A systematic review of the effectiveness of group-based exercise interventions for individuals with first episode psychosis

Shannon, Annabelle; McGuire, Declan; Brown, Edward H.; O’Donoghue, Brian

doi:10.1016/j.psychres.2020.113402

Cited by 13 publications

(8 citation statements)

References 31 publications

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“…PeerFIT participants found that peer‐to‐peer support from group sessions both led to improved self‐confidence and was helpful for facilitating lifestyle changes. Group‐based exercise interventions have been shown to be feasible and acceptable in young people with psychosis (Shannon et al, 2020). Further, these types of programmes may be especially valuable given that individuals with SMI experience high levels of loneliness, and both loneliness and lack of support are barriers to health behaviour intervention engagement (Firth et al, 2016; Fortuna et al, 2022; Roberts & Bailey, 2011).…”

Section: Discussionmentioning

confidence: 99%

Factors influencing engagement in in‐person and remotely delivered lifestyle interventions for young adults with serious mental illness: A qualitative study

Browne,

Naslund,

Salwen‐Deremer

et al. 2023

Early Intervention Psych

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AimYoung adults (ages 18–35) are underrepresented in lifestyle interventions for people with serious mental illness (SMI), such as schizophrenia, bipolar disorder, and severe depression, and little is known about factors influencing their engagement in these programmes. This qualitative study examined factors affecting engagement amongst young adults with SMI who were enrolled in a lifestyle intervention trial at community mental health centres.MethodsSeventeen young adults with SMI participated in this qualitative study. Participants were drawn from a 12‐month randomized controlled trial (n = 150) comparing an in‐person group lifestyle intervention augmented with mobile health technology (PeerFIT) to one‐on‐one personalized remote health coaching (BEAT) using purposive sampling. The 17 participants completed semi‐structured qualitative interviews at post‐intervention to explore their perceived benefits of the intervention and factors impacting engagement. We used a team‐based descriptive qualitative approach to code transcripts and identify themes in the data.ResultsParticipants across both interventions reported experiencing improved ability to engage in health behaviour change. Participants described managing psychosocial stressors and family and other responsibilities that limited their ability to attend in‐person PeerFIT sessions. The remote and flexible BEAT remote health coaching intervention appeared to facilitate engagement even in the context of challenging life circumstances.ConclusionsRemotely delivered lifestyle interventions can facilitate engagement amongst young adults with SMI navigating social stressors.

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Section: Discussionmentioning

confidence: 99%

Factors influencing engagement in in‐person and remotely delivered lifestyle interventions for young adults with serious mental illness: A qualitative study

Browne,

Naslund,

Salwen‐Deremer

et al. 2023

Early Intervention Psych

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“…In two systematic reviews of exercise interventions in schizophrenia, exercise did not reduce BMI, but improved psychiatric symptoms, neurocognition and functioning 55,56 . Similar improvements have been found in populations with first‐episode psychosis 57 . Thus, challenges remain in this area.…”

Section: Discussionmentioning

confidence: 83%

“…55,56 Similar improvements have been found in populations with first-episode psychosis. 57 Thus, challenges remain in this area.…”

Section: Discussionmentioning

confidence: 99%

The over‐35s: prediabetes and diabetes within an EIP service

Bandgar,

Kelbrick,

Paduret

et al. 2024

Prog Neurol Psychiatry

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Little is known about the rates of prediabetes and diabetes in those over the age of 35 years in UK early intervention for psychosis (EIP) services. In this article, the authors discuss their retrospective case note service evaluation of patients within an NHS EIP service where they evaluate the prevalence of prediabetes and diabetes in the ‘over‐35’ cohort, its monitoring and management. The ‘over‐35’ cohort represented a third of the EIP caseload and is a high‐risk group for prediabetes and diabetes. More research and innovative strategies are needed in terms of both lifestyle and pharmacological interventions in this patient population to reduce the risk of developing, and improve management of type 2 diabetes.

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“…Paramount functional recovery goals in FEP include increasing physical activity (e.g. Shannon et al, 2020 ), building life skills (e.g. Allott et al, 2020 ), and promoting social connectedness (e.g.…”

Section: Discussionmentioning

confidence: 99%

Enhancing functional recovery for young people recovering from first episode psychosis via sport-based life skills training: outcomes of a feasibility and pilot study

Brooke

Gucciardi

Ntoumanis

et al. 2022

Health Psychology and Behavioral Medicine

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Early intervention within First Episode Psychosis (FEP) recovery efforts support functional recovery in several ways, including increasing levels of (1) physical activity (2) life skills, and (3) social connectivity. Sport has been proposed as an ideal platform to target these three goals simultaneously. The primary aims were to assess the feasibility of utilising sport-based life skills within FEP recovery efforts and test intervention components. The secondary aim was to evaluate the potential recovery benefits. Seven young people (aged 15–25 years) with FEP participated in a six-week sport programme alongside their support workers (community and peer workers) from the service, including peer workers with a lived experience of psychosis. The programme consisted of various sporting activities, which were designed to promote physical activity, maximise social connectivity, and teach life-skills (e.g. motivation, emotional regulation, and goal-setting) that are relevant and transferrable to other contexts (e.g. school, employment, independent living). The support participants engaged with the programme at the same level as the young people, with the role of providing support and normalising/modelling engagement. The young and support participants provided feedback during and after the programme via questionnaires and interviews. Young participants self-reported physical activity levels, psychological needs, recovery dimensions, and life skills pre- and post- intervention using established psychometric tools. We used thematic analysis to analyse the qualitative data and compared this information with other data collected (e.g. attendance, feedback, quantitative measurements). The study culminated with a process evaluation. The results indicated that, despite challenges with engagement for young people with FEP, sport-based life skills programming may be a feasible and useful recovery outlet. In addition, the results highlighted specific intervention components that were useful to promote engagement and recovery benefits. This study serves as a critical foundation for future sport-based work within FEP recovery.

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A systematic review of the effectiveness of group-based exercise interventions for individuals with first episode psychosis

Cited by 13 publications

References 31 publications

Factors influencing engagement in in‐person and remotely delivered lifestyle interventions for young adults with serious mental illness: A qualitative study

Factors influencing engagement in in‐person and remotely delivered lifestyle interventions for young adults with serious mental illness: A qualitative study

The over‐35s: prediabetes and diabetes within an EIP service

Enhancing functional recovery for young people recovering from first episode psychosis via sport-based life skills training: outcomes of a feasibility and pilot study

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