Embedding exercise interventions as routine mental health care: implementation strategies in residential, inpatient and community settings

Lederman, Oscar; Suetani, Shuichi; Stanton, Robert; Chapman, Justin; Korman, Nicole; Rosenbaum, Simon; Ward, Philip B.; Siskind, Dan

doi:10.1177/1039856217711054

Cited by 68 publications

(46 citation statements)

References 32 publications

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“…Regular physical activity and exercise have been found to prevent stress-related diseases (Harber et al, 2017;Li & Siegrist, 2012) and strengthen mental health (Hearing et al, 2016;Lederman et al, 2017;Schulz et al, 2012). These benefits are due to several factors, including a preventive effect whenever exercise contributes to lowered stress perceptions (Gerber et al, 2014) and a coping-promoting effect when exercise helps to endorse adaptive coping behaviours (Cairney et al, 2014).…”

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confidence: 99%

Effects of 8-week endurance and resistance training programmes on cardiovascular stress responses, life stress and coping

Chovanec

Gröpel

2020

Journal of Sports Sciences

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This study tested the effect of 8-week endurance and resistance training programmes on cardiovascular stress responses, life stress, and coping. Fifty-two untrained but healthy female students were randomised to an 8-week endurance training, an 8-week resistance training, or a wait list control group. Before and after the training intervention, we assessed the groups' cardiorespiratory fitness (VO2max test), selfreported life stress, coping strategies and cardiovascular reactivity to and recovery from a standardised laboratory stressor. Both endurance and resistance training programmes caused physiological adaptation in terms of increased VO2max after the intervention. For stress and coping parameters, participants in the training groups improved cardiovascular recovery from stress and reported having less stress in their everyday life after the intervention than participants in the control group, while the two training groups did not differ from each other. We did not find any significant differences in heart rate reactivity and coping strategies between the study groups. These results partly support that exercise training has stressreducing benefits regardless of the type of exercise. Both endurance and resistance exercise activities may be effectively used to improve stress regulation competence while having less impact on changing specific coping strategies.

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confidence: 99%

Effects of 8-week endurance and resistance training programmes on cardiovascular stress responses, life stress and coping

Chovanec

Gröpel

2020

Journal of Sports Sciences

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“…The inpatient environment provides an opportunity to regulate physical activity into daily routine, however, the potential for exercise implementation is often not reached in this environment (Blythe & White, 2012). Consequently, there is a growing need to address the systemic barriers which have impeded widespread implementation of physical activity interventions (Lederman et al 2017). Additionally, it has been recognised that the delivery of such interventions in inpatient settings is challenging, and the evidence, although promising, is limited (Stanton & Happell, 2014).…”

Section: A C C E P T E D Accepted Manuscriptmentioning

confidence: 99%

Physical activity in secure settings: A scoping review of methods, theory and practise

Rogers

Kinnafick

Papathomas

2019

Mental Health and Physical Activity

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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.

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“…Exercise and sport have been successfully employed to treat a wide range of psychiatric disorders [13], and are considered essential to human wellbeing [14]. Although the UNHCR (United Nations High Commissioner for Refugees, Geneva, Switzerland) recognizes the potential of exercise and sport as a peace-building measure in refugee camps [15], and reviews have shown that increased physical activity has positive effects on traumatized individuals [16,17], very limited evidence is available regarding the potential of exercise and sport as part of the treatment of refugees suffering from PTSD symptoms [18].…”

Section: Introductionmentioning

confidence: 99%

Challenges Associated with the Implementation of an Exercise and Sport Intervention Program in a Greek Refugee Camp: A Report of Professional Practice

Knappe

Colledge

Gerber

2019

IJERPH

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Objective Refugees have a particularly high prevalence of psychopathological disorders. Despite this, little attention has been paid to the treatment of traumatized refugees, and research on the effects of exercise and sport among refugees is still in its infancy. Thus far, no randomized controlled trials have been carried out in a refugee camp setting, most likely because such trials are complicated by multiple organizational and methodological issues. We highlight some major challenges when carrying out experimental research in a refugee camp. Method This report of professional practice is based on systematic observations, individual and focus group interviews, and experiences made in a pre-experimental study, implemented in a refugee camp on the Greek mainland. Results The report provides background information about how refugees generally come to Greece, how transit camps are typically managed, which institutions are involved in the camp management, which rules need to be followed by people working in a camp, which countries refugees generally come from, and the conditions in which they live in the camp. We also identify general factors that complicate experimental research in such a setting, and highlight specific issues pertaining to sport and exercise-based intervention trials. Conclusions Currently, more people are fleeing their home regions than after the end of the Second World War. This situation calls for a change in the understanding of humanitarian aid. Pure material and technical support must be complemented by public health measures, including exercise and sport programs. Researchers who want to enter this field of research can learn important lessons from our observations.

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Embedding exercise interventions as routine mental health care: implementation strategies in residential, inpatient and community settings

Cited by 68 publications

References 32 publications

Effects of 8-week endurance and resistance training programmes on cardiovascular stress responses, life stress and coping

Effects of 8-week endurance and resistance training programmes on cardiovascular stress responses, life stress and coping

Physical activity in secure settings: A scoping review of methods, theory and practise

Challenges Associated with the Implementation of an Exercise and Sport Intervention Program in a Greek Refugee Camp: A Report of Professional Practice

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