Evidence suggests that individuals with severe mental illness (SMI) engage in considerably less exercise and significantly more sedentary behaviour than the general population. It has been suggested that inactivity is likely to be exacerbated in secure services. The purpose of this scoping review was to explore and synthesise the existing literature with a view to facilitate discussion on methods, theory and practise used in current studies investigating exercise in secure settings. Additionally, this review aimed to identify gaps in the existing literature and highlight recommendations for future studies. Sixteen studies met the review inclusion criteria. Pre and post measurement was the most common study design. Only three studies utilised psychological or behaviour change theory to underpin their design. Self-report physical activity (e.g. attendance) and clinical measures (e.g. positive and negative symptomology) were the most commonly reported outcome. Length, type and intensity of sessions varied. Recruitment, attrition and limited staff involvement were noted as major challenges in data collection. Despite several uncertainties with methodology (design, validated scale and use of self-report data) and noted challenges with data collection (recruitment and attrition), the emerging data warrants future research into physical activity in secure settings.
Objective
Cervical cancer is predominantly a cancer of younger women, and improvements in oncological outcomes have led to an increase in cervical cancer survivors living with the long‐term effects of treatment. Understanding the recovery process after treatment is essential to increase awareness of the short‐ and long‐term needs of survivors. The aim of this study was to qualitatively explore the recovery process and return to daily activity of cervical cancers survivors from a biopsychosocial perspective.
Methods
Participants were 21 women treated for cervical cancer between the ages of 18 and 60 years, living in the United Kingdom. Interviews were undertaken face to face and via the telephone using a semi‐structured interview schedule.
Results
Data analysis revealed themes which represented participants' experience and perceptions of treatment as a paradox; emotional needs after treatment; and a journey of adversarial growth.
A key finding from this analysis was the nuanced experiences between treatment modalities, with physical changes perceived to be more disruptive following radical treatments, whilst psychological repercussions were significant regardless of treatment type.
Conclusion
This study provides novel insight into the varied recovery experiences of those treated with surgery and/or chemoradiotherapy for cervical cancer, which can be used to improve the survivorship experience.
Physical activity is a key determinant of mental health; community programmes aim to increase health and well-being on a community wide scale; with emphasis on social interaction (Quirk et al., 2017). Regular physical activity participation in community settings yields additional social benefits, such as peer support. Peers are defined as individuals who identify with one another through their experiences, and based on commonality of, diagnosis (Keyes et al., 2016). There is limited research investigating the incorporation of peer support within community-based physical activity programmes for mental health service users (MHSU). This scoping review aimed to explore existing literature that has included peer support as a component of community-based physical activity programmes for MHSU. We examined published literature following the methodological framework by Arksey and O'Malley (2005) using electronic databases (SportDiscus, Web of Science, MEDLINE, and PsycINFO), reference lists, and hand searching of journals. Thirteen articles met the inclusion criteria of programmes that included; adults aged 18 and over, a peer support component, physical activity and/or sport, participants with a mental health diagnoses and were communitybased. Research published between 2007 and 2019 was peer-reviewed and written in English was included. Nine studies found a significant increase in perceived social support, seven studies reporting increased mental wellbeing and five studies reported increased physical activity levels. Effectiveness of reviewed programmes were categorised as;
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