Kugelman Jane, Meg Doohan, Dyer Brett, O'Brien Jake, Kayal Mridula, Chapman Justin
School of Public Health, University of Queensland, Brisbane, Australia.
Centre for Mental Health, School of Pharmacy and Medical Sciences, Griffith University, Brisbane, Australia.
Community Ment Health J. 2025 Sep 18. doi: 10.1007/s10597-025-01518-0.
People with mental health challenges and problematic substance use may experience low quality of life (QoL) because of illness-related factors and psychosocial stressors. Evidence indicates that regular exercise can improve QoL for people with a range of mental health and substance use issues, and Accredited Exercise Physiologists (AEPs) provide evidence-based exercise interventions for people with a range of health conditions. This study examined QoL changes in people with mental health challenges and problematic substance use while engaged in an AEP service. The service was implemented over three years and involved weekly group exercise sessions and health education. Linear mixed-effects models were used to evaluate trajectories of QoL total score and each dimension (independent living, pain, senses, relationships, mental health, coping). A total of 295 participants were inducted, with 161 completing at least two assessments. QoL improved by 5.8% per year (95%CI: 1.8-9.8%), predominantly in mental health and coping dimensions. This study demonstrates the feasibility and adoption of AEP services to inform service planning for improving QoL in people with mental health challenges and problematic substance use.
患有心理健康问题和物质使用问题的人可能由于疾病相关因素和心理社会压力源而经历低生活质量（QoL）。证据表明，定期锻炼可以改善患有一系列心理健康和物质使用问题的人的生活质量，而注册运动生理学家（AEP）为患有一系列健康状况的人提供基于证据的运动干预。本研究调查了患有心理健康问题和物质使用问题的人在接受AEP服务期间生活质量的变化。该服务实施了三年，包括每周的团体锻炼课程和健康教育。使用线性混合效应模型来评估生活质量总分和每个维度（独立生活、疼痛、感官、人际关系、心理健康、应对）的轨迹。共有295名参与者入选，其中161人完成了至少两次评估。生活质量每年提高5.8%（95%CI：1.8-9.8%），主要在心理健康和应对维度。本研究证明了AEP服务在为改善患有心理健康问题和物质使用问题的人的生活质量提供服务规划信息方面的可行性和适用性。
