0
Get Alert
Please Wait... Processing your request... Please Wait.
You must sign in to sign-up for alerts.

Please confirm that your email address is correct, so you can successfully receive this alert.

Brief Reports   |    
Barriers to and Facilitators of Physical Activity Among Persons With Schizophrenia: A Survey of Physical Therapists
Andrew Soundy, Ph.D.; Brendon Stubbs, M.Sc.; Michel Probst, Ph.D.; Laura Hemmings, B.Sc.; Davy Vancampfort, Ph.D.
Psychiatric Services 2014; doi: 10.1176/appi.ps.201300276
View Author and Article Information

Dr. Soundy and Ms. Hemmings are with the Department of Physiotherapy, School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, United Kingdom (e-mail: a.a.soundy@bham.ac.uk). Ms. Hemmings is also with the Solihull Mental Health Trust, Birmingham, United Kingdom. Mr. Stubbs is with the School of Health and Social Care, University of Greenwich, London, United Kingdom. Dr. Probst and Dr. Vancampfort are with the University Psychiatric Center, Catholic University Leuven, Leuven, Belgium.

Copyright © 2014 by the American Psychiatric Association

Abstract

Objective  This study examined the experience, perceptions, and knowledge of physical therapists who work within mental health services regarding barriers to and facilitators of physical activity among people with schizophrenia.

Methods  A total of 151 physical therapists, members of the International Organization of Physical Therapists in Mental Health, completed an online survey. Data-driven and concept-driven content analysis was conducted with the responses.

Results  The most frequently cited barriers were patients’ lack of motivation (45% of respondents) and a lack of priority given to physical activity by other health care professionals (28%). The most frequently cited facilitators included the provision of esteem support by health care professionals (28%) and the promotion of enjoyment and autonomy for the patient (25%).

Conclusions  When promoting physical activity among individuals with schizophrenia, health care professionals who work in mental health settings should provide an individual approach, taking into account patient-related and situational factors.

Abstract Teaser
Figures in this Article

Your Session has timed out. Please sign back in to continue.
Sign In Your Session has timed out. Please sign back in to continue.
Sign In to Access Full Content
 
Username
Password
Sign in via Athens (What is this?)
Athens is a service for single sign-on which enables access to all of an institution's subscriptions on- or off-site.
Not a subscriber?

Subscribe Now/Learn More

PsychiatryOnline subscription options offer access to the DSM-5 library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development.

Need more help? PsychiatryOnline Customer Service may be reached by emailing PsychiatryOnline@psych.org or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.).

+

References

Roberts  SH;  Bailey  JE:  Incentives and barriers to lifestyle interventions for people with severe mental illness: a narrative synthesis of quantitative, qualitative and mixed methods studies.  Journal of Advanced Nursing 67:690–708, 2011
[CrossRef] | [PubMed]
 
Soundy  A;  Kingstone  T;  Coffee  P:  Understanding the psychosocial processes of physical activity for individuals with severe mental illness: a meta-ethnography; in Mental Illnesses: Evaluation, Treatments and Implications. Edited by L’Abate L.  Rijeka, Croatia,  InTech, 2012
 
Vancampfort  D;  Knapen  J;  Probst  M  et al:  A systematic review of correlates of physical activity in patients with schizophrenia.  Acta Psychiatrica Scandinavica 125:352–362, 2012
[CrossRef] | [PubMed]
 
Happell  B;  Scott  D;  Platania-Phung  C  et al:  Nurses' view on physical activity for people with serious mental illness.  Mental Health and Physical Activity 5:4–12, 2012
[CrossRef]
 
McDevitt  J;  Snyder  M;  Miller  A  et al:  Perceptions of barriers and benefits to physical activity among outpatients in psychiatric rehabilitation.  Journal of Nursing Scholarship 38:50–55, 2006
[CrossRef] | [PubMed]
 
Leutwyler  H;  Hubbard  EM;  Slater  M  et al:  It's good for me”: physical activity in older adults with schizophrenia.  Community Mental Health Journal  (Epub ahead of print, June 8, 2013)
 
De Herdt  A;  Knapen  J;  Vancampfort  D  et al:  Social anxiety in physical activity participation in patients with mental illness: a cross-sectional multicenter study.  Depression and Anxiety 30:757–762, 2013
[CrossRef] | [PubMed]
 
Soundy  A;  Faulkner  G;  Taylor  A:  Exploring variability and perception of lifestyle physical activity among individuals with severe and enduring mental health problems: a qualitative study.  Journal of Mental Health 16:493–503, 2007
[CrossRef]
 
Leutwyler  HH;  Hubbard  EM;  Jeste  DV  et al:  “We’re not just sitting on the periphery”: a staff perspective of physical activity in older adults with schizophrenia.  Gerontologist 53:474–483, 2013
[CrossRef] | [PubMed]
 
Carless  D;  Douglas  K:  Social support for and through exercise and sport in a sample of men with serious mental illness.  Issues in Mental Health Nursing 29:1179–1199, 2008
[CrossRef] | [PubMed]
 
Cutrona  CE;  Russell  D:  Type of social support and specific stress: toward a theory of optimal matching; in Social Support: An Interactional View. Edited by Sarason BR, Sarason IG, Pierce GR.  New York,  Wiley, 1990
 
Bandura  A:  Self-Efficacy: The Exercise of Control .  New York,  Freeman and Co, 1997
 
Phongsavan  P;  Merom  D;  Bauman  A  et al:  Mental illness and physical activity: therapists’ beliefs and practices.  Australian and New Zealand Journal of Psychiatry 41:458–459, 2007
[CrossRef] | [PubMed]
 
Stanton  R:  Accredited exercise physiologists and the treatment of people with mental illnesses.  Clinical Practice. 2:5–9, 2013
 
Fie  S;  Norman  IJ;  While  AE:  The relationship between physicians' and nurses’ personal physical activity habits and their health-promotion practice: a systematic review.  Higher Education Journal 72:102–119, 2011
 
References Container
+
+

CME Activity

There is currently no quiz available for this resource. Please click here to go to the CME page to find another.
Submit a Comments
Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
Comments are moderated and will appear on the site at the discertion of APA editorial staff.

* = Required Field
(if multiple authors, separate names by comma)
Example: John Doe



Web of Science® Times Cited: 1

Related Content
Articles
Books
DSM-5™ Clinical Cases > Chapter 2.  >
Textbook of Psychotherapeutic Treatments > Chapter 6.  >
The American Psychiatric Publishing Textbook of Psychopharmacology, 4th Edition > Chapter 62.  >
Textbook of Traumatic Brain Injury, 2nd Edition > Chapter 8.  >
Textbook of Traumatic Brain Injury, 2nd Edition > Chapter 8.  >
Topic Collections
Psychiatric News
Read more at Psychiatric News >>
APA Guidelines
PubMed Articles
Horticultural therapy for schizophrenia. Cochrane Database Syst Rev 2014;5():CD009413.