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Physical activity interventions for inpatients in secure mental health settings: what works, for whom, in what circumstances and why? A protocol for a realist synthesis.
Keel, Toby; Machaczek, Katarzyna; King, James A; Breen, Kieran; Stubbs, Brendon; Kinnafick, Florence.
Afiliação
  • Keel T; School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK J.T.Keel@lboro.ac.uk.
  • Machaczek K; Centre for Applied Health & Social Care Research (CARe), Sheffield Hallam University, Sheffield, UK.
  • King JA; School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK.
  • Breen K; National Centre for Sport and Exercise Medicine, Loughborough, UK.
  • Stubbs B; NIHR Leicester Biomedical Research Centre, Leicester, UK.
  • Kinnafick F; St Andrew's Healthcare, Northampton, UK.
BMJ Open ; 13(10): e073453, 2023 10 27.
Article em En | MEDLINE | ID: mdl-37890973
INTRODUCTION: The physical health of individuals with severe mental illness (SMI) is a cause for concern. While the purpose of inpatient mental health settings is rehabilitation and treatment, the physical health of hospitalised patients commonly deteriorates. Physical activity (PA) has been identified as an appropriate intervention to help improve the psychological and physical health of inpatients. We aim to address the gaps in the current literature by exploring how, why, for whom and in what contexts PA interventions help patients with SMI, who receive inpatient treatment, to increase their PA engagement. METHODS AND ANALYSIS: Realist synthesis: Six steps will be followed: (1) identification of the review question and scope of the review; (2) searching for evidence; (3) screening and appraisal; (4) extraction of data; (5) synthesis of the data and (6) dissemination. Five databases will be searched: Web of Science, PubMed, PsycINFO, PsychArticles and EmBase. A total of 10-15 stakeholders made up of academics and people living with SMI, sport and exercise therapists, psychiatrists, physiotherapists of low, medium and highly secure inpatient settings, will form an expert advisory group. They will provide their insight and knowledge of the secure setting contexts and perceived principles of how PA initiatives being undertaken in their hospitals for patients with SMI work, or not. The results will be published in accordance with the Realist And Meta-narrative Evidence Syntheses-Evolving Standards publication standards. ETHICS AND DISSEMINATION: Ethical approval has been granted. The review will produce context-specific guidance for Clinical Commissioning Groups and practitioners on how to optimise the provision of PA interventions for people with SMI in inpatient settings.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Psiquiatria / Transtornos Mentais Limite: Humans Idioma: En Revista: BMJ Open Ano de publicação: 2023 Tipo de documento: Article País de publicação: Reino Unido

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Psiquiatria / Transtornos Mentais Limite: Humans Idioma: En Revista: BMJ Open Ano de publicação: 2023 Tipo de documento: Article País de publicação: Reino Unido