Consumer perspectives on physical activity interventions within assertive community treatment programs.

Huck, Garrett E.; Finnicum, Cruz; Morrison, Blaise; Kaseroff, Ashley; Umucu, Emre

doi:10.1037/prj0000311

Cited by 5 publications

(5 citation statements)

References 25 publications

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“…Eight papers mention the focus on physical health in mental healthcare. Three qualitative, one mixed-method, and one quantitative paper report on the integration of physical health in mental healthcare ( 46 , 55 , 57 , 65 , 66 ). According to one expert paper, healthcare services need to recognize the far lower life expectancy among people with mental disorders and develop and evaluate new methods to reduce this health disparity ( 63 ).…”

Section: Resultsmentioning

confidence: 99%

Current insights of community mental healthcare for people with severe mental illness: A scoping review

et al. 2023

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BackgroundFor the last four decades, there has been a shift in mental healthcare toward more rehabilitation and following a more humanistic and comprehensive vision on recovery for persons with severe mental illness (SMI). Consequently, many community-based mental healthcare programs and services have been developed internationally. Currently, community mental healthcare is still under development, with a focus on further inclusion of persons with enduring mental health problems. In this review, we aim to provide a comprehensive overview of existing and upcoming community mental healthcare approaches to discover the current vision on the ingredients of community mental healthcare.MethodsWe conducted a scoping review by systematically searching four databases, supplemented with the results of Research Rabbit, a hand-search in reference lists and 10 volumes of two leading journals. We included studies on adults with SMI focusing on stimulating independent living, integrated care, recovery, and social inclusion published in English between January 2011 and December 2022 in peer-reviewed journals.ResultsThe search resulted in 56 papers that met the inclusion criteria. Thematic analysis revealed ingredients in 12 areas: multidisciplinary teams; collaboration within and outside the organization; attention to several aspects of health; supporting full citizenship; attention to the recovery of daily life; collaboration with the social network; tailored support; well-trained staff; using digital technologies; housing and living environment; sustainable policies and funding; and reciprocity in relationships.ConclusionWe found 12 areas of ingredients, including some innovative topics about reciprocity and sustainable policies and funding. There is much attention to individual ingredients for good community-based mental healthcare, but very little is known about their integration and implementation in contemporary, fragmented mental healthcare services. For future studies, we recommend more empirical research on community mental healthcare, as well as further investigation(s) from the social service perspective, and solid research on general terminology about SMI and outpatient support.

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Section: Resultsmentioning

confidence: 99%

Current insights of community mental healthcare for people with severe mental illness: A scoping review

et al. 2023

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“…[Knowing] how many repetitions and how to use the handles and set the chair and everything, that would've made it a lot more enjoyable for me. Huck et al, 125…”

Section: Individual Factorsmentioning

confidence: 99%

“…Multiple risk behaviours were considered in 18 studies, 116,117,121,122,126,132,133,[135][136][137][139][140][141][143][144][145][146][147] and 12 considered single risk behaviours. [118][119][120][123][124][125][129][130][131]134,138,142 Multiple risk behaviours were most commonly considered in pairs (14/18 studies); 116,117,122,126,132,133,[135][136][137]140,141,[145][146][147] the most common combination of risk behaviours was physical activity and diet (11 studies). 116,117,122,126,135,137,...…”

Section: Studies Includedmentioning

confidence: 99%

“…139 The most commonly addressed single risk behaviour was physical activity (6/11 studies). [118][119][120]124,125,134 See Appendix 6 for further details.…”

Section: Studies Includedmentioning

confidence: 99%

“…And I was like 'alright'. They just signed the prescription and I take it away and try, so that was that.Knowles et al,131 SRB, smoking we're at [nursing facility], you could go on a long walk, but it's all the way around the building and then you can't really stop anywhere to rest.Huck et al,125 SRB, physical activityBarriers can mount up and environmental constraints can be multiplicative, such as when bad weather impeded taking outdoor exercise among those with a relatively low tolerance for exercise:. .…”

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confidence: 99%

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Multiple versus single risk behaviour interventions for people with severe mental illness: a network meta-analysis and qualitative synthesis

Meader

Melton

Evans

et al. 2022

Health Soc Care Deliv Res

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Background People with severe mental illness die 15–20 years earlier than the general population. Reasons why include that people with severe mental illness are more likely to smoke and be physically inactive as a result of social inequalities. Objectives (1) Evaluate the clinical effectiveness of multiple risk behaviour interventions on behaviour change (e.g. smoking abstinence), and outcomes affected by behaviours (e.g. weight loss). (2) Compare the clinical effectiveness of interventions targeting multiple and single risk behaviours. (3) Examine the factors affecting outcomes (e.g. intervention content). (4) Assess the factors affecting experiences of interventions (e.g. barriers and facilitators). Data sources The Cochrane Central Register of Controlled Trials (CENTRAL), EMBASE™ (Elsevier, Amsterdam, the Netherlands), MEDLINE, PsycInfo® (American Psychological Association, Washington, DC, USA) and Science Citation Index (Clarivate Analytics, Philadelphia, PA, USA) were searched from inception to October 2018, and an updated search was conducted in March 2020. An Applied Social Sciences Index and Abstracts (ASSIA) search and an updated Cochrane Central Register of Controlled Trials search were undertaken in September 2020. Study selection Randomised controlled trials targeting single or multiple health risk behaviours among people with severe mental illness were included. Qualitative evidence on factors affecting the effectiveness of risk behaviour interventions was included. Study appraisal Network meta-analyses were conducted to compare the effectiveness of multiple and single risk behaviour interventions. The mean differences were estimated for continuous outcomes; if this was not possible, standardised mean differences were calculated. Thematic syntheses of qualitative studies were conducted. Results A total of 101 studies (67 randomised controlled trials and 34 qualitative studies) were included. Most outcomes were smoking abstinence, weight and body mass index. Just over half of studies were rated as having a high overall risk of bias. Trials focusing on smoking alone led to greater abstinence than targeting smoking and other behaviours. However, heterogeneity means that other explanations cannot be ruled out. For weight loss and body mass index, single risk behaviour (e.g. physical activity alone) and multiple risk behaviour (e.g. diet and physical activity) interventions had positive but modest benefits. For example, any risk behaviour intervention led to a 2 kg greater weight loss (–2.10 kg, 95% credible interval –3.14 to –1.06 kg) and approximately half a point (i.e. 0.5 kg/m2) greater body mass index reduction (–0.49 kg/m2, 95% credible interval –0.97 to –0.01 kg/m2) than treatment as usual. There were potential synergies for targeting multiple health behaviours for reduction in systolic and diastolic blood pressure. No evidence was found of a deterioration in mental health for people with severe mental illness engaging in interventions to reduce health risk behaviours. Qualitative studies found that people with severe mental illness favoured interventions promoting physical and mental health together, and that took their condition into account. However, trials focused mainly on promoting physical health. Limitations Most quantitative studies focused on weight and body mass index; few assessed behavioural outcomes. Qualitative studies often addressed different aims. Conclusions Multiple and single risk behaviour interventions were associated with positive but modest benefits on most outcomes. Interventions seeking to promote physical health were not associated with deterioration in mental health. There was a lack of overlap between quantitative and qualitative studies. Future work Further research is needed to investigate whether or not health behaviour changes are maintained long term; tailoring weight-loss interventions for people with severe mental illness; and in terms of methods, co-production and mixed-methods approaches in future trials. Study registration This study is registered as PROSPERO CRD42018104724. Funding This project was funded by the National Institute for Health Research (NIHR) Health and Social Care Delivery Research programme and will be published in full in Health and Social Care Delivery Research; Vol. 10, No. 6. See the NIHR Journals Library website for further project information.

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Barriers to Physical Activity Among Assertive Community Treatment Participants: A Mixed-Methods Analysis

Huck

Mahr

Morrison

et al. 2019

sgrjarc

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There is a paucity of research about factors influencing physical activity participation among individuals with severe mental illness (SMI). Consequently, this group continues to engage in low levels of activity, resulting in high comorbidity and premature mortality. This study examined the barriers to activity experienced by individuals with SMI receiving assertive community treatment (ACT) services. A mixed-methods approach was used to gain a comprehensive understanding of (a) the most frequently identified barriers to activity, (b) the degree to which specific barriers influence activity levels and stages of change, and (c) the consistency between those barriers experienced by ACT participants and individuals receiving other types of treatments. Participants identified a variety of barriers. Several significant correlations with low activity and stages of change were noted, and consistency with those barriers experienced by individuals receiving treatment in other settings was observed. Implications for clinical practice and future research directions are discussed.

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Consumer perspectives on physical activity interventions within assertive community treatment programs.

Cited by 5 publications

References 25 publications

Current insights of community mental healthcare for people with severe mental illness: A scoping review

Current insights of community mental healthcare for people with severe mental illness: A scoping review

Multiple versus single risk behaviour interventions for people with severe mental illness: a network meta-analysis and qualitative synthesis

Barriers to Physical Activity Among Assertive Community Treatment Participants: A Mixed-Methods Analysis

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