for a multicenter randomized clinical trial for a pedometer intervention during and after in‐patient treatment of depression

Große

Petzold

Brand

et al. 2020

Int J Methods Psych Res

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Objectives: Increasing the number of daily steps by using a pedometer and a diary leads to an activity increase and improved health outcomes in a variety of somatic disorders. Hence, for the inpatient treatment of depression, supervised exercise interventions are more widespread. We aim to examine if a self-managed pedometer intervention (PI) with the option of being proceeded after discharge leads to reduction of depression and to a physical activity (PA) increase. Methods: The Step Away from Depression (SAD) study is a multicenter randomized controlled trial targeting 400 patients with major depressive disorder. Treatment as usual (TAU) is compared to TAU plus PI after 4 weeks, at discharge, and 6 months after hospital admission. Primary outcomes are clinically rated depression severity and accelerometer-measured step counts. Secondary outcomes include self-reported depression symptoms and PA level, psychiatric symptoms, health-related quality of life, self-efficacy, and components of the Motivation Volition Process Model. Results: We report the design of the SAD study considering several methodological aspects for exercise studies, in general. Conclusions: Results of our study will provide information about efficacy of PI for inpatient treatment and about interrelating processes of change concerning depression, PA, and aspects of motivation and volition.

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Increasing physical activity and healthy diet in outpatients with mental disorders: a randomized-controlled evaluation of two psychological interventions

Abstract: MoVo-LISA is effective in helping outpatients with MD to increase their level of PA in short- and mid-term. The used intervention strategies are effective for the promotion of healthy diet in patients with MD as well.

Cited by 13 publications

References 69 publications

Effect of a nurse‐led intervention program on the physical health and quality of life of individuals with severe mental illness

Effect of a nurse‐led intervention program on the physical health and quality of life of individuals with severe mental illness

Tracking changes in physical activity during inpatient treatment in a psychiatric clinic in Germany by asking two simple questions

Step Away from Depression—Study protocol for a multicenter randomized clinical trial for a pedometer intervention during and after in‐patient treatment of depression

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