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Computerized physical activity training for persons with severe mental illness - experiences from a communal supported housing project

Gyllensten, Amanda Lundvik LU and Forsberg, Karl Anton LU (2017) In Disability and Rehabilitation: Assistive Technology 12(8). p.780-788
Abstract

Purpose: To study the effectiveness of Exergames in communal psychiatry for persons with severe mental illness, a randomized cluster study was performed. The hypothesis was to increase physical activity habits to improve somatic health. To identify factors promoting or impeding the use of the Exergames. Methods: Assessments of BMI, blood pressure, physical fitness, SF36, GAF and social interactions were studied at baseline and 10 months. An integrated methods design using content analysis of focus group interviews was integrated with a statistical analysis. Forty-three persons were randomized to the intervention and 30 to the control group. The qualitative interviews included 18 users, 11 staffs and one technical assistant. Results:... (More)

Purpose: To study the effectiveness of Exergames in communal psychiatry for persons with severe mental illness, a randomized cluster study was performed. The hypothesis was to increase physical activity habits to improve somatic health. To identify factors promoting or impeding the use of the Exergames. Methods: Assessments of BMI, blood pressure, physical fitness, SF36, GAF and social interactions were studied at baseline and 10 months. An integrated methods design using content analysis of focus group interviews was integrated with a statistical analysis. Forty-three persons were randomized to the intervention and 30 to the control group. The qualitative interviews included 18 users, 11 staffs and one technical assistant. Results: There were no significant between-group changes in physical activity behaviours or somatic health parameters after 10 months. Only 5% of the intervention group made systematic use of the intervention. Technological difficulties and staff attitudes were found to be barriers. The Exergames were perceived as technically complicated. The staff did not see playing TV games as important and negative attitudes were found. Conclusions: Exergames was not a successful intervention to increase physical activity behaviours in persons with severe mental illness in the community. Exergames and motivation for physical activity in this group is problematic.Implications for rehabilitationThere are difficulties to change passive physical activity habits for persons with severe mental illness, living in sheltered housing conditions in the community due to negative symptoms with depression, low motivation and bad self -confidence.An exergame intervention was not successful in this group of persons. No somatic health benefits were found.Simple physical activities and offering different choices meeting different user needs shouldbe offered.Ensuring user and staff engagement, good technical knowledge and good monitoring is a need for a successful intervention, if Exergames are offered as an alternative physical activity.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
cluster randomization, Exergames, focus groups, mixed methods, Social psychiatry
in
Disability and Rehabilitation: Assistive Technology
volume
12
issue
8
pages
780 - 788
publisher
Taylor & Francis
external identifiers
  • scopus:85007369100
  • wos:000418495700003
ISSN
1748-3107
DOI
10.1080/17483107.2016.1263881
language
English
LU publication?
yes
id
172e12a6-35e5-4ac1-b665-3a3f17a97b2f
date added to LUP
2017-01-13 08:43:15
date last changed
2018-01-16 13:22:43
@article{172e12a6-35e5-4ac1-b665-3a3f17a97b2f,
  abstract     = {<p>Purpose: To study the effectiveness of Exergames in communal psychiatry for persons with severe mental illness, a randomized cluster study was performed. The hypothesis was to increase physical activity habits to improve somatic health. To identify factors promoting or impeding the use of the Exergames. Methods: Assessments of BMI, blood pressure, physical fitness, SF36, GAF and social interactions were studied at baseline and 10 months. An integrated methods design using content analysis of focus group interviews was integrated with a statistical analysis. Forty-three persons were randomized to the intervention and 30 to the control group. The qualitative interviews included 18 users, 11 staffs and one technical assistant. Results: There were no significant between-group changes in physical activity behaviours or somatic health parameters after 10 months. Only 5% of the intervention group made systematic use of the intervention. Technological difficulties and staff attitudes were found to be barriers. The Exergames were perceived as technically complicated. The staff did not see playing TV games as important and negative attitudes were found. Conclusions: Exergames was not a successful intervention to increase physical activity behaviours in persons with severe mental illness in the community. Exergames and motivation for physical activity in this group is problematic.Implications for rehabilitationThere are difficulties to change passive physical activity habits for persons with severe mental illness, living in sheltered housing conditions in the community due to negative symptoms with depression, low motivation and bad self -confidence.An exergame intervention was not successful in this group of persons. No somatic health benefits were found.Simple physical activities and offering different choices meeting different user needs shouldbe offered.Ensuring user and staff engagement, good technical knowledge and good monitoring is a need for a successful intervention, if Exergames are offered as an alternative physical activity.</p>},
  author       = {Gyllensten, Amanda Lundvik and Forsberg, Karl Anton},
  issn         = {1748-3107},
  keyword      = {cluster randomization,Exergames,focus groups,mixed methods,Social psychiatry},
  language     = {eng},
  number       = {8},
  pages        = {780--788},
  publisher    = {Taylor & Francis},
  series       = {Disability and Rehabilitation: Assistive Technology},
  title        = {Computerized physical activity training for persons with severe mental illness - experiences from a communal supported housing project},
  url          = {http://dx.doi.org/10.1080/17483107.2016.1263881},
  volume       = {12},
  year         = {2017},
}