Barriers to and facilitators of physical activity among persons with schizophrenia: a survey of physical therapists.
Abstract
OBJECTIVE: This study examined the experience, perceptions, and knowledge of physical therapists who work within mental health services regarding barriers to and facilitators of physical activity among people with schizophrenia. METHODS: A total of 151 physical therapists, members of the International Organization of Physical Therapists in Mental Health, completed an online survey. Data-driven and concept driven content analysis was conducted with the responses. RESULTS: The most frequently cited barriers were patients' lack of motivation (45% of respondents) and a lack of priority given to physical activity by other health care professionals (28%). The most frequently cited facilitators included the provision of esteem support by health care professionals (28%) and the promotion of enjoyment and autonomy for the patient (25%). CONCLUSIONS: When promoting physical activity among individuals with schizophrenia, health care professionals who work in mental health settings should provide an individual approach, taking into account patient related and situational factors.
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Among those who are physically able to exercise, lack of motivation is a significant factor preventing individuals with schizophrenia or MDD from adhering to AE interventions.
“Amongst those who are physically able to exercise, the lack of motivation is a significant factor preventing individuals with schizophrenia (Soundy et al., 2014) or MDD (Krämer et al., 2014) from adhering to AE interventions.”
From Aerobic Exercise as a Tool to Improve Hippocampal Plasticity and Function in Humans: Practical Implications for Mental Health Treatment (2016) · cites this paper as Soundy et al., 2014
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“Amongst those who are physically able to exercise, the lack of motivation is a significant factor preventing individuals with schizophrenia (Soundy et al., 2014) or MDD (Krämer et al., 2014) from adhering to AE interventions.”
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- Authors
- Soundy, A., Stubbs, B., Probst, M., Hemmings, L., & Vancampfort, D.
- Affiliations
- University of Greenwich (GB)
- Venue
- Psychiatric Services
- Published
- 2014-05
- Volume
- 65
- Issue
- 5
- Pages
- 693-696
- ISSN
- 0022-1597 (ISSN-L)
- 1075-2730
- 1557-9700
- OpenAlex
- W2036393682
- Cited by
- 114
- References
- 16
- Citations by year
- 2026: 2 · 2025: 6 · 2024: 13 · 2023: 10 · 2022: 6 · 2021: 7 · 2020: 9 · 2019: 5 · 2018: 13 · 2017: 10 · 2016: 10 · 2015: 18 · 2014: 5
- FWCI
- 9.53
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychiatric Services (publishedVersion)
- PubMed (publishedVersion)
- University of Birmingham Research Portal (University of Birmingham) (publishedVersion)
- Greenwich Academic Literature Archive (University of Greenwich) (submittedVersion)
- Research Portal (King's College London) (submittedVersion)
- Lirias (submittedVersion)
- Topics
- Health Sciences › Medicine › Physiology › 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
- schizophrenia, physical activity, barriers to physical activity, facilitators of physical activity, physiotherapists, mental health services, patient motivation, esteem support, enjoyment, autonomy, clinician attitudes
- MeSH terms
- Adult, Attitude of Health Personnel, Female, Health Promotion, Humans, Male, Middle Aged, Motivation, Patient Compliance, Schizophrenia, Schizophrenic Psychology, Exercise, Health Care Surveys, Physical Therapists
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