People with SMIs and Exercise

Our paper on an exercise intervention for people with serious mental illness has been published in Health Expectations Open Access: An International Journal of Public Participation in Health Care and Health Policy.

Abstract

People with severe mental illness (SMI) often have poorer physical health than the general population. A co-produced physical activity intervention to improve physical activity for people with SMI in Northern Ireland was evaluated by co-researchers (researchers with lived experience of SMI) and academic researchers using a new approach to participatory data analysis called Participatory Theme Elicitation (PTE). Co-researchers and academic researchers analysed the data from the pilot study using PTE. This paper aims to compare these analyses to validate the findings of the study and explore the validity of the PTE method in the context of the evaluation of a physical activity intervention for individuals with SMI. There was alignment and congruence of some themes across groups. Important differences in the analyses across groups included the use of language, with the co-researchers employing less academic and clinical language, and structure of themes generated, with the academic researchers including sub themes under some umbrella themes. The comparison of analyses supports the validity of the PTE approach, which is a meaningful way of involving people with lived experience in research. PTE addresses the power imbalances that are often present in the analysis process and was found to be acceptable by co-researchers and academic researchers alike.

Yap, J., McCartan, C.,  Davidson, G., White, C., Bradley, L., Webb, P., Badham, J., Breslin, G. & Best, P. (2020) An exercise intervention for people with serious mental illness: findings from a qualitative data analysis using participatory theme elicitation, Health Expectations, 00: 1 – 15. https://doi.org/10.1111/hex.13141

Physical Activity for Bipolar Disorder

A further Cochrane Systematic Review – Qualitative Protocol– is available on the factors that influence participation in physical activity for people with bipolar disorder.

Abstract

Main objective: To identify the factors that create barriers or facilitate physical activity for people with a diagnosis of bipolar disorder from the perspectives of service users, carers, service providers and practitioners to help inform the design and implementation of interventions that promote physical activity.

The overall aim of this review is to identify, appraise, and synthesise qualitative research evidence on the barriers and facilitators to engaging in physical activity in general lifestyle settings or as part of an intervention designed to increase physical activity for people with bipolar disorder. This will allow us to identify factors that create barriers and facilitators of physical activity in this population to inform the development, design, and implementation of future interventions. We will communicate our findings to public health commissioners and other stakeholders.

McCartan  CJ, Yap  J, Firth  J, Stubbs  B, Tully  MA, Best  P, Webb  P, White  C, Gilbody  S, Churchill  R, Breedvelt  JJF, Davidson  G. (2020) Factors that influence participation in physical activity for people with bipolar disorder: a synthesis of qualitative evidence. Cochrane Database of Systematic Reviews Issue 3. Art. No.: CD013557. DOI: 10.1002/14651858.CD013557.

Physical Activity for Anxiety & Depression

An interesting, and useful, Cochrane Systematic Review – Qualitative Protocol – is now available on the factors that influence participation in physical activity for anxiety and depression:

Abstract

Main objective: To identify the factors that create barriers or facilitate physical activity for people with a diagnosis of anxiety or depression from the perspectives of service users, carers, service providers and practitioners to help inform the design and implementation of interventions that promote physical activity.

The overall aim of this review is to identify, appraise, and synthesise qualitative research evidence on the barriers and facilitators to engaging in physical activity in general lifestyle settings or as part of an intervention designed to increase physical activity for people with anxiety and depression. This will allow us to identify factors that create barriers and facilitators of physical activity in this population to inform the development, design, and implementation of future interventions. We will also integrate the findings from the QES with the two associated effectiveness reviews (Cooney 2014; Larun 2006). We will communicate our findings to public health commissioners and other stakeholders.

McCartan, C., Yap, J., Firth, J., Stubbs, B., Tully, M., Best, P.,  Webb,  P., White,  C., Gilbody,  S., Churchill,  R., Breedvelt  J.J.F., Davidson, G. (2020). Factors that influence participation in physical activity for anxiety and depression: a synthesis of qualitative evidence. Cochrane Database of Systematic Reviews Issue 3. Art. No.: CD013547. DOI: 10.1002/14651858.CD013547.

Empowerment through Physical Activity

People with severe mental health problems have a shorter life expectancy and a higher risk of developing some medical conditions. An empowering programme that increases levels of physical activity may play a role in reducing this mortality gap (Mental Health Foundation blog post).

Interested in reading about a research programme which encourages people with serious and enduring mental ill health to be more physically active?

If you are, download our new report here