Motivational theory-based interventions on health of people with several mental illness: A systematic review and meta-analysis

Romain, Ahmed Jérôme; Bernard, Paquito; Akrass, Zeina; St‐Amour, Samuel; Lachance, Jean-Philippe; Hains-Monfette, Gabriel; Atoui, Sarah; Kingsbury, Célia; Dubois, Eve; Karelis, Antony D.; Abdel‐Baki, Amal

doi:10.1016/j.schres.2020.05.049

Cited by 17 publications

(12 citation statements)

References 65 publications

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“…This is important because physical fitness and physical activity are both independently related to morbidity and mortality (Myers et al., 2015). These results are consistent with the well‐established evidence that supervised exercise can improve physical and mental health in people with mental illnesses (Stubbs et al., 2016) and provides support to existing evidence on the effectiveness of behavioural counselling for this group (Ashdown‐Franks et al., 2018; Farholm & Sørensen, 2016b; Romain et al., 2020).…”

Section: Discussionsupporting

confidence: 88%

“…Implementing exercise programs which enhance motivation to maintain exercise behaviour is essential for promoting these long‐term benefits (Stubbs et al., 2018). Further, interventions based on behaviour change theory may be more easily replicable and transferable to clinical practice, and evidence suggests that theory‐informed interventions may be more effective than those lacking an underlying model of behaviour (Romain et al., 2020).…”

Section: Introductionmentioning

confidence: 99%

“…Meta‐analyses report that theory‐informed physical activity interventions are effective at increasing physical activity in the general population (Gourlan et al., 2016) and in people with mental illness (Romain et al., 2020), and that interventions based on only one theory were more effective than interventions using multiple theories (Gourlan et al., 2016; Romain et al., 2020). However, these reviews did not examine outcomes related to motivational changes.…”

Section: Introductionmentioning

confidence: 99%

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Changes in self‐determined motivation for exercise in people with mental illness participating in a community‐based exercise service in Australia

Seymour

Pratt

Patterson

et al. 2021

Health Social Care Comm

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Exercise has diverse benefits for physical and mental health in people with mental illness; however, it is unclear how to effectively promote exercise motivation in this group. The aim of this study is to evaluate the effectiveness of interventions utilising exercise instruction or behavioural counselling with people with mental illness to improve self-determined motivation for exercise, and physical and mental health. Participants were adults (aged 18+ years) receiving mental health services.Participants could choose from two 8-week programs comprising weekly groupbased sessions delivered by an exercise physiologist: (a) exercise instruction in a gym (GYM) or (b) behavioural counselling (MOT). Self-determined motivation was measured using the Behaviour Regulations for Exercise Questionnaire (BREQ3).Physical health indicators included waist circumference, blood pressure, leg strength (sit-to-stand test), physical capacity (six-minute walk test) and self-reported exercise.Mental health was assessed using the Kessler-6 scale of psychological distress. Most of the 95 participants chose exercise instruction (GYM = 60; MOT = 35). At baseline, participants who chose MOT had higher external motivation, body mass index, waist circumference and psychological distress, and a higher proportion had multiple physical comorbidities than those who chose GYM. More self-determined motivation was associated with meeting physical activity guidelines. Post-intervention, GYM participants had significant improvements in self-determined motivation, psychological distress and sit-to-stand test; MOT participants had significant improvements in integrated regulation, self-reported exercise and physical functioning. In conclusion, exercise instruction can improve self-determined motivation; however, more intensive behavioural counselling support may be needed to improve self-determined motivation. Counselling programs can increase exercise behaviour and may appeal more to people with poorer health and more external motivation. Findings have high ecological validity and applicability to real-world implementation of exercise interventions. To accommodate people with diverse conditions and motivations, motivational e1612 |

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Section: Discussionsupporting

confidence: 88%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Changes in self‐determined motivation for exercise in people with mental illness participating in a community‐based exercise service in Australia

Seymour

Pratt

Patterson

et al. 2021

Health Social Care Comm

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“…Pending future results, PA could be used by healthcare professionals (mostly kinesiologists, psychiatrists, and psychologists) to treat or alleviate comorbid disorders in this population. In doing so, they should base their intervention on the present barriers and preferences to ensure greater adherence 58 .…”

Section: Discussionmentioning

confidence: 99%

Pattern, preferences, barriers, and correlates of self-reported physical activity in adults with borderline personality disorder: An online survey in western countries

St‐Amour

Cailhol

Lapointe

et al. 2022

Preprint

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Introduction Borderline personality disorder is characterized by instability of self, relationships, and affect. It is highly comorbid with both mental and somatic disorders. Physical activity (PA) has shown great results in treating and alleviating symptoms of these disorders. PA intervention either for research or clinical purpose should consider the preferences and barriers of the individuals it aims to favor retention. However, to this day no study analyzed the preferences and barriers to PA in individuals with borderline personality disorder. This study aims to be the first to describe these barriers and preferences. Methods We used an online survey to interrogate 192 adults with a self-reported diagnostic of borderline personality disorder from Canada, France, the United States, England, Switzerland, and New Zealand. Results Our participants completed 165 minutes of PA weekly on average. They preferred walking (66.7%), biking (33.3%), aquatic activities (29.0%), running (24.2%), yoga and weightlifting (equal with 23.7%) in order. The main barriers to PA were having a friend over, having other engagements, recovering from an injury, and having something else more interesting to do. Our participants preferred doing PA alone but supervised, outside, in a long session compared to many short ones and of moderate intensity. Finally, a majority of participants are interested in receiving PA advice but most did not receive any. The favorite professionals from whom to receive advice are trainers, psychiatrists, physical therapists, and psychologists. Conclusion These results are important to better tailor future PA interventions for adults with borderline personality disorder.

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“…We controlled for several variables. Because research on this topic is limited, we selected control variables that are common to mental health research (Romain et al, 2020). The control variables include age in years, gender (male as the reference category), and the number of times participants were arrested.…”

Section: Methodsmentioning

confidence: 99%

An Ego-Centric Model of Criminal Arrest Among Mental Health Court Participant Network

Jaggers

Kondrat

Candida

et al. 2021

Families in Society: The Journal of Contemporary Social Service

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People with serious mental illness are disproportionately represented among prison/jail populations. Mental health courts (MHC) serve as an alternative to incarceration. In this study, we explore the extent to which MHC participants have members of their social network who were reported as having a history of arrests. Multilevel logistic regression demonstrated friends who used drugs, race, and network density were all predictive of MHC participants’ friends who have a history of arrest. Results demonstrate an association between MHC participation and arrest among individuals in their social network. Given the importance of social support in recovery from mental illness and in desisting from crime, such limitations can be problematic. MHC participants may be disinclined to engage with the very individuals who are able to provide social and emotional support.

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Motivational theory-based interventions on health of people with several mental illness: A systematic review and meta-analysis

Cited by 17 publications

References 65 publications

Changes in self‐determined motivation for exercise in people with mental illness participating in a community‐based exercise service in Australia

Changes in self‐determined motivation for exercise in people with mental illness participating in a community‐based exercise service in Australia

Pattern, preferences, barriers, and correlates of self-reported physical activity in adults with borderline personality disorder: An online survey in western countries

An Ego-Centric Model of Criminal Arrest Among Mental Health Court Participant Network

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