Understanding the experience of initiating community-based group physical activity by people with serious mental illness: A systematic review using a meta-ethnographic approach
Oral Presentation B14.6
DOI:
https://doi.org/10.14288/hfjc.v14i3.588Keywords:
Adults, Physical Activity, Serious Mental Health, Systematic ReviewAbstract
Background: Regular physical activity (PA) may bring symptomatic improvements and enhance wellbeing among people living with serious mental illness (SMI), especially when undertaken in community-based group settings. Initiating PA can be difficult for people with SMI and so PA engagement is commonly low. Purpose: To use a meta-ethnography approach to review qualitative studies exploring the experience of PA initiation in community, group settings among adults with SMI. Methods: Eligible studies used qualitative methodology; involved adults (≥18 years) with schizophrenia, bipolar affective disorder, major depressive disorder, or psychosis; reported community-based group PA; and captured the experience of PA initiation. Study selection and quality assessment were performed by four reviewers. Results: Sixteen qualitative studies were included for review. We identified a ‘journey' of PA initiation, including thought processes, expectations, barriers and support needs. Support from a trusted source was particularly important for getting people to the activity, both physically and emotionally. Conclusions: The journey illustrated that initiation of PA for people with SMI is a long complex transition. This complex process needs to be understood before ongoing participation in PA can be addressed. We provide recommendations for the design and delivery of supportive PA programmes for people with SMI. Funding: This review was funded by Sheffield Health and Social Care NHS Foundation Trust.
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Copyright (c) 2021 Helen Quirk, Emma Hock, Deborah Harrop, Helen Crank, Emily Peckham, Gemma Traviss-Turner, Katarzyna Machaczek, Brendon Stubbs, Michelle Horspool, Scott Weich, Robert J. Copeland
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