An Effectiveness Trial of an Exercise Physiologist Service to Improve Quality of Life in Adults with Severe Mental Illness: Protocol for the MOVEMENT Study
Notice bibliographique
Résumé
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
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,020 | 0,021 |
| Méta-épidémiologie (sens strict) | 0,006 | 0,003 |
| Méta-épidémiologie (sens large) | 0,010 | 0,010 |
| Bibliométrie | 0,002 | 0,002 |
| Études des sciences et des technologies | 0,004 | 0,004 |
| Communication savante | 0,004 | 0,003 |
| Science ouverte | 0,003 | 0,003 |
| Intégrité de la recherche | 0,006 | 0,008 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,045 | 0,008 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».