An Effectiveness Trial of an Exercise Physiologist Service to Improve Quality of Life in Adults with Severe Mental Illness: Protocol for the MOVEMENT Study
Justin J Chapman,1– 3 Dan Siskind,2,4,5 Alison R Yung,6 Yong Yi Lee,5,7,8 Urska Arnautovska,2,5 James G Scott,4,9,10 Kylie Burke,11– 13 Eva Malacova,14 Nicole Korman,2,4,5 Marianne Wyder,2 Meg A Doohan,1 Shelley E Keating,15 Stephen Parker,4,13 Max E Walker,1 Di Hu,1 Jake O’Brien,16 Geoffrey Lau,2 G...
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| Main Authors: | , , , , , , , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Dove Medical Press
2025-07-01
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| Series: | Neuropsychiatric Disease and Treatment |
| Subjects: | |
| Online Access: | https://www.dovepress.com/an-effectiveness-trial-of-an-exercise-physiologist-service-to-improve--peer-reviewed-fulltext-article-NDT |
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| Summary: | Justin J Chapman,1– 3 Dan Siskind,2,4,5 Alison R Yung,6 Yong Yi Lee,5,7,8 Urska Arnautovska,2,5 James G Scott,4,9,10 Kylie Burke,11– 13 Eva Malacova,14 Nicole Korman,2,4,5 Marianne Wyder,2 Meg A Doohan,1 Shelley E Keating,15 Stephen Parker,4,13 Max E Walker,1 Di Hu,1 Jake O’Brien,16 Geoffrey Lau,2 Gregory F Pratt,17 Simon Rosenbaum,18 Jackie Curtis,18,19 Mary Lou Chatterton,7 Lisa Simmons,20 Amanda J Wheeler1,3,21 1School of Pharmacy and Medical Sciences, Centre for Mental Health, Griffith University, Southport, QLD, Australia; 2Addictions and Mental Health Service, Metro South Health, Brisbane, QLD, Australia; 3ALIVE National Centre for Mental Health Research, University of Melbourne, Parkville, VIC, Australia; 4School of Medicine, The University of Queensland, Herston, QLD, Australia; 5Queensland Centre for Mental Health Research, Brisbane, QLD, Australia; 6School of Medicine, Deakin University, Geelong, VIC, Australia; 7School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia; 8School of Public Health, The University of Queensland, Herston, QLD, Australia; 9Child and Youth Mental Health Service, Children’s Health Queensland, Brisbane QLD, Australia; 10Child Health Research Centre, The University of Queensland, Brisbane, QLD, Australia; 11Parenting and Family Support Centre, School of Psychology, The University of Queensland, St Lucia, QLD, Australia; 12Australian Government through the Australian Research Council’s Centre of Excellence for Children and Families over the Life Course, The University of Queensland, Brisbane, QLD, Australia; 13Metro North Mental Health Service, Metro North Health, Herston, QLD, Australia; 14QIMR Berghofer Medical Research Institute, Herston, QLD, Australia; 15School of Human Movement and Nutrition Science, The University of Queensland, St Lucia, QLD, Australia; 16Department of Gastroenterology and Hepatology, Metro South Health, Brisbane, QLD, Australia; 17Mental Health and Genomics, Central Queensland University, Brisbane, QLD, Australia; 18Discipline of Psychiatry and Mental Health, School of Clinical Medicine, University of New South Wales, Sydney, NSW, Australia; 19Mindgardens Neuroscience Network, Sydney, NSW, Australia; 20Australian Institute of Tropical Health & Medicine, James Cook University, Townsville, QLD, Australia; 21Faculty of Medical and Health Sciences, Auckland University, Auckland, New ZealandCorrespondence: Justin J Chapman, Griffith University Centre for Mental Health 170 Kessels road Nathan, Brisbane, Queensland, 4111, Tel +61432 299 240, Email justinjchapman@gmail.comIntroduction: Exercise can improve the quality of life (QoL) of people with severe mental illness (SMI); however, many experience practical, psychosocial, and socioeconomic barriers to commencing and maintaining exercise. This protocol describes a study aiming to assess the effectiveness of an Accredited Exercise Physiologist (AEP) service for improving QoL in adults with SMI.Methods and Analysis: This is a prospective non-randomised effectiveness trial to evaluate the effectiveness and cost-effectiveness of an AEP service within mental healthcare settings. Participants will be adults (18+ years) with SMI recruited from public mental health services and community organizations. The primary outcome is QoL assessed using the Recovering Quality of Life questionnaire (ReQoL) assessed at baseline, 3-month and 6-month follow-up. Participants will be invited to a study in which they may self-select to access an AEP service for six months. Self-reported health, demographic and psychosocial influences will be measured and incorporated in analyses as covariates. This is a pragmatic observational approach to evaluating effectiveness, in which participants who attend the AEP service will be compared with those who decline. Reasons for non-participation will be explored, and rates of recruitment and adherence will be examined. Findings will provide insight into implementing AEP services in mental health settings.Ethics and Dissemination: Ethics approval has been obtained from the Metro South Health Human Research Ethics Committee (HREC/2024/QMS/109698). We plan to submit a manuscript of the results to a peer-reviewed journal. Results will be presented at conferences, community and consumer forums and hospital grand rounds.Trial Registration: The trial is registered under the Australian and New Zealand Clinical Trial Registry (ACTRN12624001148561).Keywords: physical activity, implementation, mental health, health services, recovery, lifestyle intervention |
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| ISSN: | 1178-2021 |