Skip to main content
main-content

01.12.2019 | Research article | Ausgabe 1/2019 Open Access

BMC Psychiatry 1/2019

‘Walk this way’: results from a pilot randomised controlled trial of a health coaching intervention to reduce sedentary behaviour and increase physical activity in people with serious mental illness

Zeitschrift:
BMC Psychiatry > Ausgabe 1/2019
Autoren:
Julie Williams, Brendon Stubbs, Sol Richardson, Cathy Flower, Lucy Barr-Hamilton, Barbara Grey, Kathryn Hubbard, Gilda Spaducci, Fiona Gaughran, Tom Craig
Wichtige Hinweise

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Abstract

Background

Cardiovascular disease (CVD) is the leading cause of premature death among people with serious mental illness (SMI). Sedentary behaviour (SB) is an independent risk factor for CVD and mortality and people with SMI are highly sedentary. We developed a health coaching intervention called ‘Walk this Way’ to reduce SB and increase physical activity (PA) in people with SMI and conducted a pilot randomised controlled trial (RCT) to test its feasibility and acceptability.

Methods

We randomised people with SMI from three community mental health teams into either the WTW intervention or treatment as usual. The WTW intervention lasted 17 weeks and included an initial education session, fortnightly coaching, provision of pedometers and access to a weekly walking group. Objective SB and PA were measured with accelerometers. Cardiometabolic risk factors and wellbeing measures were collected.

Results

We recruited 40 people of whom 33 (82.5%) were followed up. 13/20 (65%) of participants allocated to the coaching intervention completed it. In the intervention group SB decreased by 56 min and total PA increased by 32 min per day on average which was sustained 6 months later. There was no change in PA or SB in the control group. When interviewed, participants in the intervention found the intervention helpful and acceptable. No adverse events were reported from the intervention.

Conclusions

The intervention was feasible and acceptable to participants. Preliminary results were encouraging with improvement seen in both SB and PA. A larger study is needed to assess the effectiveness of the intervention and address any implementation challenges.

Trial registration

ISRCTN Registry identifier: ISRCTN37724980, retrospectively registered 25 September 2015.
Literatur
Über diesen Artikel

Weitere Artikel der Ausgabe 1/2019

BMC Psychiatry 1/2019 Zur Ausgabe

Neu im Fachgebiet Psychiatrie

05.03.2021 | Riechstörungen | Podcast | Nachrichten

Riechstörungen – über vielfältige Ursachen und neue Therapien

Mit Prof. Thomas Hummel, Leiter des Zentrums für Riechen und Schmecken, Uniklinik Dresden

26.02.2021 | Insomnie | Nachrichten

Inseln der Wachheit im Schlaf

19.02.2021 | Insomnie | Podcast | Nachrichten

Schlaf und psychische Gesundheit – ein sensibles Wechselspiel

Im Gespräch mit Prof. Dr. med. Christoph Nissen, Schlafforscher und Psychiater