TY - JOUR
T1 - A feasibility study of a physical activity intervention for people with severe mental illness in medium secure psychiatric services in the United Kingdom
AU - Roden-Lui, Gloria
AU - Faulkner, Guy
AU - Lucock, Mike
AU - Gibbon, Simon
AU - Hewitt, Catherine
AU - Hughes, Elizabeth
AU - Khan, Wajid
AU - Lewis, Kiara
AU - Singh, Bal
AU - Walters, Philip
AU - Watson, Judith
AU - Walker, Tammi
N1 - Funding Information:
The author(s) declare that financial support was received for the research and/or publication of this article. Funding was provided by the Research for Patient Benefit of the National Institute for Health and Care Research (NIHR). Funders were not involved in the study, analysis and writing for publication. The study was funded by the Research for Patient Benefit Competition 38 Stage 2 \u2013 Yorkshire and The North East (RfPB NIHR2011176). Views expressed in this paper are those of the author(s) and does not necessarily represent those of the NIHR or the Department of Health and Social Care. Acknowledgments
Publisher Copyright:
Copyright © 2025 Roden-Lui, Faulkner, Lucock, Gibbon, Hewitt, Hughes, Khan, Lewis, Singh, Walters, Watson and Walker.
PY - 2025/7/24
Y1 - 2025/7/24
N2 - Background: In the UK, there are approximately 3500 individuals detained in medium secure service. Service users in such settings have complex and severe mental illness (SMI), often with co-morbid physical health problems, shorter life expectancy and low levels of physical activity (PA). However, there are few studies about PA interventions for medium secure service users in the United Kingdom. Therefore, the aim of the study was to co-produce, with medium secure service users and staff, the content and delivery of an intervention to increase PA. Methods: A feasibility and acceptability study were conducted to test the PA intervention using the Capability, Opportunity, Motivation Behaviour Change Model (COM-B model) as the underpinning theoretical model. Both female and male service users, with personality disorder and/or mental illness, were recruited from two medium secure services in the UK. Outcome measures were collected at baseline, after the intervention and at follow up (3-months after intervention), and included PA levels, mental well-being, data on recruitment and retention and causes of drop out. Results: A total of 33 participants were recruited. Seven participants withdrew during the intervention period and 26 participants completed the PA intervention. During the follow up stage, three participants withdrew. Following the intervention participants increased PA and improved physical health and wellbeing. Overall, there was good retention for the PA intervention Conclusion: Retention rates and completeness of data at both study sites indicate that it is feasible and acceptable to co-produce, deliver and maintain commitment to a PA intervention in such settings for service users with SMI. A future pilot randomised controlled trial (RCT) will allow further understanding about the effectiveness of the PA intervention in medium secure psychiatric services. Clinical trial registration: https://doi.org/10.1186/ISRCTN15546527, ISRCTN Registry – ISRCTN15546527.
AB - Background: In the UK, there are approximately 3500 individuals detained in medium secure service. Service users in such settings have complex and severe mental illness (SMI), often with co-morbid physical health problems, shorter life expectancy and low levels of physical activity (PA). However, there are few studies about PA interventions for medium secure service users in the United Kingdom. Therefore, the aim of the study was to co-produce, with medium secure service users and staff, the content and delivery of an intervention to increase PA. Methods: A feasibility and acceptability study were conducted to test the PA intervention using the Capability, Opportunity, Motivation Behaviour Change Model (COM-B model) as the underpinning theoretical model. Both female and male service users, with personality disorder and/or mental illness, were recruited from two medium secure services in the UK. Outcome measures were collected at baseline, after the intervention and at follow up (3-months after intervention), and included PA levels, mental well-being, data on recruitment and retention and causes of drop out. Results: A total of 33 participants were recruited. Seven participants withdrew during the intervention period and 26 participants completed the PA intervention. During the follow up stage, three participants withdrew. Following the intervention participants increased PA and improved physical health and wellbeing. Overall, there was good retention for the PA intervention Conclusion: Retention rates and completeness of data at both study sites indicate that it is feasible and acceptable to co-produce, deliver and maintain commitment to a PA intervention in such settings for service users with SMI. A future pilot randomised controlled trial (RCT) will allow further understanding about the effectiveness of the PA intervention in medium secure psychiatric services. Clinical trial registration: https://doi.org/10.1186/ISRCTN15546527, ISRCTN Registry – ISRCTN15546527.
KW - physical activity
KW - severe mental illness
KW - co-production
KW - intervention design
KW - COM-B model of behaviour
KW - secure psychiatric services
KW - feasibility and acceptability
UR - http://www.scopus.com/inward/record.url?scp=105012883393&partnerID=8YFLogxK
U2 - 10.3389/fpsyt.2025.1558602
DO - 10.3389/fpsyt.2025.1558602
M3 - Article
C2 - 40778326
SN - 1664-0640
VL - 16
JO - Frontiers in Psychiatry
JF - Frontiers in Psychiatry
M1 - 1558602
ER -
