O.2.2-6 ‘Let’s Ask the Service Users and Staff!’ - Barriers and Facilitators to Increasing Physical Activity in Medium Secure Psychiatric Services in the UK?
Bibliographic record
Abstract
Abstract Purpose As part of a four-phase project, ‘Increasing Physical Activity in a Medium Service: The Development and Feasibility of a Physical ACTivity Intervention (IMPACT)’, the barriers and facilitators to increasing physical activity (PA) in medium secure psychiatric services, in the UK, were explored. Previous reviews have called for additional exploration into barriers and facilitators, as evidence has suggested a positive association between PA and the improvement in physical and psychological health for people with serious mental illnesses (SMI) and low activity levels. Methods A mixed-method approach was adopted. Questionnaires, co-developed with service users, were completed across two NHS study sites in England, UK (n = 68), collecting qualitative and quantitative data from service users in medium secure services. Two focus groups were also conducted to collect qualitative data (n = 24) from hospital staff and key stakeholders. Framework Analysis and the COM-B Model of Behaviour Change (C for Capability, O for Opportunity, M for Motivation and B for Behaviour) were used to analyse the data. For this paper, the qualitative data from both the questionnaires and the focus groups will be discussed. Results Similar themes were identified by the service users, hospital staff and key stakeholders. One main barrier discussed was environmental factors in secure services such as sedentary ward environments and the lack of autonomy in secure services. Main facilitators discussed were increasing the knowledge of benefits to PA and having structural guidance for personal development. Conclusion The barriers and facilitators identified will inform the remaining phases of the IMPACT project, including a co-produced PA intervention, based on overcoming the barriers and supporting the facilitators identified. A feasibility study will then test the PA Intervention. This feature of co-producing a PA intervention in medium secure services, based on barriers and facilitators, adds to the limited literature in this area. The aim of the IMPACT project is to inform future a pilot study and policies. Support/Source National Institute for Health and Care Research (NIHR) - Research for Patient Benefit Programme (IRAS ID 297420).
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.003 | 0.012 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.003 | 0.002 |
| Scholarly communication | 0.003 | 0.003 |
| Open science | 0.001 | 0.003 |
| Research integrity | 0.002 | 0.002 |
| Insufficient payload (model declined to judge) | 0.046 | 0.006 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".