Physical activity in adult users of inpatient mental health services: A scoping review.

People with severe mental illness engage in considerably less physical activity than those without. They also experience premature mortality of around 10-25 years. A large proportion of these premature deaths are attributed to modifiable behaviours, including physical activity. The inpatient environ...

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Main Authors: Garry A Tew, Emily Peckham, Suzy Ker, Jo Smith, Philip Hodgson, Katarzyna K Machaczek, Matthew Faires
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2024-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0301857
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author Garry A Tew
Emily Peckham
Suzy Ker
Jo Smith
Philip Hodgson
Katarzyna K Machaczek
Matthew Faires
author_facet Garry A Tew
Emily Peckham
Suzy Ker
Jo Smith
Philip Hodgson
Katarzyna K Machaczek
Matthew Faires
author_sort Garry A Tew
collection DOAJ
description People with severe mental illness engage in considerably less physical activity than those without. They also experience premature mortality of around 10-25 years. A large proportion of these premature deaths are attributed to modifiable behaviours, including physical activity. The inpatient environment provides an opportunity to support people to become more physically active; however, there is limited evidence on which interventions are most successful and what contextual factors affect their delivery. A scoping review was conducted to help understand the extent and type of evidence in this area and identify research gaps. We included studies of physical activity correlates and interventions in adult inpatient mental health services published in peer-reviewed journals. Reviews, meta-analyses, and papers focusing on eating disorder populations were excluded. We searched the MEDLINE, CINAHL, PsycINFO, ASSIA and Web of Science databases for relevant studies published in English. We extracted data on study design, participant characteristics, intervention and control conditions, key findings, and research recommendations. We used a descriptive analytical approach and results are presented in tables and figures. Of 27,286 unique records screened, 210 reports from 182 studies were included. Sixty-one studies reported on correlates of physical activity, and 139 studies reported on physical activity interventions. Most intervention studies used a single-group, pre-post design (40%) and included fewer than 100 participants (86%). Ninety percent of interventions delivered physical activity directly to participants, and 50% included group-based sessions. The duration, type, frequency and intensity of sessions varied. Mental health was the most commonly reported outcome (64%), whereas physical activity was rarely an outcome (13%). Overall, there is a modest but growing body of research on physical activity in adult users of inpatient mental health services. More high-quality trials are needed to advance the field, and future research should target neglected intervention types, outcomes, populations and settings.
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spelling doaj-art-db35eebbbefa4927a8a1397fbce093752025-02-05T05:32:23ZengPublic Library of Science (PLoS)PLoS ONE1932-62032024-01-01198e030185710.1371/journal.pone.0301857Physical activity in adult users of inpatient mental health services: A scoping review.Garry A TewEmily PeckhamSuzy KerJo SmithPhilip HodgsonKatarzyna K MachaczekMatthew FairesPeople with severe mental illness engage in considerably less physical activity than those without. They also experience premature mortality of around 10-25 years. A large proportion of these premature deaths are attributed to modifiable behaviours, including physical activity. The inpatient environment provides an opportunity to support people to become more physically active; however, there is limited evidence on which interventions are most successful and what contextual factors affect their delivery. A scoping review was conducted to help understand the extent and type of evidence in this area and identify research gaps. We included studies of physical activity correlates and interventions in adult inpatient mental health services published in peer-reviewed journals. Reviews, meta-analyses, and papers focusing on eating disorder populations were excluded. We searched the MEDLINE, CINAHL, PsycINFO, ASSIA and Web of Science databases for relevant studies published in English. We extracted data on study design, participant characteristics, intervention and control conditions, key findings, and research recommendations. We used a descriptive analytical approach and results are presented in tables and figures. Of 27,286 unique records screened, 210 reports from 182 studies were included. Sixty-one studies reported on correlates of physical activity, and 139 studies reported on physical activity interventions. Most intervention studies used a single-group, pre-post design (40%) and included fewer than 100 participants (86%). Ninety percent of interventions delivered physical activity directly to participants, and 50% included group-based sessions. The duration, type, frequency and intensity of sessions varied. Mental health was the most commonly reported outcome (64%), whereas physical activity was rarely an outcome (13%). Overall, there is a modest but growing body of research on physical activity in adult users of inpatient mental health services. More high-quality trials are needed to advance the field, and future research should target neglected intervention types, outcomes, populations and settings.https://doi.org/10.1371/journal.pone.0301857
spellingShingle Garry A Tew
Emily Peckham
Suzy Ker
Jo Smith
Philip Hodgson
Katarzyna K Machaczek
Matthew Faires
Physical activity in adult users of inpatient mental health services: A scoping review.
PLoS ONE
title Physical activity in adult users of inpatient mental health services: A scoping review.
title_full Physical activity in adult users of inpatient mental health services: A scoping review.
title_fullStr Physical activity in adult users of inpatient mental health services: A scoping review.
title_full_unstemmed Physical activity in adult users of inpatient mental health services: A scoping review.
title_short Physical activity in adult users of inpatient mental health services: A scoping review.
title_sort physical activity in adult users of inpatient mental health services a scoping review
url https://doi.org/10.1371/journal.pone.0301857
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