Inpatient perspectives on physical activity in a secure mental health setting

Rogers, Eva; Papathomas, Anthony; Kinnafick, Florence-Emilie

doi:10.1016/j.psychsport.2020.101827

Cited by 13 publications

(11 citation statements)

References 56 publications

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“…[23]. However, the need to control the energy used in physical activity is demonstrated, given that excess energy can also lead to problems in adaptation and behavioral problems [24].…”

Section: Mental Healthmentioning

confidence: 99%

“…With regard to the constraints related to the physical activity program itself, environmental restrictions, lack of staff and support in supervising the implementation of the activities, and the presence of rigid structures that limit spontaneous exercise, that is to say, preestablished exercise site conditions that allow for few changes, are identified [24]. The existence of such structures and the lack of support result in a lack of adaptation of the activities to be performed, which is considered another barrier to be taken into account [21].…”

Section: Program Barriersmentioning

confidence: 99%

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Benefits and Barriers of Physical Activity in Social Inclusion and Quality of Life in People with Serious Mental Disorders

Méndez-Aguado,

J. Cangas,

Jesús Lirola

et al. 2023

Mental Health - Preventive Strategies

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This book chapter presents a review of the main benefits that the practice of physical activity brings to people with severe mental disorder (SMD), as well as highlighting the most significant barriers that hinder their adherence. In this regard, it should be noted that this is a population sector in which sedentary lifestyle habits predominate, showing that physical activity is not only beneficial for physical health but also for mental and social health. However, people with severe mental disorder face barriers in which personal, social, and intervention program factors play a role, what makes regular practice difficult for them and, therefore, to access the numerous benefits it brings.

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“…[23]. However, the need to control the energy used in physical activity is demonstrated, given that excess energy can also lead to problems in adaptation and behavioral problems [24].…”

Section: Mental Healthmentioning

confidence: 99%

Section: Program Barriersmentioning

confidence: 99%

Benefits and Barriers of Physical Activity in Social Inclusion and Quality of Life in People with Serious Mental Disorders

Méndez-Aguado,

J. Cangas,

Jesús Lirola

et al. 2023

Mental Health - Preventive Strategies

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“…In the UK, those with complex SMI are detained and referred through the Mental Health Act (1983) and/or via the criminal justice system to be treated within secure psychiatric hospitals. These settings encompass forensic services, psychiatric intensive care and acute inpatient wards 2. The security levels can be categorised as follows3:…”

Section: Introductionmentioning

confidence: 99%

Physical activity interventions for inpatients in secure mental health settings: what works, for whom, in what circumstances and why? A protocol for a realist synthesis

Keel,

Machaczek,

King

et al. 2023

BMJ Open

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IntroductionThe physical health of individuals with severe mental illness (SMI) is a cause for concern. While the purpose of inpatient mental health settings is rehabilitation and treatment, the physical health of hospitalised patients commonly deteriorates. Physical activity (PA) has been identified as an appropriate intervention to help improve the psychological and physical health of inpatients. We aim to address the gaps in the current literature by exploring how, why, for whom and in what contexts PA interventions help patients with SMI, who receive inpatient treatment, to increase their PA engagement.Methods and analysisRealist synthesis: Six steps will be followed: (1) identification of the review question and scope of the review; (2) searching for evidence; (3) screening and appraisal; (4) extraction of data; (5) synthesis of the data and (6) dissemination. Five databases will be searched: Web of Science, PubMed, PsycINFO, PsychArticles and EmBase. A total of 10–15 stakeholders made up of academics and people living with SMI, sport and exercise therapists, psychiatrists, physiotherapists of low, medium and highly secure inpatient settings, will form an expert advisory group. They will provide their insight and knowledge of the secure setting contexts and perceived principles of how PA initiatives being undertaken in their hospitals for patients with SMI work, or not. The results will be published in accordance with the Realist And Meta-narrative Evidence Syntheses-Evolving Standards publication standards.Ethics and disseminationEthical approval has been granted. The review will produce context-specific guidance for Clinical Commissioning Groups and practitioners on how to optimise the provision of PA interventions for people with SMI in inpatient settings.

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“…There is a growing body of literature on mental health and physical activity that recognises the importance of the settings, contexts, and cultures where activities take place [1], as these activities have varying 'ingredients' and may have varying outcomes [2]. Research has considered the relationship between mental health and physical activity across contexts such as (but not limited to): community settings [3,4], medium secure mental health settings [5][6][7], football clubs [8,9], and other community sport settings [10,11]. Increased physical activity for individuals affected by poor mental health has been associated with a range of physical health benefits, such as improved cardiovascular fitness, lower blood glucose, and lower body fat percentages [12].…”

Section: Introductionmentioning

confidence: 99%

“…Despite the evidence relating to community-based physical activity interventions for mental health (i.e., community members and leaders from a range of settings working together to promote physical activity [18]), there remains a scarcity of focus on those severely affected by mental illness (SMI), which is problematic as these individuals often experience poorer physical health [7,19], are less physically active, and are more sedentary than the wider population [20]. In the United Kingdom, the death rate for people affected by SMI is two to three times higher than that of the general population [21], a large proportion of which is attributable to non-communicable illnesses that may be prevented or made less severe through regular physical activity.…”

Section: Introductionmentioning

confidence: 99%

Embedding Physical Activity into Community-Based Peer Support Groups for those Severely Affected by Mental Illness

Healy

Benkwitz

McVinnie

et al. 2023

IJERPH

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Despite a growing evidence base on the effectiveness of community-based physical activity interventions for mental health, there is a lack of studies that focus on those affected by severe mental illness (SMI), who often experience poorer physical health, and are less physically active than the wider population. The use of peer support groups in this context is also understudied, despite benefits being documented in other contexts. This study examined the impact and process of a nationwide project to embed physical activity into peer support groups for those affected by SMI. Following the embedding of physical activity within peer support groups, interviews and focus groups were conducted to explore the experiences of those involved with the project and analysed using reflexive thematic analysis. The key findings related to: 1) the social aspects of embedding physical activity in the groups; 2) the focus on peer support and informal physical activity (rather than organised sport) being beneficial; 3) doing things differently and lessons to learn; and 4) the impact of the COVID-19 pandemic. Overall, we found that peer support is an important feature to include in projects encouraging those severely affected by mental illness to become more physically active.

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Inpatient perspectives on physical activity in a secure mental health setting

Cited by 13 publications

References 56 publications

Benefits and Barriers of Physical Activity in Social Inclusion and Quality of Life in People with Serious Mental Disorders

Benefits and Barriers of Physical Activity in Social Inclusion and Quality of Life in People with Serious Mental Disorders

Physical activity interventions for inpatients in secure mental health settings: what works, for whom, in what circumstances and why? A protocol for a realist synthesis

Embedding Physical Activity into Community-Based Peer Support Groups for those Severely Affected by Mental Illness

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