Chapman Justin J, Siskind Dan, Yung Alison R, Lee Yong Yi, Arnautovska Urska, Scott James G, Burke Kylie, Malacova Eva, Korman Nicole, Wyder Marianne, Doohan Meg A, Keating Shelley E, Parker Stephen, Walker Max E, Hu Di, O'Brien Jake, Lau Geoffrey, Pratt Gregory F, Rosenbaum Simon, Curtis Jackie, Chatterton Mary Lou, Simmons Lisa, Wheeler Amanda J
School of Pharmacy and Medical Sciences, Centre for Mental Health, Griffith University, Southport, QLD, Australia.
Addictions and Mental Health Service, Metro South Health, Brisbane, QLD, Australia.
Neuropsychiatr Dis Treat. 2025 Jul 11;21:1399-1408. doi: 10.2147/NDT.S530837. eCollection 2025.
Exercise can improve the quality of life (QoL) of people with severe mental illness (SMI); however, many experience practical, psychosocial, and socioeconomic barriers to commencing and maintaining exercise. This protocol describes a study aiming to assess the effectiveness of an Accredited Exercise Physiologist (AEP) service for improving QoL in adults with SMI.
This is a prospective non-randomised effectiveness trial to evaluate the effectiveness and cost-effectiveness of an AEP service within mental healthcare settings. Participants will be adults (18+ years) with SMI recruited from public mental health services and community organizations. The primary outcome is QoL assessed using the Recovering Quality of Life questionnaire (ReQoL) assessed at baseline, 3-month and 6-month follow-up. Participants will be invited to a study in which they may self-select to access an AEP service for six months. Self-reported health, demographic and psychosocial influences will be measured and incorporated in analyses as covariates. This is a pragmatic observational approach to evaluating effectiveness, in which participants who attend the AEP service will be compared with those who decline. Reasons for non-participation will be explored, and rates of recruitment and adherence will be examined. Findings will provide insight into implementing AEP services in mental health settings.
Ethics approval has been obtained from the Metro South Health Human Research Ethics Committee (HREC/2024/QMS/109698). We plan to submit a manuscript of the results to a peer-reviewed journal. Results will be presented at conferences, community and consumer forums and hospital grand rounds.
The trial is registered under the Australian and New Zealand Clinical Trial Registry (ACTRN12624001148561).
运动可以改善重度精神疾病（SMI）患者的生活质量（QoL）；然而，许多人在开始和维持运动方面面临实际、心理社会和社会经济障碍。本方案描述了一项旨在评估经认可的运动生理学家（AEP）服务对改善成年SMI患者生活质量有效性的研究。
这是一项前瞻性非随机有效性试验，旨在评估精神卫生保健环境中AEP服务的有效性和成本效益。参与者将是从公共精神卫生服务机构和社区组织招募的成年（18岁及以上）SMI患者。主要结局是使用生活质量恢复问卷（ReQoL）在基线、3个月和6个月随访时评估的生活质量。参与者将被邀请参加一项研究，他们可以自行选择接受为期六个月的AEP服务。将测量自我报告的健康、人口统计学和心理社会影响因素，并作为协变量纳入分析。这是一种评估有效性的实用观察方法，其中将参加AEP服务的参与者与拒绝参加的参与者进行比较。将探讨不参与的原因，并检查招募率和依从率。研究结果将为在精神卫生环境中实施AEP服务提供见解。
已获得南布里斯班都会健康区人类研究伦理委员会（HREC/2024/QMS/109698）的伦理批准。我们计划将研究结果的稿件提交给同行评审期刊。研究结果将在会议、社区和消费者论坛以及医院大查房中展示。
该试验已在澳大利亚和新西兰临床试验注册中心（ACTRN12624001148561）注册。
