Effectiveness of a brief lifestyle intervention targeting mental health staff: analysis of physical fitness and activity in the Keeping Our Staff in Mind study.
exercise
illness
mental
physical activity
Journal
BMJ open sport & exercise medicine
ISSN: 2055-7647
Titre abrégé: BMJ Open Sport Exerc Med
Pays: England
ID NLM: 101681007
Informations de publication
Date de publication:
2020
2020
Historique:
accepted:
17
06
2020
entrez:
21
7
2020
pubmed:
21
7
2020
medline:
21
7
2020
Statut:
epublish
Résumé
People with mental illness die on average 15 years less than the general population, primarily to cardiometabolic disease. Lifestyle interventions are effective in reducing cardiometabolic risk but are not routinely provided to mental health consumers. Lifestyle interventions targeting mental health staff may be beneficial in changing culture surrounding physical health and subsequently improving consumer outcomes. This study examines exercise and fitness outcomes of a targeted lifestyle intervention directed at Australian mental health staff. A pragmatic single-arm intervention study was conducted within an Australian public mental health service. Mental health staff were provided a five-session individualised lifestyle intervention (incorporating exercise and nutritional counselling) over 5 weeks. Two waves of the programme were delivered between 2015 and 2016. This paper examines the exercise and fitness outcomes of the second wave of the study. Participants were assessed at baseline and at a 16-week follow-up. The primary exercise outcome was a measurement of cardiorespiratory fitness. Secondary outcomes included self-reported physical activity and a measurement of handgrip strength. A total of 106 staff participated in this component of the study. Cardiorespiratory fitness increased significantly from baseline to follow-up (p<0.001). Significant improvements to physical activity occurred with decreases in sedentary time (p<0.0005) and increases in moderate-to-vigorous physical activity (p<0.005). Lifestyle interventions incorporating exercise counselling may improve the physical health of mental health staff. Such strategies may be effective in improving culture surrounding physical health and/or increasing the effectiveness of lifestyle interventions targeting mental health consumers.
Sections du résumé
BACKGROUND
BACKGROUND
People with mental illness die on average 15 years less than the general population, primarily to cardiometabolic disease. Lifestyle interventions are effective in reducing cardiometabolic risk but are not routinely provided to mental health consumers. Lifestyle interventions targeting mental health staff may be beneficial in changing culture surrounding physical health and subsequently improving consumer outcomes. This study examines exercise and fitness outcomes of a targeted lifestyle intervention directed at Australian mental health staff.
METHODS
METHODS
A pragmatic single-arm intervention study was conducted within an Australian public mental health service. Mental health staff were provided a five-session individualised lifestyle intervention (incorporating exercise and nutritional counselling) over 5 weeks. Two waves of the programme were delivered between 2015 and 2016. This paper examines the exercise and fitness outcomes of the second wave of the study. Participants were assessed at baseline and at a 16-week follow-up. The primary exercise outcome was a measurement of cardiorespiratory fitness. Secondary outcomes included self-reported physical activity and a measurement of handgrip strength.
RESULTS
RESULTS
A total of 106 staff participated in this component of the study. Cardiorespiratory fitness increased significantly from baseline to follow-up (p<0.001). Significant improvements to physical activity occurred with decreases in sedentary time (p<0.0005) and increases in moderate-to-vigorous physical activity (p<0.005).
CONCLUSION
CONCLUSIONS
Lifestyle interventions incorporating exercise counselling may improve the physical health of mental health staff. Such strategies may be effective in improving culture surrounding physical health and/or increasing the effectiveness of lifestyle interventions targeting mental health consumers.
Identifiants
pubmed: 32685186
doi: 10.1136/bmjsem-2020-000761
pii: bmjsem-2020-000761
pmc: PMC7359059
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e000761Informations de copyright
© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
Références
J Ment Health. 2020 Oct;29(5):565-572
pubmed: 30322334
Acta Psychiatr Scand. 2015 Nov;132(5):410-1
pubmed: 26366637
J Nerv Ment Dis. 2015 Jun;203(6):473-6
pubmed: 26034872
Med Sci Sports Exerc. 2003 Aug;35(8):1381-95
pubmed: 12900694
Br J Sports Med. 2017 May;51(10):767-768
pubmed: 27797742
J Ment Health. 2018 Apr;27(2):184-191
pubmed: 29447044
Schizophr Bull. 2017 May 1;43(3):546-556
pubmed: 27521348
Lancet. 2015 Jul 18;386(9990):266-73
pubmed: 25982160
Prog Cardiovasc Dis. 2017 Jun - Jul;60(1):11-20
pubmed: 28286137
J Psychiatr Ment Health Nurs. 2015 Aug;22(6):440-8
pubmed: 25855247
Curr Sports Med Rep. 2013 Jul-Aug;12(4):215-7
pubmed: 23851406
Am J Prev Med. 2011 Jun;40(6):637-44
pubmed: 21565657
World Psychiatry. 2017 Feb;16(1):30-40
pubmed: 28127922
JAMA Psychiatry. 2018 Jul 1;75(7):740-746
pubmed: 29710135
Schizophr Res. 2016 Mar;171(1-3):103-9
pubmed: 26805414
Schizophr Res. 2015 Dec;169(1-3):453-457
pubmed: 26475214
Br J Psychiatry. 2017 Feb;210(2):110-118
pubmed: 27810893
Psychol Med. 2015 May;45(7):1343-61
pubmed: 25650668
World Psychiatry. 2017 Jun;16(2):163-180
pubmed: 28498599
Psychiatr Rehabil J. 2013 Jun;36(2):65-71
pubmed: 23647144
BMJ. 2013 May 21;346:f2539
pubmed: 23694688
Lancet Psychiatry. 2017 Apr;4(4):295-301
pubmed: 28237639
Can J Sport Sci. 1992 Dec;17(4):338-45
pubmed: 1330274
J Gen Intern Med. 2016 Sep;31(9):1083-91
pubmed: 27149967
J Cachexia Sarcopenia Muscle. 2016 Dec;7(5):535-546
pubmed: 27104109
Health Promot J Austr. 2020 Sep;31(3):447-455
pubmed: 31925974
Prog Cardiovasc Dis. 2015 Jan-Feb;57(4):306-14
pubmed: 25269064
J Affect Disord. 2016 Jan 15;190:249-253
pubmed: 26523669
Annu Rev Public Health. 2017 Mar 20;38:1-22
pubmed: 28384085
J Ment Health. 2018 Apr;27(2):150-156
pubmed: 28645230
JAMA Netw Open. 2018 Oct 5;1(6):e183605
pubmed: 30646252
BMJ. 2001 Feb 24;322(7284):443-4
pubmed: 11222406
Eur Psychiatry. 2018 Oct;54:124-144
pubmed: 30257806
Gen Hosp Psychiatry. 2015 Jan-Feb;37(1):14-23
pubmed: 25510845
Acta Physiol Scand Suppl. 1960;49(169):1-92
pubmed: 13794892
BJPsych Open. 2018 Aug 14;4(5):346-351
pubmed: 30140446
Br J Psychiatry. 2016 Apr;208(4):322-9
pubmed: 26941263
CNS Drugs. 2008;22(7):547-62
pubmed: 18547125
BMJ. 2017 May 2;357:j2096
pubmed: 28465317
World Psychiatry. 2015 Oct;14(3):339-47
pubmed: 26407790
Circ Heart Fail. 2012 Sep 1;5(5):579-85
pubmed: 22773109