Centre de recherche du Centre hospitalier de l'Université de Montréal, Canada; Faculty of Medecine, Université de Montréal, Canada.
Faculty of Medecine, Université de Montréal, Canada; School of kinesiology and physical activity sciences, Faculty of Medicine, University of Montreal, Canada; Centre de recherche de l'Institut universitaire en santé mentale de Montréal, Canada.
Schizophr Res. 2024 Aug;270:451-458. doi: 10.1016/j.schres.2024.06.053. Epub 2024 Jul 13.
Although physical activity (PA) is beneficial to young people with early psychosis (YEP) to improve physical health and psychiatric symptoms, few YEP initiate and maintain PA. The sports group interventions offered in early psychosis services had to be suspended due to the COVID-19 pandemic. Telehealth has shown promising results in different fields of health services including for patients with mental health disorders.
Descriptive retrospective study aiming to determine the feasibility and acceptability of a telekinesiology intervention among YEP and to describe its multicenter implementation. The PA sessions were delivered to YEP by a kinesiologist and peer support workers. Feasibility was measured by the number of programs approached which referred participants, and the proportion of referred YEP who participated to at least one PA session. Acceptability was measured by the proportion of participants who attended more than one PA session, the number of sessions attended per participant and by surveys on patient satisfaction.
Of the 35 clinics approached, 150 YEP (of 214 referred) from 13 clinics participated to at least one of the 204 telekinesiology sessions (offered 2-3 times/week from May 2020 to May 2022) The mean number per participant was 5.5 sessions. 106 YEP engaged in more than one session (mean of 7.3 sessions per persistent participant). The mean number of participants per session was 4 (1-12). 99 % of the survey respondents were very satisfied/or satisfied with the sessions.
Telekinesiology appears to be an acceptable and feasible option to be implemented simultaneously in multiple early intervention services.
尽管身体活动（PA）有益于有早期精神病的年轻人改善身体健康和精神症状，但很少有年轻人开始并保持身体活动。由于 COVID-19 大流行，早期精神病服务中提供的运动小组干预措施不得不暂停。远程医疗在包括精神健康障碍患者在内的不同医疗服务领域都显示出了很好的效果。
本研究旨在确定远程运动学干预措施在有早期精神病的年轻人中的可行性和可接受性，并描述其多中心实施情况。身体活动课程由运动学家和同伴支持工作人员提供给年轻人。可行性通过所涉及的项目数量和参加至少一次身体活动课程的被转介年轻人的比例来衡量。可接受性通过参加多次身体活动课程的参与者比例、每个参与者参加的课程数量以及对患者满意度的调查来衡量。
在联系的 35 个诊所中，来自 13 个诊所的 150 名有早期精神病的年轻人（从 214 名被转介者中）参加了至少一次 204 次远程运动学课程中的一次（从 2020 年 5 月到 2022 年 5 月，每周提供 2-3 次）。每位参与者的平均课程数量为 5.5 次。106 名年轻人参加了不止一次课程（每位持续参与者的平均课程数量为 7.3 次）。每次课程的平均参与者人数为 4 人（1-12 人）。99%的调查受访者对课程非常满意/满意。
远程运动学似乎是一种可接受且可行的选择，可以同时在多个早期干预服务中实施。
