Feasibility and acceptability of a student-led lifestyle (diet and exercise) intervention within a residential rehabilitation setting for people with severe mental illness, go heart (group occupation, health, exercise and rehabilitation treatment)
Open accessAbstract
PURPOSE: People with severe mental illness (SMI) experience poor physical health and premature mortality, contributed significantly by modifiable lifestyle risk factors such as poor nutrition, low cardiorespiratory fitness, and physical inactivity. Lifestyle interventions can reduce cardiometabolic risk and confer a range of other positive mental and physical health benefits. We assessed the feasibility, acceptability, safety, and preliminary effectiveness of a lifestyle (combined dietary and exercise) intervention lead by senior exercise and dietetics students in a residential mental health rehabilitation setting. DESIGN: Single arm, prospective study evaluating outcomes pre and post a 10-week dietary and exercise intervention. METHOD: People with SMI from three residential rehabilitation units participated in a mixed aerobic and resistance training exercise intervention three times per week that was combined with a dietary intervention (six individual and group sessions). Primary outcome considerations were feasibility (recruitment, retention, and participation rates), acceptability, and adverse events. Secondary outcomes were preliminary effectiveness; (functional exercise capacity, volume of exercise, and metabolic markers), psychiatric symptoms, quality of life, and attitudes to exercise. RESULTS: Forty-two participants were recruited (92% primary diagnosis of schizophrenia). Intervention feasibility was supported by high levels of recruitment (68%), retention (77%), and participation (70% exercise, 65% diet sessions); and the absence of serious adverse events. Significant improvements in functional exercise capacity, volume of exercise, general psychiatric symptoms, and negative psychotic symptoms occurred. Anthropometric and metabolic blood markers did not change. While the intervention was acceptable to participants, motivation for and perceived value of exercise reduced over 10 weeks. CONCLUSIONS: A brief pragmatic student-led lifestyle intervention integrated into usual mental health care was feasible, acceptable, safe, and scalable across two additional mental health residential rehabilitation sites, and resulted in physical and mental health improvements. Increased frequency of dietary sessions and length of dietary intervention may improve metabolic outcomes in the future. People with SMI living in residential rehabilitation units should have access to lifestyle programs to address modifiable lifestyle risk factors. While this brief intervention was feasible and acceptable, this study highlights some of the challenges associated with maintaining motivation for healthy lifestyles for people with SMI. Longer term investigation of real-world lifestyle interventions is warranted, together with additional interventions that may support people with SMI to sustain motivation to address lifestyle factors. CLINICAL TRIAL REGISTRATION: The trial was registered with the Australian New Zealand Clinical Trials Registry (ANZCTR), Unique Identifier: ACTRN 12618000478213, http://www.anzctr.org.au Universal trial number (UTN)-U1111-1211-4009.
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Similar results were found in recent published studies and a relationship was found between exercise interventions and healthy lifestyles acquisition.
“Similar results were found in recent published studies72–74 and additionally, was found a relationship between exercise interventions and healthy lifestyles acquisition74”
From Occupational therapy interventions for adults with severe mental illness: a scoping review (2021) · cites this paper as [74]
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- [25]Korman NH Shah S Suetani S Kendall K Rosenbaum S Dark F Evaluating the Feasibility of a Pilot Exercise Intervention Implemented Within a Residential Rehabilitation Unit for People With Severe Mental Illness: GO HEART: (Group Occupational Health Exercise and Rehabilitation Treatment). Front Psychiatry (2018) 9. 10.3389/fpsyt.2018.00343 PMC6072846 30100885 · DOI
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Occupational therapy interventions for adults with severe mental illness: a scoping review
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“Similar results were found in recent published studies 72–74 and additionally, was found a relationship between exercise interventions and healthy lifestyles acquisition 74 The measurement instruments used in the included articles to assess these outcomes varied widely between studies.”
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- Authors
- Korman, N., Fox, H., Skinner, T., Dodd, C., Suetani, S., Chapman, J., Parker, S., Dark, F., Collins, C., Rosenbaum, S., & Siskind, D.
- Affiliations
- The University of Queensland (AU)
- Queensland University of Technology (AU)
- Metro South Health (AU)
- QIMR Berghofer Medical Research Institute (AU)
- UNSW Sydney (AU)
- Corresponding author
- Korman, Nicole
- ORCID
- Venue
- Frontiers in Psychiatry
- Publisher
- Frontiers Media SA
- Published
- 2020-04-28
- Volume
- 11
- Pages
- 319-319
- ISSN
- 1664-0640 (ISSN-L)
- PMC
- PMC7198865
- OpenAlex
- W3021146720
- Cited by
- 27
- References
- 75
- Citations by year
- 2026: 5 · 2025: 6 · 2024: 3 · 2023: 5 · 2022: 2 · 2021: 6
- FWCI
- 1.96
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Frontiers in Psychiatry (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Griffith Research Online (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Queensland University of Technology
- Topics
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Health Sciences › Health Professions › General Health Professions › Health and Lifestyle Studies
- Keywords
- severe mental illness, schizophrenia, lifestyle intervention, dietary intervention, exercise intervention, student-led intervention, feasibility and acceptability, physical activity, functional exercise capacity, cardiometabolic risk, negative psychotic symptoms, exercise motivation, quality of life, cardiorespiratory fitness, metabolic biomarkers, modifiable lifestyle risk factors
About these checks
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.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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