McMahen Caleb, Wright Kemi, Jackson Ben, Stanton Robert, Lederman Oscar, McKeon Grace, Rosenbaum Simon, Furzer Bonnie
School of Human Sciences (Exercise and Sport Science), University of Western Australia, Perth, Western Australia, Australia; and Fremantle Hospital Mental Health Service, South Metropolitan Health Service, Perth, Western Australia, Australia.
School of Health Sciences, University of New South Wales, Sydney, New South Wales, Australia.
BJPsych Open. 2024 Aug 15;10(5):e147. doi: 10.1192/bjo.2024.717.
The physical health comorbidities and premature mortality experienced by people with mental illness has led to an increase in exercise services embedded as part of standard care in hospital-based mental health services. Despite the increase in access to exercise services for people experiencing mental illness, there is currently a lack of guidelines on the assessment and triage of patients into exercise therapy.
To develop guidelines for the pre-exercise screening and health assessment of patients engaged with exercise services in hospital-based mental healthcare and to establish an exercise therapy triage framework for use in hospital-based mental healthcare.
A Delphi technique consisting of two online surveys and two rounds of focus group discussions was used to gain consensus from a multidisciplinary panel of experts.
Consensus was reached on aspects of pre-exercise health screening, health domain assessment, assessment tools representing high-value clinical assessment, and the creation and proposed utilisation of an exercise therapy triage framework within exercise therapy.
This study is the first of its kind to provide guidance on the implementation of exercise therapy within Australian hospital-based mental healthcare. The results provide recommendations for appropriate health assessment and screening of patients in exercise therapy, and provide guidance on the implementation and triage of patients into exercise therapy via a stepped framework to determine (a) the timeliness of exercise therapy required and (b) the level of support required in the delivery of their exercise therapy.
精神疾病患者所经历的身体健康合并症和过早死亡导致了作为标准护理一部分嵌入到医院精神卫生服务中的运动服务有所增加。尽管为患有精神疾病的人提供运动服务的机会有所增加，但目前缺乏关于对患者进行运动治疗评估和分类的指南。
制定针对在医院精神卫生保健中接受运动服务的患者进行运动前筛查和健康评估的指南，并建立一个用于医院精神卫生保健的运动治疗分类框架。
采用由两项在线调查和两轮焦点小组讨论组成德尔菲技术，以获得多学科专家小组的共识。
就运动前健康筛查、健康领域评估、代表高价值临床评估的评估工具以及运动治疗中运动治疗分类框架的创建和建议使用等方面达成了共识。
本研究是同类研究中首个为澳大利亚医院精神卫生保健中运动治疗的实施提供指导的研究。研究结果为运动治疗中患者的适当健康评估和筛查提供了建议，并通过一个逐步框架为患者运动治疗实施和分类提供指导，以确定（a）所需运动治疗的及时性，以及（b）运动治疗实施中所需的支持水平。
