Department of Psychiatry and Biobehavioral Sciences, Semel Institute for Neuroscience and Human Behavior, University of California, Los Angeles, California, USA.
Chorus Innovations, Inc., Long Beach, California, USA.
Early Interv Psychiatry. 2024 Oct;18(10):805-813. doi: 10.1111/eip.13518. Epub 2024 Feb 14.
Research has demonstrated that participation in aerobic exercise can have significant beneficial effects across both physical and mental health domains for individuals who are in the early phase of schizophrenia. Despite these notable benefits of exercise, deficits in motivation and a lack of methods to increase engagement are significant barriers for exercise participation, limiting these potentially positive effects. Fortunately, digital health tools have the potential to improve adherence to an exercise program. The present study examined the role of motivation for exercise and the effects of an automated digital text messaging program on participation in an aerobic exercise program.
A total of 46 first-episode psychosis participants from an ongoing 12-month randomized clinical trial (Enhancing Cognitive Training through Exercise Following a First Schizophrenia Episode (CT&E-RCT)) were included in an analysis to examine the efficacy of motivational text messaging. Personalized motivational text message reminders were sent to participants with the aim of increasing engagement in the exercise program.
We found that participants with higher levels of intrinsic motivation to participate in a text messaging program and in an exercise intervention completed a higher proportion of individual, at-home exercise sessions. In a between groups analysis, participants who received motivational text messages, compared to those who did not, completed a higher proportion of at-home exercise sessions.
These results indicate the importance of considering a person's level of motivation for exercise and the potential utility of using individualized and interactive mobile text messaging reminders to increase engagement in aerobic exercise in the early phase of psychosis. We emphasize the need for understanding how individualized patient preferences and needs interplay between intrinsic motivation and digital health interventions for young adults.
研究表明，对于处于精神分裂症早期阶段的个体，参与有氧运动可以对身心健康产生显著的有益影响。尽管运动有这些显著的益处，但动机不足和缺乏增加参与度的方法是运动参与的重大障碍，限制了这些潜在的积极影响。幸运的是，数字健康工具有可能提高对运动计划的依从性。本研究探讨了运动动机的作用以及自动化数字短信程序对有氧运动计划参与度的影响。
共有 46 名首发精神分裂症患者参与了一项为期 12 个月的随机临床试验（首次精神分裂症发作后通过运动增强认知训练（CT&E-RCT））的分析，以检验动机短信的功效。个性化的动机短信提醒被发送给参与者，目的是增加他们对运动计划的参与度。
我们发现，对参与短信计划和运动干预的内在动机水平较高的参与者，完成了更高比例的个人家庭运动课程。在组间分析中，与未收到激励短信的参与者相比，收到激励短信的参与者完成了更高比例的家庭运动课程。
这些结果表明，考虑一个人对运动的内在动机水平的重要性，以及使用个性化和互动的移动短信提醒来增加早期精神病患者有氧运动参与度的潜在效用。我们强调需要了解个体化的患者偏好和需求如何在内在动机和数字健康干预之间相互作用，以满足年轻人的需求。
