Psychosocial factors associated with physical activity behavior among patients with psychosis

Lee, Jenny T.M.; Law, Eunice Y.L.; Lo, Lincoln Lik Hang; Lin, Jingxia; H, Lee; Hui, Christy Lai Ming; Chong, Catherine Shiu‐yin; Chan, Sherry Kit Wa; Lo, William Tak‐Lam; Chen, Eric

doi:10.1016/j.schres.2017.09.042

Cited by 5 publications

(3 citation statements)

References 32 publications

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“…Promoting autonomy and social support have been found to be critical in engaging people with FEP in exercise (Firth, Carney, Elliott, et al, ). Self‐efficacy has been found to be important to sustain PA intentions in people with psychosis (Lee et al, ). In addition, Vancampfort et al () showed that autonomous forms of motivation (eg, enjoy the activity itself, value the benefits of an activity) may play a pivotal role in adopting and maintaining PA activity for people with FEP.…”

Section: Discussionmentioning

confidence: 99%

Qualitative investigation of perceived barriers to and enablers of sport participation for young people with first episode psychosis

Brooke¹,

Gucciardi²,

Ntoumanis³

et al. 2019

Early Intervention Psych

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Aims:The aim and objective of the study was building on a previous call for the development of sport-based life skills interventions for young people with first episode of psychosis (FEP) (Brooke, Lin, Ntoumanis, & Gucciardi, 2018), to explore the barriers and enablers to sport participation for young people with FEP. Method:We used a semi-structured interview format to conduct one-to-one interviews with young people (aged 16-25; n = 10) with FEP, and one-to-one interviews and focus groups with their clinicians (n = 33). Questions focused on barriers and facilitators (intrapersonal, interpersonal, psychological, environment, health/safety, logistical) to sport participation young people with FEP. Thematic analysis was used to analyse the data. Results: Four themes (and 11 sub-themes) emerged from the analysis: (a) the need for sport in FEP recovery (perceived benefits; resource gap); (b) barriers (logistical; psychological); (c) enablers (positive environmental expectations and experiences) and (d) programme design (sport programme/type; life skills training; application to barriers/enablers). Conclusion:The participants responded favourably to the idea of using sport to promote recovery post-FEP, and provided an insight into why sport is currently underutilized within FEP recovery efforts. The barriers, enablers, and specific suggestions for how to limit the barriers and strengthen the enablers are valuable for sport-based intervention design, and may be applicable to non-sport-based interventions for people with FEP. K E Y W O R D S early intervention, first episode psychosis, functional recovery, life skills, sports

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Section: Discussionmentioning

confidence: 99%

Qualitative investigation of perceived barriers to and enablers of sport participation for young people with first episode psychosis

Brooke¹,

Gucciardi²,

Ntoumanis³

et al. 2019

Early Intervention Psych

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“…Generally, for serious mental illness, PA promotes self-esteem and self-efficacy [25, 29], meaning structured group programs (walking programs) and a lifestyle modification (30 minutes of moderate-intensity activity per day), with at least three 20- to 60-minute exercise sessions per week [25]. In patients with psychosis, PA may also have significant effects on self-efficacy [30, 31], depending on the frequency, duration and intensity of physical activity [30]. This has also been demonstrated in a lifestyle-training program conducted within the State Forensic Mental Health Service in Australia [32], where regular physical training was offered over the course of six months.…”

Section: Resultsmentioning

confidence: 99%

Effects of sport therapy on psychosocial outcomes for forensic patients

2022

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Abstract. Physical activity has gained importance in psychiatric and psychosomatic treatment schemes, but there is little knowledge on the use of physical activity for forensic rehabilitation, including psychosocial outcomes. A systematic review of the literature on PubMed and Livivo found only one study that specifically addressed the effects of physical activity in forensic patients. Twenty-three studies reported on physical activity in the context of non-forensic patients suffering from mental illnesses similar to those commonly diagnosed in forensic patients. We summarize the effects of physical activity with respect to therapeutic objectives suggested by German sport therapists working with forensic patients. In forensic patients or patients suffering from mental illness typical of forensic patients, physical activity promotes social skills (4 studies), self-image, body experience, and personality growth (9 studies). Physical activity also helps to activate patients (12 studies), while reducing their tension and anger (1 study). Yet, there is a significant lack of specific scientific evidence as to whether sport therapy for forensic patients is effective in terms of the therapeutic objectives of this patient group. Future research must focus on longitudinal dose-effect outcome studies on forensic patients and should also concentrate on studies in the area of psychosis, personality disorders and addiction in relation to forensic sport therapeutic objectives.

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“…1-10), aligning with counselling techniques to support behaviour change (Bailey, 2019;Bodenheimer et al, 2007;Hladek et al, 2020). No previous studies were identified that measured either of these constructs in Australian CMHS clients, though international studies in other mental health settings have assessed client readiness (Apodaca et al, 2007;Lee et al, 2018;Metse et al, 2016;Prochaska et al, 2014;Stockings et al, 2013), and/or confidence to change (Mann-Wrobel et al, 2011;Twyford and Lusher, 2016;Tzilos et al, 2014) for at least one SNAPW risk. Higher readiness levels have been linked to positive behaviour change for physical activity and smoking, among people with mental health conditions (Farholm and Sørensen, 2016;Stockings et al, 2013;Tzilos et al, 2014), while higher confidence has been shown to be associated with behaviour change for smoking and physical activity (Apodaca et al, 2007;Twyford and Lusher, 2016).…”

Section: Introductionmentioning

confidence: 99%

Risk prevalence, readiness and confidence to change lifestyle risk factors among clients of community mental health services

Stettaford,

Fehily,

Campbell

et al. 2024

Aust N Z J Psychiatry

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Objective: People with mental health conditions have high rates of chronic physical diseases, partially attributable to lifestyle risks factors. This study examined risk prevalence among community mental health service clients, their readiness and confidence to change, and associations with participant characteristics. Methods: Cross-sectional survey of adult clients from 12 community mental health services across 3 local health districts in New South Wales, Australia, collected from 2021 to 2022. Participants ( n = 486) completed a telephone interview determining five risk factors, and readiness and confidence to change these. Multiple binary logistic regression models determined associations between readiness and confidence (for each risk), and participant characteristics (demographics and diagnosis). Results: Participants most commonly reported a diagnosis of schizophrenia (36.7%) or depression (21.1%). Risk factors were prevalent: ranging from 26% (harmful alcohol use) to 97% (poor nutrition). High readiness was greatest for smoking (68%), weight (66%) and physical inactivity (63%), while confidence was highest for changing alcohol use (67%). Two significant associations were identified; females were more likely than males to have high readiness to change nutrition (odds ratio = 1.14, confidence interval = [1.13, 2.34], p = 0.0092), with males more likely to have high confidence to change physical activity (odds ratio = 0.91, confidence interval = [0.45, 0.99], p = 0.0109). Conclusions: Many participants were ready and confident to change risk factors. Gender influenced readiness to change nutrition and physical activity confidence. Training to upskill mental health clinicians in provision of preventive care that builds confidence and readiness levels may aid in supporting positive behaviour change.

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Psychosocial factors associated with physical activity behavior among patients with psychosis

Cited by 5 publications

References 32 publications

Qualitative investigation of perceived barriers to and enablers of sport participation for young people with first episode psychosis

Qualitative investigation of perceived barriers to and enablers of sport participation for young people with first episode psychosis

Effects of sport therapy on psychosocial outcomes for forensic patients

Risk prevalence, readiness and confidence to change lifestyle risk factors among clients of community mental health services

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