英国中等安全级别的精神科服务机构中针对严重精神疾病患者的身体活动干预可行性研究。
A feasibility study of a physical activity intervention for people with severe mental illness in medium secure psychiatric services in the United Kingdom.
作者信息
Roden-Lui Gloria, Faulkner Guy, Lucock Mike, Gibbon Simon, Hewitt Catherine, Hughes Elizabeth, Khan Wajid, Lewis Kiara, Singh Bal, Walters Phil, Watson Judith, Walker Tammi
机构信息
Department of Psychology, Durham University, Durham, United Kingdom.
Faculty of Education, University of British Columbia, Vancouver, BC, Canada.
出版信息
Front Psychiatry. 2025 Jul 24;16:1558602. doi: 10.3389/fpsyt.2025.1558602. eCollection 2025.
BACKGROUND
In the UK, there are approximately 3500 individuals detained in medium secure service. Service users in such settings have complex and severe mental illness (SMI), often with co-morbid physical health problems, shorter life expectancy and low levels of physical activity (PA). However, there are few studies about PA interventions for medium secure service users in the United Kingdom. Therefore, the aim of the study was to co-produce, with medium secure service users and staff, the content and delivery of an intervention to increase PA.
METHODS
A feasibility and acceptability study were conducted to test the PA intervention using the Capability, Opportunity, Motivation Behaviour Change Model (COM-B model) as the underpinning theoretical model. Both female and male service users, with personality disorder and/or mental illness, were recruited from two medium secure services in the UK.Outcome measures were collected at baseline, after the intervention and at follow up (3-months after intervention), and included PA levels, mental well-being, data on recruitment and retention and causes of drop out.
RESULTS
A total of 33 participants were recruited. Seven participants withdrew during the intervention period and 26 participants completed the PA intervention. During the follow up stage, three participants withdrew. Following the intervention participants increased PA and improved physical health and wellbeing. Overall, there was good retention for the PA intervention.
CONCLUSION
Retention rates and completeness of data at both study sites indicate that it is feasible and acceptable to co-produce, deliver and maintain commitment to a PA intervention in such settings for service users with SMI. A future pilot randomised controlled trial (RCT) will allow further understanding about the effectiveness of the PA intervention in medium secure psychiatric services.
CLINICAL TRIAL REGISTRATION
https://doi.org/10.1186/ISRCTN15546527, ISRCTN Registry - ISRCTN15546527.
背景
在英国，约有3500人被拘留在中等安全级别的机构中。这类机构中的服务对象患有复杂且严重的精神疾病（SMI），常伴有共病的身体健康问题，预期寿命较短且身体活动（PA）水平较低。然而，关于英国中等安全级机构中服务对象的身体活动干预研究较少。因此，本研究的目的是与中等安全级机构的服务对象及工作人员共同制定并实施一项增加身体活动的干预措施及其内容。
方法
进行了一项可行性和可接受性研究，以能力、机会、动机行为改变模型（COM-B模型）作为基础理论模型来测试身体活动干预措施。从英国的两个中等安全级机构招募了患有精神疾病和/或人格障碍的男性和女性服务对象。在基线、干预后及随访（干预后3个月）时收集结果指标，包括身体活动水平、心理健康状况、招募和留存数据以及退出原因。
结果
共招募了33名参与者。7名参与者在干预期退出，26名参与者完成了身体活动干预。在随访阶段，3名参与者退出。干预后参与者的身体活动增加，身体健康和幸福感得到改善。总体而言，身体活动干预的留存率良好。
结论
两个研究地点的留存率和数据完整性表明，对于患有严重精神疾病的服务对象，在这类机构中共同制定、实施并维持对身体活动干预措施的承诺是可行且可接受的。未来的试点随机对照试验（RCT）将有助于进一步了解身体活动干预在中等安全级精神科服务中的有效性。
临床试验注册
https://doi.org/10.1186/ISRCTN15546527，ISRCTN注册中心 - ISRCTN15546527
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