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Challenges in implementing an exercise intervention within residential psychiatric care: A mixed methods study.

Joseph Firth¹, Rebekah Carney¹, Michelle Pownall²

¹Division of Psychology and Mental Health, University of Manchester, UK.

Mental Health and Physical Activity

|June 13, 2017

Summary

Implementing physical exercise for individuals with severe mental illness (SMI) in residential care is challenging. Tailored programs are needed to improve engagement and address motivational barriers for better outcomes.

Keywords:

Bipolar Physical activity Physical health Psychosis Schizophrenia

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Area of Science:

Psychiatry
Exercise Science
Public Health

Background:

Physical exercise is recognized for its role in psychiatric care.
Feasibility of exercise interventions in residential mental health settings is under-researched.

Purpose of the Study:

To evaluate the feasibility of a 10-week exercise intervention for residents with severe mental illness (SMI) in a residential care setting.
To assess participant engagement, adherence, and the impact of exercise on psychiatric symptoms.

Main Methods:

A mixed-methods approach was used to evaluate a 10-week intervention.
The intervention included weekly fitness classes and other exercise activities for 51 residents with SMI across four services.
Consent rate was 27.5%, with a 35.7% dropout rate over 10 weeks.

Main Results:

Participants averaged 87.6 minutes of moderate-to-vigorous exercise weekly.
Fitness classes had poor attendance, and adherence to unsupervised exercise was low.
Increased physical activity correlated with significantly reduced negative symptoms in completers.

Conclusions:

Implementing exercise interventions in residential psychiatric care presents significant challenges.
Supervised classes may not appeal to all residents, and unsupervised exercise lacks adherence.
Future interventions require tailored programs considering participant preferences to enhance engagement and address motivational issues.