A study protocol for a randomised controlled feasibility trial of an intervention to increase activity and reduce sedentary behaviour in people with severe mental illness: Walking fOR Health (WORtH) Study

A study protocol for a randomised controlled feasibility trial of an intervention to increase activity and reduce sedentary behaviour in people with severe mental illness: Walking fOR Health (WORtH) Study

Background People with severe mental illness (SMI) are less physically active and more sedentary than healthy controls, contributing to poorer physical health outcomes in this population. There is a need to understand the feasibility and acceptability, and explore the effective components, of health...

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Published in:Pilot and feasibility studies Vol. 7; no. 1; pp. 1 - 205
Main Authors: McDonough, Suzanne M, Howes, Sarah C, Dillon, Maurice, McAuley, Judith, Brady, John, Clarke, Mary, Clarke, Mike, Lait, Emily, McArdle, Duana, O'Neill, Tony, Wilson, Iseult, Niven, Ailsa, Williams, Julie, Tully, Mark A, Murphy, Marie H, McDonough, Catherine M
Format: Journal Article
Language:English
Published: London BioMed Central Ltd 15-11-2021
BioMed Central
BMC
Subjects:
Behaviour change
Bipolar disorder
COVID-19
Education
Exercise
Feasibility studies
Goal setting
Health aspects
Intervention
Mental disorders
Mental health
Mental health care
Mental illness
Mentally ill
Metabolism
Physical activity
Physical fitness
Population
Questionnaires
Rural areas
Schizophrenia
Sedentary behavior
Sedentary behaviour
Severe mental illness
Study Protocol
Systematic review
Walking
United Kingdom
United Kingdom > UK
Northern Ireland
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Summary:Background People with severe mental illness (SMI) are less physically active and more sedentary than healthy controls, contributing to poorer physical health outcomes in this population. There is a need to understand the feasibility and acceptability, and explore the effective components, of health behaviour change interventions targeting physical activity and sedentary behaviour in this population in rural and semi-rural settings. Methods This 13-week randomised controlled feasibility trial compares the Walking fOR Health (WORtH) multi-component behaviour change intervention, which includes education, goal-setting and self-monitoring, with a one-off education session. It aims to recruit 60 inactive adults with SMI via three community mental health teams in Ireland and Northern Ireland. Primary outcomes are related to feasibility and acceptability, including recruitment, retention and adherence rates, adverse events and qualitative feedback from participants and clinicians. Secondary outcome measures include self-reported and accelerometer-measured physical activity and sedentary behaviour, anthropometry measures, physical function and mental wellbeing. A mixed-methods process evaluation will be undertaken. This study protocol outlines changes to the study in response to the COVID-19 pandemic. Discussion This study will address the challenges and implications of remote delivery of the WORtH intervention due to the COVID-19 pandemic and inform the design of a future definitive randomised controlled trial if it is shown to be feasible. Trial registration The trial was registered on clinicaltrials.gov (NCT04134871) on 22 October 2019. Keywords: Physical activity, Sedentary behaviour, Behaviour change, Severe mental illness
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ISSN:2055-5784
2055-5784
DOI:10.1186/s40814-021-00938-5