Motivation Does not Come with an Ending—It's the Beginning of Something New: Experiences of Motivating Persons with Psychiatric Disabilities to Physical Activity

Lassenius, Oona; Arman, Maria; Söderlund, Anne; Gustin, Lena Wiklund

doi:10.3109/01612840.2014.901448

Cited by 3 publications

(3 citation statements)

References 95 publications

(97 reference statements)

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“…Consistent with previous research, this could be provided by mental health professionals such as physiotherapists and occupational therapists [47]. While some people with SMI are comfortable in accepting support from professionals, others do not want this [48] and prefer support from trusted caregivers, friends, and family [49].…”

Section: Thoughts About the Cost And Locationsupporting

confidence: 52%

Understanding the experience of initiating community-based group physical activity by people with serious mental illness: A systematic review using a meta-ethnographic approach

et al. 2020

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Background: People living with serious mental illness (SMI) experience debilitating symptoms that worsen their physical health and quality of life. Regular physical activity (PA) may bring symptomatic improvements and enhance wellbeing. When undertaken in community-based group settings, PA may yield additional benefits such as reduced isolation. Initiating PA can be difficult for people with SMI, so PA engagement is commonly low. Designing acceptable and effective PA programs requires a better understanding of the lived experiences of PA initiation among people with SMI. Methods: This systematic review of qualitative studies used the meta-ethnography approach by Noblit and Hare (1988). Electronic databases were searched from inception to November 2017. Eligible studies used qualitative methodology; involved adults (≥18 years) with schizophrenia, bipolar affective disorder, major depressive disorder, or psychosis; reported community-based group PA; and captured the experience of PA initiation, including key features of social support. Study selection and quality assessment were performed by four reviewers. Results: Sixteen studies were included in the review. We identified a "journey" that depicted a long sequence of phases involved in initiating PA. The journey demonstrated the thought processes, expectations, barriers, and support needs of people with SMI. In particular, social support from a trusted source played an important role in getting people to the activity, both physically and emotionally. Discussion: The journey illustrated that initiation of PA for people with SMI is a long complex transition. This complex process needs to be understood before ongoing participation in PA can be addressed. Registration-The review was registered on the International Prospective Register of Systematic Reviews (PROSPERO) on 22/03/2017 (registration number CRD42017059948).

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Section: Thoughts About the Cost And Locationsupporting

confidence: 52%

Understanding the experience of initiating community-based group physical activity by people with serious mental illness: A systematic review using a meta-ethnographic approach

et al. 2020

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“…It has been shown that social support is required to help an individual with mental ill health to start physical activity in the community [ 19 , 49 , 52 ], and that this support should be provided by someone who is trusted and/or well-known to the individual [ 19 , 53 ], such as health professionals [ 54 ], family members or friends [ 55 ]. The interpersonal relationship between the participant and their support team has been shown to play a big role in giving individuals with serious mental illness the confidence to start a new physical activity [ 19 ].…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the uptake, retention and effectiveness of exercise referral schemes for the management of mental health conditions in primary care: a systematic review

et al. 2022

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Background Exercise is a recognised element of health-care management of mental-health conditions. In primary health care, it has been delivered through exercise referral schemes (ERS). The National Institute for Health and Care Excellence has highlighted uncertainty regarding the effectiveness of ERS in improving exercise participation and health outcomes among those referred for mental-health reasons. This review aims, therefore, to evaluate ERSs for individuals who are referred specifically for mental-health reasons. Methods Studies were reviewed that assessed the effectiveness of ERSs in improving initiation of and/or adherence to exercise and/or their effectiveness in improving long-term participation in exercise and health outcomes among primary care patients who had been referred to the scheme for mental-health reasons. The data were extracted and their quality assessed. Data were analysed through a narrative synthesis approach. Results Nine studies met the eligibility criteria. Three assessed clinical effectiveness of the schemes, eight assessed ERS uptake and/or adherence to the exercise schedule, and two assessed the impact of the ERSs on long-term exercise levels. In one study, it was found that ERSs that were based in leisure centres significantly improved long-term symptoms in those who had been referred due to their mental ill health (P<0.05). ERSs that involved face-to-face consultations and telephone calls had the highest rates of mean uptake (91.5%) and adherence (71.7%), but a difference was observed between uptake/adherence in trials (86.8%/55.3%) and in routine practice (57.9%/37.2%). ERSs that included face-to-face consultations and telephone calls increased the amount of long-term physical activity that was undertaken by people who had been referred for mental-health reasons (P=0.003). Conclusions Uptake and effectiveness of ERSs for mental health conditions was related to programme content and setting with more effective programmes providing both face-to-face and telephone consultations. Good uptake of yoga among those referred for mental health reasons suggests that mindful exercise options should be investigated further. Existing ERSs could be improved through application of individual tailoring and the provision of more face-to-face consultations, and social support. Further research is required to identify the types of ERSs that are most clinically effective for those with mental ill health.

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“…The professionals have an important role in carrying out the interventions, in motivating and maintaining the clients’ involvement in the interventions (Eklund & Leufstadius ; Lassenius et al . ), and in implementation of new ways of working (Eklund & Leufstadius ; Grol & Grimshaw ). Consequently, the professionals’ views are central and the aim of this study was thus to investigate their expectations and experiences of the project Culture and Health.…”

Section: Introductionmentioning

confidence: 99%

New way of working: Professionals’ expectations and experiences of the Culture and Health Project for clients with psychiatric disabilities: A focus group study

Wästberg

Sandström

Gunnarsson

2017

Int J Mental Health Nurs

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There is a need for various types of interventions when meeting needs of clients with psychiatric disabilities and complementary interventions may also influence their well-being. The Culture and Health project, based on complementary interventions with 270 clients, was created in a county in Sweden for clients with psychiatric disabilities and for professionals to carry out the interventions. The aim of this study was to investigate the professionals' expectations regarding the project and their clients' possibilities for participating, and to investigate the professionals' experiences of the project after its completion. Focus group data with a total of 30 professionals participating were collected. A qualitative content analysis revealed four categories of the professionals' expectations before entering the project: "Clients' own possibilities and limitations for their development and independence", "Professionals' possibilities for supporting the clients", "Societal prerequisites", and "Expectations of a new way of working". Furthermore, the analysis regarding professionals' experiences after working with the project revealed three categories: "Adopting the challenges", "Having ways of working that function -prerequisites and possibilities", and "Meeting the future -an ambition to continue". Conclusion: Working in the Culture and Health project together with the clients in group-based activities was perceived as beneficial, although challenges arose. When implementing cultural activities, support from stakeholder organisations is needed.

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Motivation Does not Come with an Ending—It's the Beginning of Something New: Experiences of Motivating Persons with Psychiatric Disabilities to Physical Activity

Cited by 3 publications

References 95 publications

Understanding the experience of initiating community-based group physical activity by people with serious mental illness: A systematic review using a meta-ethnographic approach

Understanding the experience of initiating community-based group physical activity by people with serious mental illness: A systematic review using a meta-ethnographic approach

Evaluation of the uptake, retention and effectiveness of exercise referral schemes for the management of mental health conditions in primary care: a systematic review

New way of working: Professionals’ expectations and experiences of the Culture and Health Project for clients with psychiatric disabilities: A focus group study

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