Author:
Koomen Lisanne Elisabeth Maria,van de Meent Ilona Hendrika Theodora,Deenik Jeroen,van Dellen Edwin,Schnack Hugo Gerard,van Werkhoven Henri,Swildens Wilma Elisabeth,van Meijel Berno,Staal Wouter,Jörg Frederike,Scheepers Floortje,Cahn Wiepke
Abstract
Abstract
Background
People with severe mental illness (SMI) often suffer from long-lasting symptoms that negatively influence their social functioning, their ability to live a meaningful life, and participation in society. Interventions aimed at increasing physical activity can improve social functioning, but people with SMI experience multiple barriers to becoming physically active. Besides, the implementation of physical activity interventions in day-to-day practice is difficult. In this study, we aim to evaluate the effectiveness and implementation of a physical activity intervention to improve social functioning, mental and physical health.
Methods
In this pragmatic stepped wedge cluster randomized controlled trial we aim to include 100 people with SMI and their mental health workers from a supported housing organization. The intervention focuses on increasing physical activity by implementing group sports activities, active guidance meetings, and a serious game to set physical activity goals. We aim to decrease barriers to physical activity through active involvement of the mental health workers, lifestyle courses, and a medication review. Participating locations will be divided into four clusters and randomization will decide the start of the intervention. The primary outcome is social functioning. Secondary outcomes are quality of life, symptom severity, physical activity, cardiometabolic risk factors, cardiorespiratory fitness, and movement disturbances with specific attention to postural adjustment and movement sequencing in gait. In addition, we will assess the implementation by conducting semi-structured interviews with location managers and mental health workers and analyze them by direct content analysis.
Discussion
This trial is innovative since it aims to improve social functioning in people with SMI through a physical activity intervention which aims to lower barriers to becoming physically active in a real-life setting. The strength of this trial is that we will also evaluate the implementation of the intervention. Limitations of this study are the risk of poor implementation of the intervention, and bias due to the inclusion of a medication review in the intervention that might impact outcomes.
Trial registration
This trial was registered prospectively in The Netherlands Trial Register (NTR) as NTR NL9163 on December 20, 2020. As the The Netherlands Trial Register is no longer available, the trial can now be found in the International Clinical Trial Registry Platform via: https://trialsearch.who.int/Trial2.aspx?TrialID=NL9163.
Publisher
Springer Science and Business Media LLC
Subject
Psychiatry and Mental health
Reference52 articles.
1. Salzer MS, Brusilovskiy E, Townley G. National estimates of recovery-remission from serious mental illness. Psychiatr Serv. 2018;69(5):523–8.
2. Hoof F van, Erp N van, Boumans J, Muusse C. Persoonlijk en maatschappelijk herstel van mensen met ernstige psychische aandoeningen Trendrapportage. 2014. Available from: https://assets.trimbos.nl/docs/83ffad0a-cf73-4447-aecc-d5dd3033ceff.pdf.
3. Place C, Michon H. Tabellenboek bij factsheet panel Psychisch Gezien : Werk , eenzaamheid en stigma. 2014.
4. GGZ Nederland. Naar herstel en gelijkwaardig burgerschap. Visie op de (langdurende) zorg aan mensen met ernstige psychiatrische aandoeningen. 2009. Available from: https://www.assortimens.nl/assets/Uploads/Herstelvisie-GGZ-Nederland.pdf.
5. Dong M, Lu L, Zhang L, Zhang YS, Ng CH, Ungvari GS, et al. Quality of Life in schizophrenia: a meta-analysis of comparative studies. Psychiatr Q. 2019;90(3):519–32.
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