A study protocol for a randomised controlled feasibility trial of an intervention to increase activity and reduce sedentary behaviour in people with severe mental illness: Walking fOR Health (WORtH) Study.

Behaviour change Physical activity Sedentary behaviour Severe mental illness

Journal

Pilot and feasibility studies
ISSN: 2055-5784
Titre abrégé: Pilot Feasibility Stud
Pays: England
ID NLM: 101676536

Informations de publication

Date de publication:
15 Nov 2021
Historique:
received: 30 04 2021
accepted: 22 10 2021
entrez: 16 11 2021
pubmed: 17 11 2021
medline: 17 11 2021
Statut: epublish

Résumé

People with severe mental illness (SMI) are less physically active and more sedentary than healthy controls, contributing to poorer physical health outcomes in this population. There is a need to understand the feasibility and acceptability, and explore the effective components, of health behaviour change interventions targeting physical activity and sedentary behaviour in this population in rural and semi-rural settings. This 13-week randomised controlled feasibility trial compares the Walking fOR Health (WORtH) multi-component behaviour change intervention, which includes education, goal-setting and self-monitoring, with a one-off education session. It aims to recruit 60 inactive adults with SMI via three community mental health teams in Ireland and Northern Ireland. Primary outcomes are related to feasibility and acceptability, including recruitment, retention and adherence rates, adverse events and qualitative feedback from participants and clinicians. Secondary outcome measures include self-reported and accelerometer-measured physical activity and sedentary behaviour, anthropometry measures, physical function and mental wellbeing. A mixed-methods process evaluation will be undertaken. This study protocol outlines changes to the study in response to the COVID-19 pandemic. This study will address the challenges and implications of remote delivery of the WORtH intervention due to the COVID-19 pandemic and inform the design of a future definitive randomised controlled trial if it is shown to be feasible. The trial was registered on clinicaltrials.gov ( NCT04134871 ) on 22 October 2019.

Sections du résumé

BACKGROUND BACKGROUND
People with severe mental illness (SMI) are less physically active and more sedentary than healthy controls, contributing to poorer physical health outcomes in this population. There is a need to understand the feasibility and acceptability, and explore the effective components, of health behaviour change interventions targeting physical activity and sedentary behaviour in this population in rural and semi-rural settings.
METHODS METHODS
This 13-week randomised controlled feasibility trial compares the Walking fOR Health (WORtH) multi-component behaviour change intervention, which includes education, goal-setting and self-monitoring, with a one-off education session. It aims to recruit 60 inactive adults with SMI via three community mental health teams in Ireland and Northern Ireland. Primary outcomes are related to feasibility and acceptability, including recruitment, retention and adherence rates, adverse events and qualitative feedback from participants and clinicians. Secondary outcome measures include self-reported and accelerometer-measured physical activity and sedentary behaviour, anthropometry measures, physical function and mental wellbeing. A mixed-methods process evaluation will be undertaken. This study protocol outlines changes to the study in response to the COVID-19 pandemic.
DISCUSSION CONCLUSIONS
This study will address the challenges and implications of remote delivery of the WORtH intervention due to the COVID-19 pandemic and inform the design of a future definitive randomised controlled trial if it is shown to be feasible.
TRIAL REGISTRATION BACKGROUND
The trial was registered on clinicaltrials.gov ( NCT04134871 ) on 22 October 2019.

Identifiants

pubmed: 34782018
doi: 10.1186/s40814-021-00938-5
pii: 10.1186/s40814-021-00938-5
pmc: PMC8590967
doi:

Banques de données

ClinicalTrials.gov
['NCT04134871']

Types de publication

Journal Article

Langues

eng

Pagination

205

Informations de copyright

© 2021. The Author(s).

Références

Lancet. 2016 Dec 10;388(10062):2936-2947
pubmed: 27671670
World Psychiatry. 2017 Jun;16(2):163-180
pubmed: 28498599
J Am Geriatr Soc. 1991 Feb;39(2):142-8
pubmed: 1991946
World Psychiatry. 2017 Oct;16(3):308-315
pubmed: 28941119
BMC Psychiatry. 2020 Mar 6;20(1):108
pubmed: 32143714
Psychiatry Res. 2014 Dec 15;220(1-2):664-8
pubmed: 25150920
Psychiatry Res. 2012 Dec 30;200(2-3):73-8
pubmed: 22497956
J Am Geriatr Soc. 2005 Apr;53(4):695-9
pubmed: 15817019
Gerontol Geriatr Med. 2020 Dec 14;6:2333721420980313
pubmed: 33403222
J Affect Disord. 2017 Mar 01;210:139-150
pubmed: 28033521
Schizophr Res. 2016 Oct;176(2-3):431-440
pubmed: 27261419
Schizophr Res. 2016 Mar;171(1-3):103-9
pubmed: 26805414
J Affect Disord. 2016 Sep 01;201:145-52
pubmed: 27235817
JMIR Ment Health. 2020 Aug 7;7(8):e17204
pubmed: 32763881
Br J Sports Med. 2015 Oct;49(19):1262-7
pubmed: 26238869
BMJ Open. 2017 Feb 17;7(2):e013537
pubmed: 28213598
Lancet Psychiatry. 2019 Aug;6(8):675-712
pubmed: 31324560
BMJ. 2015 Mar 19;350:h1258
pubmed: 25791983
Stroke. 2013 Jan;44(1):227-9
pubmed: 23138443
Can Fam Physician. 1999 Apr;45:992, 995, 1004-5
pubmed: 10216799
Ann Behav Med. 2013 Aug;46(1):81-95
pubmed: 23512568
Eur Psychiatry. 2018 Oct;54:124-144
pubmed: 30257806
Lancet. 2002 Feb 16;359(9306):614-8
pubmed: 11867132
JMIR Ment Health. 2018 Nov 21;5(4):e62
pubmed: 30463836
Curr Opin Cardiol. 2017 Sep;32(5):541-556
pubmed: 28708630
Trials. 2017 May 18;18(1):221
pubmed: 28521831
Psychiatr Serv. 2014 May 1;65(5):693-6
pubmed: 24585134
J Eval Clin Pract. 2004 May;10(2):307-12
pubmed: 15189396
J Public Health Dent. 2011 Winter;71(s1):S52-S63
pubmed: 21499543
Psychol Med. 2016 Oct;46(14):2869-2881
pubmed: 27502153
BMJ Open. 2015 Dec 15;5(12):e009010
pubmed: 26671955
Psychiatry Res. 2013 Dec 30;210(3):812-8
pubmed: 24182688
COPD. 2018 Jun;15(3):254-264
pubmed: 30183414
Clin J Pain. 2013 Nov;29(11):972-81
pubmed: 23446066
Health Qual Life Outcomes. 2007 Nov 27;5:63
pubmed: 18042300
Compr Psychiatry. 2017 Apr;74:144-150
pubmed: 28167327
Diabet Med. 2006 May;23(5):469-80
pubmed: 16681555
J Phys Act Health. 2010 Nov;7(6):697-705
pubmed: 21088299
Lancet. 2002 Feb 9;359(9305):515-9
pubmed: 11853818
BMC Psychiatry. 2019 Sep 18;19(1):287
pubmed: 31533686

Auteurs

Suzanne M McDonough (SM)

Centre for Health and Rehabilitation Technologies, School of Health Sciences, Ulster University, Shore Road, Newtownabbey, BT37 0QB, UK. SuzanneMcDonough@rcsi.ie.
School of Physiotherapy, RCSI University of Medicine and Health Sciences, Dublin, Ireland. SuzanneMcDonough@rcsi.ie.
School of Physiotherapy, University of Otago, Dunedin, New Zealand. SuzanneMcDonough@rcsi.ie.

Sarah C Howes (SC)

Centre for Health and Rehabilitation Technologies, School of Health Sciences, Ulster University, Shore Road, Newtownabbey, BT37 0QB, UK.

Maurice Dillon (M)

Louth Meath Mental Health Services, Midlands Louth Meath Community Healthcare Organisation CHO, Dublin, Ireland.

Judith McAuley (J)

Community Mental Health Team, Northern Health and Social Care Trust, Antrim, UK.

John Brady (J)

Community Mental Health Team, Western Health and Social Care Trust, Omagh, UK.

Mary Clarke (M)

School of Medicine and Medical Sciences, University College Dublin, Dublin, Ireland.

Mike Clarke (M)

School of Medicine, Dentistry and Biomedical Sciences, Queen's University Belfast, Belfast, UK.

Emily Lait (E)

Beaumont Hospital, Dublin, Ireland.

Duana McArdle (D)

Louth Meath Mental Health Services, Midlands Louth Meath Community Healthcare Organisation CHO, Dublin, Ireland.

Tony O'Neill (T)

School of Medicine, Dentistry and Biomedical Sciences, Queen's University Belfast, Belfast, UK.
Centre for Evidence and Social Innovation, Queen's University Belfast, Belfast, UK.

Iseult Wilson (I)

School of Nursing and Midwifery, Queen's University Belfast, Belfast, UK.

Ailsa Niven (A)

Physical Activity for Health Research Centre (PAHRC), Institute for Sport, Physical Education and Health Sciences, University of Edinburgh, Edinburgh, UK.

Julie Williams (J)

Centre for Implementation Science, Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.

Mark A Tully (MA)

Institute of Mental Health Sciences, School of Health Sciences, Ulster University, Newtownabbey, BT37 0QB, UK.

Marie H Murphy (MH)

Centre for Exercise Medicine, Physical Activity and Health, Sports and Exercise Sciences Research Institute, Ulster University, Jordanstown Campus, Newtownabbey, BT37 0QB, UK.

Catherine M McDonough (CM)

Louth Meath Rehabilitation Service, Midlands Louth Meath Community Healthcare Organisation CHO, Dublin, Ireland.

Classifications MeSH