Understanding the experience of initiating community-based group physical activity by people with serious mental illness: A systematic review using a meta-ethnographic approach
Abstract Background People living with serious mental illness (SMI) experience debilitating symptoms that worsen their physical health and quality of life. Regular physical activity (PA) may bring symptomatic improvements and enhance wellbeing. When undertaken in community-based group settings, PA...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2020-01-01
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| Series: | European Psychiatry |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933820000930/type/journal_article |
| _version_ | 1811156286773919744 |
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| author | Helen Quirk Emma Hock Deborah Harrop Helen Crank Emily Peckham Gemma Traviss-Turner Katarzyna Machaczek Brendon Stubbs Michelle Horspool Scott Weich Robert Copeland |
| author_facet | Helen Quirk Emma Hock Deborah Harrop Helen Crank Emily Peckham Gemma Traviss-Turner Katarzyna Machaczek Brendon Stubbs Michelle Horspool Scott Weich Robert Copeland |
| author_sort | Helen Quirk |
| collection | DOAJ |
| description |
Abstract
Background
People living with serious mental illness (SMI) experience debilitating symptoms that worsen their physical health and quality of life. Regular physical activity (PA) may bring symptomatic improvements and enhance wellbeing. When undertaken in community-based group settings, PA may yield additional benefits such as reduced isolation. Initiating PA can be difficult for people with SMI, so PA engagement is commonly low. Designing acceptable and effective PA programs requires a better understanding of the lived experiences of PA initiation among people with SMI.
Methods
This systematic review of qualitative studies used the meta-ethnography approach by Noblit and Hare (1988). Electronic databases were searched from inception to November 2017. 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, including key features of social support. Study selection and quality assessment were performed by four reviewers.
Results
Sixteen studies were included in the review. We identified a “journey” that depicted a long sequence of phases involved in initiating PA. The journey demonstrated the thought processes, expectations, barriers, and support needs of people with SMI. In particular, social support from a trusted source played an important role in getting people to the activity, both physically and emotionally.
Discussion
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. Registration—The review was registered on the International Prospective Register of Systematic Reviews (PROSPERO) on 22/03/2017 (registration number CRD42017059948).
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| first_indexed | 2024-04-10T04:49:03Z |
| format | Article |
| id | doaj.art-21004cdf5e0840dcbf96fefa69c3a2e7 |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-04-10T04:49:03Z |
| publishDate | 2020-01-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-21004cdf5e0840dcbf96fefa69c3a2e72023-03-09T12:33:57ZengCambridge University PressEuropean Psychiatry0924-93381778-35852020-01-016310.1192/j.eurpsy.2020.93Understanding the experience of initiating community-based group physical activity by people with serious mental illness: A systematic review using a meta-ethnographic approachHelen Quirk0https://orcid.org/0000-0003-2716-4681Emma Hock1https://orcid.org/0000-0002-8617-8875Deborah Harrop2Helen Crank3Emily Peckham4https://orcid.org/0000-0002-9377-1968Gemma Traviss-Turner5https://orcid.org/0000-0002-1770-6216Katarzyna Machaczek6Brendon Stubbs7Michelle Horspool8https://orcid.org/0000-0002-3069-6091Scott Weich9https://orcid.org/0000-0002-7552-7697Robert Copeland10https://orcid.org/0000-0002-4147-5876School of Health and Related Research (ScHARR), University of Sheffield, Regent Court, Sheffield, United KingdomSchool of Health and Related Research (ScHARR), University of Sheffield, Regent Court, Sheffield, United KingdomHealth and Social Care Research, Sheffield Hallam University, Sheffield, United KingdomHealth and Social Care Research, Sheffield Hallam University, Sheffield, United KingdomDepartment of Health Sciences, University of York, Heslington, United KingdomLeeds Institute of Health Sciences, University of Leeds, Leeds, United KingdomAdvanced Wellbeing Research Centre, Sheffield Hallam University, Sheffield, United KingdomDepartment of Psychosis Studies, Institute of Psychiatry, Psychology and Neuroscience (IoPPN), King’s College London, London, United KingdomSheffield Health & Social Care NHS Foundation Trust, Sheffield, United KingdomSchool of Health and Related Research (ScHARR), University of Sheffield, Regent Court, Sheffield, United KingdomAdvanced Wellbeing Research Centre, Sheffield Hallam University, Sheffield, United Kingdom Abstract Background People living with serious mental illness (SMI) experience debilitating symptoms that worsen their physical health and quality of life. Regular physical activity (PA) may bring symptomatic improvements and enhance wellbeing. When undertaken in community-based group settings, PA may yield additional benefits such as reduced isolation. Initiating PA can be difficult for people with SMI, so PA engagement is commonly low. Designing acceptable and effective PA programs requires a better understanding of the lived experiences of PA initiation among people with SMI. Methods This systematic review of qualitative studies used the meta-ethnography approach by Noblit and Hare (1988). Electronic databases were searched from inception to November 2017. 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, including key features of social support. Study selection and quality assessment were performed by four reviewers. Results Sixteen studies were included in the review. We identified a “journey” that depicted a long sequence of phases involved in initiating PA. The journey demonstrated the thought processes, expectations, barriers, and support needs of people with SMI. In particular, social support from a trusted source played an important role in getting people to the activity, both physically and emotionally. Discussion 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. Registration—The review was registered on the International Prospective Register of Systematic Reviews (PROSPERO) on 22/03/2017 (registration number CRD42017059948). https://www.cambridge.org/core/product/identifier/S0924933820000930/type/journal_articleAdultsinitiationmeta-ethnographyphysical activityserious mental illness |
| spellingShingle | Helen Quirk Emma Hock Deborah Harrop Helen Crank Emily Peckham Gemma Traviss-Turner Katarzyna Machaczek Brendon Stubbs Michelle Horspool Scott Weich Robert Copeland Understanding the experience of initiating community-based group physical activity by people with serious mental illness: A systematic review using a meta-ethnographic approach European Psychiatry Adults initiation meta-ethnography physical activity serious mental illness |
| title | Understanding the experience of initiating community-based group physical activity by people with serious mental illness: A systematic review using a meta-ethnographic approach |
| title_full | Understanding the experience of initiating community-based group physical activity by people with serious mental illness: A systematic review using a meta-ethnographic approach |
| title_fullStr | Understanding the experience of initiating community-based group physical activity by people with serious mental illness: A systematic review using a meta-ethnographic approach |
| title_full_unstemmed | Understanding the experience of initiating community-based group physical activity by people with serious mental illness: A systematic review using a meta-ethnographic approach |
| title_short | Understanding the experience of initiating community-based group physical activity by people with serious mental illness: A systematic review using a meta-ethnographic approach |
| title_sort | understanding the experience of initiating community based group physical activity by people with serious mental illness a systematic review using a meta ethnographic approach |
| topic | Adults initiation meta-ethnography physical activity serious mental illness |
| url | https://www.cambridge.org/core/product/identifier/S0924933820000930/type/journal_article |
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