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dc.contributor.authorKorman, Nicole
dc.contributor.authorFox, Harley
dc.contributor.authorSkinner, Tina
dc.contributor.authorDodd, Cassandra
dc.contributor.authorSuetani, Shuichi
dc.contributor.authorChapman, Justin
dc.contributor.authorParker, Stephen
dc.contributor.authorDark, Frances
dc.contributor.authorCollins, Cheryl
dc.contributor.authorRosenbaum, Simon
dc.contributor.authorSiskind, Dan
dc.date.accessioned2020-05-25T23:58:22Z
dc.date.available2020-05-25T23:58:22Z
dc.date.issued2020
dc.identifier.issn1664-0640
dc.identifier.doi10.3389/fpsyt.2020.00319
dc.identifier.urihttp://hdl.handle.net/10072/394139
dc.description.abstractPurpose: People with severe mental illness (SMI) experience poor physical health and premature mortality, contributed significantly by modifiable lifestyle risk factors such as poor nutrition, low cardiorespiratory fitness, and physical inactivity. Lifestyle interventions can reduce cardiometabolic risk and confer a range of other positive mental and physical health benefits. We assessed the feasibility, acceptability, safety, and preliminary effectiveness of a lifestyle (combined dietary and exercise) intervention lead by senior exercise and dietetics students in a residential mental health rehabilitation setting. Design: Single arm, prospective study evaluating outcomes pre and post a 10-week dietary and exercise intervention. Method: People with SMI from three residential rehabilitation units participated in a mixed aerobic and resistance training exercise intervention three times per week that was combined with a dietary intervention (six individual and group sessions). Primary outcome considerations were feasibility (recruitment, retention, and participation rates), acceptability, and adverse events. Secondary outcomes were preliminary effectiveness; (functional exercise capacity, volume of exercise, and metabolic markers), psychiatric symptoms, quality of life, and attitudes to exercise. Results: Forty-two participants were recruited (92% primary diagnosis of schizophrenia). Intervention feasibility was supported by high levels of recruitment (68%), retention (77%), and participation (70% exercise, 65% diet sessions); and the absence of serious adverse events. Significant improvements in functional exercise capacity, volume of exercise, general psychiatric symptoms, and negative psychotic symptoms occurred. Anthropometric and metabolic blood markers did not change. While the intervention was acceptable to participants, motivation for and perceived value of exercise reduced over 10 weeks. Conclusions: A brief pragmatic student-led lifestyle intervention integrated into usual mental health care was feasible, acceptable, safe, and scalable across two additional mental health residential rehabilitation sites, and resulted in physical and mental health improvements. Increased frequency of dietary sessions and length of dietary intervention may improve metabolic outcomes in the future. People with SMI living in residential rehabilitation units should have access to lifestyle programs to address modifiable lifestyle risk factors. While this brief intervention was feasible and acceptable, this study highlights some of the challenges associated with maintaining motivation for healthy lifestyles for people with SMI. Longer term investigation of real-world lifestyle interventions is warranted, together with additional interventions that may support people with SMI to sustain motivation to address lifestyle factors. Clinical Trial Registration: The trial was registered with the Australian New Zealand Clinical Trials Registry (ANZCTR), Unique Identifier: ACTRN 12618000478213, http://www.anzctr.org.au Universal trial number (UTN)-U1111-1211-4009.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherFrontiers Media SA
dc.relation.ispartofpagefrom319:1
dc.relation.ispartofpageto319:12
dc.relation.ispartofjournalFrontiers in Psychiatry
dc.relation.ispartofvolume11
dc.subject.fieldofresearchClinical sciences
dc.subject.fieldofresearchHealth services and systems
dc.subject.fieldofresearchPublic health
dc.subject.fieldofresearchPsychology
dc.subject.fieldofresearchcode3202
dc.subject.fieldofresearchcode4203
dc.subject.fieldofresearchcode4206
dc.subject.fieldofresearchcode52
dc.subject.keywordsdiet
dc.subject.keywordsexercise
dc.subject.keywordslifestyle intervention
dc.subject.keywordsphysical activity
dc.subject.keywordsrehabilitation
dc.titleFeasibility and Acceptability of a Student-Led Lifestyle (Diet and Exercise) Intervention Within a Residential Rehabilitation Setting for People With Severe Mental Illness, GO HEART (Group Occupation, Health, Exercise And Rehabilitation Treatment)
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationKorman, N; Fox, H; Skinner, T; Dodd, C; Suetani, S; Chapman, J; Parker, S; Dark, F; Collins, C; Rosenbaum, S; Siskind, D, Feasibility and Acceptability of a Student-Led Lifestyle (Diet and Exercise) Intervention Within a Residential Rehabilitation Setting for People With Severe Mental Illness, GO HEART (Group Occupation, Health, Exercise And Rehabilitation Treatment), Frontiers in Psychiatry, 2020, 11, pp. 319:1-319:12
dcterms.dateAccepted2020-03-31
dcterms.licensehttps://creativecommons.org/licenses/by/4.0/
dc.date.updated2020-05-25T23:44:35Z
dc.description.versionVersion of Record (VoR)
gro.rights.copyright© 2020 Korman, Fox, Skinner, Dodd, Suetani, Chapman, Parker, Dark, Collins, Rosenbaum and Siskind. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
gro.hasfulltextFull Text
gro.griffith.authorChapman, Justin J.


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