Supporting physical activity through co-production in people with severe mental ill health (SPACES): protocol for a randomised controlled feasibility trial

Abstract Background Severe mental ill health (SMI) includes schizophrenia, bipolar disorder and schizoaffective disorder and is associated with premature deaths when compared to people without SMI. Over 70% of those deaths are attributed to preventable health conditions, which have the potential to...

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Main Authors: Gareth Jones, Laura Bailey, Rebecca J. Beeken, Samantha Brady, Cindy Cooper, Robert J. Copeland, Suzanne Crosland, Sam Dawson, Matthew Faires, Simon Gilbody, Holly Haynes, Andrew Hill, Emily Hillison, Michelle Horspool, Ellen Lee, Jinshuo Li, Katarzyna K. Machaczek, Steve Parrott, Helen Quirk, Brendon Stubbs, Garry A. Tew, Gemma Traviss-Turner, Emily Turton, Lauren Walker, Stephen Walters, Scott Weich, Ellie Wildbore, Emily Peckham
Format: Article
Language:English
Published: BMC 2024-02-01
Series:Pilot and Feasibility Studies
Subjects:
Online Access:https://doi.org/10.1186/s40814-024-01460-0
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author Gareth Jones
Laura Bailey
Rebecca J. Beeken
Samantha Brady
Cindy Cooper
Robert J. Copeland
Suzanne Crosland
Sam Dawson
Matthew Faires
Simon Gilbody
Holly Haynes
Andrew Hill
Emily Hillison
Michelle Horspool
Ellen Lee
Jinshuo Li
Katarzyna K. Machaczek
Steve Parrott
Helen Quirk
Brendon Stubbs
Garry A. Tew
Gemma Traviss-Turner
Emily Turton
Lauren Walker
Stephen Walters
Scott Weich
Ellie Wildbore
Emily Peckham
author_facet Gareth Jones
Laura Bailey
Rebecca J. Beeken
Samantha Brady
Cindy Cooper
Robert J. Copeland
Suzanne Crosland
Sam Dawson
Matthew Faires
Simon Gilbody
Holly Haynes
Andrew Hill
Emily Hillison
Michelle Horspool
Ellen Lee
Jinshuo Li
Katarzyna K. Machaczek
Steve Parrott
Helen Quirk
Brendon Stubbs
Garry A. Tew
Gemma Traviss-Turner
Emily Turton
Lauren Walker
Stephen Walters
Scott Weich
Ellie Wildbore
Emily Peckham
author_sort Gareth Jones
collection DOAJ
description Abstract Background Severe mental ill health (SMI) includes schizophrenia, bipolar disorder and schizoaffective disorder and is associated with premature deaths when compared to people without SMI. Over 70% of those deaths are attributed to preventable health conditions, which have the potential to be positively affected by the adoption of healthy behaviours, such as physical activity. People with SMI are generally less active than those without and face unique barriers to being physically active. Physical activity interventions for those with SMI demonstrate promise, however, there are important questions remaining about the potential feasibility and acceptability of a physical activity intervention embedded within existing NHS pathways. Method This is a two-arm multi-site randomised controlled feasibility trial, assessing the feasibility and acceptability of a co-produced physical activity intervention for a full-scale trial across geographically dispersed NHS mental health trusts in England. Participants will be randomly allocated via block, 1:1 randomisation, into either the intervention arm or the usual care arm. The usual care arm will continue to receive usual care throughout the trial, whilst the intervention arm will receive usual care plus the offer of a weekly, 18-week, physical activity intervention comprising walking and indoor activity sessions and community taster sessions. Another main component of the intervention includes one-to-one support. The primary outcome is to investigate the feasibility and acceptability of the intervention and to scale it up to a full-scale trial, using a short proforma provided to all intervention participants at follow-up, qualitative interviews with approximately 15 intervention participants and 5 interventions delivery staff, and data on intervention uptake, attendance, and attrition. Usual care data will also include recruitment and follow-up retention. Secondary outcome measures include physical activity and sedentary behaviours, body mass index, depression, anxiety, health-related quality of life, healthcare resource use, and adverse events. Outcome measures will be taken at baseline, three, and six-months post randomisation. Discussion This study will determine if the physical activity intervention is feasible and acceptable to both participants receiving the intervention and NHS staff who deliver it. Results will inform the design of a larger randomised controlled trial assessing the clinical and cost effectiveness of the intervention. Trial registration ISRCTN: ISRCTN83877229. Registered on 09.09.2022.
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spelling doaj.art-d942480f131546a28af67a7eb6db506f2024-03-05T17:43:11ZengBMCPilot and Feasibility Studies2055-57842024-02-0110111410.1186/s40814-024-01460-0Supporting physical activity through co-production in people with severe mental ill health (SPACES): protocol for a randomised controlled feasibility trialGareth Jones0Laura Bailey1Rebecca J. Beeken2Samantha Brady3Cindy Cooper4Robert J. Copeland5Suzanne Crosland6Sam Dawson7Matthew Faires8Simon Gilbody9Holly Haynes10Andrew Hill11Emily Hillison12Michelle Horspool13Ellen Lee14Jinshuo Li15Katarzyna K. Machaczek16Steve Parrott17Helen Quirk18Brendon Stubbs19Garry A. Tew20Gemma Traviss-Turner21Emily Turton22Lauren Walker23Stephen Walters24Scott Weich25Ellie Wildbore26Emily Peckham27Advanced Wellbeing Research Centre, Sheffield Hallam UniversitySchool of Medicine, University of LeedsSchool of Medicine, University of LeedsDepartment of Health Sciences, University of YorkSchool of Health and Related Research, University of SheffieldAdvanced Wellbeing Research Centre, Sheffield Hallam UniversityDepartment of Health Sciences, University of YorkSheffield Health and Social Care NHS Foundation TrustDepartment of Health Sciences, University of YorkDepartment of Health Sciences, University of YorkSchool of Health and Related Research, University of SheffieldSchool of Medicine, University of LeedsSheffield Health and Social Care NHS Foundation TrustSheffield Health and Social Care NHS Foundation TrustSchool of Health and Related Research, University of SheffieldDepartment of Health Sciences, University of YorkAdvanced Wellbeing Research Centre, Sheffield Hallam UniversityDepartment of Health Sciences, University of YorkSchool of Health and Related Research, University of SheffieldInstitute of Psychiatry, Psychology and Neuroscience, Kings College LondonInstitute for Health and Care Improvement, York St John UniversitySchool of Medicine, University of LeedsSchool of Health and Related Research, University of SheffieldSchool of Health Sciences, City, University of LondonSchool of Health and Related Research, University of SheffieldSchool of Health and Related Research, University of SheffieldSheffield Health and Social Care NHS Foundation TrustSchool of Medical and Health Sciences, Bangor UniversityAbstract Background Severe mental ill health (SMI) includes schizophrenia, bipolar disorder and schizoaffective disorder and is associated with premature deaths when compared to people without SMI. Over 70% of those deaths are attributed to preventable health conditions, which have the potential to be positively affected by the adoption of healthy behaviours, such as physical activity. People with SMI are generally less active than those without and face unique barriers to being physically active. Physical activity interventions for those with SMI demonstrate promise, however, there are important questions remaining about the potential feasibility and acceptability of a physical activity intervention embedded within existing NHS pathways. Method This is a two-arm multi-site randomised controlled feasibility trial, assessing the feasibility and acceptability of a co-produced physical activity intervention for a full-scale trial across geographically dispersed NHS mental health trusts in England. Participants will be randomly allocated via block, 1:1 randomisation, into either the intervention arm or the usual care arm. The usual care arm will continue to receive usual care throughout the trial, whilst the intervention arm will receive usual care plus the offer of a weekly, 18-week, physical activity intervention comprising walking and indoor activity sessions and community taster sessions. Another main component of the intervention includes one-to-one support. The primary outcome is to investigate the feasibility and acceptability of the intervention and to scale it up to a full-scale trial, using a short proforma provided to all intervention participants at follow-up, qualitative interviews with approximately 15 intervention participants and 5 interventions delivery staff, and data on intervention uptake, attendance, and attrition. Usual care data will also include recruitment and follow-up retention. Secondary outcome measures include physical activity and sedentary behaviours, body mass index, depression, anxiety, health-related quality of life, healthcare resource use, and adverse events. Outcome measures will be taken at baseline, three, and six-months post randomisation. Discussion This study will determine if the physical activity intervention is feasible and acceptable to both participants receiving the intervention and NHS staff who deliver it. Results will inform the design of a larger randomised controlled trial assessing the clinical and cost effectiveness of the intervention. Trial registration ISRCTN: ISRCTN83877229. Registered on 09.09.2022.https://doi.org/10.1186/s40814-024-01460-0ExerciseSevere Mental IllnessHealth BehaviourPilot Studies
spellingShingle Gareth Jones
Laura Bailey
Rebecca J. Beeken
Samantha Brady
Cindy Cooper
Robert J. Copeland
Suzanne Crosland
Sam Dawson
Matthew Faires
Simon Gilbody
Holly Haynes
Andrew Hill
Emily Hillison
Michelle Horspool
Ellen Lee
Jinshuo Li
Katarzyna K. Machaczek
Steve Parrott
Helen Quirk
Brendon Stubbs
Garry A. Tew
Gemma Traviss-Turner
Emily Turton
Lauren Walker
Stephen Walters
Scott Weich
Ellie Wildbore
Emily Peckham
Supporting physical activity through co-production in people with severe mental ill health (SPACES): protocol for a randomised controlled feasibility trial
Pilot and Feasibility Studies
Exercise
Severe Mental Illness
Health Behaviour
Pilot Studies
title Supporting physical activity through co-production in people with severe mental ill health (SPACES): protocol for a randomised controlled feasibility trial
title_full Supporting physical activity through co-production in people with severe mental ill health (SPACES): protocol for a randomised controlled feasibility trial
title_fullStr Supporting physical activity through co-production in people with severe mental ill health (SPACES): protocol for a randomised controlled feasibility trial
title_full_unstemmed Supporting physical activity through co-production in people with severe mental ill health (SPACES): protocol for a randomised controlled feasibility trial
title_short Supporting physical activity through co-production in people with severe mental ill health (SPACES): protocol for a randomised controlled feasibility trial
title_sort supporting physical activity through co production in people with severe mental ill health spaces protocol for a randomised controlled feasibility trial
topic Exercise
Severe Mental Illness
Health Behaviour
Pilot Studies
url https://doi.org/10.1186/s40814-024-01460-0
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