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Perceptions of Barriers and Benefits to Physical Activity Among Outpatients in Psychiatric Rehabilitation
Abstract
Purpose: To explore perceived barriers and benefits to physical activity in people with serious and persistent mental illness (SPMI) who were enrolled in community‐based psychiatric rehabilitation. Design and Methods: Four focus groups, two for men and two for women, were held with a total of 34 outpatients from two program sites. The investigators used a semistructured interview guide to facilitate the discussions. Audiotapes of the discussions were transcribed and analyzed for concepts and themes. Findings: Significant barriers to physical activity were: mental illness symptoms, medications, weight gain from medications, fear of discrimination, and safety concerns. Being in a psychiatric rehabilitation program offered comfort and belonging, but it also had the effect of leaving activity initiation up to the program staff, which some participants perceived was part of required program compliance. However, participants viewed physical activity positively, and they linked being active to improved mental health. Conclusions: Outpatients in psychiatric rehabilitation valued physical activity, but mental illness symptoms, medication sedation, weight gain, fear of unsafe conditions, fear of discrimination, and interpretations of program compliance were barriers. Confronting how attitudes and barriers specific to this population can affect activity and reframing program compliance to include the independent initiation of activity as part of improving health might help clients of mental health services to become more active.
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“people with a mental illness may present with signi fi cant barriers to the uptake of exercise including low motivation, lack of enjoyment and persistent fatigue (McDevitt et al. 2006; Carpiniello et al. 2013).”
From A call to action: Exercise as treatment for patients with mental illness (2015) · cites this paper as McDevitt et al. 2006
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Metadata
- Authors
- McDevitt, J., Snyder, M., Miller, A., & Wilbur, J.
- Affiliations
- University of Illinois Chicago (US)
- Corresponding author
- McDevitt, Judith
- Snyder, Marsha
- Miller, Arlene
- Wilbur, JoEllen
- ORCID
- Wilbur, JoEllen
- Venue
- Journal of Nursing Scholarship
- Publisher
- Wiley
- Published
- 2006-02-13
- Volume
- 38
- Issue
- 1
- Pages
- 50-55
- ISSN
- 0363-2792 (ISSN-L)
- 1527-6546
- 1547-5069
- OpenAlex
- W2116708338
- Cited by
- 188
- References
- 23
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 3 · 2023: 6 · 2022: 7 · 2021: 10 · 2020: 8 · 2019: 9 · 2018: 15 · 2017: 9 · 2016: 15 · 2015: 14 · 2014: 19 · 2013: 23 · 2012: 12
- FWCI
- 3.54
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Nursing Scholarship (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Physical Activity and Health
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Keywords
- physical activity, serious and persistent mental illness, psychiatric rehabilitation, barriers to physical activity, benefits of physical activity, adverse drug reactions, weight gain, fear of discrimination, safety concerns, program adherence, outpatients, mental health services
- MeSH terms
- Adolescent, Adult, Attitude to Health, Mental Disorders, Fear, Female, Health Services Needs and Demand, Humans, Health Knowledge, Attitudes, Practice, Male, Middle Aged, Motivation, Outpatients, Prejudice, Psychotropic Drugs, Residence Characteristics, Midwestern United States, Nursing Methodology Research, Weight Gain, Exercise, Focus Groups, Self Efficacy, Persons with Psychiatric Disorders, Qualitative Research
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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