Andersen Martin Færch, Roed Kickan, Riis Allan, Rafn Bolette Skjødt, Ebdrup Bjørn Hylsebeck, Midtgaard Julie
Centre for Applied Research in Mental Health Care, Psychiatric Center Glostrup, Glostrup, Denmark.
Department of Physiotherapy, University College of Northern Denmark, Aalborg, Denmark.
BMJ Open Sport Exerc Med. 2023 Sep 26;9(3):e001658. doi: 10.1136/bmjsem-2023-001658. eCollection 2023.
Physical activity is a key modifiable factor in protecting physical and mental health in people with severe mental illness including schizophrenia. Therefore, early promotion of physical activity is recommended and programmes supporting long-term maintenance of physically active behaviour are warranted. This study aimed to explore the perspectives of professional experts in relation to the development of a sustainable community-based exercise programme tailored to young adults with schizophrenia and intended to promote change and adoption of physical activity. We conducted 9 semistructured interviews with 11 clinical and professional experts. Qualitative content analysis, as described by Graneheim and Lundman, was applied to analyse data. We identified four categories: (1) living a physical active life with schizophrenia, (2) exercise as promotor of personal recovery, (3) prescribing safe and relevant exercise and (4) instructors' qualifications and formation. When developing sustainable community-based exercise programmes tailored to young adults with schizophrenia, developers should ensure instructors' qualifications and provide an exercise protocol. In addition, developers should consider providing an inclusive and recovery-oriented exercise environment.
身体活动是保护包括精神分裂症在内的严重精神疾病患者身心健康的一个关键可改变因素。因此，建议尽早促进身体活动，并开展支持长期维持身体活动行为的项目。本研究旨在探讨专业专家对于制定一项针对精神分裂症青年的可持续社区锻炼项目的看法，该项目旨在促进身体活动的改变和采用。我们对11名临床和专业专家进行了9次半结构化访谈。采用Graneheim和Lundman所述的定性内容分析法对数据进行分析。我们确定了四个类别：（1）患有精神分裂症但过着积极身体活动的生活，（2）锻炼作为个人康复的促进因素，（3）开出安全且相关的锻炼处方，（4）教练的资质和培训。在为精神分裂症青年制定可持续的社区锻炼项目时，开发者应确保教练的资质并提供锻炼方案。此外，开发者应考虑提供一个包容且以康复为导向的锻炼环境。
