The Ethos of Physical Activity Delivery in Mental Health: A Narrative Study of Service User Experiences

Carless, David; Douglas, Kitrina

doi:10.3109/01612840.2011.637659

Cited by 23 publications

(49 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Finally, conducting this research has alerted us to how delivery is likely to be critical to the outcomes achieved. Previous research shows how subtle sociocultural factors -such as ethos and philosophy -can be influential [40]. On this basis, future studies are needed into programme delivery -the processes through which inclusive adapted sport and AT courses lead to the kinds of psychosocial outcomes reported here.…”

Section: So the Reason You Wouldn't Talk To Sergeant So And So Beforementioning

confidence: 99%

Psychosocial outcomes of an inclusive adapted sport and adventurous training course for military personnel

Carless

Peacock

McKenna

et al. 2013

Disability and Rehabilitation

Self Cite

View full text Add to dashboard Cite

Purpose. To explore the psychosocial outcomes of an inclusive adapted sport and adventurous training course that aims to support the rehabilitation and personal development of military personnel who have sustained physical and/or psychological disability. Method.Narrative life story interviews were conducted with 11 men aged 20-43 taking part in one of the 5-day courses. A thematic narrative analysis was conducted, focusing on accounts that provided insights into personally meaningful psychosocial outcomes of the course. Findings.We identified 6 themes, falling into two distinct clusters. "Bringing me back to myself" was achieved through the themes of (1) returning to activity, (2) rediscovering a sense of purpose, and (3) reconnecting to others. "New rooms to explore" was realised through (4) experiencing new activities, (5) being valued/respected/cared for, and (6) were assessed as having a mental health problem and it is expected that this figure will continue to rise [6,7].Physical injury/disability and mental health difficulties are often experienced in combination, in part because injury is often preceded by multiple combat exposures [8,9,10]. According to Brittain and Green [19], sport has a long history of rehabilitative use among people with a disability, having potential to support physical and psychological recovery. In the 1970's Guttmann [20] proposed that sport could act as a curative factor (e.g., restoring fitness, strength, coordination), offer recreational and psychologically valuable 4 experiences, and provide a means of social re-integration. While little research has been conducted with military personnel, a few studies document positive outcomes [21,22,23,24]. Research addressing the potential of adventurous training (AT) for military personnel is extremely sparse at present, but some literature suggests participation can lead to positive outcomes such as personal and professional development through, for example, experiential and transferable learning [25].In this study we respond to calls for research into alternative interventions to support military personnel with a physical and/or psychological disability. On the basis of the potential benefits of sport and AT outlined above, we investigate the psychosocial effects of a recently developed inclusive adapted sport and AT course operating in the UK for military personnel. Our research question was: What personally meaningful psychosocial outcomes do male military personnel experience during participation in an inclusive adapted sport and AT course? Method An inclusive sport and adventurous training courseIn 2011 a new intervention was initiated -at the Battle Back Centre, Lilleshall, UKusing inclusive adapted sport and AT as a vehicle for personal development, aiming to assist military personnel in their rehabilitation. In this study, approved by the University Ethics Committee, we focus on a series of pilot courses that ran between October 2011 and April 2012. Individuals taking part were experiencing some form of disability as ...

show abstract

Section: So the Reason You Wouldn't Talk To Sergeant So And So Beforementioning

confidence: 99%

Psychosocial outcomes of an inclusive adapted sport and adventurous training course for military personnel

Carless

Peacock

McKenna

et al. 2013

Disability and Rehabilitation

Self Cite

View full text Add to dashboard Cite

show abstract

“…Addressing issues of access to group workouts, such as transportation services and scheduling confl icts, may also be indicated. Other strategies found in recent reports (Carless & Douglas, 2012;Rickard, Gubay, Hua, Schwodler, & Smith, 2014) could be explored, including fi nding ways to improve the social experience at the local recreation center and use of volunteers to augment the work of the paid trainers.…”

Section: Discussionmentioning

confidence: 99%

Assessing Sustainability of InSHAPE Participants’ Fitness Activities in a Community Mental Health Setting

Lesley¹,

Livingood²

2015

J Psychosoc Nurs Ment Health Serv

View full text Add to dashboard Cite

“…sedation, weight gain), mental illness symptoms, and low self-confidence, selfefficacy, and motivation (Buhagiar et al, 2011;Roberts et al, 2011;Searle et al, 2011). Those who participate in exercise programs identify a socially inclusive environment (Carless et al, 2008(Carless et al, , 2012, low cost with transport provided (Carless et al, 2008), incorporating a "buddy" system (Roberts et al, 2011;Tetlie et al, 2009), sessions in small groups with a friendly instructor (Judith McDevitt et al, 2005;Roberts et al, 2013), and tailoring to individual preferences and ability (Fogarty et al, 2005;J. McDevitt et al, 2006), as enablers to participation.…”

Section: Introductionmentioning

confidence: 99%

Physical activity patterns, attitudes and counselling among adults with mental illness

Fraser¹

View full text Add to dashboard Cite

___________________________________________________________________The life expectancy of adults with mental illness is significantly less than that of the general population. This is largely due to poor physical health. Physical activity is consistently recommended for the prevention and management of noncommunicable diseases and also has mental health benefits. The aim of this thesis was to understand and promote physical activity in adults with mental illness, to improve physical health.Study One was a cross-sectional study of inpatients in a private hospital. It assessed the (i) feasibility of self-report and objective measurement of physical activity and sedentary behaviour, (ii) levels of physical activity and sedentary behaviour, and (iii) physical activity attitudes and preferences for contexts and sources of support. 101 participants completed questionnaires on physical activity and sitting time, activity preferences and attitudes, psychological distress and sociodemographic and health variables. 38 also wore an accelerometer for 7 consecutive days.Feasibility of measurement was assessed in terms of participant engagement; selfreported ease/difficulty; extreme self-report data values; and adherence to accelerometer wear time criteria. Findings demonstrated that inpatient adults with mental illness can engage with both questionnaire and accelerometry measurement, that it was more feasible but less acceptable to wear an accelerometer than to complete questionnaires, and that this was not influenced by level of psychological distress.Questionnaire data were used to determine time spent in (i) walking and moderateand vigorous-intensity activity (MVPA), and (ii) domain specific sitting time.Accelerometry was used to determine mean daily time spent in MVPA and sedentary behaviour. Bivariate associations between self-reported MVPA, sedentary behaviour and explanatory variables of gender, age, education, body mass and distress were analysed using regression analyses. Self-report data indicated a median of 32 minutes/day in MVPA and a median of 761 minutes/day in sedentary behaviour.iii Accelerometry data indicated an average of 37 minutes/day in MVPA and 664 minutes/day in sedentary behaviour. Analyses indicated no significant associations between explanatory variables and MVPA or sedentary behaviour.Questionnaire data were used to determine (i) physical activity interest; (ii) reasons to do activity; (iii) general knowledge regarding activity benefits; (iv) preferences for activity type, context and sources of support; and (v) activity barriers. More than three quarters (77%) of participants expressed high interest to do physical activity while in hospital, with the most common reasons being to maintain physical health and improve emotional wellbeing (≥95%). More than 90% of participants agreed physical activity was beneficial for managing psychological wellbeing, heart disease, stress, diabetes and quality of life; but fewer than half agreed that activity had benefits for serious mental illness. Part...

show abstract

The Ethos of Physical Activity Delivery in Mental Health: A Narrative Study of Service User Experiences

Cited by 23 publications

References 31 publications

Psychosocial outcomes of an inclusive adapted sport and adventurous training course for military personnel

Psychosocial outcomes of an inclusive adapted sport and adventurous training course for military personnel

Assessing Sustainability of InSHAPE Participants’ Fitness Activities in a Community Mental Health Setting

Physical activity patterns, attitudes and counselling among adults with mental illness

Contact Info

Product

Resources

About