Mental health practitioners’ reported barriers to prescription of exercise for mental health consumers

Way, Kirsten; Kannis‐Dymand, Lee; Lastella, Michele; Lovell, Geoff P.

doi:10.1016/j.mhpa.2018.01.001

Cited by 48 publications

(63 citation statements)

References 39 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…As it is likely that both HCPs and patients were more confronted with those challenges, this may have contributed to perceived barriers related to MULTI and themselves, including the lack of awareness of specific content of MULTI. In line with these results, recent studies suggest that there is both a need to invest more time and emphasis to overcome those challenges by HCPs [75], as well as a need to tailor interventions to address patients’ needs and provide individually meaningful and suitable opportunities to be physically active, which may increase autonomous motivation for those activities [43, 53–55, 59, 76].…”

Section: Discussionmentioning

confidence: 97%

Implementation barriers and facilitators of an integrated multidisciplinary lifestyle enhancing treatment for inpatients with severe mental illness: the MULTI study IV

Deenik

Tenback

Tak³

et al. 2019

BMC Health Serv Res

View full text Add to dashboard Cite

BackgroundDespite an increase in studies showing the efficacy of lifestyle interventions in improving the poor health outcomes for people with severe mental illness (SMI), routine implementation remains ad hoc. Recently, a multidisciplinary lifestyle enhancing treatment for inpatients with SMI (MULTI) was implemented as part of routine care at a long-term inpatient facility in the Netherlands, resulting in significant health improvements after 18 months. The current study aimed to identify barriers and facilitators of its implementation.MethodsDeterminants associated with the implementation of MULTI, related to the innovation, the users (patients, the healthcare professionals (HCPs)), and the organisational context, were assessed at the three wards that delivered MULTI. The evidence-based Measurement Instrument for Determinants of Innovations was used to assess determinants (29 items), each measured through a 5-point Likert scale and additional open-ended questions. We considered determinants to which ≥20% of the HCPs or patients responded negatively (“totally disagree/disagree”, score < 3) as barriers and to which ≥80% of HCPs or patients responded positively (“agree/totally agree”, score > 3) as facilitators. We included responses to open-ended questions if the topic was mentioned by ≥2 HCPs or patients. In total 50 HCPs (online questionnaire) and 46 patients (semi-structured interview) were invited to participate in the study.ResultsParticipating HCPs (n = 42) mentioned organisational factors as the strongest barriers (e.g. organisational changes and financial resources). Patients (n = 33) mentioned the complexity of participating in MULTI as the main barrier, which could partly be due to organisational factors (e.g. lack of time for nurses to improve tailoring). The implementation was facilitated by positive attitudes of HCPs and patients towards MULTI, including their own role in it. Open responses of HCPs and patients showed strong commitment, collaboration and ownership towards MULTI.ConclusionsThis is the first study analysing the implementation of a pragmatic lifestyle intervention targeting SMI inpatients in routine clinical care. Positive attitudes of both HCPs and patients towards such an approach facilitated the implementation of MULTI. We suggest that strategies addressing organisational implementation barriers are needed to further improve and maintain MULTI, to succeed in achieving positive health-related outcomes in inpatients with SMI.

show abstract

Section: Discussionmentioning

confidence: 97%

Implementation barriers and facilitators of an integrated multidisciplinary lifestyle enhancing treatment for inpatients with severe mental illness: the MULTI study IV

Deenik

Tenback

Tak³

et al. 2019

BMC Health Serv Res

View full text Add to dashboard Cite

show abstract

“…22 In addition, the barriers to exercise prescription faced by MHP can vary across different settings and cultures. In Australia, the fragmentation of roles, prioritization of other tasks, lack of time, limited resources, 23 and lack of specific training 24 were the most commonly reported barriers to exercise prescription, while medication side effects and the social stigma surrounding mental illness were the most commonly reported barriers in Uganda. 22 To the best of our knowledge, no study conducted in a middle-income country has evaluated the recommendation and prescription of exercise to people with mental illness or has assessed barriers to exercise prescription or participation.…”

Section: Introductionmentioning

confidence: 99%

Exercise prescription for people with mental illness: an evaluation of mental health professionals’ knowledge, beliefs, barriers, and behaviors

Kleemann

Bracht

Stanton

et al. 2020

Braz. J. Psychiatry

View full text Add to dashboard Cite

The aim of this study was to understand the knowledge, beliefs, barriers, and behaviors of mental health professionals about physical activity and exercise for people with mental illness. Methods: The Portuguese version of The Exercise in Mental Illness Questionnaire was used to assess knowledge, beliefs, barriers, and behaviors about exercise prescription for people with mental illness in a sample of 73 mental health professionals (68.5% women, mean age = 37.0 years) from 10 Psychosocial Care Units (Centros de Atenc¸ã o Psicossocial) in Porto Alegre and Canoas, state of Rio Grande do Sul, Brazil. Results: Most of respondents had received no formal training in exercise prescription. Exercise ranked fifth as the most important treatment, and most of the sample never or occasionally prescribed exercise. The most frequently reported barriers were lack of training in physical activity and exercise prescription and social stigma related to mental illness. Professionals who themselves met recommended physical activity levels found fewer barriers to prescribing physical activity and did so with greater frequency. Conclusion: Exercise is underrated and underused as a treatment. It is necessary to include physical activity and exercise training in mental health curricula. Physically active professionals are more likely to prescribe exercise and are less likely to encounter barriers to doing so. Interventions to increase physical activity levels among mental health professionals are necessary to decrease barriers to and increase the prescription of physical activity and exercise for mental health patients.

show abstract

“…Participation in physical activity brings people together and provides personal identity, social identity, and a sense of group membership; it also facilitates communication between people and communities without race, gender, culture and age discrimination (Yıldıran & Yetim, 1996). Participation in physical activity has positive effects on self-respect (Chen et al, 2012;Joseph et al, 2014;Yiğitler, 2014), psychological well-being (Edwards, 2006;Garcia et al, 2012;Verner et al, 2017;Wiese et al, 2018), physical and mental health (Cho & Cho, 2011;Park et al, 2017;Ostovarfar et al, 2018;Way et al, 2018); however, the number of people who do not participate in physical activity is quite high worldwide (World Health Organization, 2004). For example, Bauman (2009) collected data from about 53 thousand people across 20 countries and reported that New Zealand, Czech Republic, the USA, Canada and Australia are the countries where participation in physical activity is most prevalent, while the levels of physical activity are remarkably quite low in the remaining countries.…”

Section: Introductionmentioning

confidence: 99%

The Role of Social Self-Efficacy on Physical Activity: A Cross-Cultural Comparision

Alemdağ¹

2018

JETS

View full text Add to dashboard Cite

The purpose of this cross-cultural study exposes stages of change for exercise behavior (SCEB) in relation to perceived social self-efficacy (PSSE) between Turkey and England sport sciences students. The study group of the research consists of 168 (66 women and 102 men) students from Turkey and 217 (112 women and 105 men) students from England who completed a questionnaire package that included SCEB scale and The PSSE Scale. Descriptive statistics, t test, ANOVA, Chi-Square test were used as a statistical analysis. Results showed that the effect of PSSE on SCEB was significant between two counties and sport science students in Turkey have more PSSE than sport science students in England. Furthermore, it was found significant differences for the SCEB between Turkey and England and that sport science students living in England are significantly more physically active than sport science students living in Turkey. This result could explain that England has more sport neighborhood and facilities than Turkey.

show abstract

Mental health practitioners’ reported barriers to prescription of exercise for mental health consumers

Cited by 48 publications

References 39 publications

Implementation barriers and facilitators of an integrated multidisciplinary lifestyle enhancing treatment for inpatients with severe mental illness: the MULTI study IV

Implementation barriers and facilitators of an integrated multidisciplinary lifestyle enhancing treatment for inpatients with severe mental illness: the MULTI study IV

Exercise prescription for people with mental illness: an evaluation of mental health professionals’ knowledge, beliefs, barriers, and behaviors

The Role of Social Self-Efficacy on Physical Activity: A Cross-Cultural Comparision

Contact Info

Product

Resources

About